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[Federal Register Volume 79, Number 37 (Tuesday, February 25, 2014)]
[Notices]
[Pages 10594-10595]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-04063]

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DEPARTMENT OF STATE

[Public Notice 8645]

30-Day Notice of Proposed Information Collection: Medical History 
and Examination for Foreign Service

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 directly to the Office of Management and Budget 
(OMB) up to March 27, 2014.

ADDRESSES: Direct comments to the Department of State Desk Officer in 
the Office of Information and Regulatory Affairs at the Office of 
Management and Budget (OMB). You may submit comments by the following 
methods:
     Email: oira_submission@omb.eop.gov. You must include the 
DS form number, information collection title, and the OMB control 
number in the subject line of your message.
     Fax: 202-395-5806. Attention: Desk Officer for Department 
of State.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection

[[Page 10595]]

listed in this notice, including requests for copies of the proposed 
collection instrument and supporting documents, to Susan B. Summers--
Chief, Medical Clearances at Department of State, Office of Medical 
Clearances, SA-15 Room 400, 1800 North Kent St. Rosslyn, VA. 22209, who 
may be reached on (703) 875-5413 or at summerssb@state.gov.

SUPPLEMENTARY INFORMATION:
     Title of Information Collection: Medical History and 
Examination for Foreign Service
     OMB Control Number: 1405-0068
     Type of Request: Emergency Review
     Originating Office: M/MED/MC
     Form Number: DS-1843, DS-1622
     Respondents: Foreign Service candidates who have been 
given provisional offers of employment and other individuals who 
participate in the Department of State's Medical Program.
     Estimated Number of Respondents: 10,000
     Estimated Number of Responses: 10,000
     Average Time per Response: 1 Hour
     Total Estimated Burden Time: 10,000 Hours
     Frequency: Once after conditional offer of employment, 
and, during the employment of the member of the Foreign Service, at 
intervals between assignments abroad.
     Obligation To Respond: Mandatory
    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: Pursuant to the Foreign Service 
Act of 1980, as amended, the Secretary of State has the authority to 
establish a Medical Program, and the information at issue is collected 
in accordance with 22 U.S.C. 4084, 3901, and 3984. The information 
collected in Form DS-1843 is needed to determine whether a candidate 
for a Foreign Service appointment can obtain the medical clearance that 
is a requirement of the appointment. Additionally, the information 
collected in Form DS-1843 and Form DS-1622 is used to provide and to 
update medical clearances for individuals who participate in the 
Medical Program.
    Methodology: After the individual and his or her health care 
provider complete the form, it can be faxed or scanned and emailed to 
MEDMR@state.gov.

    Dated: February 12, 2014.
Ernest E. Davis,
Director of Medical Clearances, Office of Medical Services, Department 
of State.
[FR Doc. 2014-04063 Filed 2-24-14; 8:45 am]
BILLING CODE 4710-36-P
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