Information Collection; Fire & Aviation Management Medical Qualifications Program, 17777-17778 [2019-08390]

Download as PDF 17777 Federal Register / Vol. 84, No. 81 / Friday, April 26, 2019 / Notices INCOME ELIGIBILITIY GUIDELINES—Continued SUPPLEMENTAL CHART FOR FAMILY SIZES GREATER THAN EIGHT [Effective from July 1, 2019 to June 30, 2020] Federal poverty guidelines—100% Household size Annual 12 .............................................................. 13 .............................................................. 14 .............................................................. 15 .............................................................. 16 .............................................................. Each add’l family member add ................. 70,260 75,340 80,420 85,500 90,580 + $5,080 [FR Doc. 2019–08389 Filed 4–25–19; 8:45 am] BILLING CODE 3410–30–P DEPARTMENT OF AGRICULTURE Forest Service Information Collection; Fire & Aviation Management Medical Qualifications Program Forest Service, USDA. Notice; request for comment. AGENCY: ACTION: In accordance with the Paperwork Reduction Act of 1995, the Forest Service is seeking comments from all interested individuals and organizations on the extension with revisions to the information collection, Fire & Aviation Management Medical Qualifications Program. With this extension, the Agency has changed the name of the information collection to Fire & Aviation Management Medical Qualifications Program. DATES: Comments must be received in writing on or before June 25, 2019 to be assured of consideration. Comments received after that date will be considered to the extent practicable. ADDRESSES: Comments concerning this notice should be addressed to Attention: Dr. Jennifer Symonds, USDA Forest Service, National Interagency Fire Center, 3833 South Development Avenue, Boise, Idaho 83705. Comments also may be submitted via facsimile to 208–387–5735 or by email to jennifer.symonds@usda.gov. The public may inspect comments received at the National Interagency Fire Center, during normal business hours. Visitors are encouraged to call ahead to facilitate entry to the building. FOR FURTHER INFORMATION CONTACT: Dr. Jennifer Symonds, Forest Service Wildland Fire Medical Qualifications Program Manager, at 208–387–5978. Individuals who use telecommunication devices for the deaf (TDD) may call the Federal Relay amozie on DSK9F9SC42PROD with NOTICES SUMMARY: VerDate Sep<11>2014 17:28 Apr 25, 2019 Monthly Jkt 247001 Twicemonthly 5,855 6,279 6,702 7,125 7,549 + $424 Bi-weekly 2,928 3,140 3,351 3,563 3,775 + $212 2,703 2,898 3,094 3,289 3,484 + $196 Reduced price meals—185% Weekly 1,352 1,449 1,547 1,645 1,742 + $98 Annual 129,981 139,379 148,777 158,175 167,573 + $9,398 Service (FRS) at 1–800–877–8339 twenty-four hours a day, every day of the year, including holidays. SUPPLEMENTARY INFORMATION: Title: Fire & Aviation Management Medical Qualifications Program. OMB Number: 0596–0164. Expiration Date of Approval: June 30, 2019. Type of Request: Extension. Abstract: The Protection Act of 1922 (16 U.S.C. 594) authorizes the Forest Service to fight fires on National Forest System lands. This information collection is an approved Forest Service collection. The collection covers the USDA Forest Service and the Department of the Interior, and contains the information collection activities and burden hours for both agencies. Wildland firefighters perform long hours of arduous labor in adverse environmental conditions. It is imperative that these firefighters be in sufficient physical condition to avoid injury to themselves or their coworkers. Federal employees and private individuals seeking employment as a firefighter with the Forest Service or the Department of Interior complete the health capability forms. This information collection covers the forms and burden hours associated with the private individuals who apply for firefighter positions with the aforementioned agencies. Form FS–5100–30, Work Capacity Test—Informed Consent. The form is signed by those deemed to be in sufficient health to undergo a Work Capacity Test. The Work Capacity Test determines the level of an individual’s aerobic fitness, level of muscular strength, and muscle endurance. The consent form is necessary to ensure the individual taking the test is aware of the various testing levels (arduous, moderate, and light) and the risks involved. The individual indicates the following: • They have read the information on the form, the brochure ‘‘Work Capacity Test’’ and understand the purpose, instructions, and risks of the test; PO 00000 Frm 00006 Fmt 4703 Sfmt 4703 Monthly 10,832 11,615 12,399 13,182 13,965 + $784 Twicemonthly 5,416 5,808 6,200 6,591 6,983 + $392 Bi-weekly 5,000 5,361 5,723 6,084 6,446 + $362 Weekly 2,500 2,681 2,862 3,042 3,223 + $181 • They have read the information, understood, and truthfully answered the Health Screen Questionnaire; and • Test to be taken—pack test (arduous), field test (moderate), or walk test (light). Failure to collect this data could result in injuries or deaths during the ‘‘Work Capacity Test’’ and while working on wildland fires. The information provided by an applicant for Federal employment is stored in secured official files, maintained according to Agency regulations. The information gathered is not available from other sources. Estimate of Annual Burden: 5.5 Minutes. Type of Respondents: Individuals. Estimated Annual Number of Respondents: 20,504. Estimated Annual Number of Responses per Respondents: 1. Estimated Total Annual Burden on Respondents: 1,845 hours. Form FS–5100–31, Health Screening Questionnaire. Prospective fire personnel must complete this form when seeking employment as new fire personnel with the Forest Service or Department of the Interior. This form collects the following information: • Name and Unit; • Medical history; • Current medical symptoms; • Other health issues; and • Cardiovascular risk factors. The information collected pertains to an individual’s health status and health history in an effort to determine if any physical conditions exist that might result in injury or death during fitness testing or when fighting a wildfire. If Federal Agency officials determine, based on the collected information, that an individual may not be physically able to train for or take a Work Capacity Test; the agency will require the individual to undergo a physical examination by a physician. Failure to collect this data could result in injuries or deaths during the ‘‘Work Capacity Test’’ and while working on wildland fires. The E:\FR\FM\26APN1.SGM 26APN1 amozie on DSK9F9SC42PROD with NOTICES 17778 Federal Register / Vol. 84, No. 81 / Friday, April 26, 2019 / Notices information provided by an applicant for Federal employment is stored in secured official files, maintained according to Agency regulations. The information gathered is not available from other sources. Estimate of Annual Burden: 3 Minutes. Type of Respondents: Individuals. Estimated Annual Number of Respondents: 20,504. Estimated Annual Number of Responses per Respondents: 1. Estimated Total Annual Burden on Respondents: 1,025 hours. Form FS–5100–41, Arduous Duty Medical Exam. Federal employees and private individuals seeking employment as a firefighter with the Forest Service will complete the form every three years (years 0, 3, 6, etc.). The form collects the following information: • Name, Federal Employee Number (if applicable), Sex and Date of Birth; • Address, Email Address, and Telephone Number; • Physical Activity Level and Fire Experience with Home Unit and Forest; • Past Medical History; • Current medical symptoms; and • Other health issues. The information collected pertains to an individual’s health status and health history in an effort to determine if any medical or physical conditions exist that might result in injury or death during fitness testing or when fighting a wildfire. If Federal Agency officials determine, based on the collected information, that an individual may not be medically or physically able to train for or take a Work Capacity Test or meet the Medical Standards of arduous duty fire positions, the individual may request a waiver. The information provided by a firefighter for Federal employment is stored in secured official files, maintained according to Agency regulations. The information gathered is not available from other sources. Estimate of Annual Burden: 30 Minutes. Type of Respondents: Individuals. Estimated Annual Number of Respondents: 10,252. Estimated Annual Number of Responses per Respondents: 1. Estimated Total Annual Burden on Respondents: 5,126 hours. Form FS–5100–42, Self-Certification Statement and Blood Pressure Check. Federal employees and private individuals seeking employment as a firefighter with the Forest Service will complete the form the years in which the individual does not complete an Arduous Duty Examination. The form collects the following information: VerDate Sep<11>2014 17:28 Apr 25, 2019 Jkt 247001 • Name and Date of Birth; • Home Unit and Forest • Medical history; • Current medical symptoms; and • Other health issues. The information collected pertains to an individual’s health status and health history in an effort to determine if any medical or physical conditions exist that might result in injury or death during fitness testing or when fighting a wildfire. If Federal Agency officials determine, based on the collected information, that an individual may not be medically or physically able to train for or take a Work Capacity Test or meet the Medical Standards of arduous duty fire positions, the individual may request a waiver. The information provided by a firefighter for Federal employment is stored in secured official files, maintained according to Agency regulations. The information gathered is not available from other sources. Estimate of Annual Burden: 3 Minutes. Type of Respondents: Individuals. Estimated Annual Number of Respondents: 10,252. Estimated Annual Number of Responses per Respondents: 1. Estimated Total Annual Burden on Respondents: 513 hours. TOTAL Estimate of Annual Burden: 41.5 Minutes. TOTAL Type of Respondents: Individuals. TOTAL Estimated Annual Number of Respondents: 20,504. TOTAL Estimated Annual Number of Responses per Respondents: 1. TOTAL Estimated Total Annual Burden on Respondents: 8,509 hours. Comment is invited on: (1) Whether this collection of information is necessary for the stated purposes and the proper performance of the functions of the Agency, including whether the information will have practical or scientific utility; (2) the accuracy of the Agency’s estimate of the burden of the collection of information, including the validity of the methodology and assumptions used; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology. All comments received in response to this notice, including names and addresses when provided, will be a matter of public record. Comments will be summarized and included in the PO 00000 Frm 00007 Fmt 4703 Sfmt 4703 submission request toward Office of Management and Budget approval. Dated: April 15, 2019. Patricia Hirami, Acting Deputy Chief, State & Private Forestry. [FR Doc. 2019–08390 Filed 4–25–19; 8:45 am] BILLING CODE 3411–15–P DEPARTMENT OF COMMERCE Bureau of the Census Federal Economic Statistics Advisory Committee Meeting Bureau of the Census, U.S. Department of Commerce. ACTION: Notice of public meeting. AGENCY: The Bureau of the Census (U.S. Census Bureau) is giving notice of a meeting of the Federal Economic Statistics Advisory Committee (FESAC). The Committee advises the Under Secretary for Economic Affairs, the Directors of the Bureau of Economic Analysis (BEA) and the Census Bureau, and the Commissioner of the U.S. Department of Labor’s Bureau of Labor Statistics (BLS) on statistical methodology and other technical matters related to the collection, tabulation, and analysis of federal economic statistics. If you plan to attend the meeting, please register by Friday, June 7, 2019. You may access the online registration form with the following link: https://www.eventbrite.com/e/ federal-economic-statistics-advisorycommittee-fesac-meeting-tickets-59113 500070. Seating is available to the public on a first-come, first-served basis. An agenda will be accessible before the meeting at the following link: https:// www.census.gov/fesac. DATES: June 14, 2019. The meeting will begin at approximately 9:00 a.m. and adjourn at approximately 4:00 p.m. ADDRESSES: The meeting will be held at the U.S. Census Bureau Conference Center, 4600 Silver Hill Road, Suitland, MD 20746. FOR FURTHER INFORMATION CONTACT: James R. Spletzer, Designated Federal Official, Department of Commerce, U.S. Census Bureau, Research and Methodology Directorate, Room 5K175, 4600 Silver Hill Road, Washington, DC 20233, telephone 301–763–4069, email: james.r.spletzer@census.gov. For TTY callers, please call the Federal Relay Service at 1–800–877–8339 and give them the above listed number. This service is free and confidential. SUPPLEMENTARY INFORMATION: Members of the FESAC are appointed by the Secretary of Commerce. The Committee SUMMARY: E:\FR\FM\26APN1.SGM 26APN1

Agencies

[Federal Register Volume 84, Number 81 (Friday, April 26, 2019)]
[Notices]
[Pages 17777-17778]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-08390]


-----------------------------------------------------------------------

DEPARTMENT OF AGRICULTURE

Forest Service


Information Collection; Fire & Aviation Management Medical 
Qualifications Program

AGENCY: Forest Service, USDA.

ACTION: Notice; request for comment.

-----------------------------------------------------------------------

SUMMARY: In accordance with the Paperwork Reduction Act of 1995, the 
Forest Service is seeking comments from all interested individuals and 
organizations on the extension with revisions to the information 
collection, Fire & Aviation Management Medical Qualifications Program.
    With this extension, the Agency has changed the name of the 
information collection to Fire & Aviation Management Medical 
Qualifications Program.

DATES: Comments must be received in writing on or before June 25, 2019 
to be assured of consideration. Comments received after that date will 
be considered to the extent practicable.

ADDRESSES: Comments concerning this notice should be addressed to 
Attention: Dr. Jennifer Symonds, USDA Forest Service, National 
Interagency Fire Center, 3833 South Development Avenue, Boise, Idaho 
83705. Comments also may be submitted via facsimile to 208-387-5735 or 
by email to [email protected].
    The public may inspect comments received at the National 
Interagency Fire Center, during normal business hours. Visitors are 
encouraged to call ahead to facilitate entry to the building.

FOR FURTHER INFORMATION CONTACT: Dr. Jennifer Symonds, Forest Service 
Wildland Fire Medical Qualifications Program Manager, at 208-387-5978.
    Individuals who use telecommunication devices for the deaf (TDD) 
may call the Federal Relay Service (FRS) at 1-800-877-8339 twenty-four 
hours a day, every day of the year, including holidays.

SUPPLEMENTARY INFORMATION: 
    Title: Fire & Aviation Management Medical Qualifications Program.
    OMB Number: 0596-0164.
    Expiration Date of Approval: June 30, 2019.
    Type of Request: Extension.
    Abstract: The Protection Act of 1922 (16 U.S.C. 594) authorizes the 
Forest Service to fight fires on National Forest System lands. This 
information collection is an approved Forest Service collection. The 
collection covers the USDA Forest Service and the Department of the 
Interior, and contains the information collection activities and burden 
hours for both agencies.
    Wildland firefighters perform long hours of arduous labor in 
adverse environmental conditions. It is imperative that these 
firefighters be in sufficient physical condition to avoid injury to 
themselves or their coworkers. Federal employees and private 
individuals seeking employment as a firefighter with the Forest Service 
or the Department of Interior complete the health capability forms. 
This information collection covers the forms and burden hours 
associated with the private individuals who apply for firefighter 
positions with the aforementioned agencies.
    Form FS-5100-30, Work Capacity Test--Informed Consent. The form is 
signed by those deemed to be in sufficient health to undergo a Work 
Capacity Test. The Work Capacity Test determines the level of an 
individual's aerobic fitness, level of muscular strength, and muscle 
endurance. The consent form is necessary to ensure the individual 
taking the test is aware of the various testing levels (arduous, 
moderate, and light) and the risks involved. The individual indicates 
the following:
     They have read the information on the form, the brochure 
``Work Capacity Test'' and understand the purpose, instructions, and 
risks of the test;
     They have read the information, understood, and truthfully 
answered the Health Screen Questionnaire; and
     Test to be taken--pack test (arduous), field test 
(moderate), or walk test (light).
    Failure to collect this data could result in injuries or deaths 
during the ``Work Capacity Test'' and while working on wildland fires. 
The information provided by an applicant for Federal employment is 
stored in secured official files, maintained according to Agency 
regulations. The information gathered is not available from other 
sources.
    Estimate of Annual Burden: 5.5 Minutes.
    Type of Respondents: Individuals.
    Estimated Annual Number of Respondents: 20,504.
    Estimated Annual Number of Responses per Respondents: 1.
    Estimated Total Annual Burden on Respondents: 1,845 hours.
    Form FS-5100-31, Health Screening Questionnaire. Prospective fire 
personnel must complete this form when seeking employment as new fire 
personnel with the Forest Service or Department of the Interior. This 
form collects the following information:
     Name and Unit;
     Medical history;
     Current medical symptoms;
     Other health issues; and
     Cardiovascular risk factors.
    The information collected pertains to an individual's health status 
and health history in an effort to determine if any physical conditions 
exist that might result in injury or death during fitness testing or 
when fighting a wildfire. If Federal Agency officials determine, based 
on the collected information, that an individual may not be physically 
able to train for or take a Work Capacity Test; the agency will require 
the individual to undergo a physical examination by a physician.
    Failure to collect this data could result in injuries or deaths 
during the ``Work Capacity Test'' and while working on wildland fires. 
The

[[Page 17778]]

information provided by an applicant for Federal employment is stored 
in secured official files, maintained according to Agency regulations. 
The information gathered is not available from other sources.
    Estimate of Annual Burden: 3 Minutes.
    Type of Respondents: Individuals.
    Estimated Annual Number of Respondents: 20,504.
    Estimated Annual Number of Responses per Respondents: 1.
    Estimated Total Annual Burden on Respondents: 1,025 hours.
    Form FS-5100-41, Arduous Duty Medical Exam. Federal employees and 
private individuals seeking employment as a firefighter with the Forest 
Service will complete the form every three years (years 0, 3, 6, etc.). 
The form collects the following information:
     Name, Federal Employee Number (if applicable), Sex and 
Date of Birth;
     Address, Email Address, and Telephone Number;
     Physical Activity Level and Fire Experience with Home Unit 
and Forest;
     Past Medical History;
     Current medical symptoms; and
     Other health issues.
    The information collected pertains to an individual's health status 
and health history in an effort to determine if any medical or physical 
conditions exist that might result in injury or death during fitness 
testing or when fighting a wildfire. If Federal Agency officials 
determine, based on the collected information, that an individual may 
not be medically or physically able to train for or take a Work 
Capacity Test or meet the Medical Standards of arduous duty fire 
positions, the individual may request a waiver.
    The information provided by a firefighter for Federal employment is 
stored in secured official files, maintained according to Agency 
regulations. The information gathered is not available from other 
sources.
    Estimate of Annual Burden: 30 Minutes.
    Type of Respondents: Individuals.
    Estimated Annual Number of Respondents: 10,252.
    Estimated Annual Number of Responses per Respondents: 1.
    Estimated Total Annual Burden on Respondents: 5,126 hours.
    Form FS-5100-42, Self-Certification Statement and Blood Pressure 
Check. Federal employees and private individuals seeking employment as 
a firefighter with the Forest Service will complete the form the years 
in which the individual does not complete an Arduous Duty Examination. 
The form collects the following information:
     Name and Date of Birth;
     Home Unit and Forest
     Medical history;
     Current medical symptoms; and
     Other health issues.
    The information collected pertains to an individual's health status 
and health history in an effort to determine if any medical or physical 
conditions exist that might result in injury or death during fitness 
testing or when fighting a wildfire. If Federal Agency officials 
determine, based on the collected information, that an individual may 
not be medically or physically able to train for or take a Work 
Capacity Test or meet the Medical Standards of arduous duty fire 
positions, the individual may request a waiver.
    The information provided by a firefighter for Federal employment is 
stored in secured official files, maintained according to Agency 
regulations. The information gathered is not available from other 
sources.
    Estimate of Annual Burden: 3 Minutes.
    Type of Respondents: Individuals.
    Estimated Annual Number of Respondents: 10,252.
    Estimated Annual Number of Responses per Respondents: 1.
    Estimated Total Annual Burden on Respondents: 513 hours.
    TOTAL Estimate of Annual Burden: 41.5 Minutes.
    TOTAL Type of Respondents: Individuals.
    TOTAL Estimated Annual Number of Respondents: 20,504.
    TOTAL Estimated Annual Number of Responses per Respondents: 1.
    TOTAL Estimated Total Annual Burden on Respondents: 8,509 hours.
    Comment is invited on: (1) Whether this collection of information 
is necessary for the stated purposes and the proper performance of the 
functions of the Agency, including whether the information will have 
practical or scientific utility; (2) the accuracy of the Agency's 
estimate of the burden of the collection of information, including the 
validity of the methodology and assumptions used; (3) ways to enhance 
the quality, utility, and clarity of the information to be collected; 
and (4) ways to minimize the burden of the collection of information on 
respondents, including the use of automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology.
    All comments received in response to this notice, including names 
and addresses when provided, will be a matter of public record. 
Comments will be summarized and included in the submission request 
toward Office of Management and Budget approval.

    Dated: April 15, 2019.
Patricia Hirami,
Acting Deputy Chief, State & Private Forestry.
[FR Doc. 2019-08390 Filed 4-25-19; 8:45 am]
 BILLING CODE 3411-15-P