Federal Register / Vol. 75, No. 7 / Tuesday, January 12, 2010 / Notices 1625 

approved or pending drug product 

application, he will be subject to civil 

money penalties. In addition, FDA will 

not accept or review any ANDAs 

submitted by or with the assistance of 

Mr. Vale during his period of 

debarment. 

Any application by Mr. Vale for 

termination of debarment under section 

306(d)(4) of the act should be identified 

with Docket No. FDA–2008–N–0305 

and sent to the Division of Dockets 

Management (see ADDRESSES). All such 

submissions are to be filed in four 

copies. The public availability of 

information in these submissions is 

governed by 21 CFR 10.20(j). Publicly 

available submissions may be seen in 

the Dockets Management Branch 

between 9 a.m. and 4 p.m., Monday 

through Friday. 

Dated: January 4, 2010. 

Jesse L. Goodman, 

Acting Chief Scientist and Deputy 

Commissioner for Science and Public Health. 

[FR Doc. 2010–289 Filed 1–11–10; 8:45 am] 

BILLING CODE 4160–01–S 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Privacy Act of 1974; Report of 

Amended or Altered System; Medical, 

Health and Billing Records System 

AGENCY: Indian Health Service (IHS), 

HHS. 

ACTION: Amendment of One Altered 

Privacy Act System of Records 

(PASOR), 09–17–0001. 

SUMMARY: Pursuant to the provisions of 

the Privacy Act of 1974, as amended, 5 

U.S.C. 552a(e)(4), the IHS has amended 

and is publishing the proposed 

alteration of a system of records, System 

No. 09–17–0001, ‘‘Medical, Health and 

Billing Records.’’ The amended and 

altered system of records is to reflect 

revisions in the Purpose and Routine 

Uses sections, the Notification 

Procedures section and updates to 

Appendix 1 of the PASOR. 

In the Purpose section of the PASOR, 

IHS is altering number seven to allow 

the disclosure of controlled substance 

prescription data and/or protected 

health information (PHI) and personally 

identifiable information (PII) to its 

business associate contractor(s) for 

stated healthcare operations prior to 

transferring to various State Health 

Monitoring Programs and Registries; 

and to disclose data transmission of PHI 

to various health data exchange, 

regional health information and 

e-prescribing networks. 

In the Routine Uses section, routine 

use number thirteen is altered to 

include language that will allow the 

disclosure to various stated healthcare 

operations and health data exchange, 

regional health information and eprescribing networks. 

In the Notification Procedure section 

under Record Access and Contesting 

Record procedures, IHS is referencing 

its various IHS forms with its stated 

purposes to be utilized by the 

requester(s). 

DATES: Effective Dates: IHS filed an 

altered system report with the Chair of 

the House Committee on Oversight and 

Government Reform, the Chair of the 

Senate Committee on Homeland 

Security and Governmental Affairs, and 

the Administrator, Office of Information 

and Regulatory Affairs, Office of 

Management and Budget (OMB) on 

January 12, 2010. To ensure that all 

parties have adequate time in which to 

comment, the altered PASOR will 

become effective 40 days from the 

publication of the notice, or from the 

date the SOR was submitted to OMB 

and the Congress, whichever is later, 

unless IHS receives comments on all 

portions of this notice. 

ADDRESSES: The public should address 

comments to: Mr. William Tibbitts, IHS 

Privacy Act Officer, Division of 

Regulatory Affairs, Office of 

Management Services, 801 Thompson 

Avenue, TMP, Suite 450, Rockville, MD 

20852–1627; call non-toll free (301) 

443–1116; send via facsimile to (301) 

443–9879, or send your e-mail requests, 

comments, and return address to: 

William.Tibbitts@ihs.gov. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Patricia Gowan, IHS Lead Health 

Information Management (HIM) 

Consultant and Area HIM Consultants, 

Office of Health Programs, Phoenix Area 

Office, Two Renaissance Square, Suite 

606, 40 North Central Avenue, Phoenix, 

AZ 85004–4450, Telephone (602) 364– 

5172 or via the Internet at 

Patricia.Gowan@ihs.gov. 

SUPPLEMENTARY INFORMATION: As 

required by the Privacy Act of 1974, as 

amended, 5 U.S.C. 552a(e)(4), this 

document sets forth the amendment of 

the proposed alteration of a system of 

records maintained by the IHS. IHS is 

altering System No. 09–17–0001, 

‘‘Health, Medical and Billing Records,’’ 

for the stated reasons. First, a change to 

the Purpose section number seven will 

further enable IHS to disclose controlled 

substance prescription data to a 

business associate contractor(s) for 

stated healthcare operations prior to 

transferring to various State Health 

Monitoring Programs and Registries; as 

well as to enable IHS to disclose data 

transmission of PHI to various health 

data exchange and/or regional health 

information contractors. Second, a 

change to the Routine Uses section 

number thirteen will enable IHS to 

allow the disclosure of information from 

the record for the various stated 

healthcare operations and Health Data 

Exchange; Regional Health Information; 

and e-prescribing networks. 

Dated: December 29, 2009. 

Yvette Roubideaux, 

Director, Indian Health Service. 

Department of Health and Human 

Services 

Indian Health Service 

System Number: 09–17–0001 

SYSTEM NAME: 

Medical, Health, and Billing Records 

Systems, Health and Human Services/ 

Indian Health Service/Office of Clinical 

and Preventive Services (HHS/IHS/ 

OCPS). 

SECURITY CLASSIFICATION: 

None. 

SYSTEM LOCATION: 

IHS hospitals, health centers, school 

health centers, health stations, field 

clinics, Service Units, IHS Area Offices 

(Appendix 1), and Federal Archives and 

Records Centers (Appendix 2). 

Automated, electronic health and 

computerized records, including but not 

limited to clinical information and 

Patient Care Component (PCC) records, 

are stored in the Resource and Patient 

Management System (RPMS) at the 

National Programs/Office of Information 

Technology (NP/OIT), IHS, located in 

Albuquerque, New Mexico. Records 

may also be located at contractor sites. 

A current list of contractor sites is 

available by writing to the appropriate 

System Manager (Area or Service Unit 

Director/Chief Executive Officer) at the 

address shown in Appendix 1. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Individuals, including both IHS 

beneficiaries and non-beneficiaries, who 

are examined/treated on an inpatient 

and/or outpatient basis by IHS staff and/ 

or contract health care providers 

(including Tribal contractors). 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Note: Records relating to claims by and 

against the HHS are maintained in the 

Privacy Act System of Records (PASOR) 

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Notice, Administrative Claims System, 09– 

90–0062, HHS/Office of the Secretary/Office 

of the General Counsel (HHS/OS/OGC). Such 

claims include those arising under the 

Federal Torts Claims Act, Military Personnel 

and Civilian Employees Claims Act, Federal 

Claims Collection Act, Federal Medical Care 

Recovery Act, and the Act for Waiver of 

Overpayment of Pay. 

1. Health and medical records 

containing examination, diagnostic and 

treatment data, proof of IHS eligibility, 

social data (such as name, address, date 

of birth, Social Security Number (SSN), 

Tribe), laboratory test results, and 

dental, social service, domestic 

violence, sexual abuse and/or assault, 

mental health, and nursing information. 

2. Follow-up registers of individuals 

with a specific health condition or a 

particular health status such as cancer, 

diabetes, communicable diseases, 

suspected and confirmed abuse and 

neglect, immunizations, suicidal 

behavior, or disabilities. 

3. Logs of individuals provided health 

care by staff of specific hospital or clinic 

departments such as surgery, 

emergency, obstetric delivery, medical 

imaging, and laboratory. 

4. Surgery and/or disease indices for 

individual facilities that list each 

relevant individual by the surgery or 

disease. 

5. Monitoring strips and tapes such as 

fetal monitoring strips and 

Electroencephalogram (EEG) and 

Electrocardiogram (EKG) tapes. 

6. Third-party reimbursement and 

billing records containing name, 

address, date of birth, dates of service, 

third party insurer claim numbers, SSN, 

health plan name, insurance number, 

employment status, and other relevant 

claim information necessary to process 

and validate third-party reimbursement 

claims. 

7. Contract Health Service (CHS) 

records containing name, address, date 

of birth, dates of care, Medicare or 

Medicaid claim numbers, SSN, health 

plan name, insurance number, 

employment status, and other relevant 

claim information necessary to 

determine CHS eligibility and to process 

CHS claims. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

Departmental Regulations (5 U.S.C. 

301); Privacy Act of 1974 (5 U.S.C. 

552a); Federal Records Act (44 U.S.C. 

2901); Section 321 of the Public Health 

Service Act, as amended (42 U.S.C. 

248); Section 327A of the Public Health 

Service Act, as amended (42 U.S.C. 

254a); Snyder Act (25 U.S.C. 13); Indian 

Health Care Improvement Act (25 U.S.C. 

1601 et seq.); and the Transfer Act of 

1954 (42 U.S.C. 2001–2004). 

PURPOSES: 

The purposes of this system are: 

1. To provide a description of an 

individual’s diagnosis, treatment and 

outcome, and to plan for immediate and 

future care of the individual. 

2. To collect and provide information 

to IHS officials and epidemiology 

centers established and funded under 25 

U.S.C. 1621m in order to evaluate health 

care programs and to plan for future 

needs. 

3. To serve as a means of 

communication among members of the 

health care team who contribute to the 

individual’s care; e.g., to integrate 

information from field visits with 

records of treatment in IHS facilities and 

with non-IHS health care providers. 

4. To serve as the official 

documentation of an individual’s health 

care. 

5. To contribute to continuing 

education of IHS staff to improve the 

delivery of health care services. 

6. For disease surveillance purposes. 

For example: 

(a) The Centers for Disease Control 

and Prevention may use these records to 

monitor various communicable 

diseases; 

(b) The National Institutes of Health 

may use these records to review the 

prevalence of particular diseases (e.g., 

malignant neoplasms, diabetes mellitus, 

arthritis, metabolism, and digestive 

diseases) for various ethnic groups of 

the United States; or 

(c) Those public health authorities 

that are authorized by law and 

epidemiology centers established and 

funded under 25 U.S.C. 1621m may use 

these records to collect or receive such 

information for purposes of preventing 

or controlling disease, injury, or 

disability, including, but not limited to, 

the reporting of disease, injury, vital 

events such as birth or death and the 

conduct of public health surveillance, 

investigations, and interventions. 

7. To compile and provide aggregated 

program statistics. Upon request of other 

components of HHS, IHS will provide 

statistical information, from which 

individual/personal identifiers have 

been removed, such as: 

(a) To the National Committee on 

Vital and Health Statistics for its 

dissemination of aggregated health 

statistics on various ethnic groups; 

(b) To the Assistant Secretary for 

Planning and Evaluation, Health Policy 

to keep a record of the number of 

sterilizations provided by Federal 

funding; 

(c) To the Centers for Medicare & 

Medicaid Services (CMS) to document 

IHS health care covered by the Medicare 

and Medicaid programs for third-party 

reimbursement; or 

(d) To the Office of Clinical Standards 

and Quality, CMS to determine the 

prevalence of end-stage renal disease 

among the American Indian and Alaska 

Native (AI/AN) population and to 

coordinate individual care. 

8. To process and collect third-party 

claims and facilitate fiscal intermediary 

functions and to process debt collection 

activities. 

9. To improve the IHS national 

patient care database by means of 

obtaining and verifying an individual’s 

SSN with the Social Security 

Administration (SSA). 

10. To provide information to organ 

procurement organizations or other 

entities engaged in the procurement, 

banking, or transplantation of organs to 

facilitate organ, eye, or tissue donation 

and transplant. 

11. To provide information to 

individuals about treatment alternatives 

or other types of health-related benefits 

and services. 

12. To provide information to the 

Food and Drug Administration (FDA) in 

connection with an FDA-regulated 

product or activity. 

13. To provide information to 

correctional institutions as necessary for 

health and safety purposes. 

14. To provide information to 

governmental authorities (e.g., social 

services or protective services agencies) 

on victims of abuse, neglect, sexual 

assault or domestic violence. 

15. To provide information to the 

National Archives and Records 

Administration in records management 

inspections conducted under the 

authority of 44 U.S.C. 2901 et seq. 

16. To provide relevant health care 

information to funeral directors or 

representatives of funeral homes to 

allow necessary arrangements prior to 

and in anticipation of an individual’s 

impending death. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

This system of records contains 

individually identifiable health 

information. The HHS Privacy Act 

Regulations (45 CFR Part 5b) and the 

Privacy Rule (45 CFR Parts 160 and 164) 

issued pursuant to the Health Insurance 

Portability and Accountability Act 

(HIPAA) of 1996 apply to most health 

information maintained by IHS. Those 

regulations may place additional 

procedural requirements on the uses 

and disclosures of such information 

beyond those found in the Privacy Act 

of 1974 or mentioned in this system of 

records notice. An accounting of all 

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disclosures of a record made pursuant to 

the following routine uses will be made 

and maintained by IHS for five years or 

for the life of the records, whichever is 

longer. 

Note: Special requirements for alcohol and 

drug abuse patients: If an individual receives 

treatment or a referral for treatment for 

alcohol or drug abuse, then the 

Confidentiality of Alcohol and Drug Abuse 

Patient Records Regulations, 42 CFR Part 2, 

may apply. In general, under these 

regulations, the only disclosures of the 

alcohol or drug abuse record that may be 

made without patient consent are: (1) To 

meet medical emergencies (42 CFR 2.51), (2) 

for research, audit, evaluation and 

examination (42 CFR 2.52–2.53), (3) pursuant 

to a court order (42 CFR 2.61–2.67), and (4) 

pursuant to a qualified service organization 

agreement, as defined in 42 CFR 2.11. 

In all other situations, written consent 

of the individual is usually required 

prior to disclosure of alcohol or drug 

abuse information under the routine 

uses listed below. 

1. Records may be disclosed to 

Federal and non-Federal (public or 

private) health care providers that 

provide health care services to IHS 

individuals for purposes of planning for 

or providing such services, or reporting 

results of medical examination and 

treatment. 

2. Records may be disclosed to 

Federal, State, local or other authorized 

organizations that provide third-party 

reimbursement or fiscal intermediary 

functions for the purposes of billing or 

collecting third-party reimbursements. 

Relevant records may be disclosed to 

debt collection agencies under a 

business associate agreement 

arrangement directly or through a third 

party. 

3. Records may be disclosed to State 

agencies or other entities acting 

pursuant to a contract with CMS, for 

fraud and abuse control efforts, to the 

extent required by law or under an 

agreement between IHS and respective 

State Medicaid agency or other entities. 

4. Records may be disclosed to school 

health care programs that serve AI/AN 

for the purpose of student health 

maintenance. 

5. Records may be disclosed to the 

Bureau of Indian Affairs (BIA) or its 

contractors under an agreement between 

IHS and the BIA relating to disabled AI/ 

AN children for the purposes of carrying 

out its functions under the Individuals 

with Disabilities Education Act (IDEA), 

20 U.S.C. 1400, et seq. 

6. Records may be disclosed to 

organizations deemed qualified by the 

Secretary of HHS and under a business 

associate agreement to carry out quality 

assessment/improvement, medical 

audits, utilization review or to provide 

accreditation or certification of health 

care facilities or programs. 

7. Records may be disclosed under a 

business associate agreement to 

individuals or authorized organizations 

sponsored by IHS, such as the National 

Indian Women’s Resource Center, to 

conduct analytical and evaluation 

studies. 

8. Disclosure may be made 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. An IHS– 

810 form, Authorization for Use or 

Disclosure of Protected Health 

Information, is required for the 

disclosure of sensitive PHI (e.g., 

alcohol/drug abuse patient information, 

Human Immunodeficiency Virus/ 

Acquired Immune Deficiency Syndrome 

(HIV/AIDS), Sexually Transmitted 

Diseases (STDs), or mental health) that 

is maintained in the medical record. 

9. Records may be disclosed for 

research purposes to the extent 

permitted by: 

(a) Determining that the use(s) or 

disclosure(s) are met under 45 CFR 

164.512(i), or 

(b) Determining that the use(s) or 

disclosure(s) are met under 45 CFR 

164.514(a) through (c) for de-identified 

PHI, and 5 U.S.C. 552a(b)(5), or 

(c) Determining that the requirements 

of 45 CFR 164.514(e) for limited data 

sets, and 5 U.S.C. 552a(b)(5) are met. 

10. Information from records, 

including but not limited to information 

concerning the commission of crimes, 

suspected cases of abuse (including 

child, elder and sexual abuse), the 

reporting of neglect, sexual assault or 

domestic violence, births, deaths, 

alcohol or drug abuse, immunization, 

cancer, or the occurrence of 

communicable diseases, may be 

disclosed to public health authorities, 

epidemiology centers established and 

funded under 25 U.S.C. 1621m, and 

other appropriate government 

authorities which are authorized by 

applicable Federal, State, Tribal or local 

law or regulations to receive such 

information. 

Note: In Federally conducted or assisted 

alcohol or drug abuse programs, under 42 

CFR Part 2, disclosure of patient information 

for purposes of criminal investigations must 

be authorized by court order issued under 42 

CFR 2.65, except that reports of suspected 

child abuse may be made to the appropriate 

State or local authorities under State law. 

11. Information may be disclosed 

from these records regarding suspected 

cases of child abuse to: 

(a) Federal, State or Tribal agencies 

that need to know the information in the 

performance of their duties, and 

(b) Members of community child 

protection teams for the purposes of 

investigating reports of suspected child 

abuse, establishing a diagnosis, 

formulating or monitoring a treatment 

plan, and making recommendations to 

the appropriate court. Community child 

protection teams are comprised of 

representatives of Tribes, the BIA, child 

protection service agencies, the judicial 

system, law enforcement agencies and 

IHS. 

12. IHS may disclose information 

from these records in litigations and/or 

proceedings related to an administrative 

claim when: 

(a) IHS has determined that the use of 

such records is relevant and necessary 

to the litigation and/or proceedings 

related to an administrative claim and 

would help in the effective 

representation of the affected party 

listed in subsections (i) through (iv) 

below, and that such disclosure is 

compatible with the purpose for which 

the records were collected. Such 

disclosure may be made to the HHS/ 

OGC and/or Department of Justice 

(DOJ), pursuant to an agreement 

between IHS and OGC, when any of the 

following is a party to litigation and/or 

proceedings related to an administrative 

claim or has an interest in the litigation 

and/or proceedings related to an 

administrative claim: 

(i) HHS or any component thereof; or 

(ii) Any HHS employee in his or her 

official capacity; or 

(iii) Any HHS employee in his or her 

individual capacity where the DOJ (or 

HHS, where it is authorized to do so) 

has agreed to represent the employee; or 

(iv) The United States or any agency 

thereof (other than HHS) where HHS/ 

OGC has determined that the litigation 

and/or proceedings related to an 

administrative claim is likely to affect 

HHS or any of its components. 

(b) In the litigation and/or 

proceedings related to an administrative 

claim described in subsection (a) above, 

information from these records may be 

disclosed to a court or other tribunal, or 

to another party before such tribunal in 

response to an order of a court or 

administrative tribunal, provided that 

the covered entity discloses only the 

information expressly authorized by 

such order. 

13. Records may be disclosed under a 

business associate agreement to an IHS 

contractor (including a Health 

Information Exchange, Regional Health 

Information Organization, or Eprescribing Gateway) for the purpose of 

computerized data entry, medical 

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transcription, duplication services, 

maintenance of records, data formatting 

services or for any other agency function 

or activity involving the use or 

disclosure of records contained in this 

system. 

14. Records may be disclosed under a 

personal services contract or other 

agreement to student volunteers, 

individuals working for IHS, and other 

individuals performing functions for 

IHS who do not technically have the 

status of agency employees, if they need 

the records in the performance of their 

agency functions. 

15. Records regarding specific 

medical services provided to a 

unemancipated minor individual may 

be disclosed to the unemancipated 

minor’s parent or legal guardian who 

previously consented to those specific 

medical services, to the extent permitted 

under 45 CFR 164.502(g). 

16. Records may be disclosed to an 

individual having authority to act on 

behalf of an incompetent individual 

concerning health care decisions, to the 

extent permitted under 45 CFR 

164.502(g). 

17. Information may be used or 

disclosed from an IHS facility directory 

in response to an inquiry about a named 

individual from a member of the general 

public to establish the individual’s 

presence (and location when needed for 

visitation purposes) or to report the 

individual’s condition while 

hospitalized (e.g., satisfactory or stable), 

unless the individual objects to 

disclosure of this information. IHS may 

provide the religious affiliation only to 

members of the clergy. 

18. Information may be disclosed to a 

relative, a close personal friend, or any 

other person identified by the 

individual that is directly relevant to 

that person’s involvement with the 

individual’s care or payment for health 

care. 

Information may also be used or 

disclosed in order to notify a family 

member, personal representative, or 

other person responsible for the 

individual’s care, of the individual’s 

location, general condition or death. 

If the individual is present for, or 

otherwise available prior to, a use or 

disclosure, and is competent to make 

health care decisions; 

(a) May use or disclose after the 

facility obtains the individual’s consent, 

(b) Provides the individual with the 

opportunity to object and the individual 

does not object, or 

(c) It could reasonably infer, based on 

professional judgment, that the 

individual does not object. If the 

individual is not present, or the 

opportunity to agree or object cannot 

practicably be provided due to 

incapacity or emergent circumstances, 

an IHS health care provider may 

determine, based on professional 

judgment, whether disclosure is in the 

individual’s best interest, and if so, may 

disclose only what is directly relevant to 

the individual’s health care. 

19. Information concerning exposure 

to the HIV/AIDS may be disclosed, to 

the extent authorized by Federal, State 

or Tribal law, to the sexual and/or 

needle-sharing partner(s) of a subject 

individual who is infected with HIV/ 

AIDS under the following 

circumstances: 

(a) The information has been obtained 

in the course of clinical activities at IHS 

facilities; 

(b) IHS has made reasonable efforts to 

counsel and encourage the subject 

individual to provide information to the 

individual’s sexual or needle-sharing 

partner(s); 

(c) IHS determines that the subject 

individual is unlikely to provide the 

information to the sexual or needlesharing partner(s) or that the provision 

of such information cannot reasonably 

be verified; 

(d) The notification of the partner(s) is 

made, whenever possible, by the subject 

individual’s physician or by a 

professional counselor and shall follow 

standard counseling practices; and 

(e) IHS has advised the partner(s) to 

whom information is disclosed that they 

shall not re-disclose or use such 

information for a purpose other than 

that for which the disclosure was made. 

20. Records may be disclosed to 

Federal and non-Federal protection and 

advocacy organizations that serve AI/ 

AN for the purpose of investigating 

incidents of abuse and neglect of 

individuals with developmental 

disabilities (including mental 

disabilities), as defined in 42 U.S.C. 

10801–10805(a)(4) and 42 CFR 51.41– 

46, to the extent that such disclosure is 

authorized by law and the conditions of 

45 CFR 1386.22(a)(2) are met. 

21. Records of an individual may be 

disclosed to a correctional institution or 

law enforcement official, during the 

period of time the individual is either 

an inmate or is otherwise in lawful 

custody, for the provision of health care 

to the individual or for health and safety 

purposes. Disclosure may be made upon 

the representation of either the 

institution or a law enforcement official 

that disclosure is necessary for the 

provision of health care to the 

individual, for the health and safety of 

the individual and others (e.g., other 

inmates, employees of the correctional 

facility, transport officers), and for 

facility administration and operations. 

This routine use applies only for as long 

as the individual remains in lawful 

custody, and does not apply once the 

individual is released on parole or 

placed on either probation or on 

supervised release, or is otherwise no 

longer in lawful custody. 

22. Records including patient name, 

date of birth, SSN, gender and other 

identifying information may be 

disclosed to the SSA as is reasonably 

necessary for the purpose of conducting 

an electronic validation of the SSN(s) 

maintained in the record to the extent 

required under an agreement between 

IHS and SSA. 

23. Disclosure of relevant health care 

information may be made to funeral 

directors or representatives of funeral 

homes in order to allow them to make 

necessary arrangements prior to and in 

anticipation of an individual’s 

impending death. 

24. Records may be disclosed to a 

public or private covered entity that is 

authorized by law or charter to assist in 

disaster relief efforts (e.g., the Red Cross 

and the Federal Emergency Management 

Administration), for purposes of 

coordinating information with other 

similar entities concerning an 

individual’s health care, payment for 

health care, notification of the 

individual’s whereabouts and his or her 

health status or death. 

25. To appropriate Federal agencies 

and Department contractors that have a 

need to know the information for the 

purpose of assisting the Department’s 

efforts to respond to a suspected or 

confirmed breach of the security or 

confidentiality of information 

maintained in this system of records, 

and the information disclosed is 

relevant and necessary for that 

assistance. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

File folders, ledgers, card files, 

microfiche, microfilm, computer tapes, 

disk packs, digital photo discs, and 

automated, computer-based or 

electronic files. 

RETRIEVABILITY: 

Indexed by name, record number, and 

SSN and cross-indexed. 

SAFEGUARDS: 

Safeguards apply to records stored onsite and off-site. 

1. Authorized Users: Access is limited 

to authorized IHS personnel, volunteers, 

IHS contractors, subcontractors, and 

other business associates in the 

performance of their duties. Examples of 

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authorized personnel include: medical 

records personnel, business office 

personnel, contract health staff, health 

care providers, authorized researchers, 

medical audit personnel, health care 

team members, and legal and 

administrative personnel on a need to 

know basis. 

2. Physical Safeguards: Records are 

kept in locked metal filing cabinets or 

in a secured room or in other monitored 

areas accessible to authorized users at 

all times when not actually in use 

during working hours and at all times 

during non-working hours. Magnetic 

tapes, disks, other computer equipment 

(e.g., pc workstations) and other forms 

of personal data are stored in areas 

where fire and life safety codes are 

strictly enforced. Telecommunication 

equipment (e.g., computer terminal, 

servers, modems and disks) of the 

Resource and Patient Management 

System (RPMS) are maintained in 

locked rooms during non-working 

hours. Network (Internet or Intranet) 

access of authorized individual(s) to 

various automated and/or electronic 

programs or computers (e.g., desktop, 

laptop, handheld or other computer 

types) containing protected personal 

identifiers or PHI is reviewed 

periodically and controlled for 

authorizations, accessibility levels, 

expirations or denials, including 

passwords, encryptions or other devices 

to gain access. Combinations and/or 

electronic passcards on door locks are 

changed periodically and whenever an 

IHS employee resigns, retires or is 

reassigned. 

3. Procedural Safeguards: Within 

each facility a list of personnel or 

categories of personnel having a 

demonstrable need for the records in the 

performance of their duties has been 

developed and is maintained. 

Procedures have been developed and 

implemented to review one-time 

requests for disclosure to personnel who 

may not be on the authorized user list. 

Proper charge-out procedures are 

followed for the removal of all records 

from the area in which they are 

maintained. Records may not be 

removed from the facility except in 

certain circumstances, such as 

compliance with a valid court order or 

shipment to the Federal Records 

Center(s) (FRC). Persons who have a 

need to know are entrusted with records 

from this system of records and are 

instructed to safeguard the 

confidentiality of these records. These 

individuals are to make no further 

disclosure of the records except as 

authorized by the system manager and 

permitted by the Privacy Act and the 

HIPAA Privacy Rule as adopted, and to 

destroy all copies or to return such 

records when the need to know has 

expired. Procedural instructions include 

the statutory penalties for 

noncompliance. 

The following automated information 

systems (AIS) security procedural 

safeguards are in place for automated 

medical, health and billing records 

maintained in the RPMS. A profile of 

automated systems security is 

maintained. Security clearance 

procedures for screening individuals, 

both Government and contractor 

personnel, prior to their participation in 

the design, operation, use or 

maintenance of IHS AIS are 

implemented. The use of current 

passwords and log-on codes are 

required to protect sensitive automated 

data from unauthorized access. Such 

passwords and codes are changed 

periodically. An automated or electronic 

audit trail is maintained and reviewed 

periodically. Only authorized IHS 

Division of Information Resources staff 

may modify automated files in batch 

mode. Personnel at remote terminal 

sites may only retrieve automated or 

electronic data. Such retrievals are 

password protected. Privacy Act 

requirements, HIPAA Privacy and 

Security Rule requirements and 

specified AIS security provisions are 

specifically included in contracts and 

agreements and the system manager or 

his/her designee oversee compliance 

with these contract requirements. 

4. Implementing Guidelines: HHS 

Chapter 45–10 and supplementary 

Chapter PHS.hf: 45–10 of the General 

Administration Manual; HHS, 

‘‘Automated Information Systems 

Security Program Handbook,’’ as 

amended; HHS IRM Policy HHS–IRM– 

2000–0005, ‘‘IRM Policy for IT Security 

for Remote Access’’; OMB Circular A– 

130 ‘‘Management of Federal 

Information Resources’’; HIPAA Security 

Standards for the Protection of 

Electronic Protected Health Information, 

45 CFR 164.302 through 164.318; and EGovernment Act of 2002 (Pub. L. 107– 

347, 44 U.S.C. Ch 36). 

RETENTION AND DISPOSAL: 

Patient listings which may identify 

individuals are maintained in IHS Area 

and Program Offices permanently. 

Inactive records are held at the facility 

that provided medical, health and 

billing services from three to seven 

years and then are transferred to the 

appropriate FRC. Monitoring strips and 

tapes (e.g., fetal monitoring strips, EEG 

and EKG tapes) that are not stored in the 

individual’s official medical record are 

stored at the health facility for one year 

and are then transferred to the 

appropriate FRC. (See Appendix 2 for 

FRC addresses). In accordance with the 

records disposition authority approved 

by the Archivist of the United States, 

paper records are maintained for 75 

years after the last episode of individual 

care except for billing records. The 

retention and disposal methods for 

billing records will be in accordance 

with the approved IHS Records 

Schedule. The disposal methods of 

paper medical and health records will 

be in accordance with the approved IHS 

Records Schedule and National 

Archives and Records Administration 

(NARA). The electronic data consisting 

of the individual personal identifiers 

and PHI maintained in the RPMS or any 

subsequent revised IHS database system 

should be inactivated once the paper 

record is forwarded to the appropriate 

FRC. 

SYSTEM MANAGER(S) AND ADDRESS: 

Policy Coordinating Official: Director, 

OCPS, IHS, Reyes Building, 801 

Thompson Avenue, Suite 300, 

Rockville, Maryland 20852–1627. See 

Appendix 1. The IHS Area Office 

Directors, Service Unit Directors/Chief 

Executive Officers and Facility Directors 

listed in Appendix 1 are System 

Managers. 

NOTIFICATION PROCEDURES: 

General Procedure: Requests must be 

made to the appropriate System 

Manager (IHS Area, Program Office 

Director or Service Unit Director/Chief 

Executive Officer). A subject individual 

who requests a copy of, or access to, his 

or her medical record shall, at the time 

the request is made, designate in writing 

a responsible representative who will be 

willing to review the record and inform 

the subject individual of its contents. 

Such a representative may be an IHS 

health professional. When a subject 

individual is seeking to obtain 

information about himself/herself that 

may be retrieved by a different name or 

identifier than his/her current name or 

identifier, he/she shall be required to 

produce evidence to verify that he/she 

is the person whose record he/she seeks. 

No verification of identity shall be 

required where the record is one that is 

required to be disclosed under the 

Freedom of Information Act. Where 

applicable, fees for copying records will 

be charged in accordance with the 

schedule set forth in 45 CFR Part 5b. 

Requests in Person: Identification 

papers with current photographs are 

preferred but not required. If a subject 

individual has no identification but is 

personally known to the designated 

agency employee, such employee shall 

make a written record verifying the 

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1630 Federal Register / Vol. 75, No. 7 / Tuesday, January 12, 2010 / Notices 

subject individual’s identity. If the 

subject individual has no identification 

papers, the responsible system manager 

or designated agency official shall 

require that the subject individual 

certify in writing that he/she is the 

individual whom he/she claims to be 

and that he/she understands that the 

knowing and willful request or 

acquisition of records concerning an 

individual under false pretenses is a 

criminal offense subject to a $5,000 fine. 

If an individual is unable to sign his/her 

name when required, he/she shall make 

his/her mark and have the mark verified 

in writing by two additional persons. 

Requests by Mail: Written requests 

must contain the name and address of 

the requester, his/her date of birth and 

at least one other piece of information 

that is also contained in the subject 

record, and his/her signature for 

comparison purposes. If the written 

request does not contain sufficient 

information, the System Manager shall 

inform the requester in writing that 

additional, specified information is 

required to process the request. 

Requests by Telephone: Since positive 

identification of the caller cannot be 

established, telephone requests are not 

honored. 

Parents, Legal Guardians and 

Personal Representatives: Parents of 

minor children and legal guardians or 

personal representatives of legally 

incompetent individuals shall verify 

their own identification in the manner 

described above, as well as their 

relationship to the individual whose 

record is sought. A copy of the child’s 

birth certificate or court order 

establishing legal guardianship may be 

required if there is any doubt regarding 

the relationship of the individual to the 

patient. 

RECORD ACCESS PROCEDURES: 

Same as Notification Procedures: 

Requesters may write, call or visit the 

last IHS facility where medical care was 

provided. Requesters should also 

provide a reasonable description of the 

record being sought. Requesters may be 

required to fill out an IHS–810 form, 

Authorization for Use or Disclosure of 

Protected Health Information, for this 

purpose. Requesters may be required to 

fill out the following forms for the 

purposes stated: 

a. IHS–912–1 form, Request for 

Restriction(s). (The requester may 

restrict the use of their PHI with some 

exceptions); 

b. IHS–912–2 form, Request for 

Revocation of Restriction(s). (The 

requester or the IHS may revoke a 

previous restriction(s)); 

c. IHS–913 form, Request for An 

Accounting of Disclosures. (The 

requester and/or personal representative 

may request an accounting where IHS 

has disclosed during the calendar year 

without their consent); or, 

d. IHS–963 form, Request for 

Confidential Communication By 

Alternative Means or Alternate 

Location. (The requester and/or 

personal representative may request 

their PHI be communicated by an 

alternative means such as regular mail, 

telephone, or facsimile; or 

communicated to an alternate location). 

Contesting Record Procedures: 

Requesters may write, call or visit the 

appropriate IHS Area/Program Office 

Director or Service Unit Director/Chief 

Executive Officer at his/her address 

specified in Appendix 1, and specify the 

information being contested, the 

corrective action sought, and the 

reasons for requesting the correction, 

along with supporting information to 

show how the record is inaccurate, 

incomplete, untimely, or irrelevant. The 

requestor shall use the IHS–917 form, 

Request for Correction/Amendment of 

Protected Health Information, for this 

purpose. 

Record source categories: Individual 

and/or family members, IHS health care 

personnel, contract health care 

providers, State and local health care 

provider organizations, Medicare and 

Medicaid funding agencies, and the 

SSA. 

SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS

OF THE ACT: 

None. 

Appendix 1—System Managers and 

IHS Locations Under Their Jurisdiction 

Where Records Are Maintained 

Director, Aberdeen Area Indian Health 

Service, Room 309, Federal Building, 

115 Fourth Avenue, SE., Aberdeen, 

South Dakota 57401. 

Director, Cheyenne River Service Unit, 

Eagle Butte Indian Hospital, P.O. Box 

1012, Eagle Butte, South Dakota 57625. 

Director, Crow Creek Service Unit, Ft. 

Thompson Indian Health Center, P.O. 

Box 200, Ft. Thompson, South Dakota 

57339. 

Director, Fort Berthold Service Unit, Fort 

Berthold Indian Health Center, P.O. Box 

400, New Town, North Dakota 58763. 

Director, Carl T. Curtis Health Center, P.O. 

Box 250, Macy, Nebraska 68039. 

Director, Fort Totten Service Unit, Fort 

Totten Indian Health Center, P.O. Box 

200, Fort Totten, North Dakota 58335. 

Director, Kyle Indian Health Center, P.O. 

Box 540, Kyle, South Dakota 57752. 

Director, Lower Brule Indian Health 

Center, P.O. Box 191, Lower Brule, South 

Dakota 57548. 

Director, McLaughlin Indian Health Center, 

P.O. Box 879, McLaughlin, South Dakota 

57642. 

Director, Omaha-Winnebago Service Unit, 

Winnebago Indian Hospital, Winnebago, 

Nebraska 68071. 

Director, Pine Ridge Service Unit, Pine 

Ridge Indian Hospital, Pine Ridge, South 

Dakota 57770. 

Director, Rapid City Service Unit, Rapid 

City Indian Hospital, 3200 Canyon Lake 

Drive, Rapid City, South Dakota 57701. 

Director, Rosebud Service Unit, Rosebud 

Indian Hospital, Rosebud, South Dakota 

57570. 

Director, Sisseton-Wahpeton Service Unit, 

Sisseton Indian Hospital, P.O. Box 189, 

Sisseton, South Dakota 57262. 

Director, Standing Rock Service Unit, Fort 

Yates Indian Hospital, P.O. Box J, Fort 

Yates, North Dakota 58538. 

Director, Trenton-Williston Indian Health 

Center, P.O. Box 210, Trenton, North 

Dakota 58853. 

Director, Turtle Mountain Service Unit, 

Belcourt Indian Hospital, P.O. Box 160, 

Belcourt, North Dakota 58316. 

Director, Wanblee Indian Health Center, 

100 Clinic Drive, Wanblee, South Dakota 

57577. 

Director, Yankton-Wagner Service Unit, 

Wagner Indian Hospital, 110 Washington 

Street, Wagner, South Dakota 57380. 

Director, Youth Regional Treatment Center, 

P.O. Box 68, Mobridge, South Dakota 

57601. 

Director, Sac & Fox Health Center, 307 

Meskwaki Road, Tama, Iowa 52339. 

Director, Santee Health Center, 425 Frazier 

Avenue, N ST Street #2, Niobrara, 

Nebraska 68760. 

Director, Alaska Area Native Indian Health 

Service, 4141 Ambassador Drive, Suite 

300, Anchorage, Alaska 99508–5928. 

Director, Albuquerque Area Health Service, 

5300 Homestead Road, NE, Albuquerque, 

New Mexico 87110. 

Director, Acoma-Canoncito-Laguna Service 

Unit, Acoma-Canoncito-Laguna Indian 

Hospital, P.O. Box 130, San Fidel, New 

Mexico 87049. 

Director, To’Hajille Health Center, P.O. Box 

3528, Canoncito, New Mexico 87026. 

Director, New Sunrise Treatment Center, 

P.O. Box 219, San Fidel, New Mexico 

87049. 

Director, Albuquerque Service Unit, 

Albuquerque Indian Hospital, 801 Vassar 

Drive, NE., Albuquerque, New Mexico 

87106. 

Director, Albuquerque Indian Dental 

Clinic, P.O. Box 67830, Albuquerque, 

New Mexico 87193. 

Director, Santa Fe Service Unit, Santa Fe 

Indian Hospital, 1700 Cerrillos Road, 

Santa Fe, New Mexico 87505. 

Director, Santa Clara Health Center, RR5, 

Box 446, Espanola, New Mexico 87532. 

Director, San Felipe Health Center, P.O. 

Box 4344, San Felipe, New Mexico 

87001. 

Director, Cochiti Health Center, P.O. Box 

105, 255 Cochiti Street, Cochiti, New 

Mexico 87072. 

Director, Santo Domingo Health Center, 

P.O. Box 340, Santo Domingo, New 

Mexico 87052. 

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Director, Southern Colorado-Ute Service 

Unit, P.O. Box 778, Ignacio, Colorado 

81137. 

Director, Ignacio Indian Health Center, P.O. 

Box 889, Ignacio, Colorado 81137. 

Director, Ute Mountain Ute Health Center, 

Towaoc, Colorado 81334. 

Director, Jicarilla Indian Health Center, 

P.O. Box 187, Dulce, New Mexico 87528. 

Director, Mescalero Service Unit, 

Mescalero Indian Hospital, P.O. Box 210, 

Mescalero, New Mexico 88340. 

Director, Taos/Picuris Indian Health 

Center, P.O. Box 1956, 1090 Goat Springs 

Road, Taos, New Mexico 87571. 

Director, Zuni Service Unit, Zuni Indian 

Hospital, P.O. Box 467, Zuni, New 

Mexico 87327. 

Director, Pine Hill Health Center, P.O. Box 

310, Pine Hill, New Mexico 87357. 

Director, Bemidji Area Indian Health Service, 

522 Minnesota Avenue, NW., Bemidji, 

Minnesota 56601. 

Director, Red Lake Service Unit, PHS 

Indian Hospital, Highway 1, Red Lake, 

Minnesota 56671. 

Director, Leech Lake Service Unit, PHS 

Indian Hospital, 425 7th Street, NW., 

Cass Lake, Minnesota 56633. 

Director, White Earth Service Unit, PHS 

Indian Hospital, P.O. Box 358, White 

Earth, Minnesota 56591. 

Director, Billings Area Indian Health 

Service, P.O. Box 36600, 2900 4th 

Avenue North, Billings, Montana 59107. 

Director, Blackfeet Service Unit, Browning 

Indian Hospital, P.O. Box 760, Browning, 

Montana 59417. 

Director, Heart Butte PHS Indian Health 

Clinic, Heart Butte, Montana 59448. 

Director, Crow Service Unit, Crow Indian 

Hospital, Crow Agency, Montana 59022. 

Director, Lodge Grass PHS Indian Health 

Center, Lodge Grass, Montana 59090. 

Director, Pryor PHS Indian Health Clinic, 

P.O. Box 9, Pryor, Montana 59066. 

Director, Fort Peck Service Unit, Poplar 

Indian Hospital, Poplar, Montana 59255. 

Director, Fort Belknap Service Unit, 

Harlem Indian Hospital, Harlem, 

Montana 59526. 

Director, Hays PHS Indian Health Clinic, 

Hays, Montana 59526. 

Director, Northern Cheyenne Service Unit, 

Lame Dear Indian Health Center, Lame 

Deer, Montana 59043. 

Director, Wind River Service Unit, Fort 

Washakie Indian Health Center, Fort 

Washakie, Wyoming 82514. 

Director, Arapahoe Indian Health Center, 

Arapahoe, Wyoming 82510. 

Director, Chief Redstone Indian Health 

Center, Wolf Point, Montana 59201. 

Director, California Area Indian Health 

Service, John E. Moss Federal Building, 

650 Capitol Mall, Suite 7–100, 

Sacramento, California 95814. 

Director, Nashville Area Indian Health 

Service, 711 Stewarts Ferry Pike, 

Nashville, Tennessee 37214–2634. 

Director, Catawba PHS Indian Nation of 

South Carolina, P.O. Box 188, Catawba, 

South Carolina 29704. 

Director, Unity Regional Youth Treatment 

Center, P.O. Box C–201, Cherokee, North 

Carolina 28719. 

Director, Navajo Area Indian Health Service, 

P.O. Box 9020, Highway 264, Window 

Rock, Arizona 86515–9020. 

Director, Chinle Service Unit, Chinle 

Comprehensive Health Care Facility, 

Hwy 191 & Hospital Road, P.O. Drawer 

PH, Chinle, Arizona 86503. 

Director, Tsaile Health Center, P.O. Box 

467, Navajo Routes 64 and 12, Tsaile, 

Arizona 86556. 

Director, Rock Point Field Clinic, c/o 

Tsaile Health Center, P.O. Box 647, 

Tsaile, Arizona 86557. 

Director, Pinon Health Center, Navajo 

Route 4, P.O. Box 10, Pinon, Arizona 

86510. 

Director, Crownpoint Service Unit, 

Crownpoint Comprehensive Health Care 

Facility, P.O. Box 358, Crownpoint, New 

Mexico 87313. 

Director, Pueblo Pintado Health Station, 

c/o Crownpoint Comprehensive Health 

Care Facility, P.O. Box 358, Crownpoint, 

New Mexico 87313. 

Director, Fort Defiance Service Unit, Fort 

Defiance Indian Hospital, P.O. Box 649, 

Intersection of Navajo Routes N12 and 

N7, Fort Defiance, Arizona 86515. 

Director, Nahata Dziil Health Center, P.O. 

Box 125, Sanders, Arizona 86512. 

Director, Gallup Service Unit, Gallup 

Indian Medical Center, P.O. Box 1337, 

Nizhoni Boulevard, Gallup, New Mexico 

87305. 

Director, Tohatchi Indian Health Center, 

P.O. Box 142, Tohatchi, New Mexico 

87325. 

Director, Ft. Wingate Health Station, c/o 

Gallup Indian Medical Center, P.O. Box 

1337, Gallup, New Mexico 87305. 

Director, Kayenta Service Unit, Kayenta 

Indian Health Center, P.O. Box 368, 

Kayenta, Arizona 86033. 

Director, Inscription House Health Center, 

P.O. Box 7397, Shonto, Arizona 86054. 

Director, Dennehotso Clinic, c/o Kayenta 

Health Center, P.O. Box 368, Kayenta, 

Arizona 86033. 

Director, Shiprock Service Unit, Northern 

Navajo Medical Center, P.O. Box 160, 

U.S. Hwy 491 North, Shiprock, New 

Mexico 87420. 

Director, Dzilth-Na-O–Dith-Hle Indian 

Health Center, 6 Road 7586, Bloomfield, 

New Mexico 87413. 

Director, Four Corners Regional Health 

Center, U.S. Hwy 160, Navajo Route 35– 

Red Mesa, HRC 6100, Box 30, Teec Nos 

Pos, Arizona 86514. 

Director, Sanostee Health Station, c/o 

Northern Navajo Medical Center, P.O. 

Box 160, Shiprock, New Mexico 87420. 

Director, Toadlena Health Station, c/o 

Northern Navajo Medical Center, P.O. 

Box 160, Shiprock, New Mexico 87420. 

Director, Teen Life Center, c/o Northern 

Navajo Medical Center, P.O. Box 160, 

Shiprock, New Mexico 87420. 

Director, Oklahoma City Area Indian Health 

Service, Five Corporation Plaza, 3625 

NW 56th Street, Oklahoma City, 

Oklahoma 73112. 

Director, Claremore Service Unit, 

Claremore Comprehensive Indian Health 

Facility, West Will Rogers Boulevard and 

Moore, Claremore, Oklahoma 74017. 

Director, Clinton Service Unit, Clinton 

Indian Hospital, Route 1, P.O. Box 3060, 

Clinton, Oklahoma 73601–9303. 

Director, El Reno PHS Indian Health 

Clinic, 1631A E. Highway 66, El Reno, 

Oklahoma 73036. 

Director, Watonga Indian Health Center, 

Route 1, Box 34–A, Watonga, Oklahoma 

73772. 

Director, Haskell Service Unit, PHS Indian 

Health Center, 2415 Massachusetts 

Avenue, Lawrence, Kansas 66044. 

Director, Lawton Service Unit, Lawton 

Indian Hospital, 1515 Lawrie Tatum 

Road, Lawton, Oklahoma 73501. 

Director, Anadarko Indian Health Center, 

P.O. Box 828, Anadarko, Oklahoma 

73005. 

Director, Carnegie Indian Health Center, 

P.O. Box 1120, Carnegie, Oklahoma 

73150. 

Director, Holton Service Unit, PHS Indian 

Health Center, 100 West 6th Street, 

Holton, Kansas 66436. 

Director, Pawnee Service Unit, Pawnee 

Indian Service Center, RR2, Box 1, 

Pawnee, Oklahoma 74058–9247. 

Director, Pawhuska Indian Health Center, 

715 Grandview, Pawhuska, Oklahoma 

74056. 

Director, Tahlequah Service Unit, W. W. 

Hastings Indian Hospital, 100 S. Bliss, 

Tahlequah, Oklahoma 74464. 

Director, Wewoka Indian Health Center, 

P.O. Box 1475, Wewoka, Oklahoma 

74884. 

Director, Phoenix Area Indian Health 

Service, Two Renaissance Square, 40 

North Central Avenue, Phoenix, Arizona 

85004. 

Director, Colorado River Service Unit, 

Chemehuevi Indian Health Clinic, P.O. 

Box 1858, Havasu Landing, California 

92363. 

Director, Colorado River Service Unit, 

Havasupai Indian Health Station, P.O. 

Box 129, Supai, Arizona 86435. 

Director, Colorado River Service Unit, 

Parker Indian Health Center, 12033 

Agency Road, Parker, Arizona 85344. 

Director, Colorado River Service Unit, 

Peach Springs Indian Health Center, P.O. 

Box 190, Peach Springs, Arizona 86434. 

Director, Colorado River Service Unit, 

Sherman Indian High School, 9010 

Magnolia Avenue, Riverside, California 

92503. 

Director, Elko Service Unit, Newe Medical 

Clinic, 400 ‘‘A’’ Newe View, Ely, Nevada 

89301. 

Director, Elko Service Unit, Southern 

Bands Health Center, 515 Shoshone 

Circle, Elko, Nevada 89801. 

Director, Fort Yuma Service Unit, Fort 

Yuma Indian Hospital, P.O. Box 1368, 

Fort Yuma, Arizona 85366. 

Director, Keams Canyon Service Unit, Hopi 

Health Care Center, P.O. Box 4000, 

Polacca, Arizona 86042. 

Director, Schurz Service Unit, Schurz 

Service Unit Administration, Drawer A, 

Schurz, Nevada 89427. 

Director, Fort McDermitt Clinic, P.O. Box 

315, McDermitt, Nevada 89421. 

Director, Phoenix Service Unit, Phoenix 

Indian Medical Center, 4212 North 16th 

Street, Phoenix, Arizona 85016. 

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Director, Phoenix Service Unit, Salt River 

Health Center, 10005 East Osborn Road, 

Scottsdale, Arizona 85256. 

Director, San Carlos Service Unit, Bylas 

Indian Health Center, P.O. Box 208, 

Bylas, Arizona 85550. 

Director, San Carlos Service Unit, San 

Carlos Indian Hospital, P.O. Box 208, 

San Carlos, Arizona 85550. 

Director, Unitah and Ouray Service Unit, 

Fort Duchesne Indian Health Center, 

P.O. Box 160, Ft. Duchesne, Utah 84026. 

Director, Whiteriver Service Unit, Cibecue 

Health Center, P.O. Box 37, Cibecue, 

Arizona 85941. 

Director, Whiteriver Service Unit, 

Whiteriver Indian Hospital, P.O. Box 

860, Whiteriver, Arizona 85941. 

Director, Desert Vision Youth Wellness 

Center, P.O. Box 458, Sacaton, Arizona 

85247. 

Director, Nevada Skies Youth Wellness 

Center, 104 Big Bend Ranch Road, P.O. 

Box 280, Wadsworth, Nevada 89442. 

Director, Portland Area Indian Health 

Service, Room 476, Federal Building, 

1220 Southwest Third Avenue, Portland, 

Oregon 97204–2829. 

Director, Colville Service Unit, Colville 

Indian Health Center, P.O. Box 71– 

Agency Campus, Nespelem, Washington 

99155. 

Director, Fort Hall Service Unit, Not-Tsoo 

Gah-Nee Health Center, P.O. Box 717, 

Fort Hall, Idaho 83203. 

Director, Warm Springs Service Unit, 

Warm Springs Indian Health Center, P.O. 

Box 1209, Warm Springs, Oregon 97761. 

Director, Wellpinit Service Unit, David C. 

Wynecoop Memorial Clinic, P.O. Box 

357, Wellpinit, Washington 99040. 

Director, Western Oregon Service Unit, 

Chemawa Indian Health Center, 3750 

Chemawa Road, NE, Salem, Oregon 

97305–1198. 

Director, Yakama Service Unit, Yakama 

Indian Health Center, 401 Buster Road, 

Toppenish, Washington 98948. 

Director, Tucson Area Indian Health Service, 

7900 South ‘‘J’’ Stock Road, Tucson, 

Arizona 85746–9352. 

Chief Medical Officer, Pascua Yaqui 

Service Unit, Division of Public Health, 

7900 South ‘‘J’’ Stock Road, Tucson, 

Arizona 85746. 

Facility Director, San Xavier Indian Health 

Center, 7900 South ‘‘J’’ Stock Road, 

Tucson, Arizona 85746. 

Director, Sells Service Unit, Santa Rosa 

Indian Health Center, HCO1, P.O. Box 

8700, Sells, Arizona 85634. 

Director, Sells Service Unit, Sells Indian 

Hospital, P.O. Box 548, Sells, Arizona 

85634. 

Director, Sells Service Unit, San Simon 

Health Center, HC01 Box 8150, Sells, 

Arizona 85634. 

Appendix 2—Federal Archives and 

Records Centers 

District of Columbia, Maryland Except U.S. 

Court Records for Maryland, Washington 

National Records Center, 4205 Suitland 

Road, Suitland, Maryland 20746–8001. 

Connecticut, Maine, Massachusetts, New 

Hampshire, Rhode Island, and Vermont, 

Federal Archives and Records Center, 

Frederick C. Murphy Federal Center, 380 

Trapelo Road, Waltham, Massachusetts 

02452–6399. 

Northeast Region, Federal Archives and 

Records Center, 10 Conte Drive, Pittsfield, 

Massachusetts 01201–8230. 

Mid-Atlantic Region and Pennsylvania, 

Federal Archives and Records Center, 

14700 Townsend Road, Philadelphia, 

Pennsylvania 19154–1096. 

Alabama, Florida, Georgia, Kentucky, 

Mississippi, North Carolina, South 

Carolina, and Tennessee, Federal Archives 

and Records Center, 1557 St. Joseph 

Avenue, East Point, Georgia 30344–2593. 

Illinois, Indiana, Michigan, Minnesota, Ohio 

and Wisconsin and U.S. Court Records for 

the mentioned States, Federal Archives 

and Records Center, 7358 South Pulaski 

Road, Chicago, Illinois 60629–5898. 

Michigan, Except U.S. Court Records, Federal 

Records Center, 3150 Springboro Road, 

Dayton, Ohio 45439–1883. 

Kansas, Iowa, Missouri and Nebraska, and 

U.S. Court Records for the mentioned 

States, Federal Archives and Records 

Center, 2312 East Bannister Road, Kansas 

City, Missouri 64131–3011. 

New Jersey, New York, Puerto Rico, and the 

U.S. Virgin Islands, and U.S. Court Records 

for the mentioned States and territories, 

200 Space Center Drive, Lee’s Summit, 

Missouri 64064–1182. 

Arkansas, Louisiana, Oklahoma and Texas, 

and U.S. Courts Records for the mentioned 

States, Federal Archives and Records 

Center, P.O. Box 6216, Ft. Worth, Texas 

76115–0216. 

Colorado, Wyoming, Utah, Montana, New 

Mexico, North Dakota, and South Dakota, 

and U.S. Courts Records for the mentioned 

States, Federal Archives and Records 

Center, P.O. Box 25307, Denver, Colorado 

80225–0307. 

Northern California Except Southern 

California, Hawaii, and Nevada Except 

Clark County, the Pacific Trust Territories, 

and American Samoa, and U.S. Courts 

Records for the mentioned States and 

territories, Federal Archives and Records 

Center, 1000 Commodore Drive, San 

Bruno, California 94066–2350. 

Arizona, Southern California, and Clark 

County, Nevada, and U.S. Courts Records 

for the mentioned States, Federal Archives 

and Records Center, 23123 Cajalco Road, 

Perris, California 93570–7298. 

Washington, Oregon, Idaho and Alaska, and 

U.S. Courts Records for the mentioned 

States, Federal Archives and Records 

Center, 6125 Sand Point Way NE, Seattle, 

Washington 98115–7999. 

[FR Doc. 2010–285 Filed 1–11–10; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HOUSING AND 

URBAN DEVELOPMENT 

[Docket No. FR–5322–N–01] 

Public Housing Assessment System 

(PHAS): Asset Management Transition 

Year 2 Information 

AGENCY: Office of the Assistant 

Secretary for Public and Indian 

Housing, HUD. 

ACTION: Notice. 

SUMMARY: This notice provides new 

information related to scoring and 

submission requirements for public 

housing agencies (PHAs) under the 

Public Housing Assessment System 

(PHAS) for PHA fiscal years ending June 

30, 2009, September 30, 2009, December 

31, 2009, and March 31, 2010. These 

fiscal years coincide with the second 

year of project-based budgeting and 

accounting under asset management, 

also known as ‘‘Transition Year 2.’’ 

FOR FURTHER INFORMATION CONTACT: The 

Office of Public and Indian Housing, 

Real Estate Assessment Center (REAC), 

Attention: Wanda Funk, Department of 

Housing and Urban Development, 550 

12th Street, SW., Suite 100, Washington, 

DC 20410; telephone number (REAC 

Technical Assistance Center) 888–245– 

4860 (this is a toll-free number). Persons 

with hearing or speech impairments 

may access this number through TTY by 

calling the toll-free Federal Information 

Relay Service at 800–877–8339. 

SUPPLEMENTARY INFORMATION: 

I. Background 

A. Background on PHAS 

PHAS was established by a final rule 

published on September 1, 1998 (63 FR 

46596). Prior to 1998, PHAs were 

evaluated by HUD under the Public 

Housing Management Assessment 

Program (PHMAP), the regulations for 

which are found at 24 CFR part 901. 

PHAS expanded assessment of a PHA to 

four key areas of a PHA’s operations: (1) 

The physical condition of the PHA’s 

properties; (2) the PHA’s financial 

condition; (3) the PHA’s management 

operations submitted as a selfcertification; and (4) the resident service 

and satisfaction assessment (through a 

resident survey). 

Under the current PHAS, and on the 

basis of these four indicators, a PHA 

receives a composite score that 

represents a single score for a PHA’s 

entire operation and a corresponding 

performance designation. PHAs that are 

designated high performers receive 

public recognition and relief from 

specific HUD requirements. PHAs that 

are designated standard and 

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