Information Collection Request; Submission for OMB Review, 51559-51562 [2024-13304]
Download as PDF
<![CDATA[
Federal Register / Vol. 89, No. 118 / Tuesday, June 18, 2024 / Notices
1. Is the proposed collection of
information necessary for the NRC to
properly perform its functions? Does the
information have practical utility?
Please explain your answer.
2. Is the estimate of the burden of the
information collection accurate? Please
explain your answer.
3. Is there a way to enhance the
quality, utility, and clarity of the
information to be collected?
4. How can the burden of the
information collection on respondents
be minimized, including the use of
automated collection techniques or
other forms of information technology?
Dated: June 12, 2024.
For the Nuclear Regulatory Commission.
David Cullison,
NRC Clearance Officer, Office of the Chief
Information Officer.
[FR Doc. 2024–13322 Filed 6–17–24; 8:45 am]
BILLING CODE 7590–01–P
PEACE CORPS
Information Collection Request;
Submission for OMB Review
Peace Corps.
30-Day notice and request for
comments.
AGENCY:
ACTION:
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 30 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.
SUMMARY:
Submit comments on or before
July 18, 2024.
ADDRESSES: Comments should be
addressed to James Olin, FOIA/Privacy
Act Officer. James Olin can be contacted
by phone 202–692–2507 or email at
pcfr@peacecorps.gov. Email comments
must be made in text and not in
attachments.
DATES:
lotter on DSK11XQN23PROD with NOTICES1
FOR FURTHER INFORMATION CONTACT:
James Olin, Peace Corps, at pcfr@
peacecorps.gov or by telephone at (202)
692–2507.
SUPPLEMENTARY INFORMATION:
Title: Individual Specific Medical
Evaluation Forms (15).
OMB Control Number: 0420–0550.
Type of Request: Revision/New.
Affected Public: Individuals/
Physicians.
Respondents Obligation to Reply:
Voluntary.
VerDate Sep<11>2014
17:57 Jun 17, 2024
Jkt 262001
Respondents: Potential and current
volunteers.
Burden to the Public:
• Asthma Evaluation Form
(a) Estimated number of Applicants/
physicians 700/700
(b) Frequency of response one time
(c) Estimated average burden per
response 75 minutes/30 minutes
(d) Estimated total reporting burden
875 hours/350 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection:
When an Applicant reports on the
Health History Form any history of
asthma, he or she will be provided an
Asthma Evaluation Form for the treating
physician to complete The Asthma
Evaluation Form asks for the physician
to document the Applicant’s condition
of asthma, including any asthma
symptoms, triggers, treatments, or
limitations or restrictions due to the
condition. This form will be used as the
basis for an individualized
determination as to whether the
Applicant will, with reasonable
accommodation, be able to perform the
essential functions of a Peace Corps
Volunteer and complete a tour of service
without unreasonable disruption due to
health problems. This form will also be
used to determine the type of
accommodation that may be needed,
such as placement of the Applicant
within reasonable proximity to a
hospital in case treatment is needed for
a severe asthma attack.
• Diabetes Diagnosis Form
(a) Estimated number of Applicants/
physicians 55/55
(b) Frequency of response one time
(c) Estimated average burden per
response 75 minutes/30 minutes
(d) Estimated total reporting burden
69 hours/28 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection:
When an Applicant reports the
condition of diabetes Type 1 on the
Health History Form, the Applicant will
be provided a Diabetes Diagnosis Form
for the treating physician to complete.
In certain cases, the Applicant may also
be asked to have the treating physician
complete a Diabetes Diagnosis Form if
the Applicant reports the condition of
diabetes Type 2 on the Health History
Form. The Diabetes Diagnosis Form asks
the physician to document the diabetes
diagnosis, etiology, possible
complications, and treatment. This form
will be used as the basis for an
individualized determination as to
whether the Applicant will, with
reasonable accommodation, be able to
PO 00000
Frm 00068
Fmt 4703
Sfmt 4703
51559
perform the essential functions of a
Peace Corps Volunteer assignment and
complete a tour of service without
unreasonable disruption due to health
problems. This form will also be used to
determine the type of accommodation
that may be needed, such as placement
of an Applicant who requires the use of
insulin in order to ensure that adequate
insulin storage facilities are available at
the Applicant’s site.
• Transfer of Care—Request for
Information Form
(a) Estimated number of Applicants/
physicians 1270/1270
(b) Frequency of response one time
(c) Estimated average burden per
response 75 minutes/30 minutes
(d) Estimated total reporting burden
1588 hours/635 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection:
When an Applicant reports on the
Health History Form a medical
condition of significant severity (other
than one covered by another form), he
or she may be provided the Transfer of
Care—Request for Information Form for
the treating physician to complete. The
Transfer of Care—Request for
Information Form may also be provided
to an Applicant whose responses on the
Health History Form indicate that the
Applicant may have an unstable
medical condition that requires ongoing
treatment. The Transfer of Care—
Request for Information Form asks the
physician to document the diagnosis,
current treatment, physical limitations
and the likelihood of significant
progression of the condition over the
next three years. This form will be used
as the basis for an individualized
determination as to whether the
Applicant will, with reasonable
accommodation, be able to perform the
essential functions of a Peace Corps
Volunteer assignment and complete a
tour of service without unreasonable
disruption due to health problems. This
form will also be used to determine the
type of accommodation (e.g., avoidance
of high altitudes or proximity to a
hospital) that may be needed to manage
the Applicant’s medical condition.
• Mental Health Current Evaluation and
Treatment Summary Form
(a) Estimated number of Applicants/
professional 1221/1221
(b) Frequency of response one time
(c) Estimated average burden per
response 105 minutes/60 minutes
(d) Estimated total reporting burden
2137 hours/1221 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Mental Health Current Evaluation Form
E:\FR\FM\18JNN1.SGM
18JNN1
lotter on DSK11XQN23PROD with NOTICES1
51560
Federal Register / Vol. 89, No. 118 / Tuesday, June 18, 2024 / Notices
will be used when an Applicant reports
on the Health History Form a history of
certain serious mental health
conditions, such as bipolar disorder,
schizophrenia, mental health
hospitalization, attempted suicide or
cutting, or treatments or medications
related to these conditions. In these
cases, an Applicant will be provided a
Mental Health Current Evaluation and
Treatment Summary Form for a licensed
mental health counselor, psychiatrist or
psychologist to complete. The Mental
Health Current Evaluation and
Treatment Summary Form asks the
counselor, psychiatrist or psychologist
to document the dates and frequency of
therapy sessions, clinical diagnoses,
symptoms, course of treatment,
psychotropic medications, mental
health history, level of functioning,
prognosis, risk of exacerbation or
recurrence while overseas,
recommendations for follow up and any
concerns that would prevent the
Applicant from completing 27 months
of service without unreasonable
disruption. A current mental health
evaluation might be needed if
information on the condition is outdated or previous reports on the
condition do not provide enough
information to adequately assess the
current status of the condition. This
form will be used as the basis for an
individualized determination as to
whether the Applicant will, with
reasonable accommodation, be able to
perform the essential functions of a
Peace Corps Volunteer and complete a
tour of service without unreasonable
disruption due to health problems. This
form will also be used to determine the
type of accommodation that may be
needed, such as placement of the
Applicant in a country with appropriate
mental health support.
• Functional Abilities Evaluation Form
(a) Estimated number of Applicants/
professional 300/300
(b) Frequency of response one time
(c) Estimated average burden per
response 90 minutes/45 minutes
(d) Estimated total reporting burden
390 hours/225 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection:
When an Applicant reports on the
Health History Form a functional ability
limitation he or she will be provided
this form to determine the type of
accommodation and/or placement
program support (e.g., proximity to
program site, support support devices)
that may be needed to manage the
Applicant’s medical condition.. This
form will be used as the basis for an
VerDate Sep<11>2014
17:57 Jun 17, 2024
Jkt 262001
individualized determination as to
whether the Applicant will, with
reasonable accommodation, be able to
perform the essential functions of a
Peace Corps Volunteer assignment and
complete a tour of service without
unreasonable disruption due to health
problems.
• Eating Disorder Treatment Summary
Form
(a) Estimated number of Applicants/
physicians 282/282
(b) Frequency of response one time
(c) Estimated average burden per
response 105 minutes/60 minutes
(d) Estimated total reporting burden
494 hours/282 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Eating Disorder Treatment Summary
will be used when an Applicant reports
a past or current eating disorder
diagnosis in the Health History Form. In
these cases the Applicant is provided an
Eating Disorder Treatment Summary
Form for a mental health specialist,
preferably with eating disorder training,
to complete. The Eating Disorder
Treatment Summary Form asks the
mental health specialist to document
the dates and frequency of therapy
sessions, clinical diagnoses, presenting
problems and precipitating factors,
symptoms, Applicant’s weight over the
past three years, relevant family history,
course of treatment, psychotropic
medications, mental health history
inclusive of eating disorder behaviors,
level of functioning, prognosis, risk of
recurrence in a stressful overseas
environment, recommendations for
follow up, and any concerns that would
prevent the Applicant from completing
27 months of service without
unreasonable disruption due to the
diagnosis. This form will be used as the
basis for an individualized
determination as to whether the
Applicant will, with reasonable
accommodation, be able to perform the
essential functions of a Peace Corps
Volunteer assignment and complete a
tour of service without unreasonable
disruption due to health problems. This
form will also be used to determine the
type of accommodation that may be
needed, such as placement of the
Applicant in a country with appropriate
mental health support.
• Substance-Related and Addictive
Disorders Current Evaluation Form
(a) Estimated number of Applicants/
specialist 373/373
(b) Frequency of response one time
(c) Estimated average burden per
response 165 minutes/60 minutes
(d) Estimated total reporting burden
PO 00000
Frm 00069
Fmt 4703
Sfmt 4703
1026 hours/373 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Alcohol/Substance Abuse Current
Evaluation Form is used when an
Applicant reports in the Health History
Form a history of substance abuse (i.e.,
alcohol or drug related problems such as
blackouts, daily or heavy drinking
patterns or the misuse of illegal or
prescription drugs) and that this
substance abuse affects the Applicant’s
daily living or that the Applicant has
ongoing symptoms of substance abuse.
In these cases, the Applicant is provided
an Substance-Related and Addictive
Disorders Current Evaluation Form for a
substance abuse specialist to complete.
The Substance-Related and Addictive
Disorders Current Evaluation Form asks
the substance abuse specialist to
document the history of alcohol/
substance abuse, dates and frequency of
any therapy sessions, which alcohol/
substance abuse assessment tools were
administered, mental health diagnoses,
psychotropic medications, self harm
behavior, current clinical assessment of
alcohol/substance use, clinical
observations, risk of recurrence in a
stressful overseas environment,
recommendations for follow up, and
any concerns that would prevent the
Applicant from completing a tour of
service without unreasonable disruption
due to the diagnosis. This form will be
used as the basis for an individualized
determination as to whether the
Applicant will, with reasonable
accommodation, be able to perform the
essential functions of a Peace Corps
Volunteer and complete a tour of service
without unreasonable disruption due to
health problems. This form will also be
used to determine the type of
accommodation that may be needed,
such as placement of the Applicant in
a country with appropriate sobriety
support or counseling support.
• Mammogram Waiver Form
(a) Estimated number of Applicants
148
(b) Frequency of response one time
(c) Estimated average burden per
response 105 minutes
(d) Estimated total reporting burden
259 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Mammogram Form is used for all
Applicants who have female breasts and
will be 50 years of age or older during
service who wish to waive routine
mammogram screening during service.
If an Applicant waives routine
mammogram screening during service,
E:\FR\FM\18JNN1.SGM
18JNN1
lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 89, No. 118 / Tuesday, June 18, 2024 / Notices
the Applicant’s physician is asked to
complete this form in order to make a
general assessment of the Applicant’s
statistical breast cancer risk and
discussed the results with the Applicant
including the potential adverse health
consequence of foregoing screening
mammography.
• Cervical Cancer Screening Form
(a) Estimated number of Applicants
3600/3600
(b) Frequency of response one time
(c) Estimated average burden per
response 40 minutes/30 minutes
(d) Estimated total reporting burden
2400 hours/1800 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Cervical Cancer Screening Form is used
with all Applicants with a cervix. Prior
to medical clearance, female Applicants
are required to submit a current cervical
cancer screening examination and Pap
cytology report based the American
Society for Colploscopy and Cervical
Pathology (ASCCP) screening time-line
for their age and Pap history. This form
assists the Peace Corps in determining
whether an Applicant with mildly
abnormal Pap history will need to be
placed in a country with appropriate
support.
• Colon Cancer Screening Form
(a) Estimated number of Applicants
575
(b) Frequency of response one time
(c) Estimated average burden per
response 60 minutes–165 minutes
(d) Estimated total reporting burden
575 hours–1581 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Colon Cancer Screening Form is used
with all Applicants who are 50 years of
age or older to provide the Peace Corps
with the results of the Applicant’s latest
colon cancer screening. Any testing
deemed appropriate by the American
Cancer Society is accepted. The Peace
Corps uses the information in the Colon
Cancer Screening Form to determine if
the Applicant currently has colon
cancer. Additional instructions are
included pertaining to abnormal test
results.
• ECG Form
(a) Estimated number of Applicants/
physicians 575/575
(b) Frequency of response one time
(c) Estimated average burden per
response 25 minutes/15 minutes
(d) Estimated total reporting burden
240 hours/144 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
ECG/EKG Form is used with all
VerDate Sep<11>2014
17:57 Jun 17, 2024
Jkt 262001
Applicants who are 50 years of age or
older to provide the Peace Corps with
the results of an electrocardiogram. The
Peace Corps uses the information in the
electrocardiogram to assess whether the
Applicant has any cardiac abnormalities
that might affect the Applicant’s service.
Additional instructions are included
pertaining to abnormal test results. The
electrocardiogram is performed as part
of the Applicant’s physical examination.
• Reactive Tuberculin Test Evaluation
Form
(a) Estimated number of Applicants/
physicians 392/392
(b) Frequency of response one time
(c) Estimated average burden per
response 75–105 minutes/30
minutes
(d) Estimated total reporting burden
490–686 hours/196 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Reactive Tuberculin Test Evaluation
Form is used when an Applicant reports
a history of treatment for active
tuberculosis or a history of a positive
tuberculosis (TB) test on their Health
History Form or if a positive TB test
result is noted as a component of the
Applicant’s physical examination
findings. In these cases, the Applicant is
provided a Reactive Tuberculin Test
Evaluation Form for the treating
physician to complete. The treating
physician is asked to document the type
and date of a current TB test, TB test
history, diagnostic tests if indicated,
treatment history, risk assessment for
developing active TB, current TB
symptoms, and recommendations for
further evaluation and treatment. In the
case of a positive result on the TB test,
a chest x-ray may be required, along
with treatment for latent TB.
• Insulin Dependent Supplemental
Documentation Form
(a) Estimated number of Applicants/
physicians 14/14
(b) Frequency of response one time
(c) Estimated average burden per
response 70 minutes/60 minutes
(d) Estimated total reporting burden
16 hours/14 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Insulin Dependent Supplemental
Documentation Form is used with
Applicants who have reported on the
Health History Form that they have
insulin dependent diabetes. In these
cases, the Applicant is provided an
Insulin Dependent Supplemental
Documentation Form for the treating
physician to complete. The Insulin
Dependent Supplemental
PO 00000
Frm 00070
Fmt 4703
Sfmt 4703
51561
Documentation Form asks the treating
physician to document that he or she
has discussed with the Applicant
medication (insulin) management,
including whether an insulin pump is
required, as well as the care and
maintenance of all required diabetes
related monitors and equipment. This
form assists the Peace Corps in
determining whether the Applicant will
be in need of insulin storage while in
service and, if so, will assist the Peace
Corps in determining an appropriate
placement for the Applicant.
• Prescription for Eyeglasses Form
(a) Estimated number of Applicants/
physicians 3,293/3,293
(b) Frequency of response one time
(c) Estimated average burden per
response 60 minutes/15 minutes
(d) Estimated total reporting burden
3,293 hours/824 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Prescription for Eyeglasses is used with
Applicants who have reported on the
Health History Form that they use
corrective lenses or otherwise have
uncorrected vision that is worse than
20/40. In these cases, Applicants are
provided a Prescription for Eyeglasses
Form for their prescriber to indicate
eyeglasses frame measurements, lens
instructions, type of lens, gross vision
and any special instructions. This form
is used in order to enable the Peace
Corps to obtain replacement eyeglasses
for a Volunteer during service.
• Required Peace Corps Immunizations
Form
(a) Estimated number of Applicants/
physicians 5,600
(b) Frequency of response one time
(c) Estimated average burden per
response 60 minutes
(d) Estimated total reporting burden
5,600 hours
(e) Estimated annual cost to
respondents Indeterminate
General Description of Collection: The
Required Peace Corps Immunizations
Form is used to informed Applicants of
the specific vaccines and/or
documented proof of immunity required
for medical clearance for the specific
country of service. The form advises the
Applicant that all other Center for
Disease Control (CDC) recommended
vaccinations will be administered after
arrival in-country. This form assists the
Peace Corps with establishing a baseline
of the Applicants immunization history
and prepare for any additional vaccines
recommended for country of service.
Request for Comment: Peace Corps
invites comments on whether the
proposed collections of information are
E:\FR\FM\18JNN1.SGM
18JNN1
51562
Federal Register / Vol. 89, No. 118 / Tuesday, June 18, 2024 / Notices
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.
II. Self-Regulatory Organization’s
Statement of the Purpose of, and
Statutory Basis for, the Proposed Rule
Change
BILLING CODE 6051–01–P
In its filing with the Commission, the
Exchange included statements
concerning the purpose of and basis for
the proposed rule change and discussed
any comments it received on the
proposed rule change. The text of these
statements may be examined at the
places specified in Item IV below. The
Exchange has prepared summaries, set
forth in sections A, B, and C below, of
the most significant aspects of such
statements.
SECURITIES AND EXCHANGE
COMMISSION
A. Self-Regulatory Organization’s
Statement of the Purpose of, and
Statutory Basis for, the Proposed Rule
Change
This notice is issued in Washington, DC on
June 12, 2024.
James Olin,
FOIA/Privacy Act Officer.
[FR Doc. 2024–13304 Filed 6–17–24; 8:45 am]
[Release No. 34–100319; File No. SR–
PEARL–2024–25]
1. Purpose
Self-Regulatory Organizations; MIAX
PEARL, LLC; Notice of Filing and
Immediate Effectiveness of a Proposed
Rule Change To Amend the MIAX Pearl
Equities Exchange Fee Schedule To
Establish Market Data Fees
June 12, 2024.
Pursuant to Section 19(b)(1) of the
Securities Exchange Act of 1934 (the
‘‘Act’’),1 and Rule 19b–4 thereunder,2
notice is hereby given that on May 31,
2024, MIAX PEARL, LLC (‘‘MIAX Pearl’’
or ‘‘Exchange’’) filed with the Securities
and Exchange Commission
(‘‘Commission’’) the proposed rule
change as described in Items I, II and III,
below, which Items have been prepared
by the Exchange. The Commission is
publishing this notice to solicit
comments on the proposed rule change
from interested persons.
lotter on DSK11XQN23PROD with NOTICES1
filings, at MIAX Pearl’s principal office,
and at the Commission’s Public
Reference Room.
I. Self-Regulatory Organization’s
Statement of the Terms of Substance of
the Proposed Rule Change
The Exchange is filing a proposal to
amend the MIAX Pearl Equities
Exchange Fee Schedule (the ‘‘Fee
Schedule’’) to adopt fees for the
Exchange’s proprietary market data
feeds.3
The text of the proposed rule change
is available on the Exchange’s website at
https://www.miaxoptions.com/rule1 15
U.S.C. 78s(b)(1).
CFR 240.19b–4.
3 All references to the ‘‘Exchange’’ in this filing
refer to MIAX Pearl Equities. Any references to the
options trading facility of MIAX PEARL, LLC will
specifically be referred to as ‘‘MIAX Pearl Options.’’
2 17
VerDate Sep<11>2014
17:57 Jun 17, 2024
Jkt 262001
MIAX Pearl Equities provided its
proprietary market data for free to
subscribers for over three and half years
since it commenced operations in
September 2020.4 Prior to the initial
proposal to adopt market data fees, the
Exchange solely and entirely absorbed
all costs associated with compiling and
disseminating its proprietary market
data. The Exchange offers two standard
proprietary market data products, the
Top of Market (‘‘ToM’’) feed and the
Depth of Market (‘‘DoM’’) feed
(collectively, the ‘‘market data feeds’’).
Each of these proprietary market data
products are described in Exchange
Rule 2625.
Exchange Rule 2625(a) provides that
the DoM feed is a data feed that contains
the displayed price and size of each
order in an equity security entered in
the System,5 as well as order execution
information, order cancellations, order
modifications, order identification
numbers, and administrative messages.
Exchange Rule 2625(b) provides that the
ToM feed is a data feed that contains the
price and aggregate size of displayed top
of book quotations, order execution
information, and administrative
messages for equity securities entered
into the System. Section 3 of the Fee
Schedule entitled, Market Data Fees,
specifically provides that fees for both
the ToM and DoM feeds are waived for
4 See Securities Exchange Act Release No. 90651
(December 11, 2020), 85 FR 81971 (December 17,
2020) (SR–PEARL–2020–33).
5 The term ‘‘System’’ means the automated
trading system used by the Exchange for the trading
of securities. See Exchange Rule 100.
PO 00000
Frm 00071
Fmt 4703
Sfmt 4703
the Waiver Period.6 As described in
more detail below, the Exchange
proposes to remove this waiver language
and adopt fees for the ToM and DoM
feeds to recoup its ongoing costs going
forward.7
The Exchange notes that there is no
requirement that any Equity Member 8
or market participant subscribe to the
ToM or DoM feeds offered by the
Exchange. Instead, an Equity Member
may choose to maintain subscriptions to
the ToM or DoM feeds based on their
own business needs and trading models.
The Exchange commenced operations
in September 2020 and expressly
waived fees for both the ToM and DoM
data feeds since that time to incentivize
market participants to subscribe and
make the Exchange’s market data more
widely available.9 In the three and a half
years since the Exchange launched
operations, its market share has grown
from 0% to approximately 2.0% for the
month of March 2024.10 One of the
primary objectives of the Exchange is to
provide competition and to provide low
cost options to the industry. Consistent
with this objective, the Exchange
believes that this proposal reflects a
simple, competitive, reasonable, and
equitable pricing structure.
The Exchange believes that
exchanges, in setting fees of all types,
6 The term ‘‘Waiver Period’’ means, for each
applicable fee, the period of time from the initial
effective date of the MIAX Pearl Equities Fee
Schedule until such time that MIAX Pearl has an
effective fee filing establishing the applicable fee.
MIAX Pearl Equities will issue a Regulatory
Circular announcing the establishment of an
applicable fee that was subject to a Waiver Period
at least fifteen (15) days prior to the termination of
the Waiver Period and effective date of any such
applicable fee. See the Definitions section of the Fee
Schedule.
7 The Exchange initially filed the proposed fee
change on March 26, 2024 for effectiveness on April
1, 2024. See Securities Exchange Act Release No.
99907 (April 4, 2024), 89 FR 25293 (April 10, 2024)
(SR–PEARL–2024–15) (the ‘‘Initial Proposal’’). The
Exchange withdrew SR–PEARL–2024–15 on April
30, 2024 and replaced it with SR–PEARL–2024–22.
See Securities Exchange Act Release No. 100109
(May 13, 2024), 89 FR 43467 (May 17, 2024) (SR–
PEARL–2024–22) (the ‘‘Second Proposal’’). The
Exchange notes that the Second Proposal included
a reduced fee for Non-Display Usage by Trading
Platforms for the ToM feed from $2,500 per month
in the Initial Proposal to $1,000 per month. The
reduced fee for Non-Display Usage by Trading
Platforms was effective beginning May 1, 2024. All
other proposed fees continue to remain the same
from the Initial Proposal. See Fee Change Alert—
MIAX Pearl Equities Exchange—May 1, 2024,
available at https://www.miaxglobal.com/alert/
2024/04/30/miax-pearl-equities-exchange-may-12024-fee-changes.
8 The term ‘‘Equity Member’’ is a Member
authorized by the Exchange to transact business on
MIAX Pearl Equities. See Exchange Rule 1901.
9 See supra note 4.
10 See the ‘‘Market Share’’ section of the
Exchange’s website, available at https://
www.miaxglobal.com/.
E:\FR\FM\18JNN1.SGM
18JNN1
]]>Agencies
[Federal Register Volume 89, Number 118 (Tuesday, June 18, 2024)]
[Notices]
[Pages 51559-51562]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-13304]
=======================================================================
-----------------------------------------------------------------------
PEACE CORPS
Information Collection Request; Submission for OMB Review
AGENCY: Peace Corps.
ACTION: 30-Day notice and request for comments.
-----------------------------------------------------------------------
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 30 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.
DATES: Submit comments on or before July 18, 2024.
ADDRESSES: Comments should be addressed to James Olin, FOIA/Privacy Act
Officer. James Olin can be contacted by phone 202-692-2507 or email at
[email protected]. Email comments must be made in text and not in
attachments.
FOR FURTHER INFORMATION CONTACT: James Olin, Peace Corps, at
[email protected] or by telephone at (202) 692-2507.
SUPPLEMENTARY INFORMATION:
Title: Individual Specific Medical Evaluation Forms (15).
OMB Control Number: 0420-0550.
Type of Request: Revision/New.
Affected Public: Individuals/Physicians.
Respondents Obligation to Reply: Voluntary.
Respondents: Potential and current volunteers.
Burden to the Public:
Asthma Evaluation Form
(a) Estimated number of Applicants/physicians 700/700
(b) Frequency of response one time
(c) Estimated average burden per response 75 minutes/30 minutes
(d) Estimated total reporting burden 875 hours/350 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: When an Applicant reports on the
Health History Form any history of asthma, he or she will be provided
an Asthma Evaluation Form for the treating physician to complete The
Asthma Evaluation Form asks for the physician to document the
Applicant's condition of asthma, including any asthma symptoms,
triggers, treatments, or limitations or restrictions due to the
condition. This form will be used as the basis for an individualized
determination as to whether the Applicant will, with reasonable
accommodation, be able to perform the essential functions of a Peace
Corps Volunteer and complete a tour of service without unreasonable
disruption due to health problems. This form will also be used to
determine the type of accommodation that may be needed, such as
placement of the Applicant within reasonable proximity to a hospital in
case treatment is needed for a severe asthma attack.
Diabetes Diagnosis Form
(a) Estimated number of Applicants/physicians 55/55
(b) Frequency of response one time
(c) Estimated average burden per response 75 minutes/30 minutes
(d) Estimated total reporting burden 69 hours/28 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: When an Applicant reports the
condition of diabetes Type 1 on the Health History Form, the Applicant
will be provided a Diabetes Diagnosis Form for the treating physician
to complete. In certain cases, the Applicant may also be asked to have
the treating physician complete a Diabetes Diagnosis Form if the
Applicant reports the condition of diabetes Type 2 on the Health
History Form. The Diabetes Diagnosis Form asks the physician to
document the diabetes diagnosis, etiology, possible complications, and
treatment. This form will be used as the basis for an individualized
determination as to whether the Applicant will, with reasonable
accommodation, be able to perform the essential functions of a Peace
Corps Volunteer assignment and complete a tour of service without
unreasonable disruption due to health problems. This form will also be
used to determine the type of accommodation that may be needed, such as
placement of an Applicant who requires the use of insulin in order to
ensure that adequate insulin storage facilities are available at the
Applicant's site.
Transfer of Care--Request for Information Form
(a) Estimated number of Applicants/physicians 1270/1270
(b) Frequency of response one time
(c) Estimated average burden per response 75 minutes/30 minutes
(d) Estimated total reporting burden 1588 hours/635 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: When an Applicant reports on the
Health History Form a medical condition of significant severity (other
than one covered by another form), he or she may be provided the
Transfer of Care--Request for Information Form for the treating
physician to complete. The Transfer of Care--Request for Information
Form may also be provided to an Applicant whose responses on the Health
History Form indicate that the Applicant may have an unstable medical
condition that requires ongoing treatment. The Transfer of Care--
Request for Information Form asks the physician to document the
diagnosis, current treatment, physical limitations and the likelihood
of significant progression of the condition over the next three years.
This form will be used as the basis for an individualized determination
as to whether the Applicant will, with reasonable accommodation, be
able to perform the essential functions of a Peace Corps Volunteer
assignment and complete a tour of service without unreasonable
disruption due to health problems. This form will also be used to
determine the type of accommodation (e.g., avoidance of high altitudes
or proximity to a hospital) that may be needed to manage the
Applicant's medical condition.
Mental Health Current Evaluation and Treatment Summary Form
(a) Estimated number of Applicants/professional 1221/1221
(b) Frequency of response one time
(c) Estimated average burden per response 105 minutes/60 minutes
(d) Estimated total reporting burden 2137 hours/1221 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Mental Health Current
Evaluation Form
[[Page 51560]]
will be used when an Applicant reports on the Health History Form a
history of certain serious mental health conditions, such as bipolar
disorder, schizophrenia, mental health hospitalization, attempted
suicide or cutting, or treatments or medications related to these
conditions. In these cases, an Applicant will be provided a Mental
Health Current Evaluation and Treatment Summary Form for a licensed
mental health counselor, psychiatrist or psychologist to complete. The
Mental Health Current Evaluation and Treatment Summary Form asks the
counselor, psychiatrist or psychologist to document the dates and
frequency of therapy sessions, clinical diagnoses, symptoms, course of
treatment, psychotropic medications, mental health history, level of
functioning, prognosis, risk of exacerbation or recurrence while
overseas, recommendations for follow up and any concerns that would
prevent the Applicant from completing 27 months of service without
unreasonable disruption. A current mental health evaluation might be
needed if information on the condition is out-dated or previous reports
on the condition do not provide enough information to adequately assess
the current status of the condition. This form will be used as the
basis for an individualized determination as to whether the Applicant
will, with reasonable accommodation, be able to perform the essential
functions of a Peace Corps Volunteer and complete a tour of service
without unreasonable disruption due to health problems. This form will
also be used to determine the type of accommodation that may be needed,
such as placement of the Applicant in a country with appropriate mental
health support.
Functional Abilities Evaluation Form
(a) Estimated number of Applicants/professional 300/300
(b) Frequency of response one time
(c) Estimated average burden per response 90 minutes/45 minutes
(d) Estimated total reporting burden 390 hours/225 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: When an Applicant reports on the
Health History Form a functional ability limitation he or she will be
provided this form to determine the type of accommodation and/or
placement program support (e.g., proximity to program site, support
support devices) that may be needed to manage the Applicant's medical
condition.. This form will be used as the basis for an individualized
determination as to whether the Applicant will, with reasonable
accommodation, be able to perform the essential functions of a Peace
Corps Volunteer assignment and complete a tour of service without
unreasonable disruption due to health problems.
Eating Disorder Treatment Summary Form
(a) Estimated number of Applicants/physicians 282/282
(b) Frequency of response one time
(c) Estimated average burden per response 105 minutes/60 minutes
(d) Estimated total reporting burden 494 hours/282 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Eating Disorder Treatment
Summary will be used when an Applicant reports a past or current eating
disorder diagnosis in the Health History Form. In these cases the
Applicant is provided an Eating Disorder Treatment Summary Form for a
mental health specialist, preferably with eating disorder training, to
complete. The Eating Disorder Treatment Summary Form asks the mental
health specialist to document the dates and frequency of therapy
sessions, clinical diagnoses, presenting problems and precipitating
factors, symptoms, Applicant's weight over the past three years,
relevant family history, course of treatment, psychotropic medications,
mental health history inclusive of eating disorder behaviors, level of
functioning, prognosis, risk of recurrence in a stressful overseas
environment, recommendations for follow up, and any concerns that would
prevent the Applicant from completing 27 months of service without
unreasonable disruption due to the diagnosis. This form will be used as
the basis for an individualized determination as to whether the
Applicant will, with reasonable accommodation, be able to perform the
essential functions of a Peace Corps Volunteer assignment and complete
a tour of service without unreasonable disruption due to health
problems. This form will also be used to determine the type of
accommodation that may be needed, such as placement of the Applicant in
a country with appropriate mental health support.
Substance-Related and Addictive Disorders Current Evaluation
Form
(a) Estimated number of Applicants/specialist 373/373
(b) Frequency of response one time
(c) Estimated average burden per response 165 minutes/60 minutes
(d) Estimated total reporting burden 1026 hours/373 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Alcohol/Substance Abuse
Current Evaluation Form is used when an Applicant reports in the Health
History Form a history of substance abuse (i.e., alcohol or drug
related problems such as blackouts, daily or heavy drinking patterns or
the misuse of illegal or prescription drugs) and that this substance
abuse affects the Applicant's daily living or that the Applicant has
ongoing symptoms of substance abuse. In these cases, the Applicant is
provided an Substance-Related and Addictive Disorders Current
Evaluation Form for a substance abuse specialist to complete. The
Substance-Related and Addictive Disorders Current Evaluation Form asks
the substance abuse specialist to document the history of alcohol/
substance abuse, dates and frequency of any therapy sessions, which
alcohol/substance abuse assessment tools were administered, mental
health diagnoses, psychotropic medications, self harm behavior, current
clinical assessment of alcohol/substance use, clinical observations,
risk of recurrence in a stressful overseas environment, recommendations
for follow up, and any concerns that would prevent the Applicant from
completing a tour of service without unreasonable disruption due to the
diagnosis. This form will be used as the basis for an individualized
determination as to whether the Applicant will, with reasonable
accommodation, be able to perform the essential functions of a Peace
Corps Volunteer and complete a tour of service without unreasonable
disruption due to health problems. This form will also be used to
determine the type of accommodation that may be needed, such as
placement of the Applicant in a country with appropriate sobriety
support or counseling support.
Mammogram Waiver Form
(a) Estimated number of Applicants 148
(b) Frequency of response one time
(c) Estimated average burden per response 105 minutes
(d) Estimated total reporting burden 259 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Mammogram Form is used for
all Applicants who have female breasts and will be 50 years of age or
older during service who wish to waive routine mammogram screening
during service. If an Applicant waives routine mammogram screening
during service,
[[Page 51561]]
the Applicant's physician is asked to complete this form in order to
make a general assessment of the Applicant's statistical breast cancer
risk and discussed the results with the Applicant including the
potential adverse health consequence of foregoing screening
mammography.
Cervical Cancer Screening Form
(a) Estimated number of Applicants 3600/3600
(b) Frequency of response one time
(c) Estimated average burden per response 40 minutes/30 minutes
(d) Estimated total reporting burden 2400 hours/1800 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Cervical Cancer Screening
Form is used with all Applicants with a cervix. Prior to medical
clearance, female Applicants are required to submit a current cervical
cancer screening examination and Pap cytology report based the American
Society for Colploscopy and Cervical Pathology (ASCCP) screening time-
line for their age and Pap history. This form assists the Peace Corps
in determining whether an Applicant with mildly abnormal Pap history
will need to be placed in a country with appropriate support.
Colon Cancer Screening Form
(a) Estimated number of Applicants 575
(b) Frequency of response one time
(c) Estimated average burden per response 60 minutes-165 minutes
(d) Estimated total reporting burden 575 hours-1581 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Colon Cancer Screening Form
is used with all Applicants who are 50 years of age or older to provide
the Peace Corps with the results of the Applicant's latest colon cancer
screening. Any testing deemed appropriate by the American Cancer
Society is accepted. The Peace Corps uses the information in the Colon
Cancer Screening Form to determine if the Applicant currently has colon
cancer. Additional instructions are included pertaining to abnormal
test results.
ECG Form
(a) Estimated number of Applicants/physicians 575/575
(b) Frequency of response one time
(c) Estimated average burden per response 25 minutes/15 minutes
(d) Estimated total reporting burden 240 hours/144 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The ECG/EKG Form is used with
all Applicants who are 50 years of age or older to provide the Peace
Corps with the results of an electrocardiogram. The Peace Corps uses
the information in the electrocardiogram to assess whether the
Applicant has any cardiac abnormalities that might affect the
Applicant's service. Additional instructions are included pertaining to
abnormal test results. The electrocardiogram is performed as part of
the Applicant's physical examination.
Reactive Tuberculin Test Evaluation Form
(a) Estimated number of Applicants/physicians 392/392
(b) Frequency of response one time
(c) Estimated average burden per response 75-105 minutes/30 minutes
(d) Estimated total reporting burden 490-686 hours/196 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Reactive Tuberculin Test
Evaluation Form is used when an Applicant reports a history of
treatment for active tuberculosis or a history of a positive
tuberculosis (TB) test on their Health History Form or if a positive TB
test result is noted as a component of the Applicant's physical
examination findings. In these cases, the Applicant is provided a
Reactive Tuberculin Test Evaluation Form for the treating physician to
complete. The treating physician is asked to document the type and date
of a current TB test, TB test history, diagnostic tests if indicated,
treatment history, risk assessment for developing active TB, current TB
symptoms, and recommendations for further evaluation and treatment. In
the case of a positive result on the TB test, a chest x-ray may be
required, along with treatment for latent TB.
Insulin Dependent Supplemental Documentation Form
(a) Estimated number of Applicants/physicians 14/14
(b) Frequency of response one time
(c) Estimated average burden per response 70 minutes/60 minutes
(d) Estimated total reporting burden 16 hours/14 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Insulin Dependent
Supplemental Documentation Form is used with Applicants who have
reported on the Health History Form that they have insulin dependent
diabetes. In these cases, the Applicant is provided an Insulin
Dependent Supplemental Documentation Form for the treating physician to
complete. The Insulin Dependent Supplemental Documentation Form asks
the treating physician to document that he or she has discussed with
the Applicant medication (insulin) management, including whether an
insulin pump is required, as well as the care and maintenance of all
required diabetes related monitors and equipment. This form assists the
Peace Corps in determining whether the Applicant will be in need of
insulin storage while in service and, if so, will assist the Peace
Corps in determining an appropriate placement for the Applicant.
Prescription for Eyeglasses Form
(a) Estimated number of Applicants/physicians 3,293/3,293
(b) Frequency of response one time
(c) Estimated average burden per response 60 minutes/15 minutes
(d) Estimated total reporting burden 3,293 hours/824 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Prescription for Eyeglasses
is used with Applicants who have reported on the Health History Form
that they use corrective lenses or otherwise have uncorrected vision
that is worse than 20/40. In these cases, Applicants are provided a
Prescription for Eyeglasses Form for their prescriber to indicate
eyeglasses frame measurements, lens instructions, type of lens, gross
vision and any special instructions. This form is used in order to
enable the Peace Corps to obtain replacement eyeglasses for a Volunteer
during service.
Required Peace Corps Immunizations Form
(a) Estimated number of Applicants/physicians 5,600
(b) Frequency of response one time
(c) Estimated average burden per response 60 minutes
(d) Estimated total reporting burden 5,600 hours
(e) Estimated annual cost to respondents Indeterminate
General Description of Collection: The Required Peace Corps
Immunizations Form is used to informed Applicants of the specific
vaccines and/or documented proof of immunity required for medical
clearance for the specific country of service. The form advises the
Applicant that all other Center for Disease Control (CDC) recommended
vaccinations will be administered after arrival in-country. This form
assists the Peace Corps with establishing a baseline of the Applicants
immunization history and prepare for any additional vaccines
recommended for country of service.
Request for Comment: Peace Corps invites comments on whether the
proposed collections of information are
[[Page 51562]]
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 June 12, 2024.
James Olin,
FOIA/Privacy Act Officer.
[FR Doc. 2024-13304 Filed 6-17-24; 8:45 am]
BILLING CODE 6051-01-P
