Pre-Assignment for Overseas Duty

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DS-6561 Pre-Assignment for Overseas Duty	Form	Modified	Available
Justifications for Changes to DS-6561.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-06-17	Available
Legal Authorities 6-14.docx	Supplementary Document	Uploaded 2014-07-07	Available
DS-6561__30-Day Supporting Statement DS-6561__6-14.doc	Supporting Statement A	Uploaded 2014-07-07	Available
Legal Authorities_Ds 6561_06_08 (2).docx	Supplementary Document	Uploaded 2011-05-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197752	Pre-Assignment for Overseas Duty	Form	Modified

ICR Details

OMB Control No: 1405-0194	ICR Reference No: 201506-1405-002
Status: Historical Active	Previous ICR Reference No: 201407-1405-001
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Pre-Assignment for Overseas Duty
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/24/2015
	Date Received in OIRA: 06/17/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	09/30/2017	09/30/2017
Responses	8,000	0	8,000
Time Burden (Hours)	8,000	0	8,000
Cost Burden (Dollars)	0	0	0

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Abstract: The medical program provides medical examinations for applicants for employment and also medical examinations as necessary for members of the Foreign Service and employees of the Department and their eligible family members . The Medical Clearance Program ensures that all members of the Foreign Service, other Department employees, and their family members have appropriate medical facilities abroad for any underlying medical conditions.

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Authorizing Statute(s): US Code: 22 USC 3901 Name of Law: Foreign Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 26298	05/07/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 38353	07/07/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Pre-Assignment for Overseas Duty	DS-6561, DS-6561, DS-6561	Pre-Assignment for Overseas Duty ,   Pre-Assignment for Overseas Duty ,   Non-Foreign Service Personnel And Their Family Members

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,000	8,000	0	0	0	0
Annual Time Burden (Hours)	8,000	8,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $270,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/17/2015

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