[Federal Register Volume 81, Number 223 (Friday, November 18, 2016)]
[Notices]
[Pages 81818-81819]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-27818]


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PEACE CORPS


Information Collection Request; Submission for OMB Review

AGENCY: Peace Corps.

ACTION: 60-day notice and request for comments.

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SUMMARY: The Peace Corps will be submitting the following information 
collection request to the Office of Management and Budget (OMB) for 
review and approval. The purpose of this notice is to allow 60 days for 
public comment in the Federal Register preceding submission to OMB. We 
are conducting this process in accordance with the Paperwork Reduction 
Act of 1995 (44 U.S.C. Chapter 35).

DATES: Submit comments on or before January 17, 2017.

ADDRESSES: Comments should be addressed to Denora Miller, FOIA/Privacy 
Act Officer. Denora Miller can be contacted by telephone at 202-692-
1236 or email at [email protected]. Email comments must be made in 
text and not in attachments.

FOR FURTHER INFORMATION CONTACT: Denora Miller at Peace Corps address 
above.

SUPPLEMENTARY INFORMATION: 
    Title: Peace Corps Report of Physical Examination (PC 1790S).
    OMB Control Number: 0420-0549.
    Type of Request: Revision.
    Affected Public: Individuals/Physicians.
    Respondents Obligation to Reply: Voluntary.
    Respondents: Potential and current volunteers.
    Burden to the Public:

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a. Estimated number of respondents......  5,600/5,600.
b. Estimated average burden per response  45 min/90 min.
c. Frequency of response................  One time.
d. Annual reporting burden..............  4,200 hours/
                                          8,400 hours.
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    General description of collection: The information in this form 
will be used by the Peace Corps Office of Medical Services to determine 
whether an Applicant will, with reasonable accommodation, be able to 
perform the essential functions of a Peace Corps Volunteer assignment 
and complete a tour of service without unreasonable disruption due to 
health problems and, if so, to establish the level of medical and other 
support, if any, that may be required to reasonably accommodate the 
Applicant. The information in this form is also used as a baseline 
assessment for the Peace Corps Medical Officers overseas who are 
responsible for the Volunteer's medical care. Finally, the Peace Corps 
may use the information in this form as a point of reference in the 
event that, after completion of the Applicant's service as a Volunteer, 
he or she makes a worker's compensation claim under the Federal 
Employee Compensation Act (FECA).
    Request for comment: Peace Corps invites comments on whether the 
proposed collections of information are necessary for proper 
performance of the functions of the Peace Corps, including whether the 
information will have practical use; the accuracy of the agency's 
estimate of the burden of the

[[Page 81819]]

proposed collection of information, including the validity of the 
information to be collected; and, ways to minimize the burden of the 
collection of information on those who are to respond, including 
through the use of automated collection techniques, when appropriate, 
and other forms of information technology.

    This notice is issued in Washington, DC on November 15, 2016.
Monique Harris,
FOIA/Privacy Act Officer, Management.
[FR Doc. 2016-27818 Filed 11-17-16; 8:45 am]
 BILLING CODE 6051-01-P