2026-03038Notice

Prep Forms for Emergencies at Risky Posts Like Kyiv

Published Date: 2/17/2026

Notice

Summary

The Department of State wants to update a form that contractors and eligible family members fill out before going to high-risk diplomatic posts like Iraq or Kyiv. This form helps confirm they’re healthy and ready for emergencies. They’re asking for public feedback by April 20, 2026, and expect about 1,900 people to respond, with each form taking around 40 minutes to complete.

Analyzed Economic Effects

2 provisions identified: 0 benefits, 2 costs, 0 mixed.

Pre-deployment Medical Form Required

If you are a contractor or an eligible family member deploying to an ESCAPE diplomatic post (Iraq, Juba, Kyiv, Libya, Peshawar, Somalia, Syria, or Yemen), you must complete the DS-6570 pre-deployment physical exam acknowledgement form. The form is completed by you and your medical provider, is submitted via a secure online platform, is required to obtain or retain access to the Department of State Medical Program, and is collected annually for those deployed.

Estimated Paperwork Time and Burden

The Department estimates about 1,900 respondents will complete this DS-6570 form annually, with an average time of 40 minutes per response and a total estimated burden of 1,266 hours. The Department is requesting public comment on the information collection and its burden, with comments due by April 20, 2026.

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Key Dates

Published Date
Comments Due
2/17/2026
4/20/2026

Department and Agencies

Department
Independent Agency
Agency
State Department
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