2020-10084. 30-Day Notice of Proposed Information Collection: Medical Clearance Update

ACTION:

Notice of request for public comment and submission to OMB of proposed collection of information.

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 up to June 11, 2020.

ADDRESSES:

Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/​public/​do/​PRAMain. Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using the search function.

FOR FURTHER INFORMATION CONTACT:

Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed collection instrument and supporting documents to: Karl Field, Medical Director, Office of Medical Clearances, Bureau of Medical Services, 2401 E Street NW, SA-1, Room L-101, Washington, DC 20522-0101, and who may be reached at 202-663-1591 or at [e-mail].

SUPPLEMENTARY INFORMATION:

• Title of Information Collection: Medical Clearance Update.
• OMB Control Number: 1405-0131.
• Type of Request: Revision of a Currently Approved Collection.
• Originating Office: Bureau of Medical Services (MED).
• Form Number: DS-3057.
• Respondents: Contractors and eligible family members.
• Estimated Number of Respondents: 7,205.
• Estimated Number of Responses: 7,205.
• Average Time per Response: 30 minutes.
• Total Estimated Burden Time: 3,603 hours.
• Frequency: As needed.
• 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

Form DS-3057 is designed to collect medical information to provide medical providers with current and adequate information to base decisions on whether contractors and eligible 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 respondent will obtain the DS-3057 form from their human resources representative or download the form from a Department website. The respondent will complete and submit the form offline.

Karl Field,

Director of Medical Clearances.