30-Day Notice of Proposed Information Collection: Forms DS-1622, DS-1843, DS-1622P and DS-1843P: Medical History and Examination for Foreign Service, 56271 [2011-23254]

Download as PDF Federal Register / Vol. 76, No. 176 / Monday, September 12, 2011 / Notices Domain of ‘‘Caring for Yourself’’; SSR 09–8p: Title XVI: Determining Childhood Disability—The Functional Equivalence Domain of ‘‘Health and Physical Well-Being’’; Program Operations Manual System (POMS) RS 00301.120, RS 00301.140, DI 10501.055, DI 10505.00 ff., DI 10510.000 ff., DI 10520.000 ff., DI 11070.001—DI 11070.010, DI 11070.030, DI 14510.000 ff., DI 22001.001—DI 22001.035, DI 23570.010, DI 23570.020, DI 24510.000 ff., DI 25015.000 ff., DI 25020.000 ff., and DI 28005.001—DI 28005.017. [FR Doc. 2011–23239 Filed 9–9–11; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice: 7578] 30-Day Notice of Proposed Information Collection: Forms DS–1622, DS–1843, DS–1622P and DS–1843P: Medical History and Examination for Foreign Service SUPPLEMENTARY INFORMATION: Notice of request for public comments. ACTION: 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 of Foreign Affairs Agencies. • Estimated Number of Respondents: 8,000 per year. • Estimated Number of Responses 8,000 per year. • Average Hours per Response: 1.0 hours per response. • Total Estimated Burden: 8,000 hours. • Frequency: On occasion. • Obligation to Respond: Mandatory. DATES: The Department will accept comments 30 days from date of in the Federal Register. mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 16:36 Sep 09, 2011 Jkt 223001 Direct comments to the Department of State Desk Officer in the Office of Information and Regulatory Affairs at the Office of Management and Budget (OMB). You may submit comments by any of the following methods: • E-mail: oira_submission@omb.eop.gov. You must include the DS form number, information collection title, and OMB control number in the subject line of your message. • Fax: 202–395–5806 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 Department of State, Office of Medical Clearances, SA 15 A 1800 North Kent St. Rosslyn, Virginia 22209 (ATTN: Barbara Mahoney), who may be reached at 703–875–5413 or mahoneybj@state.gov. ADDRESSES: 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 of a Foreign Service Officer or other federal employee and family members for assignment abroad. 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. PO 00000 Frm 00131 Fmt 4703 Sfmt 4703 56271 Dated: August 3, 2011. Joseph A. Kennedy, Executive Director, Office of Medical Services, Department of State. [FR Doc. 2011–23254 Filed 9–9–11; 8:45 am] BILLING CODE 4710–36–P DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Notice of Release From Federal Grant Assurance Obligations for Livermore Municipal Airport, Livermore, CA Federal Aviation Administration, DOT. ACTION: Notice of request to release airport land. AGENCY: The Federal Aviation Administration (FAA) proposes to rule and invites public comment on the application for a release of approximately 4.5 acres of airport property at the Livermore Municipal Airport, Livermore, California. The City of Livermore proposes to release 4.5 acres of airport land in order to acquire a parcel of equal size that is currently privately-owned. This exchange is necessary in order to commence development of flood control improvements designed to remove the airport’s property from the 100-year floodplain. SUMMARY: Comments must be received on or before October 11, 2011. FOR FURTHER INFORMATION CONTACT: Comments on the request may be mailed or delivered to the FAA at the following address: Robert Y. Lee, Airports Compliance Specialist, Federal Aviation Administration, Airports Division, Federal Register Comment, 831 Mitten Road, Room 210, Burlingame, CA 94010. In addition, one copy of the comment submitted to the FAA must be mailed or delivered to Ms. Linda Barton, City Manager, City of Livermore, 1052 South Livermore Avenue, Livermore, CA 94550. SUPPLEMENTARY INFORMATION: In accordance with the Wendell H. Ford Aviation Investment and Reform Act for the 21st Century (AIR 21), Public Law 10–181 (Apr. 5, 2000; 114 Stat. 61), this notice must be published in the Federal Register 30 days before the Secretary may waive any condition imposed on a Federally obligated airport by surplus property conveyance deeds or grant agreements. The following is a brief overview of the request: The City of Livermore, California requested a release from grant assurance DATES: E:\FR\FM\12SEN1.SGM 12SEN1

Agencies

[Federal Register Volume 76, Number 176 (Monday, September 12, 2011)]
[Notices]
[Page 56271]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-23254]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF STATE

[Public Notice: 7578]


30-Day Notice of Proposed Information Collection: Forms DS-1622, 
DS-1843, DS-1622P and DS-1843P: Medical History and Examination for 
Foreign Service

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 of Foreign 
Affairs Agencies.
     Estimated Number of Respondents: 8,000 per year.
     Estimated Number of Responses 8,000 per year.
     Average Hours per Response: 1.0 hours per response.
     Total Estimated Burden: 8,000 hours.
     Frequency: On occasion.
     Obligation to Respond: Mandatory.

DATES: The Department will accept comments 30 days from date of in the 
Federal Register.

ADDRESSES: Direct comments to the Department of State Desk Officer in 
the Office of Information and Regulatory Affairs at the Office of 
Management and Budget (OMB). You may submit comments by any of the 
following methods:
     E-mail: oira_submission@omb.eop.gov. You must include the 
DS form number, information collection title, and OMB control number in 
the subject line of your message.
     Fax: 202-395-5806

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 Department of State, Office of Medical 
Clearances, SA 15 A 1800 North Kent St. Rosslyn, Virginia 22209 (ATTN: 
Barbara Mahoney), who may be reached at 703-875-5413 or 
mahoneybj@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 of a Foreign 
Service Officer or other federal employee and family members for 
assignment abroad. 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: August 3, 2011.
Joseph A. Kennedy,
Executive Director, Office of Medical Services, Department of State.
[FR Doc. 2011-23254 Filed 9-9-11; 8:45 am]
BILLING CODE 4710-36-P