Agency Information Collection Activities; Proposed eCollection eComments Requested; New Collection; Background Investigation Medical Release Forms
| Published date | 21 June 2019 |
| Citation | 84 FR 29242 |
| Record Number | 2019-13187 |
| Section | Notices |
| Court | Federal Bureau Of Investigation,Justice Department |
Federal Register, Volume 84 Issue 120 (Friday, June 21, 2019)
[Federal Register Volume 84, Number 120 (Friday, June 21, 2019)]
[Notices]
[Page 29242]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-13187]
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DEPARTMENT OF JUSTICE
Federal Bureau of Investigation
[OMB Number 1110-New]
Agency Information Collection Activities; Proposed eCollection
eComments Requested; New Collection; Background Investigation Medical
Release Forms
AGENCY: Federal Bureau of Investigation, Department of Justice.
ACTION: 60-Day notice.
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SUMMARY: The Department of Justice, Federal Bureau of Investigation is
submitting the following information collection request to the Office
of Management and Budget (OMB) for review and approval in accordance
with the Paperwork Reduction Act of 1995.
DATES: The Department of Justice encourages public comment and will
accept input until August 20, 2019.
FOR FURTHER INFORMATION CONTACT: If you have additional comments
especially on the estimated public burden or associated response time,
suggestions, or need a copy of the proposed information collection
instrument with instructions or additional information, please contact
Gabrielle Fournet, Unit Chief, Federal Bureau of Investigation, 935
Pennsylvania Avenue NW, Washington, DC, [email protected], 202-651-
2906.
SUPPLEMENTARY INFORMATION: Written comments and suggestions from the
public and affected agencies concerning the proposed collection of
information are encouraged. Your comments should address one or more of
the following four points:
[rtarr8] Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the Federal
Bureau of Investigation, including whether the information will have
practical utility;
[rtarr8] Evaluate the accuracy of the agency's estimate of the
burden of the proposed collection of information, including the
validity of the methodology and assumptions used;
[rtarr8] Evaluate whether and if so how the quality, utility, and
clarity of the information to be collected can be enhanced; and
[rtarr8] Minimize the burden of the collection of information on
those who are to respond, including through the use of appropriate
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology, e.g., permitting
electronic submission of responses.
Overview of This Information Collection
1. Type of Information Collection: New collection.
2. The Title of the Form/Collection: Background Investigation
Medical Release Forms.
3. The agency form number, if any, and the applicable component of
the Department sponsoring the collection: FD-1152 and FD-1153. The
applicable component within the Department of Justice is the Federal
Bureau of Investigation.
4. Affected public who will be asked or required to respond, as
well as a brief abstract: This form is needed for obtaining medical
information for non FBI personnel, for which the FBI has been requested
to obtain medical release information. For instance, when the FBI has
been requested to conduct background investigations on non-FBI
employees applying for positions with other government agencies,
sometimes medical information must be obtained. When it occurs, the
non-FBI employee applying for the position is asked to complete the
medical release form so the FBI has the authority to seek the medical
information.
5. An estimate of the total number of respondents and the amount of
time estimated for an average respondent to respond: It is estimated
that not more than 50 people would need to complete this form in a
year. It should only take each person about 15 minutes to complete the
form.
6. An estimate of the total public burden (in hours) associated
with the collection: There is an estimated 12.5 total annual burden
hours associated with this collection hours anticipated for the
collection.
If additional information is required contact: Melody Braswell,
Department Clearance Officer, United States Department of Justice,
Justice Management Division, Policy and Planning Staff, Two
Constitution Square, 145 N Street NE, 3E.405A, Washington, DC 20530.
Dated: June 18, 2019.
Melody Braswell,
Department Clearance Officer for PRA, U.S. Department of Justice.
[FR Doc. 2019-13187 Filed 6-20-19; 8:45 am]
BILLING CODE 4410-02-P
