60-Day Notice of Proposed Information Collection: Form DS-1622, DS-1843, DS-1622P, and DS-1843P: Medical History and Examination for Foreign Service, OMB 1405-0068, 36463 [2010-15475]

Download as PDF Federal Register / Vol. 75, No. 122 / Friday, June 25, 2010 / Notices business days between the hours of 10 a.m. and 3 p.m. Copies of such filing also will be available for inspection and copying at the principal office of FINRA. All comments received will be posted without change; the Commission does not edit personal identifying information from submissions. You should submit only information that you wish to make publicly available. All submissions should refer to File Number SR–FINRA–2010–021 and should be submitted on or before July 16, 2010. For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.8 Florence E. Harmon, Deputy Secretary. [FR Doc. 2010–15359 Filed 6–24–10; 8:45 am] BILLING CODE 8010–01–P DEPARTMENT OF STATE [Public Notice: 7067] 60-Day Notice of Proposed Information Collection: Form DS–1622, DS–1843, DS–1622P, and DS–1843P: Medical History and Examination for Foreign Service, OMB 1405–0068 mstockstill on DSKH9S0YB1PROD with NOTICES 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 History And Examination For Foreign Service. • OMB Control Number: 1405–0068. • Type of Request: Revision of Currently Approved Collection. • Originating Office: Office of Medical Services, M/MED/C/MC. • Form Number: DS–1622, DS–1843, DS–1622P, and DS–1843P. • Respondents: Foreign Service Officers, State Department Employees, Other Government Employees and Family Members. • Estimated Number of Respondents: 7,500 per year. • Estimated Number of Responses: 7,500 per year. • Average Hours per Response: 1.0 hours per response. • Total Estimated Burden: 7,500 hours. 8 17 CFR 200.30–3(a)(12). VerDate Mar<15>2010 16:23 Jun 24, 2010 Jkt 220001 • Frequency: On occasion. • Obligation to Respond: Mandatory. DATES: The Department will accept comments up to August 24, 2010. ADDRESSES: You may submit comments by any of the following methods: • E-mail: silligsp@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 (Attn: Susan Willig), 2401 E St., NW., Washington, DC 20522–0101. • Fax: 202–663–1934. • If you have access to the Internet, you can view this notice and provide comments by going to https:// www.regulations.gov/search/Regs/ home.html#home. 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 Susan Willig, Department of State, Office of Medical Services, SA–1 Columbia Plaza Room L101 (Attn: Susan Willig), 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–1622(P) and DS–1843(P) are designed to collect medical information to provide medical providers with current and adequate information to base decisions on medical suitability for a federal employee and family members for assignment abroad. DS–1622 is for Children 11 years and under. DS–1843 is for Children 12 years and older. All forms will allow medical personnel to verify that there are sufficient medical PO 00000 Frm 00118 Fmt 4703 Sfmt 4703 36463 resources at a diplomatic mission abroad to maintain the health and fitness of the individual and family members within the Department of State medical program. 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: June 22, 2010. Sharon Ludan, Executive Director, Office of Medical Services, Department of State. [FR Doc. 2010–15475 Filed 6–24–10; 8:45 am] BILLING CODE 4710–36–P DEPARTMENT OF TRANSPORTATION Office of the Secretary [DOT–OST–2010–0025] Notice of Request for Renewal of a Previously Approved Collection Office of the Secretary, DOT. Notice and request for comments. AGENCY: ACTION: SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35, as amended) this notice announces that the Information Collection Request (ICR) abstracted below which will be forwarded to the Office of Management and Budget (OMB) for renewal. The ICR describes the nature of the information collection and its expected burden. The Federal Register notice with a 60-day comment period soliciting comments on the following collection of information was published on February 2, 2010 (75 FR 5369). No comments were received. DATES: Comments on this notice must be received by July 26, 2010 and sent to the attention of the DOT/OST Desk Officer, Office of Information and Regulatory Affairs, Office of Management and Budget, Docket Library, Room 10102, 725 17th Street, NW., Washington, DC 20503 or oira_submission@omb.eop.gov (e-mail). FOR FURTHER INFORMATION CONTACT: Mr. Robert C. Ashby, Office of the Secretary, Office of Assistant General Counsel for Regulation and Enforcement, Department of Transportation, 400 Seventh St., SW., Washington, DC 20590, (202) 366–9310 (voice) (202) 366–9313 (fax) or at bob.ashby@ost.dot.gov. SUPPLEMENTARY INFORMATION: Title: Report of DBE Awards and Commitments. OMB Control Number: 2105–0510. E:\FR\FM\25JNN1.SGM 25JNN1

Agencies

[Federal Register Volume 75, Number 122 (Friday, June 25, 2010)]
[Notices]
[Page 36463]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-15475]


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DEPARTMENT OF STATE

[Public Notice: 7067]


60-Day Notice of Proposed Information Collection: Form DS-1622, 
DS-1843, DS-1622P, and DS-1843P: Medical History and Examination for 
Foreign Service, OMB 1405-0068

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 History And 
Examination For Foreign Service.
     OMB Control Number: 1405-0068.
     Type of Request: Revision of Currently Approved 
Collection.
     Originating Office: Office of Medical Services, M/MED/C/
MC.
     Form Number: DS-1622, DS-1843, DS-1622P, and DS-1843P.
     Respondents: Foreign Service Officers, State Department 
Employees, Other Government Employees and Family Members.
     Estimated Number of Respondents: 7,500 per year.
     Estimated Number of Responses: 7,500 per year.
     Average Hours per Response: 1.0 hours per response.
     Total Estimated Burden: 7,500 hours.
     Frequency: On occasion.
     Obligation to Respond: Mandatory.

DATES:  The Department will accept comments up to August 24, 2010.

ADDRESSES: You may submit comments by any of the following methods:
     E-mail: silligsp@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 (Attn: Susan 
Willig), 2401 E St., NW., Washington, DC 20522-0101.
     Fax: 202-663-1934.
     If you have access to the Internet, you can view this 
notice and provide comments by going to https://www.regulations.gov/search/Regs/home.html#home.
    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 Susan Willig, Department of State, Office of 
Medical Services, SA-1 Columbia Plaza Room L101 (Attn: Susan Willig), 
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-1622(P) and DS-1843(P) are 
designed to collect medical information to provide medical providers 
with current and adequate information to base decisions on medical 
suitability for a federal employee and family members for assignment 
abroad. DS-1622 is for Children 11 years and under. DS-1843 is for 
Children 12 years and older. All forms will allow medical personnel to 
verify that there are sufficient medical resources at a diplomatic 
mission abroad to maintain the health and fitness of the individual and 
family members within the Department of State medical program.
    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: June 22, 2010.
Sharon Ludan,
Executive Director, Office of Medical Services, Department of State.
[FR Doc. 2010-15475 Filed 6-24-10; 8:45 am]
BILLING CODE 4710-36-P
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