Notice2023-21397
60 Day Notice of Proposed Information Collection: Medical Clearance Update
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
October 2, 2023
Issuing agencies
State Department
Abstract
The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. 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 60 days for public comment preceding submission of the collection to OMB.
Full Text
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<title>Federal Register, Volume 88 Issue 189 (Monday, October 2, 2023)</title>
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[Federal Register Volume 88, Number 189 (Monday, October 2, 2023)]
[Notices]
[Pages 67857-67858]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-21397]
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DEPARTMENT OF STATE
[Public Notice: 12199]
60 Day Notice of Proposed Information Collection: Medical
Clearance Update
ACTION: Notice of request for public comment.
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SUMMARY: The Department of State is seeking Office of Management and
Budget (OMB) approval for the information collection described below.
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 60 days for
public comment preceding submission of the collection to OMB.
DATES: The Department will accept comments from the public up to
December 1, 2023.
ADDRESSES: You may submit comments by any of the following methods:
<bullet> Web: Persons with access to the internet may comment on
this notice by going to <a href="http://www.Regulations.gov">www.Regulations.gov</a>. You can search for the
document by entering ``Docket Number: DOS-2023-0032'' in the Search
field. Then click the ``Comment Now'' button and complete the comment
form.
<bullet> Email: <a href="/cdn-cgi/l/email-protection#4e032120202f24220e3d3a2f3a2b60292138"><span class="__cf_email__" data-cfemail="a7eac8c9c9c6cdcbe7d4d3c6d3c289c0c8d1">[email protected]</span></a>.
<bullet> Regular Mail: Send written comments to: Medical Director,
Office of Medical Clearances, Bureau of Medical Services, 2401 E Street
NW, SA-1, Room H-242, Washington, DC 20522-0101.
<bullet> Fax: 202-647-0292, Attention: Medical Clearance Director.
You must include the DS form number (if applicable), information
collection title, and the OMB control number in any correspondence.
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 Jennifer Monna who may be reached at 202-663-
1657 or at <a href="/cdn-cgi/l/email-protection#713c1e1f1f101b1d3102051005145f161e07"><span class="__cf_email__" data-cfemail="4e032120202f24220e3d3a2f3a2b60292138">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
<bullet> Title of Information Collection: Medical Clearance Update.
<bullet> OMB Control Number: 1405-0131.
<bullet> Type of Request: Reinstatement of a discontinued
collection.
<bullet> Originating Office: Bureau of Medical Services: MED/CP/CL.
<bullet> Form Number: DS-3057.
<bullet> Respondents: Contractors and eligible family members.
<bullet> Estimated Number of Respondents: 8,782.
[[Page 67858]]
<bullet> Estimated Number of Responses: 8,782.
<bullet> Average Time per Response: 30 minutes.
<bullet> Total Estimated Burden Time: 4,391 hours.
<bullet> Frequency: As needed.
<bullet> Obligation to Respond: Mandatory.
We are soliciting public comments to permit the Department to:
<bullet> Evaluate whether the proposed information collection is
necessary for the proper functions of the Department.
<bullet> 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.
<bullet> Enhance the quality, utility, and clarity of the
information to be collected.
<bullet> 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
Form DS-3057 is designed to collect medical information to provide
medical providers with current and adequate information to base
decisions on whether contractors and eligible family members will have
sufficient medical resources at a diplomatic mission abroad to maintain
the health and fitness of the individual and family members.
Methodology
The respondent will obtain the DS-3057 form from their human
resources representative or download the form from a department
website. The respondent will complete and submit the form offline.
Jennifer L. Monna,
Director of Medical Clearances, Bureau of Medical Clearances,
Department of State.
[FR Doc. 2023-21397 Filed 9-29-23; 8:45 am]
BILLING CODE 4710-36-P
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This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.