Pre-Assignment for Overseas Duty

ICR 201706-1405-004

OMB: 1405-0194

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2017-06-28
Supporting Statement A
2017-06-28
IC Document Collections
IC ID
Document
Title
Status
197752 Modified
ICR Details
1405-0194 201706-1405-004
Historical Active 201506-1405-002
STATE/AFA
Pre-Assignment for Overseas Duty
Revision of a currently approved collection   No
Regular
Approved without change 07/31/2017
Retrieve Notice of Action (NOA) 06/28/2017
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved 09/30/2017
9,890 0 8,000
9,890 0 8,000
0 0 0

Collection is a physical exam form for employees and family members who are not members of any of the five Foreign Affairs agencies. The reason for using a scaled down form for this group is that they are typically not serving long term overseas and do not require the in depth testing required of those in the Foreign Service.

US Code: 22 USC 3901 Name of Law: Foreign Service Act
  
None

Not associated with rulemaking

  82 FR 15267 03/27/2017
82 FR 29360 06/28/2017
No

1
IC Title Form No. Form Name
Pre-Assignment for Overseas Duty DS-6561 Pre-Assignment for Overseas Duty

  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 9,890 8,000 0 1,890 0 0
Annual Time Burden (Hours) 9,890 8,000 0 1,890 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
There was an increase in respondents seeking medical clearance to overseas assignment, from 8,000 at last form renewal date to 9890 in 2016.

$159,525
No
No
No
No
No
Uncollected
Joan Grew 202 875-5412

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/28/2017


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