50038 Federal Register / Vol. 73, No. 165 / Monday, August 25, 2008 / Notices 

programs will determine the number of 

their staff members that will participate 

in the interview. The evaluation will 

include an assessment of whether HP/ 

DP grantees achieve measurable health 

outcomes, synthesize the evaluation 

findings, and include a written report 

with recommendations to enhance 

program effectiveness. The information 

gathered will be used to prepare a final 

report for OMB. Affected Public: 

Individuals. Type of Respondents: 

Tribal/Urban organizations program 

staff. 

The table below provides: Types of 

data collection instruments, Estimated 

number of respondents, Number of 

responses per respondent, Average 

burden hour per response, and Total 

annual burden hour(s). 

ESTIMATED BURDEN HOURS

Data collection instrument 

Estimated 

number of 

respondents 

Responses 

per 

respondent 

Average 

burden hour 

per response 

Total annual 

burden hours 

HP/DP Grantees Telephone and Face-to-Face Interview Survey .................. 231 1 1 231 

Total .......................................................................................................... 231 ........................ ........................ 231 

There are no Capital Costs, Operating 

Costs, and/or Maintenance Costs to 

report. 

Request for Comments: Your written 

comments and/or suggestions are 

invited on one or more of the following 

points: (a) Whether the information 

collection activity is necessary to carry 

out an agency function; (b) whether the 

agency processes the information 

collected in a useful and timely fashion; 

(c) the accuracy of the public burden 

estimate (the estimated amount of time 

needed for individual respondents to 

provide the requested information); (d) 

whether the methodology and 

assumptions used to determine the 

estimates are logical; (e) ways to 

enhance the quality, utility, and clarity 

of the information being collected; and 

(f) ways to minimize the public burden 

through the use of automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology. 

Send Comments and Requests for 

Further Information: Send your written 

comments, requests for more 

information on the proposed collection, 

or requests to obtain a copy of the data 

collection instrument(s) and 

instructions to: Ms. Janet Ingersoll, 

Acting IHS Reports Clearance Officer, 

801 Thompson Avenue, TMP 450, 

Rockville, MD 20852–1627; call non-toll 

free (301) 443–6177; send via facsimile 

to (301) 443–2316; or send your e-mail 

requests, comments, and return address 

to: janet.ingersoll@ihs.gov. 

Comment Due Date: Your comments 

regarding this information collection are 

best assured of having full effect if 

received within 60 days of the date of 

this publication. 

Dated: August 18, 2008. 

Robert G. McSwain, 

Director, Indian Health Service. 

[FR Doc. E8–19480 Filed 8–22–08; 8:45 am] 

BILLING CODE 4165–16–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Privacy Act of 1974; Report of Modified 

or Altered System Medical, Health and 

Billing Records System 

AGENCY: Indian Health Service (IHS), 

HHS. 

ACTION: Notice of Proposed Modification 

or Alteration to a System of Records 

(SOR). 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974, 

IHS is proposing to modify or alter an 

SOR, ‘‘Medical, Health and Billing 

Records,’’ System No. 09–17–0001. IHS 

is proposing to amend routine use 

number 10 to be more consistent with 

the Health Insurance Portability and 

Accountability Act (HIPAA) Privacy 

Rule language, 45 CFR 164.512(b) by 

changing the language to state ‘‘which 

are authorized by applicable Federal, 

State, Tribal or local law * * *,’’ which 

would give IHS the discretion of 

allowing additional disclosures. For 

example, this change will give IHS the 

discretion to disclose controlled 

substance prescription data to a 

centralized database administered by an 

authorized State public health entity, 

such as state prescription drug 

monitoring programs (PMP). IHS is also 

proposing to add routine use number 25 

to meet the newly established 

requirement by the Office of 

Management and Budget (OMB) 

Memoranda (M) 07–16, Safeguarding 

Against and Responding to the Breach 

of Personally Identifiable Information 

and to Comply with HHS Incident 

Reporting and Handling Requirements. 

Effective Dates: IHS filed an altered/ 

modified system report with the Chair 

of the House Committee on Oversight 

and Government Reform, the Chair of 

the Senate Committee on Homeland 

Security and Governmental Affairs, and 

the Administrator, Office of Information 

and Regulatory Affairs, OMB on August 

25, 2008. To ensure that all parties have 

adequate time in which to comment, the 

modified SOR will become effective 40 

days from the publication of the notice, 

or from the date it was submitted to 

OMB and the Congress, whichever is 

later, unless IHS invites comments on 

all portions of this notice. 

ADDRESSES: The public should address 

comments to: Mr. William Tibbitts, IHS 

Privacy Act/HIPAA Privacy Officer, 

Office of Management Services, Division 

of Regulatory Affairs, Records Access 

and Policy Liaison, 801 Thompson 

Avenue, TMP, Suite 450, Rockville, MD 

20852–1627; call non-toll free (301) 

443–1116; send via facsimile to (301) 

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

comments, and return address to: 

William.Tibbitts@ihs.gov. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Patricia Gowan, IHS Lead Health 

Information Management (HIM) 

Consultant and Area HIM Consultant, 

Phoenix Area Office, Two Renaissance 

Square, 40 North Central Avenue, 

Phoenix, AZ 85004–4450, Telephone 

(602) 364–5172. 

SUPPLEMENTARY INFORMATION: IHS 

initiated a national workgroup 

consisting of IHS Chief Medical Officers 

(CMOs) and the IHS National Pharmacy 

Council (NPC) to assist the IHS in 

systematically addressing the issue of 

prescription drug abuse. Currently, 

approximately 35 States have controlled 

substances prescription reporting 

systems that allow providers to monitor 

their patient’s prescriptions and access 

to controlled substances. 


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Federal Register / Vol. 73, No. 165 / Monday, August 25, 2008 / Notices 50039 

Dated: August 18, 2008. 

Robert G. McSwain, 

Director, Indian Health Service. 

09–17–0001 

SYSTEM NAME: 

Medical, Health, and Billing Records 

Systems, Health and Human Services/ 

Indian Health Service/Office of Clinical 

and Preventive Services, (HHS/IHS/ 

OCPS). 

SECURITY CLASSIFICATION: 

None. 

SYSTEM LOCATION: 

IHS hospitals, health centers, school 

health centers, health stations, field 

clinics, Service Units, IHS Area Offices 

(Appendix 1), and Federal Archives and 

Records Centers (Appendix 2). 

Automated, electronic and 

computerized records, including Patient 

Care Component (PCC) records, are 

stored at the Information Technology 

Support Center (ITSC), IHS, located in 

Albuquerque, New Mexico (Appendix 

1). Records may also be located at 

contractor sites. A current list of 

contractor sites is available by writing to 

the appropriate System Manager (Area 

or Service Unit Director/Chief Executive 

Officer) at the address shown in 

Appendix 1. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Individuals, including both IHS 

beneficiaries and non-beneficiaries, who 

are examined/treated on an inpatient 

and/or outpatient basis by IHS staff and/ 

or contract health care providers 

(including Tribal contractors). 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Note: Records relating to claims by and 

against the HHS are maintained in the 

Administrative Claims System, 09–90–0062, 

HHS/Office of the Secretary/Office of the 

General Counsel (HHS/OS/OGC). Such 

claims include those arising under the 

Federal Torts Claims Act, Military Personnel 

and Civilian Employees Claims Act, Federal 

Claims Collection Act, Federal Medical Care 

Recovery Act, and Act for Waiver of 

Overpayment of Pay. 

1. Health and medical records 

containing examination, diagnostic and 

treatment data, proof of IHS eligibility, 

social data (such as name, address, date 

of birth, Social Security Number (SSN), 

Tribe), laboratory test results, and 

dental, social service, domestic 

violence, sexual abuse and/or assault, 

mental health, and nursing information. 

2. Follow-up registers of individuals 

with a specific health condition or a 

particular health status such as cancer, 

diabetes, communicable diseases, 

suspected and confirmed abuse and 

neglect, immunizations, suicidal 

behavior, or disabilities. 

3. Logs of individuals provided health 

care by staff of specific hospital or clinic 

departments such as surgery, 

emergency, obstetric delivery, medical 

imaging, and laboratory. 

4. Surgery and/or disease indices for 

individual facilities that list each 

relevant individual by the surgery or 

disease. 

5. Monitoring strips and tapes such as 

fetal monitoring strips and 

Electroencephalogram (EEG) and 

Electrocardiogram (EKG) tapes. 

6. Third-party reimbursement and 

billing records containing name, 

address, date of birth, dates of service, 

third-party insurer claim numbers, SSN, 

health plan name, insurance number, 

employment status, and other relevant 

claim information necessary to process 

and validate third-party reimbursement 

claims. 

7. Contract Health Service (CHS) 

records containing name, address, date 

of birth, dates of care, Medicare or 

Medicaid claim numbers, SSN, health 

plan name, insurance number, 

employment status, and other relevant 

claim information necessary to 

determine CHS eligibility and to process 

CHS claims. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

Departmental Regulations (5 U.S.C. 

301) ; Privacy Act of 1974 (5 U.S.C. 

552a); Federal Records Act (44 U.S.C. 

2901); Section 321 of the Public Health 

Service Act, as amended (42 U.S.C. 

248); Section 327A of the Public Health 

Service Act, as amended (42 U.S.C. 

254a); Snyder Act (25 U.S.C. 13); Indian 

Health Care Improvement Act (25 U.S.C. 

1601 et seq.); and the Transfer Act of 

1954 (42 U.S.C. 2001–2004). 

PURPOSES: 

The purposes of this system are: 

1. To provide a description of an 

individual’s diagnosis, treatment and 

outcome, and to plan for immediate and 

future care of the individual. 

2. To collect and provide information 

to IHS officials and epidemiology 

centers established and funded under 25 

U.S.C. 1621m in order to evaluate health 

care programs and to plan for future 

needs. 

3. To serve as a means of 

communication among members of the 

health care team who contribute to the 

individual’s care; e.g., to integrate 

information from field visits with 

records of treatment in IHS facilities and 

with non-IHS health care providers. 

4. To serve as the official 

documentation of an individual’s health 

care. 

5. To contribute to continuing 

education of IHS staff to improve the 

delivery of health care services. 

6. For disease surveillance purposes. 

For example: 

(a) The Centers for Disease Control 

and Prevention may use these records to 

monitor various communicable 

diseases; 

(b) The National Institutes of Health 

may use these records to review the 

prevalence of particular diseases (e.g., 

malignant neoplasms, diabetes mellitus, 

arthritis, metabolism, and digestive 

diseases) for various ethnic groups of 

the United States; or 

(c) Those public health authorities 

that are authorized by law and 

epidemiology centers established and 

funded under 25 U.S.C. 1621m may use 

these records to collect or receive such 

information for purposes of preventing 

or controlling disease, injury, or 

disability, including, but not limited to, 

the reporting of disease, injury, vital 

events such as birth or death and the 

conduct of public health surveillance, 

investigations, and interventions. 

7. To compile and provide aggregated 

program statistics. Upon request of other 

components of HHS, IHS will provide 

statistical information, from which 

individual/personal identifiers have 

been removed, such as: 

(a) To the National Committee on 

Vital and Health Statistics for its 

dissemination of aggregated health 

statistics on various ethnic groups; 

(b) To the Assistant Secretary for 

Planning and Evaluation, Health Policy 

to keep a record of the number of 

sterilizations provided by Federal 

funding; 

(c) To the Centers for Medicare & 

Medicaid Services (CMS) to document 

IHS health care covered by the Medicare 

and Medicaid programs for third-party 

reimbursement; or 

(d) To the Office of Clinical Standards 

and Quality, CMS to determine the 

prevalence of end-stage renal disease 

among the American Indian and Alaska 

Native (AI/AN) population and to 

coordinate individual care. 

8. To process and collect third-party 

claims and facilitate fiscal intermediary 

functions and to process debt collection 

activities. 

9. To improve the IHS national 

patient care database by means of 

obtaining and verifying an individual’s 

SSN with the Social Security 

Administration (SSA). 

10. To provide information to organ 

procurement organizations or other 

entities engaged in the procurement, 

banking, or transplantation of organs to 

facilitate organ, eye, or tissue donation 

and transplant. 


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11. To provide information to 

individuals about treatment alternatives 

or other types of health-related benefits 

and services. 

12. To provide information to the 

Food and Drug Administration (FDA) in 

connection with an FDA-regulated 

product or activity. 

13. To provide information to 

correctional institutions as necessary for 

health and safety purposes. 

14. To provide information to 

governmental authorities (e.g., social 

services or protective services agencies) 

on victims of abuse, neglect, sexual 

assault or domestic violence. 

15. To provide information to the 

National Archives and Records 

Administration in records management 

inspections conducted under the 

authority of 44 U.S.C. 2901, et seq. 

16. To provide relevant health care 

information to funeral directors or 

representatives of funeral homes to 

allow necessary arrangements prior to 

and in anticipation of an individual’s 

impending death. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

This system of records contains 

individually identifiable health 

information. The HHS Privacy Act 

Regulations (45 CFR Part 5b) and the 

Privacy Rule (45 CFR Parts 160 and 164) 

issued pursuant to the HIPAA of 1996 

apply to most health information 

maintained by IHS. Those regulations 

may place additional procedural 

requirements on the uses and 

disclosures of such information beyond 

those found in the Privacy Act of 1974 

or mentioned in this system of records 

notice. An accounting of all disclosures 

of a record made pursuant to the 

following routine uses will be made and 

maintained by IHS for five years or for 

the life of the records, whichever is 

longer. 

Note: Special requirements for alcohol and 

drug abuse patients: If an individual receives 

treatment or a referral for treatment for 

alcohol or drug abuse, then the 

Confidentiality of Alcohol and Drug Abuse 

Patient Records Regulations, 42 CFR Part 2 

may apply. In general, under these 

regulations, the only disclosures of the 

alcohol or drug abuse record that may be 

made without patient consent are: (1) To 

meet medical emergencies (42 CFR 2.51), (2) 

For research, audit, evaluation and 

examination (42 CFR 2.52–2.53), (3) Pursuant 

to a court order (42 CFR 2.61–2.67), and 

(4) Pursuant to a qualified service 

organization agreement, as defined in 42 CFR 

2.11. In all other situations, written consent 

of the individual is usually required prior to 

disclosure of alcohol or drug abuse 

information under the routine uses listed 

below. 

1. Records may be disclosed to 

Federal and non-Federal (public or 

private) health care providers that 

provide health care services to IHS 

individuals for purposes of planning for 

or providing such services, or reporting 

results of medical examination and 

treatment. 

2. Records may be disclosed to 

Federal, State, local or other authorized 

organizations that provide third-party 

reimbursement or fiscal intermediary 

functions for the purposes of billing or 

collecting third-party reimbursements. 

Relevant records may be disclosed to 

debt collection agencies under a 

business associate agreement 

arrangement directly or through a third 

party. 

3. Records may be disclosed to State 

agencies or other entities acting 

pursuant to a contract with CMS, for 

fraud and abuse control efforts, to the 

extent required by law or under an 

agreement between IHS and respective 

state Medicaid agency or other entities. 

4. Records may be disclosed to school 

health care programs that serve AI/AN 

for the purpose of student health 

maintenance. 

5. Records may be disclosed to the 

Bureau of Indian Affairs (BIA) or its 

contractors under an agreement between 

IHS and the BIA relating to disabled AI/ 

AN children for the purposes of carrying 

out its functions under the Individuals 

with Disabilities Education Act (IDEA), 

20 U.S.C. 1400, et seq. 

6. Records may be disclosed to 

organizations deemed qualified by the 

secretary of HHS and under a business 

associate agreement to carry out quality 

assessment/improvement, medical 

audits, utilization review or to provide 

accreditation or certification of health 

care facilities or programs. 

7. Records may be disclosed under a 

business associate agreement to 

individuals or authorized organizations 

sponsored by IHS, such as the National 

Indian Women’s Resource Center, to 

conduct analytical and evaluation 

studies. 

8. Disclosure may be made to a 

congressional office from the record of 

an individual in response to an inquiry 

from the congressional office made at 

the request of that individual. An 

authorization, Form IHS–810, is 

required for the disclosure of sensitive 

PHI (e.g., alcohol/drug abuse patient 

information, Human Immunodeficiency 

Virus/Acquired Immune Deficiency 

Syndrome (HIV/AIDS), Sexually 

Transmitted Diseases (STDs), or mental 

health) that is maintained in the 

medical record. 

9. Records may be disclosed for 

research purposes to the extent 

permitted by: 

(a) Determining that the use(s) or 

disclosure(s) are met under 45 CFR 

164.512(i), or 

(b) Determining that the use(s) or 

disclosure(s) are met under 45 CFR 

164.514 (a) through (c) for de-identified 

PHI, and 5 U.S.C. 552a(b) (5), or (c) 

Determining that the requirements of 45 

CFP. 164.514(e) for limited data sets, 

and 5 U.S.C. 552a.(b)(5) are met. 

10. Information from records, 

including but not limited to information 

concerning the commission of crimes, 

suspected cases of abuse (including 

child, elder and sexual abuse), the 

reporting of neglect, sexual assault or 

domestic violence, births, deaths, 

alcohol or drug abuse, immunization, 

cancer, or the occurrence of 

communicable diseases, may be 

disclosed to public health authorities, 

epidemiology centers established and 

funded under 25 U.S.C. 1621m, and 

other appropriate government 

authorities which are authorized by 

applicable Federal, State, Tribal or local 

law or regulations to receive such 

information. 

Note: In Federally conducted or assisted 

alcohol or drug abuse programs, under 42 

CFR Part 2, disclosure of patient information 

for purposes of criminal investigations must 

be authorized by court order issued under 42 

CFR 2.65, except that reports of suspected 

child abuse may be made to the appropriate 

State or local authorities under State law. 

11. Information may be disclosed 

from these records regarding suspected 

cases of child abuse to: 

(a) Federal, State or Tribal agencies 

that need to know the information in the 

performance of their duties, and 

(b) Members of community child 

protection teams for the purposes of 

investigating reports of suspected child 

abuse, establishing a diagnosis, 

formulating or monitoring a treatment 

plan, and making recommendations to 

the appropriate court. Community child 

protection teams are comprised of 

representatives of Tribes, the BIA, child 

protection service agencies, the judicial 

system, law enforcement agencies and 

IHS. 

12. IHS may disclose information 

from these records in litigations and/or 

proceedings related to an administrative 

claim when: 

(a) IHS has determined that the use of 

such records is relevant and necessary 

to the litigation and/or proceedings 

related to an administrative claim and 

would help in the effective 

representation of the affected party 

listed in subsections (i) through (iv) 

below, and that such disclosure is 


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compatible with the purpose for which 

the records were collected. Such 

disclosure may be made to the HHS/ 

OGC and/or Department of Justice 

(DOJ), pursuant to an agreement 

between IHS and OGC, when any of the 

following is a party to litigation and/or 

proceedings related to an administrative 

claim or has an interest in the litigation 

and/or proceedings related to an 

administrative claim: 

(i) HHS or any component thereof; or 

(ii) Any HHS employee in his or her 

official capacity; or 

(iii) Any HHS employee in his or her 

individual capacity where the DOJ (or 

HHS, where it is authorized to do so) 

has agreed to represent the employee; or 

(iv) The United States or any agency 

thereof (other than HHS) where HHS/ 

OGC has determined that the litigation 

and/or proceedings related to an 

administrative claim is likely to affect 

HHS or any of its components. 

(b) In the litigation and/or 

proceedings related to an administrative 

claim described in subsection (a) above, 

information from these records may be 

disclosed to a court or other tribunal, or 

to another party before such tribunal in 

response to an order of a court or 

administrative tribunal, provided that 

the covered entity discloses only the 

information expressly authorized by 

such order. 

13. Records may be disclosed under a 

business associate agreement to an IHS 

contractor for the purpose of 

computerized data entry, medical 

transcription, duplication services, or 

maintenance of records contained in 

this system. 

14. Records may be disclosed under a 

personal services contract or other 

agreement to student volunteers, 

individuals working for IHS, and other 

individuals performing functions for 

IHS who do not technically have the 

status of agency employees, if they need 

the records in the performance of their 

agency functions. 

15. Records regarding specific 

medical services provided to a 

unemancipated minor individual may 

be disclosed to the unemancipated 

minor’s parent or legal guardian who 

previously consented to those specific 

medical services, to the extent permitted 

under 45 CFR 164.502(g). 

16. Records may be disclosed to an 

individual having authority to act on 

behalf of an incompetent individual 

concerning health care decisions, to the 

extent permitted under 45 CFR 

164.502(g). 

17. Information may be used or 

disclosed from an IHS facility directory 

in response to an inquiry about a named 

individual from a member of the general 

public to establish the individual’s 

presence (and location when needed for 

visitation purposes) or to report the 

individual’s condition while 

hospitalized (e.g., satisfactory or stable), 

unless the individual objects to 

disclosure of this information. IHS may 

provide the religious affiliation only to 

members of the clergy. 

18. Information may be disclosed to a 

relative, a close personal friend, or any 

other person identified by the 

individual that is directly relevant to 

that person’s involvement with the 

individual’s care or payment for health 

care. 

Information may also be used or 

disclosed in order to notify a family 

member, personal representative, or 

other person responsible for the 

individual’s care, of the individual’s 

location, general condition or death. 

If the individual is present for, or 

otherwise available prior to, a use or 

disclosure, and is competent to make 

health care decisions; 

(a) May use or disclose after the 

facility obtains the individual’s consent, 

(b) Provides the individual with the 

opportunity to object and the individual 

does not object, or 

(c) It could reasonably infer, based on 

professional judgment, that the 

individual does not object. 

If the individual is not present, or the 

opportunity to agree or object cannot 

practicably be provided due to 

incapacity or emergent circumstances, 

an IHS health care provider may 

determine, based on professional 

judgment, whether disclosure is in the 

individual’s best interest, and if so, may 

disclose only what is directly relevant to 

the individual’s health care. 

19. Information concerning exposure 

to the HIV may be disclosed, to the 

extent authorized by Federal, State or 

Tribal law, to the sexual and/or needlesharing partner(s) of a subject individual 

who is infected with HIV under the 

following circumstances: 

(a) The information has been obtained 

in the course of clinical activities at IHS 

facilities; 

(b) IHS has made reasonable efforts to 

counsel and encourage the subject 

individual to provide information to the 

individual’s sexual or needle-sharing 

partner(s); 

(c) IHS determines that the subject 

individual is unlikely to provide the 

information to the sexual or needlesharing partner(s) or that the provision 

of such information cannot reasonably 

be verified; 

(d) The notification of the partner(s) is 

made, whenever possible, by the subject 

individual’s physician or by a 

professional counselor and shall follow 

standard counseling practices; and 

(e) IHS has advised the partner(s) to 

whom information is disclosed that they 

shall not re-disclose or use such 

information for a purpose other than 

that for which the disclosure was made. 

20. Records may be disclosed to 

Federal and non-Federal protection and 

advocacy organizations that serve AI/ 

AN for the purpose of investigating 

incidents of abuse and neglect of 

individuals with developmental 

disabilities (including mental 

disabilities), as defined in 42 U.S.C. 

10801–10805(a) (4) and 42 CFR 51.41–

46, to the extent that such disclosure is 

authorized by law and the conditions of 

45 CFR 1386.22(a)(2) are met. 

21. Records of an individual may be 

disclosed to a correctional institution or 

a law enforcement official, during the 

period of time the individual is either 

an inmate or is otherwise in lawful 

custody, for the provision of health care 

to the individual or for health and safety 

purposes. Disclosure may be made upon 

the representation of either the 

institution or a law enforcement official 

that disclosure is necessary for the 

provision of health care to the 

individual, for the health and safety of 

the individual and others (e.g. , other 

inmates, employees of the correctional 

facility, transport officers), and for 

facility administration and operations. 

This routine use applies only for as long 

as the individual remains in lawful 

custody, and does not apply once the 

individual is released on parole or 

placed on either probation or on 

supervised release, or is otherwise no 

longer in lawful custody. 

22. Records including patient name, 

date of birth, SSN, gender and other 

identifying information may be 

disclosed to the SSA as is reasonably 

necessary for the purpose of conducting 

an electronic validation of the SSN(s) 

maintained in the record to the extent 

required under an agreement between 

IHS and SSA. 

23. Disclosure of relevant health care 

information may be made to funeral 

directors or representatives of funeral 

homes in order to allow them to make 

necessary arrangements prior to and in 

anticipation of an individual’s 

impending death. 

24. Records may be disclosed to a 

public or private covered entity that is 

authorized by law or charter to assist in 

disaster relief efforts (e.g., the Red Cross 

and the Federal Emergency Management 

Administration), for purposes of 

coordinating information with other 

similar entities concerning an 

individual’s health care, payment for 

health care, notification of the 


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individual’s whereabouts and his or her 

health status or death. 

25. To appropriate Federal agencies 

and Department contractors that have a 

need to know the information for the 

purpose of assisting the Department’s 

efforts to respond to a suspected or 

confirmed breach of the security or 

confidentiality of information 

maintained in this system of records, 

and the information disclosed is 

relevant and necessary for that 

assistance. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

File folders, ledgers, card files, 

microfiche, microfilm, computer tapes, 

disk packs, digital photo discs, and 

automated, computer-based or 

electronic files. 

RETRIEVABILITY: 

Indexed by name, record number, and 

SSN and cross-indexed. 

SAFEGUARDS: 

Safeguards apply to records stored onsite and off-site. 

1. Authorized Users: Access is limited 

to authorized IHS personnel, volunteers, 

IHS contractors, subcontractors, and 

other business associates in the 

performance of their duties. Examples of 

authorized personnel include: Medical 

records personnel, business office 

personnel, contract health staff, health 

care providers, authorized researchers, 

medical audit personnel, health care 

team members, and legal and 

administrative personnel on a need to 

know basis. 

2. Physical Safeguards: Records are 

kept in locked metal filing cabinets or 

in a secured room or in other monitored 

areas accessible to authorized users at 

all times when not actually in use 

during working hours and at all times 

during non-working hours. Magnetic 

tapes, disks, other computer equipment 

(e.g., pc workstations) and other forms 

of personal data are stored in areas 

where fire and life safety codes are 

strictly enforced. Telecommunication 

equipment (e.g., computer terminal, 

servers, modems and disks) of the 

Resource and Patient Management 

System (RPMS) are maintained in 

locked rooms during non-working 

hours. Network (Internet or Intranet) 

access of authorized individual(s) to 

various automated and/or electronic 

programs or computers (e.g., desktop, 

laptop, handheld or other computer 

types) containing protected personal 

identifiers or PHI is reviewed 

periodically and controlled for 

authorizations, accessibility levels, 

expirations or denials, including 

passwords, encryptions or other devices 

to gain access. Combinations and/or 

electronic passcards on door locks are 

changed periodically and whenever an 

IHS employee resigns, retires or is 

reassigned. 

3. Procedural Safeguards: Within 

each facility a list of personnel or 

categories of personnel having a 

demonstrable need for the records in the 

performance of their duties has been 

developed and is maintained. 

Procedures have been developed and 

implemented to review one-time 

requests for disclosure to personnel who 

may not be on the authorized user list. 

Proper charge-out procedures are 

followed for the removal of all records 

from the area in which they are 

maintained. Records may not be 

removed from the facility except in 

certain circumstances, such as 

compliance with a valid court order or 

shipment to the Federal Records 

Center(s). Persons who have a need to 

know are entrusted with records from 

this system of records and are instructed 

to safeguard the confidentiality of these 

records. These individuals are to make 

no further disclosure of the records 

except as authorized by the system 

manager and permitted by the Privacy 

Act and the HIPAA Privacy Rule as 

adopted, and to destroy all copies or to 

return such records when the need to 

know has expired. Procedural 

instructions include the statutory 

penalties for noncompliance. 

The following automated information 

systems (AIS) security procedural 

safeguards are in place for automated 

health and medical records maintained 

in the RPMS. A profile of automated 

systems security is maintained. Security 

clearance procedures for screening 

individuals, both Government and 

contractor personnel, prior to their 

participation in the design, operation, 

use or maintenance of IHS AIS are 

implemented. The use of current 

passwords and log-on codes are 

required to protect sensitive automated 

data from unauthorized access. Such 

passwords and codes are changed 

periodically. An automated or electronic 

audit trail is maintained and reviewed 

periodically. Only authorized IHS 

Division of Information Resources staff 

may modify automated files in batch 

mode. Personnel at remote terminal 

sites may only retrieve automated or 

electronic data. Such retrievals are 

password protected. Privacy Act 

requirements, HIPAA Privacy and 

Security Rule requirements and 

specified AIS security provisions are 

specifically included in contracts and 

agreements and the system manager or 

his/her designee oversee compliance 

with these contract requirements. 

4. Implementing Guidelines: HHS 

Chapter 45–10 and supplementary 

Chapter PHS.hf: 45–10 of the General 

Administration Manual; HHS, 

‘‘Automated Information Systems 

Security Program Handbook,’’ as 

amended; HHS IRM Policy HHS–IRM–

2000–0005, ‘‘IRM Policy for IT Security 

for Remote Access’’; OMB Circular A–

130 ‘‘Management of Federal 

Information Resources’’; HIPAA 

Security Standards for the Protection of 

Electronic Protected Health Information, 

45 CFR 164.302 through 164.318; and EGovernment Act of 2002 (Pub. L. 107–

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

RETENTION AND DISPOSAL: 

Patient listings which may identify 

individuals are maintained in IHS Area 

and Program Offices permanently. 

Inactive records are held at the facility 

that provided health and billing services 

from three to seven years and then are 

transferred to the appropriate Federal 

Records Center (FRC). Monitoring strips 

and tapes (e.g., fetal monitoring strips, 

EEG and EKG tapes) that are not stored 

in the individual’s official medical 

record are stored at the health facility 

for one year and are then transferred to 

the appropriate FRC. (See Appendix 2 

for FRC addresses). In accordance with 

the records disposition authority 

approved by the Archivist of the United 

States, paper records are maintained for 

75 years after the last episode of 

individual care except for billing 

records. The retention and disposal 

methods for billing records will be in 

accordance with the approved IHS 

Records Schedule. The disposal 

methods of paper medical and health 

records will be in accordance with the 

approved IHS Records Schedule. The 

electronic data consisting of the 

individual personal identifiers and PHI 

maintained in the RPMS or any 

subsequent revised IHS database system 

should be inactivated once the paper 

record is forwarded to the appropriate 

FRC. 

SYSTEM MANAGER(S) AND ADDRESS: 

Policy Coordinating Official: Director, 

OCPS, IHS, Reyes Building, 801 

Thompson Avenue, Suite 300, 

Rockville, Maryland, 20852–1627. See 

Appendix 1. The IHS Area Office 

Directors, Service Unit Directors/Chief 

Executive Officers and Facility Directors 

listed in Appendix 1 are System 

Managers. 


ebenthall on PRODPC60 with NOTICES
Federal Register / Vol. 73, No. 165 / Monday, August 25, 2008 / Notices 50043 

NOTIFICATION PROCEDURE: 

General Procedure: Requests must be 

made to the appropriate System 

Manager (IHS Area, Program Office 

Director or Service Unit Director/Chief 

Executive Officer). A subject individual 

who requests a copy of, or access to, his 

or her medical record shall, at the time 

the request is made, designate in writing 

a responsible representative who will be 

willing to review the record and inform 

the subject individual of its contents. 

Such a representative may be an IHS 

health professional. When a subject 

individual is seeking to obtain 

information about himself/herself that 

may be retrieved by a different name or 

identifier than his/her current name or 

identifier, he/she shall be required to 

produce evidence to verify that he/she 

is the person whose record he/she seeks. 

No verification of identity shall be 

required where the record is one that is 

required to be disclosed under the 

Freedom of Information Act. Where 

applicable, fees for copying records will 

be charged in accordance with the 

schedule set forth in 45 CFR Part 5b. 

Requests in Person: Identification 

papers with current photographs are 

preferred but not required. If a subject 

individual has no identification but is 

personally known to the designated 

agency employee, such employee shall 

make a written record verifying the 

subject individual’s identity. If the 

subject individual has no identification 

papers, the responsible system manager 

or designated agency official shall 

require that the subject individual 

certify in writing that he/she is the 

individual whom he/she claims to be 

and that he/she understands that the 

knowing and willful request or 

acquisition of records concerning an 

individual under false pretenses is a 

criminal offense subject to a $5,000 fine. 

If an individual is unable to sign his/her 

name when required, he/she shall make 

his/her mark and have the mark verified 

in writing by two additional persons. 

Requests by Mail: Written requests 

must contain the name and address of 

the requester, his/her date of birth and 

at least one other piece of information 

that is also contained in the subject 

record, and his/her signature for 

comparison purposes. If the written 

request does not contain sufficient 

information, the System Manager shall 

inform the requester in writing that 

additional, specified information is 

required to process the request. 

Requests by Telephone: Since positive 

identification of the caller cannot be 

established, telephone requests are not 

honored. 

Parents, Legal Guardians and 

Personal Representatives: Parents of 

minor children and legal guardians or 

personal representatives of legally 

incompetent individuals shall verify 

their own identification in the manner 

described above, as well as their 

relationship to the individual whose 

record is sought. A copy of the child’s 

birth certificate or court order 

establishing legal guardianship may be 

required if there is any doubt regarding 

the relationship of the individual to the 

patient. 

RECORD ACCESS PROCEDURES: 

Same As Notification Procedures: 

Requesters may write, call or visit the 

last IHS facility where medical care was 

provided. Requesters should also 

provide a reasonable description of the 

record being sought. Requesters may 

also request an accounting of 

disclosures that have been made of their 

record, if any. 

Contesting Record Procedures: 

Requesters may write, call or visit the 

appropriate IHS Area/Program Office 

Director or Service Unit Director/Chief 

Executive Officer at his/her address 

specified in Appendix 1, and specify the 

information being contested, the 

corrective action sought, and the 

reasons for requesting the correction, 

along with supporting information to 

show how the record is inaccurate, 

incomplete, untimely, or irrelevant. 

RECORD SOURCE CATEGORIES: 

Individual and/or family members, 

IHS health care personnel, contract 

health care providers, State and local 

health care provider organizations, 

Medicare and Medicaid funding 

agencies, and the SSA. 

SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS

OF THE ACT: 

None. 

Appendix 1—System Managers and 

IHS Locations Under Their Jurisdiction 

Where Records Are Maintained: 

Director, Aberdeen Area Indian Health 

Service, Room 309, Federal Building, 115 

Fourth Avenue, SE, Aberdeen, South 

Dakota 57401. 

Director, Cheyenne River Service Unit, Eagle 

Butte Indian Hospital, P.O. Box 1012, Eagle 

Butte, South Dakota 57625. 

Director, Crow Creek Service Unit, Ft. 

Thompson Indian Health Center, P.O. Box 

200, Ft. Thompson, South Dakota 57339. 

Director, Fort Berthold Service Unit, Fort 

Berthold Indian Health Center, P.O. Box 

400, New Town, North Dakota 58763. 

Director, Carl T. Curtis Health Center, P.O. 

Box 250, Macy, Nebraska 68039. 

Director, Fort Totten Service Unit, Fort 

Totten Indian Health Center, P.O. Box 200, 

Fort Totten, North Dakota 58335. 

Director, Kyle Indian Health Center, P.O. Box 

540, Kyle, South Dakota 57752. 

Director, Lower Brule Indian Health Center, 

P.O. Box 191, Lower Brule, South Dakota 

57548. 

Director, McLaughlin Indian Health Center, 

P.O. Box 879, McLaughlin, South Dakota 

57642. 

Director, Omaha-Winnebago Service Unit, 

Winnebago Indian Hospital, Winnebago, 

Nebraska 68071. 

Director, Pine Ridge Service Unit, Pine Ridge 

Indian Hospital, Pine Ridge, South Dakota 

57770. 

Director, Rapid City Service Unit, Rapid City 

Indian Hospital, 3200 Canyon Lake Drive, 

Rapid City, South Dakota 57701. 

Director, Rosebud Service Unit, Rosebud 

Indian Hospital, Rosebud, South Dakota 

57570. 

Director, Sisseton-Wahpeton Service Unit, 

Sisseton Indian Hospital, P.O. Box 189, 

Sisseton, South Dakota 57262. 

Director, Standing Rock Service Unit, Fort 

Yates Indian Hospital, P.O. Box J, Fort 

Yates, North Dakota 58538. 

Director, Trenton-Williston Indian Health 

Center, P.O. Box 210, Trenton, North 

Dakota 58853. 

Director, Turtle Mountain Service Unit, 

Belcourt Indian Hospital, P.O. Box 160, 

Belcourt, North Dakota 58316. 

Director, Wanblee Indian Health Center, 100 

Clinic Drive, Wanblee, South Dakota 

57577. 

Director, Yankton-Wagner Service Unit, 

Wagner Indian Hospital, 110 Washington 

Street, Wagner, South Dakota 57380. 

Director, Youth Regional Treatment Center, 

P.O. Box 68, Mobridge, South Dakota 

57601. 

Director, Sac & Fox Health Center, 307 

Meskwaki Road, Tama, Iowa 52339. 

Director, Santee Health Center, 425 Frazier 

Avenue, N ST Street #2, Niobrara, 

Nebraska 68760. 

Director, Alaska Area Native Indian Health 

Service, 4141 Ambassador Drive, Suite 

300, Anchorage, Alaska 99508–5928. 

Director, Albuquerque Area Indian Health 

Service, 5300 Homestead Road, NE, 

Albuquerque, New Mexico 87110. 

Director, Acoma-Canoncito-Laguna Service 

Unit, Acoma-Canoncito-Laguna Indian 

Hospital, P.O. Box 130, San Fidel, New 

Mexico 87049. 

Director, To’Hajille Health Center, P.O. Box 

3528, Canoncito, New Mexico 87026. 

Director, New Sunrise Treatment Center, P.O. 

Box 219, San Fidel, New Mexico 87049. 

Director, Albuquerque Service Unit, 

Albuquerque Indian Hospital, 801 Vassar 

Drive, NE, Albuquerque, New Mexico 

87049. 

Director, Albuquerque Indian Dental Clinic, 

P.O. Box 67830, Albuquerque, New Mexico 

87193. 

Director, Alamo Navajo Health Center, P.O. 

Box 907, Magdalena, New Mexico 87825. 

Director, Jemez PHS Health Center, P.O. Box 

279, Jemez, New Mexico 87024 

Director, Santa Ana PHS Health Center, P.O. 

Box 37, Bernalillo, New Mexico 87004. 

Director, Sandia PHS Health Center, P.O. Box 

6008, Bernalillo, New Mexico 87004. 

Director, Zia PHS Health Center, 155 Capital 

Square, Zia, New Mexico 87053. 


ebenthall on PRODPC60 with NOTICES
50044 Federal Register / Vol. 73, No. 165 / Monday, August 25, 2008 / Notices 

Director, Santa Fe Service Unit, Santa Fe 

Indian Hospital, 1700 Cerrillos Road, Santa 

Fe, New Mexico 87501. 

Director, Santa Clara Health Center, RR5, 

P.O. Box 446, Espanola, New Mexico 

87532. 

Director, San Felipe Health Center, P.O. Box 

4344, San Felipe, New Mexico 87001. 

Director, Cochiti Health Center, P.O. Box 105, 

255 Cochiti Street, Cochiti, New Mexico 

87072. 

Director, Santo Domingo Health Center, P.O. 

Box 340, Santo Domingo, New Mexico 

87052. 

Director, Southern Colorado-Ute Service 

Unit, P.O. Box 778, Ignacio, Colorado 

81137. 

Director, Ignacio Indian Health Center, P.O. 

Box 889, Ignacio, Colorado 81137. 

Director, Towaoc Ute Health Center, Towaoc, 

Colorado 81334. 

Director, Jicarilla Indian Health Center, P.O. 

Box 187, Dulce, New Mexico 87528. 

Director, Mescalero Service Unit, Mescalero 

Indian Hospital, P.O. Box 210, Mescalero, 

New Mexico 88340. 

Director, Taos/Picuris Indian Health Center, 

P.O. Box 1956, 1090 Goat Springs Road, 

Taos, New Mexico 87571. 

Director, Zuni Service Unit, Zuni Indian 

Hospital, Zuni, New Mexico 87327. 

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

310, Pine Hill, New Mexico 87357. 

Director, Bemidji Area Indian Health Service, 

522 Minnesota Avenue, N.W., Bemidji, 

Minnesota 56601. 

Director, Red Lake Service Unit, PHS Indian 

Hospital, Highway 1, Red Lake, Minnesota 

56671. 

Director, Leech Lake Service Unit, PHS 

Indian Hospital, 425 7th Street, NW, Cass 

Lake, Minnesota 56633. 

Director, White Earth Service Unit, PHS 

Indian Hospital, P.O. Box 358, White Earth, 

Minnesota 56591. 

Director, Billings Area Indian Health Service, 

P.O. Box 36600, 2900 4th Avenue North, 

Billings, Montana 59101. 

Director, Blackfeet Service Unit, Browning 

Indian Hospital, P.O. Box 760, Browning, 

Montana 59417. 

Director, Heart Butte PHS Indian Health 

Clinic, Heart Butte, Montana 59448. 

Director, Crow Service Unit, Crow Indian 

Hospital, Crow Agency, Montana 59022. 

Director, Lodge Grass PHS Indian Health 

Center, Lodge Grass, Montana 59090. 

Director, Pryor PHS Indian Health Clinic, 

P.O. Box 9, Pryor, Montana 59066. 

Director, Fort Peck Service Unit, Poplar 

Indian Hospital, Poplar, Montana 59255. 

Director, Fort Belknap Service Unit, Harlem 

Indian Hospital, Harlem, Montana 59526. 

Director, Hays PHS Indian Health Clinic, 

Hays, Montana 59526. 

Director, Northern Cheyenne Service Unit, 

Lame Deer Indian Health Center, Lame 

Deer, Montana 59043. 

Director, Wind River Service Unit, Fort 

Washakie Indian Health Center, Fort 

Washakie, Wyoming 82514. 

Director, Arapahoe Indian Health Center, 

Arapahoe, Wyoming 82510. 

Director, Chief Redstone Indian Health 

Center, Wolf Point, Montana 59201. 

Director, California Area Indian Health 

Service, John E. Moss Federal Building, 

650 Capitol Mall, Suite 7–100, Sacramento, 

California 95814. 

Director, Nashville Area Indian Health 

Service, 711 Stewarts Ferry Pike, 

Nashville, Tennessee 37214–2634. 

Director, Catawba PHS Indian Nation of 

South Carolina, P.O. Box 188, Catawba, 

South Carolina 29704. 

Director, Unity Regional Youth Treatment 

Center, P.O. Box C–201, Cherokee, North 

Carolina 28719. 

Director, Navajo Area Indian Health Service, 

P.O. Box 9020, Highway 264, Window 

Rock, Arizona 86515–9020. 

Director, Chinle Service Unit, Chinle 

Comprehensive Health Care Facility, P.O. 

Drawer PH, Chinle, Arizona 86503. 

Director, Tsaile Health Center, P.O. Box 467, 

Navajo Routes 64 and 12, Tsaile, Arizona 

86556. 

Director, Rock Point Field Clinic, do Tsaile 

Health Center, P.O. Box 647, Tsaile, 

Arizona 86557. 

Director, Pinon Health Station, Pinon, 

Arizona 86510. 

Director, Crownpoint Service Unit, 

Crownpoint Comprehensive Health Care 

Facility, P.O. Box 358, Crownpoint, New 

Mexico 87313. 

Director, Pueblo Pintado Health Station, c/o 

Crownpoint Comprehensive Health Care 

Facility, P.O. Box 358, Crownpoint, New 

Mexico 87313. 

Director, Fort Defiance Service Unit, Fort 

Defiance Indian Hospital, P.O. Box 649, 

Intersection of Navajo Routes N12 and N7, 

Fort Defiance, Arizona 86515. 

Director, Nahata Dziil Health Center, P.O. 

Box 125, Sanders, Arizona 86512. 

Director, Gallup Service Unit, Gallup Indian 

Medical Center, P.O. Box 1337, Nizhoni 

Boulevard, Gallup, New Mexico 87305. 

Director, Tohatchi Indian Health Center, P.O. 

Box 142, Tohatchi, New Mexico 87325. 

Director, Ft. Wingate Health Station, do 

Gallup Indian Medical Center, P.O. Box 

1337, Gallup, New Mexico 87305. 

Director, Kayenta Service Unit, Kayenta 

Indian Health Center, P.O. Box 368, 

Kayenta, Arizona 86033. 

Director, Inscription House Health Center, 

P.O. Box 7397, Shonto, Arizona 86054. 

Director, Dennehotso Clinic, do Kayenta 

Health Center, P.O. Box 368, Kayenta, 

Arizona 86033. 

Director, Shiprock Service Unit, Northern 

Navajo Medical Center, P.O. Box 160, U.S. 

Hwy 491 North, Shiprock, New Mexico 

87420. 

Director, Dzilth-Na-O-Dith—Hle Indian 

Health Center, 6 Road 7586, Bloomfield, 

New Mexico 87413. 

Director, Teecnospos Health Center, P.O. Box 

103, N5114 BIA School Road, Teecnospos, 

Arizona 86514. 

Director, Sanostee Health Station, do 

Northern Navajo Medical Center, P.O. Box 

160, Shiprock, New Mexico 87420. 

Director, Toadlena Health Station, do 

Northern Navajo Medical Center, P.O. Box 

160, Shiprock, New Mexico 87420. 

Director, Teen Life Center, c/o Northern 

Navajo Medical Center, P.O. Box 160, 

Shiprock, New Mexico 87420. 

Director, Oklahoma City Area Indian Health 

Service, Five Corporation Plaza, 3625 NW 

Street, Oklahoma City, Oklahoma 73112. 

Director, Claremore Service Unit, Claremore 

Comprehensive Indian Health Facility, 

West Will Rogers Boulevard and Moore, 

Claremore, Oklahoma 74017. 

Director, Clinton Service Unit, Clinton Indian 

Hospital, Route 1, P.O. Box 3060, Clinton, 

Oklahoma 73601–9303. 

Director, El Reno PHS Indian Health Clinic, 

1631A E. Highway 66, El Reno, Oklahoma 

73036. 

Director, Watonga Indian Health Center, 

Route 1, Box 34–A, Watonga, Oklahoma 

73772. 

Director, Haskell Service Unit, PHS Indian 

Health Center, 2415 Massachusetts 

Avenue, Lawrence, Kansas 66044. 

Director, Lawton Service Unit, Lawton Indian 

Hospital, 1515 Lawrie Tatum Road, 

Lawton, Oklahoma 73501. 

Director, Anadarko Indian Health Center, 

P.O. Box 828, Anadarko, Oklahoma 73005. 

Director, Carnegie Indian Health Center, P.O. 

Box 1120, Carnegie, Oklahoma 73150. 

Director, Holton Service Unit, PHS Indian 

Health Center, 100 West 6th Street, Holton, 

Kansas 66436. 

Director, Pawnee Service Unit, Pawnee 

Indian Service Center, RR2, Box 1, Pawnee, 

Oklahoma 74058–9247. 

Director, Pawhuska Indian Health Center, 

715 Grandview, Pawhuska, Oklahoma 

74056. 

Director, Tahlequah Service Unit, W. W. 

Hastings Indian Hospital, 100 S5. Bliss, 

Tahlequah, Oklahoma 74464. 

Director, Wewoka Indian Health Center, P.O. 

Box 1475, Wewoka, Oklahoma 74884. 

Director, Phoenix Area Indian Health 

Service, Two Renaissance Square, 40 North 

Central Avenue, Phoenix, Arizona 85004. 

Director, Colorado River Service Unit, 

Chemehuevi Indian Health Clinic, P.O. Box 

1858, Havasu Landing, California 92363. 

Director, Colorado River Service Unit, 

Havasupai Indian Health Station, P.O. Box 

129, Supal, Arizona 86435. 

Director, Colorado River Service Unit, Parker 

Indian Health Center, 12033 Agency Road, 

Parker, Arizona 85344. 

Director, Colorado River Service Unit, Peach 

Springs Indian Health Center, P.O. Box 

190, Peach Springs, Arizona 86434. 

Director, Colorado River Service Unit, 

Sherman Indian High School, 9010 

Magnolia Avenue, Riverside, California 

92503. 

Director, Elko Service Unit, Newe Medical 

Clinic, 400 ‘‘A’’ Newe View, Ely, Nevada 

89301. 

Director, Elko Service Unit, Southern Bands 

Health Center, 515 Shoshone Circle, Elko, 

Nevada 89801. 

Director, Fort Yuma Service Unit, Fort Yuma 

Indian Hospital, P.O. Box 1368, Fort Yuma, 

Arizona 85366. 

Director, Keams Canyon Service Unit, Hopi 

Health Care Center, P.O. Box 4000, 

Polacca, Arizona 86042. 

Director, Schurz Service Unit, Schurz Service 

Unit Administration, Drawer A, Schurz, 

Nevada 89427. 

Director, Fort McDermitt Clinic, P.O. Box 

315, McDermitt, Nevada 89421. 

Director, Phoenix Service Unit, Phoenix 

Indian Medical Center, 4212 North 16th 

Street, Phoenix, Arizona 85016. 


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Federal Register / Vol. 73, No. 165 / Monday, August 25, 2008 / Notices 50045 

Director, Phoenix Service Unit, Salt River 

Health Center, 10005 East Osborn Road, 

Scottsdale, Arizona 85256. 

Director, San Carlos Service Unit, Bylas 

Indian Health Center, P.O. Box 208, Bylas, 

Arizona 85550. 

Director, San Carlos Service Unit, San Carlos 

Indian Hospital, P.O. Box 208, San Carlos, 

Arizona 85550. 

Director, Unitah and Ouray Service Unit, Fort 

Duchesne Indian Health Center, P.O. Box 

160, Ft. Duchesne, Utah 84026. 

Director, Whiteriver Service Unit, Cibecue 

Health Center, P.O. Box 37, Cibecue, 

Arizona 85941. 

Director, Whiteriver Service Unit, Whiteriver 

Indian Hospital, P.O. Box 860, Whiteriver, 

Arizona 85941. 

Director, Desert Vision Youth Wellness 

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

85247. 

Director, Portland Area Indian Health 

Service, Room 476, Federal Building, 1220 

Southwest Third Avenue, Portland, Oregon 

97204–2829. 

Director, Colville Service Unit, Colville 

Indian Health Center, P.O. Box 71–Agency 

Campus, Nespelem, Washington 99155. 

Director, Fort Hall Service Unit, Not-Tsoo 

Gah-Nee Health Center, P.O. Box 717, Fort 

Hall, Idaho 83203. 

Director, Neah Bay Service Unit, Sophie 

Trettevick Indian Health Center, P.O. Box 

410, Neah Bay, Washington 98357. 

Director, Warm Springs Service Unit, Warm 

Springs Indian Health Center, P.O. Box 

1209, Warm Springs, Oregon 97761. 

Director, Weilpinit Service Unit, David C. 

Wynecoop Memorial Clinic, P.O. Box 357, 

Weilpinit, Washington 99040. 

Director, Western Oregon Service Unit, 

Chemawa Indian Health Center, 3750 

Chemawa Road, NE, Salem, Oregon 97305–

1198. 

Director, Yakama Service Unit, Yakama 

Indian Health Center, 401 Buster Road, 

Toppenish, Washington 98948. 

Director, Tucson Area Indian Health Service, 

7900 South ‘‘J’’ Stock Road, Tucson, 

Arizona 85746–9352. 

Director, Pascua Yaqui Service Unit, Division 

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

Road, Tucson, Arizona 85746. 

Director, San Xavier Indian Health Center, 

7900 South ‘‘J’’ Stock Road, Tucson, 

Arizona 85746. 

Director, Sells Service Unit, Santa Rosa 

Indian Health Center, HCO1, P.O. Box 

8700, Sells, Arizona 85634. 

Director, Sells Service Unit, Sells Indian 

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

85634. 

Director, Sells Service Unit, West Side Health 

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

85634. 

Appendix 2—Federal Archives and 

Records Centers 

District of Columbia, Maryland Except U.S. 

Court Records for Maryland, Washington 

National Records Center, 4205 Suitland 

Road, Suitland, Maryland 20746–8001. 

Connecticut, Maine, Massachusetts, New 

Hampshire, Rhode Island, and Vermont, 

Federal Archives and Records Center, 

Frederick C. Murphy Federal Center, 380 

Trapelo Road, Waltham, Massachusetts 

02452–6399. 

Northeast Region, Federal Archives and 

Records Center, 10 Conte Drive, Pittsfield, 

Massachusetts 01201–8230. 

Mid-Atlantic Region and Pennsylvania, 

Federal Archives and Records Center, 

14700 Townsend Road, Philadelphia, 

Pennsylvania 19154–1096. 

Alabama, Florida, Georgia, Kentucky, 

Mississippi, North Carolina, South 

Carolina, and Tennessee, Federal Archives 

and Records Center, 1557 St. Joseph 

Avenue, East Point, Georgia 30344–2593. 

Illinois, Indiana, Michigan, Minnesota, Ohio 

and Wisconsin and U.S. Court Records for 

the mentioned States, Federal Archives 

and Records Center, 7358 South Pulaski 

Road, Chicago, Illinois 60629–5898. 

Michigan, Except U.S. Court Records, Federal 

Records Center, 3150 Springboro Road, 

Dayton, Ohio 45439–1883. 

Kansas, Iowa, Missouri and Nebraska, and 

U.S. Court Records for the mentioned 

States, Federal Archives and Records 

Center, 2312 East Bannister Road, Kansas 

City, Missouri 64131–3011. 

New Jersey, New York, Puerto Rico, and the 

U.S. Virgin Islands, and U.S. Court Records 

for the mentioned States and territories, 

200 Space Center Drive, Lee’s Summit, 

Missouri 64064–1182. 

Arkansas, Louisiana, Oklahoma and Texas, 

and U.S. Courts Records for the mentioned 

States, Federal Archives and Records 

Center, P.O. Box 6216, Ft. Worth, Texas 

76115–0216. 

Colorado, Wyoming, Utah, Montana, New 

Mexico, North Dakota, and South Dakota, 

and U.S. Courts Records for the mentioned 

States, Federal Archives and Records 

Center, P.O. Box 25307, Denver, Colorado 

80225–0307. 

Northern California Except Southern 

California, Hawaii, and Nevada Except 

Clark County, the Pacific Trust Territories, 

and American Samoa, and U.S. Courts 

Records for the mentioned States and 

territories, Federal Archives and Records 

Center, 1000 Commodore Drive, San 

Bruno, California 94066–2350. 

Arizona, Southern California, and Clark 

County, Nevada, and U.S. Courts Records 

for the mentioned States, Federal Archives 

and Records Center, 23123 Cajalco Road, 

Perris, California 93570–7298. 

Washington, Oregon, Idaho and Alaska, and 

U.S. Courts Records for the mentioned 

States, Federal Archives and Records 

Center, 6125 Sand Point Way NE, Seattle, 

Washington 98115–7999. 

[FR Doc. E8–19481 Filed 8–22–08; 8:45 am] 

BILLING CODE 4165–16–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Submission for OMB Review; 

Comment Request; National Institutes 

of Health Construction Grants 

SUMMARY: Under the provisions of 

Section 3507(a)(1)(D) of the Paperwork 

Reduction Act of 1995, the National 

Institutes of Health (NIH) has submitted 

to the Office of Management and Budget 

(OMB) a request to review and approve 

the information collection listed below. 

This proposed information collection 

was previously published in the Federal 

Register on June 16, 2008, pages 34026–

34027, and allowed 60 days for public 

comment. No public comments were 

received. The purpose of this notice is 

to allow an additional 30 days for public 

comment. The NIH may not conduct or 

sponsor, and the respondent is not 

required to respond to, information that 

has been extended, revised or 

implemented on or after October 1, 

2008, unless it displays a currently valid 

OMB control number. 

Proposed Collection: Title: National 

Institutes of Health Construction 

Grants—42 CFR Part 52b (Final Rule). 

Type of Information Collection Request: 

Extension of No. 0925–0424, expiration 

date 8/31/2008. Need and Use of the 

Information Collection: This request is 

for OMB review and approval of an 

extension for the information collection 

and recordkeeping requirements 

contained in the regulation codified at 

42 CFR Part 52b. The purpose of the 

regulation is to govern the awarding and 

administration of grants awarded by 

NIH and its components for 

construction of new buildings and the 

alteration, renovation, remodeling, 

improvement, expansion, and repair of 

existing buildings, including the 

provision of equipment necessary to 

make the buildings (or applicable part of 

the buildings) suitable for the purpose 

for which it was constructed. In terms 

of reporting requirements: Section 

52b.9(b) of the regulation requires the 

transferor of a facility which is sold or 

transferred, or owner of a facility, the 

use of which has changed, to provide 

written notice of the sale, transfer or 

change within 30 days. Section 52b.10(f) 

requires a grantee to submit an 

approved copy of the construction 

schedule prior to the start of 

construction. Section 52b.10(g) requires 

a grantee to provide daily construction 

logs and monthly status reports upon 

request at the job site. Section 52b.11(b) 

requires applicants for a project 

involving the acquisition of existing 

facilities to provide the estimated cost of 

the project, cost of the acquisition of 

existing facilities, and cost of 

remodeling, renovating, or altering 

facilities to serve the purposes for which 

they are acquired.In terms of 

recordkeeping requirements: Section 

52b.10(g) requires grantees to maintain 

daily construction logs and monthly 

status reports at the job site. Frequency 


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