Agency Information Collection Activities; Proposed Collection, Comments Requested; USMS Medical Forms, 39324-39325 [2013-15607]
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39324
Federal Register / Vol. 78, No. 126 / Monday, July 1, 2013 / Notices
By order of the Commission.
Lisa R. Barton,
Acting Secretary to the Commission.
[FR Doc. 2013–15556 Filed 6–28–13; 8:45 am]
BILLING CODE 7020–02–P
DEPARTMENT OF JUSTICE
[OMB Number 1105–NEW]
Agency Information Collection
Activities; Proposed Collection,
Comments Requested; USMS Medical
Forms
mstockstill on DSK4VPTVN1PROD with NOTICES
ACTION:
30-day Notice.
The Department of Justice, U.S.
Marshals Service will be submitting the
following information collection request
to the Office of Management and Budget
(OMB) for review and clearance in
accordance with established review
procedures of the Paperwork Reduction
Act of 1995. The proposed information
collection is published to obtain
comments from the public and affected
agencies. This proposed information
collection was previously published in
the Federal Register Volume 78,
Number 72, pages 22294–22295, on
April 15, 2013, allowing for a 60 day
comment period.
The purpose of this notice is to allow
for an additional 30 days for public
comments until July 31, 2013. This
process is conducted in accordance with
5 CFR 1320.10.
All comments and suggestions, or
questions regarding additional
information, to include obtaining a copy
of the proposed information collection
instrument with instructions, should be
directed to 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. Comments
should address one or more of the
following four points:
1. 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;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. Minimize the burden of the
collection of information on those who
VerDate Mar<15>2010
21:38 Jun 28, 2013
Jkt 229001
are to respond, including the use of
automated, electronic, mechanical, or
other technological collection
techniques of 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. The title of the form/collection:
USMS Medical Forms.
3. The agency form number, if any,
and the applicable component of the
department sponsoring the collection:
Sponsored by the U.S. Marshals Service.
Form Numbers:
—USM–522A Physician Evaluation
Report for USMS Operational
Employees
—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
4. Affected public who will be asked
or required to respond, as well as a brief
abstract:
—USM–522A Physician Evaluation
Report for USMS Operational
Employees
Æ Affected public: Private sector
(Physicians)
Æ Brief abstract: This form is to be
used by operational law
enforcement employees who are
restricted from full performance of
their duties for longer than 80
consecutive hours due to injury or
illness; or by prospective
operational employees who are
impacted by medical issues prior to
completing the Training Academy.
The primary use of this information
will be to determine the nature of
a medical or physical condition that
may affect safe and efficient
performance of the work described
in the employee’s position
description.
—USM–522P Physician Evaluation
Report for USMS Operational
Employees
—(Pregnancy Only)
Æ Affected public: Private sector
(Physicians)
Æ Brief abstract: This form is to be
used by operational employees who
are temporarily restricted from
performing all of their duties due to
pregnancy. In accordance with
USMS Policy Directive 3.5, after a
physician has confirmed the
pregnancy, or no later than the
completion of the first trimester of
PO 00000
Frm 00074
Fmt 4703
Sfmt 4703
pregnancy (the end of the 13th
week), the operational employee is
responsible for securing a
completed Form USM–522P, or
equivalent, from her physician. The
primary use of this information will
be to determine the nature of a
medical or physical condition that
may affect safe and efficient
performance of the work described
in the employee’s position
description.
—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. Annual completion of
Form USM–600 is required to
ensure that all applicant and
incumbent District Security Officers
meet the medical standards as
outlined in the Statement of Work
and are medically qualified to
perform all District Security Officer
duties.
—CSO–012 Request to Reevaluate Court
Security Officer’s Medical
Qualification
Æ Affected public: Private sector
(Physicians)
Æ Brief abstract: Use of this form is
required when a Court Security
Officer (CSO) is returning to
perform security services after
recovering from an injury, illness,
outpatient or inpatient surgery/
procedure (including such
procedures as LASIK),
hospitalization or emergency room
visits, or extended medical reasons.
A Court Security Officer may not
resume security services until the
USMS Office of Court Services has
provided written approval for the
individual to resume performing
under the applicable contract. Court
Security Officers are contractors,
not employees of USMS; therefore,
Form USM–522A 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–522A Physician Evaluation
Report for USMS Operational
Employees
It is estimated that 100 respondents
will complete a 20 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.
E:\FR\FM\01JYN1.SGM
01JYN1
Federal Register / Vol. 78, No. 126 / Monday, July 1, 2013 / Notices
—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.
6. An estimate of the total public
burden (in 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–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.
Total Annual Time Burden (Hour):
453.
If additional information is required
contact: Jerri Murray, Department of
Justice Clearance Officer, Justice
Management Division, United States
Department of Justice, Policy and
Planning Staff, Two Constitution
Square, 145 N Street NE., 1407B,
Washington, DC 20530.
Dated: June 25, 2013.
Jerri Murray,
Department Clearance Officer for PRA,
United States Department of Justice.
[FR Doc. 2013–15607 Filed 6–28–13; 8:45 am]
BILLING CODE 4410–04–P
DEPARTMENT OF JUSTICE
mstockstill on DSK4VPTVN1PROD with NOTICES
[OMB Number 1105–NEW]
Agency Information Collection
Activities: Proposed Collection;
Comments Requested Claims of U.S.
Nationals Referred to the Commission
by the Department of State Pursuant to
Section 4(A)(1)(C) of the International
Claims Settlement Act of 1949, as
Amended, 22 U.S.C. 1623(a)(1)(C)
ACTION:
60-Day Notice.
The Foreign Claims Settlement
Commission (Commission), Department
VerDate Mar<15>2010
21:38 Jun 28, 2013
Jkt 229001
of Justice, will be submitting the
following information collection request
to the Office of Management and Budget
(OMB) for review and clearance in
accordance with the procedures of the
Paperwork Reduction Act of 1995. The
proposed information collection is
published to obtain comments from the
public and affected agencies. Comments
should be directed to OMB, Office of
Information and Regulatory Affairs,
Attention: Department of Justice Desk
Officer, Washington, DC 20503.
Comments are encouraged and will be
accepted for 60 days until August 30,
2013.
All comments and suggestions, or
questions regarding additional
information, including obtaining a copy
of the proposed information collection
instrument, should be directed to
Jeremy LaFrancois, Foreign Claims
Settlement Commission, Department of
Justice, 600 E Street NW., Suite 6002,
Washington DC 20579, or by facsimile
(202) 616–6993.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information are encouraged. 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 agency’s
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) The title of the form/collection:
Statement of Claim for filing of Claims
Referred to the Commission under
Section 4(a)(1)(C) of the International
Claims Settlement Act of 1949.
(3) The agency form number, if any,
and the applicable component of the
department sponsoring the collection:
Form Number: FCSC–1. Foreign Claims
PO 00000
Frm 00075
Fmt 4703
Sfmt 4703
39325
Settlement Commission, Department of
Justice.
(4) Affected public who will be asked
or required to respond, as well as a brief
abstract: Primary: Individuals. Other:
Corporations. Information will be used
as a basis for the Commission to receive,
examine, adjudicate and render final
decisions with respect to claims for
compensation of U.S. nationals, referred
to the Commission by the Department of
State pursuant to section 4(a)(1)(C) of
the International Claims Settlement Act
of 1949, as amended, 22 U.S.C.
1623(A)(1)(C).
(5) An estimate of the total number of
respondents and the amount of time
estimated for an average respondent to
respond/reply: It is estimated that 500
individual respondents will complete
the application, and that the amount of
time estimated for an average
respondent to reply is approximately
two hours each.
(6) An estimate of the total public
burden (in hours) associated with the
collection: The estimated total annual
public burden associated with this
application is 1,000 hours.
If additional information is required
contact: Jerri Murray, Department
Clearance Officer, United States
Department of Justice, Justice
Management Division, Policy and
Planning Staff, Two Constitution
Square, 145 N Street NE., Room 1407B,
Washington, DC 20530.
Dated: June 25, 2013.
Jerri Murray,
Department Clearance Officer for PRA, U.S.
Department of Justice.
[FR Doc. 2013–15567 Filed 6–28–13; 8:45 am]
BILLING CODE 4410–BA–P
DEPARTMENT OF JUSTICE
[OMB Number 1122–NEW]
Agency Information Collection
Activities: Revision of a Currently
Approved Collection; Certification of
Compliance With the Statutory
Eligibility Requirements of the
Violence Against omen Act as
Amended for Applicants to the STOP
(Services* Training* Officers*
Prosecutors) Violence Against Women
Formula Grant Program
ACTION:
60-Day Notice.
The Department of Justice, Office on
Violence Against Women (OVW) 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.
E:\FR\FM\01JYN1.SGM
01JYN1
Agencies
[Federal Register Volume 78, Number 126 (Monday, July 1, 2013)]
[Notices]
[Pages 39324-39325]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-15607]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
[OMB Number 1105-NEW]
Agency Information Collection Activities; Proposed Collection,
Comments Requested; USMS Medical Forms
ACTION: 30-day Notice.
-----------------------------------------------------------------------
The Department of Justice, U.S. Marshals Service will be submitting
the following information collection request to the Office of
Management and Budget (OMB) for review and clearance in accordance with
established review procedures of the Paperwork Reduction Act of 1995.
The proposed information collection is published to obtain comments
from the public and affected agencies. This proposed information
collection was previously published in the Federal Register Volume 78,
Number 72, pages 22294-22295, on April 15, 2013, allowing for a 60 day
comment period.
The purpose of this notice is to allow for an additional 30 days
for public comments until July 31, 2013. This process is conducted in
accordance with 5 CFR 1320.10.
All comments and suggestions, or questions regarding additional
information, to include obtaining a copy of the proposed information
collection instrument with instructions, should be directed to 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. Comments should address one or more of the following four
points:
1. 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;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected; and
4. Minimize the burden of the collection of information on those
who are to respond, including the use of automated, electronic,
mechanical, or other technological collection techniques of 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. The title of the form/collection: USMS Medical Forms.
3. The agency form number, if any, and the applicable component of
the department sponsoring the collection: Sponsored by the U.S.
Marshals Service.
Form Numbers:
--USM-522A Physician Evaluation Report for USMS Operational Employees
--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
4. Affected public who will be asked or required to respond, as
well as a brief abstract:
--USM-522A Physician Evaluation Report for USMS Operational Employees
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: This form is to be used by operational law
enforcement employees who are restricted from full performance of their
duties for longer than 80 consecutive hours due to injury or illness;
or by prospective operational employees who are impacted by medical
issues prior to completing the Training Academy. The primary use of
this information will be to determine the nature of a medical or
physical condition that may affect safe and efficient performance of
the work described in the employee's position description.
--USM-522P Physician Evaluation Report for USMS Operational Employees
--(Pregnancy Only)
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: This form is to be used by operational
employees who are temporarily restricted from performing all of their
duties due to pregnancy. In accordance with USMS Policy Directive 3.5,
after a physician has confirmed the pregnancy, or no later than the
completion of the first trimester of pregnancy (the end of the 13th
week), the operational employee is responsible for securing a completed
Form USM-522P, or equivalent, from her physician. The primary use of
this information will be to determine the nature of a medical or
physical condition that may affect safe and efficient performance of
the work described in the employee's position description.
--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. Annual completion of Form USM-600 is required
to ensure that all applicant and incumbent District Security Officers
meet the medical standards as outlined in the Statement of Work and are
medically qualified to perform all District Security Officer duties.
--CSO-012 Request to Reevaluate Court Security Officer's Medical
Qualification
[cir] Affected public: Private sector (Physicians)
[cir] Brief abstract: Use of this form is required when a Court
Security Officer (CSO) is returning to perform security services after
recovering from an injury, illness, outpatient or inpatient surgery/
procedure (including such procedures as LASIK), hospitalization or
emergency room visits, or extended medical reasons. A Court Security
Officer may not resume security services until the USMS Office of Court
Services has provided written approval for the individual to resume
performing under the applicable contract. Court Security Officers are
contractors, not employees of USMS; therefore, Form USM-522A 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-522A Physician Evaluation Report for USMS Operational Employees
It is estimated that 100 respondents will complete a 20 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.
[[Page 39325]]
--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.
6. An estimate of the total public burden (in 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-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.
Total Annual Time Burden (Hour): 453.
If additional information is required contact: Jerri Murray,
Department of Justice Clearance Officer, Justice Management Division,
United States Department of Justice, Policy and Planning Staff, Two
Constitution Square, 145 N Street NE., 1407B, Washington, DC 20530.
Dated: June 25, 2013.
Jerri Murray,
Department Clearance Officer for PRA, United States Department of
Justice.
[FR Doc. 2013-15607 Filed 6-28-13; 8:45 am]
BILLING CODE 4410-04-P