Submission for OMB Review; Comment Request

DEPARTMENT OF DEFENSE

Office of the Secretary

Submission for OMB Review; Comment Request

ACTION: Notice.

-----------------------------------------------------------------------

The Department of Defense has submitted to OMB for clearance, the

following proposal for collection of information under the provisions

of the Paperwork Reduction Act (44 U.S.C. Chapter 35).

Title, Associated Forms, and OMB Number: Department of Defense

Medical Examination Review Board (DoDMERB) Medical Information

Collection; DD Forms 2351, 2370, 2372, 2374, 2375, 2378, 2379, 2380,

2381, 2382, 2383, 2480, 2489, and 2492; OMB Number 0704-[to be

determined].

Type of Request: New Collection.

Number of Respondents: 19,000.

Responses per Respondent: 1.

Annual Responses: 19,900.

Average Burden per Response: 60 minutes.

Annual Burden Hours: 19,000.

Needs and Uses: The information collection requirement is necessary

to determine the medical qualification of applicants to the five

Service academies, the Four Year Reserve Officer Training Corps

Scholarship Program, Uniformed Services University of the Health

Sciences, and the Army, Navy, and Air Force Scholarship Program. The

completed forms are processed through medical reviewers representing

their respective Services to determine a medical qualification status.

Associated forms may or may not be required depending on the medical

information contained in the examination. If the medical examination

and necessary associated forms are not accomplished, individuals

reviewing the medical qualification status cannot be readily assured of

the medical status of the individual. Without this process the

individual applying to any of these programs could not have the medical

qualification determination essential to ensure compliance with the

physical standards established for the respective military service

program.

Affected Public: Individuals or Households.

Frequency: On Occasion.

Respondent's Obligation: Voluntary.

OMB Desk Officer: Ms. Allison Eydt.

Written comments and recommendations on the proposed information

collection should be sent to Ms. Eydt at the Office of Management and

Budget, Desk Officer for DoD Health Affairs, Room 10235, New Executive

Office Building, Washington, DC 20503.

DoD Clearance Officer: Mr. Robert Cushing.

Written requests for copies of the information collection proposal

should be sent to Mr. Cushing, WHS/DIOR, 1215 Jefferson Davis Highway,

Suite 1204, Arlington, VA 22202-4302.

Dated: May 16, 1997.

Patricia L. Toppings,

Alternate OSD Federal Register Liaison Officer, Department of Defense.

[FR Doc. 97-13374 Filed 5-21-97; 8:45 am]

BILLING CODE 5000-04-M