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SUBJECT CATEGORY: Submission for OMB Review; Comment Request for a New Information Collection: Certificate of Medical Examination Optional Form (OF) XX-- Formerly Standard Form (SF) 78
DOCUMENT SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Pub. L. 10413, May 22, 1995), this notice announces that the Office of Personnel Management (OPM) submitted to the Office of Management and Budget (OMB) a request for clearance and use of Optional Form XX (OF XX), Certificate of Medical Examination, a revision of Standard Form 78 (SF78). The Certificate of Medical Examination is used by Federal agencies, OPM examining offices, and Federal agency appointing officials to determine medical qualifications for a specific position.
We estimate approximately 45,000 forms will be completed each year. Each form requires from two to three hours to complete. The annual estimated burden is 135,000 hours.
Comments: In the 60Day Notice published in FR Vol. 71, No. 244, on December 20, 2006, we announced our request for review of a new information collection document, OFXX, Certificate of Medical Examination. OPM invited receipt of public comment on the Optional Form by February 19, 2007, and received comments from three Federal agencies. All changes and recommendations were considered and incorporated as appropriate into the final OFXX. A discussion of the comments is provided below.
One agency inquired why OPM was revising the current SF78. Revision and replacement is necessary because the SF78 is no longer accurate. Revisions include making the form optional for agencies to use at their discretion, rather than required; to delete outdated references, such as the Federal Personnel Manual; and to incorporate changes required by 29 CFR 1630.13, which relates to prohibited medical inquiries and examinations related to the Equal Employment Opportunity provisions of the Americans with Disabilities Act.
One agency requested that the revised form (OFXX) be posted to the existing OPM forms Web site; that the form be electronically fillable; and that additional space be provided on the form for a description of employee duties. The OFXX will be made available on the OPM forms Web site and will be made electronically fillable. Additional space has been provided in Part B of the form for an explanation of employee duties in the subject position.
One agency requested that OPM provide adequate space for the clinician to comment on positive findings. OPM added supplemental space to the ``Conclusion'' section in Part C of the OFXX.
One agency requested that OPM reformat Part A to allow added room for names; to create separate and distinct parts; to change ``glasses'' to ``corrective lenses''; to add check boxes to areas where an examiner may document his or her interpretation of test results; and to clearly delineate vision and hearing boxes by moving instructions inside of the boxes where results are to be recorded. OPM addressed these concerns in the development of the OFXX.
For copies of this proposal, contact Margaret A. Miller on (202) 6062699, Fax (202) 4183251 or email to mamiller@opm.gov. Please include a mailing address with your request.
SUMMARY: Certificate of Medical Examination Optional Form (OF) XX-Formerly Standard Form (SF) 78,
14 CFR Part 39 40 CFR Part 52 14 CFR Part 71 33 CFR Part 165 50 CFR Part 679 47 CFR Part 73 26 CFR Part 1 40 CFR Part 180 33 CFR Part 117 50 CFR Part 17 44 CFR Part 67 50 CFR Part 648 14 CFR Part 97 33 CFR Part 100 40 CFR Part 63 50 CFR Part 622 44 CFR Part 65 50 CFR Part 660 26 CFR Part 301 39 CFR Part 111 40 CFR Part 300 6 CFR Part 5 40 CFR Part 271 47 CFR Part 64 40 CFR Parts 52 and 81 50 CFR Part 665 44 CFR Part 64 10 CFR Part 50 49 CFR Part 571 47 CFR Part 76