60-Day Notice of Proposed Information Collection: Form DS-3057, Medical Clearance Update, OMB 1405-0131, 8873 [05-3433]

Download as PDF Federal Register / Vol. 70, No. 35 / Wednesday, February 23, 2005 / Notices • Fax: 202-395–6974 FOR FURTHER INFORMATION CONTACT: You may obtain copies of the proposed information collection and supporting documents from Mark DesNoyer of the Office of Visa Services, U.S. Department of State, 2401 E St., NW., L–703, Washington, DC 20522, who may be reached on 202–663–1082 or desnoyerms@state.gov. SUPPLEMENTARY INFORMATION: We are soliciting public comments to permit the Department to: • Evaluate whether the proposed information collection is necessary to properly perform 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: The form collects information from aliens applying for a waiver of INA Section 212(e). Methodology: Form DS–3035 will be directly submitted to the Waiver Review Division of the State Department’s Visa Office. Dated: January 28, 2005. Janice L. Jacobs, Deputy Assistant Secretary of State for Visa Services, Bureau of Consular Affairs, Department of State. [FR Doc. 05–3432 Filed 2–22–05; 8:45 am] BILLING CODE 4710–06–P DEPARTMENT OF STATE [Public Notice 4999] 60-Day Notice of Proposed Information Collection: Form DS–3057, Medical Clearance Update, OMB 1405–0131 ACTION: Notice of request for public comments. 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 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. VerDate jul<14>2003 16:28 Feb 22, 2005 Jkt 205001 • Originating Office: Office of Medical Services, M/MED/EX. • Form Number: DS–3057. • Respondents: Foreign Service Officers, Federal Government Employees and family members. • Estimated Number of Respondents: 9,800. • Estimated Number of Responses: 9,800. • Average Hours Per Response: 30 minutes. • Total Estimated Burden: 4,900. • Frequency: On occasion. • Obligation to Respond: Required To Obtain or Retain a Benefit. DATES: The Department will accept comments from the public up to 60 days from February 23, 2005. ADDRESSES: You may submit comments by any of the following methods: • E-mail: willigsp@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 Services, SA–1 Room L–101, 2401 E St., NW., Washington, DC 20052–0101. • Fax: 202–663–1661. 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 Susan Willig, Department of State, Office of Medical Services, SA–1 Room L101, 2401 E St., NW., Washington, DC 20052–0101, who may be reached on 202–663–1754 or willigsp@state.gov. 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 PO 00000 Frm 00112 Fmt 4703 Sfmt 4703 8873 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 preprinted form. Dated: January 30, 2005. Maria C. Melchiorre, Administrative Officer, Office of Medical Services, Department of State. [FR Doc. 05–3433 Filed 2–22–05; 8:45 am] BILLING CODE 4710–36–P DEPARTMENT OF STATE [Public Notice 5000] 60-Day Notice of Proposed Information Collection: Form Number DS–1950, Department of State Application for Employment, OMB Control Number 1405–0139 ACTION: Notice of request for public comments. 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 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: Department of State Application for Employment. • OMB Control Number: 1405–0139. • Type of Request: Extension of a Currently Approved Collection. • Originating Office: Bureau of Human Resources, Office of Recruitment, Examination, Employment (HR/REE). • Form Number: DS–1950. • Respondents: U.S. Citizens seeking entry into the Department of State Foreign Service and individuals, sophomore through graduate level college and university students, seeking participation in the Department’s student programs. • Estimated Number of Respondents: 20,000. • Estimated Number of Responses: 20,000. • Average Hours Per Response: 1⁄2 hour. • Total Estimated Burden: 12,000 hours. • Frequency: On Occasion. • Obligation To Respond: Required To Obtain a Benefit. E:\FR\FM\23FEN1.SGM 23FEN1

Agencies

[Federal Register Volume 70, Number 35 (Wednesday, February 23, 2005)]
[Notices]
[Page 8873]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3433]


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DEPARTMENT OF STATE

[Public Notice 4999]


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

ACTION: Notice of request for public comments.

-----------------------------------------------------------------------

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 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/EX.
     Form Number: DS-3057.
     Respondents: Foreign Service Officers, Federal Government 
Employees and family members.
     Estimated Number of Respondents: 9,800.
     Estimated Number of Responses: 9,800.
     Average Hours Per Response: 30 minutes.
     Total Estimated Burden: 4,900.
     Frequency: On occasion.
     Obligation to Respond: Required To Obtain or Retain a 
Benefit.

DATES: The Department will accept comments from the public up to 60 
days from February 23, 2005.

ADDRESSES: You may submit comments by any of the following methods:
     E-mail: willigsp@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 Services, SA-1 Room L-101, 2401 E St., NW., 
Washington, DC 20052-0101.
     Fax: 202-663-1661.

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 Susan Willig, Department of State, Office of 
Medical Services, SA-1 Room L101, 2401 E St., NW., Washington, DC 
20052-0101, who may be reached on 202-663-1754 or willigsp@state.gov.

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: January 30, 2005.
Maria C. Melchiorre,
Administrative Officer, Office of Medical Services, Department of 
State.
[FR Doc. 05-3433 Filed 2-22-05; 8:45 am]
BILLING CODE 4710-36-P