66284 Federal Register / Vol. 83, No. 246 / Wednesday, December 26, 2018 / Notices 

expression of different proteins from 

whole cell lysates exposed to different 

endocrine disrupting chemical (EDC) 

treatments. Specifically, Respondent: 

• Digitally altered the original image 

to darken the western blot panel for 

COX IV expression in Figure 4b in 

Nature Communications 2017 and 

represented the blot as the expression 

of: 

—pNF-kB p65 Figure 4b in Nature 

Communications 2017 

—NF-kB p65 Figure 4b in Nature 

Communications 2017 

—p50 Figure 4b in Nature 

Communications 2017 

—p105 Figure 4b in Nature 

Communications 2017 

—p100 Figure 4b Nature 

Communications 2017 

• Digitally altered the original image 

by superimposing a darker band over 

the original bands in lanes 2 and 4 of 

the western blot panel for COX IV 

expression in whole cell lysates exposed 

to different endocrine disrupting 

chemical (EDC) treatments in Figure 4b 

in Nature Communications 2017 and 

represented the falsified blot in Figure 

6a in Nature Communications 2017 as 

expression of: 

— P-p65 Figure 6a in Nature 

Communications 2017 

— p50 Figure 6a in Nature 

Communications 2017 

— p105 Figure 6a in Nature 

Communications 2017 

— p52 Figure 6a in Nature 

Communications 2017 

• Reused and relabeled the blot from 

Figure 3d in Cell Stem Cell 22:698–712, 

2018 to falsely represent BiP expression 

under different experimental conditions 

in Figure 3d in Nature Communications 

2017. 

As a result of its inquiry, CSMC 

recommended that Nature 

Communications 2017 be retracted. 

Dr. Rajamani entered into a Voluntary 

Settlement Agreement (Agreement) and 

voluntarily agreed: 

(1) To have her research supervised 

for a period of one (1) year beginning on 

November 27, 2018; Respondent agrees 

that prior to submission of an 

application for U.S. Public Health 

Service (PHS) support for a research 

project on which Respondent’s 

participation is proposed and prior to 

Respondent’s participation in any 

capacity on PHS-supported research, 

Respondent shall ensure that a plan for 

supervision of Respondent’s duties is 

submitted to ORI for approval; the 

supervision plan must be designed to 

ensure the scientific integrity of 

Respondent’s research contribution; 

Respondent agrees that she shall not 

participate in any PHS-supported 

research until such a supervision plan is 

submitted to and approved by ORI; 

Respondent agrees to maintain 

responsibility for compliance with the 

agreed upon supervision plan; 

(2) that for a period of one (1) year 

beginning on November 27, 2018, any 

institution employing her shall submit, 

in conjunction with each application for 

PHS funds, or report, manuscript, or 

abstract involving PHS-supported 

research in which Respondent is 

involved, a certification to ORI that the 

data provided by Respondent are based 

on actual experiments or are otherwise 

legitimately derived and that the data, 

procedures, and methodology are 

accurately reported in the application, 

report, manuscript, or abstract; 

(3) that if no supervisory plan is 

provided to ORI, Respondent will 

provide certification to ORI at the 

conclusion of the supervision period 

that she has not engaged in, applied for, 

or had her name included on any 

application, proposal, or other request 

for PHS funds without prior notification 

to ORI; 

(4) to exclude herself from serving in 

any advisory capacity to PHS including, 

but not limited to, service on any PHS 

advisory committee, board, and/or peer 

review committee, or as a consultant for 

a period of one (1) year beginning on 

November 27, 2018; and 

(5) that as a condition of the 

Agreement, Respondent will request 

that Nature Communications 8(219):1– 

15, 2017 be retracted. 

Wanda K. Jones, 

Interim Director, Office of Research Integrity. 

[FR Doc. 2018–27874 Filed 12–21–18; 8:45 am] 

BILLING CODE 4150–31–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Organization, Functions, and 

Delegations of Authority; Part G; 

Indian Health Service 

Part G, of the Statement of 

Organization, Functions, and 

Delegations of Authority of the 

Department of Health and Human 

Services (HHS), as amended at 70 FR 

24087, May 6, 2005, as amended at 75 

FR 38112, July 1, 2010, and most 

recently as amended at 79 FR 65671, 

November 5, 2014, is hereby amended 

to reflect a reorganization of the Indian 

Health Service (IHS) Headquarters (HQ). 

The IHS proposes a reorganization at 

IHS HQ to strengthen operations and 

oversight responsibilities to ensure 

quality health care by establishing an 

Office of Quality. 

Delete the functional statements for 

the IHS HQ Office of the Director, Office 

of Clinical and Preventive Services, and 

Office of Management Services, and 

replace with the following revised 

statements, which includes a new Office 

of Quality: 

Chapter GA—Office of the Director 

Section GA–10, Indian Health Service— 

Organization 

The IHS is an Operating Division 

within the Department of Health and 

Human Services (HHS) and is under the 

leadership and direction of a Director 

who is directly responsible to the 

Secretary of Health and Human 

Services. The IHS Headquarters is 

proposing to reorganize the following 

major components: Office of the 

Director (GA), Office of Clinical and 

Preventive Services (GAF), Office of 

Management Services (GAL), and the 

Office of Quality (OQ). 

Section GA–20, Indian Health Service— 

Functions 

Office of the Director (OD) (GA) 

Provides overall direction and 

leadership for the IHS: (1) Establishes 

goals and objectives for the IHS 

consistent with the mission of the IHS 

and ensures agency performance is 

managed through goals/objectives, 

achievements, and/or improved 

outcomes; (2) provides for the full 

participation of Indian tribes in the 

programs and services provided by the 

Federal Government; (3) develops 

health care policy; (4) ensures the 

delivery of quality comprehensive 

health services; (5) advocates for the 

health needs and concerns of American 

Indians/Alaska Natives (AI/AN); (6) 

promotes the IHS programs at the local, 

state, national, and international levels; 

(7) develops and demonstrates 

alternative methods and techniques of 

health services management and 

delivery with maximum participation 

by Indian tribes and Indian 

organizations; (8) supports the 

development of individual and tribal 

capacities to participate in Indian health 

programs through means and modalities 

that they deem appropriate to their 

needs and circumstances; (9) the IHS 

will carry out the responsibilities of the 

United States to Indian tribes and 

individual Indians; (10) affords Indian 

people an opportunity to enter a career 

in the IHS by applying Indian 

preference; (11) ensures full application 

of the principles of Equal Employment 

Opportunity laws and the Civil Rights 

Act in managing the human resources of 


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the IHS; and (12) participates in crosscutting issues and processes, including 

but not limited to, emergency 

preparedness/security, quality 

assurance, internal controls, 

recruitment, budget formulation, selfdetermination issues, and resolution of 

audit findings as may be needed and 

appropriate. 

Congressional and Legislative Affairs 

Staff (CLAS) (GA1) 

(1) Serves as the principal advisor to 

the IHS Director on all legislative and 

congressional relations matters; (2) 

advises the IHS Director and other IHS 

officials on the need for changes in 

legislation and manages the 

development of IHS legislative 

initiatives; (3) serves as the IHS liaison 

office for congressional and legislative 

affairs with Congressional offices, the 

HHS, the Office of Management and 

Budget (OMB), the White House, and 

other federal agencies; (4) tracks all 

major legislative proposals in the 

Congress that would impact Indian 

health; (5) ensures that the IHS Director 

and appropriate IHS and HHS officials 

are briefed on the potential impact of 

proposed legislation; (6) develops 

legislative strategy for key policy and 

legislative initiatives; (7) provides 

technical assistance and advice relative 

to the effect that initiatives/ 

implementation would have on the IHS; 

(9) provides support and collaborates 

with the Office of Finance and 

Accounting relative to IHS 

appropriations efforts; (10) directs the 

development of IHS briefing materials 

for congressional hearings, testimony, 

and bill reports; (11) analyzes legislation 

for necessary action within the IHS; (12) 

develops appropriate legislative 

implementation plans; (13) serves as the 

IHS liaison office to the Government 

Accountability Office (GAO) and Office 

of Inspector General (OIG); (14) except 

for personnel matters, coordinates the 

development, clearance, and transmittal 

of IHS responses and follow-up to 

reports issued by the OIG, the GAO, and 

other federal internal and external 

authorities; and (15) coordinates with 

IHS HQ and Area Offices as appropriate 

to provide leadership, advocacy, and 

technical support to respond to requests 

from the public, including tribal 

governments, tribal organizations, and 

Indian community organizations 

regarding IHS legislative issues. 

Executive Secretariat Staff (ESS) (GA2) 

(1) Manages the processing of 

executive correspondence and related 

information to the IHS Director from 

tribes and tribal governments, tribal 

organizations, and Urban Indian 

organizations, federal departments and 

agencies, Congress and congressional 

staff offices, attorneys, patients, schools, 

universities, employees, grantees, 

contractors, and the general public; (2) 

reviews and monitors correspondence 

received by the IHS Director and assigns 

reply or follow-up action to appropriate 

IHS HQ program offices and IHS Area 

Offices; (3) ensures the quality 

(responsiveness, clarity, and substance) 

of IHS-generated correspondence 

prepared for the IHS Director’s signature 

by coordinating the review of integrity 

and policy issues, and performing 

standard edits and revisions; (4) reviews 

and coordinates clearance of decision 

documents for the IHS Director’s 

approval to ensure successful operations 

and policy-making within the agency; 

(5) assists IHS officials as they prepare 

documents for the HHS Secretary’s 

review, decision, and/or signature; (6) 

serves as the agency’s liaison with the 

HHS Office of the Secretary’s Executive 

Secretariat on IHS program, policy, and 

special matters; (7) performs special 

writing assignments for the IHS 

Director; (8) maintains official records of 

the IHS Director’s correspondence and 

conducts topic research of files, as 

needed; (9) oversees an electronic 

document handling system to assist in 

managing the timely processing of 

internal and external executive 

correspondence; (10) conducts training 

to promote conformance by IHS HQ and 

Area staff to the IHS Executive 

Correspondence Guidelines; (11) tracks 

reports required by Congress; and (12) 

manages the IHS review of non-IHS 

regulatory documents that impact the 

delivery of health services to Indians. 

Diversity Management and Equal 

Employment Opportunity Staff 

(DMEEOS) (GA3) 

(1) Administers the IHS equal 

employment opportunity, civil rights, 

and affirmative action and Alternative 

Dispute Resolution programs, in 

accordance with applicable laws, 

regulations, and HHS policies; (2) plans 

and oversees the implementation of IHS 

affirmative employment and special 

emphasis programs; (3) reviews data 

and advises IHS managers of possible 

discriminatory trends; (4) ensures 

immediate implementation of required 

actions on complaints of alleged sexual 

harassment or discrimination; (5) 

decides on accepting, for investigation, 

or dismissing discrimination complaints 

and evaluates accepted complaints for 

procedural sufficiency and investigates 

and resolves complaints; (6) evaluates 

accepted formal complaints of 

discrimination for procedural 

sufficiency and adjudicates and resolves 

complaints; and (7) develops/ 

administers equal employment 

opportunity education and training 

programs for IHS managers, supervisors, 

counselors, and employees. 

Public Affairs Staff (PAS) (GA4) 

(1) Serves as the principal advisor for 

strategic planning on communications, 

media relations, and public affairs 

policy formulation and implementation; 

(2) ensures IHS policy is consistent with 

directives from the HHS Assistant 

Secretary for Public Affairs; (3) provides 

leadership and advocacy to establish 

and implement policy for internal and 

external dissemination of agency 

information intended for public release 

or employee and stakeholder 

information; (4) serves as the central 

office for technical guidance and 

assistance to IHS staff for the 

development of public affairs and media 

communication; (5) coordinates public 

affairs activities with other public and 

private sector organizations; (6) 

coordinates the clearance of IHS public 

relations activities, campaigns, and 

communications materials; (7) 

represents the IHS in discussions 

regarding policy and public affairs 

initiatives/implementation; (8) provides 

technical assistance and advice relative 

to the effect public affairs initiatives/ 

implementation would have on the IHS; 

(9) collaborates with the Division of 

Regulatory and Policy Coordination, for 

review and response to media requests 

received under the Freedom of 

Information Act (FOIA) or the Privacy 

Act, and ensures the security of IHS 

documents used in such responses that 

contain sensitive and/or confidential 

information; and (10) serves as the IHS 

liaison office for press and public affairs 

activities with HHS, IHS Area Offices, 

media and other external organizations 

and representatives. 

Office of Clinical and Preventive 

Services (OCPS) (GAF) 

(1) Advises the IHS Director and Chief 

Medical Officer on clinical, preventive, 

and public health programs for the IHS, 

Area Offices, and Service Units; (2) 

serves as the primary source of national 

advocacy, policy development, budget 

development and allocation for these 

programs; (3) provides leadership in 

articulating the clinical, preventive, and 

public health needs of AI/AN, including 

consultation and technical support to 

clinical and public health programs and 

coordination with the Office of Quality 

to ensure quality standards are met for 

all clinical, preventive and public 

health programs; (4) develops, manages, 

and administers program functions that 

include, but are not limited to, oral 


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health, medicine, telehealth, alcohol 

and substance use prevention and 

treatment, mental health, suicide 

prevention, domestic and sexual 

violence, behavioral health integration, 

Youth Regional Treatment Centers, 

dental services, forensic nursing 

services, medical services, Health 

Promotion/Disease Prevention, 

pharmacy and pharmaceutical 

acquisition, community health 

representatives (CHRs), emergency 

medical services, health records, 

disabilities, Human Immunodeficiency 

Virus/Acquired Immune Deficiency 

Syndrome (HIV/AIDS), maternal health, 

child health, clinical nursing, public 

health nursing, men’s health, women’s 

health, nutrition and dietetics, elder 

care, cancer prevention and treatment; 

and chronic diseases such as diabetes, 

asthma, hypertension, and obesity; (5) 

leads and coordinates tribal 

consultation and urban Indian confer 

sessions for clinical and preventive 

health topics, funding, and other 

priority areas; (6) investigates service 

delivery and community prevention 

evidence-based and best practice 

models for dissemination to community 

service locations; (7) expands the 

availability of resources available for AI/ 

AN health by working with public and 

private entities as well as federal 

agencies within and outside the HHS; 

(8) coordinates development of staffing 

requirements for new or replacement 

health care facilities and approves 

Congressional budget requests for 

staffing, in collaboration with the Office 

of Environmental Health and 

Engineering; (9) provides clinical 

oversight and direction for the health 

facilities planning process; (10) 

develops and coordinates various grant 

programs; (11) provides the national 

focus for recruitment and retention of 

health professionals and coordinates 

with the scholarship and loan 

repayment programs; (12) works with 

the Purchased/Referred Care (PRC) 

program on PRC denial appeals to the 

IHS Director and in determining PRC 

medical priorities; (13) works with the 

Office of Human Resources in managing 

the clinical aspects of the IHS workers’ 

compensation claims; (14) monitors 

approximately one-half of the IHS’s 

Government Performance and Results 

Act (GPRA) indicators, overseeing 

indicator development, data collection, 

and reporting results; (15) responds to 

tribal, Departmental, and Congressional 

inquiries; and (16) participates in crosscutting issues and processes, including 

but not limited to, emergency 

preparedness/security, quality 

assurance, internal controls, 

recruitment, budget formulation, selfdetermination issues, and resolution of 

audit findings as may be needed and 

appropriate. 

Division of Behavioral Health (DBH) 

(GAFA) 

(1) Manages, develops, and 

coordinates comprehensive clinical, 

preventive, and community-based 

programs for mental health, social work, 

and alcohol and substance abuse 

focused on: Prevention, treatment, 

training, technical assistance, 

evaluation, quality improvement, data 

collection, trauma informed care, Native 

youth programming, recovery services, 

suicide prevention, tele-behavioral 

health, behavioral health integration, 

Youth Regional Treatment Centers; (2) 

provides, develops, and implements IHS 

guidelines, standards, policies, and 

procedures for professional and program 

standards related to behavioral health 

services, including maintenance of 

existing or development of new relevant 

chapters in the Indian Health Manual; 

(3) monitors, measures, and evaluates 

the quality of behavioral health 

programs to improve the effectiveness 

and efficacy of behavioral health 

programs including the development of 

behavioral health budget materials for 

resource management, program data 

collection, behavioral health-related 

GPRA measures, administrative system 

integrity and accountability; (4) 

coordinates behavioral health 

professional staff recruitment and 

training needs by serving as a subject 

matter expert for the American Indians 

into Psychology, scholarship, and loan 

repayment assignments to meet Area 

Office, Service Unit, and tribal health 

professional human resource needs; (5) 

develops and monitors behavioral 

health contracts and grants with IHS 

programs and other entities, in 

collaboration with the Division of 

Acquisition Policy and the Division of 

Grants Management; (6) develops and 

disseminates IHS behavioral health 

program information and materials to 

IHS facilities and to tribes and Urban 

Indian organizations including the 

dissemination of culturally appropriate 

and traditional best practices in 

behavioral health; (7) leads and 

coordinates the National Tribal 

Advisory Committee on Behavioral 

Health; (8) partners with tribes and 

urban Indian organizations on the 

evaluation of health outcomes of 

clinical and community behavioral 

health services; (9) develops, 

coordinates, and maintains public and 

private professional partnerships with 

philanthropies, universities, 

community-based, and faith-based 

organizations to promote training, 

resources, and technical assistance to 

expand, leverage, increase access to, and 

coordinate behavioral health resources 

and services outside of the typical 

health care setting; (10) manages the 

operation of direct behavioral health 

services provided through the TeleBehavioral Health Center of Excellence; 

(11) provides continuing education for 

behavioral health providers, nurses, 

pharmacists, physicians, and other 

health care providers and 

paraprofessionals on current and 

pressing behavioral health clinical 

issues; and (12) provides financial 

resources and programmatic oversight 

for complying with the Americans With 

Disabilities Act through programs such 

as the Indian Children’s Program that 

focus on autism spectrum disorders, 

fetal alcohol spectrum disorders, and 

other neurobiological disorders. 

Division of Clinical and Community 

Services (DCCS) (GAFB) 

(1) Manages, develops, and 

coordinates comprehensive clinical, 

preventive, and community-based 

programs using a public health 

approach focused on: Medicine, 

pharmacy and pharmaceutical 

acquisition, emergency medical 

services, CHRs, men’s health, maternal 

and child health, cancer prevention, 

elder health, hepatitis C prevention and 

surveillance, medicine, HIV/AIDS, 

health records, health education, health 

promotion, and disease prevention; (2) 

develops objectives, priorities, and 

methodologies to conduct and evaluate 

clinical, preventive, and communitybased programs; (3) coordinates the 

analysis and implementation of 

approaches for recognizing and 

supporting traditional medicine and 

cultural practices in the health of all AI/ 

AN; (4) serves as the IHS HQ liaison for 

the IHS Chief Clinical Consultants; (5) 

serves as the agency’s liaison and 

coordinating role for the American 

College of Obstetrics & Gynecology and 

Association of American Indian 

Physicians contracts; (6) manages the 

Veterans Affairs Pharmaceutical Prime 

Vendor Contract and IHS National Core 

Formulary; (7) manages the pharmacy 

residency program; (8) develops 

program budget materials for resource 

management, program data collection, 

clinical and community health-related 

GPRA measures, administrative system 

integrity and accountability; (9) applies 

identified profession and program 

standards for clinical, preventive, and 

community health services, including 

relevant chapters in the Indian Health 

Manual; (10) disseminates culturally 

appropriate clinical and community 


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health best practices, including 

traditional medicine and cultural 

healing and disseminates this 

information among clinical, medical, 

and community health program 

directors, division staff, Area staff, and 

other agencies and institutions; and (11) 

manages virtual and in-person training 

for CHRs to ensure that basic training 

requirements are met for new CHRs, 

refresher training is available, and 

continuing education is provided 

regularly. 

Division of Nursing Services (DNS) 

(GAFC) 

(1) Plans, develops, coordinates, 

evaluates, manages and advocates for 

administrative, clinical, and public 

health nursing services focused on acute 

care, ambulatory care, breastfeeding, 

prevention, forensic nursing, elder care, 

infectious disease control and care, 

immunizations, and adolescent and 

prenatal care in AI/AN communities; (2) 

develops objectives, priorities, and 

methodologies for the conduct and 

evaluation of clinical, preventive, and 

public health nursing programs; (3) 

provides, develops, and implements IHS 

guidelines, standards, policies, and 

procedures related to nursing, including 

relevant chapters in the Indian Health 

Manual; (4) provides nursing staff with 

advanced education opportunities in the 

field of nursing in exchange for payback 

service obligations; (5) provides funding 

for nursing programs where junior level 

commissioned officers with IHS and 

tribal programs gain experience in 

nursing; (6) provides specialized 

training opportunities for specialized 

nursing experience in critical nursing 

shortage areas such as obstetrics, 

intensive care, and the operating room; 

(7) coordinates professional nursing 

staff recruitment and training needs, 

and loan repayment and scholarship 

recipient assignments and development 

to meet Area Office, Service Unit, and 

tribal health professional human 

resource needs; (8) develops program 

budget materials for resource 

management, program data collection, 

administrative system integrity and 

accountability; and (9) coordinates 

nursing quality improvement and other 

nurse-led initiatives on behalf of the 

agency, such as Relationship-Based Care 

and Baby-Friendly Hospitals. 

Division of Oral Health (DOH) (GAFD) 

(1) Develops broad-based objectives, 

priorities, and methodologies to 

evaluate dental health programs; (2) 

monitors personnel orders for 

appointments and transfers; (3) 

processes special pay and retention 

bonus contracts; (4) disseminates 

information to IHS, tribal, and urban (I/ 

T/U) dental programs on issues of 

importance, emerging technologies, 

standards of care, clinical best or 

promising practices; (5) provides an 

annual budget narrative and funding 

justification; (6) responds to 

Department, tribal, and other inquiries 

as required; (7) develops long-term 

training opportunities to help fill 

critical dental specialty needs; (8) 

maintains a continuing dental education 

program to relay oral health standards of 

care, educate I/T/U dental staff, and 

retain a high quality oral health 

workforce; (9) provides recruitment 

information, including available 

positions, for I/T/U dental programs; 

(10) oversees an externship program to 

expose dental students to I/T/U dental 

programs; (11) works with IHS Loan 

Repayment, Human Resources, and 

Commissioned Corps to promote loan 

repayment, special pays, etc., to help 

recruit a competent, qualified oral 

health workforce; (12) utilizes existing 

workforce models, including alternative 

dental workforce models, to provide 

maximum, effective, and quality oral 

health care to AI/AN; (13) monitors 

clinical productivity, efficiency, and 

effectiveness of dental programs; (14) 

establishes standards for staffing ratios, 

productivity, and efficiency of dental 

programs; (15) maintains a centralized 

database of dental productivity and 

efficiency data; (16) develops and 

incorporates public health clinical 

standards of care and publishes clinical 

guidelines to support I/T/U programs; 

(17) promotes quality improvement 

through continuing education of 

providers on clinical best practices, 

incorporation of various quality models, 

and continuous evaluation of program 

quality, efficiency, and effectiveness; 

(18) communicates with internal and 

external stakeholders to provide 

information on oral health; (19) fosters 

collaborations with non-dental partners 

to improve the oral health of AI/AN; 

(20) serves as a liaison for oral health 

issues with other federal agencies; (21) 

develops resource opportunities to 

promote disease prevention programs; 

(22) evaluates programs on communitybased services and oral health 

promotion/disease prevention; (23) 

promotes quality assurance/ 

improvement principles in improving 

the delivery of oral health services in 

programs; (24) oversees clinical and 

preventive support centers that aid in 

management of oral health promotion/ 

disease prevention programs; (25) 

monitors the prevalence and burden of 

dental disease in AI/AN; (26) educates 

internal and external stakeholders on 

disease prevalence and disparities and 

develops strategies for improvement; 

and (27) supports clinical research and 

demonstration projects designed to 

identify and promote evidence-based 

best practices. 

Division of Diabetes Treatment and 

Prevention (DDTP) (GAFE) 

(1) Plans, manages, coordinates, and 

evaluates a comprehensive clinical and 

community program focusing on type 2 

diabetes in AI/AN communities and 

other related chronic conditions; (2) 

plans, manages, develops, coordinates, 

and evaluates the Congressionallymandated Special Diabetes Program for 

Indians (SDPI), a large grant program 

focused on the prevention and treatment 

of diabetes; (3) coordinates requirements 

for and monitors program performance 

related to contracts and grants with IHS, 

tribal, Urban Indian organizations and 

other entities; (4) develops objectives, 

priorities and methodologies for the 

conduct of clinical and community 

diabetes programs; (5) monitors, 

evaluates, and provides consultation to 

clinical and community diabetes grant 

programs and other new initiatives; (6) 

provides leadership, professional 

guidance, and staff development to Area 

Diabetes Consultants and IHS, tribal, 

Urban diabetes program providers; (7) 

provides virtual and in-person trainings 

on diabetes clinical care, nutrition 

education, SDPI program management, 

and other topics; (8) develops and 

implements IHS standards of care and 

clinical guidelines, policies, and 

procedures for diabetes and diabetesrelated conditions; (9) conducts an 

annual collection and assessment of 

clinical process and outcomes data for 

diabetes and diabetes-related 

conditions; (10) develops and 

disseminates diabetes-related 

information and materials to I/T/U 

facilities; (11) coordinates the Tribal 

Leaders Diabetes Committee; (12) 

provides annual estimates of diabetes 

prevalence; (13) provides national 

nutrition and tele-ophthalmology 

consultation, training, and 

programming; (14) coordinates and 

oversees the Healthy Lifestyles for 

Youth cooperative agreement which 

funds grants to provide the Together 

Raising Awareness for Indian Life 

obesity prevention program at Boys & 

Girls Clubs in Indian Country; and (15) 

is responsible for preparing budgetary 

data, analysis and program evaluations 

for budget presentations and 

congressional hearings. 


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Office of Management Services (OMS) 

(GAL) 

(1) Advises the IHS Director on all 

aspects of the management of grants, 

acquisitions, records management, 

personal property, supply, and the 

regulations program and provides 

agency-wide guidance and support for 

these programs; (2) formulates, 

administers, and coordinates the review 

and analysis of IHS-wide policies, 

delegations of authority, and 

organizations and functions 

development; (3) develops and oversees 

the implementation of policies, 

procedures and delegations of authority 

for IHS grants management activities, 

including grants added to selfgovernance compacts; (4) ensures that 

IHS policies and practices for the 

administrative functions identified 

above are consistent with applicable 

regulations, directives and guidance 

from higher echelons in the HHS and 

other federal oversight agencies; (5) 

advises the IHS Director on regulatory 

issues related to the IHS; (6) provides 

overall coordination and leadership for 

policies, services, including the 

continuity of operations plans, 

deployment, and public health 

infrastructure for the IHS HQ emergency 

preparedness plans consistent with 

those of the Department of Homeland 

Security and the HHS, addressing the 

IHS mission critical elements of 

emergency plans; (7) provides 

leadership and direction of activities for 

continuous improvement of 

management accountability and 

administrative systems for effective and 

efficient program support services IHSwide; (8) ensures the accountability and 

integrity of grants and acquisition 

management, records management, 

personal property utilization and 

disposition of IHS resources; (9) assures 

that the IHS OMS services, policies, 

procedures, and practices support IHS 

Indian Self-Determination Act policies; 

(10) oversees and coordinates the 

annual development and submission of 

the agency’s federal Activities Inventory 

Reform Act report to the HHS; and (11) 

participates in cross-cutting issues and 

processes, including but not limited to, 

emergency preparedness/security, 

quality assurance, internal controls, 

recruitment, budget formulation, selfdetermination issues, and resolution of 

audit findings as may be needed and 

appropriate. 

Division of Asset Management (DAM) 

(GALA) 

(1) Plans, develops, and administers 

the IHS personal property and supply 

management program in conformance 

with federal personal property 

management laws, regulations, policies, 

procedures, practices, and standards; (2) 

interprets regulations and provides 

advice on execution and coordination of 

personal property and supply 

management policies and programs; (3) 

administers management systems and 

methods for planning, utilizing, and 

reporting on personal property and 

supply programs, including the precious 

metals recovery program and IHS 

personal property and supply 

accountability and control systems; (4) 

provides guidance and serves as 

principal administrative authority for 

IHS on federal personal property and 

supply management laws, regulations, 

policies, procedures, practices, and 

standards; (5) conducts surveys and 

studies involving evaluation and 

analysis of the personal property and 

supply management activities IHS-wide; 

(6) maintains liaison with the HHS and 

the General Services Administration 

(GSA) on personal property and supply 

management issues and programs 

affecting the IHS; (7) plans, develops 

and administers the IHS Fleet 

Management Program; (8) prepares 

reports on IHS personal property and 

supply management activities; and (9) 

administers the local HQ personal 

property management program to 

include receiving, tagging, storage and 

disposal in addition to conducting the 

annual inventory for all HQ locations. 

Division of Administrative and 

Emergency Services (DAES) (GALB) 

(1) Administers physical security, 

facility management, space management 

services, parking management, 

including the employee transit subsidy 

program, the IHS mail and commercial 

printing programs, and Homeland 

Security Presidential Directive 12 

(HSPD–12) badge issuance for HQ; (2) 

coordinates with OIT to provide 

telecommunication services to HQ; (3) 

serves as liaison with HHS and the GSA 

on logistics issues affecting the IHS; (4) 

provides guidance and oversight to the 

IHS on the control and safeguard of 

classified national security information; 

(5) plans, develops and administers the 

IHS-wide HSPD–12 program to include 

providing leadership on the Physical 

Access Control Systems, and the 

Physical Security Program; (6) provides 

special transportation and security; (7) 

provides overall coordination and 

leadership for the IHS HQ emergency 

preparedness plans consistent with 

those of the Department of Homeland 

Security and the HHS, addressing the 

IHS mission critical elements of 

emergency plans; (8) provides 

leadership for the development of 

emergency preparedness plans, policies, 

and services, including the continuity of 

operations plans, deployment, and 

public health infrastructure; (9) 

coordinates IHS HQ with the IHS Area 

Offices activities and available resources 

of other government and nongovernment programs for essential 

services related to homeland security 

and emergency preparedness; (10) 

coordinates periodic national 

emergency preparedness exercises with 

the HHS and Area Offices; (11) 

maintains and administers the HQ 

emergency preparedness equipment 

including the office-site and alternative 

locations; (12) advocates for the 

emergency preparedness needs and 

concerns of AI/AN and promotes these 

program activities at the local, state, 

national, and international levels; (13) 

serves as an information gathering and 

dissemination point for local and 

national emergency preparedness 

information including situational 

awareness; (14) distributes key 

information to IHS locations on a 

routine and as-needed basis including 

federal agencies/partners; (15) provides 

leadership and guidance for the IHS 

Forms Management Program; and (16) 

provides leadership and coordination in 

the planning, development, operation, 

oversight, and evaluation of special 

office support projects for office 

relocations, and inter-and intra-agency 

activities. 

Division of Acquisition Policy (DAP) 

(GALC) 

(1) Develops, recommends, and 

oversees the implementation of policies, 

procedures and delegations of authority 

for the acquisition management 

activities in the IHS, consistent with 

applicable regulations, directives, and 

guidance from higher echelons in the 

HHS and federal oversight agencies; (2) 

advises the OMS Director, Deputy 

Director for Management Operations, 

and other senior staff of proposed 

legislation, regulations, and directives 

that affect contracting in the IHS; (3) 

provides leadership for compliance 

reviews of all IHS acquisition operations 

and oversees completion of necessary 

corrective actions; (4) administers the 

agency conference management policy; 

(5) manages for the agency, the HHS 

acquisition training and certification 

program; (6) supports and maintains the 

IHS Contract Information System and 

controls entry of data into the HHS 

Contract Information System; (7) serves 

as the IHS contact point for contract 

protests and the HHS contact for 

contract-related issues; (8) reviews and 

makes recommendations for approval/ 

disapproval of contract-related 


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documents such as: Pre- and post-award 

documents, unauthorized commitments, 

procurement planning documents, 

Justification for Other Than Full and 

Open Competition waivers, deviations, 

and determinations and findings that 

require action by the agency Head of the 

Contracting Activity, or the Office of the 

Secretary; (9) processes unsolicited 

proposals for the IHS; (10) coordinates 

the IHS Small Business programs; (11) 

oversees compliance with the Buy 

Indian Act; and (12) manages the 

processing of Inter- and Intra-agency 

agreements as well as Memoranda of 

Understanding. 

Division of Grants Management (DGM) 

(GALD) 

(1) Directs grants management and 

operations for the IHS; (2) authorizes, 

awards and administers discretionary 

grants and cooperative agreements for 

IHS financial assistance programs; (3) 

provides guidance for the resolution of 

audit findings for grant programs; (4) 

manages for the agency, the HHS grants 

training and certification program; (5) 

continuously assesses grants operations; 

(6) oversees implementation of 

corrective action plans for those entity 

recipients (grantees) receiving IHS 

discretionary grant support; (7) reviews 

and makes recommendations for 

improvements in grantee and potential 

grantee management systems; (8) serves 

as the IHS liaison to the HHS and the 

public for discretionary grants and 

cooperative agreements authorized by 

the IHS; (9) maintains the Catalog of 

Federal Domestic Assistance for IHS 

financial assistance programs; (10) 

provides guidance and limited, 

technical, grants-related training and 

assistance for IHS staff, grantees, and 

applicants; (11) coordinates payment to 

scholarship recipients; (12) serves as 

liaison to the Centers for Excellence 

(grant award system) and controls data 

entry into the grant award system; and 

(13) maintains the official, electronic 

grant files for funded grants. 

Division of Regulatory and Policy 

Coordination (DRPC) (GALE) 

(1) Manages the IHS’ overall 

regulations program and 

responsibilities, including determining 

the need for and developing plans for 

changes in regulations, developing or 

assuring the development of needed 

regulations, and maintaining the various 

regulatory planning processes; (2) serves 

as IHS liaison with the Office of the 

Federal Register (FR) on matters relating 

to the submission and clearance of 

documents for publication in the FR; (3) 

assures proper agency clearance and 

processing of FR documents; (4) informs 

management and program officials of 

regulatory activities of other federal 

agencies; (5) advises the OMS Director 

on such matters as regulations, related 

policy issues, and administrative 

support issues; (6) manages the retrieval 

and transmittal of information in 

response to requests received under the 

FOIA, Privacy Act, the Health Insurance 

Portability and Accountability Act 

(HIPAA) and the Health Information 

Technology for Economic and Clinical 

Health (HITECH) Act, in collaboration 

with the Public Affairs Staff; (7) ensures 

the security of sensitive and/or 

confidential information when 

responding to FOIA, Privacy Act, 

HIPAA, and HITECH Act issues; (8) 

advises the IHS Director regarding 

requests for IHS employees to serve as 

expert witnesses when IHS is not a 

party to the suit; (9) provides leadership 

and guidance for the IHS Records 

Management Program; (10) develops 

and recommends policies and 

procedures for the protection and 

disposition of IHS records and oversees 

the evaluation of records management 

activities in the IHS; (11) develops and 

implements a management control 

system for evaluation of records 

management functions IHS-wide; (12) 

maintains and updates various 

regulatory agendas; (13) manages, 

administers, implements and monitors 

the IHS’s Paperwork Reduction Act and 

OMB information collection/activities; 

(14) provides guidance and technical 

assistance to IHS regarding information 

collection requirements and procedures 

for obtaining OMB approvals and 

extensions for IHS information 

collections; (15) coordinates the 

implementation and the application of 

Privacy Act, HIPAA, and HITECH Act 

requirements, including but not limited 

to HIPAA and HITECH Act compliance; 

(16) formulates, administers, and 

supports IHS-wide policies, delegations 

of authority, and organizations and 

functions development; (17) provides 

leadership, on behalf of the IHS 

Director, to functional area managers at 

IHS HQ in developing, modifying, and 

overseeing the implementation of IHS 

policies and procedures; (18) provides 

analysis, advisory, and assistance 

services to IHS managers and staff for 

the development, clearance, and filing 

of IHS directives and delegations of 

authority; and (19) serves as principal 

advisor and source for technical 

assistance for establishment or 

modification of organizational 

infrastructures, functions, and Standard 

Administrative Code configurations. 

Office of Quality (OQ) (GAP) 

(1) Advises the IHS Director on all 

aspects of assuring quality health care 

and develops and implements a 

strategic quality framework, integrating 

feedback and inputs from various levels 

of the organization and Tribal/Urban 

Indian organization partners; (2) 

oversees accreditation readiness 

activities and compliance with 

accreditation requirements for all IHS 

Direct Service facilities, to include 

periodic mock surveys and formal 

accreditation surveys; (3) conducts 

training and informational activities that 

promote skills development in quality 

improvement, quality assurance, and 

performance improvement; (4) routinely 

assesses and reports on patient 

satisfaction and experience using 

standardized survey instruments and 

processes, and facilitates improvement 

activities based on survey results; (5) 

coordinates and organizes participation 

of IHS facilities and staff in interagency 

quality improvement activities; (6) 

develops and monitors quality 

improvement and assurance metrics for 

health care delivery processes and 

outcomes, and advises other IHS Offices 

on quality improvement methods to 

improve support and outcomes of IHS 

administrative functions and processes; 

(7) develops programs to assess, 

address, and continuously improve 

systems and processes to improve 

health care quality, promote sustained 

compliance with relevant federal 

regulations and accreditation and 

professional standards, reduce and 

improve patient wait times and patient 

experience of care in all related health 

care settings; (8) consults on and 

provides guidance for standardization of 

health care delivery policies and 

protocols; (9) develops programs which 

promote patient safety management and 

reporting systems and processes, 

sentinel event investigations/root cause 

analysis, and clinical risk management; 

(10) supports credentialing of licensed 

independent practitioners via 

standardized methods and a uniform 

system; (11) supports patient-centered 

care processes, engagement of patients 

as partners in care, and patient 

activation through self-management 

support and involvement in service 

delivery improvements; (12) oversees 

and coordinates across IHS to establish 

and communicate IHS’s Enterprise Risk 

Management (ERM) vision, culture, 

strategy, and framework; (13) oversees 

and coordinates the agency’s efforts to 

establish and maintain proper internal 

controls and ensures that requirements 

are met under OMB Circular A–123; (14) 

facilitates enterprise-wide, integrated 


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and comprehensive assessments across 

IHS’s risk portfolio including leading 

the development of the agency’s risk 

profile and guiding management’s 

prioritization of risks across the agency; 

and (15) participates in cross-cutting 

issues and processes, including but not 

limited to, emergency preparedness/ 

security, quality assurance, recruitment, 

budget formulation, self-determination 

issues, and resolution of audit findings 

as may be needed and appropriate. 

Division of Quality Assurance (DQA) 

(GAPA) 

(1) Develops and implements 

programs to promote sustained 

compliance with relevant federal 

regulations and accreditation and 

professional standards: Manages and 

coordinates mock surveys, promotes 

accreditation services coordination, 

provides accreditation resource 

management, provides survey corrective 

action plan development assistance and 

coordination, manages accreditation and 

certification survey reports, promotes 

multidisciplinary integration of survey 

readiness support activities, supports 

and promotes patient-centered care 

including Patient and Family 

Engagement, and promotes unification 

of Area Quality Managers and Service 

Unit Quality Assurance and 

Performance Improvement Officers; and 

(2) develops and implements programs 

to manage credentialing standards and 

policy, acquires and maintains 

centralized credentialing software 

system, promotes unification of 

credentialing officers/prime source 

verification officers, and promotes 

standardized training and support 

resources for credentialing officers. 

Division of Patient Safety and Clinical 

Risk Management (DPSCRM) (GAPB) 

(1) Develops and implements 

programs to promote patient safety 

including: Promoting a culture of safety, 

providing education, training and 

application, establishing and monitoring 

systems and metrics related to adverse 

events, establishing policy and 

guidelines to reduce adverse events, 

reducing all types of hospital acquired 

conditions through technological 

innovation, attention to detail, and 

implementation of high reliability 

science, and reduce avoidable hospital 

readmissions through enhanced 

transition-of-care planning and 

coordination, communication with 

primary care, and management of 

community-based resource delivery; (2) 

develops and implements programs to 

employ strategies that reduce the 

possibility of a specific loss, 

systematically gathers and utilizes data, 

implements proactive and reactive 

components to prevent losses and 

mitigates impact of losses, implements 

strategies to reduce the risk of harm to 

patients, liability exposure of health 

care providers, and financial loss to the 

IHS; and (3) develops and implements 

programs to perform incident 

identification and reporting, identifies 

and addresses potential tort claims, 

sequestering medical records, and 

investigation of medical adverse events, 

reviews patient grievances concerning 

quality of care, performs sentinel event/ 

root cause analysis review and 

documentation, analyzes methods for 

dismissal of patients from care, reviews 

outside requests for medical records, 

responds to inquiries from 

governmental agencies, media, and 

advocacy groups, promotes compliance 

with regulatory, accreditation, and 

contractual agreements, examining 

issues related to determination of 

standards of care, represents IHS when 

claims are presented for review by the 

Malpractice Claims Review Panel 

chartered by the HHS, maintains case 

files and a malpractice claims database, 

provides case summaries, peer review, 

outcome information, and feedback of 

risk management recommendations, 

disseminates information about the 

review process, responds to outside 

organizations requesting tort claiminvolvement histories on former 

employees, assists providers with 

Malpractice Claims Review Panel, and 

submits payment reports to the National 

Practitioner Data Bank. 

Division of Innovation and 

Improvement (DII) (GAPC) 

(1) Develops and implements 

programs to increase quality 

improvement capacity in the Indian 

health system including training health 

care staff and support team members in 

the Model for Improvement to rapidly 

test small scale changes at the local 

level for improvement in clinical 

processes to improve patient outcomes, 

experience of care, and resource 

utilization, builds capability in all staff 

to support improvement and ensure that 

patients, families, providers and care 

team members are involved in quality 

improvement activities, establishes and 

monitors metrics to evaluate 

improvement efforts and outcomes and 

ensures all staff members understand 

the metrics for success, optimizes use of 

health information technology and data 

to continuously improve performance, 

quality and service (Resource and 

Patient Management System and iCare), 

and improves patient and staff 

satisfaction with health care service 

delivery; (2) leads change management 

for practice transformation to embrace 

new models of care delivery and to 

enhance efficiency of the care delivery 

process, develops and implements 

programs to promote the 

implementation of the patient-centered 

medical home model of care including: 

Increase patient empanelment to 

facilitate care management and 

population health, promotes continuous 

and team-based healing relationships in 

which roles are well defined and tasks 

are distributed among multidisciplinary 

care team members to reflect the skills, 

abilities and credentials of the 

individual team members, fosters 

patient-centered interactions through 

expanded patient roles in decision 

making, health-related behaviors and 

self-management, reduces barriers to 

accessing care through more efficient 

service delivery processes, alternative 

care delivery methods, expanded access 

to the care team, and appointment 

scheduling flexibility; boosts care 

coordination through community 

resource linkages, integrating specialty 

care referral and coordination processes, 

assisting with referral-related processes, 

and assuring completion of all elements 

of care; and (3) develops and 

implements programs to promote a 

competent health care management staff 

to include coordinating training and 

support resources for standardized 

position descriptions and competencies 

for management staff, standardizing 

management tools and resources, 

provides leadership development and 

skill-building, and facilitates change 

management to support quality 

assurance and quality improvement. 

Division of Enterprise Risk Management 

and Internal Controls (DERMIC) (GAPD) 

(1) Coordinates with key HQ Offices 

to ensure cross-cutting agency strategic 

planning, ERM, and management of 

internal controls across IHS; (2) ensures 

IHS’ portfolio of enterprise risks are 

appropriately and effectively managed 

by identifying accountable individual 

risk owners; (3) advises on risk 

management and provides expertise, 

advice, and assistance to the IHS 

Director, Office Directors, Area Directors 

and other key staff at both HQ and Area 

levels on ERM matters; (4) develops 

goals and objectives for the ERM 

program, integrates them with broader 

IHS-wide strategic goals/objectives, and 

tracks progress toward achieving them; 

(5) evaluates and monitors systems of 

internal control across IHS and uses the 

assessments of the internal control 

program as an integral part of ERM to 

effectively manage risks across IHS; and 

(6) coordinates the agency’s ERM 

program and administers the agency’s 


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internal control program in compliance 

with the Federal Managers’ Financial 

Integrity Act, OMB Circular No. A–123, 

and other applicable requirements. 

Section GA–30, Indian Health Service— 

Delegations of Authority 

All delegations of authority and redelegations of authority made to IHS 

officials that were in effect immediately 

prior to this reorganization, and that are 

consistent with this reorganization, 

shall continue in effect pending further 

re-delegation. 

Alex M. Azar II, 

Secretary. 

[FR Doc. 2018–27793 Filed 12–21–18; 11:15 am] 

BILLING CODE 4165–17–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

[Docket No. USCG–2010–1066] 

Recreational Boating Safety Projects, 

Programs, and Activities Funded 

Under Provisions of the Fixing 

America’s Surface Transportation Act; 

Fiscal Year 2018 

ACTION: Notice. 

SUMMARY: The Coast Guard is publishing 

this notice to satisfy a requirement of 

the Fixing America’s Surface 

Transportation Act that a detailed 

accounting of the projects, programs, 

and activities funded under the national 

recreational boating safety program 

provision of the Act be published 

annually in the Federal Register. This 

notice specifies the funding amounts the 

Coast Guard has committed, obligated, 

or expended during fiscal year 2018, as 

of September 30, 2018. 

FOR FURTHER INFORMATION CONTACT: For 

questions on this notice please contact 

Mr. Jeff Ludwig, U.S. Coast Guard, 

Regulations Development Manager, 

(202) 372–1061. 

SUPPLEMENTARY INFORMATION: 

Background and Purpose 

Since 1998, Congress has passed a 

series of laws providing funding for 

projects, programs, and activities 

funded under the national recreational 

boating safety program, which is 

administered by the U.S. Coast Guard. 

For a detailed description of the 

legislative history, please see the 

Recreational Boating Safety Projects, 

Programs, and Activities Funded Under 

Provisions of the Fixing America’s 

Surface Transportation Act; Fiscal Year 

2017 Notice published in the Federal 

Register on November 24, 2017 (82 FR 

17671). 

These funds are available to the 

Secretary from the Sport Fish 

Restoration and Boating Trust Fund 

(Trust Fund) established under 26 

U.S.C. 9504(a) for payment of Coast 

Guard expenses for personnel and 

activities directly related to 

coordinating and carrying out the 

national recreational boating safety 

program. Amounts made available 

under this subsection remain available 

during the two succeeding fiscal years. 

Any amount that is unexpended or 

unobligated at the end of the 3-year 

period during which it is available, shall 

be withdrawn by the Secretary and 

allocated to the States in addition to any 

other amounts available for allocation in 

the fiscal year in which they are 

withdrawn or the following fiscal year. 

Use of these funds requires 

compliance with standard Federal 

contracting rules with associated lead 

and processing times resulting in a lag 

time between available funds and 

spending. The total amount of funding 

transferred to the Coast Guard from the 

Trust Fund, and committed, obligated, 

and/or expended during fiscal year 2018 

for each project is shown below. 

Specific Accounting of Funds 

The total amount of funding 

transferred to the Coast Guard from the 

Sport Fish Restoration and Boating 

Trust Fund and committed, obligated, 

and/or expended during fiscal year 2018 

for each project is shown in the chart 

below. 

Project Description Cost 

46 U.S.C. 43 Compliance: Inspection Program/Boat Testing Program.Provided for continuance of the national recreational boat compliance inspection 

program, which began in January 2001.

$1,801,974 

46 U.S.C. 43 Compliance: Staff Salaries 

and Travel.

Provided for personnel to oversee manufacturer compliance with 46 U.S.C. 43 requirements.538,685 

Administrative Overhead .......................... Office supplies .............................................................................................................. 63,640 

Boating Accident Report Database 

(BARD) Web System.

Provided for maintaining the BARD Web System, which enables reporting authorities in the 50 States, five U.S. Territories, and the District of Columbia to submit 

their accident reports electronically over a secure internet connection.

327,195 

Contract Personnel Support ..................... Provided contract personnel to conduct boating safety-related research and analysis.653,167 

Boating Accident News Clipping Services Provided for the collection of news stories of recreational boating accidents for 

more real time accident information and to identify accidents that may involve 

regulatory non-compliances or safety defects.

25,000 

National Boating Safety Advisory Council Provided for member travel and meeting costs for the 96th & 97th National Boating 

Safety Advisory Council meetings.

52,496 

Grant Management Training ..................... Provided to facilitate staff training on new grant management requirements ............. 121,770 

Recreational Boating Safety Program 

Travel.

Provided for travel by employees of the Boating Safety Division to gather background and planning information for new recreational boating safety initiatives.182,164 

Reimbursable Salaries .............................. Provided for 18 personnel directly related to coordinating and carrying out the national recreational boating safety program.2,429,557 

Of the $7.984 million made available 

to the Coast Guard in fiscal year 2018, 

$2,696,985 has been committed, 

obligated, or expended and an 

additional $3,498,663 of prior fiscal year 

funds have been committed, obligated, 

or expended, as of September 30, 2018. 

The remainder of the FY17 and FY18 

funds made available to the Coast Guard 

(approximately $5,329,880) may be 

retained for the allowable period for the 

National Recreational Boating Survey, 

other projects, or transferred into the 

pool of money available for allocation 

through the State grant program. 

Authority 

This notice is issued pursuant to 5 

U.S.C. 552 and 46 U.S.C. 13107(c)(4). 


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