60-Day Notice of Proposed Information Collection: Pre-Employment Medical and Driver Evaluation Forms Publication: Federal Register Department: State Byline: Geoffrey L. Jones Date: 23 May 2024 Subject: American Government

[Federal Register Volume 89, Number 101 (Thursday, May 23, 2024)]
[Notices]
[Pages 45726-45727]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-11280]


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DEPARTMENT OF STATE

[Public Notice 12412]


60-Day Notice of Proposed Information Collection: Pre-Employment 
Medical and Driver Evaluation Forms

ACTION: Notice of request for public comment.

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SUMMARY: The Department of State (the Department) is seeking Office of 
Management and Budget (OMB) approval for the information collection 
described below. In accordance with the Paperwork Reduction Act of 
1995, we are requesting comments on this collection from all interested

[[Page 45727]]

individuals and organizations. The purpose of this notice is to allow 
60 days for public comment preceding submission of the collection to 
OMB.

DATES: The Department will accept comments from the public up to July 
22, 2024.

ADDRESSES: You may submit comments by any of the following methods:
     Web: Persons with access to the internet may comment on 
this notice by going to www.Regulations.gov. You can search for the 
document by entering ``Docket Number: DOS-2024-0019'' in the Search 
field. Then click the ``Comment Now'' button and complete the comment 
form.
     Email: rudisileme@state.gov.
     Regular Mail: Send written comments to: Director, 
Occupational Health and Wellness, Bureau of Medical Services, 2401 E 
Street NW, SA-1, Room H-228, Washington, DC 20522-0101.
    You must include the DS form number (if applicable), information 
collection title, and the OMB control number in any correspondence.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed collection instrument and 
supporting documents, to Dr. Michael Rudisile, Director of Occupational 
Health and Wellness, who may be reached at 202-663-2642 or 
rudisileme@state.gov.

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Pre-Employment Medical 
and Driver Evaluation Forms.
     OMB Control Number: 1405-XXXX.
     Type of Request: New Collection.
     Originating Office: Bureau of Medical Services, Office of 
Occupational Health and Wellness.
     Form Number: DS-6571, DS-6572, DS-6573, DS-6574, DS-6575, 
DS-6576, DS-6577.
     Respondents: Prospective locally employed staff employees 
and prospective/current employees who require a driver certificate to 
operate a government owned vehicle overseas.
     Estimated Number of Respondents: 13,000.
     Estimated Number of Responses: 13,000.
     Average Time per Response: 2.66 hours.
     Total Estimated Burden Time: 34,550.
     Frequency: Once, every two years, or every four years 
depending on occupation requirements.
     Obligation to Respond: Voluntary.
    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper functions of the Department.
     Evaluate the accuracy of our estimate of the time and cost 
burden for this proposed collection, including the validity of the 
methodology and assumptions used.
     Enhance the quality, utility, and clarity of the 
information to be collected.
     Minimize the reporting burden on those who are to respond, 
including the use of automated collection techniques or other forms of 
information technology.
    Please note that comments submitted in response to this Notice are 
public record. Before including any detailed personal information, you 
should be aware that your comments as submitted, including your 
personal information, will be available for public review.

Abstract of Proposed Collection

    This collection is necessary for the Department's Bureau of Medical 
Services to evaluate medical eligibility for employment regarding 
operating a government owned vehicle, and for gathering supplemental 
pertinent medical information regarding identified conditions that 
could pose a safety risk to employees and others. This collection 
consists of the following forms: the medical evaluation for locally 
employed staff non-drivers (DS-6571); a tuberculosis risk assessment 
(DS-6573); a driver medical evaluation for locally employed staff (DS-
6572); a driver medical evaluation for U.S. Direct Hire (DS-6576); and 
supplemental health questionnaires. The supplemental health 
questionnaires are utilized for vision related (DS-6577), seizure 
related (DS-6574), and diabetes related diagnoses (DS-6575). These 
questionnaires and concurrent medical evaluations are required to make 
informed assessments on ability to complete required employment-related 
tasks; implementation of this collection is pursuant to 5 CFR 930.108, 
339.301, and the Foreign Service Act of 1980, as amended, 22 U.S.C. 
4084, 3901, and 3984.

Methodology

    The respondent will download the forms from a Department website. 
The respondent will complete and submit the forms to the local Health 
Unit and schedule an evaluation.

Geoffrey L. Jones,
Deputy Chief Medical Officer for Clinical Programs, Bureau of Medical 
Services, Department of State.
[FR Doc. 2024-11280 Filed 5-22-24; 8:45 am]
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