60-Day Notice of Proposed Information Collection: Form DS-1622, and Form DS-1843, Medical History and Examination for Foreign Service, OMB 1405-0068

Zusammenfassung

The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 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. Title of Information Collection: Medical History and Examination for Foreign Service. OMB Control Number: 1405-0068. Type of Request: Revision of Currently Approved Collection. Originating Office: Office of Medical Services, M/MED/C/ MC. Form Number: DS-1622 and DS-1843. Respondents: Foreign Service Officers, State Department Employees, Other Government Employees and Family Members. Estimated Number of Respondents: 7,234 per year. Estimated Number of Responses: 7,234 per year. Average Hours per Response: 1.0 hours per response. Total Estimated Burden: 7,234 hours. Frequency: On occasion. Obligation to Respond: Mandatory.