30-Day Notice of Proposed Information Collection: Self Certification and Ability To Perform in Emergencies (ESCAPE) Program, 83922 [2016-28044]
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83922
Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices
DEPARTMENT OF STATE
[Public Notice 9789]
30-Day Notice of Proposed Information
Collection: Self Certification and
Ability To Perform in Emergencies
(ESCAPE) Program
Notice of request for public
comment and submission to OMB of
proposed collection of information.
ACTION:
The Department of State has
submitted the information collection
described below to the Office of
Management and Budget (OMB) for
approval. In accordance with the
Paperwork Reduction Act of 1995 we
are requesting comments on this
collection from all interested
individuals and organizations. The
purpose of this Notice is to allow 30
days for public comment.
DATES: Submit comments directly to the
Office of Management and Budget
(OMB) up to December 22, 2016.
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 the following methods:
• Email: oira_submission@
omb.eop.gov. You must include the DS
form number, information collection
title, and the OMB control number in
the subject line of your message.
• Fax: 202–395–5806. Attention: Desk
Officer for Department of State.
FOR FURTHER INFORMATION CONTACT:
Direct requests for additional
information regarding the collection
listed in this notice, including requests
for copies of the proposed collection
instrument and supporting documents,
to Joan F. Grew, who may be reached on
703–875–5412 or at GrewJF@state.gov.
SUPPLEMENTARY INFORMATION:
• Title of Information Collection: Self
Certification and Ability To Perform in
Emergencies (ESCAPE) Program.
• OMB Control Number: 1405–0224.
• Type of Request: Revision of a
Currently Approved Collection.
• Originating Office: Bureau of
Medical Services (MED).
• Form Number: DS–6570.
• Respondents: Non-federal
individuals being considered for
contracted assignments at ESCAPEdesignated posts.
• Estimated Number of Respondents:
200.
• Estimated Number of Responses:
200.
• Average Time per Response: 30
minutes.
• Total Estimated Burden Time: 100
annual hours.
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
16:52 Nov 21, 2016
Jkt 241001
• Frequency: One time per
deployment to ESCAPE post.
• Obligation to Respond: Required to
obtain a benefit.
We are soliciting public comments to
permit the Department to:
• Evaluate whether the proposed
information collection is necessary for
the proper functions of the Department.
• Evaluate the accuracy of our
estimate of the time and cost burden for
this 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 information
technology.
Please note that comments submitted
in response to this Notice are public
record. Before including any detailed
personal information, you should be
aware that your comments as submitted,
including your personal information,
will be available for public review.
Abstract of Proposed Collection
The goal of the ‘‘Self Certification and
Ability To Perform In Emergencies’’
(ESCAPE) program is to ensure that nonfederal individuals who are being
considered for a contracted position at
a designated post are capable of the
unique, potentially challenging and life
threatening conditions at ESCAPE posts.
These individuals are required to review
with a medical provider the predeployment acknowledgement form
(DS–6570) and then affirm that they
understand the physical rigors and
security conditions at these posts and
can perform any specified emergency
functions. Medical information is
collected from medical providers and
respondents during this review. The
Department of State is requesting
approval of this Information Collection
so non-federal individuals who will be
selected for assignments can provide
completed pre-deployment medical
information. This Collection is allowed
under the Foreign Service Act of 1980
(22 U.S.C. 3901) and the Basic
Authorities Act of 1956 (22 U.S.C.
2651).
The information collected will be
collected using a form (DS–6570) during
a medical review between a non-federal
individual and his/her medical
provider. The individual will submit the
completed form, signed by both the
individual and provider, to the Bureau
Frm 00126
Behzad Shahbazian,
Director of Clinical Services, Bureau of
Medical Services, Department of State.
[FR Doc. 2016–28044 Filed 11–21–16; 8:45 am]
BILLING CODE 4710–36–P
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety
Administration
[Docket No. FMCSA–2016–0412]
Post-Accident Reporting (PAR)
Advisory Committee Meeting: Public
Meeting
Federal Motor Carrier Safety
Administration (FMCSA), DOT.
ACTION: Announcement of advisory
committee public meeting.
AGENCY:
FMCSA announces a meeting
of its Post-Accident Reporting (PAR)
Advisory Committee on Tuesday, and
Wednesday, December 6 and 7, 2016.
The PAR Advisory Committee will
continue the work it began as a
subcommittee of the Motor Carrier
Safety Advisory Committee (MCSAC) in
April 2016 at the meeting of the
Commercial Vehicle Safety Alliance
(CVSA). Under section 5306 of the
FAST Act, the PAR is charged with
reviewing post-accident reports and
making recommendations on the data
elements required by the reports and
any modifications that may improve
their use through the addition of data
elements. The PAR will deliberate on
Task 16–1 and make recommendations
to the FMCSA Administrator for
transmittal to the Secretary. The
meeting is open to the public for its
entirety.
TIMES AND DATES: The meeting will be
held on Tuesday, December 6 and
Wednesday, December 7, 2016, from
9:15 a.m. to 5 p.m., Eastern Time (E.T.),
at the DoubleTree by Hilton Washington
DC—Crystal City, 300 Army Navy Drive,
Arlington, VA 22202. Copies of the task
statement and an agenda for the entire
meeting will be made available in
advance of the meeting at https://
par.fmcsa.dot.gov.
SUMMARY:
Ms.
Shannon L. Watson, Senior Policy
Advisor, Federal Motor Carrier Safety
Administration, U.S. Department of
Transportation, 1200 New Jersey
Avenue SE., Washington, DC 20590,
(202) 366–5221.
Services for Individuals With
Disabilities: For information on facilities
FOR FURTHER INFORMATION CONTACT:
Methodology
PO 00000
of Medical Services at the U.S.
Department of States.
Fmt 4703
Sfmt 4703
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22NON1
]]>Agencies
[Federal Register Volume 81, Number 225 (Tuesday, November 22, 2016)]
[Notices]
[Page 83922]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-28044]
[[Page 83922]]
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DEPARTMENT OF STATE
[Public Notice 9789]
30-Day Notice of Proposed Information Collection: Self
Certification and Ability To Perform in Emergencies (ESCAPE) Program
ACTION: Notice of request for public comment and submission to OMB of
proposed collection of information.
-----------------------------------------------------------------------
SUMMARY: The Department of State has submitted the information
collection described below to the Office of Management and Budget (OMB)
for approval. In accordance with the Paperwork Reduction Act of 1995 we
are requesting comments on this collection from all interested
individuals and organizations. The purpose of this Notice is to allow
30 days for public comment.
DATES: Submit comments directly to the Office of Management and Budget
(OMB) up to December 22, 2016.
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 the following
methods:
Email: oira_submission@omb.eop.gov. You must include the
DS form number, information collection title, and the OMB control
number in the subject line of your message.
Fax: 202-395-5806. Attention: Desk Officer for Department
of State.
FOR FURTHER INFORMATION CONTACT: Direct requests for additional
information regarding the collection listed in this notice, including
requests for copies of the proposed collection instrument and
supporting documents, to Joan F. Grew, who may be reached on 703-875-
5412 or at GrewJF@state.gov.
SUPPLEMENTARY INFORMATION:
Title of Information Collection: Self Certification and
Ability To Perform in Emergencies (ESCAPE) Program.
OMB Control Number: 1405-0224.
Type of Request: Revision of a Currently Approved
Collection.
Originating Office: Bureau of Medical Services (MED).
Form Number: DS-6570.
Respondents: Non-federal individuals being considered for
contracted assignments at ESCAPE-designated posts.
Estimated Number of Respondents: 200.
Estimated Number of Responses: 200.
Average Time per Response: 30 minutes.
Total Estimated Burden Time: 100 annual hours.
Frequency: One time per deployment to ESCAPE post.
Obligation to Respond: Required to obtain a benefit.
We are soliciting public comments to permit the Department to:
Evaluate whether the proposed information collection is
necessary for the proper functions of the Department.
Evaluate the accuracy of our estimate of the time and cost
burden for this 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
information technology.
Please note that comments submitted in response to this Notice are
public record. Before including any detailed personal information, you
should be aware that your comments as submitted, including your
personal information, will be available for public review.
Abstract of Proposed Collection
The goal of the ``Self Certification and Ability To Perform In
Emergencies'' (ESCAPE) program is to ensure that non-federal
individuals who are being considered for a contracted position at a
designated post are capable of the unique, potentially challenging and
life threatening conditions at ESCAPE posts. These individuals are
required to review with a medical provider the pre-deployment
acknowledgement form (DS-6570) and then affirm that they understand the
physical rigors and security conditions at these posts and can perform
any specified emergency functions. Medical information is collected
from medical providers and respondents during this review. The
Department of State is requesting approval of this Information
Collection so non-federal individuals who will be selected for
assignments can provide completed pre-deployment medical information.
This Collection is allowed under the Foreign Service Act of 1980 (22
U.S.C. 3901) and the Basic Authorities Act of 1956 (22 U.S.C. 2651).
Methodology
The information collected will be collected using a form (DS-6570)
during a medical review between a non-federal individual and his/her
medical provider. The individual will submit the completed form, signed
by both the individual and provider, to the Bureau of Medical Services
at the U.S. Department of States.
Behzad Shahbazian,
Director of Clinical Services, Bureau of Medical Services, Department
of State.
[FR Doc. 2016-28044 Filed 11-21-16; 8:45 am]
BILLING CODE 4710-36-P
