CBP Hiring Center Medical Records Privacy Act Release Form, 51440 [2022-17954]

Agencies

• DEPARTMENT OF HOMELAND SECURITY
• U.S. Customs and Border Protection

[Federal Register Volume 87, Number 161 (Monday, August 22, 2022)]
[Notices]
[Page 51440]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-17954]



[[Page 51440]]

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DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

[1651-0NEW]


CBP Hiring Center Medical Records Privacy Act Release Form

AGENCY: U.S. Customs and Border Protection (CBP), Department of 
Homeland Security.

ACTION: 30-Day notice and request for comments; this is a new 
collection of information.

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SUMMARY: The Department of Homeland Security, U.S. Customs and Border 
Protection 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 (PRA). 
The information collection is published in the Federal Register to 
obtain comments from the public and affected agencies.

DATES: Comments are encouraged and must be submitted (no later than 
September 21, 2022) to be assured of consideration.

ADDRESSES: Written comments and/or suggestions regarding the item(s) 
contained in this notice should be sent within 30 days of publication 
of this notice to www.reginfo.gov/public/do/PRAMain. Find this 
particular information collection by selecting ``Currently under 30-day 
Review--Open for Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: Requests for additional PRA 
information should be directed to Seth Renkema, Chief, Economic Impact 
Analysis Branch, U.S. Customs and Border Protection, Office of Trade, 
Regulations and Rulings, 90 K Street NE, 10th Floor, Washington, DC 
20229-1177, telephone number 202-325-0056 or via email 
[email protected]. Please note that the contact information provided 
here is solely for questions regarding this notice. Individuals seeking 
information about other CBP programs should contact the CBP National 
Customer Service Center at 877-227-5511, (TTY) 1-800-877-8339, or CBP 
website at https://www.cbp.gov/ gov/.

SUPPLEMENTARY INFORMATION: CBP invites the general public and other 
Federal agencies to comment on the proposed and/or continuing 
information collections pursuant to the Paperwork Reduction Act of 1995 
(44 U.S.C. 3501 et seq.). This proposed information collection was 
previously published in the Federal Register (Volume 87 FR 14902) on 
March 16, 2022, allowing for a 60-day comment period. This notice 
allows for an additional 30 days for public comments. This process is 
conducted in accordance with 5 CFR 1320.8. Written comments and 
suggestions from the public and affected agencies should address one or 
more of the following four points: (1) 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) 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) suggestions to enhance the 
quality, utility, and clarity of the information to be collected; and 
(4) suggestions to 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. The comments that are submitted 
will be summarized and included in the request for approval. All 
comments will become a matter of public record.

Overview of This Information Collection

    Title: CBP Hiring Center Medical Records Privacy Act Release Form.
    OMB Number: 1651-0NEW.
    Form Number: Form 3400.
    Current Actions: This is a new information collection.
    Type of Review: New.
    Affected Public: Individuals.
    Abstract: In accordance with 5 CFR 339.301, Customs and Border 
Protection (CBP) performs pre-employment medical evaluations on all 
candidates tentatively selected to fill positions that include a 
medical requirement, such as the CBP Officer and Border Patrol Agent 
positions. During that evaluation process, CBP collects medically 
relevant information about the candidate from: the candidate, CBP's 
contracted medical providers, and/or the candidate's personal medical 
and mental health providers.
    In accordance with 5 CFR 339.305, CBP makes all medical 
documentation and records of examination available to the candidates. 
Candidates can request copies of their pre-employment medical 
examination results and supporting documentation/records by email or 
letter. Due to the sensitive nature of the information being released, 
CBP requires that candidates complete and sign a privacy release 
authorization form in order to receive a copy of their medical 
documents. CBP will only share medical information directly with the 
candidate, or with a third party when authorized to do so in writing by 
the candidate.
    No specific information is needed to request copies of candidates' 
medical documents in writing. When completing the release form, 
candidates must provide the following information: Full name, partial 
Social Security Number (SSN#), Date of Birth, Current Address, Email 
Address, Phone Number; as well as specifying the type of medical 
records to be released (hearing test results, vision test results, 
etc.).
    This information is used by CBP as confirmation that the agency has 
the candidate's signed authorization to provide medically related 
records about the candidate. A copy of that signed authorization and 
the records released are retained within the candidate's pre-employment 
file.
    Type of Information Collection: Medical Records Privacy Act Release 
Form.
    Estimated Number of Respondents: 104.
    Estimated Number of Annual Responses per Respondent: 2.
    Estimated Number of Total Annual Responses: 208.
    Estimated Time per Response: 15 minutes.
    Estimated Total Annual Burden Hours: 52 hours.

    Dated: August 16, 2022.
Seth D. Renkema,
Branch Chief, Economic Impact Analysis Branch, U.S. Customs and Border 
Protection.
[FR Doc. 2022-17954 Filed 8-19-22; 8:45 am]
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