[Federal Register Volume 76, Number 59 (Monday, March 28, 2011)]
[Notices]
[Pages 17164-17165]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-7201]
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PEACE CORPS
Notice of Request for a Revision of a Currently Approved
Information Collection and Request for a New OMB Control Number
ACTION: 60-day notice and request for comments.
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[[Page 17165]]
SUMMARY: The Peace Corps will be submitting the following information
collection requests to the Office of Management and Budget (OMB) for
Revision of a currently approved information collection. In compliance
with the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35), the
Peace Corps invites the general public to comment on the extension,
with change, of currently approved information collection, Peace Corps
Volunter Medical Application Health Status Review (OMB 0420-0510) which
consists of three forms: The Health Status Review form (PC 1789); the
Report of Medical Exam (PC 1790 S); and, Dental Exam (PC 1790). The
Peace Corps wants to remove the Dental Exam (PC 1790) from OMB 0420-
0510 and request a new OMB Control Number for Dental Exam (PC 1790).
This process is conducted in accordance with 5 CFR 1320.10.
DATES: Comments must be submitted on or before May 27, 2011.
ADDRESSES: Comments should be addressed to Denora Miller, Freedom of
Information Act Officer. Denora Miller can be contacted by telephone at
202-692-1236 or e-mail at [email protected]. E-mail comments must be
made in text and not in attachments.
FOR FURTHER INFORMATION CONTACT: Denora Miller at Peace Corps address
above.
SUPPLEMENTARY INFORMATION:
Title: Peace Corps Volunter Medical Application Health Status
Review which consists of three forms: the Health Status Review form (PC
1789); the Report of Medical Exam (PC 1790 S); and, the Dental Exam (PC
1790).
OMB Control Number: 0420-0510.
Type of Request: Revision of a currently approved information
collection. Peace Corps seeks to remove the Dental Exam (PC 1790) from
this collection.
Respondents: Potential and current volunteers.
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Health status review (PC Report of medical Report of dental
1789) evaluation (PC 1790 S) evaluation (PC 1790)
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a. Estimated number of respondents 9,700 5,000 5,000.
b. Estimated average burden per 45 minutes 45 minutes 45 minutes.
response.
c. Frequency of response.......... One time One time One time.
d. Annual reporting burden........ 7,275 hours 3,750 hours 3,750 hours.
e. Estimated annual cost to $175,546 $90,488 $90,488.
respondents.
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General description of collection: The Peace Corps Act requires
that Volunteers receive health examinations prior to their service. The
information collected is required for consideration for Peace Corps
Volunteer service. The Health Status Review is used to review the
medical history of individual applicants. The Report of Medical Exam
and the Report of Dental Exam are used by the examining physician and
dentist both for applicants and for currently serving Volunteers. The
results of these examinations are used to ensure that applicants for
Volunteer service will, with reasonable accommodation, be able to serve
in the Peace Corps without jeopardizing their health.
Request for Comment: Peace Corps invites comments on whether the
proposed collections of information are 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 March 21, 2011.
Garry W. Stanberry,
Deputy Associate Director, Management.
[FR Doc. 2011-7201 Filed 3-25-11; 8:45 am]
BILLING CODE 6051-01-P