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

요약

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 History and Examination for Foreign Service. OMB Control Number: 1405-0068. Type of Request: Extension of a Currently Approved Collection. Originating Office: Office of Medical Services, M/MED/EX. Form Number: DS 1843 and DS-1622. Respondents: Family members of Foreign Service Officers and Federal employees stationed abroad. Estimated Number of Respondents: 9,800. Estimated Number of Responses: 9,800. Average Hours Per Response: 1. Total Estimated Burden: 9,800 hours. Frequency: Tour of Duty. Obligation to Respond: Required to obtain a benefit.