Agency Information Collection Activities; Proposed Collection; Comments Requested: USMS Medical Forms, 22294-22295 [2013-08689]
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Federal Register / Vol. 78, No. 72 / Monday, April 15, 2013 / Notices
right to appear and contest the
allegations of the complaint and this
notice, and to authorize the
administrative law judge and the
Commission, without further notice to
the respondent, to find the facts to be as
alleged in the complaint and this notice
and to enter an initial determination
and a final determination containing
such findings, and may result in the
issuance of an exclusion order or a cease
and desist order or both directed against
the respondent.
Issued: April 10, 2013.
By order of the Commission.
Lisa R. Barton,
Acting Secretary to the Commission.
—Evaluate the accuracy of the agencies
estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
—Enhance the quality, utility, and
clarity of the information to be
collected; and
—Minimize the burden of the collection
of information on those who are to
respond, including through the use of
appropriate automated, electronic,
mechanical, or other technological
collection techniques or other forms
of information technology, e.g.,
permitting electronic submission of
responses.
[FR Doc. 2013–08747 Filed 4–12–13; 8:45 am]
Overview of this Information Collection
BILLING CODE 7020–02–P
(1) Type of Information Collection:
New collection.
(2) Title of the Form/Collection:
USMS Medical Forms.
(3) Agency form number, if any, and
the applicable component of the
Department of Justice sponsoring the
collection:
Form Numbers:
—USM–522 Physical Examination
Report for USMS Operational
Employees.
—USM–522A Physician Evaluation
Report for USMS Operational
Employees.
—USM–522E Medical Update.
—USM–522K Applicant Review of
Immunizations.
—USM–522P Physician Evaluation
Report for USMS Operational
Employees Pregnancy Only.
—USM–600 Physical Requirements of
USMS District Security Officers.
—CSO–012 Request to Reevaluate Court
Security Officer’s Medical
Qualification.
—CSO–229 Certificate of Medical
Examination for Court Security
Officers Component for all abovelisted forms: U.S. Marshals Service.
(4) Affected public who will be asked
or required to respond, as well as a brief
abstract:
—USM–522 Physical Examination
Report for USMS Operational
Employees
Æ Affected public: Individuals or
households (Applicants to USMS)
Æ Brief abstract: It is the policy of the
USMS to ensure a law enforcement
work force that is medically able to
safely perform the required job
functions. Operational employees are
required to meet medical standards and
physical requirements and are classified
as either qualified or unqualified based
on review of periodic medical
examination results. All applicants for
law enforcement positions must have
DEPARTMENT OF JUSTICE
[OMB Number 1105–NEW]
Agency Information Collection
Activities; Proposed Collection;
Comments Requested: USMS Medical
Forms
sroberts on DSK5SPTVN1PROD with NOTICES
ACTION:
60-Day Notice.
The Department of Justice (DOJ), U.S.
Marshals Service, will be submitting the
following information collection request
to the Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995. The proposed
information collection is published to
obtain comments from the public and
affected agencies. Comments are
encouraged and will be accepted for
‘‘sixty days’’ until June 14, 2013. This
process is conducted in accordance with
5 CFR 1320.10.
If you have comments especially on
the estimated public burden or
associated response time, suggestions,
or need a copy of the proposed
information collection instrument with
instructions or additional information,
please contact Nicole Feuerstein, U.S.
Marshals Service, CS–3/10th Fl., 2604
Jefferson Davis Hwy, Alexandria, VA
22301.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information are encouraged. Your
comments should address one or more
of the following four points:
—Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
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17:00 Apr 12, 2013
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pre-employment physical examinations.
The USMS provides and pays for
applicant medical examinations at the
district contract medical facility.
—USM–522A Physician Evaluation
Report for USMS Operational
Employees
Æ Affected public: Private sector
(Physicians)
Æ Brief abstract: This form is
completed by an USMS operational
employee’s treating physician to report
any illness/injury (other than
pregnancy) that requires restriction from
full performance of duties for longer
than 80 consecutive hours.
USM–522E USMS Medical Update
Æ Affected public: Individuals or
households (Applicants to USMS)
Æ Brief abstract: USMS applicants
must complete this form to update their
medical status in order to remain active
in the hiring process. Current USMS
employees may use this form to update
their medical status in the off-cycle
years of the Periodic Medical Exam
(PME) schedule.
—USM–522K Applicant Review of
Immunizations
Æ Affected public: Individuals or
households (Applicants to USMS)
Æ Brief abstract: USMS applicants
must complete this record of
immunizations if an Immunization
Record Card cannot be provided with
the medical examination package.
—USM–522P Physician Evaluation
Report for USMS Operational
Employees (Pregnancy Only)
Æ Affected public: Private sector
(Physicians)
Æ Brief abstract: Form USM–522P
must be completed by the OB/GYN
physician of pregnant USMS
operational employees to specify any
restrictions from full performance of
duties.
—USM–600 Physical Requirements of
USMS District Security Officers
Æ Affected public: Private sector
(Physicians)
Æ Brief abstract: It is the policy of the
USMS to ensure a law enforcement
work force that is medically able to
safely perform the required job
functions. All applicants for law
enforcement positions must have preemployment physical examinations.
District Security Officers (DSO) are
individual contractors, not employees of
USMS; Form USM–522 does not apply
to DSOs.
—CSO–012 Request to Reevaluate Court
Security Officer’s Medical
Qualification
Æ Affected public: Private sector
(Physicians)
E:\FR\FM\15APN1.SGM
15APN1
sroberts on DSK5SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 72 / Monday, April 15, 2013 / Notices
Æ Brief abstract: This form is
completed by the Court Security Officer
(CSO)’s attending physician to
determine whether a CSO is physically
able to return to work after an injury,
serious illness, or surgery. The
physician returns the evaluation to the
contracting company, and if the
determination is that the CSO may
return to work, the CSO–012 is then
signed off on by the contracting
company and forwarded to the USMS
for final review by USMS’ designated
medical reviewing official. Court
Security Officers are contractors, not
employees of USMS; Form USM–522A
does not apply to CSOs.
—CSO–229 Certificate of Medical
Examination for Court Security
Officers
Æ Affected public: Private sector
(Physicians), Individuals or households
(Applicants to and current employees of
the CSO contracting companies)
Æ Brief abstract: It is the policy of the
USMS to ensure a law enforcement
work force that is medically able to
safely perform the required job
functions. All applicants for law
enforcement positions must have preemployment physical examinations.
Court Security Officers (CSO) are
contractors, not employees of USMS;
Form USM–522 does not apply to CSOs.
(5) An estimate of the total number of
respondents and the amount of time
estimated for an average respondent to
respond:
—USM–522 USMS Physical
Examination Report for Operational
Employees
It is estimated that 800 respondents
will complete a 45 minute form.
—USM–522A Physician Evaluation
Report for USMS Operational
Employees
It is estimated that 100 respondents
will complete a 20 minute form.
—USM–522E USMS Medical Update
It is estimated that 100 respondents
will complete a 20 minute form.
—USM–522K Applicant Review of
Immunizations
It is estimated that 350 respondents
will completed a 10 minute form.
—USM–522P Physician Evaluation
Report for USMS Operational
Employees (Pregnancy Only)
It is estimated that 12 respondents
will complete a 15 minute form.
—USM–600 Physical Requirements of
USMS District Security Officers
It is estimated that 800 respondents
will complete a 20 minute form.
—CSO–012 Request to Reevaluate Court
Security Officer’s Medical
Qualification
It is estimated that 300 respondents
will complete a 30 minute form.
VerDate Mar<15>2010
17:00 Apr 12, 2013
Jkt 229001
—CSO–229 Certificate of Medical
Examination for Court Security
Officers
It is estimated that 4300 respondents
will complete a 30 minute form.
(6) An estimate of the total public
burden (in hours) associated with the
collection:
—USM–522 USMS Physical
Examination Report for Operational
Employees
There are an estimated 600 annual
total burden hours associated with this
collection.
—USM–522A Physician Evaluation
Report for USMS Operational
Employees
There are an estimated 33 annual total
burden hours associated with this
collection.
—USM–522E USMS Medical Update
There are an estimated 33 annual total
burden hours associated with this
collection.
—USM–522 K Applicant Review of
Immunizations
There are an estimated 58 annual total
burden hours associated with this
collection.
—USM–522P Physician Evaluation
Report for USMS Operational
Employees (Pregnancy Only)
There are an estimated 3 annual total
burden hours associated with this
collection.
—USM–600 Physical Requirements of
USMS District Security Officers
There are an estimated 267 annual
total burden hours associated with this
collection.
—CSO–012 Request to Reevaluate Court
Security Officer’s Medical
Qualification
There are an estimated 150 annual
total burden hours associated with this
collection.
—CSO–229 Certificate of Medical
Examination for Court Security
Officers
There are an estimated 2,150 annual
total burden hours associated with this
collection.
Total Annual Time Burden (Hours):
3,269.
If additional information is required
contact: Jerri Murray, Department
Clearance Officer, Policy and Planning
Staff, Justice Management Division,
Department of Justice, Two Constitution
Square, 145 N Street NE., Room 1407B,
Washington, DC 20530.
Dated: April 9, 2013.
Jerri Murray,
Department Clearance Officer for PRA, U.S.
Department of Justice.
[FR Doc. 2013–08689 Filed 4–12–13; 8:45 am]
BILLING CODE 4410–04–P
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22295
DEPARTMENT OF JUSTICE
Notice of Lodging of Proposed
Consent Decree Under the
Comprehensive Environmental
Response, Compensation, and Liability
Act
On April 8, 2013, the Department of
Justice lodged a proposed consent
decree with the United States
Bankruptcy Court for the Southern
District of New York in the case entitled
In re Motors Liquidation Corp., et al.,
Civil Action No. 90–50026 (REG).
The parties to the consent decree are
the General Unsecured Creditors
(‘‘GUC’’) Trust (established under a
March 30, 2011 Plan of Liquidation, and
authorized to settle the remaining
claims against the dissolved debtors,
Motors Liquidation Corporation,
formerly known as General Motors
Corporation, Remediation and Liability
Management Company, Inc., and
Environmental Corporate Remediation
Company, Inc. (collectively, ‘‘Old
GM’’)); the United States of America;
and the State of New York. The consent
decree resolves claims for natural
resource damages and assessment costs
(‘‘NRD’’) of the United States
Department of Interior (‘‘DOI’’) and the
State of New York’s Department of
Environmental Conservation (‘‘DEC’’),
under section 107 of the Comprehensive
Environmental Response,
Compensation, and Liability Act
(‘‘CERCLA’’), 42 U.S.C. 9601–9675, with
respect to the Onondaga Lake NPL Site,
located in Onondaga County, New York.
Under the consent decree, the United
States on behalf of DOI and New York
on behalf of DEC (collectively, ‘‘the Joint
Onondaga Trustees’’) shall have a total
Allowed General Unsecured Claim in
the total amount of $5,500,000.00,
classified in Class 3 under the Plan of
Liquidation (the ‘‘Onondaga NRD
Allowed Claim’’), which shall be
divided by the Joint Onondaga Trustees
as follows: (i) $85,000 for DOI’s claims
for past NRD assessment costs, (ii)
$10,000 for DEC’s claims for past NRD
assessment costs, and (iii) $5,405,000
for restoration funds at the Onondaga
Lake NPL Site sought by the Joint
Onondaga Trustees.
The publication of this notice opens
a period for public comment on the
consent decree. Comments should be
addressed to the Assistant Attorney
General, Environment and Natural
Resources Division, and should refer to
In re Motors Liquidation Corp., et al.,
D.J. Ref. No. 90–11–3–09754. All
comments must be submitted no later
than thirty (30) days after the
publication date of this notice.
E:\FR\FM\15APN1.SGM
15APN1
]]>Agencies
[Federal Register Volume 78, Number 72 (Monday, April 15, 2013)]
[Notices]
[Pages 22294-22295]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-08689]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
[OMB Number 1105-NEW]
Agency Information Collection Activities; Proposed Collection;
Comments Requested: USMS Medical Forms
ACTION: 60-Day Notice.
-----------------------------------------------------------------------
The Department of Justice (DOJ), U.S. Marshals Service, will be
submitting the following information collection request to the Office
of Management and Budget (OMB) for review and approval in accordance
with the Paperwork Reduction Act of 1995. The proposed information
collection is published to obtain comments from the public and affected
agencies. Comments are encouraged and will be accepted for ``sixty
days'' until June 14, 2013. This process is conducted in accordance
with 5 CFR 1320.10.
If you have comments especially on the estimated public burden or
associated response time, suggestions, or need a copy of the proposed
information collection instrument with instructions or additional
information, please contact Nicole Feuerstein, U.S. Marshals Service,
CS-3/10th Fl., 2604 Jefferson Davis Hwy, Alexandria, VA 22301.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address one or more of the following
four points:
--Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility;
--Evaluate the accuracy of the agencies estimate of the burden of the
proposed collection of information, including the validity of the
methodology and assumptions used;
--Enhance the quality, utility, and clarity of the information to be
collected; and
--Minimize the burden of the collection of information on those who are
to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submission of responses.
Overview of this Information Collection
(1) Type of Information Collection: New collection.
(2) Title of the Form/Collection: USMS Medical Forms.
(3) Agency form number, if any, and the applicable component of the
Department of Justice sponsoring the collection:
Form Numbers:
--USM-522 Physical Examination Report for USMS Operational Employees.
--USM-522A Physician Evaluation Report for USMS Operational Employees.
--USM-522E Medical Update.
--USM-522K Applicant Review of Immunizations.
--USM-522P Physician Evaluation Report for USMS Operational Employees
Pregnancy Only.
--USM-600 Physical Requirements of USMS District Security Officers.
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification.
--CSO-229 Certificate of Medical Examination for Court Security
Officers Component for all above-listed forms: U.S. Marshals Service.
(4) Affected public who will be asked or required to respond, as
well as a brief abstract:
--USM-522 Physical Examination Report for USMS Operational Employees
[cir] Affected public: Individuals or households (Applicants to
USMS)
[cir] Brief abstract: It is the policy of the USMS to ensure a law
enforcement work force that is medically able to safely perform the
required job functions. Operational employees are required to meet
medical standards and physical requirements and are classified as
either qualified or unqualified based on review of periodic medical
examination results. All applicants for law enforcement positions must
have pre-employment physical examinations. The USMS provides and pays
for applicant medical examinations at the district contract medical
facility.
--USM-522A Physician Evaluation Report for USMS Operational Employees
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: This form is completed by an USMS operational
employee's treating physician to report any illness/injury (other than
pregnancy) that requires restriction from full performance of duties
for longer than 80 consecutive hours.
USM-522E USMS Medical Update
[cir] Affected public: Individuals or households (Applicants to
USMS)
[cir] Brief abstract: USMS applicants must complete this form to
update their medical status in order to remain active in the hiring
process. Current USMS employees may use this form to update their
medical status in the off-cycle years of the Periodic Medical Exam
(PME) schedule.
--USM-522K Applicant Review of Immunizations
[cir] Affected public: Individuals or households (Applicants to
USMS)
[cir] Brief abstract: USMS applicants must complete this record of
immunizations if an Immunization Record Card cannot be provided with
the medical examination package.
--USM-522P Physician Evaluation Report for USMS Operational Employees
(Pregnancy Only)
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: Form USM-522P must be completed by the OB/GYN
physician of pregnant USMS operational employees to specify any
restrictions from full performance of duties.
--USM-600 Physical Requirements of USMS District Security Officers
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: It is the policy of the USMS to ensure a law
enforcement work force that is medically able to safely perform the
required job functions. All applicants for law enforcement positions
must have pre-employment physical examinations. District Security
Officers (DSO) are individual contractors, not employees of USMS; Form
USM-522 does not apply to DSOs.
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
[cir] Affected public: Private sector (Physicians)
[[Page 22295]]
[cir] Brief abstract: This form is completed by the Court Security
Officer (CSO)'s attending physician to determine whether a CSO is
physically able to return to work after an injury, serious illness, or
surgery. The physician returns the evaluation to the contracting
company, and if the determination is that the CSO may return to work,
the CSO-012 is then signed off on by the contracting company and
forwarded to the USMS for final review by USMS' designated medical
reviewing official. Court Security Officers are contractors, not
employees of USMS; Form USM-522A does not apply to CSOs.
--CSO-229 Certificate of Medical Examination for Court Security
Officers
[cir] Affected public: Private sector (Physicians), Individuals or
households (Applicants to and current employees of the CSO contracting
companies)
[cir] Brief abstract: It is the policy of the USMS to ensure a law
enforcement work force that is medically able to safely perform the
required job functions. All applicants for law enforcement positions
must have pre-employment physical examinations. Court Security Officers
(CSO) are contractors, not employees of USMS; Form USM-522 does not
apply to CSOs.
(5) An estimate of the total number of respondents and the amount
of time estimated for an average respondent to respond:
--USM-522 USMS Physical Examination Report for Operational Employees
It is estimated that 800 respondents will complete a 45 minute
form.
--USM-522A Physician Evaluation Report for USMS Operational Employees
It is estimated that 100 respondents will complete a 20 minute
form.
--USM-522E USMS Medical Update
It is estimated that 100 respondents will complete a 20 minute
form.
--USM-522K Applicant Review of Immunizations
It is estimated that 350 respondents will completed a 10 minute
form.
--USM-522P Physician Evaluation Report for USMS Operational Employees
(Pregnancy Only)
It is estimated that 12 respondents will complete a 15 minute form.
--USM-600 Physical Requirements of USMS District Security Officers
It is estimated that 800 respondents will complete a 20 minute
form.
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
It is estimated that 300 respondents will complete a 30 minute
form.
--CSO-229 Certificate of Medical Examination for Court Security
Officers
It is estimated that 4300 respondents will complete a 30 minute
form.
(6) An estimate of the total public burden (in hours) associated
with the collection:
--USM-522 USMS Physical Examination Report for Operational Employees
There are an estimated 600 annual total burden hours associated
with this collection.
--USM-522A Physician Evaluation Report for USMS Operational Employees
There are an estimated 33 annual total burden hours associated with
this collection.
--USM-522E USMS Medical Update
There are an estimated 33 annual total burden hours associated with
this collection.
--USM-522 K Applicant Review of Immunizations
There are an estimated 58 annual total burden hours associated with
this collection.
--USM-522P Physician Evaluation Report for USMS Operational Employees
(Pregnancy Only)
There are an estimated 3 annual total burden hours associated with
this collection.
--USM-600 Physical Requirements of USMS District Security Officers
There are an estimated 267 annual total burden hours associated
with this collection.
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
There are an estimated 150 annual total burden hours associated
with this collection.
--CSO-229 Certificate of Medical Examination for Court Security
Officers
There are an estimated 2,150 annual total burden hours associated
with this collection.
Total Annual Time Burden (Hours): 3,269.
If additional information is required contact: Jerri Murray,
Department Clearance Officer, Policy and Planning Staff, Justice
Management Division, Department of Justice, Two Constitution Square,
145 N Street NE., Room 1407B, Washington, DC 20530.
Dated: April 9, 2013.
Jerri Murray,
Department Clearance Officer for PRA, U.S. Department of Justice.
[FR Doc. 2013-08689 Filed 4-12-13; 8:45 am]
BILLING CODE 4410-04-P
