46436 Federal Register / Vol. 74, No. 173 / Wednesday, September 9, 2009 / Notices 

meeting, and the background material 

will be posted on FDA’s Web site after 

the meeting. Background material is 

available at http://www.fda.gov/ 

AdvisoryCommittees/Calendar/ 

default.htm. Scroll down to the 

appropriate advisory committee link. 

Procedure: Interested persons may 

present data, information, or views, 

orally or in writing, on issues pending 

before the committee. Written 

submissions may be made to the contact 

person on or before October 2, 2009. 

Oral presentations from the public will 

be scheduled between approximately 

11:30 a.m. and 12:30 p.m. Those 

desiring to make formal oral 

presentations should notify the contact 

person and submit a brief statement of 

the general nature of the evidence or 

arguments they wish to present, the 

names and addresses of proposed 

participants, and an indication of the 

approximate time requested to make 

their presentation on or before October 

1, 2009. Time allotted for each 

presentation may be limited. If the 

number of registrants requesting to 

speak is greater than can be reasonably 

accommodated during the scheduled 

open public hearing session, FDA may 

conduct a lottery to determine the 

speakers for the scheduled open public 

hearing session. The contact person will 

notify interested persons regarding their 

request to speak by October 2, 2009. 

Persons attending FDA’s advisory 

committee meetings are advised that the 

agency is not responsible for providing 

access to electrical outlets. 

FDA welcomes the attendance of the 

public at its advisory committee 

meetings and will make every effort to 

accommodate persons with physical 

disabilities or special needs. If you 

require special accommodations due to 

a disability, please contact Gail Dapolito 

at least 7 days in advance of the 

meeting. 

FDA is committed to the orderly 

conduct of its advisory committee 

meetings. Please visit our Web site at 

http://www.fda.gov/Advisory

Committees/AboutAdvisoryCommittees/ 

ucm111462.htm for procedures on 

public conduct during advisory 

committee meetings. 

Notice of this meeting is given under 

the Federal Advisory Committee Act (5 

U.S.C. app. 2). 

Dated: September 2, 2009. 

David Horowitz, 

Assistant Commissioner for Policy. 

[FR Doc. E9–21557 Filed 9–8–09; 8:45 am] 

BILLING CODE 4160–01–S 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

[System Number 09–17–0003] 

Privacy Act of 1974; Report of an 

Altered System of Records Medical 

Staff Credentials and Privileges 

Records 

AGENCY: Department of Health and 

Human Services (HHS), Indian Health 

Service (IHS). 

ACTION: Amendment of one altered 

Privacy Act system of records. 

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. 09–17–0003, ‘‘Medical Staff 

Credentials and Privileges Records.’’ 

The amended and altered system of 

records makes several administrative 

revisions which includes the deletion of 

the Social Security Numbers (SSNs) 

language to comply with the Office of 

Management and Budget (OMB) 

Memorandum (M)07–16, Safeguarding 

Against and Responding to the Breach 

of Personally Identifiable Information 

(May 22, 2007); and the HHS Directive 

Memorandum of October 6, 2008 to all 

Operating Division Heads to develop 

and execute a plan to eliminate the 

unnecessary collection and use of SSNs; 

and the inclusion of a new routine use 

to comply with OMB (M)07–16 and the 

HHS Memorandum dated September 19, 

2007 to incorporate Notification of 

Breach Routine Use language; and the 

update of the Appendix 1 of the SOR. 

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, OMB on 

September 9, 2009. To ensure that all 

parties have adequate time in which to 

comment, the altered SOR will become 

effective 40 days from the publication of 

the notice, or from the date it 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) 

443–2316, or send your e-mail requests, 

comments, and return address to: 

William.Tibbitts@ihs.qov. 

FOR FURTHER INFORMATION CONTACT: 

Contact Paul Fowler, D.O., J.D., IRS Risk 

Management Officer, Office of Clinical 

and Preventive Services, Suite 331, 801 

Thompson Avenue, Rockville, Maryland 

20852 or via the Internet at 

Paul.Fowler@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 IRS. The 

purpose of altering System No. 09–17– 

0003, ‘‘Medical Staff Credentials and 

Privileges Records,’’ is to enable IRS to 

reflect current program changes, 

statutory and implementation changes. 

The exclusion of SSN language; the 

inclusion of a new routine use and 

revision or modification of the IHS 

addresses in Appendix 1 is necessary to 

this system of records. 

Dated: August 28, 2009. 

Yvette Roubideaux, 

Director of Indian Health Service. 

09–17–0003 

SYSTEM NAME: 

Indian Health Service Medical Staff 

Credentials and Privileges Records, 

HHS/IHS/OCPS. 

SECURITY CLASSIFICATION: 

None. 

SYSTEM LOCATION: 

Each IHS Area Office and each IHS 

Service Unit (see Appendix 1). Records 

may also be located at hospitals and 

offices of health care providers who are 

under contract to IHS. A current list of 

contractor sites is a available by writing 

to the appropriate System Manager 

(Area or Service Unit Director) at the 

address shown in Appendix 1. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Prospective, current and former IHS 

medical staff members. The term IHS 

medical staff includes fully licensed 

individuals permitted by law to provide 

patient care services independently and 

without concurrent professional 

direction or supervision, within the 

scope of his/her license and in 

accordance with individually granted 

clinical privileges. The IHS medical 

staff includes physicians (M.D. and 

D.O.) and dentists and may include 

other health care practitioners such as 

psychologists, optometrists, podiatrists, 

audiologists, and, in some States, 

certified nurse midwives. Types of 


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Federal Register / Vol. 74, No. 173 / Wednesday, September 9, 2009 / Notices 46437 

assignment categories of current and 

former IHS medical staff members 

include the following: 

Provisional—Those new members of 

the medical staff who are serving a 

required initial probationary period, as 

specified in the local medical staff 

bylaws. During this time, their 

qualifications for membership on the 

active or courtesy IHS medical staff are 

assessed. 

Active—Those members who are 

Federal employees and/or spend at least 

fifty percent of their professional time 

providing patient care related services 

in the facility. 

Temporary—Those members who 

provide services on a short-term basis or 

have applied for active medical staff 

membership and are awaiting a full 

credential review. 

Courtesy or Associate—Those 

members who generally provide 

services on a periodic or episodic basis 

(e.g., consultants for specialty clinics). 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Contains name, SSN, IHS medical 

staff membership and privileges 

applications and associated forms, 

employment data, liability insurance 

coverage, credentialing history of 

licensed health professionals, personal, 

educational, and demographic 

background information, professional 

performance information consisting of 

continuing education, performance 

awards, and adverse or disciplinary 

actions, and evaluations and approvals 

completed by IHS medical staff 

reviewers. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

Federal Records Act (44 U.S.C. 2901), 

Privacy Act of 1974, as amended (5 

U.S.C. 552a), Indian Self Determination 

and Education and Assistance Act (25 

U.S.C. 450), Snyder Act (25 U.S.C. 13), 

Indian Health Care Improvement Act 

(25 U.S.C. 1601 et seq.), Indian Health 

Service Transfer Act (42 U.S.C. 2001– 

2004). 

PURPOSE(S): 

The purposes of this system are: 

1. To ensure that IHS medical staff 

members are qualified, competent and 

capable of delivering quality health 

services consistent with those of the 

medical community at large and that 

they are granted privileges 

commensurate with their training and 

competence and with the ability of the 

facility to provide adequate support 

equipment, services, and staff. 

2. To inform health care 

practitioner(s) and staff of health care 

facilities, State or county health 

professional societies or licensing 

boards to whom the subject individual 

may apply for clinical privileges, 

membership or licensure, of the subject 

individuals professional competence, 

character and ethical qualifications. 

This may include information regarding 

drug or alcohol abuse or dependency. 

Within the Department such releases 

may be made to personnel staffs of HHS 

Regional Offices. 

3. To provide adverse health care 

practice information to the National 

Practitioner Data Bank-Healthcare 

Integrity and Protection Data Bank 

(NPDB–HIPDB) established under Title 

IV of Public Law 99–660, the Health 

Care Quality Improvement Act of 1986, 

and Section 221(a) of Public Law 104– 

191, the Heath Insurance Portability and 

Accountability Act of 1996. The 

purpose of such a release is to provide 

information concerning a current or 

former IHS medical staff member whose 

professional health care activity failed 

to conform to generally accepted 

standards of professional medical 

practice. 

4. To provide health care practice 

information concerning current or 

former members of the IHS medical staff 

with Commissioned Corps status to the 

Division of Commissioned Personnel, 

U.S. Public Health Service, so that an 

informed decision may be made 

concerning the promotion, retention, or 

reassignment of the subject individual. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

1. Records may be disclosed to 

organizations authorized to conduct 

evaluation studies concerning the 

delivery of health care services by the 

IHS (e.g., Joint Commission on the 

Accreditation of Healthcare 

Organizations). 

2. IHS may disclose records consisting 

of name, employment history and any 

professional qualification information 

concerning medical staff membership 

and privileges, professional 

competence, clinical judgment and 

personal character to a State or local 

government health professional 

licensing board, to the Federation of 

State Medical Boards, to the NPDB– 

RIPDB established under Title IV of 

Public Law 99–660 and Section 221(a) 

of Public Law 104–191, and/or to a 

similar entity which has the authority to 

maintain records concerning the 

issuance, retention or revocation of 

licenses or registrations necessary to 

practice a health professional 

occupation or specialty. 

The purpose of this disclosure is to 

inform medical profession licensing 

boards and appropriate entities about 

the health care practices of a current, 

terminated, resigned, or retired IHS 

medical staff member whose 

professional health care activity 

significantly failed to conform to 

generally accepted standards of 

professional medical practice. This will 

be done within the guidelines for notice, 

hearing, and review as delineated in the 

medical staff bylaws for the IHS facility 

and/or within other HHS or IRS 

regulations or policies. 

3. IHS may disclose biographic data 

and information supplied by potential 

applicants to (a) references listed on the 

IHS medical staff and/or privileges 

application and associated forms for the 

purpose of evaluating the applicant’s 

professional qualifications, experience, 

and suitability, and (b) a State or local 

government health profession licensing 

board, to a health-related professional 

organization, to the Federation of State 

Medical Boards, and to the NPDB 

HIPDB established under Title IV of 

Public Law 99–660 and Section 221(a) 

of Public Law 104–191 or a similar 

entity for the purpose of verifying that 

all claimed background and 

employment data are valid and all 

claimed credentials are current and in 

good standing. 

4. Records may be disclosed to other 

Federal agencies (including the Office of 

Personnel Management for subject 

individuals applying for or maintaining 

Civil Service appointments)/to State and 

local governmental. agencies, and to 

organizations in the private sector to 

which the subject individual applies for 

clinical privileges, membership or 

licensure for the purpose of 

documenting the qualifications and 

competency of the subject individual to 

provide health services in his/her health 

profession based on the individual’s 

professional performance while 

employed by the IHS. 

5. The Department may disclose 

information from this system of records 

to the Department of Justice (DOJ), or to 

a court or other tribunal, when (a) HHS, 

or any component thereof, or (b) any 

HHS employee in his or her official 

capacity; or (c) 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 (d) the United States or 

any agency thereof where HHS 

determines that the litigation is likely to 

affect HHS or any of its components, is 

a party to litigation or has an interest in 

such litigation, and HHS determines 

that the use of such records by the DOJ, 

the court or other tribunal is relevant 

and necessary to the litigation and 

would help in the effective 

representation of the governmental 


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46438 Federal Register / Vol. 74, No. 173 / Wednesday, September 9, 2009 / Notices 

party, provided, however, that in each 

case, HH determines that such 

disclosure is compatible with the 

purpose for which the records were 

collected. 

6. Records may be disclosed to a 

congressional office from the record of 

an individual in response to a verified 

inquiry from the congressional office 

made at the written request of that 

individual. 

7. In the event that a system of records 

maintained by the IHS 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 statute, or by 

regulation, rule or order issued pursuant 

thereto, the relevant records in the 

system of records may be referred to the 

appropriate agency, whether Federal, 

State, or local, charged with enforcing or 

implementing the statute or rule, 

regulation or order issued pursuant 

thereto. 

8. 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 and computer-based or 

electronic files. 

RETRIEVABILITY: 

Indexed and retrieved by name, and 

any other identifying numbers necessary 

to establish the identity of an individual 

whose record is maintained in the 

system of records. 

SAFEGUARDS: 

1. Authorized Users: Access is limited 

to authorized personnel for use in the 

performance of their official duties. 

Authorized personnel include: 

Physician Recruitment and other Health 

Professions Branch Staff and Area 

Governing Board Members at IHS Area 

Offices, and Service Unit Directors, 

Clinical Directors and members of the 

Credentials and Privilege Committee of 

each IHS Service Unit. At each location 

where records in this system will be 

maintained, a list of personnel or 

categories of personnel having an 

official need-to-know has been 

developed and is maintained. 

2. Physical Safeguards: Records are 

kept in locked metal filing cabinets or 

in locked desk drawers in secured 

rooms at all times when not actually in 

use during working hours and at all 

times during non-working hours. Record 

storage areas, including file cabinets and 

desks, are not left unattended or 

unlocked during office hours, including 

lunch hours. Computer-based or 

electronic records are password 

protected security and any additional 

internal security for database (linked or 

unlinked). 

3. Procedural Safeguards: Persons 

who have an official need-to-know are 

entrusted with records from this system 

of records and are instructed to 

safeguard the confidentiality of these 

records and to destroy all copies or to 

return such records when the need to 

know has expired. Instructions include 

the statutory penalties for 

noncompliance. Proper charge-out 

procedures are followed for the removal 

of records from the area in which they 

are maintained. Before an employee 

who will control disclosure of records 

can work with the records (i.e., 

employees who report to the system 

manager) the system manager or 

designee ensures that the employee has 

received training in the safeguards 

applicable to the records and is aware 

of the actions to take to restrict 

disclosure. When copying records for 

authorized purposes, care is taken to 

ensure that any imperfect pages are not 

left in the reproduction room where 

they can be read but are destroyed or 

obliterated. 

4. Implementation Guidelines: DHHS 

Chapter 45–13 and supplementary 

Chapter PHS.hf:45–13 of the General 

Administration Manual; DHHS, 

‘‘Automated Information Systems 

Security Program Handbook,’’ as 

amended; DHHS IRM Policy HHS–IRM– 

2000–0005, ‘‘IRM Policy for IT Security 

for Remove Access; OMB Circular A– 

130 ‘‘Management of Federal 

Information Resources’’; and E– 

Government Act of 2002 (Pub. L. 107– 

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

5. Retention and disposal: Records are 

maintained by IHS for at least ten years 

after the individual’s termination of 

employment or association with IHS. 

Records of unsuccessful applicants for 

medical staff membership will be 

retained for three years after his/her 

rejection. After these periods of 

retention expire, records are destroyed 

by shredding or burning. 

SYSTEM MANAGER(S) AND ADDRESS: 

See Appendix 1. 

POLICY COORDINATING OFFICIAL: 

Director, Office of Clinical and 

Preventive Services, IHS, 801 

Thompson Avenue, Suite 300, 

Rockville, Maryland 20852. The IHS 

Clinical Directors at all IHS Service 

Units listed in Appendix 1 are System 

Managers. IHS medical staff credentials 

and privileges files are stored at these 

locations. Other addresses listed in 

Appendix 1 are locations at which all or 

parts of these records may also be stored 

(Physician Recruiter at IRS Area 

Offices). Post Office box designations 

appearing in Appendix 1 should be 

specified when making requests by 

mail. 

NOTIFICATION PROCEDURE: 

Requests must be made to the 

appropriate System Manager (Clinical 

Director for the appropriate Service 

Unit) listed in Appendix 1. 

REQUESTS BY MAIL: 

Requests for information and/or 

access to records received by mail must 

contain information providing the 

identity of the writer and a reasonable 

description of the record desired. 

Written requests must contain, at a 

minimum, the name, signature, and 

address of the requester, and for 

unsuccessful applicants the date when 

the application was submitted, and for 

current or former IHS health care 

providers the dates and locations of 

service. We may request additional 

identification when we hold records for 

different persons with the same name or 

where an apparent discrepancy exists 

between information contained in the 

record and that provided by the 

individual requesting access to the 

record. 

OTHER NAMES USED: 

Where an individual is seeking to 

obtain information about himself/herself 

which may be retrieved by a different 

name than his/her current name, he/she 

shall be required to produce evidence to 

verify that he/she is the person whose 

record he/she seeks. 

REQUESTS IN PERSON: 

A subject individual who appears in 

person at a specific location (where he 

or she currently works or formerly 

worked) seeking access or disclosure of 

records contained in this system of 

records relating to him/her shall provide 

the information described in ‘‘Requests 

by mail’’ (above) and at least one piece 

of tangible identification such as a 

driver’s license or passport. 


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REQUESTS BY TELEPHONE: 

Since positive identification of the 

caller cannot be established, telephone 

requests are not honored. 

RECORD ACCESS PROCEDURES: 

SAME AS NOTIFICATION PROCEDURE: 

Requesters should also provide a 

reasonable description of the record 

being sought. Requesters may also 

request an accounting of disclosures 

that have been made of their records, if 

any. 

CONTESTING RECORD PROCEDURES: 

Write to the appropriate Service Unit 

Clinical Director at the address specified 

in Appendix 1 and reasonably identify 

the record, specify the information 

being contested, and state 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. 

RECORD SOURCE CATEGORIES: 

Subject individual, IRS health care 

personnel, references supplied by the 

subject individual, professional 

societies or associations, specialty 

boards, colleges and universities 

attended by the subject individual, 

former employers, health facilities or 

health providers with which the subject 

individual was associated, liability 

insurance carriers, organizations 

providing cardiopulmonary 

resuscitation training to the subject 

individual, State and local health and 

health care licensing or certifying 

organizations, and organizations which 

serve as repositories of information on 

health care professionals. 

SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS

OF THE ACT: 

None. 

Appendix 1: System Managers and IRS 

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, RR2, P.O. 

Box 160L, Niobrara, Nebraska 68760. 

Director, Alaska Area Native 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, RRS, 

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. 

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, NM 87327. 

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

310, Pine Hill, New Mexico 87357. 

Director, Bemidji Area Indian Health 

Service, 522 Minnesota Avenue, N.W., 

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 59101. 

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 P1–IS 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 Deer 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 B. 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 27 C–201, Cherokee, North 

Carolina 28719. 

Director, Navajo Area Indian Health 

Service, P.O. Box 9020, Highway 264, 

Window Rock, Arizona 86515–9020. 


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Director, Chinle Service Unit, Chinle 

Comprehensive Health Care Facility, P.O. 

Drawer PH, Chinle, Arizona 86503. 

Director, Tsaile Health Center, P.O. Box 

467, Navajo Routes 64 &; 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, 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 &; 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, 516 E. 

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, do 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, AZ 

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, 701 Market Drive, Oklahoma 

City, Oklahoma 73114. 

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, 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, 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, Reams Canyon Service Unit, Hopi 

Health Care Center, P.O. Box 4000, Polacca, 

Arizona 86042. 

Director, Phoenix Service Unit, Phoenix 

Indian Medical Center, 4212 North 16th 

Street, Phoenix, Arizona 85016. 

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, Schurz Service Unit, Schurz 

Service Unit Administration, Drawer A, 

Schurz, Nevada 89427. 

Director, Fort McDermitt Clinic, P.O. Box 

315, McDermitt, Nevada 89421. 

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/RTC, P.O. Box 458, Sacaton, AZ 

85247. 

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, Weilpinit 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. 

Director, Pascua Yaqui Service Unit, 

Division of Public Health, 7900 South ‘‘J’’ 

Stock Road, Tucson, Arizona 85746. 

Director, San Xavier Indian Health Center, 

7900 South ‘‘J’’ Stock Road, Tucson, Arizona 

85746. 

Director, Sells Service Unit, Santa Rosa 

Indian Health Center, HCO1, Box 8700, Sells, 

Arizona 85634. 

Director, Sells Service Unit, Sells Indian 

Hospital, P.O. Box 548, Sells, Arizona 85634. 

Director, Sells Service Unit, West Side 

Health Station, P.O. Box 548, Sells, Arizona 

85634. 

[FR Doc. E9–21422 Filed 9–8–09; 8:45 am] 

BILLING CODE 4165–16–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2009–N–0409] 

Request for Notification From Industry 

Organizations Interested in 

Participating in the Selection Process 

for a Pool of Nonvoting Industry 

Representatives for the Risk 

Communication Advisory Committee 

and Request for Nominations for 

Nonvoting Industry Representatives 

for the Risk Communication Advisory 

Committee 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA) is requesting that 


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