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[Federal Register: October 8, 2010 (Volume 75, Number 195)]
[Notices]               
[Page 62444-62445]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr08oc10-97]                         

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DEPARTMENT OF STATE

[Public Notice 7200]

 
60-Day Notice of Proposed Information Collection: Form DS-3057, 
Medical Clearance Update, OMB 1405-0131

ACTION: Notice of request for public comments.

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SUMMARY: The Department of State is seeking Office of Management and 
Budget (OMB) approval for the

[[Page 62445]]

information collection described below. The purpose of this notice is 
to allow 60 days for public comment in the Federal Register preceding 
submission to OMB. We are conducting this process in accordance with 
the Paperwork Reduction Act of 1995.
     Title of Information Collection: Medical Clearance Update.
     OMB Control Number: 1405-0131.
     Type of Request: Extension of Currently Approved 
Collection.
     Originating Office: Office of Medical Services, M/MED/C/
MC.
     Form Number: DS-3057.
     Respondents: Foreign Service Officers, State Department 
Employees, Other Government Employees and Family Members.
     Estimated Number of Respondents: 9,800 per year.
     Estimated Number of Responses: 9,800 per year.
     Average Hours per Response: 0.5 hours per response.
     Total Estimated Burden: 4,900 hours.
     Frequency: On occasion.
     Obligation to Respond: Mandatory.

DATES: The Department will accept comments from the public up to 60 
days from October 8, 2010.

ADDRESSES: You may submit comments by any of the following methods:
     E-mail: mahoneybj@state.gov. You must include the DS form 
number, information collection title, and OMB control number in the 
subject line of your message.
     Mail (paper, disk, or CD-ROM submissions): Department of 
State, Office of Medical Clearances, SA-15 Room 400, 1800 North Kent 
St., Rosslyn, VA. 22209.
     Fax: 703-875-4850.
    You must include the DS form number (if applicable), information 
collection title, and 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 information collection and 
supporting documents, to Barbara Mahoney, Department of State, Office 
of Medical Clearances, SA-15 Room 400, 1800 North Kent St., Rosslyn, 
VA. 22209. FAX 703-875-4850.

SUPPLEMENTARY INFORMATION: 
    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper performance of our functions.
     Evaluate the accuracy of our estimate of the burden of the 
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 
technology.

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 a federal employee and 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 information collected will be collected through the use of an 
electronic forms engine or by hand written submission using a pre-
printed form.

    Dated: September 28, 2010.
 Joseph A. Kenny,
Executive Director, Department of State, Office of Medical Services.
[FR Doc. 2010-25430 Filed 10-7-10; 8:45 am]
BILLING CODE 4710-36-P
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