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[Federal Register: December 2, 2010 (Volume 75, Number 231)]
[Notices]               
[Page 75189-75190]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr02de10-36]                         

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DEPARTMENT OF STATE

[Public Notice 7244]

 
30-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 information collection described below. 
The purpose of this notice is to allow 30 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: 30 minutes per response.
     Total Estimated Burden: 4,900 hours.
     Frequency: On occasion.
     Obligation to Respond: Mandatory.

DATES: Submit comments to the Office of Management and Budget (OMB) for 
up to 30 days from December 2, 2010.

ADDRESSES: Direct comments and questions to Katherine Astrich, the 
Department of State Desk Officer in the Office of Information and 
Regulatory Affairs at the Office of Management and Budget (OMB), who 
may be reached at 202-395-4718. You may submit comments by any of the 
following methods: E-mail: kastrich@omb.eop.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): Office of Information and 
Regulatory Affairs, Office of Management and Budget 725 17th Street 
NW., Washington, DC 20503. Fax: 202-395-6974.

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. PHONE 703-875-5413 and 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

[[Page 75190]]

electronic forms engine or by hand written submission using a pre-
printed form.

    Dated: November 22, 2010.
Barbara Mahoney,
MED Clearance Chief, Office of Medical Services.
[FR Doc. 2010-30292 Filed 12-1-10; 8:45 am]
BILLING CODE 4710-36-P
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