Information Collection Request; Submission for OMB Review, 72124 [2013-28731]

Agencies

• PEACE CORPS

[Federal Register Volume 78, Number 231 (Monday, December 2, 2013)]
[Notices]
[Page 72124]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-28731]


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PEACE CORPS


Information Collection Request; Submission for OMB Review

AGENCY: Peace Corps.

ACTION: 60-day notice and request for comments.

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SUMMARY: The Peace Corps will be submitting the following information 
collection request to the Office of Management and Budget (OMB) for 
review and approval. 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 (44 U.S.C. Chapter 35).

DATES: Comments must be submitted on or before January 31, 2014.

ADDRESSES: Comments should be addressed to Denora Miller, FOIA/Privacy 
Act Officer. Denora Miller can be contacted by telephone at 202-692-
1236 or email at pcfr@peacecorps.gov. Email comments must be made in 
text and not in attachments.

FOR FURTHER INFORMATION CONTACT: Denora Miller at Peace Corps address 
above.

SUPPLEMENTARY INFORMATION:
    Method: Applicants gain access to the form via a secure online 
portal. Applicants have to download the form for their health care 
provider to complete. The completed form can be scanned and uploaded 
back into the Applicant's secure Peace Corps online portal or they can 
be faxed or mailed to the Peace Corps Office of Medical Services.
    Title: Peace Corps Report of Physical Examination (PC 1790S)
    OMB Control Number: 0420-0549
    Type of Request: Extension without change of a currently approved 
collection.
    Affected Public: Individuals/Physicians.
    Respondents Obligation to Reply: Voluntary.
    Burden to the Public:

a. Estimated number of respondents/physicians: 4,000/4,000.
b. Estimated average burden per response: 90 minutes/45 minutes.
c. Frequency of response: one time.
d. Annual reporting burden: 6,000 hours/3,000 hours.
e. Estimated annual cost to respondents: Indeterminate

    General Description of Collection: The Peace Corps Act requires 
that Volunteers receive health examinations prior to their service. The 
information collected is required for consideration for Peace Corps 
Volunteer service. After completion of the Health History Form and 
after passing preliminary non-health-related assessments, the Applicant 
will be ``nominated'' to a program. This nomination does not guarantee 
an invitation to serve, but it does hold a place so the Applicant may 
proceed with the process. After a review by the Peace Corps pre-service 
medical staff of the Health History Form and any supplemental forms 
that the Applicant is required to submit following nomination (covered 
under OMB control number 0420-0510), the Applicant may be medically 
pre-cleared. An Applicant who is medically pre-cleared and who accepts 
an invitation to serve as a Peace Corps Volunteer undergoes a final 
medical clearance. Final medical clearance is on the basis of a 
complete physical examination, as documented in a Report of Physical 
Examination (PC-1790S).
    The information contained in the Report of Physical Examination 
will be used to make an individualized determination as to whether an 
Applicant for Volunteer service will, with reasonable accommodation, be 
able to perform the essential functions of a Peace Corps Volunteer and 
complete a tour of service without undue disruption due to health 
problems and, if so, to establish the level of medical and other 
support, if any, that may be required to reasonably accommodate the 
Applicant.
    Request For Comment: Peace Corps invites comments on whether the 
proposed collections of information are necessary for proper 
performance of the functions of the Peace Corps, including whether the 
information will have practical use; the accuracy of the agency's 
estimate of the burden of the proposed collection of information, 
including the validity of the information to be collected; and, ways to 
minimize the burden of the collection of information on those who are 
to respond, including through the use of automated collection 
techniques, when appropriate, and other forms of information 
technology.

    This notice is issued in Washington, DC, on November 21, 2013.
Denora Miller,
FOIA/Privacy Act Officer, Management.
[FR Doc. 2013-28731 Filed 11-29-13; 8:45 am]
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