[Federal Register Volume 84, Number 159 (Friday, August 16, 2019)]
[Notices]
[Page 42016]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-17613]


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DEPARTMENT OF JUSTICE

Federal Bureau of Investigation

[OMB Number 1110-New]


Agency Information Collection Activities; Proposed eCollection 
eComments Requested; New Collection; Background Investigation Medical 
Release Forms

AGENCY: Federal Bureau of Investigation, Department of Justice.

ACTION: 30-Day notice.

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SUMMARY: The Department of Justice, Federal Bureau of Investigation, is 
submitting 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: The Department of Justice encourages public comment and will 
accept input until September 16, 2019.

FOR FURTHER INFORMATION CONTACT: If you have additional comments 
especially on the estimated public burden or associated response time, 
suggestions, or need a copy of the proposed information collection 
instrument with instructions or additional information, please contact 
Gabrielle Fournet, Unit Chief, Federal Bureau of Investigation, 935 
Pennsylvania Avenue NW, Washington, DC, [email protected], 202-651-
2906.
    Written comments and/or suggestions can also be sent to the Office 
of Management and Budget, Office of Information and Regulatory Affairs, 
Attention Department of Justice Desk Officer, Washington, DC 20503 or 
sent to [email protected].

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:
    [rtarr8] Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the Federal 
Bureau of Investigation, including whether the information will have 
practical utility;
    [rtarr8] 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;
    [rtarr8] Evaluate whether and if so how the quality, utility, and 
clarity of the information to be collected can be enhanced; and
    [rtarr8] 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: New Collection.
    2. The Title of the Form/Collection: Background Investigation 
Medical Release Forms.
    3. The agency form number, if any, and the applicable component of 
the Department sponsoring the collection: FD-1152 and FD-1153. The 
applicable component within the Department of Justice is the Federal 
Bureau of Investigation.
    4. Affected public who will be asked or required to respond, as 
well as a brief abstract: This form is needed for obtaining medical 
information for non FBI personnel, for which the FBI has been requested 
to obtain medical release information. For instance, when the FBI has 
been requested to conduct background investigations on non-FBI 
employees applying for positions with other government agencies, 
sometimes medical information must be obtained. When it occurs, the 
non-FBI employee applying for the position is asked to complete the 
medical release form so the FBI has the authority to seek the medical 
information.
    5. An estimate of the total number of respondents and the amount of 
time estimated for an average respondent to respond: It is estimated 
that not more than 50 people would need to complete this form in a 
year. It should only take each person about 15 minutes to complete the 
form.
    6. An estimate of the total public burden (in hours) associated 
with the collection: There is an estimated 12.5 total annual burden 
hours associated with this collection.
    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 13, 2019.
Melody Braswell,
Department Clearance Officer for PRA, U.S. Department of Justice.
[FR Doc. 2019-17613 Filed 8-15-19; 8:45 am]
 BILLING CODE 4410-02-P