Privacy Act of 1974; System of Records, 74495-74499 [2023-23964]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 88, Number 209 (Tuesday, October 31, 2023)]
[Notices]
[Pages 74495-74499]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-23964]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Privacy Act of 1974; System of Records

AGENCY: Indian Health Service, Department of Health and Human Services.

ACTION: Notice of a new system of records.

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SUMMARY: In accordance with the Privacy Act of 1974, as amended, the 
Department of Health and Human Services (HHS) is establishing a new 
system of records maintained by the Indian Health Service (IHS) Office 
of Clinical and Preventive Services (OCPS), System Number 09-17-0006, 
``Community Health Aide Program (CHAP) Records.'' The records in the 
new system of records are about individual healthcare providers who 
have applied for Federal certification under the Community Health Aide 
Program (CHAP) created under the Indian Health Care Improvement Act, as 
amended; and individuals serving as CHAP Certification Board members 
who review and evaluate the certification/recertification applications 
for completeness and verify that the candidates meet the minimum 
standards for certification. The CHAP Certification Board will provide 
the respective Area Director with its recommendation to either certify, 
recertify, or deny certification after reviewing the certification 
applications.

DATES: In accordance with 5 U.S.C. 552a(e)(4) and (11), this notice is 
applicable October 31, 2023, subject to a 30-day comment period on the 
routine uses described below. Please submit any comments by November 
30, 2023.

ADDRESSES: Written comments may be submitted by mail or email to: Dr. 
Lori Christensen, Chief Medical Officer, IHS, 5600 Fishers Lane--Mail 
Stop: 08E37A, Rockville, MD 20857, or [email protected]. Comments are 
reviewable at same location. To review comments in person, please 
contact the Office of the Chief Medical Officer at 240-701-3890.

FOR FURTHER INFORMATION CONTACT: General questions about this system of 
records may be submitted to Heather McClane, IHS Privacy Act Officer, 
ATTN: National Community Health Aide Program, 5600 Fishers Lane--Mail 
Stop: 09E70, Rockville, MD 20857, or by email at 
[email protected], or by phone at 240-479-8521. General questions 
may also be submitted to the Community Health Aide Program, Office of 
Clinical and Preventive

[[Page 74496]]

Services, at [email protected]. Additional information is available at 
www.ihs.gov/chap.

SUPPLEMENTARY INFORMATION: Consistent with 25 U.S.C. 1616l, the records 
system will be referred to as the Community Health Aide Program (CHAP) 
Records. The purpose of the new system of records is to preserve and 
process records related to Federal certification of health providers 
under the CHAP. CHAP providers include the disciplines and provider 
types approved by the National CHAP Certification Board.
    The records include: (1) applications for CHAP certification 
submitted by individual providers (those seeking certification at any 
level--e.g., levels I, II, III, IV, Practitioner, and Therapist, those 
seeking recertification, those previously certified seeking an 
additional or different certification, those denied Federal 
certification, and those with revoked Federal certification); and (2) 
the qualifications and recommendations of CHAP certification board 
members who review certification applications and provide 
recommendations to Area Directors for the certification, 
recertification, or denial of certification. The Area Certification 
Board may also provide review requests for decertifications and make 
recommendations to Area Directors to decertify individual providers.
    A Tribe or Tribal Organization supporting a CHAP Certification 
Board under an Indian Self-Determination and Education Assistance Act 
(ISDEAA) agreement may maintain a copy of a record, but the Tribe's 
copy would be a Tribal record, not a Federal agency record that is 
subject to the Privacy Act, Federal Records Act, or the Freedom of 
Information Act, nor would it constitute the official Federal record.

Roselyn Tso,
Director, Indian Health Service.

SYSTEM NAME AND NUMBER:
    Community Health Aide Program (CHAP) Records, 09-17-0006.

SECURITY CLASSIFICATION:
    Unclassified.

SYSTEM LOCATION:
    The addresses of the agency components responsible for the system 
of records are found in the Appendix.

SYSTEM MANAGER(S):
    The official listed in the Appendix for the Area Office that 
processed the particular certification application involving the 
subject individual as an applicant, or with respect to a board member 
from that Area's Certification Board, is the relevant System Manager 
who the subject individual must contact to make a Privacy Act request.

AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
    The Indian Health Care Improvement Act, as amended (25 U.S.C. 1601 
et seq.), and specifically 25 U.S.C. 1616l.

PURPOSE(S) OF THE SYSTEM:
    The records in this system of records will be used to implement the 
CHAP under 25 U.S.C. 1616l, including for these principal purposes:
    1. Purposes for which records about individual providers will be 
used:
     To process applications for certification that are 
submitted by prospective, current, and former CHAP providers seeking 
initial or renewal Federal certification to provide community health 
care, behavioral health, oral health services, or other services 
authorized by the IHS National CHAP Certification Board to be provided 
in a Federal or Tribal facility operating a CHAP.
     To document the dates and certification status of CHAP 
providers, including changes/modifications in categories and levels of 
certification. An example of a category modification would be a Dental 
Health Aide Therapist adding a level I Behavioral Health Aide 
certification. An example of a change in level would be a level IV 
Community Health Aide becoming a Community Health Aide Practitioner.
     To secure reciprocity for CHAP providers across 
jurisdictions and IHS-defined geographical areas (often referred to as 
``Areas'') by enabling the National Certification Board, in its 
oversight role, to ensure each Area's education/training requirements, 
standards and procedures meet or exceed the National standards.
     To ensure that Federal and Tribal healthcare facilities 
seeking to hire current, prospective, and former Federally certified 
CHAP providers have access to the certification status of providers 
certified under 25 U.S.C. 1616l.
     To ensure that CHAP providers are qualified, competent, 
and capable of delivering quality healthcare consistent with the 
National CHAP Program Standards and Policies at large, and that the 
CHAP providers' scopes of practice are in line with their competency, 
their training, and the ability of the facility to provide adequate 
support, equipment, services, and staff.
     To inform the staff of health care facilities seeking to 
employee CHAP providers for the purpose of assessing the providers' 
professional competence, character, and fitness.
     To inform State health professional boards that have 
oversight of CHAP providers of information they need to carry out their 
legally assigned functions.
    2. Purposes for which records about CHAP Certification Board 
members will be used:
     For board staffing and other administrative purposes and 
to ensure program integrity (i.e., to recruit and select individuals 
who are qualified to render certification decisions that maintain 
appropriate CHAP levels of care).
     To document each member's membership effective dates and 
separations, qualifications, and decisions related to Area 
Certification Board recommendations to Area Directors.
    IHS may also use the records for secondary purposes, such as 
program planning and evaluation, individual evaluation, continuous 
quality improvement, compiling of numbers and types of providers 
certified each cycle, and other purposes consistent with the 
authorities in 25 U.S.C. 1616l.

CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
    The records will be about these categories of individuals:
     Prospective, current, and former CHAP providers working or 
seeking to work in Tribal and Federal healthcare facilities and those 
denied certification, described in more detail as follows:
    [cir] Prospective--Those who have sought Federal certification and 
are awaiting a decision.
    [cir] Current--Those who have sought Federal certification and have 
been recommended and issued Federal certification for any level of 
provider approved by the National CHAP Certification Board. This 
includes those who may have advanced, regressed, or changed their 
provider type category.
    [cir] Former--Those who sought Federal certification and were 
recommended and issued Federal certification for any level of 
recognized CHAP providers but whose certification is not current.
    [cir] Individuals Denied Certification or Certification Revoked--
Those who applied for certification but whose application for 
certification was denied or had certifications revoked.
     Individuals serving as CHAP Certification Board Members 
who review applications for certification/recertification and requests 
for decertifications to make recommendations to the respective Area 
Director.

CATEGORIES OF RECORDS IN THE SYSTEM:
    The categories of records will include:

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    1. Application for CHAP certification, which contains:
    a. the legal name, other names/alias, and date of birth of the 
provider/applicant;
    b. provider/applicant contact information such as mailing and email 
addresses, phone number, and communication preferences;
    c. the names and dates of training and education programs attended, 
skills verification with address and contact phone number, including 
such programs attended as required for renewal or continuation of 
certification;
    d. applicable employment information such as employer, employer 
address, work phone, work email, fax, and states where services are 
provided or intend to be provided; and
    e. application status (e.g. complete, incomplete, provisional, 
approved, denied).
    2. Additional records may include:
    a. transcripts and training logs from educational/training 
programs;
    b. documentation of previous certifications held, revoked, or 
denied;
    c. information regarding liability insurance coverage;
    d. professional performance and achievement records, such as, 
continuing education certificates, performance awards, adverse or 
disciplinary actions, and evaluations and approvals completed by 
employers and supervisors; and employer-validated complaints against 
providers;
    e. records relating to the processing of and decision on 
applications for Federal certification and recertification or 
decertification; and for other relevant Federal certification and 
recertification or decertification actions; and
    f. records related to the qualifications of Certification Board 
Members, including letters of nomination, letters from supervisors 
indicating support of or opposition to nominations, Curriculum Vitae, 
professional contact information, and dates of membership.

RECORD SOURCE CATEGORIES:
    Information in the records may be provided by these sources:
     subject individual;
     CHAP Certification Boards;
     educational institutions attended;
     continuing education entities;
     internship, preceptorship, and practicum sites;
     human resource departments;
     professional associations;
     State and Tribal licensing boards;
     financial institutions from which these applicants have 
obtained educational loans;
     HHS contractors/subcontractors;
     PHS Commissioned Personnel Operations Division and U.S. 
Office of Personnel Operations Division and U.S. Office of Personnel 
Management personnel records;
     any HHS OPDIV or other Federal agencies maintaining 
records relevant to the applicant's qualifications, such as an agency 
where the individual worked as an employee or contractor, or the 
Department of the Treasury which maintains records of individuals 
disqualified to receive Federal payments;
     State or local governments;
     professional boards such as the Federation of State 
Medical Boards or similar non-government entities; and
     third parties providing reviews concerning the subject 
individual.

ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES 
OF USERS AND PURPOSES OF SUCH USES:
    In addition to the disclosures authorized directly in the Privacy 
Act at 5 U.S.C. 552a(b)(1), (b)(2), and (b)(4) through (b)(11), these 
routine uses specify circumstances under which the agency may disclose 
information from this system of records to a non-HHS officer or 
employee without the consent of the subject individual. IHS will 
prohibit redisclosures, or may permit only certain redisclosures, as 
required or authorized by law. Each proposed disclosure permitted 
directly in the Privacy Act or under these routine uses will also be 
evaluated to ensure that the disclosure is legally permissible under 
any other applicable laws.
    1. Disclosures for Evaluation of Healthcare Delivery Services. 
Records about applicants and certified providers may be disclosed to 
organizations authorized to conduct evaluation studies concerning the 
delivery of health care services by the IHS and HHS (e.g., Joint 
Commission on the Accreditation of Healthcare Organizations).
    2. Disclosures to CHAP Certification Boards and Contractors to 
perform duties. Certification records about CHAP providers may be 
disclosed to CHAP Certification Boards authorized by IHS, consistent 
with 25 U.S.C 1616l. This includes disclosures to the non-Federal 
members of a CHAP Certification Board and to employees of a Tribe or 
Tribal organization who have a need to have access to the information 
in performance of their duties or activities for such boards and 
organizations operating under an Indian Self-Determination and 
Education Assistance Act (ISDEAA) agreement.
    3. Disclosures for certification software vendors/contractors. 
Records may be disclosed to a certification software vendor performing 
or working on a contract for IHS and who has a need to have access to 
the information in the performance of its duties or activities for IHS 
in accordance with law and with the contract.
    4. Disclosures for Evaluation or Verification of Application Data. 
IHS may disclose biographic data and information supplied by an 
applicant to (a) contacts listed on the applications and associated 
forms for the purpose of evaluating the applicant's professional 
qualifications, personal characteristics, experience, and suitability, 
(b) a Federal, state, or local government health profession licensing 
or certification board, or (c) a health care oversight or professional 
monitoring organization or program (e.g., accreditation surveyors, or 
the National Practitioner Data Bank) for the purpose of verifying that 
a clinician's claimed background and employment data are valid and all 
claimed credentials are current and in good standing.
    5. Disclosures for Reimbursement of Care Purposes. Records about a 
provider's certification status may be disclosed to Federal, state, 
private and third-party payers that need to know the provider's 
certification status to issue reimbursements for care rendered by the 
provider.
    6. Disclosures to OPM. Records about providers may be disclosed to 
the Office of Personnel Management (OPM) if the records are relevant to 
the individual's application for or maintenance of Civil Service 
appointments.
    7. Disclosures for human resource matters. Records pertaining to 
IHS certification decisions may be disclosed to Federal, state, local, 
or Tribal entities when necessary for them to address human resources 
matters arising from IHS certification decisions.
    8. Disclosures for Compliance Monitoring. Records about a current 
provider or board member may be disclosed to relevant governmental 
agencies for the purpose of monitoring the individual's compliance with 
applicable laws and standards, on an ongoing basis, to ensure that the 
individual remains qualified for Federal certification or to serve as a 
CHAP Certification Board member.
    9. Disclosure to Department of Justice or in Proceedings. HHS may 
disclose information from this system of records to the Department of 
Justice (DOJ), or to a court or other tribunal, when any of the 
following is a party to litigation or similar proceedings or has an 
interest in such proceedings, and HHS determines that the proceedings 
are likely to affect HHS or any of its components: (a) HHS, or any 
component thereof; (b) any HHS employee in their official capacity; (c)

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any HHS employee in their individual capacity where the DOJ (or HHS, 
where it is authorized to do so) has agreed to represent the employee; 
or (d) the United States or any agency thereof. In order to disclose 
information in these circumstances, HHS must determine that the use of 
such records by the DOJ, the court or other tribunal is relevant and 
necessary to the proceedings and would help in the effective 
representation of the governmental party or interest.
    10. Disclosures to Congressional Office. Records may be disclosed 
to a congressional office from the record of an individual in response 
to a verified inquiry from the congressional office made at the written 
request of that individual.
    11. Reporting Violations or Potential Violations of Law. In the 
event that a record in this system of records on its face, or in 
conjunction with other records, indicates a violation or potential 
violation of law, whether civil, criminal, or regulatory in nature, and 
whether arising by general statute or particular program statute, or by 
regulation, rule, or order issued pursuant thereto, the relevant 
records in this system of records may be referred to the appropriate 
agency, whether Federal, state, local, or Tribal, charged with 
enforcing or implementing the statute or rule, regulation, or order 
issued pursuant thereto.
    12. Disclosure in the Event of a Security Breach Experienced by 
HHS. Records may be disclosed to appropriate agencies, entities, and 
persons when: (1) HHS suspects or has confirmed that there has been a 
breach of the system of records; (2) HHS has determined that as a 
result of the suspected or confirmed breach there is a risk of harm to 
individuals, HHS (including its information systems, programs, and 
operations), the Federal Government, or national security; and (3) the 
disclosure made to such agencies, entities, and persons is reasonably 
necessary to assist in connection with HHS efforts to respond to the 
suspected or confirmed breach or to prevent, minimize, or remedy such 
harm.
    13. Disclosure to Assist another Agency Experiencing a Security 
Breach. Records may be disclosed to another Federal agency or Federal 
entity, when HHS determines that information from this system of 
records is reasonably necessary to assist the recipient agency or 
entity in: (1) responding to a suspected or confirmed breach or (2) 
preventing, minimizing, or remedying the risk of harm to individuals, 
the recipient agency or entity (including its information systems, 
programs, and operations), the Federal Government, or national 
security, resulting from a suspected or confirmed breach.
    14. Medical Quality Assurance Disclosures. Records about providers 
and board members may be disclosed for any purpose authorized by 25 
U.S.C. 1675(d) or (e)(2). To the extent the records are protected by 25 
U.S.C. 1675, the records may only be disclosed in accordance with the 
exceptions in 25 U.S.C. 1675(d) and (e)(2).
    15. Disclosures of Certification Status. Records about current or 
former CHAP providers, individuals denied certification, or individuals 
seeking certification may be disclosed to Federal, state, local and 
Tribal governmental entities with authority to maintain records 
concerning the issuance, retention, or revocation of Federal 
certifications necessary to practice a health professional occupation 
or specialty.
    16. Disclosures to the public. Information about a provider's 
certification status may be made public for awareness of which 
providers are currently in good standing as CHAP providers, or to share 
how many providers are certified to help determine the need for more 
providers or training facilities based on clinical need, and would be 
limited to information that would be required to be disclosed to the 
public under the Freedom of Information Act.

POLICIES AND PRACTICES FOR STORAGE OF RECORDS:
    The records will be stored in file folders and computer-based 
electronic files on the secure IHS network indexed by name and record 
number in accordance with current IHS policy.

POLICIES AND PRACTICES FOR RETRIEVAL OF RECORDS:
    The records will be retrieved by the subject individual's name or 
certification number (for current and former CHAP providers) and any 
other identifying numbers necessary to ensure that the records 
retrieved are about the intended individual.

POLICIES AND PRACTICES FOR RETENTION AND DISPOSAL OF RECORDS:
    Upon approval of a disposition schedule by the National Archives 
and Records Administration (NARA), the records will be disposed of when 
eligible for destruction under the schedule, if the records are no 
longer needed for administrative, audit, legal, or operational 
purposes. While the records are unscheduled, they must be retained 
indefinitely. Note that CHAP is an expansion of the use of CHAP 
providers throughout the IHS health system, and only the Alaska CHAP 
maintains historical and archived records.

ADMINISTRATIVE, TECHNICAL, AND PHYSICAL SAFEGUARDS:
    The records will be protected from unauthorized access by the 
following safeguards. All safeguards will conform to applicable laws, 
rules, and policies, including the HHS Information Security and Privacy 
Program, https://www.hhs.gov/ocio/securityprivacy/, the E-Government 
Act of 2002, as amended (44 U.S.C. ch. 35), pertinent National 
Institutes of Standards and Technology (NIST) publications, and OMB 
Circular A-130, Managing Information as a Strategic Resource.
    Authorized Users: Access will be limited to authorized users who 
(1) have a need for such records in the performance of their official 
duties and (2) are advised of the confidentiality of the records and 
the civil and criminal penalties for misuse. Particularly as the IHS 
transitions to an electronic records system, authorized users may 
include individuals and entities outside of HHS who are given certain 
access for purposes of facilitating specific disclosures authorized 
under the Privacy Act, including the routine uses described above. For 
example, authorized users may include: National Certification Board 
members, Area Certification Board members, IHS Area Offices, Office of 
Clinical and Preventive Services CHAP staff, clinical supervision staff 
and additional IHS or Tribal staff with oversight responsibilities 
related to CHAP providers within an Indian Health Program, as defined 
in 25 U.S.C. 1603(12).
    At each location where records in this system will be maintained, a 
list of users or categories of users having an official need-to-know 
has been developed and is maintained.
    Physical Safeguards: Paper records will be kept in locked metal 
filing cabinets or in locked desk drawers in secured rooms at all times 
when not actually in use during working hours and at all times during 
non-working hours. Record storage areas, including file cabinets and 
desks, are not left unattended or unlocked during office hours, 
including lunch hours.
    Administrative Safeguards: Only persons who have an official need-
to-know will be entrusted with records from this system of records, and 
they will be instructed to safeguard the confidentiality of the records 
and to destroy all copies or to return such records when the need to 
know has ended. Instructions will include the

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statutory penalties for noncompliance. Proper charge-out procedures 
will be followed for the removal of records from the area in which they 
are maintained. Authorized users will receive privacy and security 
training before record access is granted and annually thereafter. When 
copying records for authorized purposes, employees are instructed to 
ensure that any imperfect pages are not left in the reproduction room 
where they can be read but are destroyed or obliterated. Area Privacy 
Coordinators have routine access for monitoring compliance with privacy 
regulations.
    Technical Safeguards: Records in the electronic system will be 
secured by encryption and intrusion detection systems. Access to 
electronic records will be controlled by user name and password.

RECORD ACCESS PROCEDURES:
    To request access to records about you in this system of records, 
submit a written access request addressed to the relevant System 
Manager (see the Appendix and the ``System Manager(s)'' section of this 
SORN). The request must:
     Reasonably describe the records sought.
     Include (as applicable) the name of the IHS Service Unit 
relevant to your certification application, or the name of the Area 
Certification Board on which you served, and pertinent dates.
     Include (for contact purposes and identity verification 
purposes) your full name, current address, telephone number and/or 
email address, date and place of birth, signature, evidence of other 
names used (if seeking records retrieved by a name other than your 
current name), and, if needed by the agency, sufficient particulars 
contained in the records (such as, record number or other identifying 
numbers) to enable the agency to locate the records and distinguish 
between records on subject individuals with the same name.
    In addition, to verify your identity, your signature on the request 
must be notarized or the request must include, above your signature, 
your written certification that you are the individual who you claim to 
be and that you understand that the knowing and willful request for or 
acquisition of a record pertaining to an individual under false 
pretenses is a criminal offense subject to a fine of up to $5,000.
    In your written request, you may request that copies of the records 
be sent to you or include your signed, written consent directing that 
the records be sent to a third party, or you may request an appointment 
to review the records in person (including with a person of your 
choosing, if you provide written authorization for agency personnel to 
discuss the records in that person's presence). If you make an 
appointment to review the records in person, you must bring at least 
one piece of tangible identification, such as a driver's license or 
passport, to the appointment. You may also request an accounting of 
disclosures that have been made of records about you, if any. Requests 
by telephone will not be accepted.
    To the extent the records are Medical Quality Assurance records 
protected by 25 U.S.C. 1675, the records may be disclosed only in 
accordance with the exceptions in 25 U.S.C. 1675(d) and (e)(2), because 
the Privacy Act right of access provisions are superseded by the 
confidentiality provisions protecting Medical Quality Assurance 
Records. Accordingly, Medical Quality Assurance Records will only be 
released pursuant to the Privacy Act when the Agency has decided to 
release the records in accordance with 25 U.S.C. 1675(d) or (e)(2).

CONTESTING RECORD PROCEDURES:
    To request correction of a record about you in this system of 
records, submit a written request to the relevant System Manager (see 
the Appendix and the ``System Manager(s)'' section of this SORN). The 
request must contain the same information required for an access 
request and include verification of your identity in the same manner 
required for an access request. In addition, the request must 
reasonably identify the record, specify the information contested, and 
state the corrective action sought and the reasons for requesting the 
correction. The request should include supporting information to show 
how the record is factually inaccurate, incomplete, untimely, or 
irrelevant. The right to contest records is limited to information that 
is factually inaccurate, incomplete, untimely (obsolete), or 
irrelevant.

NOTIFICATION PROCEDURES:
    To find out if the system of records contains a record about you, 
submit a written notification request to the relevant System Manager 
(see the Appendix and the ``System Manager(s)''section of this SORN). 
The request must identify this system of records, contain the same 
information required for an access request, and include verification of 
identity in the same manner required for an access request.

EXEMPTIONS PROMULGATED FOR THE SYSTEM:
    None.

HISTORY:
    None.

Appendix:

Chief Medical Officer, Office of the Director, HQ, 5600 Fishers 
Lane, MS 08E37A, Rockville, MD 20857, Phone: 204-701-3890, Fax No: 
301-594-6213
Director--Alaska Area Office, 4141 Ambassador Dr., Suite 300, 
Anchorage AK 99508, Phone: 907-729-3683
Director--Albuquerque Area Office, 4101 Indian School Rd. NE, Suite 
225, Albuquerque, NM 87110-3988, Phone: 505-256-6800, Fax No. 505-
256-6847
Director--Bemidji Area Office, Indian Health Service, U.S. 
Department of Health and Human Services, Bemidji Technology Park, 
2225 Cooperative Ct. NW, Bemidji, MN 56601, Phone: (218) 444-0452
Director--Billings Area Office, 2900 4th Avenue North, Billings, MT 
59101
Director--California Area Office, 650 Capitol Mall, Suite 7-100, 
Sacramento, CA 95814, Phone: 916-930-3927, Fax No: 916-930-3952
Director--Great Plains Area Office, 115 4th Avenue SE, Room 309, 
Aberdeen, SD 57401, Phone: 605-226-7581, Fax No: 605-226-7541
Director--Nashville Area Office, 711 Stewarts Ferry Pike, Nashville, 
TN 37214, Phone: 915-467-1500
Director--Navajo Area Office, P.O. Box 9020, Window Rock, AZ 86515, 
Phone: 928-871-5801, Fax No: 928-871-5872
Director--Oklahoma City Area Office, 701 Market Drive, Oklahoma 
City, OK 73114, Phone: 405-951-3820, Fax: 405-951-3780
Director--Phoenix Area Office, Two Renaissance Square, 40 N Central 
Avenue, Suite 504, Phoenix, AZ 85004, Phone: 602-364-5039
Director--Portland Area Indian Health Service, 1414 NW Northrup 
Street, Suite 800, Portland, OR 97209, Phone: 503-414-5555 Fax: 503-
414-5554
Director--Tucson Area Office, 7900 South J Stock Road, Tucson, AZ 
85746, Phone: 520-547-8140

[FR Doc. 2023-23964 Filed 10-30-23; 8:45 am]
BILLING CODE 4166-14-P