[Federal Register Volume 84, Number 157 (Wednesday, August 14, 2019)]
[Notices]
[Pages 40437-40438]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-17438]
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DEPARTMENT OF JUSTICE
U.S. Marshals Service
[OMB Number 1105-0099]
Agency Information Collection Activities; Proposed eCollection
eComments Requested; Extension With Change, of a Previously Approved
Collection USMS Medical Forms
AGENCY: U.S. Marshals Service, Department of Justice.
ACTION: 60-Day notice.
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SUMMARY: The Department of Justice (DOJ), U.S. Marshals Service
(USMS), will submit the following information collection request to the
Office of Management and Budget (OMB) for review and approval in
accordance with the Paperwork Reduction Act of 1995.
DATES: Comments are encouraged and will be accepted for 60 days until
October 15, 2019.
FOR FURTHER INFORMATION CONTACT: If you have additional comments,
particularly with respect to the estimated public burden or associated
response time, have suggestions, need a copy of the proposed
information collection instrument with instructions, or desire any
additional information, please contact Nicole Timmons either by mail at
CG-3, 10th Floor, Washington, DC 20530-0001, by email at
[email protected], or by telephone at 202-236-2646.
SUPPLEMENTARY INFORMATION: Written comments and suggestions from the
public and affected agencies concerning the proposed collection of
information are encouraged. Your comments should address one or more of
the following four points:
--Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility;
[[Page 40438]]
--Evaluate the accuracy of the agency's estimate of the burden of the
proposed collection of information, including the validity of the
methodology and assumptions used;
--Evaluate whether and if so how the quality, utility, and clarity of
the information to be collected can be enhanced; and
--Minimize the burden of the collection of information on those who are
to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submission of responses.
Overview of This Information Collection
1. Type of Information Collection: Extension and revision of a
currently approved collection.
2. The Title of the Form/Collection: USMS Medical Forms.
3. The agency form number, if any, and the applicable component of
the Department sponsoring the collection:
Form Numbers:
--USM-522A Physician Evaluation Report for USMS Operational Employees
--USM-522P Physician Evaluation Report for USMS Operational Employees--
Pregnancy Only
--USM-600 Physical Requirements of USMS District Security Officers
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
4. Affected public who will be asked or required to respond, as
well as a brief abstract:
[cir] USM-522A Physician Evaluation Report for USMS Operational
Employees
[ssquf] Affected public: Private sector (Physicians)
[ssquf] Brief abstract: This form is completed by an USMS
operational employee's treating physician to report any illness/injury
(other than pregnancy) that requires restriction from full performance
of duties for longer than 80 consecutive hours.
[cir] USM-522P Physician Evaluation Report for USMS Operational
Employees (Pregnancy Only)
[ssquf] Affected public: Private sector (Physicians)
[ssquf] Brief abstract: Form USM-522P must be completed by the OB/
GYN physician of pregnant USMS operational employees to specify any
restrictions from full performance of duties.
[cir] USM-600 Physical Requirements of USMS District Security Officers
[ssquf] Affected public: Private sector (Physicians)
[ssquf] Brief abstract: It is the policy of the USMS to ensure a
law enforcement work force that is medically able to safely perform the
required job functions. All applicants for law enforcement positions
must have pre-employment physical examinations; existing District
Security Officers (DSOs) must recertify that they are physically fit to
perform the duties of their position each year. DSOs are individual
contractors, not employees of USMS; Form USM-522 does not apply to
DSOs.
[cir] CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
[ssquf] Affected public: Private sector (Physicians)
[ssquf] Brief abstract: This form is completed by the Court
Security Officer (CSO)'s attending physician to determine whether a CSO
is physically able to return to work after an injury, serious illness,
or surgery. The physician returns the evaluation to the contracting
company, and if the determination is that the CSO may return to work,
the CSO-012 is then signed off on by the contracting company and
forwarded to the USMS for final review by USMS' designated medical
reviewing official. Court Security Officers are contractors, not
employees of USMS; Form USM-522A does not apply to CSOs.
5. An estimate of the total number of respondents and the amount of
time estimated for an average respondent to respond:
USM-522A Physician Evaluation Report for USMS Operational Employees
It is estimated that 208 respondents will complete a 20 minute form
twice per year.
USM-522P Physician Evaluation Report for USMS Operational Employees
(Pregnancy Only)
It is estimated that 7 respondents will complete a 15 minute form
twice per year.
USM-600 Physical Requirements of USMS District Security Officers
It is estimated that 2,000 respondents will complete a 20 minute
form.
CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
It is estimated that 300 respondents will complete a 30 minute
form.
6. An estimate of the total public burden (in hours) associated
with the collection:
USM-522A Physician Evaluation Report for USMS Operational Employees
There are an estimated 139 annual total burden hours associated
with this collection.
USM-522P Physician Evaluation Report for USMS Operational Employees
(Pregnancy Only)
There are an estimated 4 annual total burden hours associated with
this collection.
USM-600 Physical Requirements of USMS District Security Officers
There are an estimated 667 annual total burden hours associated
with this collection.
CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
There are an estimated 150 annual total burden hours associated
with this collection.
Total Annual Time Burden (Hr): 960.
If additional information is required contact: Melody Braswell,
Department Clearance Officer, United States Department of Justice,
Justice Management Division, Policy and Planning Staff, Two
Constitution Square, 145 N Street NE, 3E.405A, Washington, DC 20530.
Dated: August 9, 2019.
Melody Braswell,
Department Clearance Officer for PRA, U.S. Department of Justice.
[FR Doc. 2019-17438 Filed 8-13-19; 8:45 am]
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