Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

                    See the                                          Document Drafting Handbook                                        for more details.                  

###### Department of State

          - [Public Notice 7200]

# ACTION:

Notice of request for public comments.

# SUMMARY:

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