[Federal Register Volume 87, Number 161 (Monday, August 22, 2022)]
[Notices]
[Page 51440]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-17954]
[[Page 51440]]
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DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
[1651-0NEW]
CBP Hiring Center Medical Records Privacy Act Release Form
AGENCY: U.S. Customs and Border Protection (CBP), Department of
Homeland Security.
ACTION: 30-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
September 21, 2022) to be assured of consideration.
ADDRESSES: Written comments and/or suggestions regarding the item(s)
contained in this notice 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: 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/ 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 proposed information collection was
previously published in the Federal Register (Volume 87 FR 14902) on
March 16, 2022, allowing for a 60-day comment period. This notice
allows for an additional 30 days for public comments. 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 Privacy Act Release Form.
OMB Number: 1651-0NEW.
Form Number: Form 3400.
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 Privacy Act Release
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: August 16, 2022.
Seth D. Renkema,
Branch Chief, Economic Impact Analysis Branch, U.S. Customs and Border
Protection.
[FR Doc. 2022-17954 Filed 8-19-22; 8:45 am]
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