[Federal Register Volume 62, Number 25 (Thursday, February 6, 1997)]
[Notices]
[Page 5657]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2986]


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PEACE CORPS

Proposed Information Collection Requests

AGENCY: Peace Corps.

ACTION: Notice of public use form review request to the Office of 
Management and Budget.

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SUMMARY: Pursuant to the Paperwork Reduction Act of 1981 (44 U.S.C., 
Chapter 35) Peace Corps of the United States has submitted to the 
Office of Management and Budget a request for approval of information 
collection Peace Corps Medical History and Examination Forms (PC-1789 
and PC-1790). The purpose of this notice is to allow an additional 30 
days for public comments. Comments are encouraged and will be accepted 
until March 7, 1997. This process is conducted in accordance with 5 CFR 
1320.10; the initial notice was published in the Federal Register on 
September 6, 1996 (pp. 47215-47216), during which time no comments were 
received by the agency. Peace Corps invites comments on whether the 
proposed collection of information is necessary for proper performance 
of the functions of the Peace Corps, including whether the information 
will have practical use; the accuracy of the agency's estimate of the 
burden of the proposed collection of information, including the 
validity of the methodology and assumptions used; ways to enhance the 
quality, utility and clarity of the information to be collected; and, 
ways to minimize the burden of the collection of information on those 
who are to respond, including through the use of automated collection 
techniques, when appropriate, and other forms of information 
technology. A copy of the information collection may be obtained from 
Susan Gambino, Office of Medical Services, United States Peace Corps, 
1990 K Street, NW, Washington, DC 20526. Ms. Gambino may be contacted 
by telephone at (202) 606-3481. Comments on these forms should be 
addressed to Victoria Becker Wassmer, Desk Officer, Office of 
Management and Budget, NEOB, Washington, DC 20503.

Information Collection Abstract

    Title: Health Status Review (PC-1790); Report of Medical Exam (PC-
1790).
    Need for and Use of This Information: This collection of 
information is necessary to comply with the Peace Corps Act (Section 
5(e)) which states that ``applicants for enrollment shall receive such 
health examinations preparatory to their service * * * as the President 
may deem necessary or appropriate * * * to provide the information 
needed for clearance, and to serve as a reference for any future 
Volunteer medical clearance, and to serve as a reference for any future 
Volunteer disability claim.'' Peace Corps uses this information to 
determine the physical and mental suitability for service as a Peace 
Corps Volunteer.
    Respondents: Peace Corps Applicants.
    Respondents Obligation to Reply: Mandatory.
    Burden on the Public:
Health Status Review (PC 1789)
    a. Annual reporting burden: 1,625 hrs.
    b. Annual record keeping burden: 0 hrs.
    c. Estimated average burden per response: 15 minutes.
    d. Frequency of response: one time.
    e. Estimated number of likely respondents: 6,500.
    f. Estimated cost to respondents: $3.04 per.
Report of Medical Exam (PC 1789)
    a. Annual reporting burden: 3,000 hrs.
    b. Annual record keeping burden: 0 hrs.
    c. Estimated average burden per response: 30 minutes.
    d. Frequency of response: one time.
    e. Estimated number of likely respondents: 6,000.
    f. Estimated cost to respondents: $6.08 per.

<bullet> Responses will be returned by postage-paid reply mail.

    This notice is issued in Washington, DC on February 3, 1997.
Stanley D. Suyat,
Associate Director for Management.
[FR Doc. 97-2986 Filed 2-5-97; 8:45 am]
BILLING CODE 6051-01-M