Billing Code 6051-01-P
PEACE CORPS
Information Collection Request; Submission for OMB Review
AGENCY: Peace Corps.
ACTION: 60-day notice and request for comments.
SUMMARY: The Peace Corps will be submitting the following information collection request
to the Office of Management and Budget (OMB) for review and approval. 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.
DATES: Submit comments on or before [INSERT DATE 60 DAYS AFTER DATE OF
PUBLICATION IN THE FEDERAL REGISTER].
ADDRESSES: Comments should be addressed to James Olin, FOIA/Privacy Act Officer.
James Olin can be contacted by email at pcfr@peacecorps.gov or by telephone at (202) 6922507. E-mail comments must be made in text and not in attachments.
FOR FURTHER INFORMATION CONTACT: James Olin, Peace Corps, at
pcfr@peacecorps.gov or by telephone at (202) 692–2507.
SUPPLEMENTARY INFORMATION:
Title: Health History Form.
OMB Control Number: 0420-0510.
Type of Request: Reapproval.
Affected Public: Individuals.
Respondents Obligation to Reply: Voluntary.
Burdent to the Public:
Estimated burden (hours) of the collection of information:
a.

Number of respondents:

13,350

b.

Frequency of response:

One time

c.

Completion time:

45 minutes

d.

Annual burden hours:

10,013

GENERAL DESCRIPTION OF COLLECTION: The information collected is required for
consideration for Peace Corps Volunteer service. The information in the Health History Form,
will be used by the Peace Corps Office of Medical Services to determine whether an Applicant
will, with reasonable accommodation, be able to perform the essential functions of a Peace Corps
Volunteer and complete a tour of service without undue disruption due to health problems and, if
so, to establish the level of medical and programmatic support, if any, that may be required to
reasonably accommodate the Applicant.
REQUEST FOR COMMENT: Peace Corps invites comments on whether the proposed
collections of information are necessary for proper performance of the functions of the Peace
Corps, including whether the information will have practical use; the accuracy of the agency’s
estimate of the burden of the proposed collection of information, including the validity of the
information to be collected; and, ways to minimize the burden of the collection of information on
those who are to respond, including through the use of automated collection techniques, when
appropriate, and other forms of information technology.
This notice is issued in Washington, DC on June 14, 2024.
James Olin,
FOIA/Privacy Act Officer.
[FR Doc. 2024-13441 Filed: 6/18/2024 8:45 am; Publication Date: 6/20/2024]