[Federal Register Volume 84, Number 217 (Friday, November 8, 2019)]
[Notices]
[Pages 60465-60466]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-24390]


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DEPARTMENT OF STATE

[Public Notice 10927]


60-Day Notice of Proposed Information Collection: Employee Self-
Certification and Ability To Perform in Emergencies (ESCAPE) Posts, 
Pre-Deployment Physical Exam Acknowledgement Form

ACTION: Notice of request for public comment.

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SUMMARY: The Department of State is seeking Office of Management and 
Budget (OMB) approval for the information collection described below. 
In accordance with the Paperwork Reduction Act of 1995, we are 
requesting comments on this collection from all interested individuals 
and organizations. The purpose of this notice is to allow 60 days for 
public comment preceding submission of the collection to OMB.

DATES: The Department will accept comments from the public up to 
January 7, 2020.

ADDRESSES: 
    You may submit comments by any of the following methods:
     Web: Persons with access to the internet may comment on 
this notice by going to www.Regulations.gov. You can search for the 
document by entering ``Docket Number: DOS-2019-0036'' in the Search 
field. Then click the ``Comment Now'' button and complete the comment 
form.
     Email: [email protected].
     Regular Mail: Send written comments to: Medical Director, 
Office of Medical Clearances, Bureau of Medical Services, 2401 E Street 
NW, SA-1, Room L-101, Washington, DC 20522-0101.
     Fax: 202-647-0292 Attention: Medical Clearance Director.
    You must include the DS form number (if applicable), information

[[Page 60466]]

collection title, and the OMB control number in any correspondence.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed collection instrument and 
supporting documents, should be sent to Karl Field, Director of Medical 
Clearances at 202-663-1591 or [email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Employee Self-
Certification and Ability to Perform in Emergencies (ESCAPE) Posts, 
Pre-Deployment Physical Exam Acknowledgement Form.
     OMB Control Number: 1405-0224.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Bureau of Medical Services; MED/CP/CL.
     Form Number: DS-6570.
     Respondents: Contractors deploying to ESCAPE Diplomatic 
Missions requesting access to the Department of State Medical Program 
(currently Iraq, Afghanistan, Yemen, Syria, Libya, Somalia and 
Peshawar).
     Estimated Number of Respondents: 1,900.
     Estimated Number of Responses: 1,900.
     Average Time per Response: 40 minutes.
     Total Estimated Burden Time: 1,266 hours.
     Frequency: Annually for those deployed to an ESCAPE post.
     Obligation to Respond: Required to Obtain or Retain a 
Benefit.
    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper functions of the Department.
     Evaluate the accuracy of our estimate of the time and cost 
burden for this proposed collection, including the validity of the 
methodology and assumptions used.
     Enhance the quality, utility, and clarity of the 
information to be collected.
     Minimize the reporting burden on those who are to respond, 
including the use of automated collection techniques or other forms of 
information technology.
    Please note that comments submitted in response to this Notice are 
public record. Before including any detailed personal information, you 
should be aware that your comments as submitted, including your 
personal information, will be available for public review.

Abstract of Proposed Collection

    The DS-6570 is completed by an individual and their medical 
provider to declare that the individual has health concerns that may 
represent a safety hazard for the individual or others at an ESCAPE 
Diplomatic Mission. ESCAPE is an acronym used to describe Diplomatic 
Missions overseas that are in extremely high threat, potentially 
combat, areas. Current ESCAPE Missions are Iraq, Afghanistan, Somalia, 
Libya, Yemen, Syria and Peshawar, Pakistan. This program is authorized 
under the Foreign Service Act of 1980, as implemented by the Department 
in 13 FAM 301.4-5.

Methodology

    The respondent will obtain the DS-6570 from his or her human 
resources representative, or will download the form from a Department 
website. The respondent will complete and submit the form offline.

Karl Field,
Director of Medical Clearances.
[FR Doc. 2019-24390 Filed 11-7-19; 8:45 am]
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