[Federal Register Volume 71, Number 131 (Monday, July 10, 2006)]
[Notices]
[Pages 38884-38888]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-6067]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Office of Resources and Technology, Statement of Organization, 
Functions, and Delegations of Authority

    Part A, Office of the Secretary, Statement of Organizations, 
Functions and Delegations of Authority for the Department of Health and 
Human Services (HHS) is being amended at Chapter AM, ``Office of 
Budget, Technology and Finance (OBTF),'' which was last amended at 70 
FR 42321, dated July 22, 2005. This amendment will retitle, Chapter AM, 
``Office of Budget, Technology and Finance,'' as the Office of 
Resources and Technology; and realign the functions of Chapter AMS, 
``Office of Finance,'' and Chapter AMT, ``Office of Grants.'' The 
changes are as follows:
    Under Chapter AM, ``Office of the Assistant Secretary for Budget, 
Technology and Finance,'' make the following changes:
    A. Retitle Chapter AM, ``Office of the Budget, Technology and 
Finance (OBTF),'' as the ``Office of Resources and Technology (ORT),'' 
and the ``Assistant Secretary for Budget, Technology and Finance,'' as 
the ``Assistant Secretary for Resources and Technology (ASRT)''; and 
change all references within HHS of OBTF to read ORT, and of ASBTF to 
read ASRT.
    B. Under Section AM.20 Functions, make the following changes:
    1. Under paragraph D, ``Office of Finance (AMS),'' delete in its 
entirety and replace with the following:

D. Chapter AMS, Office of Finance (AMS)

    Section AMS.00 Mission. The Office of Finance is headed by the 
Deputy Assistant Secretary for Finance, who is also the Deputy Chief 
Financial Officer. The Office of Finance advises and supports the 
Secretary and the Assistant Secretary for Resources and Technology/CFO 
on all aspects of financial activities to accomplish departmental goals 
and program objectives. The mission of the office as directed by the 
Assistant Secretary for Resources and Technology is to: (1) Oversee the 
design and implementation of a unified financial management system 
(UFMS) for the Department (the UFMS is an umbrella system for the 
Department of which the Health Care Integrated General Ledger System 
(HIGLAS) at the Center for Medicare and Medicaid Services (CMS) and the 
National Institutes of Health Business System (NBS) are significant 
parts); (2) coordinate CFO activities and the preparation of reports 
throughout HHS, including the audited financial statements and the 
annual Performance and Accountability Report (PAR) for submission to 
the OMB and Congress; (3) participate in the clearance/approval process 
for program information systems that provide financial and/or program 
performance data which are used in financial statements in coordination 
with other ORT components; (4) provide advice to the ASRT/CFO and 
recommend approval of the job descriptions, skills requirements and 
selection of OPDIV CFOs; (5) provide advice to the ASRT/CFO who 
participates with each OPDIV Head in the annual performance plan/
evaluation of the OPDIV CFOs; (6) provide advice to the ASRT/CFO on the 
qualifications, recruitment, performance, training and retention of all 
financial management personnel; (7) serve as the Department liaison 
with the Office of Management and Budget (OMB), Department of the 
Treasury, the General Services Administration (GSA) and other Federal 
agencies; (8) develop and maintain Departmental finance and accounting 
standards; (9) resolve findings involving grantee financial/management 
systems; (10) ensure compliance with the Departmental and government-
wide reporting requirements of Section 2 and Section 4 of the Federal 
Managers' Financial Integrity Act (FMFIA) and the revised OMB Circular 
A-123, including requirements for an annual assurance on Internal 
Controls Over Financial Reporting (ICOFR); (11) establish Department 
policy for the resolution of findings included in Office of Inspector 
General (OIG) reports and audits; and (12) oversee other activities to 
improve financial management throughout the Department.
    Section AMS.10 Organization. The Office of Finance (OF) is headed 
by the Deputy Assistant Secretary for Finance (DASF), who is also the 
Deputy Chief Financial Officer, and reports to the Assistant Secretary 
for Resources and Technology/Chief Financial Officer (CFO). The Office 
includes the following:
    [cir] Immediate Office (AMS)
    [cir] Office of Financial Policy and Reporting (AMSI)
    [cir] Office of Program Management and Systems Policy (AMS2)

Section AMS.20 Functions

    1. Immediate Office (AMS). The Immediate Office is responsible for 
support and coordination of the Office of Finance components in their 
management of the areas listed under section AMS.00 Mission above, 
especially for ensuring compliance with the Departmental reporting 
requirements of the Federal Managers' Financial Integrity Act (FMFIA) 
as Departmental FMFIA Coordinator. In addition, the Immediate Office 
recommends ASRT/CFO approval of the job description and skill 
requirements for OPDIV CFOs, advises the ASRT/CFO on the selection of 
OPDIV CFOs; and advises the ASRT/CFO regarding the annual performance 
plan/evaluation of each OPDIV CFO. The office also provides guidance on 
the qualifications, recruitment, training and retention of all 
financial management personnel.
    2. Office of Financial Policy and Reporting (AMS1). The Office of 
Financial Policy and Reporting (OFPR) consists of:
    [cir] Division of Financial Management Policy (AMS11)
    [cir] Division of Financial Statements and Audit (AMS12)
    a. Division of Financial Management Policy (AMS11). The Division of 
Financial Management Policy (DFMP):
    (1) Ensures that proper internal controls are implemented and 
maintained under OMB Circular A-123, Management's Responsibility for 
Internal Control;
    (2) Coordinates with the OPDIVs in the preparation of the 
corrective action plan (CAP), which is submitted quarterly to OMB and 
reflects the material weaknesses and reportable conditions from the 
annual CFO audit and the Federal Managers' Financial Integrity Act 
(FMFIA) report;
    (3) Develops Department-wide policies, procedures, and standards 
for financial management areas including cash management, credit 
management, debt management, payment and disbursement activities and 
functions, and promulgates these and related government-wide financial 
management requirements through the Departmental Accounting Manual 
system;
    (4) Establishes a financial management planning process for the 
development of strategic and tactical plans, and provides guidance and 
financial management indicators that enable the ASRT/CFO to evaluate 
the financial management programs and activities of the Department;
    (5) Provides support to the OPDIV CFOs for financial planning and 
improvement initiatives;
    (6) Serves as principal staff advisor on financial management 
policy matters to the Office of Finance;
    (7) Maintains liaison with OMB, the Treasury, the GSA and other 
agencies on financial management policy matters;

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    (8) Prepares, analyzes, coordinates and assesses financial data 
reflecting financial, accounting and performance information of the 
Departmental financial activities;
    (9) Recommends policy and maintains a system for tracking and 
improving cash and credit management and debt collection performance 
throughout the Department;
    (10) Prepares the annual HHS report on CFO activities as guided by 
the DASF/Deputy CFO.
    b. Division of Financial Statements and Audit (AMS12): The Division 
of Financial Statements and Audits:
    (1) Oversees the preparation and submission of quarterly and annual 
consolidated financial statements for the Departments;
    (2) Acts as the principal contact with the OIG in planning the 
annual financial statement audit strategy under the CFO Act and the 
1994 amendments under the Government Management Reform Act (GMRA);
    (3) Reviews and interprets OMB, GAO, Treasury and Federal 
Accounting Standards Board (FASAB) guidance related to government wide 
accounting policy and standards and develops the Department's policy 
for implementation of these requirements and assures that policies and 
procedures are in accordance with internal control and reporting 
standards of financial management activities;
    (4) Develops uniform business rules, data standards and accounting 
policy and procedures in support of new financial system 
implementations. Ensures the development of ongoing accounting policy 
that further supports the consistent development and implementation of 
these systems;
    (5) Provides advice an assistance to OPDIVs and STAFFDIVs on 
financial accounting and related fiscal matters, and advises the DASF 
on such matters as they relate to financial system implementations;
    (6) Maintains liaison with OMB, the Treasury, and other agencies on 
accounting, financial policy and fiscal matters;
    (7) Maintains the Departmental Accounting Manual (DAM) which is the 
official accounting standard for recording and reporting accounting 
transactions;
    (8) Provides advice and assistance to OPDIVs and STAFFDIVs on 
financial accounting and related fiscal matters, government-wide 
accounting standards and serves as principal advisor to the DASF as it 
relates to financial statement preparation, audit and financial 
reporting.
    3. Office of Program Management and Systems Policy (AMS2). The 
Office of Program Management and Systems Policy (OPMSP) has the 
following components:
    [cir] Program Management Office (AMS21)
    [cir] Division of Systems Policy, Payment Integrity and Audit 
Resolution (AMS22)
    a. Program Management Office (AMS21): The Program Management Office 
(PMO) is responsible for overseeing the design and implementation of 
enterprise financial management systems, with a current priority on the 
unified financial management system (UFMS) consistent with the 
Secretary's June 2001 directive. The system consists of two major 
components: the Healthcare Integrated General Ledger Accounting System 
(HIGLAS) at the Centers for Medicare and Medicaid Services (CMS) and a 
system for the rest of the Department. The office's responsibilities 
include:
    (1) Serving as a focal point for (1) overseeing the design, 
development, and implementation of the UFMS and the development of 
life-cycle and budgetary plans; (2) monitoring the milestones and 
schedules as well as budget expenditures; and (3) the mediation and 
coordination of activities throughout all levels of HHS;
    (2) Ensuring that the UFMS complies with applicable Federal 
accounting concepts and standards, as well as HHS accounting policies 
and procedures;
    (3) Ensuring that business requirements are met, the future 
direction of the initiative is consistent with HHS planning, and the 
status of the project is appropriately communicated to internal and 
external organizations;
    (4) Overseeing a comprehensive program of change management that 
includes addressing Departmental communication, training plans and 
human resource issues;
    (5) Coordinating with workgroups to maximize the input from the 
cross-functional areas of HHS into the implementation process; and
    (6) Overseeing risk management plans to ensure that risk to the 
program are identified and effective mitigation strategies developed.
    b. Division of Systems Policy, Payment Integrity, and Audit 
Resolution (AMS22). The Division is responsible for overseeing the 
financial systems policy, payment integrity and audit resolution 
functions:
    (1) The financial system policy function oversees Department-wide 
financial systems policy development and implementation for HHS 
financial and mixed financial systems for adherence to government-wide 
and Departmental financial systems policy and standards; oversees the 
Department's compliance with the Federal Financial Management 
Improvement Act of 1996 and Section 4 of the Federal Managers' 
Financial Integrity Act; and helps ensure the financial accountability 
for these systems in conjunction with the HHS Office of Chief 
Information Officer. This includes the following functions:
    (a) Develops Department-wide policies and standards for financial 
and mixed financial systems;
    (b) Provides advice and serves as the focal point with OMB, 
Treasury and other Federal control agencies on financial systems 
compliance matters;
    (c) Provides for the establishment of Department-wide financial 
definitions and data structures;
    (d) Provides for the administration of a data integrity and quality 
control program to ensure compliance with applicable Federal 
directives, Departmental financial systems policy and automated 
financial data exchange requirements;
    (e) Manages the Capital Planning Investment Control (CPIC) process 
and the OMB Exhibit 300 business case development and review process 
for IT systems including financial management systems throughout HHS in 
support of the Department's Information Technology Investment Review 
Board (ITIRB);
    (f) Oversees and monitors existing Department-wide and component 
accounting and financial management systems;
    (g) Advises the DASF on financial systems related matters in 
collaboration with the Office of Financial Policy and Reporting; and
    (2) The payment integrity function oversees the Department's 
improper payment reduction initiatives which include recovery auditing, 
program risk assessments, estimating and reducing improper payments for 
high risk programs and reporting to OMB, Congress, and others on these 
estimates and the Department related actions. This includes:
    (a) Providing analyses of high risk programs and improper payment 
identification strategies and formulating recommendations on best 
approaches to meeting the requirements of the Improper Payments 
Information Act of 2002 (IPIA) and other related legislation, 
regulation and policy;
    (b) Identifying improvements to the HHS Risk Assessment Model and 
providing assistance to the OPDIVs in completing required IPIA program 
risk

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assessments, and addressing issues as they arise about the 
appropriateness of risk assessment conclusions;
    (c) Preparing reports, presentations and briefings for the 
Department's top management, OPDIVs, OMB and other organizations, on 
the improper payment initiative. This includes preparing the Appendix 
``Information on HHS Improper Payment and Recovery Auditing 
Initiative,'' which is included in the Department's annual Performance 
and Accountability Report (PAR).
    (3) The audit resolution function provides leadership in resolving 
crosscutting audit findings. It performs the following functions:
    (a) Reviews and resolves audit findings pertaining to monetary and/
or systemic findings of grantee and contractor organizations affecting 
the programs of more than one Operating or Staff Division or Federal 
agencies. Conducts or arranges for additional reviews as needed;
    (b) Coordinates, where necessary, with other affected Federal 
agencies to establish a uniform Federal position on the actions needed 
to be taken and negotiates resolution on behalf of all Federal 
Departments and agencies;
    (c) Makes recommendations to the Secretary, the ASRT and other 
officials on safeguards or other actions against a grantee or 
contractor, where the organization is unwilling or unable to correct 
serious deficiencies in a timely manner as deemed necessary;
    (d) Provides technical assistance to grantees, contractors, and 
other Operating and Staff Divisions related to the resolution of 
findings contained in audits of HHS awardees and financial management 
of grants and contracts;
    (e) Establishes and monitors policy regarding audit issuance, 
follow-up and resolution for the Department in support of the function 
of the HHS audit follow-up official as required by OMB Circular A-50;
    (f) Oversees the submission of required grantee audit reports;
    (g) Coordinates status of final action on OS audits with the ASRT 
Office of Budget; and
    (h) Prepares the Management Report on Final Action for the 
Department's annual Performance and Accountability Report.
    2. Under paragraph E, ``Office of Grant (AMT),'' delete in its 
entirety and replace with the following:

E. Chapter AMT, Office of Grants (AMT)

    Section AMT.00 Mission. The Office of Grants (OG) provides 
functional management directions in the areas of grants policy, grants 
oversight and evaluation, electronic grants, and grants streamlining. 
Provides Department-wide leadership in these areas through policy 
development, oversight and training. Provides Departmental and 
government-wide leadership on PL 106-107 implementation, Electronic 
Grants, and other HHS-led initiatives. Represents the Department in 
dealing with OMB, GSA and other Federal agencies in the areas of 
mandatory and discretionary grants, and electronic grants. Fosters 
creativity, collaboration, consolidation, and innovation in the 
administration of grants functions through the Department.
    Section AMT.10 Organization. The Office of Grants (OG) is headed by 
a Deputy Assistant Secretary for Grants who reports directly to the 
Assistant Secretary Resources and Technology, and consists of the 
following components:
     Immediate Office of Grants (AMT)
     Office of Grants Policy, Oversight and Evaluation (AMT1)
     Office of Grants Systems Modernization (AMT2)

Section AMT.20 Functions

    1. Immediate Office of Grants (AMT). The Immediate Office of Grants 
provides leadership, policy, and guidance and supervision, as well as 
coordinating long- and short-range planning to constituent 
organizations. The office supports the government-wide electronic 
grants initiative, including the outreach to grantors and grantees 
efforts, and interface with OMB, Federal CIO Council, and HHS 
leadership on the Grants.gov systems. Also, provides technical 
assistance to the Operating Divisions and evaluates effectiveness of 
their grant programs, including the development of performance 
standards and grant processing systems.
    2. Office of Grants Policy, Oversight and Evaluation (AMT1). The 
Office of Grants Policy, Oversight and Evaluation (OGPOE) reports to 
the Deputy Assistant Secretary for Grants, and:
    a. Formulates Department-wide grants policies governing the 
management of grants throughout the Department; establishes uniform 
administrative rules; and provides oversight and review.
    b. Provides leadership in the areas of managing cost policy and has 
functional responsibility for cost principles and Department-wide cost 
policies and procedures affecting grants and contracts. Serves as the 
Departmental liaison and maintains working relationship with OMB and 
other Federal agencies in the development of government-wide cost 
principles; maintains similar relationships with associations of 
States, universities and other grantee and contractor organizations. 
Upon request, reviews and approves accounting or other systems 
developed by grantees and contractors to meet Federal cost principle 
requirements.
    c. Develops HHS-wide and Government-wide grants management policy 
for Federal agencies, OPDIVs and STAFFDIVs awarding grants.
    d. Develops new or improved Department-wide grant policy, which 
brings the Department to and maintains it at the cutting edge of new 
ideas in the grants management profession. Reviews trends in the field 
in both public and private sectors, articulates new concepts and 
creative adaptation of others' pioneering efforts, tests new approaches 
in a systematic manner, with key offices in Government-wide policy 
organizations and HHS components, develops and implements HHS grants 
management regulations, and publishes new policies and modifications in 
the HHS Grants Policy Directives (GPDs), including all directives 
necessary to implement new intergovernmental and HHS policies.
    e. Implements requirements in the Federal Grant and Cooperative 
Agreement Act, the Federal Financial Assistance Management Improvement 
Act, OMB Circulars related to grants management, and other relevant 
legislation and Government-wide policy. Coordinates their 
implementation by the OPDIVs and STAFFDIVs, and provides technical 
assistance and policy interpretations to the OPDIVs and STAFFDIVs.
    f. Assists in the preparation of HHS and Government-wide positions 
on proposed legislation or proposed Government-wide policies concerning 
grants. Responds to correspondence and inquiries from State and local 
government officials, grantees and stakeholders.
    g. Develops and manages the HHS grants evaluation and oversight 
procedures to ensure compliance with grants policy and to assure that 
the policies, business practices, and actual performance of OPDIV and 
STAFFDIV's grants management offices are performed efficiently, and the 
government's legal and financial interests are protected. Develops 
Departmental requirements and criteria for performance of functions and 
creates review evaluation models, which can be adapted by the OPDIVs 
and STAFFDIVs for self-evaluation. Evaluates the adequacy of reviews 
and assesses the completeness or prognosis for success of action plans. 
Aggregates findings from a

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variety of sources to identify patterns, e.g., analyzes evaluation and 
oversight reports from internal HHS sources and from external sources 
such as GAO to identify trends/patterns and problem areas for the 
purpose of identifying alternative approaches.
    h. Represents the Department in interagency grants management 
activities. Provides counsel and direction on OMB Circulars, GAO 
reports, and OIG reports.
    i. Leads the Departmental grants community through the Executive 
Committee on Grants Administration Policy (ECGAP), made up of the 
senior grants managers in the OPDIV/ and STAFFDIVs, and manages the 
design and implementation of HHS grants management conferences to 
provide state-of-the-art information to Departmental officials.
    j. Develops a strategic management approach to career development 
for grants management professionals both within the Department and 
Government-wide. Takes the lead among senior grants management 
officials from major agencies participating on the HHS Career Services 
Board to define and update a competency-based training model, 
certification model and career development system for application 
Department-wide. Within a career management approach, develops and 
keeps current the training and development program, which meets the 
unique policies and needs of HHS, and produces a fully certified 
workforce among HHS grants management professionals. Ensures the 
development of comprehensive evaluation procedures to guarantee not 
only complete substantive information, but also full and appropriate 
use of state-of-the-art adult learning technologies. Negotiates with 
senior officials in other Departments to manage cross-servicing 
agreements for them to access HHS grants management training and 
development models and training and to develop tailored approaches to 
meet their unique needs.
    k. Establishes approach and methodology to conduct evaluations to 
assess the effectiveness of the grants awarded and the grantees 
receiving the awards, including the design of overall plans and 
strategies for the projects in order to meet mission or program goals, 
requirements and time frames, to support results-based management of 
grants.
    l. Coordinates the review of OPDIV/STAFFIDV grant announcements 
policies to ensure consistency with the Secretary and the 
Administration's Priorities and Initiatives, in addition for compliance 
with Department-wide grants policies and grant regulations.
    m. Serves as the Department's liaison in the area of grants and 
maintains working relationships with OMB, GSA and other Federal 
agencies to coordinate and assist in the development of policy.
    3. Office of Grants Systems Modernization (ATM2) The Office of 
Grants Systems Modernization (OGSM) reports to the Deputy Assistant 
Secretary for Grants, and consists of the following components:
    [cir] Grants.gov Program Management Division (AMT21)
    [cir] Division of Grants Streamlining Initiative (AMT22)
    [cir] Division of Grants Management Systems (AMT23)
    a. Grants.gov Program Management Division (AMT21): The Grants.gov 
Program Management Division (GPMD) provides leadership to federal and 
non-federal members of the Grant Community. The GPMD is responsible for 
the continued enhancement and development of a common, unified Web site 
and the accompanying business processes for ``Finding'' and 
``Applying'' for government-wide grant opportunities. The division 
reports to the Director, Office of Grants Systems Modernization, and:
    (1) Manage and collects the Grants.gov fee-for-service contributors 
from the 26 grant-making agencies utilizing a Memorandum of 
Understanding (MOU) and supports the agencies through Service Level 
Agreements.
    (2) Serves as a liaison to ensure coordination with OMB, Federal 
CIO Council, Grants Policy Committee and HHS leadership and other 
oversight organizations on the government-wide electronic grants 
initiative.
    (3) Enable the government to meet many of the streamlining 
activities required by Public Law 106-107.
    (4) Monitors Grants.gov milestones established with OMB to ensure 
they are met within cost and schedule parameters including HHS pass 
back re: E-Authentication Security Assertion Markup Language (SAML), 
multiple credential providers.
    (5) Coordinates and promotes the use of other government-wide 
initiatives in conjunction with the Grants.gov initiative (e.g., E-
Authentication, Central Contractor Registration (CCR)).
    (6) Prepares the OMB Exhibit 300 and Grants.gov Business case.
    (7) Formulates government-wide policy governing the Grants.gov. 
Find and Apply functions and coordination with the PL 106-107 PMO and 
Grants Policy Committee of the Counsel of the Chief Financial Officers.
    (8) Manages the clearance and revision of government-wide grant 
forms.
    (9) Monitors the adoption of government-wide grant policies and 
procedures as they affect Grants.gov to ensure compliance.
    (10) Manages and provides oversight of the Grants.gov initiative; 
conducts and coordinates outreach and training for grants management 
professionals, grantees and grantors.
    b. Division of Grants Streamlining Initiative (AMT22): This 
Division, established within HHS as the OMB-designated lead agency for 
implementation of Public Law 106-107, coordinates and provides program 
management support to the Work Groups and other interagency groups 
implementing Public Law 106-107. The Federal Financial Assistance 
Management Improvement Act of 1999, also known as Public Law 106-107, 
is the statute that underlies the agencies' efforts to streamline and 
simplify the grants and cooperative agreements administrative process. 
The Public Law 106-107 PMO is under the oversight of the Grants 
Executive Board and reports to the Director, Office of Grants Systems 
Modernization.
    (1) Coordinate PMO.
    (2) Establish and maintain business processes for Public Law 106-
107 work product development, approval, agency vetting, public comment, 
public comment reconciliation and restructuring of product and final 
pass off to OMB, the Federal Register, and Grants.gov (when 
applicable).
    (3) Manage the Public Law 106-107 funds, budget (justification) and 
expenditures.
    (4) Collect data and conduct analysis of data from public comment.
    (5) Maintain project milestones/deliverable dates (status report).
    (6) Create reports for GAO, establish the baseline model of the 
Annual Public Law 106-107 Congressional Report, tracking 26 Federal 
Agency submission of their Annual Public Law 106-107 Agency Specific 
Report to Congress.
    (7) Maintain a development/content of the Public Law 106-107 Web 
site.
    c. Division of Grants Management Systems (AMT23): This Division 
plans, directs and coordinates the activities of the OG with respect to 
implementation of all electronic grants initiatives, such as: 
Grants.gov, Tracking Accountability in Government Grants Systems 
(TAGGS), One-HHS Grants Management Systems Consolidation, Government-
wide Grants Management Line of Business, OG Internet/Intranet sites, 
for the Department. Represents the Department or the Office of Grants 
on

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matters of electronic assistance administration policy in dealing with 
recipients, OMB, other Federal agencies, and the public in general. The 
Division reports to the Director, Office of Grants Systems 
Modernization.
    II. Continuation of Policy: Except as inconsistent with this 
reorganization, all statements of policy and interpretations with 
respect to the Office of Grants (AMT) and the Office of Finance (AMS) 
heretofore issued and in effect prior to this reorganization are 
continued in full force and effect.
    III. Delegation of Authority: All delegations and redelegations of 
authority made to officials and employees of the Office of Grants (AMT) 
and the Office of Finance (AMS) will continue in them or their 
successors pending further redelegation, provided they are consistent 
with this reorganization.
    IV. Funds, Personnel and Equipment: Transfer of organizations and 
functions affected by this reorganization shall be accompanied by 
direct and support funds, positions, personnel, records, equipment, 
supplies, and other sources.

    Dated: June 30, 2006.
Michael Leavitt,
Secretary, Department of Health and Human Services.
[FR Doc. 06-6067 Filed 7-7-05; 8:45 am]
BILLING CODE 4150-24-M