[Federal Register Volume 89, Number 155 (Monday, August 12, 2024)]
[Notices]
[Page 65701]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-17894]


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DEPARTMENT OF STATE

[Public Notice 12474]


30-Day Notice of Proposed Information Collection: Pre-Employment 
Medical and Driver Evaluation Forms

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 September 11, 2024.

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 Dr. Michael Rudisile, 2401 E Street NW, SA-1, 
Room H-228, Washington, DC 20522-0101, who may be reached on 202-663-
1682 or at [email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Pre-Employment Medical 
and Driver Evaluation Forms.
     OMB Control Number: None.
     Type of Request: New Collection.
     Originating Office: Bureau of Medical Services, Office of 
Occupational Health and Wellness, MED/CP/HS/OH.
     Form Number: DS-6571, DS-6572, DS-6573, DS-6574, DS-6575, 
DS-6576, DS-6577.
     Respondents: Prospective locally employed staff employees 
and prospective/current employees who require a driver certificate to 
operate a government owned vehicle overseas.
     Estimated Number of Respondents: 13,000.
     Estimated Number of Responses: 13,000.
     Average Time per Response: 2.66 hours.
     Total Estimated Burden Time: 34,550.
     Frequency: Once, every two years, or every four years 
depending on occupation requirements.
     Obligation to Respond: Voluntary.
    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

    This collection is necessary for the Department's Bureau of Medical 
Services to evaluate medical eligibility for employment regarding 
operating a government owned vehicle, and for gathering supplemental 
pertinent medical information regarding identified conditions that 
could pose a safety risk to employees and others. This collection 
consists of the following forms: the medical evaluation for locally 
employed staff non-drivers (DS-6571); a tuberculosis risk assessment 
(DS-6573); a driver medical evaluation for locally employed staff (DS-
6572); a driver medical evaluation for U.S. Direct Hire (DS-6576); and 
supplemental health questionnaires. The supplemental health 
questionnaires are utilized for vision related (DS-6577), seizure 
related (DS-6574), and diabetes related diagnoses (DS-6575). These 
questionnaires and concurrent medical evaluations are required to make 
informed assessments on ability to complete required employment-related 
tasks; implementation of this collection is pursuant to 5 CFR 930.108, 
339.301, and the Foreign Service Act of 1980, as amended, 22 U.S.C. 
4084, 3901, and 3984.

Methodology

    The respondent will download the forms from a Department website. 
The respondent will complete and submit the forms to the local Health 
Unit and schedule an evaluation.

Geoffrey L. Jones,
Deputy Chief Medical Officer for Clinical Programs, Bureau of Medical 
Services, Department of State.
[FR Doc. 2024-17894 Filed 8-9-24; 8:45 am]
BILLING CODE 4710-36-P