60350 Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 

Dated: October 11, 2005. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health, Centers for Disease Control 

and Prevention. 

[FR Doc. 05–20717 Filed 10–14–05; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Organization, Functions, and 

Delegations of Authority 

Part G—Indian Health Service 

Part G, of the Statement of 

Organization, Functions, and 

Delegations of Authority of the 

Department of Health and Human 

Services (HHS), as amended at 52 FR 

47053–67, December 11, 1987, as 

amended at 60 FR 56606, November 9, 

1995, as amended at 61 FR 67048, 

December 19, 1996, as amended at 69 

FR 41825 July 12, 2004, and most 

recently as amended at 70 FR 24087 

May 6, 2005 is hereby amended to 

reflect a reorganization of the Indian 

Health Service (IHS) Headquarters (HQ). 

The goal of the reorganization is to 

demonstrate increased leadership and 

advocacy, while improving the Agency’s 

responsibilities for oversight and 

accountability. We have considered the 

President’s Management Agenda, the 

Secretary’s Workforce Restructuring 

Plan and recommendations from the 

Indian Health Design Team and the IHS 

Restructuring Initiatives Workgroup. 

Delete the functional statements for the 

IHS Headquarters in their entirety and 

replace with the following: 

Chapter GA—Office of the Director 

Section GA–10, Indian Health Service—

Organization 

The IHS is an Operating Division 

within the Department of Health and 

Human Services (HHS) and is under the 

leadership and direction of a Director 

who is directly responsible to the 

Secretary of Health and Human 

Services. The IHS Headquarters consists 

of the following major components: 

Office of the Director (GA), Office of 

Tribal Self-Governance (GAA), Office of 

Tribal Programs (GAB), Office of Urban 

Indian Health Programs (GAC), Policy 

Formulation and Communications 

Groups (GAE), Office of Clinical and 

Preventive Services (GAF), Office of 

Information Technology (GAG), Office 

of Public Health Support (GAH), Office 

of Resource Access and Partnerships 

(GAJ), Office of Finance and Accounting 

(GAK), Office of Management Services 

(GAL), Office of Management Services 

(GAL) and Office of Environmental 

Health and Engineering (GAM). 

Section GA–20, Indian Health Service—

Functions 

Office of the Director (OD) (GA) 

Provides overall direction and 

leadership for the IHS: (1) Establishes 

goals and objectives for the IHS 

consistent with the mission of the IHS 

and ensures Agency performance is 

managed through goals/objectives, 

achievements, and/or improved 

outcomes; (2) provides for the full 

participation of Indian Tribes in the 

programs and services provided by the 

Federal Government; (3) develops 

health care policy; (4) ensures the 

delivery of quality comprehensive 

health services; (5) advocates for the 

health needs and concerns of American 

Indians/Alaska Natives (AI/AN); (6) 

promotes the IHS programs at the local, 

State, national, and international levels; 

(7) develops and demonstrates 

alternative methods and techniques of 

health services management and 

delivery with maximum participation 

by Indian Tribes and Indian 

organizations; (8) supports the 

development of individual and Tribal 

capacities to participate in Indian health 

programs through means and modalities 

that they deem appropriate to their 

needs and circumstances; (9) the IHS 

will carry out the responsibilities of the 

United States to Indian Tribes and 

individual Indians; (10) affords Indian 

people an opportunity to enter a career 

in the IHS by applying Indian 

preference; and (11) ensures full 

application of the principles of Equal 

Employment Opportunity laws and the 

Civil Rights Act in managing the human 

resources of the IHS. 

Office of Tribal Self-Governance (OTSG) 

(GAA) 

Develops and oversees the 

implementation of Tribal selfgovernance legislation and authorities 

in the IHS, under Title V of the Indian 

Self-Determination and Education 

Assistance Act, Public Law 93–638, as 

amended; (2) develops and recommends 

policies, administrative procedures, and 

guidelines for IHS Tribal selfgovernance activities, with maximum 

input from IHS staff and workgroups, 

Tribes and Tribal organizations, and the 

Tribal Self-Governance Advisory 

Committee; (3) advises the IHS Director 

on Agency compliance with selfgovernance policies, administrative 

procedures and guidelines and 

coordinates activities for resolution of 

problems with appropriate IHS and 

HHS staff; (4) provides resource and 

technical assistance to Tribes and Tribal 

organizations for the implementation of 

the Tribal Self-Governance Program 

(TSGP); (5) participates in the reviewing 

of proposals from Tribes for selfgovernance planning and negotiation 

grants and recommends approvals to the 

IHS Director; (6) determines eligibility 

for Tribes and Tribal organizations 

desiring to participate in the TSGP; (7) 

oversees the negotiation of selfgovernance compacts and annual 

funding agreements with participating 

Tribal governments; (8) identifies the 

amount of Headquarters managed funds 

necessary to implement the annual 

funding agreements and prepares 

annual budgets for available Tribal 

shares in conjunction with IHS Area 

and Headquarters components; (9) 

coordinates annual reconciliation of 

funding agreements with IHS 

Headquarters components, Area Offices, 

and participating Tribes; (10) serves as 

the principal IHS office for developing, 

releasing, and presenting information on 

behalf of the IHS Director related to the 

IHS Tribal self-governance activities to 

Tribes, Tribal organizations, HHS 

officials, IHS officials, and officials from 

other Federal agencies, State and local 

governmental agencies, and other 

agencies and organizations; (11) 

arranges national self-governance 

meetings to promote the participation 

by all AI/AN Tribes in IHS selfgovernance activities and program 

direction; (12) participates in meetings 

for Self-Governance Tribal delegations 

visiting IHS Headquarters; and (13) 

participates in cross-cutting issues and 

processes including, but not limited to 

emergency preparedness/security, 

budget formulation, self-determination 

issues, Tribal shares computations and 

resolutions of audit findings as may be 

needed and appropriate. 

Office of Tribal Programs (PT) (GAB) 

(1) Assures that Indian Tribes and 

Tribal organizations are informed 

regarding pertinent health policy and 

program management issues; (2) assures 

that consultation and participation by 

Indian Tribes and organizations occurs 

during the development of IHS policy 

and decision making; (3) provides 

overall Agency leadership concerning 

functions and responsibilities associated 

with self-determination contracting 

(Title I of the Indian Self-Determination 

Act); (4) advises the IHS Director and 

senior management on activities and 

issues related to self-determination 

contracting; (5) monitors Agency 

compliance with self-determination 

policies, administrative procedures, and 

guidelines; (6) provides Agency 

Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 60351 

leadership in planning and conducting 

a program of expert guidance, technical 

assistance, and support to Indian Tribes 

that continue to receive their health 

services directly from the IHS; (7) 

administers a national grant program 

designed to assist Tribes and Tribal 

organizations in beginning and/or 

expanding self-determination activities; 

(8) provides Agency leadership in the 

development of policy; (9) discharges 

operational responsibilities, with 

respect to the contract support cost 

(CSC) program administered by the IHS; 

(10) provides advice to the IHS Director 

and senior management on Tribal issues 

and concerns by acting as liaison with 

Tribal leaders, national Tribal 

organizations, inter-Tribal consortiums 

and Area health boards; (11) provides 

leadership in the management process 

of receiving visiting delegations of 

Tribal leaders and representatives to 

IHS Headquarters and provides staff 

assistance to the Office of the Director 

with respect to Tribal meetings at 

locations outside of Headquarters; (12) 

provides overall Agency leadership with 

respect to policy development and 

issues concerning the Federal 

recognition of new Tribes; (13) supports 

Tribes in managing health programs; 

(14) coordinates available support from 

other public and private agencies and 

organizations; (15) maintains a central 

database on relevant information to 

contact Tribal leaders, health programs, 

etc.; and (16) participates in crosscutting issues and processes including, 

but not limited to emergency 

preparedness/security, budget 

formulation, self-determination issues, 

Tribal shares computations and 

resolution of audit findings as may be 

needed and appropriate. 

Office of Urban Indian Health Programs 

(OUIHP) (GAC) 

(1) Advises the IHS Director on the 

activities and issues related to the IHS’

implementation of Title V, ‘‘Indian 

Health Care Improvement Act’’, as 

amended; (2) develops and recommends 

policies, administrative procedures, and 

guidelines for IHS services and 

activities for Urban Indian health 

programs and organizations; (3) assures 

that urban Indian health programs and 

organizations are informed of pertinent 

health policies; (4) ensures that 

consultation with urban Indian health 

programs and organizations occurs 

during the development of IHS policy to 

the extent allowed by law; (5) supports 

Urban Indian health programs and 

organizations in managing health 

programs; (6) coordinates support 

available from other public and private 

agencies and organizations; (7) advises 

the IHS Director on Agency compliance 

with Urban Indian health program 

policies, administrative procedures, and 

guidelines; (8) maintains relevant 

information on urban Indian health 

programs and organizations; (9) 

coordinates meetings and other 

communications with urban Indian 

health program representatives; and (10) 

participates in cross-cutting issues and 

processes including, but not limited to 

emergency preparedness/security, 

budget formulation, self-determination 

issues, Tribal shares computations and 

resolution of audit findings as may be 

needed and appropriate. 

Policy Formulation and 

Communications Group (PFCG) (GAE) 

(1) Analyzes policy-related issues; (2) 

provides recommendations for resolving 

policy conflicts; (3) evaluates policy 

options and forecasts their costs, 

benefits, and long-term results; (4) 

ensures consistency between and within 

public agency statements, external 

correspondence, legislative and 

regulatory positions and internal policy 

development; (5) disseminates 

information to IHS consumers, 

stakeholders, and the general public 

regarding the activities of the IHS and 

the health status of AI/AN people and 

communities; and (6) participates in 

cross-cutting issues and processes 

including, but not limited to emergency 

preparedness/security, budget 

formulation, self-determination issues, 

Tribal shares computations and 

resolution of audit findings as may be 

needed and appropriate. 

Public Affairs Staff (PAS) (GAE1) 

(1) Serves as the principal advisor for 

strategic planning on communications, 

media relations, and public affairs 

policy formulation and implementation; 

(2) ensures IHS policy is consistent with 

directives from the Assistant Secretary 

for Public Affairs; (3) provides 

leadership and advocacy to establish 

and implement policy for internal and 

external dissemination of Agency 

information intended for public release 

or employee and stakeholder 

information; (4) serves as the central 

office for technical guidance and 

assistance to IHS staff for the 

development of public affairs and media 

communication; (5) coordinates public 

affairs activities with other public and 

private sector organizations; (6) 

coordinates the clearance of IHS public 

relations activities, campaigns, and 

communications materials; (7) 

represents the IHS in discussions 

regarding policy and public affairs 

initiatives/implementation; (8) provides 

technical assistance and advice relative 

to the effect public affairs initiatives/ 

implementation would have on the IHS; 

(9) collaborates with the Division of 

Regulatory Affairs, for review and 

response to media requests received 

under the Freedom of Information Act 

(FOIA) or the Privacy Act, and ensures 

the security of IHS documents used in 

such responses that contain sensitive 

and/or confidential information; and 

(10) serves as the IHS liaison office for 

press and public affairs with HHS, IHS 

Area Offices, media and other external 

organizations and representatives. 

Diversity Management and Equal 

Employment Opportunity Staff 

(DMEEOS) (GAE2) 

(1) Administers the IHS equal 

employment opportunity, civil rights, 

and affirmative action and alternative 

Dispute Resolution programs, in 

accordance with applicable laws, 

regulations, and HHS policies; (2) plans 

and oversees the implementation of IHS 

affirmative employment and special 

emphasis programs; (3) reviews data 

and advises IHS managers of possible 

discriminatory trends; (4) ensures 

immediate implementation of required 

actions on complaints of alleged sexual 

harassment or discrimination; (5) 

decides on accepting, for investigation, 

or dismissing discrimination complaints 

and evaluates accepted complaints for 

procedural sufficiency and investigates, 

adjudicates, and resolves such 

complaints; (6) evaluates accepted 

complaints for procedural sufficiency 

and investigates, adjudicates, and 

resolves such complaint; and (7) 

develops/administers equal 

employment opportunity education and 

training programs for IHS managers, 

supervisors, counselors, and employees. 

Executive Secretariat Staff (ESS) (GAE3) 

(1) Serves as the Agency’s liaison with 

the Office of the Secretary’s Executive 

Secretariat on IHS program, policy, and 

special matters; (2) reviews 

correspondence received by the IHS 

Director and assigns reply or follow-up 

action to appropriate IHS Headquarters 

program offices and IHS Area Offices; 

(3) ensures the quality (responsiveness, 

clarity, and substance) of IHS-generated 

correspondence prepared for the IHS 

Director’s signature by coordinating the 

review of integrity and policy issues, 

and performing standard edits and 

revisions; (4) reviews and coordinates 

clearance of decision documents for the 

IHS Director’s approval to ensure 

successful operations and policymaking within the Agency; (5) assists 

IHS officials as they prepare documents 

for the HHS Secretary’s review, 

decision, and/or signature; (6) performs 

60352 Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 

special writing assignments for the IHS 

Director; (7) manages the flow of 

executive correspondence and related 

information to Tribes, Tribal 

organizations, heads of Federal 

departments and agencies, 

Congressional Staff offices, and 

members of Congress; (8) maintains 

official records for the IHS Director’s 

correspondence and conducts topic 

research of files, as needed; (9) 

maintains an electronic document 

handling system to assist in managing 

the timely processing of internal and 

external executive correspondence; (10) 

conducts training to promote 

conformance by IHS Headquarters and 

Area staff to the IHS Executive 

Correspondence Guidelines and the 

electronic document handling system; 

and (11) tracks reports required by 

Congress. 

Congressional and Legislative Affairs 

Staff (CLAS) (GAE4) 

(1) Serves as the principal advisor to 

the IHS Director on all legislative and 

Congressional relations matters; (2) 

advises the IHS Director and other IHS 

officials on the need for changes in 

legislation and manages the 

development of IHS legislative 

initiatives; (3) serves as the IHS liaison 

office for Congressional and legislative 

affairs with Congressional offices, the 

HHS, the Office of Management and 

Budget (OMB), the White House, and 

other Federal agencies; (4) tracks all 

major legislative proposals in the 

Congress that would impact Indian 

health; (5) ensures that the IHS Director 

and appropriate IHS and HHS officials 

are briefed on the potential impact of 

proposed legislation; (6) represents the 

IHS in discussions regarding policy and 

legislative initiatives/implementation; 

(7) provides technical assistance and 

advice relative to the effect that 

initiatives/implementation would have 

on the IHS; (8) establishes 

collaborations with Headquarters 

Officers on programmatic and financial 

issues related to budget formulation; (9) 

conducts legislative analysis; (10) 

provides support and serves as liaison 

to the IHS Director relative to IHS 

appropriations efforts; (11) directs the 

development of IHS briefing materials 

for Congressional hearings, testimony, 

and bill reports; (12) analyzes legislation 

for necessary action within the IHS; (13) 

develops appropriate Legislative 

Implementation Plans; and (14) 

coordinates with IHS offices as 

appropriate to provide leadership, 

advocacy, and technical support to 

respond to requests from the public, 

including Tribal governments, Tribal 

organizations, and Indian community 

organizations regarding IHS legislative 

issues. 

Policy Support Staff (PSS) (GAE5) 

(1) Organizes, facilitates, and supports 

stakeholder task teams to advise the IHS 

Director on major policy issues; (2) 

represents the IHS Director in meetings 

with IHS employees and high-level 

management officials within the IHS, 

the HHS, or other Federal agencies, 

Tribes, and other organizations; (3) 

provides staff support to the IHS 

Director, including preparation of 

presentations and briefings; (4) provides 

staff support to senior managers, 

councils and groups; (5) completes 

special assignments for the IHS Director 

that may require coordination with 

other IHS offices or other Federal 

agencies, Tribes, or Tribal organizations; 

(6) serves as the IHS liaison for intergovernmental and private sector 

initiatives that impact health care 

services and management of the IHS; 

and (7) participates on intergovernmental task forces. 

Office of Clinical and Preventive 

Services (OCPS) (GAF) 

(1) Serves as the primary source of 

national advocacy, policy development, 

budget development and allocation for 

clinical, preventive, and public health 

programs for the IHS, Area Offices, and 

Service Units; (2) provides leadership in 

articulating the clinical, preventive, and 

public health needs of AI/AN, including 

consultation and technical support to 

clinical and public health programs; (3) 

develops, manages, and administers 

program functions that include, but are 

not limited to, alcohol and substance 

abuse, behavioral health, chronic 

diseases such as diabetes, asthma, 

dental services, medical services, Health 

Promotion/Disease Prevention, domestic 

violence, pharmacy and pharmaceutical 

acquisition, community health 

representatives, emergency medical 

services, health records, disabilities, 

Human Immunodeficiency Virus/ 

Acquired Immune Deficiency 

Syndrome, maternal health, child 

health, clinical nursing, public health 

nursing, women’s health, nutrition and 

dietetics, and elder care; (4) investigates 

service delivery and community 

prevention evidence-based and best 

practice models for dissemination to 

community service locations; (5) 

expands the availability of resources 

available for AI/AN health by working 

with public and private entities as well 

as Federal agencies within and outside 

the HHS; (6) coordinates development 

of staffing requirements for new or 

replacement health care facilities and 

approves Congressional budget requests 

for staffing, in collaboration with the 

Office of Environmental Health and 

Engineering; (7) provides program 

oversight and direction for the facilities 

planning and construction process; (8) 

develops and coordinates various 

Health Initiative and Nursing grant 

programs; (9) provides the national 

focus for recruitment and retention of 

health professionals and coordinates 

with the scholarship and loan 

repayment programs; (10) works with 

the Contract Health Services (CHS) 

program on CHS denial appeals to the 

IHS Director and in determining CHS 

medical priorities; (11) manages the 

clinical (medical, nursing, pharmacy, 

dental) features of medical tort claims 

against the IHS; (12) works with the 

Office of Management Services in 

managing the clinical aspects of the IHS 

workman’s compensation claims; (13) 

oversees IHS efforts in a variety of 

quality assurance and improvement 

activities, including patient safety; (14) 

monitors approximately one-half of the 

IHS’s Government Performance and 

Results Act (GPRA) indicators, 

overseeing indicator development, data 

collection, and reporting results; and 

(15) participates in cross-cutting issues 

and processes including, but not limited 

to emergency preparedness/security, 

budget formulation, self-determination 

issues, border health initiatives, Tribal 

delegation meetings, Tribal shares 

computations and resolution of audit 

findings as may be needed and 

appropriate. 

Emergency Preparedness and 

Emergency Medical Services Staff 

(EPEMSS) 

(1) Provides overall direction and 

leadership for the IHS in regard to 

establishing IHS goals and objectives 

consistent with those of the Department 

of Homeland Security and the HHS, 

addressing the mission critical elements 

of emergency preparedness; (2) provides 

leadership for the development of 

emergency preparedness plans, policies, 

and services, including the continuity of 

operations plans, deployment, public 

health infrastructure, and emergency 

medical services; (3) coordinates IHS 

activities and resources with the 

activities and available resources of 

other government and non-government 

programs for essential services related to 

homeland security and emergency 

preparedness; (4) advocates for the 

emergency preparedness needs and 

concerns of AI/AN and promotes these 

program activities at the local, State, 

national, and international levels; and 

(5) advocates and coordinates support 

for Tribal emergency medical services 

Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 60353 

programs, including training and 

equipment. 

Division of Behavioral Health (DBH) 

(GAFA) 

(1) Applies identified profession and 

program standards, monitors and 

evaluates community and Area-wide 

services provided through grants or 

contracts with AI/AN Tribes, villages, 

organizations, and direct IHS operations 

for mental health, social services, and 

alcohol/substance abuse; (2) coordinates 

AI/AN community behavioral health 

programs including alcohol/substance 

abuse prevention and treatment, mental 

health, and social work with program 

directors, division staff, Area staff, and 

other agencies and institutions; (3) 

coordinates contracts and grants for 

behavioral health services and monitors 

services provided; (4) makes program 

and policy changes using data analysis, 

recommendations from operational 

levels, research results, and coordinates 

resource allocation from program 

policies; (5) provides behavioral health 

program consultation to AI/AN groups 

and IHS staff; (6) provides leadership in 

the identification of behavioral change 

interventions and supports 

implementation at the community level; 

(7) coordinates with Federal, State, 

professional, private, and community 

organizations on alternate health care 

resources; (8) works with other Federal 

agencies and departments to provide 

additional Federal resources for AI/AN 

behavioral health programs; (9) provides 

financial resources and programmatic 

oversight for complying with the 

Americans With Disabilities Act 

through programs such as the Indian 

Children’s Program, and for elders 

through partnerships with the 

Administration on Aging and the 

National Indian Council on Aging; (10) 

measures and evaluates the quality of 

behavioral health care services; and (11) 

prepares information on behavioral 

health for budgetary hearings and 

provides program evaluation results to 

the IHS Director, the Congress, and the 

Administration. 

Division of Clinical and Community 

Services (DCCS) (GAFB) 

(1) Manages, develops, and 

coordinates a comprehensive clinical, 

preventive and public health approach 

to clinical and community program 

focusing on maternal and child health, 

Indian children services including 

preventive health support services for 

Head Start and Early Head Start Health 

Programs, medicine, nutrition, HIV/ 

AIDS, pharmacy, health records, health 

education, health promotion, and 

disease prevention; (2) develops 

objectives, priorities, and methodologies 

for the conduct and evaluation of 

clinical, preventive, and public health 

for community health-based programs; 

(3) provides, develops, and implements 

IHS guidelines, standards, policies, and 

procedures on clinical, preventive, and 

public health for community based 

programs and initiatives; (4) monitors, 

evaluates, and provides consultation to 

clinical and community programs; (5) 

plans jointly with other programs and 

divisions of the IHS and other agencies 

on research and coordination of 

services; (6) coordinates professional 

staff recruitment and training needs, 

and scholarship recipient assignments 

and development to meet Area Office, 

Service Unit, and Tribal health 

professional human resource needs; (7) 

coordinates and monitors contracts and 

grants with IHS programs and other 

entities, in collaboration with the 

Division of Acquisitions Policy and the 

Division of Grants Operations; (8) 

develops and disseminates information 

and materials to IHS facilities and to 

Tribes and Urban Indian health 

programs; (9) develops program budget 

materials for resource management, 

program data collection, administrative 

system integrity and accountability and 

responds to Congressional and 

Departmental inquiries; and (10) 

manages the Veterans Affairs 

Pharmaceutical Prime Vendor Contract 

and IHS National Core Formulary. 

Division of Nursing Services (DNS) 

(GAFC) 

(1) Plans, develops, coordinates, 

evaluates, manages and advocates for 

Clinical and public health Nursing 

Services, including acute care, 

ambulatory care, and public health 

nursing services, Women’s Health, and 

Community Health Representative 

Programs (CHR); (2) identifies and 

establishes standards for these 

programs; (3) provides leadership, 

professional guidance, and staff 

development; (4) plans, develops, 

coordinates, manages, and evaluates 

nursing CHR education to better meet 

the needs of nursing and CHRs in Indian 

Health programs; (5) coordinates 

professional staff, including nursing 

recruitment, scholarship recipients, 

assignment and development to meet 

Area Office, Service Unit, and Tribal 

needs in accordance with IHS policies 

and procedures; (6) provides guidance 

in planning, developing, and 

maintaining management information 

systems that will benefit documentation 

and data collection by and for nurses 

and community health workers; and (7) 

prepares budgetary data, analysis and 

program evaluations and prepares 

information for program and budget 

presentations, as well as Congressional 

hearings. 

Division of Oral Health (DOH) (GAFD) 

(1) Plans, develops, coordinates, and 

evaluates dental health programs; (2) 

establishes staffing, procedural, facility, 

and dental contract standards; (3) 

coordinates professional recruitment, 

assignment, and staff development; (4) 

represents dental staff and Area Dental 

Programs in personnel matters, 

including the monitoring of personnel 

orders for both appointments and 

transfers, establishing promotion 

priority lists, processing special pay and 

retention bonus contracts, and serving 

as the HQ representative on adverse 

action cases; (5) improves effectiveness 

and efficiency of dental programs; (6) 

develops resource opportunities and 

monitors utilization of resources for 

dental health programs; (7) formulates, 

allocates and analyzes dental program 

budget and prepares information for 

program and budget presentations as 

well as Congressional inquiries; (8) 

advocates for oral health needs of the 

AI/AN population; (9) coordinates 

health promotion and disease 

prevention activities for the dental 

program; (10) monitors oral health 

status and treatment needs of the AI/AN 

population; (11) provides clinical and 

technical support to field staff by way 

of oral health surveys, provision of 

clinical trials, consultation on treatment 

cases, publication of quarterly 

newsletters and serving as liaison with 

public and private institutions, as well 

as major universities to evaluate new 

and existing strategies for addressing 

oral health problems in AI/AN; (12) 

serves as the IHS liaison for oral health 

issues with other Federal agencies; (13) 

serves as main source of information 

transfer to field staff via mediums 

including, but not limited to, 

teleconference hookups, electronics 

(email/listservs), conventional mail and 

meeting attendance; and (14) maintains 

and distributes information from the 

IHS centralized dental database, 

including workload, program resource 

directories and exploring the 

applicability of new health informatics 

technologies and systems. 

Division of Diabetes Treatment and 

Prevention (DDTP) (GAFE) 

(1) Plans, manages, coordinates, and 

evaluates a comprehensive clinical and 

community program focusing on type 2 

diabetes in AI/AN communities; (2) 

plans, manages, develops, coordinates, 

and evaluates the Congressionallymandated Special Diabetes Program for 

Indians, a large grant program focused 

60354 Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 

on the prevention and treatment of 

diabetes; (3) coordinates and monitors 

contracts and grants with IHS, Tribal, 

Urban Indian health programs and other 

entities; (4) develops objectives, 

priorities and methodologies for the 

conduct of clinical and community 

diabetes programs; (5) monitors, 

evaluates, and provides consultation to 

clinical and community diabetes grant 

programs and other new initiatives; (6) 

provides leadership, professional 

guidance, and staff development to Area 

Diabetes Consultants, Model Diabetes 

Programs and IHS, Tribal, Urban 

diabetes program providers; (7) 

coordinates diabetes training needs for 

Area Offices, Service Units, and Tribes; 

(8) develops and implements IHS 

standards of care, clinical guidelines, 

policies, and procedures for diabetes 

and diabetes-related conditions; (9) 

coordinates model diabetes program 

sites; (10) develops and disseminates 

diabetes-related information and 

materials to IHS, Tribes and Urban 

Indian health programs; (11) is 

responsible for preparing budgetary 

data, analysis and program evaluations 

for budget presentations and 

Congressional hearings; and (12) 

coordinates a chronic disease strategic 

plan initiative for the IHS. 

Office of Information Technology (OIT) 

(GAG) 

(1) Provides Chief Information Officer 

(CIO) services and advises the IHS 

Director on all aspects of information 

resource management and technology 

ensuring Agency compliance with 

related Federal laws, regulations and 

policies; (2) directs the development, 

implementation, and maintenance of 

policies, procedures, standards, and 

architecture for information resource 

management, technology activities, and 

services in the IHS; (3) directs strategic 

planning and budgeting processes for 

information resources and technology; 

(4) leads IHS efforts in the development 

and implementation of information 

resource and technology management 

initiatives in IHS; (5) directs the design, 

development, acquisition, 

implementation, and support of 

information systems and services used 

in the IHS; (6) directs the activities of 

the IHS Information Technology 

Investment Review Board in assessing, 

implementing, and reviewing the 

Agency’s information systems; (7) 

contracts for information resource and 

technology-related software, equipment 

and support services in collaboration 

with appropriate acquisition authorities; 

(8) provides project management 

support for information resource and 

technology initiatives; (9) directs the 

development, implementation and 

management of the IHS Information 

Technology Security program to protect 

the information resources of the IHS; 

(10) provides information technology 

services and support to IHS, Tribal, and 

Urban Indian health programs; (11) 

ensures accessibility to information 

technology services; (12) represents the 

IHS and enters into information 

technology agreements with Federal, 

Tribal, State and other organizations; 

and (13) participates in cross-cutting 

issues and processes including, but not 

limited to emergency preparedness/ 

security, budget formulation, selfdetermination issues, Tribal shares 

computations, and resolution of audit 

findings as may be needed and 

appropriate. 

Division of Information Technology 

(DIT) (GAGA) 

Provides Chief Technology Officer 

services and advises the CIO on all 

aspects of information technology; (2) 

develops, implements, and maintains 

policies, procedures and standards for 

information resource management and 

technology products and services in the 

IHS; (3) develops and maintains 

information technology strategic 

planning documents; (4) develops and 

maintains the IHS enterprise 

architecture; (5) develops and 

implements information technology 

management initiatives in IHS: (6) 

ensures IHS information technology 

infrastructure resource consolidation 

and standardization efforts support IHS 

healthcare delivery and program 

administration; (7) represents the IHS to 

Federal, Tribal, State, and other 

organizations; and (8) participates in 

cross-cutting issues and processes that 

involve information technology. 

Division of Information Resources 

Management (DIRM) (GAGB) 

(1) Advises the CIO on all aspects of 

information resources management; (2) 

develops information resource policies 

and procedures; (3) develops the IHS 

information technology budget and 

related documents; (4) provides budget 

analyses and reports to the CIO; (5) 

develops strategies for presenting the 

IHS information technology budget to 

IHS, Tribal, and Urban Indian health 

programs; (6) provides technical 

analyses, guidance, and support for IHS 

capital planning and investment control 

activities; (7) manages the IHS portfolio 

management tool; (8) manages the 

activities of the IHS Information 

Technology Investment Review Board in 

assessing, implementing and reviewing 

the Agency’s information systems; (9) 

represents the IHS to Federal, Trbal, 

State, and other organizations; and (10) 

participates in the cross-cutting issues 

and processes that involve information 

resources management. 

Division of Enterprise Project 

Management (DEPM) (GAGC) 

(1) Advises the CIO on all aspects of 

information technology project 

management; (2) develops project 

management policies and procedures; 

(3) identifies alternatives among internal 

and external sources and recommends 

the best sources to supply information 

resource and technology products and 

services to IHS; (4) develops 

information resource and technology 

project governance structures, 

management plans, evaluations, 

protocols, documentation guides, and 

related materials to support effective 

project management; (5) provides 

project management and related support 

for IHS developed and acquired 

information resource and technology 

products and services; (6) provides 

customer relationship management 

support to project stakeholders; (7) 

provides quality assurance and risk 

management support; (8) provides 

contract management support for 

information technology initiatives; (9) 

provides contract liaison services to 

appropriate acquisition authorities; (10) 

represents the IHS to Federal, Tribal, 

State, and other organizations, and (11) 

participates in cross-cutting issues and 

processes that involve information 

resources and technology project 

management. 

Division of Information Security (DIS) 

(GAGD) 

(1) Advises the CIO on all aspects of 

information security; (2) develops, 

implements and monitors the IHS 

Information Technology Security 

program to protect the information 

resources of the IHS; (3) develops and 

maintains cyber security policies and 

guidance for hardware, software, and 

telecommunications within the IHS; (4) 

reviews IHS security plans for sensitive 

systems; (5) evaluates safeguards to 

protect major information systems and 

the information technology 

infrastructure; (6) monitors all IHS 

systems development and operations for 

security and privacy compliance; (7) 

establishes and leads IHS teams to 

conduct reviews of Agency programs to 

protect IHS cyber and personnel 

security programs; (8) conducts 

vulnerability assessments of IHS 

information technology infrastructure; 

(9) coordinates activities with internal 

and external organizations reviewing 

the IHS’s information resources for 

fraud, waste, and abuse; (10) develops, 

Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 60355 

implements, and evaluates an employee 

cyber security awareness and training 

program; (11) establishes and leads the 

IHS Computer Security Incident 

Response Capability team; (12) 

represents the IHS to Federal, Tribal, 

State, and other organizations; and (13) 

participates in cross-cutting issues and 

processes that involve information 

security. 

Office of Public Health Support (OPHS) 

(GAH) 

(1) Advises and supports the IHS 

Director on policy, budget formulation, 

and resource allocation regarding the 

operation and management of IHS, 

Tribal, and Urban Indian health 

programs; (2) provides IHS-wide 

leadership, guidance and support for 

public health program and activities 

including strategic planning, evaluation, 

Government Performance and Results 

Act (GPRA), research, epidemiology, 

statistics, and health professions; (3) 

provides Agency-wide leadership and 

consultation to IHS, Tribal, and Urban 

Indian health programs on IHS goals, 

objectives, policies, standards, and 

priorities; (4) advocates for the public 

heath needs and concerns of AI/AN and 

promotes quality health care; (5) 

manages and provides national 

leadership and consultation for IHS on 

assessments of pubic health medical 

services, research agendas, special pay, 

and public health initiatives for the 

Agency, (6) provides national leadership 

for the IHS scholarship and loan 

repayment programs, including 

physician recruitment; (7) supports and 

advocates for AI/AN to access State and 

local public health programs; and (8) 

participates in cross-cutting issues and 

processes including, but not limited to 

emergency preparedness/security, 

budget formulation, self-determination 

issues, Tribal shares computations and 

resolution of audit finding as may be 

needed and appropriate. 

Division of Epidemiology and Disease 

Prevention (GAHA) 

(1) Prevents and controls chronic and 

communicable disease through 

epidemiology and applied public health 

practice; (2) builds capacity in Tribal 

communities through a network of 

Tribal Epidemiology Centers; (3) 

collaborates with the Centers for Disease 

Control and Prevention (CDC) and 

directs staff detailed to the IHS from the 

CDC; (4) describes causes, patterns, and 

risk factors for disease and death, and 

develops public health policy and 

interventions; (5) serves IHS and Tribal 

communities through disease 

surveillance, health data management, 

analysis and reporting, community 

surveys, emergency response, training 

in public health practice and 

epidemiology, consultation to clinicians 

and technical support for pubic health 

activities and assessment of public 

health system performance; (6) supports 

epidemiology, disease control, and 

prevention programs for chronic 

diseases, including cancer, tobacco 

control, cardiovascular disease, 

diabetes, kidney disease, environmental 

health, maternal health, child health, 

and others; and (7) supports 

epidemiology, disease control, and 

prevention programs for communicable 

diseases, including tuberculosis, HIV/ 

AIDS, sexually-transmitted diseases, 

hepatitis, hantavirus, antibiotic-resistant 

infections, immunizations, bioterorism 

preparedness and others. 

Chronic Disease Branch (CDB) 

Support epidemiology, disease 

control, and prevention programs for 

chronic diseases, including cancer, 

tobacco control, cardiovascular diseases, 

diabetes, kidney disease, environmental 

health, maternal health, child health, 

and others. 

Infectious Disease Branch (IDB) 

Supports epidemiology, disease 

control, and prevention programs for 

communicable diseases, including 

tuberculosis, HIV/AIDS, sexuallytransmitted diseases, hepatitis, 

hantavirus, antibiotic-resistant 

infections, immunizations, bioterrorism 

preparedness, and others. 

Division of Program Statistics (DPS) 

(GAHB) 

(1) Plans, develops, directs, and 

coordinates an analytical statistical 

reporting program to provide data for 

measuring the health status and unmet 

health needs of the AI/AN population; 

(2) develops and coordinates the 

collection, processing, and analysis of 

demographic, patient care, and clinical 

data for the Agency; (3) maintains, 

analyzes, makes accessible, and 

publishes results from national 

demographic and clinical analyses; and 

(4) provides statistical and analytical 

consultation to other divisions and 

agencies. 

Demographics Statistics Staff (DS) 

(1) Plans, develops and executes a 

major nation-wide statistical program 

for the collection, processing, analysis 

and dissemination of demographic 

characteristics of the AI/AN population 

located throughout the United States; (2) 

coordinates with the National Center for 

Health Statistics the analysis and 

reporting of vital event information for 

the AI/AN population; and (3) provides 

statistical and analytical consultation to 

other divisions and agencies. 

Patient Care Statistics Staff (PCSS) 

(1) Plans, develops and executes a 

major nation-wide statistical program 

for the collection, processing, analysis 

and dissemination of patient care data 

and special studies with emphasis on 

health and demographic characteristics 

of the AI/AN population located 

throughout the United States; (2) 

evaluates facility workload trends and 

participates in the development of 

methodologies for constructing longrange estimates of inpatient and 

ambulatory care workloads for use in 

facility construction and planning; and 

(3) coordinates with the IHS National 

Data Repositories, the analysis and 

reporting of program, patient care and 

clinical data for the Agency. 

Division of Planning, Evaluation and 

Research (DPER) (GAHC) 

(1) Develops and coordinates Agency 

strategic planning and performance 

measurement efforts (including GPRA 

and Program Assessment Rating Tool) 

with budgeting requirements in 

consultation with IHS program staff; (2) 

provides consultation and coordination 

on the IHS budget formulation activity 

for planning and data purposes; (3) 

conducts, facilitates, solicits, 

coordinates, and evaluates communityoriented practice-based research related 

to health problems and the delivery of 

care to AI/AN people and communities 

with a major focus on improving the 

health status and systems of care; (4) 

provides guidance and support for IHSwide program evaluation projects; and 

(5) provides support for public health 

planning services, facilities and staffing. 

Division of Health Professions Support 

(DHPS) (GAHD) 

(1) Develops and implements IHS 

programs to recruit, select, assign, and 

retain health care professionals and 

coordinates these activities with the 

respective disciplines; (2) assesses 

professional staffing needs and 

coordinates the development of 

strategies and systems to satisfy these 

needs; (3) coordinates the planning and 

development of IHS strategies and 

systems to improve the morale and 

retention of all professionals; (4) 

coordinates Headquarters activities for 

physician residency and training 

programs; (5) coordinates the IHS 

National Health Service Corps (NHSC) 

program, including liaison and 

assignment of NHSC scholarship 

recipients to IHS; (6) develops priority 

sites for the loan repayment program; (7) 

coordinates placement of professionals 

60356 Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 

with loan repayment obligations; (8) 

serves as IHS coordinator for premedical and medical school IHS 

scholarship recipients; (9) retrieves, 

establishes, and manages information 

and data on the IHS work force; and (10) 

conducts work force data analyses, 

including trends and projections, 

identifying work force needs by major 

personnel systems, categories, and 

disciplines. 

Health Professions Support Branch 

(HPSB) 

(1) Develops the IHS program to 

recruit, select, assign, and retain health 

care professionals, in accordance with 

policies and guidance provided by the 

Division of Human Resources; (2) 

assesses IHS professional staffing needs; 

(3) provides research and analysis 

functions for Chief Medical Officers, 

Clinical Directors, and senior clinicians; 

(4) manages and supports health 

professions education programs and 

activities; and (5) develops and 

administers Indian Health Professions 

programs authorized by the Indian 

Health Care Improvement Act (IHCIA), 

as amended. 

Loan Repayment Branch (LRB) 

(1) Awards, monitors, places (in IHS, 

Tribal, and Urban sites), and processes 

waivers and defaults of participants in 

the Loan Repayment Program (LRP) as 

mandated by Section 108 of the IHCIA; 

(2) coordinates the LRP payment and 

debt management function with the 

Program Support Center; and (3) 

coordinates program administration 

with the IHS Area Office and Service 

Unit personnel, particularly recruitment 

and retention activities, including 

Clinical Directors, Chief Medical 

Officers, and professional recruiters. 

Scholarships Branch (SB) 

Develops, administers, and evaluates 

programs in the IHS Scholarship 

Program authorized under the IHCIA: 

Section 102 (Health Professions 

Recruitment Program for Indians), 

Section 103 (Health Professions 

Preparatory Scholarship Program for 

Indians), Section 104 (Indian Health 

Professions Scholarship Program), 

Section 105 (IHS Externs Program), 

Section 120 (Matching Grants to Tribes 

for Scholarship Programs), Section 217 

(Indians Into Psychology Program), and 

other funded programs authorized 

under the IHCIA. 

Office of Resource Access and 

Partnerships (ORAP) (GAJ) 

(1) Provides Agency-wide leadership 

and consultation to the IHS direct 

operations and Tribal programs on IHS 

goals, objectives, policies, standards and 

priorities regarding the operations and 

management of the Business Office 

Service (BOS) and the Contract Health 

Services (CHS) and the IHS Partnership 

programs; (2) develops and implements 

objectives, priorities, standards, 

measures and methodologies for the 

BOS and CHS and Partnership program; 

(3) manages and provides leadership, 

advocacy, consultation and technical 

support to Headquarters, IHS Areas and 

local levels on the full scope of BOS, 

CHS and Partnership activities; (4) 

represents the IHS at meetings and in 

discussions regarding policy, legislation 

and other national issues; (5) provides 

oversight and monitors the BOS and 

CHS programs regarding compliance 

requirements, utilization reviews, 

revenue measures and reports; (6) 

formulates and analyzes BOS and CHS 

budgets and prepares information for 

program budget presentations; (7) 

collaborates and coordinates with IHS 

information technology staff and 

external organizations on new 

technologies, applications and business 

practices; (8) develops resource 

opportunities through partnerships and 

coordinates the BOS and CHS activities 

with other governmental and nongovernmental programs, promoting 

optimum utilization of all available 

health resources; (9) maintains a 

database of all inter-agency agreements, 

intra-agency agreements, memoranda of 

agreement and memoranda of 

understanding with external 

organizations; and (10) participates in 

cross-cutting issues and processes 

including, but not limited to emergency 

preparedness/security, budget 

formulation, self-determination issues, 

and resolution of audit findings as may 

be needed and appropriate. 

Division of Business Office 

Enhancement (DBOE) (GAJA) 

(1) Serves as the primary focal point 

for BOS program operations and policy 

issues and represents BOS in national 

forums; (2) provides consultation to 

Headquarters and Area Offices and is 

liaison to Tribal organizations, HHS and 

Office of Management and Budget 

(OMB) regarding BOS issues; (3) reviews 

and improves the efficiency of access to 

resources and provides support for local 

capacity building through technical 

assistance, training, consultation and 

information systems support; (4) 

develops, disseminates, and maintains 

BOS policy and procedures manuals; (5) 

provides national leadership for 

Medicare, Medicaid, and private 

insurance reimbursement policy and 

procedures; (6) services as the primary 

liaison with the Center for Medicaid/ 

Medicare Services for rate setting; (7) 

serves as the focal point regarding the 

impact of existing and proposed Laws, 

Regulations and Policies of Medicare 

and Medicaid managed care activities, 

including the review, evaluation, and 

monitoring of Sections 1115 and 1915(b) 

Medicaid waiver proposals and other 

State and Federal health care reform 

activities; (8) provides programmatic 

management, review and analysis of 

information systems for patient 

registration and billing and collections 

systems; (9) assures training on 

operations, various regulatory issues 

and negotiated managed care provider 

agreements; and (10) develops thirdparty budget materials and responds to 

Tribal, Congressional and HHS inquiries 

relating to third-party issues. 

Division of Contract Care (DCC) (GAJB) 

(1) Plans, develops, and coordinates 

the CHS program and required business 

practices; (2) develops, disseminates, 

and maintains CHS policy and 

procedures manuals; (3) formulates and 

monitors the CHS budget and 

distribution methodologies; (4) 

administers the Catastrophic Health 

Emergency Fund; (5) administers the 

CHS Quality Assurance Fund; (6) 

administers the CHS claims 

adjudication activity for the IHS 

Headquarters; (7) monitors the 

implementation of the IHS payment 

policy and reports the status to the 

Director, ORAP; (8) administers the IHS 

Fiscal Intermediary contract; (9) 

conducts data analysis and national 

utilization review and utilization 

management of CHS services rendered 

by private sector providers; and (10) 

provides consultation to Headquarters 

and Area Offices, and responds to 

inquiries from the Congress, Tribes, and 

other Federal agencies. 

Office of Finance and Accounting (OFA) 

(GAK) 

(1) Develops and prepares the budget 

submission for the Indian Health 

Service and Facilities appropriation to 

the HHS, OMB and the Presidents 

budget; (2) participates with HHS 

officials in budget briefings for the OMB 

and the Congress; (3) distributes, 

coordinates, and monitors resource 

allocations; (4) develops and 

implements budget, fiscal, and 

accounting procedures and conducts 

reviews and analyses to ensure 

compliance in budget activities in 

collaboration with Headquarters 

officials and the Tribes; (5) provides 

cost advisory and audit resolution 

services in accordance with applicable 

statutes and regulations; and (6) 

supports the Agency’s Medicare Cost 

Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 60357 

Report efforts by providing necessary 

financial data to the contractor 

preparing the cost reports; and (7) 

participates in cross-cutting issues and 

processes including, but not limited to 

emergency preparedness/security, 

budget formulation, self-determination 

issues, Tribal shares computations, and 

resolution of audit findings as may be 

needed and appropriate. 

Division of Audit (DA) (GAKA) 

(1) Develops and recommends 

policies and procedures for Chief 

Financial Officer (CFO) audits; (2) 

develops and recommends policies and 

procedures for Tribes and Tribal 

organizations audit resolution within 

IHS; (3) provides advice, technical 

consultation, and training to IHS 

Headquarters, Area Offices, Tribal, and 

Urban Indian Health organizations for 

Title I, Title V, and Agency CFO audits; 

(4) provides audit resolution services in 

accordance with applicable statutes and 

regulations; (5) advises the Director, 

OFA, of proposed legislation, 

regulations, directives, and timelines 

that will affect audits within IHS, as 

well as how current legislation affects 

handling of audit-related issues; (6) 

manages the IHS Audit Information 

Management System (AIMS) and 

conducts analysis of data for reports 

and/or responses to internal and 

external inquiries; (7) serves as the IHS 

contact point to the HHS for the AIMS 

Report and the Accountability Report; 

(8) coordinates the collection of 

disallowed costs cited in Tribes and 

Tribal organizations audits; (9) 

coordinates the correction of nonmonetary findings coded by the HHS in 

Tribes and Tribal organizations audits; 

(10) coordinates receipt of audits from 

all organizations funded by IHS; (11) 

formulates Corrective Action Plans for 

CFO audit deficiencies; (12) coordinates 

resolutions of deficiencies with IHS 

Headquarters senior managers and Area 

Directors; and (13) reports status of 

corrective actions to the IHS 

Headquarters senior managers and to 

the HHS. 

Division of Budget Formulation (DBF) 

(GAKB) 

(1) Interprets policies, guidelines, 

manual issuances, OMB circulars, and 

instructions from Congress, OMB, HHS, 

and IHS on formulation of preliminary, 

Departmental, and Congressional budget 

requests for the IHS and Indian Health 

Facilities appropriation requests; (2) 

directs the collection, review, and 

analysis of program and financial data 

from Headquarters, Area Offices, Tribes, 

Tribal and Urban Indian Health 

organizations used in determining 

resource requirements; (3) coordinates 

the preparation of the IHS preliminary, 

Departmental and Congressional budget 

justifications for the Indian Health 

Service and Facilities appropriations; 

(4) prepares witness information for 

hearings before the House and Senate 

Appropriations Committees, House 

Resource Committee on Interior and 

Insular Affairs, the Senate Committee on 

Indian Affairs, and other Congressional 

committees as requested; (5) coordinates 

development of responses and inserts to 

be used for the record by and for 

Congressional appropriations hearings; 

(6) coordinates development of briefing 

materials in response to Congressional 

concerns and hearings; and (7) 

develops, implements, and maintains 

IHS policies and procedures for 

Congressional budget liaison activities. 

Division of Budget Execution (DBE) 

(GAKC) 

(1) Interprets policies, guidelines, and 

directives from Congress, OMB, 

Government Accounting Office (GAO), 

Treasury, and the HHS on Tribal shares 

and execution; (2) recommends and 

coordinates IHS Area Budget Execution; 

(3) prepares apportionment requests for 

the Indian Health Service and Indian 

Health Facilities appropriations; (4) 

consults with the Headquarters officials 

on Area funding allocations; (5) 

monitors fund control at the 

appropriation level; (6) reviews IHS 

Headquarters memorandum of 

agreements for proper accounting; (7) 

prepares reprogramming requests; (8) 

advises the Director, OFA on Agency 

compliance with self-determination 

policies, administrative procedures and 

guidelines; (9) coordinates activities for 

resolution of problems with appropriate 

IHS Headquarters and Area staff; and 

(10) analyzes various operating costs 

and provides Program Support Center 

(PSC) with Area breakouts. 

Division of Systems Review and 

Procedures (DSRP) (GAKD) 

(1) Reviews, interprets and comments 

on policies, guidelines, and manual 

issuances of Congress, Treasury, GAO, 

the HHS and IHS on systems of fiscal 

managment, including the Unified 

Financial Management System (UFMS), 

and the CORE Accounting System 

(CORE); (2) plans, directs, and 

implements fiscal policies and 

procedures on Headquarters and field 

accounting; (3) Supports costs 

accounting activities in IHS; (4) reviews 

and analyzes accounting and financial 

management systems and trains 

Headquarters staff on related system 

interfaces; (5) supports the conversion 

of financial information from CORE to 

UFMS; (6) provides and assists Area 

accounting staff with accounting system 

transactions, correcting errors and 

system related emergencies; (7) serves as 

the Agency liaison between Agency 

components concerning the interface of 

administrative and other feeder 

applications with Oracle/UFMS; (8) 

serves as the liaison between IHS, the 

PSC and the HHS for reporting of 

prompt payment, debt management, and 

cash reconciliation processes; (9) 

coordinates, regulates, and manages the 

issuance of financial codes for IHS; and 

(10) coordinates year-end ‘‘roll-over’’

activities with PSC and IHS 

Headquarters and Area staffs. 

Division of Financial Operations (DFO) 

(GAKE) 

(1) Manages the IHS travel program, 

provides training, interprets travel 

regulations, conducts reviews and 

updates travel policy and procedures; 

(2) processes Headquarters travel orders 

and vouchers, including permanent 

change of station and international 

travel; (3) coordinates Area Directors’

travel orders and vouchers; (4) 

coordinates the conference management 

functions for the Agency; (5) provides 

support and technical assistance to 

Headquarters operational components 

in the development of Headquarters 

operations budgets; (6) provides fund 

certification and maintains commitment 

registers for Headquarters components; 

(7) performs fund reconciliations and 

assists in coordination of discrepancies 

with financial officials; and (8) 

maintains Headquarters staffing status 

reports. 

Office of Management Services (OMS) 

(GAL) 

(1) Provides IHS-wide leadership, 

guidance and support for the 

management of human resources, 

grants, acquisition, records 

management, personal property and 

supply, and the regulations program; (2) 

formulates, administers, and 

coordinates the review and analysis of 

IHS-wide policies, delegations of 

authority, and organizations and 

functions development; (3) develops 

and oversees the implementation of 

policies, procedures and delegations of 

authority for IHS grants management 

activities, including grants added to 

self-governance compacts; (4) ensures 

that Agency policies and practices for 

the administrative functions identified 

above are consistent with applicable 

regulations, directives and guidance 

from higher echelons in the HHS and 

other Federal oversight agencies; (5) 

advises the IHS Director, in conjunction 

with the Office of the General Counsel 

60358 Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 

(OGC), on the resolution of statutory 

and regulatory issues related to the IHS 

and coordinates resolution of IHS legal 

issues with the OGC, IHS staff, and 

other Federal agencies; (6) assures that 

IHS appeal systems meet legal 

standards, in conjunction with the 

Office of the General Counsel; (7) 

provides leadership and direction of 

activities for continuous improvement 

of management accountability and 

administrative systems for effective and 

efficient program support services IHSwide; (8) ensures the accountability and 

integrity of grants and acquisition 

management, records management, 

personal property utilization and 

disposition of IHS resources; (9) assures 

that the IHS management services, 

policies, procedures, and practices 

support IHS Indian Self-Determination 

Act policies; (10) assists in the 

assurance of Indian access to State, 

local, and private health programs; (11) 

provides leadership and advocacy of the 

IHS mission and goals with the HHS, 

Administration, Congress, and other 

external authorities; and (12) 

participates in cross-cutting issues and 

processes including, but not limited to 

emergency preparedness/security, 

budget formulation, self-determination 

issues, Tribal shares computations and 

resolution of audit findings as may be 

needed and appropriate. 

Program Integrity and Ethics Staff 

(PIES) (GAL1) 

(1) Directs the fact-finding and 

resolution of allegations of impropriety 

such as mismanagement of resources, 

fraud, waste, and abuse violations of the 

Standards of Ethical Conduct, Hatch Act 

and political activity and other forms of 

waste; (2) advises the IHS Director and 

IHS management of appropriate 

corrective and remedial actions to 

correct improprieties; (3) directs and 

provides leadership in the formulation 

of plans, guidance and evaluation of the 

IHS Personnel Security and Drug 

Testing Programs; (4) administers the 

IHS-wide management of the Agency 

hotline reports of allegations; (5) serves 

as the Agency coordinator for the HHS 

Office of the Inspector General (OIG), 

Office of Investigations; (6) manages and 

directs the IHS ‘‘Ethics Program’’, 

including the implementation of all 

requirements, providing advice to the 

IHS Director and serving as the Agency 

liaison with all outside investigative 

organizations such as the Office of 

Special Counsel, the General 

Accounting Office and the OIG; and (7) 

develops and implements IHS directives 

and training for Standards of Ethical 

Conduct, Hatch Act and political 

activity, allegations and investigations 

of administrative fraud, waste and 

abuse, drug testing, and personnel 

security. 

Grants Policy Staff (GPS) (GAL2) 

(1) Initiates new and modifies existing 

IHS grants administration policies and 

procedures in accordance with HHS 

grants policies; (2) provides assistance 

to IHS staff and grantee organizations 

regarding policies and procedures 

pertinent to the administration of IHS 

grants to ensure stewardship of Federal 

funds; (3) provides guidance to and 

articulates grants management policy for 

IHS staff on the effective utilization of 

financial assistance mechanisms (grants 

and cooperative agreements); (4) 

provides assistance to IHS staff on 

program announcement requirements as 

issued by OMS and HHS Grants Review 

and Oversight; (5) develops and 

maintains IHS Grants Operations/Grants 

Policy Web site; and (6) posts all IHS 

funding opportunities on IHS Grants 

Operations/Grants Policy Web site for 

Grants.gov. 

Management Policy and Internal 

Control Staff (MPICS) (GAL3) 

(1) Formulates, administers, and 

supports IHS-wide policies, delegations 

of authority, and organizations and 

functions development; (2) provides 

leadership, on behalf of the IHS 

Director, to functional area managers at 

IHS Headquarters in developing, 

modifying, and overseeing the 

implementation of IHS policies and 

procedures; (3) provides analysis, 

advisory, and assistance services to IHS 

managers and staff for the development, 

clearance, and filing of IHS directives 

and delegations of authority; (4) serves 

as principal advisor and source for 

technical assistance for establishment or 

modification of organizational 

infrastructures, functions, and Standard 

Administrative Code configurations; (5) 

administers the IHS’s Management 

Control Program for assuring IHS 

compliance with management control 

requirements in the Federal Managers’

Financial Integrity Act; (6) coordinates 

the development, clearance, and 

transmittal of IHS responses and followup to reports issued by the Office of 

Inspector General (OIG), the General 

Accounting Office (GAO), and other 

Federal internal and external 

authorities; (7) provides assistance and 

support to special assigned task groups; 

(8) conducts special program or 

management integrity reviews as 

required; and (9) oversees and 

coordinates the annual development 

and submission of the Agency’s Federal 

Activities Inventory Reform Act report 

to the HHS. 

Division of Commissioned Personnel 

Support (DCPS) (GALA) 

(1) Acts as the liaison between IHS 

and the Office of Commissioned Corps 

Operations, the Office of Commissioned 

Corps Force Management, and the 

Office of Commissioned Corps Officers 

Support HHS; (2) advises the IHS 

Director, supervisors, administrators, 

managers, officers and dependents 

regarding commissioned personnel 

benefits, policies, procedures, and 

regulations, as the IHS primary point of 

contact for commissioned personnel 

management; (3) develops policies, 

procedures, and recommendations to 

the Office of Commissioned Corps 

Operations, the Office of Commissioned 

Corps Force Management, and the 

Office of Commissioned Corps Officers 

Support HHS; (4) provides direct 

support to the IHS Director and/or the 

Agency representative to the Office of 

the Surgeon General; and (5) produces 

resource materials and conducts 

training sessions on commissioned 

personnel issues for officers, 

supervisors, and commissioned 

personnel specialists in IHS Area 

Offices. 

Division of Administrative Services 

(DAS) (GALB) 

(1) Plans, develops and directs 

program support and general services 

programs; (2) develops and disseminates 

policy and procedural guidelines for 

uniform administrative services and 

practices; (3) provides guidance and 

support in the development, planning, 

and implementation of administrative 

functions; (4) serves as liaison with the 

HHS and the General Services 

Administration (GSA) on logistics issues 

affecting the IHS; (5) monitors, 

evaluates, and reports on administrative 

programs and services; (6) manages a 

variety of special projects; (7) provides 

leadership and guidance for the Agency 

Records Management Program; (8) 

develops and recommends policies and 

procedures for the protection and 

disposition of IHS records and oversees 

the evaluation of records management 

activities in the IHS; (9) develops and 

implements a management control 

system for evaluation of records 

management functions agency-wide; 

(10) provides leadership for special 

projects and inter-and intra-agency 

activities; and (11) provides guidance 

and oversight to the IHS on the control 

and safeguard of classified national 

security information. 

Office Services Branch (OSB) 

(1) Administers physical security, 

facility management, and space 

Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 60359 

management services real property and 

GSA lease management, 

telecommunication service, parking 

management, employee credentialing 

program, and employee transit subsidy 

program for Headquarters; (2) 

administers the agency forms, mail and 

printing program for Headquarters; (3) 

develops and implements policy and 

procedures for uniform office service; 

(4) provides leadership and 

coordination in the planning, 

development, operation, oversight, and 

evaluation of special office support 

projects in office relocations, and lease 

acquisition, and inter-and intra-agency 

activities; and (5) prepares reports on 

commercial printing and mail. 

Property and Supply Management 

Branch (PSMB) 

(1) Plans, develops, and administers 

the IHS policies on personal property 

and supply management in 

conformance with Federal personal 

property and supply management laws, 

regulations, policies, procedures, 

practices, and standards; (2) interprets 

regulations and provides advice on 

execution and coordination of personal 

property and supply management 

policies and programs; (3) administers 

management systems and methods for 

planning, utilizing, and reporting on 

administrative personal property and 

supply management programs, 

including the IHS personal property and 

supply accountability and controls 

systems; (4) provides guidance and 

serves as principal administrative 

authority on federal personal property 

and supply management laws, 

regulations, policies, procedures, 

practices, and standards, in conjunction 

with the Office of the General Counsel; 

(5) conducts surveys and studies 

involving evaluation and analysis of the 

personal property and supply 

management activities Agency-wide; (6) 

maintains liaison with the HHS and the 

GSA on personal property and supply 

management issues and programs 

affecting the IHS; (7) prepares reports on 

IHS personal property and supply; and 

(8) develops statements for annual 

budget formulation and presentation; (9) 

plans, develops, and administers an 

integrated IHS personal property and 

supply system; and (10) manages the 

Headquarters motor vehicles, personal 

property, special projects and inter/intra 

agency activities. 

Division of Acquisition Policy (DAP) 

(GALC) 

(1) Develops, recommends, and 

oversees the implementation of policies, 

procedures and delegations of authority 

for the acquisition management 

activities in the IHS, consistent with 

applicable regulations, directives, and 

guidance from higher echelons in the 

HHS and Federal oversight agencies; (2) 

advises the Director, Office of 

Management Services, of proposed 

legislation, regulations, and directives 

that affect contracts in the IHS; (3) 

provides leadership for compliance 

reviews of all IHS acquisition 

operations; (4) oversees completion of 

necessary corrective actions; (5) 

manages for the Agency, the HHS 

acquisition training and certification 

program; (6) supports and maintains the 

IHS Contract Information System and 

controls entry of data into the HHS 

Contract Information System; (7) serves 

as the IHS contact point for contract 

protests and the HHS contact for 

contract-related issues; (8) reviews and 

makes recommendations for approval/ 

disapproval of contract-related 

documents such as: pre- and post-award 

documents, unauthorized commitments, 

procurement planning documents, 

Justification for Other Than Full and 

Open Competition waivers, deviations, 

and determinations and findings that 

require action by the Agency Head of 

Contracting activity, or the Office of the 

Secretary; (9) processes unsolicited 

proposals for the IHS; (10) coordinates 

the IHS Small Business programs; and 

(11) oversees compliance with the Buy 

Indian Act. 

Division of Grants Operations (DGO) 

(GALD) 

(1) Directs grants management and 

operations for the IHS; (2) awards and 

administers grants and cooperative 

agreements for IHS financial assistance 

programs; (3) provides assistance for the 

resolution of audit findings for grant 

programs; (4) manages for the Agency, 

the HHS grants training and certification 

program; (5) assesses continuously 

grants operations; (6) oversees 

completion of necessary corrective 

action plans; (7) reviews and makes 

recommendations for improvements in 

grantee and potential grantee 

management systems; (8) serves as the 

IHS liaison with the HHS and the public 

for grants and other financial assistance 

programs with the IHS; (9) maintains 

the Catalog of Federal Domestic 

Assistance for IHS financial assistance 

programs; (10) conducts grants-related 

training for IHS staff, grantees, and 

potential grantees; (11) coordinates 

payment to grants, including 

scholarship recipients; and (12) 

establishes and maintains the IHS 

automated Grants Information System 

and controls data entry into the HHS 

automated Grants Information System. 

Division of Regulatory Affairs (GALE) 

(1) Manages the IHS’s overall 

regulations program and 

responsibilities, including determining 

the need for and developing plans for 

changes in regulations, developing or 

assuring the development of needed 

regulations, and maintaining the various 

regulatory planning processes; (2) serves 

as IHS liaison with the Office of the 

Federal Register on matters relating to 

the submission and clearance of 

documents for publication in the 

Federal Register; (3) assures proper 

Agency clearance and processing of 

Federal Register documents; (4) informs 

management and program officials of 

regulatory activities of other Federal 

agencies; (5) manages the IHS review of 

non-IHS regulatory documents that 

impact the delivery of health services to 

Indians; (6) advises the IHS Director and 

serves as liaison with the Office of the 

General Counsel (OGC) on such matters 

as litigation, regulations, related policy 

issues, and administrative support 

issues; (7) determines the need for and 

obtains legal clearance of IHS directives 

and other issuances; (8) coordinates 

legal issues with the OGC, IHS, HHS 

components, and other Federal 

agencies, including the identification 

and formulation of legal questions and 

advising on the implementation of OGC 

opinions; (9) assures that IHS appeals 

processes meet legal standards; (10) 

advises on and participates in Indian 

Self-Determination and Education 

Assistance Act appeals and hearings; 

(11) provides guidance and assistance 

on State and Federal health reform 

efforts, including access and civil rights 

aspects and State Medicaid waiver 

applications; (12) advises on the 

administration of the contract health 

services (CHS) appeals system and is a 

participant in the IHS Director’s CHS 

appeal decisions; (13) manages the 

retrieval and transmittal of information 

in response to requests received under 

the FOIA or the Privacy Act, in 

collaboration with the Public Affairs 

Staff; (14) ensures the security of 

sensitive and/or confidential 

information when responding to FOIA 

or Privacy Act issues; and (15) advises 

the IHS Director regarding requests for 

IHS employees to serve as expert 

witnesses when IHS is not a party to the 

suit. 

Regulations and Records Access Branch 

(RRAB) 

(1) Manages the Agency’s regulation 

program and responsibilities; (2) serves 

as liaison with the Office of the Federal 

Register; (3) advises on the need for or 

changes in current regulations; (4) 

60360 Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 

develops or assures the development of 

IHS regulations; (5) keeps IHS officials 

informed on relevant regulatory 

activities of other agencies of the 

Government; (6) coordinates regulations 

activities with agencies within the HHS 

that impact on the delivery of health 

services to Indians; (7) maintains and 

updates various regulatory agendas; (8) 

assures that all IHS materials for 

publication in the Federal Register are 

properly cleared, processed, and in 

proper format; (9) manages the retrieval, 

review, and appropriate transmittal of 

information in response to FOIA 

requests, including ensuring the 

appropriate security of such documents; 

(10) manages, administers, implements 

and monitors the Agency’s Paperwork 

Reduction Act (PRA) and OMB 

information collection/activities; (11) 

provides guidance and technical 

assistance to IHS regarding information 

collection requirements and procedures 

for obtaining OMB approvals and 

extensions for IHS information 

collections; and (12) coordinates the 

implementation and the application of 

Privacy Act requirements, including but 

not limited to Health Insurance 

Portability and Accountability Act 

implementation and compliance. 

Policy Liaison Branch (PLB) 

(1) Coordinates the resolution and 

development of legal advice to the IHS 

Director on IHS legal issues with the 

OGC, IHS senior staff, and other Federal 

agencies; (2) provides liaison with the 

OGC in such matters as litigation, 

regulations, legislation, policy review, 

civil rights, and administrative appeals; 

(3) provides advice on the development 

and implementation of non-personnel 

appeals processes to assure they meet 

legal standards; (4) maintains and 

distributes the Compendium of Legal 

Opinions; (5) reviews IHS directives and 

other issuances for needed legal 

clearances; (6) advises on the impact on 

IHS and the Indian community of State 

and Federal health reforms; and (7) 

provides policy review and advice on 

the need for or application of legal 

opinions. 

Division of Human Resources (DHR) 

(GALG) 

(1) Provides overall leadership and 

direction for the IHS Human Resources 

(HR) program; (2) evaluates, establishes 

and implements HR policies for Agencywide use and provides leadership to 

ensure implementation; (3) provides 

advice, consultation, guidance and 

assistance to the Director, IHS, on civil 

service HR issues, programs and 

policies; (4) provides leadership and 

direction to the IHS Regional HR 

Centers; (5) assures compliance with 

Indian Preference statutory and policy 

requirements in HR practices; (6) 

provides HR services throughout the 

IHS, to include, but not limited to, 

strategic human capital and workforce 

planning, succession planning, Egovernment HR initiatives, HR program 

evaluation and oversight, management 

advisory services, HR leadership, 

classification and pay administration, 

staffing and placement, personnel and 

payroll action processing, labormanagement and employee relations, 

benefits administration, and 

performance management and 

recognition programs; (7) provides 

advice, consultation, and assistance to 

IHS management and when requested to 

Tribal officials on tribal health program 

HR issues; (8) provides HR services, to 

include technical support, guidance, 

and assistance to IHS Headquarters staff, 

Regional HR Centers and other 

organizations and customers; (9) plans, 

conducts and evaluates HR programs; 

(10) plans and implements HR 

responsibilities for IHS programs 

covered by the headquarters appointing 

authority; and (11) represents the IHS in 

matters involving HR program services 

and responsibilities. 

Division of Human Resources, Regional 

Human Resource Centers 

(1) Provides overall leadership and 

direction for the IHS Human Resources 

(HR) program within the established 

region; (2) administers HR policies and 

regulations and provides leadership to 

ensure implementation; (3) provides 

advice, consultation, guidance and 

assistance to Area Directors, 

management officials, employees and 

other customers on civil service HR 

issues, programs and policies; (4) 

provides leadership and direction to the 

Human Resource staff throughout the 

Region; (5) assures compliance with 

Indian Preference statutory and policy 

requirements in HR practices; (6) 

provides HR services throughout the 

region, to include, but not limited to, 

strategic human capital and workforce 

planning, succession planning, Egovernment HR initiatives and strategic 

planning, HR program evaluation and 

oversight; strategic consultation, 

management advisory services, HR 

leadership, classification and pay 

administration, staffing and placement, 

personnel and payroll action processing, 

labor-management and employee 

relations, benefits administration and 

performance management; (7) provides 

advice, consultation, and assistance to 

management and when requested to 

Tribal officials on tribal health program 

HR issues; (8) plans, administers and 

evaluates HR programs; (9) plans and 

implements HR responsibilities for IHS 

programs covered by the region’s 

appointing authority; and (10) 

represents the region in matters 

involving HR program responsibilities. 

Western Region (GALG1) 

Northern Plains (GALG2) 

Southwest Region (GALG3) 

Navajo Region (GALG4) 

Southeast Region (GALG5) 

Office of Environmental Health and 

Engineering (OEHE) (GAM) 

(1) Advises and supports the IHS 

Director on policy, budget formulation, 

and resource allocation regarding 

environmental health and engineering 

activities of IHS and Tribal facilities 

programs; (2) provides Agency-wide 

leadership and consultation to IHS, 

Tribal, and Urban Indian health 

programs on IHS goals, objectives, 

policies, standards, and priorities; (3) 

represents the IHS within the HHS and 

external organizations for purposes of 

liaison, professional collaboration, 

cooperative ventures, and advocacy; (4) 

serves as the primary source of technical 

advice for the IHS Director, 

Headquarters, Area Offices, Tribal, and 

Urban Indian health programs on the 

full scope of health care facilities 

construction and operations, sanitation 

facilities construction and management, 

environmental health services, 

environmental engineering, clinical 

engineering, and realty services 

management; (5) develops and 

recommends policies, administrative 

procedures and guidelines for Public 

Law 93–638 construction activities; (6) 

develops objectives, priorities, 

standards, and methodologies to 

conduct and evaluate environmental 

health, environmental engineering, and 

facilities engineering and management 

activities; (7) coordinates the 

formulation of the IHS Facilities 

appropriation budget request and 

responds to all inquiries about the 

budget request and programs funded by 

the IHS Facilities appropriation; (8) 

maintains needs-based and workloadbased methodologies for equitable 

resource distribution for all funds 

appropriated under the IHS Facilities 

appropriation; (9) provides leadership, 

consultation, and staff development to 

assure functional, safe, and wellmaintained health care facilities, a 

comprehensive environmental health 

program, and the availability of water, 

sewer, and solid waste facilities for 

Indian homes and communities; (10) 

coordinates the IHS OEHE 

responsibilities in responding to 

disasters and other emergency 

situations, in collaboration with the 

Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 60361 

Office of Clinical and Preventive 

Services; and (11) participates in crosscutting issues and processes including, 

but not limited to emergency 

preparedness/security, budget 

formulation, self-determination issues, 

Tribal shares computations and 

resolution of audit findings as may be 

needed and appropriate. 

Division of Sanitation Facilities 

Construction (DSFC) (GAMA) 

(1) Develops, implements, and 

manages the environmental engineering 

programs, including the Sanitation 

Facilities Construction (SFC) program, 

and compliance activities associated 

with environmental protection and 

historic preservation legislation; (2) 

provides Agency-wide management 

assistance and special support/ 

consultation to address special 

environmental public health problems 

for environmental engineering/ 

construction activities, and for 

compliance with environmental 

legislation; (3) works closely with other 

Federal agencies to resolve 

environmental issues and maximize 

benefits to Tribes by coordinating 

program efforts; (4) develops, 

implements, and evaluates Agency 

program activities, objectives, policies, 

plans, guidelines, and standardized data 

systems for SFC activities; (5) consults 

with Tribal groups/organizations in the 

development and implementation of 

SFC policies and initiatives, and in the 

identification of sanitation needs; (6) 

maintains a national inventory of 

current Tribal sanitation facilities needs, 

and past and present projects to address 

those needs; and (7) allocates financial 

resources Agency-wide based on need 

and workload using the national data 

inventories, in collaboration with the 

OFA. 

Division of Facilities Operations (DFO) 

(GAMB) 

(1) Develops, implements, and 

manages the programs affecting health 

care facilities operations, including the 

routine maintenance and improvement, 

real property asset management, realty, 

facilities environmental, quarters, and 

clinical engineering programs; (2) 

develops, implements, monitors and 

evaluates Agency program activities, 

objectives, policies, plans, guidelines, 

and standardized data systems for 

health care facilities operations; (3) 

serves as the principal resource for 

coordination of facilities operations and 

provides consultation to IHS and the 

Tribes on health care facilities 

operations; (4) maintains real property 

asset leasing, and quarters management 

systems; (5) maintains clinical 

engineering management systems; (6) 

formulates financial resources allocation 

methodologies Agency-wide based on 

need and workload data; (7) maintains 

Agency-wide data on Federal and Tribal 

facilities for program budget 

justification; (8) develops and evaluates 

technical standards and guidelines for 

health care facilities operations; and (9) 

monitors the improvement, alternation, 

and repair of health care facilities. 

Division of Facilities Planning and 

Construction (DFPC) (GAMC) 

(1) Develops, implements, and 

manages the IHS Health Care Facilities 

Planning and Construction program, 

including the facilities planning 

process, facilities design process, 

facilities acquisition, and construction 

project management; (2) develops, 

implements, monitors, and evaluates 

Agency program activities, objectives, 

policies, plans, guidelines, and 

standardized data systems for health 

care facilities planning and 

construction; (3) develops and 

maintains construction priority systems, 

and with the Division of Engineering 

Services, develops project budget 

documents for the health care facilities 

construction program; (4) services as the 

principal resource in providing 

leadership, guidance, and coordination 

of health care facilities engineering 

activities for the IHS Headquarters, Area 

Offices, Tribal and Urban Indian health 

programs; (5) evaluates justifications for 

major improvement and alteration 

projects and other large scale 

construction activities; (6) develops and 

evaluates technical standards and 

guidelines for health care facilities 

construction. 

Division of Environmental Health 

Services (DEHS) (GAMD) 

(1) Develops, implements, and 

manages the IHS Environmental Health 

Services programs, including the Injury 

Prevention and Institutional 

Environmental Health programs; (2) 

serves as the primary source of technical 

and policy advice for IHS Headquarters 

and Area Offices on the full scope of 

environmental health issues and 

activities; (3) maintains relationships 

with other Federal agencies and Tribes 

to maximize responses to environmental 

health issues and maximize benefits to 

Tribes by coordinating program efforts; 

(4) provides leadership in identifying 

and articulating environmental health 

needs of AI/AN populations and 

support efforts to build Tribal capacity; 

(5) provides personnel support services 

and advocates for environmental health 

providers; (6) maintains, analyzes, make 

accessible, and publishes results from 

national databases; (7) manages resource 

allocation activities in accordance with 

established criteria based on workload; 

(8) develops and evaluates standards 

and guidelines for environmental health 

programs and activities; and (9) 

performs functions related to 

environmental health programs such as 

injury prevention, emergency response, 

water quality, food sanitation, 

occupational health and safety, solid 

and hazardous waste management, 

environmental health issues in health 

care and non-health care institutions, 

and vector control. 

Division of Engineering Services 

(Dallas/Seattle) (DES) (GAME) 

(1) Administers all IHS new health 

care facilities engineering and 

construction projects and some repair 

and improvement construction projects 

for specified Area Offices and 

administers the engineering and 

construction of certain projects for other 

Federal agencies through inter-agency 

agreements, as negotiated; (2) carries out 

management activities relating to IHSowned and utilized health care 

facilities, including construction, 

contracting, realty, and leasing services; 

(3) serves as the source of engineering 

and contracting expertise for assigned 

programs/projects and other technical 

programmatic areas affecting the 

planning, design, alteration, leasing, and 

construction of IHS health care and 

sanitation facilities for Indian homes 

and communities; (4) assists in the 

development of Area Office annual 

work plans, studies, investigations, 

surveys, audits, facilities planning, and 

technical standards development, for 

IHS-owned and Tribal health care 

facilities; and (5) designated as the IHS 

authority having jurisdiction for all code 

interpretations required to resolve 

conflicts that arise from interpreting and 

applying various codes and other 

related criteria in all IHS facilities and 

design/construction projects. 

Section GA–30, Indian Health Service—

Order of Succession 

During my absence or disability of the 

IHS Director or in the event of a vacancy 

in that office, the following IHS 

Headquarters officials, in the order 

listed below, shall act as the IHS 

Director. In the event of a planned 

extended period of absence, the IHS 

Director may specify a different order of 

succession. The order of succession will 

be: 

(1) Deputy Director 

(2) Deputy Director for Indian Health 

Policy 

(3) Deputy Director for Management 

Operations 

60362 Federal Register / Vol. 70, No. 199 / Monday, October 17, 2005 / Notices 

(4) Chief Medical Officer 

Section GA–40, Indian Health Service—

Delegations of Authority 

All delegations of authority and redelegations of authority made to IHS 

officials that were in effect immediately 

prior to this reorganization, and that are 

consistent with this reorganization, 

shall continue in effect pending further 

re-delegation. 

Chapter GF—IHS Area Offices 

Section GF–00, Indian Health Service 

Area Offices—Mission 

The IHS Area Offices carry out the 

mission of the IHS by providing a 

system of health care unique to the Area 

population. 

Section GF–10, Indian Health Service 

Area Offices—Organization 

An Area Office is a second echelon 

organization under the direction of an 

Area Director, who reports to the IHS 

Director. 

The following are the Area Offices of 

the IHS: 

Aberdeen Area Office (GFA); Alaska 

Area Office (GFB); Albuquerque Area 

Office (GFC); Bemidji Area Office (GFE); 

Billings Area Office (GFF); California 

Area Office (GFG); Nashville Area Office 

(GFH); Navajo Area Office (GFJ); 

Oklahoma City Area Office (GFK); 

Phoenix Area Office (GFL); Portland 

Area Office (GFM); and Tucson Area 

Office (GFN). 

Section GF–20, Indian Health Service 

Area Offices—Functions 

The specific functions of the IHS Area 

Offices vary, however, each Area Office 

includes functions organized to support 

major categories of administrative 

management and clinical activities. 

Examples include: 

Administration and Management—

Financial management, administrative 

and office services, contract/grant 

administration, procurement, personnel 

management, facilities management, 

management information systems, 

contract health services, and equal 

employment opportunity; 

Program Planning, Analysis and 

Evaluation Programs—Program 

planning, statistical analysis, legislative 

initiatives, research and evaluation, 

health records, management information 

systems, and patient registration/third 

party collection; 

Tribal Activity Programs—Provision 

of Pub. L. 93–638, Indian SelfDetermination and Education 

Assistance Act, health services delivery, 

community health representative 

services, Urban Indian health, 

alcoholism and substance abuse, and 

health education; 

Health Programs—Primary care, 

clinical activities, mental health, 

nursing services, health promotion, 

disease prevention, professional 

recruitment, community services, and 

the Joint Commission on Accreditation 

of Healthcare Organizations; 

Environmental Health/Sanitation 

Facilities Programs—Environmental 

health and engineering/sanitation 

facilities construction programs; and 

Information Resources Management 

Programs—Automated data processing 

(ADP), ADP planning and operations, 

management information systems, office 

automation systems, and voice/data 

telecommunications management. 

Section GF–30, Indian Health Service 

Area Offices—Order of Succession 

The order of succession for Area 

Directors at the IHS Area Offices is 

determined by each Area Director and 

continues in effect until changed. 

Section GF–40, Indian Health Service 

Area Offices—Delegations of Authority 

All delegations and re-delegations of 

authority made to officials in the IHS 

Area Offices that were in effect 

immediately prior to this reorganization, 

and that are consistent with this 

reorganization, shall continue in effect 

pending further re-delegation. 

This reorganization shall be effective on 

October 17, 2005. 

Dated: October 5, 2005. 

Robert G. McSwain, 

Deputy Director, Indian Health Service. 

[FR Doc. 05–20584 Filed 10–14–05; 8:45 am] 

BILLING CODE 4165–16–M 

DEPARTMENT OF HOMELAND 

SECURITY 

Customs and Border Protection 

Quarterly IRS Interest Rates Used in 

Calculating Interest on Overdue 

Accounts and Refunds on Customs 

Duties 

AGENCY: Customs and Border Protection, 

Department of Homeland Security. 

ACTION: General notice. 

SUMMARY: This notice advises the public 

of the quarterly Internal Revenue 

Service interest rates used to calculate 

interest on overdue accounts 

(underpayments) and refunds 

(overpayments) of customs duties. For 

the calendar quarter beginning October 

1, 2005, the interest rates for 

overpayments will be 6 percent for 

corporations and 7 percent for noncorporations, and the interest rate for 

underpayments will be 7 percent. This 

notice is published for the convenience 

of the importing public and Customs 

and Border Protection personnel. 

EFFECTIVE DATES: October 1, 2005. 

FOR FURTHER INFORMATION CONTACT: 

Trong Quan, National Finance Center, 

Collections Section, 6026 Lakeside 

Boulevard, Indianapolis, Indiana 46278; 

telephone (317) 614–4516. 

SUPPLEMENTARY INFORMATION: 

Background 

Pursuant to 19 U.S.C. 1505 and 

Treasury Decision 85–93, published in 

the Federal Register on May 29, 1985 

(50 FR 21832), the interest rate paid on 

applicable overpayments or 

underpayments of customs duties must 

be in accordance with the Internal 

Revenue Code rate established under 26 

U.S.C. 6621 and 6622. Section 6621 was 

amended (at paragraph (a)(1)(B) by the 

Internal Revenue Service Restructuring 

and Reform Act of 1998, Pub. L. 105–

206, 112 Stat. 685) to provide different 

interest rates applicable to 

overpayments: one for corporations and 

one for non-corporations. 

The interest rates are based on the 

Federal short-term rate and determined 

by the Internal Revenue Service (IRS) on 

behalf of the Secretary of the Treasury 

on a quarterly basis. The rates effective 

for a quarter are determined during the 

first-month period of the previous 

quarter. 

In Revenue Ruling 2005–62, the IRS 

determined the rates of interest for the 

calendar quarter beginning October 1, 

2005, and ending December 31, 2005. 

The interest rate paid to the Treasury for 

underpayments will be the Federal 

short-term rate (4%) plus three 

percentage points (3%) for a total of 

seven percent (7%). For corporate 

overpayments, the rate is the Federal 

short-term rate (4%) plus two 

percentage points (2%) for a total of six 

percent (6%). For overpayments made 

by non-corporations, the rate is the 

Federal short-term rate (4%) plus three 

percentage points (3%) for a total of 

seven percent (7%). These interest rates 

are subject to change for the calendar 

quarter beginning January 1, 2005, and 

ending March 31, 2005. 

For the convenience of the importing 

public and Customs and Border 

Protection personnel the following list 

of IRS interest rates used, covering the 

period from before July of 1974 to date, 

to calculate interest on overdue 

accounts and refunds of customs duties, 

is published in summary format.