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

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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: Extension of Currently Approved Collection. Originating Office: Office of Medical Services, M/MED/EX. Form Number: DS 1843 and 1622. Respondents: Family members of Foreign Service Officers and Federal employees stationed abroad. (Note: For purposes of the Paperwork Reduction Act, employees of the U.S. Government are not counted as respondents.) Estimated Number of Respondents: 9,800. Estimated Number of Responses: 9,800. Average Hours Per Response: 1. Total Estimated Burden: 9,800 hours. Frequency: On occasion. Obligation to Respond: Required to obtain a benefit.