[Federal Register Volume 85, Number 150 (Tuesday, August 4, 2020)]
[Notices]
[Pages 47284-47285]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-16853]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF STATE

[Public Notice 11164]


30-Day Notice of Proposed Information Collection: Medical History 
and Examination

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

-----------------------------------------------------------------------

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 September 2, 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 47285]]

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 History and 
Examination.
     OMB Control Number: 1405-0068.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Bureau of Medical Services (MED).
     Form Number: DS-1843 and DS-1622.
     Respondents: Contractors and eligible family members.
     Estimated Number of Respondents: 2,039.
     Estimated Number of Responses: 2,039.
     Average Time per Response: 1 hour.
     Total Estimated Burden Time: 2,039 hours.
     Frequency: Upon application for an overseas position and 
then intermittent, as needed.
     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

    Forms DS-1843 and DS-1622 collect medical history, lab tests, and 
physical examinations for all individuals applying for overseas 
positions, including their eligible family members. Forms DS-1843 and 
DS-1622 are designed to collect sufficient and current medical 
information on the individual in order for a medical provider to make a 
medical clearance determination for initial appointment to an overseas 
assignment. They are also used to determine whether the individual or 
eligible family member will have appropriate medical and/or educational 
resources at a diplomatic mission/host country abroad to maintain the 
health and safety of the individual or family member. The forms were 
updated to include questions regarding employment agency information 
for non-foreign service agencies. Once the collection instruments have 
been approved, the DS-1843/1622 can be used by respondents employed by 
both foreign and non-foreign service agencies, rendering the DS-6561 
form redundant. As a result, the DS-6561 (OMB Control No. 0194) would 
be discontinued upon OMB approval of the revised DS-1843 and DS-1622 
forms.

Methodology

    The respondent will obtain the DS-1843 and DS-1622 forms from their 
human resources representative or download the forms from a Department 
website. The respondent will complete and submit the forms offline.

Karl Field,
Director of Medical Clearances.
[FR Doc. 2020-16853 Filed 8-3-20; 8:45 am]
BILLING CODE 4710-36-P