Federal Register / Vol. 88, No. 209 / Tuesday, October 31, 2023 / Notices 74495 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number: ____, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10652 Virtual Groups for MeritBased Incentive Payment System (MIPS) 

Under the PRA (44 U.S.C. 3501– 

3520), federal agencies must obtain 

approval from the Office of Management 

and Budget (OMB) for each collection of 

information they conduct or sponsor. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

Section 3506(c)(2)(A) of the PRA 

requires federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

Information Collection 

1. Type of Information Collection 

Request: Extension of currently 

approved Information Collection; Title 

of Information Collection: Virtual 

Groups for Merit-Based Incentive 

Payment System (MIPS); Use: Section 

1848(q)(5)(I)(ii) of the 2018 Quality 

Payment Program final rule establishes 

that a process must be in place to allow 

an individual MIPS eligible clinician or 

group consisting of not more than 10 

MIPS eligible clinicians to elect, with 

respect to a performance period for a 

year, to be in a virtual group with at 

least one other such individual MIPS 

eligible clinician or group. Section 

1848(q)(5)(I)(iii) of the Act establishes 

the following requirements that pertain 

to an election process: (1) individual 

eligible clinicians and groups forming 

virtual groups are required to make the 

election prior to the start of the 

applicable performance period under 

MIPS and cannot change their election 

during the performance period; (2) an 

individual eligible clinician or group 

may elect to be in no more than one 

virtual group for a performance period 

and in the case of the group electing to 

be in a virtual group for the performance 

period, the election applies to all 

eligible clinicians in the group; (3) a 

virtual group is a combination of TINs; 

(4) formal written agreements are 

required among the eligible clinicians 

(includes individual eligible clinicians 

and eligible clinicians within the 

groups) electing to be a virtual group; 

and (5) the Secretary has the authority 

to include other requirements 

determined appropriate. 

Section 1848(q)(5)(I)(i) of the Act also 

provides that MIPS eligible clinicians 

electing to be a virtual group must: (1) 

have their performance assessed for the 

quality and cost performance categories 

in a manner that applies the combined 

performance of all the MIPS eligible 

clinicians in the virtual group to each 

MIPS eligible clinician in the virtual 

group for the applicable performance 

period; and (2) be scored for the quality 

and cost performance categories based 

on such assessment. Form Number: 

CMS–10652 (OMB control number: 

0938–1343); Frequency: Yearly; 

Affected Public: Individuals and 

Households, Private Sector, Business or 

other for-profits and Not-for-profit 

institutions; Number of Respondents: 

16; Total Annual Responses: 16; Total 

Annual Hours: 160 (For policy 

questions regarding this collection 

contact Renee O’Neill at 410–786–8821.) 

Dated: October 26, 2023. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–24012 Filed 10–30–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Privacy Act of 1974; System of 

Records 

AGENCY: Indian Health Service, 

Department of Health and Human 

Services. 

ACTION: Notice of a new system of 

records. 

SUMMARY: In accordance with the 

Privacy Act of 1974, as amended, the 

Department of Health and Human 

Services (HHS) is establishing a new 

system of records maintained by the 

Indian Health Service (IHS) Office of 

Clinical and Preventive Services 

(OCPS), System Number 09–17–0006, 

‘‘Community Health Aide Program 

(CHAP) Records.’’ The records in the 

new system of records are about 

individual healthcare providers who 

have applied for Federal certification 

under the Community Health Aide 

Program (CHAP) created under the 

Indian Health Care Improvement Act, as 

amended; and individuals serving as 

CHAP Certification Board members who 

review and evaluate the certification/ 

recertification applications for 

completeness and verify that the 

candidates meet the minimum 

standards for certification. The CHAP 

Certification Board will provide the 

respective Area Director with its 

recommendation to either certify, 

recertify, or deny certification after 

reviewing the certification applications. 

DATES: In accordance with 5 U.S.C. 

552a(e)(4) and (11), this notice is 

applicable October 31, 2023, subject to 

a 30-day comment period on the routine 

uses described below. Please submit any 

comments by November 30, 2023. 

ADDRESSES: Written comments may be 

submitted by mail or email to: Dr. Lori 

Christensen, Chief Medical Officer, IHS, 

5600 Fishers Lane—Mail Stop: 08E37A, 

Rockville, MD 20857, or IHSCHAP@

ihs.gov. Comments are reviewable at 

same location. To review comments in 

person, please contact the Office of the 

Chief Medical Officer at 240–701–3890. 

FOR FURTHER INFORMATION CONTACT: 

General questions about this system of 

records may be submitted to Heather 

McClane, IHS Privacy Act Officer, 

ATTN: National Community Health 

Aide Program, 5600 Fishers Lane—Mail 

Stop: 09E70, Rockville, MD 20857, or by 

email at Heather.McClane@ihs.gov, or 

by phone at 240–479–8521. General 

questions may also be submitted to the 

Community Health Aide Program, 

Office of Clinical and Preventive 


lotter on DSK11XQN23PROD with NOTICES1
74496 Federal Register / Vol. 88, No. 209 / Tuesday, October 31, 2023 / Notices 

Services, at IHSCHAP@ihs.gov. 

Additional information is available at 

www.ihs.gov/chap. 

SUPPLEMENTARY INFORMATION: Consistent 

with 25 U.S.C. 1616l, the records system 

will be referred to as the Community 

Health Aide Program (CHAP) Records. 

The purpose of the new system of 

records is to preserve and process 

records related to Federal certification 

of health providers under the CHAP. 

CHAP providers include the disciplines 

and provider types approved by the 

National CHAP Certification Board. 

The records include: (1) applications 

for CHAP certification submitted by 

individual providers (those seeking 

certification at any level—e.g., levels I, 

II, III, IV, Practitioner, and Therapist, 

those seeking recertification, those 

previously certified seeking an 

additional or different certification, 

those denied Federal certification, and 

those with revoked Federal 

certification); and (2) the qualifications 

and recommendations of CHAP 

certification board members who review 

certification applications and provide 

recommendations to Area Directors for 

the certification, recertification, or 

denial of certification. The Area 

Certification Board may also provide 

review requests for decertifications and 

make recommendations to Area 

Directors to decertify individual 

providers. 

A Tribe or Tribal Organization 

supporting a CHAP Certification Board 

under an Indian Self-Determination and 

Education Assistance Act (ISDEAA) 

agreement may maintain a copy of a 

record, but the Tribe’s copy would be a 

Tribal record, not a Federal agency 

record that is subject to the Privacy Act, 

Federal Records Act, or the Freedom of 

Information Act, nor would it constitute 

the official Federal record. 

Roselyn Tso, 

Director, Indian Health Service. 

SYSTEM NAME AND NUMBER: 

Community Health Aide Program 

(CHAP) Records, 09–17–0006. 

SECURITY CLASSIFICATION: 

Unclassified. 

SYSTEM LOCATION: 

The addresses of the agency 

components responsible for the system 

of records are found in the Appendix. 

SYSTEM MANAGER(S): 

The official listed in the Appendix for 

the Area Office that processed the 

particular certification application 

involving the subject individual as an 

applicant, or with respect to a board 

member from that Area’s Certification 

Board, is the relevant System Manager 

who the subject individual must contact 

to make a Privacy Act request. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

The Indian Health Care Improvement 

Act, as amended (25 U.S.C. 1601 et 

seq.), and specifically 25 U.S.C. 1616l. 

PURPOSE(S) OF THE SYSTEM: 

The records in this system of records 

will be used to implement the CHAP 

under 25 U.S.C. 1616l, including for 

these principal purposes: 

1. Purposes for which records about 

individual providers will be used: 

• To process applications for 

certification that are submitted by 

prospective, current, and former CHAP 

providers seeking initial or renewal 

Federal certification to provide 

community health care, behavioral 

health, oral health services, or other 

services authorized by the IHS National 

CHAP Certification Board to be 

provided in a Federal or Tribal facility 

operating a CHAP. 

• To document the dates and 

certification status of CHAP providers, 

including changes/modifications in 

categories and levels of certification. An 

example of a category modification 

would be a Dental Health Aide 

Therapist adding a level I Behavioral 

Health Aide certification. An example of 

a change in level would be a level IV 

Community Health Aide becoming a 

Community Health Aide Practitioner. 

• To secure reciprocity for CHAP 

providers across jurisdictions and IHSdefined geographical areas (often 

referred to as ‘‘Areas’’) by enabling the 

National Certification Board, in its 

oversight role, to ensure each Area’s 

education/training requirements, 

standards and procedures meet or 

exceed the National standards. 

• To ensure that Federal and Tribal 

healthcare facilities seeking to hire 

current, prospective, and former 

Federally certified CHAP providers have 

access to the certification status of 

providers certified under 25 U.S.C. 

1616l. 

• To ensure that CHAP providers are 

qualified, competent, and capable of 

delivering quality healthcare consistent 

with the National CHAP Program 

Standards and Policies at large, and that 

the CHAP providers’ scopes of practice 

are in line with their competency, their 

training, and the ability of the facility to 

provide adequate support, equipment, 

services, and staff. 

• To inform the staff of health care 

facilities seeking to employee CHAP 

providers for the purpose of assessing 

the providers’ professional competence, 

character, and fitness. 

• To inform State health professional 

boards that have oversight of CHAP 

providers of information they need to 

carry out their legally assigned 

functions. 

2. Purposes for which records about 

CHAP Certification Board members will 

be used: 

• For board staffing and other 

administrative purposes and to ensure 

program integrity (i.e., to recruit and 

select individuals who are qualified to 

render certification decisions that 

maintain appropriate CHAP levels of 

care). 

• To document each member’s 

membership effective dates and 

separations, qualifications, and 

decisions related to Area Certification 

Board recommendations to Area 

Directors. 

IHS may also use the records for 

secondary purposes, such as program 

planning and evaluation, individual 

evaluation, continuous quality 

improvement, compiling of numbers 

and types of providers certified each 

cycle, and other purposes consistent 

with the authorities in 25 U.S.C. 1616l. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

The records will be about these 

categories of individuals: 

• Prospective, current, and former 

CHAP providers working or seeking to 

work in Tribal and Federal healthcare 

facilities and those denied certification, 

described in more detail as follows: 

Æ Prospective—Those who have 

sought Federal certification and are 

awaiting a decision. 

Æ Current—Those who have sought 

Federal certification and have been 

recommended and issued Federal 

certification for any level of provider 

approved by the National CHAP 

Certification Board. This includes those 

who may have advanced, regressed, or 

changed their provider type category. 

Æ Former—Those who sought Federal 

certification and were recommended 

and issued Federal certification for any 

level of recognized CHAP providers but 

whose certification is not current. 

Æ Individuals Denied Certification or 

Certification Revoked—Those who 

applied for certification but whose 

application for certification was denied 

or had certifications revoked. 

• Individuals serving as CHAP 

Certification Board Members who 

review applications for certification/ 

recertification and requests for 

decertifications to make 

recommendations to the respective Area 

Director. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

The categories of records will include: 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 88, No. 209 / Tuesday, October 31, 2023 / Notices 74497 

1. Application for CHAP certification, 

which contains: 

a. the legal name, other names/alias, 

and date of birth of the provider/ 

applicant; 

b. provider/applicant contact 

information such as mailing and email 

addresses, phone number, and 

communication preferences; 

c. the names and dates of training and 

education programs attended, skills 

verification with address and contact 

phone number, including such 

programs attended as required for 

renewal or continuation of certification; 

d. applicable employment 

information such as employer, employer 

address, work phone, work email, fax, 

and states where services are provided 

or intend to be provided; and 

e. application status (e.g. complete, 

incomplete, provisional, approved, 

denied). 

2. Additional records may include: 

a. transcripts and training logs from 

educational/training programs; 

b. documentation of previous 

certifications held, revoked, or denied; 

c. information regarding liability 

insurance coverage; 

d. professional performance and 

achievement records, such as, 

continuing education certificates, 

performance awards, adverse or 

disciplinary actions, and evaluations 

and approvals completed by employers 

and supervisors; and employervalidated complaints against providers; 

e. records relating to the processing of 

and decision on applications for Federal 

certification and recertification or 

decertification; and for other relevant 

Federal certification and recertification 

or decertification actions; and 

f. records related to the qualifications 

of Certification Board Members, 

including letters of nomination, letters 

from supervisors indicating support of 

or opposition to nominations, 

Curriculum Vitae, professional contact 

information, and dates of membership. 

RECORD SOURCE CATEGORIES: 

Information in the records may be 

provided by these sources: 

• subject individual; 

• CHAP Certification Boards; 

• educational institutions attended; 

• continuing education entities; 

• internship, preceptorship, and 

practicum sites; 

• human resource departments; 

• professional associations; 

• State and Tribal licensing boards; 

• financial institutions from which 

these applicants have obtained 

educational loans; 

• HHS contractors/subcontractors; 

• PHS Commissioned Personnel 

Operations Division and U.S. Office of 

Personnel Operations Division and U.S. 

Office of Personnel Management 

personnel records; 

• any HHS OPDIV or other Federal 

agencies maintaining records relevant to 

the applicant’s qualifications, such as an 

agency where the individual worked as 

an employee or contractor, or the 

Department of the Treasury which 

maintains records of individuals 

disqualified to receive Federal 

payments; 

• State or local governments; 

• professional boards such as the 

Federation of State Medical Boards or 

similar non-government entities; and 

• third parties providing reviews 

concerning the subject individual. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

PURPOSES OF SUCH USES: 

In addition to the disclosures 

authorized directly in the Privacy Act at 

5 U.S.C. 552a(b)(1), (b)(2), and (b)(4) 

through (b)(11), these routine uses 

specify circumstances under which the 

agency may disclose information from 

this system of records to a non-HHS 

officer or employee without the consent 

of the subject individual. IHS will 

prohibit redisclosures, or may permit 

only certain redisclosures, as required 

or authorized by law. Each proposed 

disclosure permitted directly in the 

Privacy Act or under these routine uses 

will also be evaluated to ensure that the 

disclosure is legally permissible under 

any other applicable laws. 

1. Disclosures for Evaluation of 

Healthcare Delivery Services. Records 

about applicants and certified providers 

may be disclosed to organizations 

authorized to conduct evaluation 

studies concerning the delivery of 

health care services by the IHS and HHS 

(e.g., Joint Commission on the 

Accreditation of Healthcare 

Organizations). 

2. Disclosures to CHAP Certification 

Boards and Contractors to perform 

duties. Certification records about 

CHAP providers may be disclosed to 

CHAP Certification Boards authorized 

by IHS, consistent with 25 U.S.C 1616l. 

This includes disclosures to the nonFederal members of a CHAP 

Certification Board and to employees of 

a Tribe or Tribal organization who have 

a need to have access to the information 

in performance of their duties or 

activities for such boards and 

organizations operating under an Indian 

Self-Determination and Education 

Assistance Act (ISDEAA) agreement. 

3. Disclosures for certification 

software vendors/contractors. Records 

may be disclosed to a certification 

software vendor performing or working 

on a contract for IHS and who has a 

need to have access to the information 

in the performance of its duties or 

activities for IHS in accordance with 

law and with the contract. 

4. Disclosures for Evaluation or 

Verification of Application Data. IHS 

may disclose biographic data and 

information supplied by an applicant to 

(a) contacts listed on the applications 

and associated forms for the purpose of 

evaluating the applicant’s professional 

qualifications, personal characteristics, 

experience, and suitability, (b) a 

Federal, state, or local government 

health profession licensing or 

certification board, or (c) a health care 

oversight or professional monitoring 

organization or program (e.g., 

accreditation surveyors, or the National 

Practitioner Data Bank) for the purpose 

of verifying that a clinician’s claimed 

background and employment data are 

valid and all claimed credentials are 

current and in good standing. 

5. Disclosures for Reimbursement of 

Care Purposes. Records about a 

provider’s certification status may be 

disclosed to Federal, state, private and 

third-party payers that need to know the 

provider’s certification status to issue 

reimbursements for care rendered by the 

provider. 

6. Disclosures to OPM. Records about 

providers may be disclosed to the Office 

of Personnel Management (OPM) if the 

records are relevant to the individual’s 

application for or maintenance of Civil 

Service appointments. 

7. Disclosures for human resource 

matters. Records pertaining to IHS 

certification decisions may be disclosed 

to Federal, state, local, or Tribal entities 

when necessary for them to address 

human resources matters arising from 

IHS certification decisions. 

8. Disclosures for Compliance 

Monitoring. Records about a current 

provider or board member may be 

disclosed to relevant governmental 

agencies for the purpose of monitoring 

the individual’s compliance with 

applicable laws and standards, on an 

ongoing basis, to ensure that the 

individual remains qualified for Federal 

certification or to serve as a CHAP 

Certification Board member. 

9. Disclosure to Department of Justice 

or in Proceedings. HHS may disclose 

information from this system of records 

to the Department of Justice (DOJ), or to 

a court or other tribunal, when any of 

the following is a party to litigation or 

similar proceedings or has an interest in 

such proceedings, and HHS determines 

that the proceedings are likely to affect 

HHS or any of its components: (a) HHS, 

or any component thereof; (b) any HHS 

employee in their official capacity; (c) 


lotter on DSK11XQN23PROD with NOTICES1
74498 Federal Register / Vol. 88, No. 209 / Tuesday, October 31, 2023 / Notices 

any HHS employee in their 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. In 

order to disclose information in these 

circumstances, HHS must determine 

that the use of such records by the DOJ, 

the court or other tribunal is relevant 

and necessary to the proceedings and 

would help in the effective 

representation of the governmental 

party or interest. 

10. Disclosures to Congressional 

Office. 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. 

11. Reporting Violations or Potential 

Violations of Law. In the event that a 

record in this system of records on its 

face, or in conjunction with other 

records, 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 

this system of records may be referred 

to the appropriate agency, whether 

Federal, state, local, or Tribal, charged 

with enforcing or implementing the 

statute or rule, regulation, or order 

issued pursuant thereto. 

12. Disclosure in the Event of a 

Security Breach Experienced by HHS. 

Records may be disclosed to appropriate 

agencies, entities, and persons when: (1) 

HHS suspects or has confirmed that 

there has been a breach of the system of 

records; (2) HHS has determined that as 

a result of the suspected or confirmed 

breach there is a risk of harm to 

individuals, HHS (including its 

information systems, programs, and 

operations), the Federal Government, or 

national security; and (3) the disclosure 

made to such agencies, entities, and 

persons is reasonably necessary to assist 

in connection with HHS efforts to 

respond to the suspected or confirmed 

breach or to prevent, minimize, or 

remedy such harm. 

13. Disclosure to Assist another 

Agency Experiencing a Security Breach. 

Records may be disclosed to another 

Federal agency or Federal entity, when 

HHS determines that information from 

this system of records is reasonably 

necessary to assist the recipient agency 

or entity in: (1) responding to a 

suspected or confirmed breach or (2) 

preventing, minimizing, or remedying 

the risk of harm to individuals, the 

recipient agency or entity (including its 

information systems, programs, and 

operations), the Federal Government, or 

national security, resulting from a 

suspected or confirmed breach. 

14. Medical Quality Assurance 

Disclosures. Records about providers 

and board members may be disclosed 

for any purpose authorized by 25 U.S.C. 

1675(d) or (e)(2). To the extent the 

records are protected by 25 U.S.C. 1675, 

the records may only be disclosed in 

accordance with the exceptions in 25 

U.S.C. 1675(d) and (e)(2). 

15. Disclosures of Certification Status. 

Records about current or former CHAP 

providers, individuals denied 

certification, or individuals seeking 

certification may be disclosed to 

Federal, state, local and Tribal 

governmental entities with authority to 

maintain records concerning the 

issuance, retention, or revocation of 

Federal certifications necessary to 

practice a health professional 

occupation or specialty. 

16. Disclosures to the public. 

Information about a provider’s 

certification status may be made public 

for awareness of which providers are 

currently in good standing as CHAP 

providers, or to share how many 

providers are certified to help determine 

the need for more providers or training 

facilities based on clinical need, and 

would be limited to information that 

would be required to be disclosed to the 

public under the Freedom of 

Information Act. 

POLICIES AND PRACTICES FOR STORAGE OF

RECORDS: 

The records will be stored in file 

folders and computer-based electronic 

files on the secure IHS network indexed 

by name and record number in 

accordance with current IHS policy. 

POLICIES AND PRACTICES FOR RETRIEVAL OF

RECORDS: 

The records will be retrieved by the 

subject individual’s name or 

certification number (for current and 

former CHAP providers) and any other 

identifying numbers necessary to ensure 

that the records retrieved are about the 

intended individual. 

POLICIES AND PRACTICES FOR RETENTION AND

DISPOSAL OF RECORDS: 

Upon approval of a disposition 

schedule by the National Archives and 

Records Administration (NARA), the 

records will be disposed of when 

eligible for destruction under the 

schedule, if the records are no longer 

needed for administrative, audit, legal, 

or operational purposes. While the 

records are unscheduled, they must be 

retained indefinitely. Note that CHAP is 

an expansion of the use of CHAP 

providers throughout the IHS health 

system, and only the Alaska CHAP 

maintains historical and archived 

records. 

ADMINISTRATIVE, TECHNICAL, AND PHYSICAL

SAFEGUARDS: 

The records will be protected from 

unauthorized access by the following 

safeguards. All safeguards will conform 

to applicable laws, rules, and policies, 

including the HHS Information Security 

and Privacy Program, https://

www.hhs.gov/ocio/securityprivacy/, the 

E-Government Act of 2002, as amended 

(44 U.S.C. ch. 35), pertinent National 

Institutes of Standards and Technology 

(NIST) publications, and OMB Circular 

A–130, Managing Information as a 

Strategic Resource. 

Authorized Users: Access will be 

limited to authorized users who (1) have 

a need for such records in the 

performance of their official duties and 

(2) are advised of the confidentiality of 

the records and the civil and criminal 

penalties for misuse. Particularly as the 

IHS transitions to an electronic records 

system, authorized users may include 

individuals and entities outside of HHS 

who are given certain access for 

purposes of facilitating specific 

disclosures authorized under the 

Privacy Act, including the routine uses 

described above. For example, 

authorized users may include: National 

Certification Board members, Area 

Certification Board members, IHS Area 

Offices, Office of Clinical and 

Preventive Services CHAP staff, clinical 

supervision staff and additional IHS or 

Tribal staff with oversight 

responsibilities related to CHAP 

providers within an Indian Health 

Program, as defined in 25 U.S.C. 

1603(12). 

At each location where records in this 

system will be maintained, a list of 

users or categories of users having an 

official need-to-know has been 

developed and is maintained. 

Physical Safeguards: Paper records 

will be 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. 

Administrative Safeguards: Only 

persons who have an official need-toknow will be entrusted with records 

from this system of records, and they 

will be instructed to safeguard the 

confidentiality of the records and to 

destroy all copies or to return such 

records when the need to know has 

ended. Instructions will include the 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 88, No. 209 / Tuesday, October 31, 2023 / Notices 74499 

statutory penalties for noncompliance. 

Proper charge-out procedures will be 

followed for the removal of records from 

the area in which they are maintained. 

Authorized users will receive privacy 

and security training before record 

access is granted and annually 

thereafter. When copying records for 

authorized purposes, employees are 

instructed to ensure that any imperfect 

pages are not left in the reproduction 

room where they can be read but are 

destroyed or obliterated. Area Privacy 

Coordinators have routine access for 

monitoring compliance with privacy 

regulations. 

Technical Safeguards: Records in the 

electronic system will be secured by 

encryption and intrusion detection 

systems. Access to electronic records 

will be controlled by user name and 

password. 

RECORD ACCESS PROCEDURES: 

To request access to records about you 

in this system of records, submit a 

written access request addressed to the 

relevant System Manager (see the 

Appendix and the ‘‘System Manager(s)’’ 

section of this SORN). The request must: 

• Reasonably describe the records 

sought. 

• Include (as applicable) the name of 

the IHS Service Unit relevant to your 

certification application, or the name of 

the Area Certification Board on which 

you served, and pertinent dates. 

• Include (for contact purposes and 

identity verification purposes) your full 

name, current address, telephone 

number and/or email address, date and 

place of birth, signature, evidence of 

other names used (if seeking records 

retrieved by a name other than your 

current name), and, if needed by the 

agency, sufficient particulars contained 

in the records (such as, record number 

or other identifying numbers) to enable 

the agency to locate the records and 

distinguish between records on subject 

individuals with the same name. 

In addition, to verify your identity, 

your signature on the request must be 

notarized or the request must include, 

above your signature, your written 

certification that you are the individual 

who you claim to be and that you 

understand that the knowing and willful 

request for or acquisition of a record 

pertaining to an individual under false 

pretenses is a criminal offense subject to 

a fine of up to $5,000. 

In your written request, you may 

request that copies of the records be sent 

to you or include your signed, written 

consent directing that the records be 

sent to a third party, or you may request 

an appointment to review the records in 

person (including with a person of your 

choosing, if you provide written 

authorization for agency personnel to 

discuss the records in that person’s 

presence). If you make an appointment 

to review the records in person, you 

must bring at least one piece of tangible 

identification, such as a driver’s license 

or passport, to the appointment. You 

may also request an accounting of 

disclosures that have been made of 

records about you, if any. Requests by 

telephone will not be accepted. 

To the extent the records are Medical 

Quality Assurance records protected by 

25 U.S.C. 1675, the records may be 

disclosed only in accordance with the 

exceptions in 25 U.S.C. 1675(d) and 

(e)(2), because the Privacy Act right of 

access provisions are superseded by the 

confidentiality provisions protecting 

Medical Quality Assurance Records. 

Accordingly, Medical Quality 

Assurance Records will only be released 

pursuant to the Privacy Act when the 

Agency has decided to release the 

records in accordance with 25 U.S.C. 

1675(d) or (e)(2). 

CONTESTING RECORD PROCEDURES: 

To request correction of a record 

about you in this system of records, 

submit a written request to the relevant 

System Manager (see the Appendix and 

the ‘‘System Manager(s)’’ section of this 

SORN). The request must contain the 

same information required for an access 

request and include verification of your 

identity in the same manner required for 

an access request. In addition, the 

request must reasonably identify the 

record, specify the information 

contested, and state the corrective 

action sought and the reasons for 

requesting the correction. The request 

should include supporting information 

to show how the record is factually 

inaccurate, incomplete, untimely, or 

irrelevant. The right to contest records 

is limited to information that is factually 

inaccurate, incomplete, untimely 

(obsolete), or irrelevant. 

NOTIFICATION PROCEDURES: 

To find out if the system of records 

contains a record about you, submit a 

written notification request to the 

relevant System Manager (see the 

Appendix and the ‘‘System 

Manager(s)’’section of this SORN). The 

request must identify this system of 

records, contain the same information 

required for an access request, and 

include verification of identity in the 

same manner required for an access 

request. 

EXEMPTIONS PROMULGATED FOR THE SYSTEM: 

None. 

HISTORY: 

None. 

Appendix: 

Chief Medical Officer, Office of the Director, 

HQ, 5600 Fishers Lane, MS 08E37A, 

Rockville, MD 20857, Phone: 204–701– 

3890, Fax No: 301–594–6213 

Director—Alaska Area Office, 4141 

Ambassador Dr., Suite 300, Anchorage AK 

99508, Phone: 907–729–3683 

Director—Albuquerque Area Office, 4101 

Indian School Rd. NE, Suite 225, 

Albuquerque, NM 87110–3988, Phone: 

505–256–6800, Fax No. 505–256–6847 

Director—Bemidji Area Office, Indian Health 

Service, U.S. Department of Health and 

Human Services, Bemidji Technology Park, 

2225 Cooperative Ct. NW, Bemidji, MN 

56601, Phone: (218) 444–0452 

Director—Billings Area Office, 2900 4th 

Avenue North, Billings, MT 59101 

Director—California Area Office, 650 Capitol 

Mall, Suite 7–100, Sacramento, CA 95814, 

Phone: 916–930–3927, Fax No: 916–930– 

3952 

Director—Great Plains Area Office, 115 4th 

Avenue SE, Room 309, Aberdeen, SD 

57401, Phone: 605–226–7581, Fax No: 

605–226–7541 

Director—Nashville Area Office, 711 

Stewarts Ferry Pike, Nashville, TN 37214, 

Phone: 915–467–1500 

Director—Navajo Area Office, P.O. Box 9020, 

Window Rock, AZ 86515, Phone: 928–871– 

5801, Fax No: 928–871–5872 

Director—Oklahoma City Area Office, 701 

Market Drive, Oklahoma City, OK 73114, 

Phone: 405–951–3820, Fax: 405–951–3780 

Director—Phoenix Area Office, Two 

Renaissance Square, 40 N Central Avenue, 

Suite 504, Phoenix, AZ 85004, Phone: 602– 

364–5039 

Director—Portland Area Indian Health 

Service, 1414 NW Northrup Street, Suite 

800, Portland, OR 97209, Phone: 503–414– 

5555 Fax: 503–414–5554 

Director—Tucson Area Office, 7900 South J 

Stock Road, Tucson, AZ 85746, Phone: 

520–547–8140 

[FR Doc. 2023–23964 Filed 10–30–23; 8:45 am] 

BILLING CODE 4166–14–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Request for Public Comment: 30-Day 

Information Collection: Application for 

Participation in the IHS Scholarship 

Program 

AGENCY: Indian Health Service, HHS. 

ACTION: Notice and request for 

comments. Request for revision to a 

collection. 

SUMMARY: In compliance the Paperwork 

Reduction Act of 1995, the Indian 

Health Service (IHS) invites the general 

public to comment on the information 

collection titled, ‘‘Application for 


lotter on DSK11XQN23PROD with NOTICES1