30-Day Notice of Proposed Information Collection: Form DS-3057, Medical Clearance Update, OMB 1405-0131
The Department of State has submitted the following information collection request to the Office of Management and Budget (OMB) for approval in accordance with the Paperwork Reduction Act of 1995. Title of Information Collection: Medical Clearance Update. OMB Control Number: 1405-0131. Type of Request: Extension of Currently Approved Collection. Originating Office: Office of Medical Services, M/MED/EX. Form Number: DS-3057. Respondents: Foreign Service Officers, Federal Government Employees and family members. Estimated Number of Respondents: 9,800. Estimated Number of Responses: 9,800. Average Hours Per Response: 30 minutes. Total Estimated Burden: 4,900. Frequency: On occasion. Obligation to Respond: Required to Obtain or Retain a Benefit.