BEE-spoke-data/govdocs1-by-extension huggingface dataset:
**§20.1301 Rule 1301. Disclosure of information.**

\(a\) *Policy*. It is the policy of the Board of Veterans' Appeals for
the full text of appellate decisions, Statements of the Case, and
Supplemental Statements of the Case to be disclosed to appellants. In
those situations where disclosing certain information directly to the
appellant would not be in conformance with 38 U.S.C. 5701, that
information will be removed from the decision, Statement of the Case, or
Supplemental Statement of the Case and the remaining text will be
furnished to the appellant. A full-text appellate decision, Statement of
the Case, or Supplemental Statement of the Case will be disclosed to the
designated representative, however, unless the relationship between the
appellant and representative is such (for example, a parent or spouse)
that disclosure to the representative would be as harmful as if made to
the appellant. (Authority: 38 U.S.C. 7105(d)(2))

\(b\) *Public availability of Board decisions*.

\(1\) *Decisions issued on or after January 1, 1992*. Decisions rendered
by the Board of Veterans' Appeals on or after January 1, 1992, are
electronically available for public inspection and copying on the
Internet at *http://www.index.va.gov/search/va/bva.html*. All personal
identifiers are redacted from the decisions prior to publication.
Specific decisions may be identified by a word and/or topic search, or
by the Board docket number. Board decisions will continue to be provided
in a widely-used format as future advances in technology occur.

\(2\) *Decisions issued prior to January 1, 1992*. Decisions rendered by
the Board of Veterans' Appeals prior to January 1, 1992, have been
indexed to facilitate access to the contents of the decisions (BVA Index
I-01-1). The index, which was published quarterly in microfiche form
with an annual cumulation, is available for review at Department of
Veterans Affairs regional offices and at the Research Center at the
Board of Veterans' Appeals in Washington, DC. Information on obtaining a
microfiche copy of the index is also available from the Board's Research
Center. The index can be used to locate citations to decisions with
issues similar to those of concern to an appellant. Each indexed
decision has a locator number assigned to it. The manner in which the
locator number is written depends upon the age of the decision.
Decisions archived prior to late 1989 have a number such as
*82-07-0001*. Decisions archived at a later date have a number such as
*BVA-90-12345*. This number must be used when requesting a paper copy of
that decision. These requests must be directed to the Research Center
(01C1), Board of Veterans' Appeals, 810 Vermont Avenue, NW., Washington,
DC 20420. (Authority: 5 U.S.C. 552(a)(2), 38 U.S.C. 501(a))

\[57 FR 4109, Feb. 3, 1992, as amended at 71 FR 18009, Apr. 10, 2006\]

**Supplement *Highlights* reference**: 72(1)
Attachment 4

Recommended Equipment List

(In addition to cleaning equipment, "green" cleaning supplies and office
supplies.)

Rubbermaid -- large, small trash carts and 55 gallon round ones w/wheels

Upright, heavy duty, commercial quality HEPA vacuums with HEPA filters

Computer and Printer

Nextel cell phones with **"**direct connect" feature

Telephone & line for calls outside the facility

Copier

Billy goat vacuum

Power washer

Various dispensers and tools for installing dispensers and repairs per
SOW

Wet floor signs

Mats (for outside offices when shampooing carpets)

Electric floor machines for terrazzo hallways and lobbies

Powered pallet jack

Manual pallet jack

Snow removal equipment and snow melting compound (shall not harm
plants).

Black sand substitute for outside ash trays and sifters

Garden hoses and nozzles

Sweeping compound

Extension cords

Stencil equipment

Shower curtains/hangers

55 gallon wet vacuum

Smaller wet vacuums

Hand truck

Carpet dryers

Ladders

Safety gear, gloves, coveralls

Plungers

Bad Air Sponges
Directions to the Clinton

NRCS, RD & North Jersey RC&D Office

54 Old Highway 22, Suite 201

Clinton, NJ 08809

\(908\) 735-0739

**From the North:**

-   Take Route 31 South to Clinton

-   After pass Toyota Dealer, go through 2 lights

-   At third traffic light, go right past NJ Water Supply
    Authority---the traffic light is at the intersection where there is
    a strip mall on your left with a Block Buster video - you will be
    going right onto Leigh Street

-   Follow Leigh Street to the traffic light and go left onto Old 22-
    Route 173

-   Our office is on the right just after Bank of America---54 Unity
    Concourse -- our office is on the second floor

**From the West:**

-   Take I-78 East

-   Take exit \# 15- Clinton, Route 173

-   At bottom of exit, bear to the right, go under I-78, go straight at
    traffic light.

-   Continue through Clinton on Rt. 173, go past A&P on your left

-   Our office is on the right just after Bank of America---54 Unity
    Concourse -- our office is on the second floor

**From the East:**

-   Take route 78 West

-   Take exit #17 - Route 31 North

-   Take the first exit off of Route 31 for Route 31 South (signs will
    say Clinton)

SEE BELOW

**From the South:**

-   Take Route 31 North to Clinton

-   Cross over Route 78

-   Take the first exit off of Route 31 after you cross over 78 (signs
    will say Clinton-

Route 31 South)

SEE BELOW

-   Follow signs for Clinton- Route 31 South-stay to the right and cross
    back over Route 31

-   At the traffic light go straight (Car Wash on left)

-   The road will fork - stay to the right following signs for Clinton-
    Route 173(if you went left it would put you back on 78) this road is
    Old 22 -- Route 173

-   Pass the \"STS\" service station on your left

-   Pass the \"Unity Bank\" on your left

-   Our building is the next on the left -54 Unity Concourse

-   We are on the second floor

If you pass our building, the next building is the \"Bank of America\"
on the left and

A&P on the right
**Confidentiality of Healthcare: Quality Assurance Review Records**

*Authority*: 38 U.S.C. 5705.

*Source*: §§17.500-17.511 appear at 59 FR 53355, Oct. 24, 1994,

unless otherwise noted.

**§17.500 General.**

\(a\) Section 5705, title 38, United States Code was enacted to protect
the integrity of the VA's medical quality assurance program by making
confidential and privileged certain records and documents generated by
this program and information contained therein. Disclosure of quality
assurance records and documents made confidential and privileged by 38
U.S.C. 5705 and the regulations in §§17.500 through 17.511 may only be
made in accordance with the provisions of 38 U.S.C. 5705 and those
regulations.

\(b\) The purpose of the regulations in §§17.500 through 17.511 is to
specify and provide for the limited disclosure of those quality
assurance documents which are confidential under the provisions of 38
U.S.C. 5705.

\(c\) For purposes of the regulations in §§17.500 through 17.511, the
VA's medical quality assurance program consists of systematic healthcare
reviews carried out by or for VA for the purpose of improving the
quality of medical care or improving the utilization of healthcare
resources in VA medical facilities. These review activities may involve
continuous or periodic data collection and may relate to either the
structure, process, or outcome of health care provided in the VA.

\(d\) Nothing in the regulations in §§17.500 through 17.511 shall be
construed as authority to withhold any record or document from a
committee or subcommittee of either House of Congress or any joint
committee or subcommittee of Congress, if such record or document
pertains to any matter within the jurisdiction of such committee or
joint committee.

\(e\) The regulations in §§17.500 through 17.511 do not waive the
sovereign immunity of the United States, and do not waive the
confidentiality provisions and disclosure restrictions of 38 U.S.C.
5705. (Authority: 38 U.S.C. 5705)
# Attachment C

**REQUEST FOR STATE OFFICE/NATIONAL OFFICE**

**SFH FUNDS -- FY 2006**

  ----------------------------------- -----------------------------------
  **Applicant:**                      **Acct. No.:**

  **County:**                         **Amount Requested:**
  ----------------------------------- -----------------------------------

The funds requested are from:

\_\_\_\_\_\_\_ 502 Very Low Hardship \* \_\_\_\_\_\_\_ 502 Very Low
Participation

ADDI? \_\_\_\_\_YES \_\_\_\_\_NO RHLP?\_\_\_\_\_YES \_\_\_\_\_NO

\_\_\_\_\_\_\_ 502 Very Low Subsequent Loan \_\_\_\_\_\_\_ 502 Low
Participation

##  ADDI? \_\_\_\_\_YES \_\_\_\_\_NO RHLP?\_\_\_\_\_YES \_\_\_\_\_NO

\_\_\_\_\_\_\_ 502 Low Hardship \* For Participation Loans:

> New or Existing
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_ 502 Low Subsequent Loan Lender Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Lender Location: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_ 504 Loan Hardship\* Disaster \_\_\_\_\_\_\_ Amount of
Lender's Loan:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\% of Participation: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_ 504 Grant Hardship\*Disaster \_\_\_\_\_\_\_ Lender's
Interest Rate\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_ REO Funds \_\_\_\_\_\_ Very Low Self Help (75%)

\_\_\_\_\_\_\_Program Low or Very Low?

\_\_\_\_\_\_\_Non-Program Credit Sale \_\_\_\_\_\_ Low Self Help (75%)

REO Acct. \# \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Former borrower \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\*What is Hardship?

If 504, what are repairs for?

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**COPY OF FASTELLER RHC/OBL SCREEN MUST BE ATTACHED**

**IF 504 GRANT, ATTACH RD-1944-3, BUDGET**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Rural Development Manager Local Office

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Area Director - Requests funds from State Office/National Office Reserve
**Administrative Control of Funds**

**Source**: Sections 1.670 to 1.673 issued at 48 FR 30622,

July 5, 1983, unless otherwise noted.

**§1.670 Purpose.**

The following regulations establish a system of administrative controls
for all appropriations and funds available to the Department of Veterans
Affairs to accomplish the following purposes:

\(a\) Establish an administrative subdivision of controls to restrict
obligations and expenditures against each appropriation or fund to the
amount of the apportionment or the reapportionment; and

\(b\) Fix responsibility for the control of appropriations or funds to
high level officials who bear the responsibility for apportionment or
reapportionment control. (Authority: 31 U.S.C. 1514)

**§1.671 Definitions.**

For the purpose of §§1.670 through 1.673, the following definitions
apply:

\(a\) *Administrative subdivision of funds*. An *administrative
subdivision of funds* is any administrative subdivision of an
appropriation or fund which makes funds available in a specified amount
for the purpose of controlling apportionments or reapportionments.

\(b\) *Allotment*. An *allotment* is an authorization by the Director,
Office of Budget and Finance, to department and staff office heads
(allottees) to incur obligations within specified amounts, during a
specified period, pursuant to an Office of Management and Budget
apportionment or reapportionment action. The creation of an obligation
in excess of an allotment is a violation of the administrative
subdivision of funds.

\(c\) *Allowance*. An *allowance* is a subdivision below the allotment
level, and is a guideline which may be issued by department or staff
office heads (allottees) to facility directors and other officials,
showing the expenditure pattern or operating budget they will be
expected to follow in light of the program activities contemplated by
the overall VA budget or plan of expenditure. The creation of an
obligation in excess of an allowance is not a violation of the
administrative subdivision of funds. (Authority: 31 U.S.C. 1514)
# [Rep. Royce\'s Written Authorization Under the Provisions of the Privacy Act of 1974]{.underline}

# Please print the form, fill it out, sign it, and fax or mail it to Congressman Royce

# 305 N. Harbor Blvd., Suite 300 

# Fullerton, CA 92832

# Fax: (714) 992-1668 Phone: (714) 992-8081 or (562) 220-2411 

Date:

Dear Congressman Royce,

I would like to request assistance with the following problem I am
having with the agency listed below.

In keeping with the restrictions of the Privacy Act of 1974, I am
authorizing you and/or your staff to request information on me, which
would be required in your investigation of the matter, outlined below.

**Agency Name:** U.S. Citizenship and Immigration Services (USCIS)

**Name:**

**Address:**

**City:**

**State:** CA **Zip:**

**Daytime Phone:**

**Cell or other Phone:**

**Alien Registration Number:**

**The Form That Was Filed With USCIS:**

**Date Filed:**

**Date of Birth:**

**Briefly explain the nature of your complaint or concern and attach
copies of any document you may have:**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Signature
6512.01

CHAPTER 7. CLOSEOUT PROCEDURES

7-1 GENERAL Since HUD assigns a distinguishable grant

project number to each of the ARC funded projects,

each completed project may be closed separately

irrespective of whether the project was funded under

the State, the HUD-Administered, or Entitlement

Program. The following conditions must be met before

closing an ARC grant:

A. It has been determined that all funds have been

expended;

B. all activities have been completed;

C. all the required reviews and audits have been

made; and

D. there are no monitoring or audit findings

outstanding.

7-2 PROCEDURES Follow the procedures listed below when

closing ARC grants:

A. As part of the closeout agreement, the grantee

must certify that the actual total eligible

project costs are correct and in accordance with

the grant conditions and other agreements;

B. The grantee must submit to the HUD Field Office a

final report of each ARC grant identifying the

total project cost; final eligible project

costs; and the final amount of CDBG, ARC, state

and local funds used. This information may be

provided in the \"Financial Status Report\" (SF-269)

and its supplement (see Exhibit 7-1).

C. The amount of any underrun in the total project

costs becomes a reduction in the ARC funds needed

for the project and should therefore be

unexpended ARC funds; and

D. The HUD Field Office will forward all the

completed SF-269 forms and their supplements to

the Regional Accounting Division (RAD).

E. RAD will deobligate and recapture any unexpended

balances as indicated in Item 8 of the SF 269

form and its supplement.

7-1 5/91
Poster Presentation 6A-20

> **Production of Succinic Acid from Ammonia Fiber Explosion (AFEX)
> Pretreated Biomass Hydrolysates**

Nhuan P. Nghiem\*, Elankovan Ponnampalam, David Slomczynski,

Tonya Tiedje, Rebecca Powell

> MBI International
>
> 3900 Collins Road
>
> Lansing, MI 48910
>
> Phone: (517) 336-4637; Fax: (517) 337-2122; E-mail: <nghiem@mbi.org>

The Ammonia Fiber Explosion (AFEX) process was used to pretreat corn
stover, bagasse, rice straw, alfalfa, and soybean straw. A laboratory
scale (300 ml) stainless steel reactor was used. The pretreated
materials then were hydrolyzed with an industrial cellulase to produce a
mixture of fermentable intermediates, which consisted of mostly glucose
and xylose. The rates of hydrolysis of the pretreated materials were
significantly higher than those obtained with the untreated materials.
The hydrolysates obtained with the pretreated biomass were used for
production of succinic acid without further treatment. Succinic
acid-producing microbial strains capable of utilizing both glucose and
xylose were used in these fermentations. The results of biomass
hydrolysis and succinic acid fermentation will be discussed.
**FOR IMMEDIATE RELEASE FOR INFORMATION CONTACT:**

Tammi Schone - (605) 352-1102

# RURAL DEVELOPMENT AWARDS \$1,743,250 TO THE SISSETON WAHPETON HOUSING AUTHORITY[ *Funding to Facilitate Growth and Development* ]{.underline}

**(Sisseton, South Dakota -- December 20, 2006)** USDA Rural Development
Acting State Director Tim B. Potts today presented the Sisseton Wahpeton
Housing Authority (SWHA) with a ceremonial check representing
\$1,743,250 to construct 11-three bedroom rental units for families in
the Long Hollow district and to construct an administration building to
administer the housing program.

"The federal funding will be used for eleven individual homes with three
bedrooms. In addition, funding will assist with the construction of an
administration building which will provide service to 5,678 individuals
living in the area," said Potts.

The Sisseton-Wahpeton Oyate Reservation is located in the northeastern
part of the state near Sisseton, South Dakota. The USDA Rural
Development rural rental housing loan funds of \$1,000,000 will be used
to construct rental units for families in the Long Hollow District,
which is located on the Sisseton-Wahpeton Oyate Reservation. Tenants
will receive rental assistance so rents will be no more than 30% of
their income. The federal funds will be leveraged with an applicant
contribution of \$297,300. The USDA Rural Development community facility
loan funds of \$743,250 will be used to construct an administration
building to administer the housing programs.

"The housing shortage on the Sisseton-Wahpeton Oyate Reservation is a
major problem confronting our tribal members. We have approximately
three hundred and fifty families on our current waiting list for
affordable housing accommodations. Optimistically, this will be one of
many projects the Sisseton-Wahpeton Housing Authority and USDA Rural
Development will team up with to alleviate the housing shortage on our
reservation. The current administration building was built in 1967,
accordingly we are in desperate need for a new facility," said LeRoy
Quinn, Jr., Executive Director.

USDA Rural Development Area Director Bruce Jones and Manager Janell
Telin also attended the event. USDA Rural Development has ten offices in
the state that assist rural communities. Office locations include a
state office in Huron, along with area offices in Aberdeen, Huron,
Mitchell, Pierre, Rapid City, Sioux Falls, Sturgis, Watertown, and
Yankton.

USDA Rural Development's mission is to deliver programs in a way that
will support increasing economic opportunity and improve the quality of
life of rural residents. As a venture capital entity, Rural Development
provides equity and technical assistance to finance and foster growth in
homeownership, business development, and critical community and
technology infrastructure. Further information on rural programs is
available at a local USDA Rural Development office or by visiting USDA's
web site at <http://www/rurdev.usda.gov>.

**- USDA -**
-   参加申込書◆

☆申込書送付先☆　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　２００６年　　　　月　　　　日

（株）グローバル研修企画

+-----------------------------------------------------------------------+
| ASIS International 2006セキュリティ・ショーと                         |
|                                                                       |
| 米国先端セキュリティ・システム視察ミッション                          |
+-----------------------------------------------------------------------+

東京都千代田区飯田橋２－１３－３

TEL：03-3230-4876 FAX：03-3230-2557

Eメール：<kobayashi@hgkk.co.jo> 担当：小林

<table style="width:100%;">
<colgroup>
<col style="width: 13%" />
<col style="width: 9%" />
<col style="width: 3%" />
<col style="width: 16%" />
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 11%" />
<col style="width: 13%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="3"><p>（ﾌﾘｶﾞﾅ）</p>
<p>氏　名</p></td>
<td colspan="3"></td>
<td rowspan="3"><p>ローマ字</p>
<p>（旅券と同じスペル）</p></td>
<td colspan="4" rowspan="2">姓</td>
<td colspan="2" rowspan="2">男</td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2"></td>
</tr>
<tr class="odd">
<td colspan="4">名</td>
<td colspan="2">女</td>
</tr>
<tr class="even">
<td rowspan="2">生年月日</td>
<td><p>大</p>
<p>昭</p></td>
<td colspan="2">西暦　　　　　　　　年</td>
<td>旅券番号</td>
<td colspan="3"></td>
<td colspan="3">有効期限</td>
</tr>
<tr class="odd">
<td colspan="3">平　　　　　年　　　　月　　　　日</td>
<td>発行年月日</td>
<td colspan="3"></td>
<td colspan="2">５年</td>
<td>１０年</td>
</tr>
<tr class="even">
<td rowspan="2">現住所</td>
<td colspan="10">〒　　　　　－　　　　　　　　　　　　TEL</td>
</tr>
<tr class="odd">
<td colspan="10"></td>
</tr>
<tr class="even">
<td rowspan="6"><p>職業</p>
<p>（勤務先）</p></td>
<td colspan="2">名　称</td>
<td colspan="3"></td>
<td>所属部署</td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="2">英文名称</td>
<td colspan="3"></td>
<td>役職名</td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="2" rowspan="2">所在地</td>
<td colspan="8">フリガナ</td>
</tr>
<tr class="odd">
<td colspan="8">〒</td>
</tr>
<tr class="even">
<td colspan="2">電話番号</td>
<td colspan="3"></td>
<td>FAX番号</td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="2">Eメール</td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td rowspan="2"><p>国内連絡先</p>
<p>（留守宅）</p></td>
<td colspan="2">氏　名</td>
<td colspan="3"></td>
<td>TEL</td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="2">住　所</td>
<td colspan="4">〒</td>
<td><p>本人との</p>
<p>関係</p></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="3"><p>一人部屋を希望</p>
<p>（６５，０００円追加）</p></td>
<td colspan="3">する　　・　　しない</td>
<td>タバコを</td>
<td colspan="4">すう　　・　　すわない</td>
</tr>
</tbody>
</table>

※申し込み締切日・・・・２００６年８月２５日（金）
![](media/image1.jpeg){width="1.21875in"
height="0.8020833333333334in"}**MRC Support for HHS Hurricane Katrina
Recovery Efforts**

Assignment Sheet

Information for a MRC member assigned to the HHS recovery operations

Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ MRC Unit:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Disaster: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Disaster Location: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Information known about the disaster:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

I have been recruited and assigned to:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

I will be deployed as a:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Expected date of deployment: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Expected
Return date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

MRC Unit Leader:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ phone
number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Point of contact at site:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ phone
number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

MRC-LNO contact phone number: [\_\_202-252-0297\_\_
(]{.underline}<Katrina.mrc@hhs.gov>[)]{.underline}

Air Travel information contact phone number:
[\_\_\_1-866-778-1373\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

Ground Travel Information: [\_Louisiana:
202-423-5500\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

\_[Mississippi:
202-253-5452\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_]{.underline}

\_[Texas:
214-632-8424\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_]{.underline}
> **VHA PROSTHETIC CLINICAL MANAGEMENT PROGRAM (PCMP)**
>
> **CLINICAL PRACTICE RECOMMENDATIONS**
>
> **FOR IMPLANTATION OF**
>
> **PACEMAKER AND IMPLANTABLE CARDIOVERTER DEFIBRILLATORS (ICDs)**

## I. BACKGROUND

> VHA's Prosthetic and Sensory Aids Service Strategic Healthcare Group
> was directed by the Under Secretary for Health to establish a
> Prosthetic Clinical Management Program (PCMP). The objectives are to
> coordinate the development of clinical practice recommendations for
> prosthetic prescription practices and contracting opportunities to
> assure technology uniformity and ease of access to prosthetic
> prescriptions and patient care that will lead to valid outcome
> measures and analysis for research purposes.
>
> The purpose of the clinical practice recommendations is to assist
> practitioners in clinical decision-making, to standardize and improve
> the quality of patient care, and to promote cost-effective
> prescribing.
>
> A work group with input from selected VA field cardiologists convened
> to recommend clinical practice recommendations regarding pacemakers
> and implantable cardioverter defibrillators.

II. **[POLICY]{.underline}**

The purpose of the clinical practice recommendations is to assist
practitioners in clinical decision-making, to standardize and improve
the quality of patient care, and to promote cost-effective prescribing.

III. **[CLINICAL PRACTICE RECOMMENDATION]{.underline}**

The Prosthetic Clinical Management (PCM) workgroup on Pacemakers and and
ICDs recommends the VA adopt, for purposes of a clinical practice
recommendation, the guidelines published by the American Heart
Association (AHA), the American College of Cardiologists (ACC), and the
North American Society for Pacing and Electrophysiology (NASPE), are
summarized in GREGORATOS ET AL., Implementation of Cardiac Pacemakers
and Antiarrhythmia Devices (Circulation 2002;106:2145-2161).

APPROVED/DISAPROVED: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_

Robert H. Roswell, M.D. Date

Under Secretary for Health
Report No. 2539 March 15, 2002 **[CONSUMER INFORMATION
BUREAU]{.underline}**

### REFERENCE INFORMATION CENTER

**[PETITION FOR RULEMAKING FILED]{.underline}**

Interested persons may file statements opposing or supporting the
Petitions for Rulemaking listed herein within 30 days, or as noted. See
Sections 1.4 and 1.405 of the Commission\'s rules for further
information.

**\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--**

**RM NO. RULES SEC. PETITIONER DATE RECEIVED NATURE OF PETITION**

**\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--**

10395\* 73.202(b) Mullin Broadcasters 09/10/01 Request Amendment of the
FM

Table of Allotments to allot

> (Filed By Mark N. Lipp Channel 224C3 to Mullin, Texas,

Shook, Hardy & Bacon, L.L.P. at coordinates 31-33-24 NL and

600 14th Street, N.W. 98-39-55 WL; substitute Channel

Suite 800 259A for vacant Channel 224A at

Washington, D.C. 20005-2004) Mason, Texas, at coordinates 30-

45-00 NL and 99-14-00 WL.

\*THE ABOVE PETITION FOR RULEMAKING WILL BE TREATED AS A COUNTERPROPOSAL
IN MM DOCKET NO. 01-159. REPLY COMMENTS TO THIS COUNTERPROPOSAL SHOULD
BE SUBMITTED IN THIS DOCKET NO LATER THAN 15 DAYS (RATHER THAN 30 DAYS)
AFTER THE DATE OF THIS PUBLIC NOTICE.

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--

FCC
ISO/IEC JTC1/SC18/WG8 **N620**

**ISO/IEC JTC1/SC18/WG8 Document Register, April 1988**

**N588▒620**

**Document Date of**

**Title Requestor**

**Number Request**

588 88-03-10 Document register, N539▒588 WG8

589 88-03-21 Contribution on DSSSL S. Adler

590 88-03-25 U.S. Contribution on ISPs X3V1 (88-10)

591 88-03-30 Liaison on control functions SC2/WG6 (N317)

592 88-03-30 Liaison on SPDL and DSSSL WG5 (N584)

593 88-03-30 SGML Syntax Summary (from Interleaf) H. W. Bingham

594 88-03-30 TOS Strategy WG1 (N525)

595 88-04-18 U.K. National Activity Report J. Smith

596 88-04-18 Comments on Guidelines ╝ Editors BSI

597 88-04-18 Japan National Activity Report Japan

598 88-04-18 Comments on Guidelines ╝ Editors CAC

599 88-04-18 Techniques ╝ (editing draft) A. Berglund

600 88-04-18 ISO/PS2 (draft) A. Berglund

601 88-04-18 OSI registration procedures J. Larmouth

602 88-04-18 WG9 liaison on interfaces WG9

603 88-04-19 Comments on N561 (SPDL) P. Robinson

604 88-04-19 Annual Report of Convenor J. Mason

605 88-04-20 Font file format (JIS draft) Y. Komachi

606 88-04-21 DSSSL working papers S. Adler

607 88-04-21 Recommendations of WG8 plenary WG8

608 88-04-21 Programme of Work, Liaisons, Calendar WG8

609 88-04-21 Liaison to SC2 D. McBain

610 88-04-21 Corrections to SGML amendment 1 C. Goldfarb

611 88-04-21 Preliminary comments on DIS 9541 Japan

612 88-04-21 SPDL memory access semantics and ╝ SPDL

613 88-04-18 Proposal for SPDL structure syntax M. Foley

614 88-04-21 Request for computer-aided publishing ╝ S. Yamazaki

615 88-04-21 SPDL and 9541/7 SPDL

616 88-04-21 Character code mapping SPDL

617 88-04-21 Picture extraction from SPDL documents SPDL

618 88-04-21 Letter to AFII on PostScript M. Foley

619 88-04-18 SPDL wrappers T. Hastings, N. Batchelder

620 88-04-22 Register from London Meeting WG8
# CS 594 Forth Reading and Homework

## Required

Chapter 2 of Pressman

As a team, put together a short presentation on the cost and schedule
you would recommend we make to AMI. Have no more than 3 powerpoint
slides that describe:

1)  What the problem is

2)  How we are going to solve it

3)  How long it will take

4)  How much it will cost

Be prepared to present this presentation at the next class meeting

## Optional

G. S. Lee and T. Murata. "A Beta-Distributed Stochastic Petri Net Model
for Software Project Time/Cost Management," *J. Systems Software,*
26(2): 149-165, 1994.

L. Liu and E. Horowitz. "A Formal Model for Software Project
Management," *IEEE Transactions on Software Engineering,* 15(10):
1280-1293, 1989.
Physics

NONCONTACT DETERMINATION OF SURFACE TENSION IN A SMALL FLUID SAMPLE BY
LASER INTERFEROMETRY, [C. Pawlak]{.underline}, D. Eivins, F. Behroozi\*,
University of Northern Iowa, Department of Physics, Cedar Falls, IA
50614, behroozi@uni.edu

We describe a non-contact method for determining the surface tension of
a small fluid sample. The method exploits standing wave patterns on the
surface of a fluid in a cylindrical well of volume less than 2 cm^3^. To
generate the waves on the surface of the fluid, the well is driven by a
piezoelectric transducer. The wave amplitude is monitored by a miniature
laser interferometer as the driving frequency is increased. When the
system is driven at a resonant frequency, the amplitude of the wave
attains a maximum. The experimentally measured resonance frequencies and
the associated wave numbers are then used in the dispersion relation to
determine the surface tension of the fluid. Any curvature of the fluid
surface increases the effective radius of the well. By plating the well
with gold, we obtain a flat fluid surface. Surface tension data on pure
water, water with 5% acetone, water with 10% acetone, and water with 20%
glycerol are presented to show the effectiveness of this system in
measuring the surface tension of liquids with a wide range of viscosity
and surface tension.
**ITINERARY OF THE E-BEAM REVIEW**

# Sunday, Dec. 5

Travel Day to Knoxville/Oak Ridge, TN

Evening meeting with E-Beam Subpanel Members only. Time to be
determined.

# Monday, Dec. 6 

8:30am LV: Garden Plaza via ORNL shuttle

9:00am AR: Oak Ridge National Lab (Shared Research Equipment Program)

TOUR

Lunch w/ users on site

Conclusion meeting with management staff

2:00pm LV: ORNL/ShaRE via ORNL shuttle to Knoxville

3:30pm AR: Knoxville Airport

4:20pm LV: Knoxville Airport via UN 1739

4:53pm AR: Chicago, O'Hare Airport

6:00pm LV: O'Hare Airport via chartered bus (Pontarelli 800-322-5466 x
259 Sharon will call for pickup). Eat dinner on way to Urbana.

10:00pm AR: Urbana, IL / Hampton Inn

# Tuesday, Dec. 7

8:30am LV: Hampton Inn via chartered bus

9:00am AR: U. of IL (Center for Microanalysis of Materials)

TOUR

Lunch w/ users on site

Conclusion meeting with management staff

2:00pm LV: U. of IL via chartered bus

5:00pm AR: Argonne Guest House

# Wednesday, Dec. 8

8:30am LV: Argonne Guest House via chartered bus

9:00am AR: Argonne National Lab (Electron Microscopy Center for
Materials Research)

TOUR

Lunch w/ users on site

Conclusion meeting with management staff

2:00pm LV: ANL via chartered bus

3:00pm AR: O'Hare Airport

5:50pm LV: O'Hare via UN 149

8:24pm AR: San Francisco

9:30pm LV: Airport via LBNL Shuttle

10:30pm AR: Radisson Hotel Berkeley Marina

**[Thursday, Dec. 9]{.underline}**

8:30am LV: Radisson via LBNL Shuttle

9:00am AR: Lawrence Berkeley National Lab (National Center for Electron
Microscopy)

TOUR

Lunch w/ users on site

Conclusion meeting with management staff

2:00pm LV: LBNL E-beam center via LBNL Shuttle

2:30pm AR: Radisson Hotel

# Friday, Dec. 10

Report preparation. All day meeting at Radisson Hotel

# Saturday, Dec. 11

Travel Day
November 1, 2007

Docket Management System

U.S. Department of Transportation, Docket Operations

M-30, West Building Ground Floor

Room W12-140

1200 New Jersey Avenue, SE

Washington, DC 20590

Re: Docket Nos. FTA-2006-25737 and FTA-2007-0033

To Whom It May Concern:

Thank you for the opportunity to comment on the proposed rules for the
FTA New Starts and Small Starts programs as published in the Federal
Register on August 3, 2007. Our comments are as follows:

CH2M HILL is a private sector member of the New Starts Working Group and
concurs with the comments of the Working Group which are being submitted
to this docket separately.

We concur with the comments of the Working Group in their entirety. This
includes the comments for the following sections:

Principal Areas of Concern

Additional Discussion Items for Comment

Framework of the NPRM

Subpart A -- General Provisions -- sections 611.1, 611.3, 611.5, 611.7

Subpart B -- New Starts -- sections 611.9, 611.11, 611.13, 611.17

Subpart C -- Small Starts -- sections 611.19, 611.21, 611.23, 611.27

Subpart D -- Very Small Starts -- sections 611.29, 611.31, 611.33,
611.35, 611.37

Model Project Development Agreement

Sincerely,

Deborah Wathen Finn

Senior Vice President

Director of Rail and Transit

CH2M HILL
**01-PRA-027**

**RealEstateSales.com**

**U.S. General Services Administration**

**Public Buildings Service**

**Property Disposal Division**

The GSA San Francisco Property Disposal Division and Auburn Field Office
have launched the public sales of Government owned real estate into. The
online auction brings a huge amount of interest in Federal property
disposal. In the month of March, 2001 there were 90,659 hits to the
on-line auctions. Our Internet auctions have made it easier for
customers to do business with GSA, enhanced revenue and produced
significant cost savings.

Real Estate sales are very different from selling goods or commodities
and represent a significant investment for most people. Because buyers
want to inspect the property and ask questions before placing a bid, GSA
provides real-time telephonic support to overcome the impersonal auction
site, providing a unique synthesis of old fashioned salesmanship and
modern technology.

Internet auctions give buyers another tool in addition to other methods
of bidding (mail, fax, walk-in). The on-line auction gives GSA the
ability to receive bids in a way that is most convenient for each
customer. Other new improvements are FAX on demand, and use of credit
cards for bid deposits. During FY2000, there were 19 online auctions for
customers such as the United States Marshal Service, Internal Revenue
Service (IRS), and Navy. FY2000 on-line sales reached \$4.2 million,
with winning bids ranging from 16% to 235% above fair market value. To
date in FY2001, there have been 15 completed on-line sales for IRS and
the Bureau of Land Management. FY2001 on-line auctions as of May 1, 2001
total \$6.3 million with bids ranging as high as 107% above fair market
value.

For more information, please contact Ms. Carol Arnold at (415) 522-3434
or by email at Carol.Arnold@gsa.gov.
\"Taken from Senate Report 107-42

FY 2002 CJS Appropriations report...\"

SCIENCE AND TECHNOLOGY

The Committee has included under this section of Title II the Department
of Commerce agencies involved in technology research and development,
scientific assessment and prediction of environmental phenomena, and the
administrative and policy functions providing oversight for these
activities.

TECHNOLOGY ADMINISTRATION

UNDER SECRETARY FOR TECHNOLOGY/OFFICE OF

TECHNOLOGY POLICY

SALARIES AND EXPENSES

Appropriations, 2001 \$8,062,000

Budget estimate, 2002 8,238,000

Committee recommendation 8,238,000

The Committee recommends an appropriation of \$8,238,000. The
recommendation is identical to the budget request and will fully fund
the current operations of the Technology Administration.
**DA 06-1962**

**September 29, 2006**

**NOTICE OF DOMESTIC SECTION 214 AUTHORIZATION GRANTED**

WC Docket No. 06-165

The application listed in this notice has been granted pursuant to the
Commission's streamlined procedures for domestic section 214 transfer of
control applications 47 C.F.R. § 63.03. The Wireline Competition Bureau
has determined that grant of this application serves the public
interest.[^1] For purposes of computation of time for filing a petition
for reconsideration or application for review, or for judicial review of
the Commission's decision, the date of "public notice" shall be the
release date of this notice.[^2]

1.  Domestic Section 214 Application Filed for the Transfer of Control
    of One Eighty Communications, Inc. to Eschelon Telecom, Inc., WC
    Docket No. 06-165, DA 06-1727 (rel. Aug. 29, 2006).

> **Effective Date of Grant**: September 29, 2006

For further information, please contact Cecilia Seppings, at (202)
418-1588, or Jodie May, at (202) 418-0913, Competition Policy Division,
Wireline Competition Bureau.

> -- FCC --

[^1]: *Implementation of Further Streamlining Measures for Domestic
    Section 214 Authorizations*, Report and Order, 17 FCC Rcd 5517,
    5529, para. 22 (2002).

[^2]: *Id.*; *see* 47 C.F.R. § 1.4 (Computation of time).
**PUBLIC NOTICE**![](media/image1.png){width="0.7388888888888889in"
height="0.7458333333333333in"}

**FEDERAL COMMUNICATIONS COMMISSION**

**445 12th STREET, S.W.**

# WASHINGTON, D.C. 20554

News Media Information: (202) 418-0500

Fax-On-Demand: (202) 418-2830

Internet: http://www.fcc.gov

ftp.fcc.gov

### DA 99-2355

October 28, 1999

**Clarification Regarding the Resumption of Hearing Proceeding In MM
Docket No. 88-577 To Consider Winning Bidder\'s Basic Qualifications And
To Clarify Amendment Procedures**

On October 12, 1999, the Wireless Telecommunications Bureau and the Mass
Media Bureau released a *Public Notice*, DA 99-2153, announcing the
close of Broadcast Auction No. 25, identifying the winning bidders in
that auction, and, *inter alia*, specifying the procedures for filing
minor amendments to the long-form applications. This Public Notice
clarifies in two respects the post-auction procedures to be followed by
the winning bidder in FM Market 84 (Biltmore Forest, North Carolina).
First, now that the down, payment deadline, for Auction 25, has the
hearing proceeding in Docket No. MM Docket No. 88-577, having previously
been stayed pending the outcome of the auction,[^1] will resume to
permit resolution of a basic qualifications issue involving Liberty in
accordance with the Commission\'s routine adjudicatory procedures.[^2]
Second, although any necessary minor amendments to Liberty\'s long-form
application should be filed by 7:00 p.m. et, November 12, 1999, it is
clarified that there will be no further opportunity for the filing of
petitions to deny, and that the filing of any new petitions to enlarge
issues will be governed by 47 C.F.R. § 1.229 of the Commission\'s
rules.[^3]

[^1]: *Liberty Productions*, 14 FCC Rcd. 7637, 7640 ¶ 6 (OGC 1999).

[^2]: *See Implementation of 309(j) of the Communications Act \--
    Competitive Bidding Commercial Broadcast and Instructional
    Television Fixed Services* (First Report and Order), 13 FCC Rcd
    15920, 15955 ¶ 97 (1998).

[^3]: ^    ?^ *Id*. at 15956 ¶ 98.
Voting Conference, February 23, 2005

Statement of Yvonne Krywyj

Staff Attorney, STB Office of Proceedings

Atlas Van Lines, Inc., et al.--Pooling Agreement

STB Docket No. MC-F-21010

Good morning, Chairman Nober, Vice Chairman Buttrey, and Commissioner
Mulvey.

Atlas Van Lines, Inc., together with Atlas agents that participate in
transportation of household goods of military and civilian personnel
being relocated by the United States Department of Defense (DOD), filed
an application under 49 U.S.C. 14302 for approval of a revised pooling
agreement among Atlas and its pooling agents.

Under 49 U.S.C. 14302 and 49 CFR 1184.3, the Board must determine
whether the proposed pooling agreement is in the interest of better
service to the public and of economy in operation and whether it would
unreasonably restrain competition. Under 49 U.S.C. 14302(c)(4), a
proposed pooling agreement is presumed to satisfy these criteria if the
practices proposed to be carried out are the same as or similar to
practices carried out under agreements previously approved by the ICC
prior to January 1, 1996. The proposed agreement is sufficiently similar
to the current agreement to satisfy presumptively those requirements.
The current agreement, which has been in effect since 1983, precludes
pooling agents from holding authorities allowing transportation of
non-military traffic; the proposed agreement would also limit the use of
such authorities for non-military traffic. Under both agreements,
pooling agents would operate under their own authorities to carry
military traffic and operate under Atlas' authority to carry other
traffic.

We would be happy to answer any questions you might have.
August 26, 2008

Kerry Weems, Acting Administrator

Centers for Medicare and Medicaid Services

Department of Health and Human Services

Room 445-G

Hubert H. Humphrey Building

200 Independence Avenue, S.W.

Washington, D.C. 20201

**Re: Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule and Other Revisions to Part B for CY 2009;
\[CMS-1403-P\]**

Dear Acting Administrator Weems,

I am writing as a practicing obstetrician-gynecologist in Springfield,
MO to comment on the Centers for Medicare and Medicaid Services' (CMS)
proposed rule which would force me to become an Independent Diagnostic
Testing Facility in order to continue providing ob-gyn ultrasound care
to my patients. I strongly oppose this proposal and urge you to
immediately withdraw it.

My practice relies heavily on my ability to use ultrasound to care for
the accurate care of women. I frequently use ultrasound to answer
relevant clinical questions such as whether my pregnant patient has a
placenta previa, has a breech presentation, or to accurately date her
pregnancy in order to identify the gestational age of the pregnancy to
provide the appropriate pregnancy care.

Under this proposal, I may have to hire a radiologist to supervise the
ultrasound I perform in my office, even though my training and expertise
make me very well qualified to provide this care. My extensive OB/GYN
Residency training lasted 4 years and included the use of and
interpretation of Obstetrical & Gynecological ultrasound. The proposed
rules would be a costly, inefficient, and impractical method of
obtaining Obstetrical & Gynecological Ultrasound. My patients would have
added costs and longer waiting times for diagnoses and treatment. There
is absolutely no compelling reason to require Independent Diagnostic
Testing Facility status in order to provide these services in an
efficient and effective manner any more than requiring all exchanges of
money to occur at a bank!

The expense and administrative burden of hiring another physician to do
what I already do would force me to stop providing ultrasound to my
patients, a technology which is essential to obstetrics and gynecology.
Ultrasound gives my patients quick and accurate diagnoses and lets me
care for them with minimally invasive techniques. If I no longer use
ultrasound in my practice, diagnoses will be delayed and patients will
have to come back for another visit so I can review imaging findings and
create a treatment plan. Without imaging, I may have to use more
invasive surgical techniques.

Ultrasound is deeply integrated into the care that I provide my
patients. I operate the equipment myself to make immediate patient
management decisions and to guide minimally invasive diagnostics and
therapeutics. I am thoroughly trained and ultrasound is safe,
non-invasive and relatively inexpensive.

This proposal will not in any way improve quality or decrease costs. I
urge CMS to abandon this proposal.

Sincerely,

David L. Redfern, MD, FACOG

Medical Director, L&D

St. John's Clinic

1234 East Cherokee

Springfield, MO 65804

417-820-7443

<dredfern.md@gmail.com>
**INSTRUCTIONS FOR COMPLETING INVENTORY OF GOVERNMENT QUARTERS**

(REVISED APRIL 4, 2002)

National Business Center Products and Services QMIS Program Office

![](media/image1.png){width="7.418055555555555in" height="9.5in"}

![](media/image2.png){width="7.527777777777778in" height="9.75in"}

![](media/image3.png){width="7.454166666666667in" height="9.375in"}

![](media/image4.png){width="6.875in" height="4.219444444444444in"}

![](media/image5.png){width="7.125in" height="6.467361111111111in"}

![](media/image6.png){width="6.875in" height="6.225694444444445in"}

![](media/image7.png){width="7.050694444444445in" height="8.875in"}

![](media/image8.png){width="7.093055555555556in" height="9.625in"}

![](media/image9.png){width="7.172916666666667in" height="9.25in"}

![](media/image10.png){width="6.96875in" height="8.986805555555556in"}

![](media/image11.png){width="7.020833333333333in" height="8.875in"}

![](media/image12.png){width="6.947916666666667in" height="8.625in"}

![](media/image13.png){width="6.95in" height="8.625in"}

![](media/image14.png){width="5.997222222222222in" height="4.95in"}

![](media/image15.png){width="6.927777777777778in" height="8.625in"}

![](media/image16.png){width="7.020833333333333in" height="9.0in"}

![](media/image17.png){width="7.013194444444444in" height="9.125in"}

![](media/image18.png){width="6.954166666666667in" height="9.125in"}

![](media/image19.png){width="7.002083333333333in" height="9.25in"}

![](media/image20.png){width="6.988194444444445in" height="9.0in"}

![](media/image21.png){width="7.013194444444444in" height="8.875in"}

![](media/image22.png){width="7.093055555555556in" height="9.0in"}

![](media/image23.png){width="6.904861111111111in" height="9.0in"}

![](media/image24.png){width="7.054166666666666in" height="9.125in"}

![](media/image25.png){width="6.972222222222222in" height="9.125in"}

![](media/image26.png){width="7.008333333333334in" height="9.375in"}

![](media/image27.png){width="7.023611111111111in" height="9.25in"}

![](media/image28.png){width="7.000694444444444in" height="9.125in"}

![](media/image29.png){width="7.039583333333334in" height="9.25in"}

![](media/image30.png){width="7.01875in" height="9.125in"}