The purpose for soliciting this information is to make appropriate medical clearance decisions that better assess potential bidders that are capable of the unique, potentially challenging and life-threatening conditions at Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts and are capable of performing certain emergency safety functions.
The goal of the âEmployee Self Certification and Ability To Perform In Emergenciesâ (ESCAPE) program is to ensure that non-federal individuals who are seeking a contracted position at a designated post are capable of the unique, potentially challenging and life-threatening conditions at ESCAPE posts and are capable of performing certain emergency safety functions. Individuals are required to review with a medical provider the pre-deployment acknowledgement form and then affirm that they understand the physical rigors and security conditions at these posts and can perform any specified emergency functions.
A working group at the State Department has developed this program at the direction of the Under Secretary for Management (M). In the past, a number of individuals have not been able to successfully complete their assignments to these posts because of limiting medical or physical limitations that were not identified before deployment. These limiting conditions put not only these individuals at risk but also post personnel and property. ESCAPE posts are located in Afghanistan, Iraq, Libya, and Yemen.
There is a need for an emergency review and approval before the next group of individuals are deployed to these posts in June, 2016 to ensure all can perform their responsibilities.
US Code:
22 USC 3901
Name of Law: the Foreign Service Act of 1980
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.
Form DS-6570 Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE)
MED Supporting Statement - Final.docx
DS-6570 Memo 5-2-16.pdf
Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE)