Notice of Information Collection under Emergency Review: Medical History and Examination for Foreign Service (OMB# 1405-0068)

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The Department of State has submitted the following information collection request to the Office of Management and Budget (OMB) for review and approval in accordance with the emergency review procedures of the Paperwork Reduction Act of 1995. Type of Request: Reinstatement of Expired Information Collection Originating Office: Office of Medical Services M/DGHR/MED. Title of Information Collection: Medical History and Examination for Foreign Service. Frequency: Biennially. Form Number: DS-1843 Medical History and Examination for Foreign Service for Persons 12 Years and Over and DS-1622 Medical History and Examination for Foreign Service for Persons 11 Years and Under. Respondents: Candidates for Foreign Service Positions and their Eligible Family Members. Estimated Number of Respondents: 12,000. Average Hours Per Response: 1 hour. Total Estimated Burden: 12,000. The proposed information collection is published to obtain comments from the public and affected agencies. Emergency review and approval of this collection has been requested from OMB by April 14, 2001. If granted, the emergency approval is valid for 180 days. Comments should be directed to the State Department Desk Officer,