[Federal Register Volume 85, Number 92 (Tuesday, May 12, 2020)]
[Notices]
[Pages 28133-28134]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-10084]


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DEPARTMENT OF STATE

Public Notice 11108]


30-Day Notice of Proposed Information Collection: Medical 
Clearance Update

ACTION: Notice of request for public comment and submission to OMB of 
proposed collection of information.

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SUMMARY: The Department of State has submitted the information 
collection described below to the Office of Management and Budget (OMB) 
for approval. 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 
30 days for public comment.

DATES: Submit comments up to June 11, 2020.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.

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 to: Karl Field, Medical Director, Office of 
Medical Clearances, Bureau of

[[Page 28134]]

Medical Services, 2401 E Street NW, SA-1, Room L-101, Washington, DC 
20522-0101, and who may be reached at 202-663-1591 or at 
[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 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. 2020-10084 Filed 5-11-20; 8:45 am]
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