Notice2022-05479
CBP Hiring Center Medical Records Release Privacy Act Form
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
March 16, 2022
Issuing agencies
Homeland Security DepartmentU.S. Customs and Border Protection
Abstract
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.
Full Text
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<title>Federal Register, Volume 87 Issue 51 (Wednesday, March 16, 2022)</title>
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[Federal Register Volume 87, Number 51 (Wednesday, March 16, 2022)]
[Notices]
[Pages 14902-14903]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[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: <a href="/cdn-cgi/l/email-protection#9fdcddcfc0cfcddedffcfdefb1fbf7ecb1f8f0e9"><span class="__cf_email__" data-cfemail="054647555a555744456667752b616d762b626a73">[email protected]</span></a>.
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
<a href="/cdn-cgi/l/email-protection#e5a6a7b5bab5b7a4a5868795cb818d96cb828a93"><span class="__cf_email__" data-cfemail="8bc8c9dbd4dbd9cacbe8e9fba5efe3f8a5ece4fd">[email protected]</span></a>. 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://<a href="http://www.cbp.gov/">www.cbp.gov/</a>.
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]
BILLING CODE P
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