Legal Authorities

Legal Authorities.doc

Medical History and Examination for Foreign Service

Legal Authorities

OMB: 1405-0068

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Legal Authorities

Form Number DS 1622 and DS 1843 Medical History And Examination For Foreign Service


  1. Foreign Service Act of 1980, Pub. L. 96-465 (22 U.S.C. §§ 3901 et seq.).


  1. The State Department Basic Authorities Act of 1956, Pub. L. 84-884 (22 U.S.C. §§ 2651)


  1. 16 Foreign Affairs Manual (FAM) 220. http://arpsdir.a.state.gov/fam/16fam/16fam0220.html


  1. Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191.


  1. HIPAA Privacy Rule and Security Rule, 45 C.F.R. Parts 160 and 164.


  1. The Privacy Act of 1974, 5 U.S.C. §§ 552a.


  1. 22 C.F.R. Part 171


  1. System of Record Notice, State-24, Medical Records http://www.state.gov/documents/organization/102784.pdf



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