[Federal Register Volume 85, Number 12 (Friday, January 17, 2020)]
[Notices]
[Page 3102]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-00763]



[[Page 3102]]

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DEPARTMENT OF STATE

[Public Notice: 11003]


30-Day Notice of Proposed Information Collection: Employee Self-
Certification and Ability To Perform in Emergencies (ESCAPE) Posts, 
Pre-Deployment Physical Exam Acknowledgement Form

ACTION: Notice of request for public comment and submission to OMB of 
proposed collection of information.

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SUMMARY: The Department of State has submitted the information 
collection described below to the Office of Management and Budget (OMB) 
for approval. In accordance with the Paperwork Reduction Act of 1995 we 
are requesting comments on this collection from all interested 
individuals and organizations. The purpose of this Notice is to allow 
30 days for public comment.

DATES: Submit comments directly to the Office of Management and Budget 
(OMB) up to February 18, 2020.

ADDRESSES: Direct comments to the Department of State Desk Officer in 
the Office of Information and Regulatory Affairs at the Office of 
Management and Budget (OMB). You may submit comments by the following 
methods:
     Email: [email protected]. You must include the 
DS form number, information collection title, and the OMB control 
number in the subject line of your message.
     Fax: 202-395-5806. Attention: Desk Officer for Department 
of State.

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: Karl Field, Medical Director, Office of 
Medical Clearances, Bureau of Medical Services, 2401 E Street NW, SA-1, 
Room L-101, Washington, DC 20522-0101, and who may be reached at 202-
663-1591 or at [email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Employee Self-
Certification and Ability to Perform in Emergencies (ESCAPE) Posts, 
Pre-Deployment Physical Exam Acknowledgement Form.
     OMB Control Number: 1405-0224.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Bureau of Medical Services; MED/CP/CL.
     Form Number: DS-6570.
     Respondents: Contractors deploying to ESCAPE Diplomatic 
Missions requesting access to the Department of State Medical Program 
(currently Iraq, Afghanistan, Yemen, Syria, Libya, Somalia and 
Peshawar).
     Estimated Number of Respondents: 1,900.
     Estimated Number of Responses: 1,900.
     Average Time per Response: 30 minutes.
     Total Estimated Burden Time: 950 hours.
     Frequency: Annually for those deployed to an ESCAPE post.
     Obligation to Respond: Required to Obtain or Retain a 
Benefit.
    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

    The DS-6570 is completed by an individual and their medical 
provider to declare that the individual has health concerns that may 
represent a safety hazard for the individual or others at an ESCAPE 
Diplomatic Mission. ESCAPE is an acronym used to describe Diplomatic 
Missions overseas that are in extremely high threat, potentially 
combat, areas. Current ESCAPE Missions are Iraq, Afghanistan, Somalia, 
Libya, Yemen, Syria and Peshawar, Pakistan. This program is authorized 
under the Foreign Service Act of 1980, as implemented by the Department 
in 13 FAM 301.4-5.

Methodology

    The respondent will obtain the DS-6570 from his or her human 
resources representative, or will download the form from a Department 
website. The respondent will complete and submit the form offline.

Karl Field,
Director of Medical Clearances.
[FR Doc. 2020-00763 Filed 1-16-20; 8:45 am]
BILLING CODE 4710-36-P