Justification for Non-Substantive Change

JUSTIFICATION OF CHANGES TO FORM DS 6561.docx

Pre-Assignment for Overseas Duty

Justification for Non-Substantive Change

OMB: 1405-0194

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JUSTIFICATION OF CHANGES TO FORM DS-6561


The Office of Medical Clearances Requests additional Demographic information on form DS-6561, Overseas Pre-Assignment Medical History and Examination; Non-Foreign Service Personnel and the Family Members


Addition of two demographic fields for patient registration purposes (on previous version but inadvertently omitted)


  • Place of Birth (for Employee and all Eligible Family Members)

  • SSN of Employee (for Employee only)


To be inserted as field 6 & 7 in Section I. Demographic Information. Remaining fields will remain but re-ordered as fields 8. to 13.




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