71414 Federal Register / Vol. 69, No. 236 / Thursday, December 9, 2004 / Notices 

Board of Governors of the Federal Reserve 

System, December 3, 2004. 

Jennifer J. Johnson, 

Secretary of the Board.

[FR Doc. 04–27010 Filed 12–8–04; 8:45 am] 

BILLING CODE: 6210–01–S

FEDERAL RESERVE SYSTEM

Formations of, Acquisitions by, and 

Mergers of Bank Holding Companies 

The companies listed in this notice 

have applied to the Board for approval, 

pursuant to the Bank Holding Company 

Act of 1956 (12 U.S.C. 1841 et seq.) 

(BHC Act), Regulation Y (12 CFR Part 

225), and all other applicable statutes 

and regulations to become a bank 

holding company and/or to acquire the 

assets or the ownership of, control of, or 

the power to vote shares of a bank or 

bank holding company and all of the 

banks and nonbanking companies 

owned by the bank holding company, 

including the companies listed below. 

The applications listed below, as well 

as other related filings required by the 

Board, are available for immediate 

inspection at the Federal Reserve Bank 

indicated. The application also will be 

available for inspection at the offices of 

the Board of Governors. Interested 

persons may express their views in 

writing on the standards enumerated in 

the BHC Act (12 U.S.C. 1842(c)). If the 

proposal also involves the acquisition of 

a nonbanking company, the review also 

includes whether the acquisition of the 

nonbanking company complies with the 

standards in section 4 of the BHC Act 

(12 U.S.C. 1843). Unless otherwise 

noted, nonbanking activities will be 

conducted throughout the United States. 

Additional information on all bank 

holding companies may be obtained 

from the National Information Center 

website at www.ffiec.gov/nic/. 

Unless otherwise noted, comments 

regarding each of these applications 

must be received at the Reserve Bank 

indicated or the offices of the Board of 

Governors not later than January 3, 

2005. 

Federal Reserve Bank of Chicago

(Patrick M. Wilder, Assistant Vice 

President) 230 South LaSalle Street, 

Chicago, Illinois 60690-1414: 

Main Street Trust, Inc., Champaign, 

Illinois; to acquire 100 percent of the 

voting shares of Citizens First Financial 

Corp., Bloomington, Illinois, and 

thereby indirectly acquire Citizens 

Savings Bank, Bloomington, Illinois.

Board of Governors of the Federal Reserve 

System, December 3, 2004. 

Robert deV. Frierson, 

Deputy Secretary of the Board.

[FR Doc. 04–27011 Filed 12–8–04; 8:45 am] 

BILLING CODE 6210–01–S

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the General Counsel; Privacy 

Act of 1974: Revision to Existing 

System of Records

AGENCY: Office of the General Counsel 

(OGC), Office of the Secretary, HHS.

ACTION: Notice of revision to an existing 

system of records. 

SUMMARY: In accordance with the 

requirements of the Privacy Act, the 

Department of Health and Human 

Services (HHS) is publishing a notice of 

the minor revision of an existing system 

of records, 09–90–0062, Administrative 

Claims. The revised system makes some 

minor changes due to the records that 

will be part of the Early Offers Pilot, 

which HHS announced in the Federal 

Register on September 24, 2004 (67 FR 

57294).

DATES: The revision does not add 

routine uses to this system. This 

amendment will be effective without 

further notice on the day of its 

publication.

FOR FURTHER INFORMATION CONTACT:

Jeffrey S. Davis, Acting Associate 

General Counsel, General Law Division, 

Office of the General Counsel, U.S. 

Department of Health and Human 

Services, Room 4760, 330 Independence 

Ave., SW., Washington, DC 20201. The 

telephone number is 202–690–0153.

SUPPLEMENTARY INFORMATION: The 

revised system adds a new location in 

the Appendix for a small subset of 

information contained in this system 

pertinent to HHS’s Early Offers Pilot, 

which was announced in the Federal 

Register on September 24, 2004 (67 FR 

57294). The new location is for the 

contractor who maintains the Early 

Offers Pilot records. The revised system 

clarifies that the existing categories of 

records in the system cover Early Offers 

Pilot records because those records are 

pertinent to the particular claim 

asserted and are relevant to the final 

determinations made on claims. The 

revised system adds the Early Offers 

Pilot contractor to the ‘‘Safeguards’’

section of the system notice. The revised 

system limits the existing routine uses 

that the agency may use for information 

that is gathered under the Early Offers 

Pilot. The revised system corrects 

typographical errors in the previous 

system notice, updates the 

‘‘Retrievability’’ section, and updates 

addresses in the Appendix of the 

system. The revised notice also updates 

the notification procedures. Finally, this 

revised system removes the references 

in the ‘‘Safeguards’’ section and the 

Appendix of the system notice to the 

Social Security Administration (SSA) 

because the SSA became an 

independent agency in 1995 and, 

therefore, is no longer part of HHS. The 

notice is published below in its entirety, 

as amended.

09–90–0062 

SYSTEM NAME: 

Administrative Claims, HHS/OS/

OGC. 

SECURITY CLASSIFICATION: 

None. 

SYSTEM LOCATION: 

See Appendix. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

HHS employees, recipients of Federal 

assistance under HHS funded programs, 

and members of the public who have a 

claim against HHS or against whom 

HHS has a claim—Federal Torts Claims 

Act, Military Personnel and Civilian 

Employees Claims Act, Federal Claims 

Collection Act, Federal Medical Care 

Recovery Act, Act for Waiver of 

Overpayment of Pay. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Information that is pertinent to the 

particular claim being asserted, 

including accident reports, hospital 

records, charges for medical services, 

certifications of overpayment, 

certifications of indebtedness, audits of 

payroll accounts during periods of 

overpayments, earning and leave 

statements, claims officers memoranda, 

final determinations made on claims 

(including Early Offers Pilot records), 

identify of debtors and information 

pertaining to how debts arose. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

Federal Tort Claims Act, 28 U.S.C. 

261–2680, 1346(b); Waiver of 

Overpayment of Pay Act, 5 U.S.C. 5584; 

Military Personnel and Civilian 

Employees Claims Act, 31 U.S.C. 240–

243; Federal Claims Collection Act, 31 

U.S.C. 951–953; Federal Medical Care 

Recovery Act, 42 U.S.C. 2651–2653. 

PURPOSE(S): 

To adjudicate claims asserted by or 

against the Department. 

Federal Register / Vol. 69, No. 236 / Thursday, December 9, 2004 / Notices 71415

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

Records maintained for the Early 

Offers Pilot may be disclosed only for 

Routine Use Nos. 1 (to the extent the 

disclosure is to the HHS contractor who 

maintains the records for the Early 

Offers Pilot), 3 (in the event of Freedom 

of Information Act litigation), 5, and 13 

below. 

Records from this system may be 

disclosed as follows:

1. Federal, State, and local 

government agencies, private 

individuals, private and public 

hospitals, allegedly negligent parties, 

private attorneys, insurance companies, 

individual law enforcement officers, 

tribal officials, and other persons with 

relevant information for the purpose of 

investigating, settling, or adjudicating 

claims and subsequent litigation action. 

2. To a congressional office from the 

record of an individual in response to 

an inquiry from the congressional office 

made at the request of that individual. 

3. In the event of litigation where the 

defendant is (a) the Department, any 

component of the Department, or any 

employee of the Department in his or 

her official capacity; (b) the United 

States where the Department determines 

that the claim, if successful, is likely to 

directly affect the operations of the 

Department or any of its components; or 

(c) any Department employee in his or 

her individual capacity where the 

Justice Department has agreed to 

represent such employee, the 

Department may disclose such records 

as it deems desirable or necessary to the 

Department of Justice to enable that 

Department to present an effective 

defense, provide such disclosure is 

compatible with the purpose for which 

the records were collected. 

4. In the event that a system of records 

maintained by this agency to carry out 

its functions indicates a violation or 

potential violation of law, whether civil, 

criminal or regulatory in nature, and 

whether arising by general statute or 

particular program statue, or by 

regulation, rule or order issued pursuant 

thereto, the relevant records in the 

system of records may be referred, as a 

routine use, to the appropriate agency, 

whether local, state, federal, or foreign, 

charged with the responsibility of 

investigating or prosecuting such 

violation or charged with enforcing or 

implementing the statute, or rule, 

regulation or order issued pursuant 

thereto. 

5. In the event the Department deems 

it desirable or necessary, in determining 

whether particular records are required 

to be disclosed under the Freedom of 

Information Act, disclosure may be 

made to the Department of Justice for 

the purpose of obtaining its advice. 

6. To a federal, state or local agency 

maintaining civil, criminal or other 

pertinent records, such as current 

licenses, if necessary to obtain a record 

relevant to a DHHS decision concerning 

the hiring or retention of an employee, 

the issuance of a security clearance, the 

letting of a contract, or the issuance of 

a license, grant or other benefit. 

7. To a federal agency, in response to 

its request, in connection with the 

hiring or retention of an employee, the 

issuance of a security clearance, the 

reporting of an investigation of an 

employee, the letting of a contract, or 

the issuance of a license, grant, or other 

benefit by the requesting agency, to the 

extent that the record is relevant and 

necessary to the requesting agency’s 

decision on the matter. 

8. To the Department of Justice or 

other appropriate federal agencies in 

defending claims against the United 

States when the claim is based upon an 

individual’s mental or physical 

condition and is alleged to have arisen 

because of activities of the Public Health 

Service in connection with such 

individual. 

9. A record from this system may be 

disclosed to the following entities in 

order to help collect a debt owed the 

United States. 

a. To another Federal agency so that 

agency can effect a salary offset; 

b. To another Federal agency so that 

agency can effect an administrative 

offset under common law or under 31 

U.S.C. 3716 (withholding from money 

payable to, or held on behalf of, the 

individual); 

c. To the Treasury Department to 

request his/her mailing address under 

I.R.C. 6103(m)(2) in order to locate him/

her or in order to have a credit report 

prepared;

d. To agents of the Department and to 

other third parties to help locate him/

her in order to help collect or 

compromise a debt; 

e. To debt collection agents under 31 

U.S.C. 3718 or under common law to 

help collect a debt; and 

f. To the Justice Department for 

litigation or further administrative 

action. Disclosure under part (d) of this 

use is limited to the individual’s name, 

address, Social Security Number, and 

other information necessary to identify 

him/her. Disclosure under parts (a)–(c) 

and (e) is limited to those items; the 

amount, status, and history of the claim; 

and the agency or program under which 

the claim arose. An address obtained 

from IRS may be disclosed to a credit 

reporting agency under part (d) only for 

purposes of preparing a commercial 

credit report on the individual. Part (a) 

applies to claims or debts arising under 

or payable under the Social Security Act 

if and only if the employee consents in 

writing to the offset. 

10. A record from this system may be 

disclosed to another federal agency that 

has asked the Department to effect an 

administrative offset, under common 

law or under 31 U.S.C. 3716, to help 

collect a debt owed the United States. 

Disclosure under this routine use is 

limited to: Name, address, Social 

Security Number, and other information 

necessary to identify the individual; 

information about the money payable to 

or held for the individual; and other 

information concerning the 

administrative offset. 

11. Disclosures with regard to claims 

or debts arising under or payable under 

the Social Security Act may be made 

from this system to ‘‘consumer reporting 

agencies’’ as defined in the Fair Credit 

Reporting Act (15 U.S.C. 1681a(f)) or the 

Federal Claims Collection Act of 1966 

(31 U.S.C. 3701(a)(3)). However, this 

disclosure will not be made with regard 

to debts from overpayments to 

beneficiaries under Title II (Old-Age, 

Survivors, and Disability Insurance) and 

Title XVI (Supplemental Security 

Income) of this Act. The purpose of this 

disclosure is to aid in the collection of 

outstanding debts owed to the Federal 

Government. Disclosure of records is 

limited to the individual’s name, 

address, Social Security number, and 

other information necessary to establish 

the individual’s identity; the amount, 

status, and history of the claim; and the 

agency or program under which the 

claim arose. 

12. When a debt becomes legally or 

administratively uncollectible in whole 

or in part, a record may be disclosed to 

the Internal Revenue Service to report 

the written-off part as income. 

13. Records may be disclosed to 

student volunteers, individuals working 

under a personal services contract, and 

other individuals performing functions 

for the Department but technically not 

having the status of agency employees, 

if they need access to the records in 

order to perform their assigned agency 

functions. 

DISCLOSURE TO CONSUMER REPORTING

AGENCIES: 

Disclosures pursuant to 5 U.S.C. 

552a(b)(12): Disclosures may be made 

from this system to ‘‘consumer reporting 

agencies’’ as defined in the Fair Credit 

Reporting Act (15 U.S.C. 1681a(f) or the 

Federal Claims Collections Act of 1966 

(31 U.S.C. 3701(a)(3)). The purpose of 

this disclosure is to aid in the collection 

71416 Federal Register / Vol. 69, No. 236 / Thursday, December 9, 2004 / Notices 

of outstanding debts owed to the 

Federal Government, typically, to 

provide an incentive for debtors to 

repay delinquent Federal Government 

debts by making these debts part of their 

credit records. Disclosure of records is 

limited to the individual’s name, 

address, Social Security number, and 

other information necessary to establish 

the individual’s identity; the amount, 

status, and history of the claim; and the 

agency or program under which the 

claim arose. This disclosure will be 

made only after the procedural 

requirements of 31 U.S.C. 3711(f) have 

been followed. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

Legal size files in filing cabinets. 

RETRIEVABILITY: 

These records are manually retrieved 

by name of the non-Government party, 

whether claimant, plaintiff, or alleged 

debtor. In some instances, these records 

are retrievable by computer using name 

of the party involved. 

SAFEGUARDS: 

Office buildings in which files are 

kept are locked after the close of the 

business day. These files are only 

accessible to General Counsel staff, to 

designated claims program specialists in 

the Public Health Service, and with 

respect to the Early Offers Pilot records, 

to HHS’s contractor. 

RETENTION AND DISPOSAL: 

The records are maintained for an 

indefinite duration. 

SYSTEM MANAGER(S) AND ADDRESS: 

The agency official responsible for the 

system policies and practices outlined 

above is: The General Counsel, 

Department of Health and Human 

Services, Office of the General Counsel, 

Room 713F, Humphrey Building, 200 

Independence Avenue, SW., 

Washington, DC 20201. 

NOTIFICATION: 

Any inquiries regarding this system of 

records should be addressed to the 

System Manager.

(These notification and access 

procedures are in accordance with 

Department Regulations (45 CFR 5b.5).) 

RECORD ACCESS PROCEDURES: 

Same as notification procedures. 

Requesters should also reasonably 

specify the record contents being 

sought. (These access procedures are in 

accordance with Department 

Regulations (45 CFR 5b.5(a)(2)), Federal 

Register, October 8, 1975, page 47410.) 

CONTESTING RECORD PROCEDURES: 

Contact the official at the address 

specified under System Manager(s) 

Address above, and reasonably identify 

the record, specify the information to be 

contested, and specify the corrective 

action sought, with supporting 

justification (i.e., how it is inaccurate, 

irrelevant, not timely, or incomplete). 

(These procedures are in accordance 

with Department Regulations (45 CFR 

5b.7), Federal Register, October 8, 1975, 

page 47411.) 

RECORD SOURCE CATEGORIES: 

The information in this system comes 

from a number of sources including 

private individuals, private and public 

hospitals, doctors, law enforcement 

agencies and officials, private attorneys, 

accident reports, third parties, claimants 

or beneficiaries and their relatives, other 

Federal agencies, State and local 

governments, agencies and 

instrumentalities. 

SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS

OF THE ACT: 

None.

Appendix 

Office of the General Counsel—Headquarters 

Offices, Department of Health and Human 

Services, Humphrey Building, Room 713F, 

200 Independence Avenue, SW., 

Washington, DC 20201. 

Office of the General Counsel, Regional 

Attorney—Region I, Department of Health 

and Human Services, John F. Kennedy 

Federal Building, Room 2250, Government 

Center, Boston, Massachusetts 02203. 

Office of the General Counsel, Regional 

Attorney—Region II, Department of Health 

and Human Services, Jacob K. Javitz 

Federal Building, Room 3908, 26 Federal 

Plaza, New York, New York 10278. 

Office of the General Counsel, Regional 

Attorney—Region III, Department of Health 

and Human Services, The Public Ledger 

Building, Suite 418, 150 S. Independence 

Mall West, Philadelphia, Pennsylvania 

19106–3499. 

Office of the General Counsel, Regional 

Attorney—Region IV, Department of Health 

and Human Services, Suite 5M60, 61 

Forsyth Street, Atlanta, Georgia 30303. 

Office of the General Counsel, Regional 

Attorney—Region V, Department of Health 

and Human Services, Suite 700, 233 North 

Michigan Avenue, Chicago, Illinois 60601–

5519. 

Office of the General Counsel, Regional 

Attorney—Region VI, Department of Health 

and Human Services, Room 1138, 1301 

Young Street, Dallas, Texas 75202. 

Office of the General Counsel, Regional 

Attorney—Region VII, Department of 

Health and Human Services, Room 1711, 

601 East 12th Street, Kansas City, Missouri 

64106. 

Office of the General Counsel, Regional 

Attorney—Region VIII, Department of 

Health and Human Services, Room 300, 

1961 Stout Street, Denver, Colorado 80294. 

Office of the General Counsel, Regional 

Attorney—Region IX, Department of Health 

and Human Services, Room 420, 50 United 

Nations Plaza, San Francisco, California 

94102–4912. 

Office of the General Counsel, Regional 

Attorney—Region X, Department of Health 

and Human Services, Blanchard Plaza, 

Suite 702, 2201 Sixth Avenue, Seattle, 

Washington 98121–1833. 

Director, Division of Public Health Service 

Claims, Room 17A–17, Parklawn Building, 

5600 Fishers Lane, Rockville, Maryland 

20857. 

For records related to the Early Offers Pilot, 

Professor David A. Hyman, University of 

Illinois College of Law, 504 East 

Pennsylvania Avenue, Champaign, Illinois 

61820–6909.

Dated: December 3, 2004. 

Alex M. Azar II, 

General Counsel,

[FR Doc. 04–27008 Filed 12–8–04; 8:45 am] 

BILLING CODE 4190–26–M

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Nominations of Topics for Evidencebased Practice Centers

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ), DHHS.

ACTION: Nominations of topics for 

evidence reports and technology 

assessments. 

SUMMARY: AHRQ invites nominations of 

topics for evidence reports and 

technology assessments relating to the 

prevention, diagnosis, treatment and 

management of common diseases and 

clinical conditions, as well as topics 

relating to the organization and 

financing of health care. Previous 

evidence reports can be found at http:/

/www.ahrq.gov/clinic.epcix.htm.

DATES: Topic nominations should be 

submitted by January 31, 2005, in order 

to be considered for fiscal year 2005. In 

addition to timely responses to this 

request for nominations, AHRQ also 

accepts topic nominations on an 

ongoing basis for consideration for 

future years. AHRQ will not reply to 

individual responses, but will consider 

all nominations during the selection 

process. Those who submitted topics 

that were selected will be notified by 

AHRQ.

ADDRESSES: Topics nominations should 

be submitted to Kenneth Fink, MD, 

MGA, MPH, Director, Evidence-based 

Practice Centers (EPC) Program, Center 

for Outcomes and Evidence, AHRQ, 540 

Gaither Road, Rockville, MD 20850.