[Federal Register Volume 85, Number 31 (Friday, February 14, 2020)]
[Notices]
[Pages 8619-8620]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-03037]


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DEPARTMENT OF STATE

[Public Notice 11027]


60 Day Notice of Proposed Information Collection: Medical 
Clearance Update

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 April 
14, 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-2020-0003'' 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 
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: Medical Clearance Update.
     OMB Control Number: 1405-0131.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Bureau of Medical Services (MED).
     Form Number: DS-3057.
     Respondents: Contractors and eligible family members.
     Estimated Number of Respondents: 7,205.
     Estimated Number of Responses: 7,205.
     Average Time per Response: 30 minutes.
     Total Estimated Burden Time: 3,603 hours.
     Frequency: As needed.
     Obligation to Respond: Mandatory.
    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

    Form DS-3057 is designed to collect medical information to provide 
medical providers with current and adequate information to base 
decisions on whether contractors and eligible family

[[Page 8620]]

members will have sufficient medical resources at a diplomatic mission 
abroad to maintain the health and fitness of the individual and family 
members.

Methodology

    The respondent will obtain the DS-3057 form from their human 
resources representative or download the form from a Department 
website. The respondent will complete and submit the form offline.

Karl Field,
Director of Medical Clearances.
[FR Doc. 2020-03037 Filed 2-13-20; 8:45 am]
 BILLING CODE 4710-36-P