Notice2024-17894
30-Day Notice of Proposed Information Collection: Pre-Employment Medical and Driver Evaluation Forms
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
August 12, 2024
Issuing agencies
State Department
Abstract
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.
Full Text
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<title>Federal Register, Volume 89 Issue 155 (Monday, August 12, 2024)</title>
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[Federal Register Volume 89, Number 155 (Monday, August 12, 2024)]
[Notices]
[Page 65701]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[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 <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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 <a href="/cdn-cgi/l/email-protection#a9dbdccdc0dac0c5ccc4cce9daddc8ddcc87cec6df"><span class="__cf_email__" data-cfemail="b7c5c2d3dec4dedbd2dad2f7c4c3d6c3d299d0d8c1">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
<bullet> Title of Information Collection: Pre-Employment Medical
and Driver Evaluation Forms.
<bullet> OMB Control Number: None.
<bullet> Type of Request: New Collection.
<bullet> Originating Office: Bureau of Medical Services, Office of
Occupational Health and Wellness, MED/CP/HS/OH.
<bullet> Form Number: DS-6571, DS-6572, DS-6573, DS-6574, DS-6575,
DS-6576, DS-6577.
<bullet> Respondents: Prospective locally employed staff employees
and prospective/current employees who require a driver certificate to
operate a government owned vehicle overseas.
<bullet> Estimated Number of Respondents: 13,000.
<bullet> Estimated Number of Responses: 13,000.
<bullet> Average Time per Response: 2.66 hours.
<bullet> Total Estimated Burden Time: 34,550.
<bullet> Frequency: Once, every two years, or every four years
depending on occupation requirements.
<bullet> Obligation to Respond: Voluntary.
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
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
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