Federal Register / Vol. 80, No. 28 / Wednesday, February 11, 2015 / Notices 7671 

SMALL BUSINESS ADMINISTRATION 

Data Collection Available for Public 

Comments 

ACTION: 60-day notice and request for 

comments. 

SUMMARY: The Small Business 

Administration (SBA) intends to request 

approval, from the Office of 

Management and Budget (OMB) for the 

collection of information described 

below. The Paperwork Reduction Act 

(PRA) of 1995, 44 U.S.C. chapter 35 

requires federal agencies to publish a 

notice in the Federal Register 

concerning each proposed collection of 

information before submission to OMB, 

and to allow 60 days for public 

comment in response to the notice. This 

notice complies with that requirement. 

DATES: Submit comments on or before 

April 13, 2015. 

ADDRESSES: Send all comments to Renee 

Mascarenas, Financial Specialist, 

Denver Finance Center, Small Business 

Administration, 721 19th Street, 3rd 

Floor, Denver, CO 80202. 

FOR FURTHER INFORMATION CONTACT: 

Renee Mascarenas, Financial Specialist, 

Denver Finance Center, 

renee.mascarenas@sba.gov 303–844– 

7179, or Curtis B. Rich, Management 

Analyst, 202–205–7030, 

curtis.rich@sba.gov. 

SUPPLEMENTARY INFORMATION: SBA Form 

172 is only used by lenders for loans 

that have been purchased by SBA and 

are being serviced by approved SBA 

lending partners. The lenders use the 

SBA Form 172 to report loan payment 

data to SBA on a monthly basis. The 

purpose of this reporting is to (1) show 

the remittance due SBA on a loan 

serviced by participating lending 

institutions (2) update the loan 

receivable balances. 

Solicitation of Public Comments 

SBA is requesting comments on (a) 

Whether the collection of information is 

necessary for the agency to properly 

perform its functions; (b) whether the 

burden estimates are accurate; (c) 

whether there are ways to minimize the 

burden, including through the use of 

automated techniques or other forms of 

information technology; and (d) whether 

there are ways to enhance the quality, 

utility, and clarity of the information. 

Summary of Information Collection 

Title: Transaction Report on Loans 

Serviced by Lender. 

Description of Respondents: SBA 

Lenders. 

Form Number: SBA Form 172. 

Total Estimated Annual Responses: 

4,724. 

Total Estimated Annual Hour Burden: 

4,130. 

Curtis B. Rich, 

Management Analyst. 

[FR Doc. 2015–02763 Filed 2–10–15; 8:45 am] 

BILLING CODE 8025–01–P 

DEPARTMENT OF STATE 

[Public Notice 9034] 

Privacy Act; System of Records: 

Medical Records, State–24. 

SUMMARY: Notice is hereby given that 

the Department of State proposes to 

amend an existing system of records, 

Medical Records, State–24, pursuant to 

the provisions of the Privacy Act of 

1974, as amended (5 U.S.C. 552a), and 

Office of Management and Budget 

Circular No. A–130, Appendix I. 

DATES: This system of records will be 

effective March 23, 2015, unless we 

receive comments that will result in a 

contrary determination. 

ADDRESSES: Any persons interested in 

commenting on the amended system of 

records may do so by writing to the 

Director; Office of Information Programs 

and Services, A/GIS/IPS; Department of 

State, SA–2; 515 22nd Street NW.; 

Washington, DC 20522–8100. 

FOR FURTHER INFORMATION CONTACT: John 

Hackett, Acting Director; Office of 

Information Programs and Services, A/ 

GIS/IPS; Department of State, SA–2; 515 

22nd Street NW.; Washington, DC 

20522–8100, or at Privacy@state.gov. 

SUPPLEMENTARY INFORMATION: The 

Department of State proposes that the 

current system will retain the name 

‘‘Medical Records’’ (previously 

published at 74 FR 24891). The 

information contained in these records 

is used to administer the Department of 

State’s medical program. These records 

are utilized and reviewed by medical 

and administrative personnel of the 

Office of Medical Services (MED) in 

providing health care to the individuals 

eligible to participate in the medical 

program. The system also serves to 

record and monitor the current status of 

the professional credentials of 

Department of State Foreign Service, 

Civil Service and Locally Employed 

Staff healthcare providers. The 

proposed system will include 

modifications to the following sections: 

Categories of individuals, Categories of 

records, Safeguards, Retrievability, and 

administrative updates. 

The Department’s report was filed 

with the Office of Management and 

Budget. The amended system 

description, ‘‘Medical Records, State– 

24,’’ will read as set forth below. 

Joyce A. Barr, 

Assistant Secretary for Administration, U.S. 

Department of State. 

STATE–24 

SYSTEM NAME: 

Medical Records 

SYSTEM LOCATION: 

Department of State, Office of Medical 

Services, 2401 E Street NW., 

Washington, DC 20522 and all health 

units and other facilities of the Office of 

Medical Services, domestic and 

overseas; U.S. Coast Guard Operations 

Systems Center. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

U.S. Government employees and their 

family members, Locally Employed 

Staff, and any other individuals eligible 

to participate in the medical program of 

the U.S. Department of State as 

authorized by either section 904 of the 

Foreign Service Act of 1980 (22 U.S.C. 

4084) or other applicable legal 

authority. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Categories of records include full 

name; Social Security number; date of 

birth; address; email address; phone 

number; State Global Identifier (SGID); 

reports of medical examinations and 

related documents; reports of treatments 

and other health services rendered to 

individuals; narrative summaries of 

hospital treatments; personal medical 

histories; reports of on-the-job injuries 

or illnesses; reports on medical 

evacuation; and/or any other types of 

individually identifiable health 

information generated or used in the 

course of conducting health care 

operations. This system includes 

records that contain protected health 

information, and does not include 

records maintained by the Department 

of State and/or other employers in their 

capacity as employers. This system also 

includes certain records maintained as 

part of the Department’s Employee 

Assistance Program pursuant to 5 CFR 

part 792. 

The system also includes providers’ 

professional credentials. This may 

include professional degrees, addresses, 

emails, and phone numbers for directhire Foreign Service, Civil Service 

medical personnel, and Locally 

Employed Staff. The system includes 

copies of professional credentials, 

including licenses, and certifications 

(Professional, Clinical, Drug 


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7672 Federal Register / Vol. 80, No. 28 / Wednesday, February 11, 2015 / Notices 

Enforcement Administration (DEA), 

clinical privileges information, and 

National Provider Identifier (NPI)). 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

22 U.S.C. 4084; Public Law 99–570 

§§ 7361–7362; and 5 CFR part 792. 

PURPOSE: 

The information contained in these 

records is used to administer the 

Department of State’s medical program. 

These records are utilized and reviewed 

by medical and administrative 

personnel of the Office of Medical 

Services (MED) in providing health care 

to the individuals eligible to participate 

in the medical program. The system also 

serves to record and monitor the current 

status of the professional credentials of 

Department of State Foreign Service, 

Civil Service and Locally Employed 

Staff healthcare providers. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

The Department of State periodically 

publishes in the Federal Register its 

standard routine uses, which apply to 

all of its Privacy Act systems of records. 

These notices appear in the form of a 

Prefatory Statement. These standard 

routine uses apply to Medical Records, 

State–24. 

The following are additional routine 

uses of information from these files, for 

which no authorization or opportunity 

to agree or object to disclosure is 

required by the subject of the 

information: 

A. To another health care provider, a 

group health plan, a health insurance 

issuer, or a health maintenance 

organization for purposes of carrying 

out treatment, payment, or health care 

operations; 

B. To a parent, guardian or other 

person acting in loco parentis with 

respect to the subject of the information; 

C. To a health oversight agency or 

public health authority authorized by 

law to investigate or otherwise oversee 

the relevant conduct or conditions of 

the Department of State’s medical 

program, or for such oversight activities 

as audits; civil, administrative, or 

criminal proceedings or actions; 

inspections; and licensure or 

disciplinary action; 

D. To a public health authority 

(domestic or foreign) that is authorized 

by law to collect or receive protected 

health information for the purpose of 

preventing or controlling disease, 

injury, or disability, including, but not 

limited to, the reporting of disease, 

injury, vital events such as birth or 

death, and the conduct of public health 

surveillance, public health 

investigations, and public health 

interventions; 

E. To the U.S. Department of Health 

and Human Services (HHS), when 

required by the Secretary of HHS; 

F. To the United States Coast Guard 

(USCG) Health, Safety & Work-Life 

(HSW), as necessary for maintenance of 

the Department of State’s Electronic 

Health Record system; 

G. To a public health authority or 

other appropriate government authority 

(domestic or foreign) authorized by law 

to receive reports of child abuse or 

neglect; 

H. To a person subject to the 

jurisdiction of the Food and Drug 

Administration (FDA) with respect to an 

FDA-regulated product or activity for 

which that person has responsibility, for 

the purpose of activities related to the 

quality, safety, or effectiveness of such 

FDA-regulated product or activity; 

I. To a person who may have been 

exposed to a communicable disease or 

may otherwise be at risk of contracting 

or spreading a disease or condition, to 

the extent MED is authorized by law to 

notify such person and as necessary in 

the conduct of a public health 

intervention or investigation; 

J. To a government authority 

(domestic or foreign), including a social 

service or protective services agency, 

authorized by law to receive reports of 

abuse, neglect or domestic violence (1) 

to the extent such a disclosure is 

required by law; (2) where in the 

exercise of professional judgment, the 

disclosure is necessary to prevent 

serious harm to the individual or other 

potential victims; or (3) where, if the 

subject of the information is 

incapacitated, a law enforcement, or 

other public official authorized to 

receive the report, represents that the 

information sought is not intended to be 

used against the individual and that an 

immediate enforcement activity that 

depends upon the disclosure would be 

adversely affected by waiting until the 

individual is able to agree to the 

disclosure; 

K. To the Department of Justice, as 

required by law, for the purpose of 

submitting information to the National 

Instant Criminal Background Check 

System; 

L. In the course of any judicial or 

administrative proceeding in response 

to an order of a court or administrative 

tribunal; 

M. To a law enforcement official (1) 

as required by law or in compliance 

with a court order or court-ordered 

warrant, a subpoena or summons issued 

by a judicial officer, a grand jury 

subpoena, or an administrative request, 

including an administrative subpoena or 

summons; (2) in response to a request 

for the purposes of identifying or 

locating a suspect, fugitive, material 

witness, or missing person; in response 

to a request for such information about 

an individual who is or is suspected to 

be a victim of a crime; (3) to provide 

notice of the death of an individual if 

there is a belief that the death may have 

resulted from criminal conduct; (4) 

where it is believed in good faith that 

such information constitutes evidence 

of criminal conduct; or (5) in response 

to an emergency, where it is believed 

such disclosure is necessary to alert law 

enforcement to the commission and 

nature of a crime, the location of such 

crime or of the victim(s) of such crime, 

and the identity, description, and 

location of the perpetrator of such 

crime; 

N. As necessary in order to prevent or 

lessen a serious and imminent threat to 

the health or safety of a person or the 

public or to a person or persons 

reasonably able to prevent or lessen the 

threat, including the target of the threat; 

O. To authorized federal officials for 

the conduct of lawful intelligence, 

counter-intelligence, and other national 

security activities authorized by the 

National Security Act (50 U.S.C. 401, et 

seq.) and other applicable authorities 

(e.g., Executive Order 12333); 

P. To authorized federal officials for 

the provision of protective services to 

the President or other persons 

authorized by 18 U.S.C. 3056 or to 

foreign heads of state or other persons 

authorized by 22 U.S.C. 2709(a)(3), or 

for the conduct of investigations 

authorized by 18 U.S.C. 871 and 879; 

Q. To Department of State officials for 

the purposes of clearance and suitability 

determinations, including (1) for a 

national security clearance conducted 

pursuant to Executive Orders 10450 and 

12698; (2) for medical clearance 

determinations, consistent with the 

Foreign Service Act, including sections 

101(a)(4), 101(b)(5), 504, and 904; 

R. To a medical transcription or 

translation service for MED’s purposes 

of carrying out treatment or health care 

operations; 

S. To a correctional institution or a 

law enforcement official having lawful 

custody of an individual, if the 

correctional institution or law 

enforcement official represents that 

such information is necessary for the 

provision of health care to such 

individual, the health and safety of 

other individuals (including others at 

the correctional institution), or the 

administration and maintenance of the 

safety, security, and good order of the 

correctional institution; 


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Federal Register / Vol. 80, No. 28 / Wednesday, February 11, 2015 / Notices 7673 

T. To a coroner or medical examiner 

for the purpose of identifying a 

deceased person, determining a cause of 

death, or other duties as authorized by 

law; 

U. To appropriate domestic or foreign 

government officials (including but not 

limited to the U.S. Department of 

Labor), as authorized by and to the 

extent necessary to comply with laws 

relating to workers’ compensation or 

other similar programs, established by 

law, that provide benefits for workrelated injuries or illnesses without 

regard to fault. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

Records are stored in hard copy and 

electronic form. 

RETRIEVABILITY: 

By individual name and/or date of 

birth; by patient identification number 

and family unit number. 

SAFEGUARDS: 

All users are given cyber security 

awareness training which covers the 

procedures for handling Sensitive but 

Unclassified information, including 

personally identifiable information (PII). 

Annual refresher training is mandatory. 

In addition, all Foreign Service and 

Civil Service employees and those 

Locally Employed Staff who handle PII 

are required to take the Foreign Service 

Institute distance learning course, PA 

459, instructing employees on privacy 

and security requirements, including 

the rules of behavior for handling PII 

and the potential consequences if it is 

handled improperly. Before being 

granted access to medical records, a user 

must first be granted access to the 

Department of State computer system. 

Remote access to the Department of 

State network from non-Department 

owned systems is authorized only to 

unclassified systems and only through a 

Department approved access program. 

Remote access to the network is 

configured with the Office of 

Management and Budget Memorandum 

M–07–16 security requirements, which 

include but are not limited to two-factor 

authentication and time out function. 

All Department of State employees 

and contractors with authorized access 

have undergone a thorough background 

security investigation. Access to the 

Department of State, its annexes, and 

posts abroad is controlled by security 

guards and admission is limited to those 

individuals possessing a valid 

identification card or individuals under 

proper escort. All paper records 

containing personal information are 

maintained in secured file cabinets in 

restricted areas, access to which is 

limited to authorized personnel only. 

Access to computerized files is 

password-protected and under the 

direct supervision of the system 

manager. The system manager has the 

capability of printing audit trails of 

access from the computer media, 

thereby permitting regular and ad hoc 

monitoring of computer usage. When it 

is determined that a user no longer 

needs access, the user account is 

disabled. 

RETENTION AND DISPOSAL: 

Records are retired and destroyed in 

accordance with published Department 

of State Records Disposition Schedules 

as approved by the National Archives 

and Records Administration (NARA). 

More specific information may be 

obtained by writing to the Director, 

Office of Information Programs and 

Services, A/GIS/IPS, SA–2, Department 

of State, 515 22nd Street NW., 

Washington, DC 20522–8100. 

SYSTEM MANAGER(S) AND ADDRESS: 

Executive Director, Office of Medical 

Services, Room L209, Department of 

State, 2401 E Street NW., Washington, 

DC 20522. 

NOTIFICATION PROCEDURES: 

Individuals who have cause to believe 

that the Office of Medical Services 

might have medical records pertaining 

to them and want to request a copy of 

those medical records should write to 

Medical Records, Office of Medical 

Services, U.S. Department of State, 2401 

E Street NW., Washington, DC 20522. 

Individuals who have cause to believe 

that the Office of Medical Services 

might have credential records pertaining 

to them and want to request a copy of 

those credential records should write to 

Quality Improvement, Office of Medical 

Services, U.S. Department of State, 2401 

E Street NW., Washington, DC 20522. At 

a minimum, the individual requesting a 

copy of his or her medical records or 

credential records must include the 

following: name, date and place of birth, 

current mailing address and zip code, 

signature, a brief description of the 

circumstances that may have caused the 

creation of the records that are the 

subject of the request, and the 

approximate date(s) of those records. 

RECORD ACCESS PROCEDURES: 

Individuals who wish to gain access 

to or amend medical records pertaining 

to them should write to the Director, 

Office of Information Programs and 

Services (address above). Individuals 

who wish to gain access to or amend 

credential records pertaining to them 

should write to the Director, Office of 

Information Programs and Services 

(address above). 

CONTESTING RECORD PROCEDURES: 

Individuals who wish to contest 

medical records pertaining to them 

should write to Medical Records, Office 

of Medical Services (address above). 

Individuals who wish to contest 

credential records pertaining to them 

should write to Quality Improvement, 

Office of Medical Services (address 

above). 

RECORD SOURCE CATEGORIES: 

Information contained in these 

records comes from the individual, 

hospitals, clinics, private medical 

providers, employers, and medical 

professionals employed by the 

Department of State. 

SYSTEM EXEMPTED FROM CERTAIN PROVISIONS

UNDER THE PRIVACY ACT: 

None. 

[FR Doc. 2015–02837 Filed 2–10–15; 8:45 am] 

BILLING CODE 4710–36–P 

DEPARTMENT OF TRANSPORTATION 

Office of the Secretary 

Notice of Applications for Certificates 

of Public Convenience and Necessity 

and Foreign Air Carrier Permits Filed 

Under Subpart B (Formerly Subpart Q) 

During the Week Ending January 31, 

2015 

The following Applications for 

Certificates of Public Convenience and 

Necessity and Foreign Air Carrier 

Permits were filed under Subpart B 

(formerly Subpart Q) of the Department 

of Transportation’s Procedural 

Regulations (See 14 CFR 302. 201 et. 

seq.). The due date for Answers, 

Conforming Applications, or Motions to 

Modify Scope are set forth below for 

each application. Following the Answer 

period DOT may process the application 

by expedited procedures. Such 

procedures may consist of the adoption 

of a show-cause order, a tentative order, 

or in appropriate cases a final order 

without further proceedings. 

Docket Number: DOT–OST–2014–0164. 

Date Filed: January 31, 2015. 

Due Date for Answers, Conforming 

Applications, or Motion to Modify Scope: 

Februrary 20, 2015. 

Description: Application of Air Medical 

Limited requesting a forign air carrier permit 

to carry out ad-hoc charter passenger services 


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