Federal Register / Vol. 71, No. 194 / Friday, October 6, 2006 / Notices 59117 

not reflect greater service needs.) In 

other words, Oregon proposed to use the 

LOS adjustment instead of the case-mix 

adjustment, but did not provide CMS 

any additional information in order to 

demonstrate that use of the LOS 

adjustment would accurately reflect 

UPL requirements, or would otherwise 

result in rates that were consistent with 

efficiency, economy, and quality of care 

pursuant to section 1902(a)(30)(A) of the 

Act. 

Furthermore, under Federal 

regulations at 42 CFR 430.10, 

implementing the requirements for State 

plans in section 1902(a) generally, the 

State plan must demonstrate to CMS 

that the plan can serve as a basis for FFP 

available under section 1903(a)(1) of the 

Act. Absent information that the 

proposed rates would be consistent with 

the applicable UPL, we could not 

conclude that the proposed rates could 

be a basis for FFP. 

Section 1116 of the Act and Federal 

regulations at 42 CFR part 430, establish 

Department procedures that provide an 

administrative hearing for 

reconsideration of a disapproval of a 

State plan or plan amendment. CMS is 

required to publish a copy of the notice 

to a State Medicaid agency that informs 

the agency of the time and place of the 

hearing, and the issues to be considered. 

If we subsequently notify the agency of 

additional issues that will be considered 

at the hearing, we will also publish that 

notice. 

Any individual or group that wants to 

participate in the hearing as a party 

must petition the presiding officer 

within 15 days after publication of this 

notice, in accordance with the 

requirements contained at 42 CFR 

430.76(b)(2). Any interested person or 

organization that wants to participate as 

amicus curiae must petition the 

presiding officer before the hearing 

begins in accordance with the 

requirements contained at 42CFR 

430.76(c). If the hearing is later 

rescheduled, the presiding officer will 

notify all participants. 

The notice to Oregon announcing an 

administrative hearing to reconsider the 

disapproval of its SPA reads as follows: 

Allen Douma, M.D., Administrator, 

Department of Human Services, Health 

Services, Office of Medical Assistance 

Programs, 500 Summer Street, NE., E49, 

Salem, OR 97301–1079. 

Dear Dr. Douma: 

I am responding to your request for 

reconsideration of the decision to disapprove 

the Oregon State plan amendment (SPA) 05–

003, which was resubmitted on April 11, 

2006, and disapproved on July 10, 2006. 

Under SPA 05–003, Oregon was proposing 

to modify the State’s methodology for 

calculating supplemental payments that are 

tied to the regulatory upper payment limit 

(UPL) for inpatient hospital services. 

This amendment was disapproved because 

it did not comport with the general 

requirements of section 1902(a) and the 

specific requirements of 1902(a)(30)(A) of the 

Social Security Act (the Act). 

At issue in this reconsideration is whether 

the State has demonstrated that the proposed 

supplemental payments, in conjunction with 

regular payments, would result in rates that 

are consistent with the regulatory UPL 

established at 42 CFR 447.272 under the 

authority of section 1902(a)(30)(A) of the Act, 

which requires that provider payment rates 

be ‘‘consistent with efficiency, economy, and 

quality of care.’’ Under that regulatory UPL, 

rates must be based on a reasonable estimate 

of what would be paid under Medicare 

payment principles for the same services. 

Also at issue is whether, in the absence of 

such a showing, the State plan can be a 

sound basis for Federal financial 

participation (FFP). 

In a formal request for additional 

information and several subsequent 

discussions, the Centers for Medicare & 

Medicaid Services (CMS) requested that the 

State demonstrate that its calculation of the 

UPL for inpatient hospital services would be 

a reasonable estimate of what would be paid 

under Medicare payment principles for the 

same services, which is the standard set forth 

in the Federal regulations at 42 CFR 

447.272(b)(1). Oregon currently uses a casemix index model to determine the UPL as 

specified in the approved Medicaid State 

plan, but proposed in SPA 05–003 to change 

to a length of stay (LOS) model. Case mix 

acuity appears to be a more accurate adjuster 

for Medicaid acuity than the LOS model 

because it reflects increases in services 

furnished, as opposed to just being based on 

the amount of time that patients spend in the 

hospital. Applying a case-mix index model to 

services furnished by the Oregon Health and 

Science University to adjust for Medicaid 

acuity reduced the UPL for inpatient hospital 

services for all non-State governmentally 

owned or operated hospitals by about 25 

percent compared to the LOS model. (The 

difference between the two adjustments is an 

indication that, while Medicaid patients may 

have longer lengths of stay, the length of stay 

does not reflect greater service needs.) In 

other words, Oregon proposed to use the LOS 

adjustment instead of the case-mix 

adjustment, but did not provide CMS any 

additional information in order to 

demonstrate that use of the LOS adjustment 

would accurately reflect UPL requirements, 

or would otherwise result in rates that were 

consistent with efficiency, economy, and 

quality of care pursuant to section 

1902(a)(30)(A) of the Act. 

Furthermore, under Federal regulations at 

42 CFR 430.10, implementing the 

requirements for State plans in section 

1902(a) generally, the State plan must 

demonstrate to CMS that the plan can serve 

as a basis for FFP available under section 

1903(a)(1) of the Act. Absent information that 

the proposed rates would be consistent with 

the applicable UPL, we could not conclude 

that the proposed rates could be a basis for 

FFP. 

I am scheduling a hearing on your request 

for reconsideration to be held on December 

8, 2006, at 2201 6th Avenue, Suite 1101, 

Seattle, Washington 98121, to reconsider the 

decision to disapprove SPA 05–003. If this 

date is not acceptable, we would be glad to 

set another date that is mutually agreeable to 

the parties. The hearing will be governed by 

the procedures prescribed at 42 CFR Part 430. 

I am designating Ms. Kathleen ScullyHayes as the presiding officer. If these 

arrangements present any problems, please 

contact the presiding officer at (410) 786–

2055. In order to facilitate any 

communication which may be necessary 

between the parties to the hearing, please 

notify the presiding officer to indicate 

acceptability of the hearing date that has 

been scheduled and provide names of the 

individuals who will represent the State at 

the hearing. 

Sincerely, Mark B. McClellan, M.D., PhD. 

Section 1116 of the Social Security Act (42 

U.S.C. 1316); 42 CFR 430.18). 

(Catalog of Federal Domestic Assistance 

program No. 13.714, Medicaid Assistance 

Program.) 

Dated: September 29, 2006. 

Mark B. McClellan, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. E6–16600 Filed 10–5–06; 8:45 am] 

BILLING CODE 4120–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Statement of Organization, Functions, 

and Delegations of Authority 

This notice amends Part K of the 

Statement of Organization, Functions, 

and Delegations of Authority of the 

Department of Health and Human 

Services (DHHS), Administration for 

Children and Families (ACF) as follows: 

Chapter KB, the Administration on 

Children, Youth and Families (ACYF), 

as last amended 71 FR 29649, May 23, 

2006; Chapter KF, Office of Child 

Support Enforcement (OCSE), as last 

amended 67 FR 8816–02, February 26, 

2002; Chapter KH, the Office of Family 

Assistance (OFA), as last amended 71 

FR 29649, May 23, 2006; Chapter KP, 

Office of the Deputy Assistant Secretary 

for Administration (ODASA), as last 

amended 67 FR 54436–01, August 22, 

2002; Chapter KU, Office of Head Start 

(OHS), as last amended 71 FR 29649, 

May 23, 2006; Chapter KJ, Office of 

Regional Operations (ORO) as last 

amended 62 FR 4295–01, January 29, 

1997; and Chapter KD, Regions I–X as 

last amended 68 FR 65291–01 

November 19, 2003. This Notice 

completes the implementation of the 


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reorganization published in the Federal 

Register on May 23, 2006. 

This Notice establishes the 

substructure(s) of the Office of Family 

Assistance and the Office of Head Start. 

It also changes the existing structures 

and organization of the Regional Offices 

and realigns some of the regional staff 

to make them a part of and reporting to, 

various Central Office components. 

Additionally, the reorganization revises 

the functions of the Regional 

Administrators and places them under 

the Office of Regional Operations (KJ). 

The changes are as follows: 

I. Under Chapter K, Administration for 

Children and Families, delete Chapter 

KDI–X in their entireties. 

II. Under Chapter KJ, Office of Regional 

Operations, delete in its entirety and 

replace with the following: 

KJ.00 Mission. The Office of Regional 

Operations (ORO) advises the Assistant 

Secretary for Children and Families on 

all strategic and operational activities 

related to implementation of the 

agency’s national goals and priorities at 

the regional level. ORO oversees the 

performance of the Offices of the 

Regional Administrators (ORA) on all 

coordination of cross-cutting and 

special emphasis programs and 

initiatives, emergency preparedness, 

tribal government relations, State, and 

local ACF-related affairs, and 

administrative functions in Regions I–X, 

Offices of the Regional Administrators 

(ORA). 

The ORAs are located in the ten 

DHHS Regional Offices: Region I 

(Boston), Region II (New York), Region 

III (Philadelphia), Region IV (Atlanta), 

Region V (Chicago), Region VI (Dallas), 

Region VII (Kansas City), Region VIII 

(Denver), Region IX (San Francisco), and 

Region X (Seattle). Each ORA, through 

the Director, ORO, and in coordination 

with ACF Program Directors, represents 

ACF to States, counties, cities, or towns, 

Territories, and Tribal governments, 

grantees, and public and private local 

organizations. The ORA coordinates 

issues that may have significant regional 

or national impact. The ORA develops 

plans in conjunction with the Program 

Directors to meet ACF goals and 

objectives and initiatives and 

participates in regional activities to 

inform the public about ACF programs 

at the regional level in coordination 

with the ACF Office of Public Affairs. 

The ORA contributes to the 

development of ACF national policy 

based on knowledge of services in the 

region. 

KJ.10 Organization. The Office of 

Regional Operations (ORO) is headed by 

a Director who reports to the Assistant 

Secretary for Children and Families. 

The ORO is organized as follows: Office 

of the Director (KJA); Regional 

Operations Staff (KJB); Office of the 

Regional Administrators (KJDI–X). 

KJ.20 Functions. 

A. Office of the Director (KJA): The 

Office of the Director (OD) provides 

executive leadership and assistance on 

all strategic and operational activities 

related to implementation of the 

agency’s national goals and priorities at 

the regional level. The Director is the 

principal advisor to the Assistant 

Secretary for Children and Families on 

regional matters involving special 

emphasis programs and initiatives, 

emergency preparedness, Tribal 

government relations, State, and local 

ACF partnership activities, and regional 

administrative functions. The Director 

represents the Assistant Secretary for 

Children and Families within DHHS 

and with other Federal agencies and 

task forces on regional activities. 

The OD: (1) Oversees the Regional 

Administrators in administering 

regional activities and implementing 

cross-cutting program initiatives; (2) 

serves as a focal point for operational 

and long-range planning; and (3) 

coordinates with the ACF Central Office 

components to ensure that the Regional 

Administrators can help coordinate 

certain national priorities and 

initiatives, State, and local partnership 

activities, special programs, and 

emergency preparedness and response 

operations. 

B. Regional Operations Staff (KJB): 

The Regional Operations Staff (ROS): (1) 

Develops and manages liaison processes 

between ACF Regional Offices and the 

Assistant Secretary for Children and 

Families; (2) supports the Offices of the 

Regional Administrators (ORA) of each 

region by implementing and overseeing 

the management systems and 

procedures for communication and 

workload that emanate from ACF 

national priorities and initiatives, 

special emphasis programs, emergency 

preparedness, tribal government 

relations, and State, and local ACF 

partnership activities; (3) monitors and 

evaluates ORA operations and makes 

plans for the utilization of regional 

resources to accomplish approved 

objectives; and (4) manages 

administrative and human resources 

functions; and salaries and expenses for 

the ORA. 

C. Offices of the Regional 

Administrators (KJDI–X): Each of the 

Offices of the Regional Administrators 

(ORA) is headed by a Regional 

Administrator who reports to the 

Assistant Secretary for Children and 

Families through the Director, ORO. 

Each Office: (1) Helps support ACF’s 

key national goals and priorities; (2) 

communicates ACF’s regional interests, 

concerns, and relationships within the 

Department and among other Federal 

agencies and focuses on State agency 

culture change, more effective 

partnerships, and improved customer 

service; (3) manages special and 

sensitive projects; (4) serves as a focal 

point for public affairs and contacts 

with the media, public awareness 

activities, information dissemination, 

and education campaigns in 

coordination with the ACF Office of 

Public Affairs and in conjunction with 

the DHHS Regional Director; (5) assists 

the ACF Regional Administrator in the 

management of cross-cutting initiatives 

and activities among the regional 

components; and (6) as appropriate, and 

in coordination with the ACF Central 

Office components, assists with 

activities relating to developmental 

disabilities, refugee resettlement, 

economic and community development, 

tribal and special initiative activities. 

The Regional Administrators: (1) 

Oversee the management of ACF 

regional staff in the ORA; (2) coordinate 

activities across regional programs; (3) 

ensure that goals and objectives are 

carried out; and (4) alert the Assistant 

Secretary for Children and Families 

through the Director, ORO, and/or 

Central Office ACF Program Directors to 

problems and issues that may have 

significant regional or national impact. 

As requested by the Director of 

Regional Operations or Central Office 

ACF Program Directors, the ORA 

represents ACF at the regional level in 

executive communications within ACF, 

with the DHHS Regional Director, other 

DHHS Operating Divisions, other 

Federal agencies, and public or private 

local organizations. 

Within the ORA, an administrative 

staff: (1) Develops regional work plans, 

in coordination with Central Office 

Program Directors, related to the overall 

ACF strategic plans, and tracks, 

monitors, and reports on regional 

progress in the attainment of ACF 

national goals and objectives; (2) 

coordinates routine budget, 

administrative, and human resource 

functions as required, including 

Executive Secretariat, ACF-controlled 

space, computer and computer 

peripheral equipment, and health and 

safety for the ORA; (3) coordinates ACF 

programs during emergencies in the 

regions, including natural disasters, 

pandemic flu, or other disasters; (4) 

serves as ACF’s focal point for COOP 

planning, implementation, and 

coordination; (5) coordinates regional 


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ACF deployments of human services 

assessments and action teams during 

State and/or Federally declared 

emergencies and disasters; and (6) 

coordinates resources for regional 

special emphasis activities with the 

DHHS Regional Director’s office. 

III. Under Chapter KP, Office of the 

Deputy Assistant Secretary for 

Administration, make the following 

changes: 

A. Under KP.00 Mission, add the 

following: 

KP.00 Mission. The Deputy Assistant 

Secretary for Administration serves as 

principal advisor to the Assistant 

Secretary for Children and Families on 

all aspects of personnel administration 

and management; information resource 

management; financial management 

activities; grants policy and overseeing 

the issuance of grants; procurement 

issues; staff development and training 

activities; organizational development 

and organizational analysis; 

administrative services; facilities 

management; and State systems policy. 

The Deputy Assistant Secretary for 

Administration oversees the ACF Equal 

Employment Opportunity and Civil 

Rights program and all administrative 

special initiative activities for ACF. 

B. Under KP Organization, insert the 

following new component after Office of 

Grants Management (KPG): Grants 

Management Regional Units (KPGDI–X). 

C. Under KP.20 Functions, insert the 

following component, under the Office 

of Grants Management (KPG): 

Grants Management Regional Units 

(KPGDI–X): Each Grants Management 

Regional Unit (GMRU) is headed by a 

Regional Grants Management Officer 

who supports the Chief Grants Officer 

(CGO)/Deputy Assistant Secretary for 

Administration in fulfilling ACF’s CGO 

responsibilities. The GMRU serves as 

the principal office in the region for 

grant activities and is responsible for: 

(1) Ensuring the business and financial 

responsibilities of grants administration 

are carried out; (2) providing direct 

administration and management of ACF 

discretionary, formula, entitlement, and 

block grants in the regions; (3) directing 

all grants and cooperative agreements 

awarded; (4) ensuring compliance with 

applicable statutes, regulations, and 

policies and performing audit 

resolutions; (5) providing leadership 

and technical guidance to ACF 

programs on grant operations and grants 

management issues; (6) interpreting and 

implementing financial policies, 

regulations, legislation, and 

appropriations law as they relate to 

grant administration; (7) securing 

resolution of legal matters relating to 

grants administration and management; 

(8) reviewing cost-allocation plans; (9) 

making recommendations to the 

appropriate program office (a) to 

approve, defer, or disallow claims for 

Federal financial participation in ACF 

formula and entitlement programs and 

(b) to approve or disallow costs under 

ACF discretionary grant programs; and 

(10) as applicable, making 

recommendations on the clearance and 

closure of audits of State and grantee 

programs, paying particular attention to 

deficiencies that decrease the efficiency 

and effectiveness of ACF programs and 

taking steps to resolve deficiencies. The 

Regional Grants Management Officer 

assisting the CGO/Deputy Assistant 

Secretary for Administration on grants 

management matters with the ACF 

Central Office, States, contractors, and 

grantees. 

IV. Under Chapter KB, Administration 

on Children, Youth and Families 

(ACYF), make the following changes: 

A. Under KB.10 Organization, add the 

following component after the 

Children’s Bureau (KBD): Children’s 

Bureau Regional Program Units 

(KBDDI–X). 

B. Under KB.20 Functions, after the 

Children’s Bureau (KBD), add the 

following new paragraph: 

Children’s Bureau Regional Units 

(KBDDI–X): The Children’s Bureau (CB), 

Regional Program Unit, is headed by a 

CB Regional Program Manager who 

reports to the Associate Commissioner, 

Children’s Bureau, within ACYF. The 

CB Regional Program Manager, through 

subordinate regional staff, in 

collaboration with program 

components, is responsible for: (1) 

Providing program and technical 

administration of CB formula, 

entitlement, block and discretionary 

programs related to child welfare, 

including child abuse and neglect, child 

protective services, family preservation 

and support, adoption, foster care and 

independent living; (2) collaborating 

with the ACF Central Office, States, and 

grantees on all program matters for 

programs or issues that have significant 

implications for the programs; (3) 

providing technical assistance to 

entities responsible for administering 

CB programs to resolve identified 

problems; (4) ensuring that appropriate 

procedures and practices are adopted; 

(5) working with appropriate State and 

local officials to develop and implement 

outcome-based performance measures; 

and (6) monitoring the programs to 

ensure their efficiency and 

effectiveness, and ensuring that these 

entities conform to Federal laws, 

regulations, policies, and procedures 

governing the programs. 

V. Under Chapter KF, Paragraph A, 

Office of Child Support Enforcement 

(OCSE), make the following changes: 

A. Amend KF.10 Organization, by 

adding the following component: OCSE 

Regional Program Units (KFADI–X). 

B. Amend KF.20 Functions, Paragraph 

A, by adding the following new 

paragraph at the end of Paragraph A: 

OCSE Regional Program Units 

(KFADI–X): Each OCSE Regional 

Program Unit is headed by the OCSE 

Regional Program Manager who reports 

to the Deputy Director (also known as 

the Commissioner, OCSE). The OCSE 

Regional Program Manager, through 

subordinate regional staff, in 

collaboration with program 

components, is responsible for: (1) 

Providing program and technical 

administration of ACF entitlement and 

discretionary programs related to OCSE; 

(2) collaborating with the ACF Central 

Office, States, Tribes, and other grantees 

on all significant program and policy 

matters; (3) providing technical 

assistance to entities responsible for 

administering OCSE programs to resolve 

identified problems; (4) ensuring that 

appropriate procedures and practices 

are adopted; (5) working with 

appropriate State, Tribal, and local 

officials to develop and implement 

outcome-based performance measures; 

and (6) monitoring the programs to 

ensure their efficiency and 

effectiveness, and ensuring that these 

entities conform to Federal laws, 

regulations, policies, and procedures 

governing the programs. 

VI. Under Chapter KH, Office of Family 

Assistance, make the following 

changes: 

A. Delete KH.10 Organization in its 

entirety and replace with the following: 

KH.10 Organization. The Office of 

Family Assistance is headed by a 

Director who reports to the Assistant 

Secretary for Children and Families. 

The Office is organized as follows: 

Office of the Director (KHA). 

TANF Bureau (KHB). 

Division of State and Territory TANF 

Management and Technical Assistance 

(KHB2). 

Division of Data Collection and Analysis 

(KHB3). 

Division of Tribal TANF Management 

(KHB4). 

TANF Bureau Regional Program Units 

(KHBDI–X). 

Child Care Bureau (KHJ). 

Division of Technical Assistance (KHJ1). 

Division of Program Operations (KHJ2). 

Division of Policy (KHJ3). 

Child Care Bureau Regional Program Units 

(KHJDI–X). 


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B. Delete Paragraph, KH.20 functions 

in its entirety and replace with the 

following: 

KH.20 Functions. 

A. Office of the Director (KHA): The 

Office of the Director is directly 

responsible to the Assistant Secretary 

for Children and Families for carrying 

out OFA’s mission and providing 

direction, leadership, guidance, and 

general supervision to the principal 

components of OFA. The Deputy 

director assists the director in carrying 

out the responsibilities for the Office. 

The Associate Director for the TANF 

Bureau and the Associate Director for 

the Child Care Bureau report to the OFA 

Director. The Office: (1) provides public 

information services by responding to 

inquiries from the public and private 

sectors from both domestic and 

international entities via written and 

electronic communication; (2) 

coordinates and organizes the printing 

and distribution of policy and guidance 

documents and responds to Freedom of 

Information Act requests; (3) manages 

the formulation and execution of the 

budgets for OFA programs and for 

Federal administration; (4) serves as the 

focal point for operational and longrange planning; (5) functions as 

Executive Secretariat for OFA, including 

managing correspondence, 

correspondence systems, and electronic 

mail requests; and (6) provides 

management and administrative 

services and advice, by coordinating 

human resources activities, developing 

policy and procedures relating to these 

activities. 

B. TANF Bureau (KHB): The TANF 

Bureau is headed by the Associate 

Director for TANF and reports to the 

Director on issues regarding temporary 

assistance, self-sufficiency, Native 

Employment Works (NEW), healthy 

marriage, and responsible fatherhood. 

The Associate Director for TANF serves 

as the principal advisor to the Director 

on issues regarding TANF and related 

programs. The Bureau has primary 

responsibility for the administration of 

the programs authorized under titles IV–

A and XVI of the Social Security Act: (1) 

Develops legislative, regulatory, and 

budgetary proposals; (2) presents 

operational planning objectives and 

initiatives related to welfare reform to 

the Director; (3) oversees the progress of 

approved activities; (4) provides 

leadership and coordination for welfare 

reform within ACF; and (5) provides 

leadership and linkages with other 

agencies on welfare reform issues, 

including agencies within DHHS, 

relevant agencies across the Federal, 

State, local, and Tribal governments, 

and non-governmental organizations at 

the Federal, State, local, and Tribal 

governments, ,and non-governmental 

organizations at the Federal, State, and 

local levels. 

1. Division of State TANF Policy 

(KHB1): The Division of State TANF 

Policy (DSTP): (1) Provides direction 

and guidance in the nationwide 

administration of the Temporary 

Assistance for Needy Families 

programs, and the Aid to the Aged, 

Blind, and Disabled program in Guam, 

Puerto Rico and the Virgin Islands, 

under titles IV–A and XVI of the Social 

Security Act; (2) ensures compliance 

with Federal laws and regulations; (3) 

proposes and reviews legislation and 

implements national policy, develops 

regulations to implement new laws and 

prepares policy interpretations; (4) 

provides guidance and direction, and 

analyzes, tracks, and disseminates 

information on State progress in 

achieving work participation goals; (5) 

shapes and facilitates communication 

between Federal, State, and local 

entities to coordinate cross-cutting 

welfare-to-work-related policies; (6) 

collaborates with the ACF and DHHS 

components on related programs, such 

as Head Start and programs related to 

child welfare; (7) develops State plan 

procedures and evaluates State TANF 

plans with internal and external 

collaboration to identify critical issues 

contained in the plans and 

amendments; (8) prepares Congressional 

materials, testimonies, and speeches; 

and (9) collaborates with and provides 

program guidance to the Office of the 

General Counsel on litigation. 

2. Division of State and Territory 

TANF Management and Technical 

Assistance (KHB2): The Division of 

State and Territory TANF Management 

and Technical Assistance (DSTMTA): 

(1) Provides technical assistance to 

States, Territories, localities, community 

groups, and healthy marriage and 

responsible fatherhood grantees; (2) 

assists in the assessment of State and 

Territorial performance in administering 

the TANF program and the Aid to the 

Aged, Blind and Disabled program in 

Guam, Puerto Rico and the Virgin 

Islands; (3) recommends and promotes 

improvements in outcomes for clients, 

and oversees and monitors the healthy 

marriage and responsible fatherhood 

grants; (4) develops and implements 

strategies to assist grantees in 

implementing and designing programs 

to meet TANF purposes; (5) develops 

and delivers technical assistance, 

focusing on innovative policy and 

program design approaches, to improve 

the well-being of children; (6) facilitates 

closer working relationships with State 

programs and program officials to help 

States improve their TANF programs; 

(7) promotes cross-program policy 

initiatives to self-sufficiency and familyfocused services; (8) collaborates with 

ACF and DHHS components and other 

Federal agencies to deliver familyfocused services; (9) promotes job 

development through agreements with 

other Federal agencies and corporations; 

(10) identifies best practices and shares 

information through conferences, 

publications, and other means; (11) 

establishes strong working partnerships 

with States, Tribes, and Territories to 

help them build management capacity 

and skills to improve the performance of 

the TANF programs; (12) compiles, 

analyzes, evaluates, and disseminates 

information on implementation and 

strategies in the TANF program and 

other related welfare programs in the 

United States, including information on 

pertinent statutes, regulations, program 

instructions, and guidance; (13) serves 

as a catalyst to connect other relevant 

national, Federal, State, and local 

organizations to operate more 

effectively, and to share resources and 

information relative to increasing the 

economic self-sufficiency of low-income 

families; and (14) is responsible for 

updating contracted web sites to 

provide easy access, targeting and 

focused useful information, and 

customer-friendly organization and 

search capabilities. 

3. Division of Data Collection and 

Analysis (KHB3): The Division of Data 

Collection and Analysis (DDCA): (1) Is 

responsible for all aspects of the 

collection, compilation, analysis, and 

dissemination of statistical and financial 

data ont eh TANF program and the Aid 

to the Aged, Blind and Disabled 

programs in Guam, Puerto Rico, and the 

Virgin islands; (2) develops regulations 

to implement data collection 

requirements; (3) designs, develops, 

implements, and maintains systems for 

the collection and analysis of data, 

including participation rate information, 

recipient characteristics, financial and 

administrative data, State expenditures 

on families, work activities of noncustodial parents, transitional services, 

and data used in the assessment of State 

performance; (4) provides leadership 

and coordinates with other ACF and 

DHHS offices and external organizations 

in the use of these data for policy and 

research purposes; and (5) develops and 

maintains statistical protocols and 

manuals for data collection purposes 

and provides technical assistance in the 

use of these materials. 

4. Division of Tribal TANF 

Management (KHB4): The Division of 

Tribal TANF Management (DTTM) is 

responsible for: (1) Assisting in 


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implementation and coordination of 

ongoing consultation with Tribal 

governments and, where appropriate, 

State and Federal agencies regarding 

issues relating to the TANF and the 

NEW program and related legislation; 

(2) developing regulations and 

guidelines for Tribal employment 

programs and for providing leadership, 

policy direction, technical assistance, 

and coordination of Tribal services 

programs; (3) performing inter- and 

intra-agency liaison functions to 

promote family stability, economic 

security, responsibility and self-support 

for Native Americans; (4) conducting 

program reviews to ensure compliance 

with the Social Security Act, 

regulations, and policy directives; and 

(5) carrying out activities related to 

Tribal data collection reporting 

requirements relating to the programs. 

5. TANF Bureau Regional Program 

Units (KHBDI–X): Each TANF Regional 

Program Unit is headed by a TANF 

Regional Program Manager who reports 

to the Associate Director, TANF, within 

OFA. The Regional Program Manager, 

through subordinate regional staff, in 

collaboration with program 

components, is responsible for: (1) 

Providing program and technical 

administration of the TANF block grant; 

(2) collaborating with the ACF Central 

Office, States, and other grantees on all 

significant policy matters; (3) providing 

technical assistance to entities 

responsible for administering ACF 

programs to resolve identified problems; 

(4) ensuring that appropriate procedures 

and practices are adopted; (5) working 

with appropriate State, Tribal, and local 

officials to develop and implement 

outcome-based performance measures; 

and (6) monitoring the programs to 

ensure their efficiency and 

effectiveness, and ensuring that these 

entities conform to Federal laws, 

regulations, policies, and procedures 

governing the programs. 

C. Child Care Bureau (KHJ): The Child 

Care Bureau (CCB) is headed by the 

Associate Director for CCB who reports 

to the Director on issues regarding child 

care and early education programs, 

including the twin goals of improving 

support for working families and 

promoting the healthy development, 

school readiness, and school success for 

children in child care. The Associate 

Director for Child Care serves as the 

principal advisor to the Director on 

issues regarding child care programs. 

The CCB has primary responsibility for: 

(1) Overseeing the operation of child 

care programs authorized under the 

Child Care and Development Block 

Grant (CCDBG) Act and section 418 of 

the Social Security Act; (2) developing 

legislative, regulatory, and budgetary 

proposals; (3) presenting operational 

planning objectives and initiatives 

related to child care to the Director, and 

oversees the progress of approved 

activities; (4) providing leadership and 

coordination for child care within ACF 

and linkages with other agencies on 

child care issues, including agencies 

within DHHS, relevant agencies across 

the Federal, State, local, and Tribal 

governments, and non-governmental 

organizations at the Federal, State, and 

local levels; and (5) overseeing the 

leadership, planning, and management 

of the Bureau’s mission and activities. 

The data gathering, analysis, and 

dissemination; preparation of reports; 

budget projection, planning, execution, 

and tracking; research development and 

communication of findings; 

identification and utilization of new 

technology in managing CCB’s workload 

and communicating with the 

Department, Regional Program Units, 

States, Territories, Tribes, and the child 

care field; the Immediate Office also 

supports the unique program and 

planning needs of Tribal grantees. 

1. Division of Technical Assistance 

(KHJ1): The Division of Technical 

Assistance (DTA): (1) Provides technical 

assistance to Regional Program Units, 

States, Territories, and Tribes 

concerning the administration of the 

Child Care and Development Fund 

(CCDF); (2) provides strategic 

leadership, coordination, and grant and 

contract oversight for technical 

assistance projects that comprise the 

Child Care Technical Assistance 

Network; (3) oversees technical 

assistance events, such as peer learning 

roundtables, forums, and conferences; 

(4) uses publications, multimedia tools, 

and comprehensive Internet resources to 

communicate with CCDF grantees, 

national, State, and local child care 

organizations, and the general public 

about the latest developments in the 

child care field; (5) works closely with 

State, Tribal and Territorial CCDF Lead 

Agencies to assess their technical 

assistance needs and tailor responses 

that reflect State, Tribal, and Territorial 

flexibility; (6) supports the ability of 

grantees to find innovative solutions 

and uses its contracts, events, and 

publications to recognize and promote 

replication of effective practices; (7) 

supports the use of research in CCDF 

implementation through links with the 

Child Care Bureau’s Division of Policy 

and with State agencies; (8) forges 

partnerships with public and private 

organizations to improve the ability of 

child care systems to respond effectively 

to the needs of low-income working 

families; and (9) works in partnerships 

across programs to establish effective, 

diversified systems of care that meets 

the unique developmental needs of 

infants and toddlers, preschool 

children, and school age children. Key 

partners include State early childhood 

programs, Head Start, and the U.S. 

Department of Education, which work 

together to coordinate early childhood 

programs and create a diversified 

system that promotes school readiness 

across all preschool settings. 

2. Division of Program Operations 

(KHJ2): The Division of Program 

Operations (DPO) is responsible for: (1) 

Regional liaison activities, including 

communicating on a regular basis with 

Regional Program Unit staff, including 

oversight of the review and approval 

process for the Biennial CCDF Plans of 

States, Territories, and Tribes, 

responding to questions on policy and 

other issues by consulting or referring to 

other staff; (2) tracking progress of 

grantee programs in coordination with 

the regions; (3) collecting and 

maintaining information related to 

grantee program implementation, 

management and accountability 

measures, and technical assistance 

efforts; (4) tracking program 

achievements, problems, and gaps; (5) 

identifying latest trends and activities of 

major significance; (6) preparing 

background material, fact sheets, and 

reports to provide information to the 

Regional Program Unites, grantees, and 

the general public; (7) tracking and 

supporting special initiatives; (8) 

establishing partnerships with public 

and private entities to improve access to 

quality child care; (9) coordinating 

program activities with other 

government and non-government 

agencies; and (10) managing and 

overseeing cooperative ventures with 

other entities. 

3. Division of Policy (KHJ3): The 

Division of Policy (DP): (1) Develops, 

interprets, and issues national policies 

and regulations governing CCDF 

programs (2) provides clarification of 

the statutes, regulations, and policies; 

(3) issues action transmittals and 

information memoranda; (4) 

recommends and drafts legislative and 

budgetary proposals; (5) prepares 

Congressional reports and briefing 

materials for hearings and testimony; (6) 

works with Division of Program 

Operations to update the Biennial Child 

Care Plan Preprints; (7) reviews and 

gives guidance to the Regional Program 

Units on CCDF plans and applications; 

(8) researches child care policy issues; 

(9) coordinates policies and procedures 

with other Federal agencies; (10) 

provides policy training, guidance, and 


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clarification to the Regional Program 

Units in carrying out policy functions; 

and (11) manages controlled 

correspondence. 

4. Child Care Bureau Regional 

Program Units (KHJDI–X): Each CCB 

Regional Program Units is headed by a 

CCB Regional Program Manager who 

reports to the Associate Director, CCB 

within OFA. The Regional Program 

Manager, through subordinate regional 

staff, in collaboration with program 

components, is responsible for: (1) 

Providing program and technical 

administration of ACF block and 

discretionary programs related to CCB; 

(2) collaborating with the ACF Central 

Office, States, and other grantees on all 

significant policy matters; (3) providing 

technical assistance to entities 

responsible for administering ACF 

programs to resolve identified problems; 

(4) ensuring that appropriate procedures 

and practices are adopted; (5) working 

with appropriate State, Tribal, and local 

officials to develop and implement 

outcome-based performance measures; 

and (6) monitoring the programs to 

ensure their efficiency and 

effectiveness, and ensuring that these 

entities conform to Federal laws, 

regulations, policies, and procedures 

governing the programs. 

VII. Under Chapter, KU, Office of Head 

Start, Delete in Its Entirety and Replace 

With the Following 

KU.00 Mission. The Office of Head 

Start (OHS) advises the Assistant 

Secretary for Children and Families on 

issues regarding the Head Start program 

(including Early Heat Start). The Office 

develops legislative and budgetary 

proposals; identifies areas for research, 

demonstration and developmental 

activities; presents operational planning 

objectives and initiatives relating to 

Head Start to the Assistant Secretary for 

Children and Families; and oversees the 

progress of approved activities. It 

provides leadership and coordination 

for the activities of the Head Start 

program in the ACF Central Office 

including the Head Start Regional 

Program Units, The Office represents 

Head Start in inter-agency activities 

with other Federal and non-Federal 

organizations. 

KU.10 Organization. The Office of 

Head Start is headed by a Director who 

reports directly to the Assistant 

Secretary for Children and Families and 

consists of the following components: 

Immediate Office of Head Start (KUA). 

Program Operations Division (KUB). 

Head Start Regional Program Units 

(KUBDI–X). 

Educational Development and 

Partnership Division (KUC). 

Quality Assurance Division (KUE). 

Policy and Budget Division (KUF). 

KU.20 Functions. 

A. Immediate Office of Head Start 

(KUA): The Immediate Office of Head 

Start (KUA) serves as the principal 

advisor to the Assistant Secretary for 

Children and Families, the Secretary, 

and other officials within the 

Department on the administration of 

discretionary grant programs providing 

Head Start Services. The Deputy 

Director assists the Director in carrying 

out the responsibilities of the Office. 

Within the Office, the administrative 

staff supports the Director and Deputy 

Director in: (1) Managing the 

formulation and execution of the 

budgets for OHS programs and for 

Federal administration; (2) serving as 

the focal point for operational and longrange planning; (3) functioning as 

Executive Secretariat for OHS, including 

managing correspondence, 

correspondence systems, and electronic 

mail requests; (4) providing 

management and administrative 

services and advice, by coordinating 

human resources activities, providing 

guidance on financial management 

activities, including budget, and as 

appropriate developing policy and 

procedures relating to these activities. 

B. Program Operations Division 

(KUB): The Program Operations 

Division (POD) advises the Office of 

Head Start Director on all strategic and 

operational activities related to 

implementation of the agency’s 

programs in both Central and Regional 

Offices. POD is responsible for: (1) The 

American Indian and Alaska Natives 

and Migrant and Seasonal farmworkers 

Head Start programs administered 

within Central Office which serve 

grantees, including Territories, Tribes, 

and public/private non-profit agencies, 

and is responsible for: (a) Managing the 

American Indian and Alaska Native and 

migrant and seasonal farm workers 

Head Start programs; (b) reviewing 

applications for programs serving 

American Indian and Alaska Native 

children and children of migratory and 

seasonal farmworkers; (c) monitoring 

and assessing the programs and assuring 

provision of training and technical 

assistance to all Head Start programs 

funded for the children of American 

Indian and Alaska Native and migrants 

and seasonal farmworkers; (d) analyzing 

and ensuring consideration of the needs 

of American Indian and Alaska Natives 

and migrant and seasonal farmworkers’

children; and (e) coordinating with 

other agencies and organizations serving 

American Indian and Alaska Natives 

and migrant and seasonal farmworkers’

children; and (2) the Head Start regional 

programs administered by the Head 

Start Regional Program Units. 

1. Head Start Regional Program Units 

(KUDBI–X): Each Head Start Regional 

Program Unit is headed by a Head Start 

Regional Program Manager who reports 

to the POD, in OHS. 

The Regional Program Manager, 

through subordinate regional staff, in 

collaboration with program 

components, is responsible for: (1) 

Providing program and technical 

administration of ACF discretionary 

programs related OHS; (2) collaborating 

with OHS States Collaboration Projects 

on all significant policy matters; (3) 

providing technical assistance to 

entities responsible for administering 

OHS programs to resolve identified 

problems; (4) ensuring that appropriate 

procedures and practices are adopted; 

(5) working with appropriate State and 

local officials to develop and implement 

outcome-based performance measures; 

and (6) monitoring the programs to 

ensure their efficiency and 

effectiveness, and ensuring that these 

entities conform to Federal laws, 

regulations, policies, and procedures 

governing the programs. The Head Start 

Regional Program Unit: (1) Guides the 

day-to-day management of Head Start 

programs in its jurisdictions; (2) 

provides technical assistance, resources, 

and information to the various entities 

responsible for administering these 

programs; and (3) represents Head Start 

to State, county, city, and Tribal 

governments, grantees, and public and 

private organizations. 

C. Educational Development and 

Partnership Division (KUC); The 

Educational Development and 

Partnership Division (EDPD): (1) 

Provides technical expertise in the areas 

of Head Start education from birth to 

age five, health (medical, dental, mental 

health, and nutrition), family and 

community partnerships, parent 

involvement, and disability services for 

Head Start program staff; (2) 

recommends and establishes policy in 

these areas; (3) recommends strategies 

for achieving quality services; (4) 

develops guidance, and other policy 

materials aimed at improving grantee 

performance; (5) develops areas for 

research and demonstration activities to 

improve the quality and levels of 

services provided to Head Start 

children; (6) manages discretionary 

projects; and (7) develops training and 

technical assistance strategies to 

improve the Head Start programs’

performance in specific component 

areas. 

D. Quality Assurance Division (KUE): 

The Quality Assurance Division (QAD): 


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Federal Register / Vol. 71, No. 194 / Friday, October 6, 2006 / Notices 59123 

(1) Develops and coordinates program 

and administrative management 

regulations and policy for the Head Start 

program, provides guidance to the Head 

Start Regional Program Units in carrying 

out these policies and monitors their 

implementation; (2) designs and 

oversees a national system for program 

monitoring and quality improvement 

and manages discretionary projects that 

are designed to investigate and improve 

the operation and management of the 

Head Start program; (3) plans and 

manages training and technical 

assistance activities in Head Start; and 

(4) manages national data collection and 

analysis for the Head Start program. 

E. Policy and Budget Division (KUF): 

The Policy and Budget Division (PBD): 

(1) Provides leadership in the 

development of regulations, budget, and 

policy, ensuring consistency in these 

areas with ACF’s and the Department’s 

vision and goals; (2) is responsible for 

budget development and budget 

execution, policy development and 

interpretation of any legislation 

impacting the Head Start program and 

for the Office of Head Start’s regulatory 

agenda; and (3) serves as the primary 

contact for ACF on all legislative, 

budget development and execution, and 

regulatory activities related to Head 

Start. 

VIII. Continuation of Policy 

Except as inconsistent with this 

reorganization, all statements of policy 

and interpretations with respect to 

organizational components affected by 

this notice within the Administration 

for Children and Families, heretofore 

issued and in effect on this date of this 

reorganization are continued in full 

force and effect. 

IX. Delegation of Authority 

All delegations and redelegations of 

authority made to officials and 

employees of affected organizational 

components will continue in them or 

their successors pending further 

redelegations, provided they are 

inconsistent with this reorganization. 

X. Funds, Personnel, and Equipment 

Transfer of organizations and 

functions affected by this reorganization 

shall be accompanied in each instance 

by direct and support funds, positions, 

personnel, records, equipment, 

supplies, and other resources. 

This reorganization will be effective 

October 1, 2006. 

Dated: September 26, 2006. 

Michael O. Leavitt, 

Secretary. 

[FR Doc. 06–8536 Filed 10–5–06; 8:45 am] 

BILLING CODE 4184–01–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of Child Health and 

Human Development; Notice of 

Meeting 

Pursuant to section 10(a) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. Appendix 2), notice 

is hereby given of a meeting of the 

National Children’s Study Advisory 

Committee. 

The meeting will be open to the 

public, with attendance limited to space 

available. Individuals who plan to 

attend and need special assistance, such 

as sign language interpretation or other 

reasonable accommodations, should 

notify the Contact Person listed below 

in advance of the meeting. 

Name of Committee: National Children’s 

Study Advisory Committee, Ethics 

Subcommittee. 

Date: October 31, 2006. 

Time: 10 a.m. to 12 p.m. 

Agenda: The purpose of the meeting will 

be to review the promotional video and the 

electronic consent tool for the Study. For 

questions or to register, please call circle 

solutions at (703) 902–1339 or via e-mail 

ncs@circlesolutions.com. Registration 

deadline is noon on October 24, 2006. 

Place: National Institutes of Health, 6100 

Executive Boulevard, Rockville, MD 20852. 

Contact Person: Marion Balsam, MD, 

Executive Secretary, National Children’s 

Study Advisory Committee, 6100 Executive 

Boulevard, Bethesda, MD 20892, 301–594–

9147. 

Any interested person may file written 

comments with the committee by forwarding 

the statement to the Contact Person listed on 

this notice. The statement should include the 

name, address, telephone number and when 

applicable, the business or professional 

affiliation of the interested person. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.864, Population Research; 

93.865, Research for Mothers and Children; 

93.929, Center for Medical Rehabilitation 

Research; 93.209, Contraception and 

Infertility Loan Repayment Program, National 

Institutes of Health, HHS) 

Dated: September 28, 2006. 

Anna Snouffer, 

Acting Director, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 06–8518 Filed 10–5–06; 8:45 am] 

BILLING CODE 4140–01–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of Diabetes and 

Digestive and Kidney Diseases; Notice 

of Meeting 

Pursuant to section 10(a) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. Appendix 2), notice 

is hereby given of a meeting of the 

National Commission on Digestive 

Diseases. 

The meeting will be open to the 

public, with attendance limited to space 

available. Individuals who plan to 

attend and need special assistance, such 

as sign language interpretation or other 

reasonable accommodations, should 

notify the Contact Person listed below 

in advance of the meeting. 

Name of Committee: National Commission 

on Digestive Diseases. 

Date: November 6, 2006. 

Time: 9 a.m. to 5 p.m. 

Agenda: Introductions; updates from 

Working Groups; Commission timeline and 

next steps; and general discussion. Preregistration is required. Instructions will be 

available on the Commission’s Web site at 

http://NCDD.niddk.nih.gov. 

Place: Crystal Gateway Marriott, 1700 

Jefferson Davis Highway (Rt. 1), Ballrooms 

E–F–G, Arlington, VA 22202. 

Contact Person: Stephen P. James, MD, 

Director, Division of Digestive Diseases & 

Nutrition, National Institute of Diabetes and 

Digestive and Kidney Diseases, NIH, 6707 

Democracy Blvd., Rm 677, Bethesda, MD 

20892–5450, 301–594–7680, 

natlcommdd@mail.nih.gov. 

Any interested person may file written 

comments with the committee by forwarding 

the statement to the Contact Person listed on 

this notice. The statement should include the 

name, address, telephone number and when 

applicable, the business or professional 

affiliation of the interested person. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.847, Diabetes, 

Endocrinology and Metabolic Research; 

93.848, Digestive Diseases and Nutrition 

Research; 93.849, Kidney Diseases, Urology 

and Hematology Research, National Institutes 

of Health, HHS) 

Dated: September 29, 2006. 

Anna Snouffer, 

Acting Director, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 06–8520 Filed 10–5–06; 8:45 am] 

BILLING CODE 4140–01–M 


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