Federal Register / Vol. 69, No. 219 / Monday, November 15, 2004 / Notices 65603

Business or other for-profit, Not-forprofit institutions, Federal Government, 

and State, Local or Tribal Govt.; Number 

of Respondents: 6,100; Total Annual 

Responses: 397,500; Total Annual 

Hours: 11,925. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

address at http://www.cms.hhs.gov/

regulations/pra/, or e-mail your request, 

including your address, phone number, 

OMB number, and CMS document 

identifier, to Paperwork@cms.hhs.gov, 

or call the Reports Clearance Office on 

(410) 786–1326. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

within 60 days of this notice directly to 

the CMS Paperwork Clearance Officer 

designated at the following address: 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development and 

Issuances, Attention: Melissa Musotto, 

Room C5–14–03, 7500 Security 

Boulevard, Baltimore, Maryland 21244–

1850.

Dated: November 5, 2004. 

John P. Burke, III, 

Paperwork Reduction Act Team Leader, 

Office of Strategic Operations and Strategic 

Affairs, Division of Regulations Development 

and Issuances.

[FR Doc. 04–25250 Filed 11–12–04; 8:45 am] 

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

SES Executive Review Board/

Performance Review Board

AGENCY: Indian Health Service.

ACTION: Notice.

SUMMARY: Notice is hereby given of the 

appointment of members of the Indian 

Health Service (IHS) Senior Executive 

Service (SES) Executive Review Board/

SES Performance Review Board.

FOR FURTHER INFORMATION CONTACT:

Phyllis Eddy, Acting Director, Office of 

Management Services, 801 Thompson 

Avenue, Suite 120, Rockville, Maryland 

20852, (301) 443–6290.

SUPPLEMENTARY INFORMATION: Section 

4314(c) (1) through (5) of Title 5, U.S.C., 

requires each agency to establish, in 

accordance with regulations prescribed 

by the Office of Personnel Management, 

one or more SES performance review 

boards. The board reviews and evaluates 

the initial appraisal of a senior 

executive’s performance by the 

supervisor and considers 

recommendations to the appointing 

authority regarding the performance of 

the senior executive. 

The following have been designated 

as regular members of the Senior 

Executive Service (SES) Executive 

Review Board/SES Performance Review 

Board for IHS: Phyllis Eddy, Chair; 

Elaine Perry, Deputy Director, Office of 

the Administrator, Substance Abuse and 

Mental Health Services Administration; 

Robert G. McSwain, Acting Deputy 

Director, Management Operations; Gary 

Hartz, Acting Deputy Director, IHS; 

Chris Mandregan, Jr., Director, Alaska 

Area IHS; Doni Wilder, Director, 

Portland Area IHS; John Hubbard, 

Director, Navajo Area IHS.

Dated: November 5, 2004. 

Charles W. Grim, 

Assistant Surgeon General, Director.

[FR Doc. 04–25244 Filed 11–12–04; 8:45 am] 

BILLING CODE 4160–16–M

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of Inspector General 

Program Exclusions: October 2004

AGENCY: Office of Inspector General, 

HHS.

ACTION: Notice of program exclusions.

During the month of October 2004, 

the HHS Office of Inspector General 

imposed exclusions in the cases set 

forth below. When an exclusions is 

imposed, no program payment is made 

to anyone for any items or services 

(other than an emergency item or 

service not provided in a hospital 

emergency room) furnished, ordered or 

prescribed by an excluded party under 

the Medicare, Medicaid, and all Federal 

Health Care programs. In addition, no 

program payment is made to any 

business or facility, e.g., a hospital, that 

submits bills for payment for items or 

services provided by an excluded party. 

Program beneficiaries remain free to 

decide for themselves whether they will 

continue to use the services of an 

excluded party even though no program 

payments will be made for items and 

services provided by that excluded 

party. The exclusions have national 

effect and also apply to all Executive 

Branch procurement and nonprocurement programs and activities.

Subject name Address Effective date 

PROGRAM-RELATED CONVICTIONS

ARMON, BOBBY ...................................................................... MILWAUKEE, WI ..................................................................... 11/18/2004 

ARNOLD, RODELL .................................................................. TOLEDO, OH ........................................................................... 11/18/2004 

ARRUDA, CARMEN ................................................................. ISSAQUAH, WA ....................................................................... 11/18/2004 

BAUMAN, DAVID ..................................................................... HOUSTON, TX ......................................................................... 11/18/2004 

BROWN, AUWANA .................................................................. FRESNO, CA ........................................................................... 11/18/2004 

CABRERA, MARCO ................................................................. MIAMI, FL ................................................................................. 11/18/2004 

CARTER, JERRY ..................................................................... DYERSBURG, TN .................................................................... 11/18/2004 

CASIANO, ROSARIO ............................................................... ROSEMEAD, CA ...................................................................... 11/18/2004 

CORBETT, KERMIS ................................................................. ELGIN, SC ............................................................................... 11/18/2004 

CORTES, FRANCISCO ............................................................ HIALEAH, FL ............................................................................ 11/18/2004 

DAY, APRIL .............................................................................. LOS ANGELES, CA ................................................................. 11/18/2004 

DELEON, VANESSA ................................................................ HAWTHORNE, CA ................................................................... 11/18/2004 

ELBAGDADI, HAZEM ............................................................... PETERSBURG, VA .................................................................. 11/18/2004 

ENCINAS, BENJAMIN .............................................................. TUCSON, AZ ........................................................................... 11/18/2004 

FATEMI, MOHAMMAD ............................................................. DUNKIRK, MD ......................................................................... 11/18/2004 

FINDLEY, KATHERINE ............................................................ LAKEWOOD, CO ..................................................................... 11/18/2004 

FORD, FRED ............................................................................ EGLIN AFB, FL ........................................................................ 11/18/2004 

FREITAS, JOHN ....................................................................... CARTNEGE, MO ..................................................................... 11/18/2004 

GONZALEZ, GIORDY .............................................................. MIAMI, FL ................................................................................. 11/18/2004 

GONZALEZ, MILAGROS ......................................................... MIAMI, FL ................................................................................. 11/18/2004