[Federal Register Volume 87, Number 51 (Wednesday, March 16, 2022)]
[Notices]
[Pages 14902-14903]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-05479]


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DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

[1651-0NEW]


CBP Hiring Center Medical Records Release Privacy Act Form

AGENCY: U.S. Customs and Border Protection (CBP), Department of 
Homeland Security.

[[Page 14903]]


ACTION: 60-Day notice and request for comments; this is a new 
collection of information.

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SUMMARY: The Department of Homeland Security, U.S. Customs and Border 
Protection will be 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 (PRA). 
The information collection is published in the Federal Register to 
obtain comments from the public and affected agencies.

DATES: Comments are encouraged and must be submitted (no later than May 
16, 2022) to be assured of consideration.

ADDRESSES: Written comments and/or suggestions regarding the item(s) 
contained in this notice must include the OMB Control Number 1651-0NEW 
in the subject line and the agency name. Please use the following 
method to submit comments:
    Email. Submit comments to: [email protected].
    Due to COVID-19-related restrictions, CBP has temporarily suspended 
its ability to receive public comments by mail.

FOR FURTHER INFORMATION CONTACT: Requests for additional PRA 
information should be directed to Seth Renkema, Chief, Economic Impact 
Analysis Branch, U.S. Customs and Border Protection, Office of Trade, 
Regulations and Rulings, 90 K Street NE, 10th Floor, Washington, DC 
20229-1177, Telephone number 202-325-0056 or via email 
[email protected]. Please note that the contact information provided 
here is solely for questions regarding this notice. Individuals seeking 
information about other CBP programs should contact the CBP National 
Customer Service Center at 877-227-5511, (TTY) 1-800-877-8339, or CBP 
website at https://www.cbp.gov/.

SUPPLEMENTARY INFORMATION: CBP invites the general public and other 
Federal agencies to comment on the proposed and/or continuing 
information collections pursuant to the Paperwork Reduction Act of 1995 
(44 U.S.C. 3501 et seq.). This process is conducted in accordance with 
5 CFR 1320.8. Written comments and suggestions from the public and 
affected agencies should address one or more of the following four 
points: (1) Whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility; (2) 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; (3) suggestions to enhance the quality, utility, and clarity of 
the information to be collected; and (4) suggestions to 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. The comments that are submitted will be summarized and 
included in the request for approval. All comments will become a matter 
of public record.

Overview of This Information Collection

    Title: CBP Hiring Center Medical Records Release Privacy Act Form.
    OMB Number: 1651-0NEW.
    Form Number: N/A.
    Current Actions: This is a new information collection.
    Type of Review: New.
    Affected Public: Individuals.
    Abstract: In accordance with 5 CFR 339.301, Customs and Border 
Protection (CBP) performs pre-employment medical evaluations on all 
candidates tentatively selected to fill positions that include a 
medical requirement, such as the CBP Officer and Border Patrol Agent 
positions. During that evaluation process, CBP collects medically 
relevant information about the candidate from: The candidate, CBP's 
contracted medical providers, and/or the candidate's personal medical 
and mental health providers.
    In accordance with 5 CFR 339.305, CBP makes all medical 
documentation and records of examination available to the candidates. 
Candidates can request copies of their pre-employment medical 
examination results and supporting documentation/records by email or 
letter. Due to the sensitive nature of the information being released, 
CBP requires that candidates complete and sign a privacy release 
authorization form in order to receive a copy of their medical 
documents. CBP will only share medical information directly with the 
candidate, or with a third party when authorized to do so in writing by 
the candidate.
    No specific information is needed to request copies of candidates' 
medical documents in writing. When completing the release form, 
candidates must provide the following information: Full name, partial 
Social Security Number (SSN#), Date of Birth, Current Address, Email 
Address, Phone Number; as well as specifying the type of medical 
records to be released (hearing test results, vision test results, 
etc.).
    This information is used by CBP as confirmation that the agency has 
the candidate's signed authorization to provide medically related 
records about the candidate. A copy of that signed authorization and 
the records released are retained within the candidate's pre-employment 
file.
    Type of Information Collection: Medical Records Release Privacy Act 
Form.
    Estimated Number of Respondents: 104.
    Estimated Number of Annual Responses per Respondent: 2.
    Estimated Number of Total Annual Responses: 208.
    Estimated Time per Response: 15 minutes.
    Estimated Total Annual Burden Hours: 52 hours.

    Dated: March 10, 2022.
Seth D. Renkema,
Branch Chief, Economic Impact Analysis Branch, U.S. Customs and Border 
Protection.
[FR Doc. 2022-05479 Filed 3-15-22; 8:45 am]
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