<mods xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://www.loc.gov/mods/v3" version="3.3" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-3.xsd" ID="P0b002ee1d9f1547d">
    <name type="corporate">
         <namePart>United States Government Publishing Office</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">publisher</roleTerm>
              <roleTerm authority="marcrelator" type="code">pbl</roleTerm>
        </role>
         <role>
              <roleTerm authority="marcrelator" type="text">distributor</roleTerm>
              <roleTerm authority="marcrelator" type="code">dst</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Health and Human Services Department</namePart>
         <namePart>Indian Health Service</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">author</roleTerm>
              <roleTerm authority="marcrelator" type="code">aut</roleTerm>
        </role>
         <description>Government Organization</description>
    </name>
    <typeOfResource>text</typeOfResource>
    <genre authority="marcgt">government publication</genre>
    <language>
         <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
    </language>
    <extension>
         <collectionCode>CMR</collectionCode>
         <category>Executive Agency Publications</category>
         <branch>executive</branch>
         <dateIngested>2025-11-13</dateIngested>
    </extension>
    <originInfo>
         <publisher>Health and Human Services Department, Indian Health Service</publisher>
         <dateIssued encoding="w3cdtf">2025-09-03</dateIssued>
         <issuance>continuing</issuance>
         <frequency authority="marcfrequency">Annual</frequency>
    </originInfo>
    <physicalDescription>
         <note type="source content type">deposited</note>
         <digitalOrigin>born digital</digitalOrigin>
         <extent>46 digital object pages</extent>
    </physicalDescription>
    <classification authority="sudocs">HE 20.302:SA 5/</classification>
    <identifier type="uri">https://www.govinfo.gov/app/details/CMR-HE20_300-00197097</identifier>
    <identifier type="local">P0b002ee1d9f1547d</identifier>
    <identifier type="ILS system id">001414911</identifier>
    <recordInfo>
         <recordContentSource authority="marcorg">DGPO</recordContentSource>
         <recordCreationDate encoding="w3cdtf">2025-11-13</recordCreationDate>
         <recordChangeDate encoding="w3cdtf">2026-06-24</recordChangeDate>
         <recordIdentifier source="DGPO">CMR-HE20_300-00197097</recordIdentifier>
         <recordOrigin>machine generated</recordOrigin>
         <languageOfCataloging>
              <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
        </languageOfCataloging>
    </recordInfo>
    <accessCondition type="GPO scope determination">fdlp</accessCondition>
    <extension>
         <docClass>HE20_300</docClass>
         <accessId>CMR-HE20_300-00197097</accessId>
         <reportId>00197097</reportId>
         <submissionId>00197097</submissionId>
         <ACCode>CMR</ACCode>
         <organization>Department of Health and Human Services - Indian Health Service (IHS)</organization>
         <organizationDisplayName>Indian Health Service</organizationDisplayName>
         <publicationDate>2025-09-03</publicationDate>
         <reportSubmittedTo>Congress</reportSubmittedTo>
         <submittedToCongressDate>2025-09-03</submittedToCongressDate>
         <submittedToGpoDate>2025-10-31</submittedToGpoDate>
         <requiredAtGpoDate>2025-11-02</requiredAtGpoDate>
         <isOnTime>true</isOnTime>
         <chamberSubmittedTo>BOTH</chamberSubmittedTo>
         <receivingChamber>HOUSE</receivingChamber>
         <receivingChamber>SENATE</receivingChamber>
         <congress years="2025-2026">119</congress>
         <rtbmtc>
                                
              <legalAuthority>P.L. 94-437, as amended 25 U.S.C. § 1601 et seq</legalAuthority>
                                
              <natureOfReport>Implementation of the Indian Health Care Improvement Act</natureOfReport>
                                
              <whenExpected>Not less than once a year</whenExpected>
                            
        </rtbmtc>
         <agencyReportId>65979-4</agencyReportId>
         <isWithholdingLetter>false</isWithholdingLetter>
         <isReplacement>false</isReplacement>
         <isCurrentEdition>true</isCurrentEdition>
         <requirement>
                                
              <number>1580</number>
                                
              <updateDate>2021-11-05</updateDate>
                                
              <parentAgency>Department of Health and Human Services</parentAgency>
                                
              <frequency>Annually.</frequency>
                                
              <nature>Implementation of the Indian Health Care Improvement Act.</nature>
                                
              <legalAuthority>25 U.S.C. 1671; Public Law 94-437, section 701 (as amended by Public Law 102-573, section 801); (106 Stat. 4572)</legalAuthority>
                                
              <activeRecord>true</activeRecord>
                                
              <submittingAgency>Department of Health and Human Services</submittingAgency>
                            
        </requirement>
         <communication>
                                
              <chamber>HOUSE</chamber>
                                
              <number>1895</number>
                                
              <typeCode>EC</typeCode>
                                
              <updateDate>2026-04-19</updateDate>
                                
              <sessionNumber>1</sessionNumber>
                                
              <isRuleMaking>false</isRuleMaking>
                                
              <abstract>A letter from the Assistant Secretary for Legislation, Department of Health and Human Services, transmitting the Annual Report to the Congress of the United States On Sanitation Deficiency Levels for Indian Homes and Communities for Fiscal Year 2024, pursuant to 25 U.S.C. 1671; Public Law 94–437, section 701 (as amended by Public Law 102–573, section 801); (106 Stat. 4584); jointly to the Committees on Natural Resources and Energy and Commerce.</abstract>
                                
              <crecDate>2025-09-08</crecDate>
                                
              <reportNature>The Annual Report to the Congress of the United States On Sanitation Deficiency Levels for Indian Homes and Communities for Fiscal Year 2024.</reportNature>
                                
              <submittingAgency>Department of Health and Human Services</submittingAgency>
                                
              <submittingOfficial>Assistant Secretary for Legislation</submittingOfficial>
                                
              <legalAuthority>25 U.S.C. 1671; Public Law 94-437, section 701 (as amended by Public Law 102-573, section 801); (106 Stat. 4584)</legalAuthority>
                                
              <requirementNumber>1580</requirementNumber>
                                
              <committee>
                                        
                   <authorityCode>hsif00</authorityCode>
                                        
                   <name>Energy and Commerce Committee</name>
                                        
                   <referredDate>2025-09-08</referredDate>
                                    
            </committee>
                                
              <committee>
                                        
                   <authorityCode>hsii00</authorityCode>
                                        
                   <name>Natural Resources Committee</name>
                                        
                   <referredDate>2025-09-08</referredDate>
                                    
            </committee>
                            
        </communication>
         <communication>
                                
              <chamber>SENATE</chamber>
                                
              <number>1960</number>
                                
              <typeCode>EC</typeCode>
                                
              <updateDate>2025-10-07</updateDate>
                                
              <sessionNumber>1</sessionNumber>
                                
              <abstract>A communication from the Assistant Secretary for Legislation, Office of the Secretary, Health and Human Services, transmitting, a report entitled &quot;Annual Report To the Congress of the United States On Sanitation Deficiency Levels for Indian Homes and Communities for Fiscal Year 2024&quot;; to the Committee on Indian Affairs.</abstract>
                                
              <crecDate>2025-10-06</crecDate>
                                
              <committee>
                                        
                   <authorityCode>slia00</authorityCode>
                                        
                   <name>Indian Affairs Committee</name>
                                        
                   <referredDate>2025-10-06</referredDate>
                                    
            </committee>
                            
        </communication>
         <agencyCodes>
                                
              <cgacCode>075</cgacCode>
                                
              <aidCode>075</aidCode>
                                
              <treasuryCode>75</treasuryCode>
                                
              <ombAgencyCode>009</ombAgencyCode>
                                
              <ombBureauCode>17</ombBureauCode>
                                
              <cgacAbbreviation>HHS</cgacAbbreviation>
                                
              <frecCode>7500</frecCode>
                                
              <frecAbbreviation>HHS</frecAbbreviation>
                                
              <subtierCode>7527</subtierCode>
                                
              <subtierAbbreviation>HIS</subtierAbbreviation>
                            
        </agencyCodes>
         <congCommittee authorityId="hsif00" chamber="H" congress="119" type="S">
                                
              <name type="authority-standard">Committee on Energy and Commerce</name>
                                
              <name type="authority-short">Energy and Commerce</name>
                            
        </congCommittee>
         <congCommittee authorityId="hsii00" chamber="H" congress="119" type="S">
                                
              <name type="authority-standard">Committee on Natural Resources</name>
                                
              <name type="authority-short">Natural Resources</name>
                            
        </congCommittee>
         <congCommittee authorityId="slia00" chamber="S" congress="119" type="O">
                                
              <name type="authority-standard">Committee on Indian Affairs</name>
                                
              <name type="authority-short">Indian Affairs</name>
                            
        </congCommittee>
         <law congress="94" isPrivate="false" number="437"></law>
         <law congress="102" isPrivate="false" number="573"></law>
         <USCode title="25">
                                
              <section detail="et seq" number="1601"></section>
                                
              <section number="1671"></section>
                            
        </USCode>
         <statuteAtLarge volume="106">
                                
              <pages pages="4572"></pages>
                                
              <pages pages="4584"></pages>
                            
        </statuteAtLarge>
         <execCommunication chamber="HOUSE" congress="119" number="1895"></execCommunication>
         <execCommunication chamber="SENATE" congress="119" number="1960"></execCommunication>
    </extension>
    <titleInfo>
         <title>Annual Report to the Congress of the United States on Sanitation Deficiency Levels for Indian Homes and Communities Fiscal Year 2024</title>
    </titleInfo>
    <classification authority="sudocs">HE 20.302:SA 5/</classification>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <identifier type="uri">https://www.govinfo.gov/content/pkg/CMR-HE20_300-00197097</identifier>
    <location>
         <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/CMR-HE20_300-00197097</url>
         <url displayLabel="PDF rendition" access="raw object">https://www.govinfo.gov/content/pkg/CMR-HE20_300-00197097/pdf/CMR-HE20_300-00197097.pdf</url>
    </location>
    <subject authority="CRS Legislative Subject Terms">
         <topic>General Native American affairs matters</topic>
         <topic>General health and health care finance matters</topic>
         <topic>Health facilities and institutions</topic>
         <topic>Health programs administration and funding</topic>
         <topic>Government buildings, facilities, and property</topic>
    </subject>
    <extension>
         <searchTitle>Annual Report to the Congress of the United States on Sanitation Deficiency Levels for Indian Homes and Communities Fiscal Year 2024</searchTitle>
    </extension>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>House of Representatives</namePart>
         <namePart>Committee on Energy and Commerce</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>House of Representatives</namePart>
         <namePart>Committee on Natural Resources</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <name type="corporate">
         <namePart>United States</namePart>
         <namePart>Congress</namePart>
         <namePart>Senate</namePart>
         <namePart>Committee on Indian Affairs</namePart>
         <role>
              <roleTerm authority="marcrelator" type="text">associated name</roleTerm>
              <roleTerm authority="marcrelator" type="code">asn</roleTerm>
        </role>
    </name>
    <relatedItem type="isReferencedBy">
         <titleInfo>
              <title>United States Code</title>
              <partNumber>Title 25 Section 1601et seq</partNumber>
              <partNumber>Title 25 Section 1671</partNumber>
        </titleInfo>
         <identifier type="USC citation">25 U.S.C. 1601et seq</identifier>
         <identifier type="USC citation">25 U.S.C. 1671</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
         <titleInfo>
              <title>United States Statutes at Large</title>
              <partNumber>Volume 106 Page 4572</partNumber>
              <partNumber>Volume 106 Page 4584</partNumber>
        </titleInfo>
         <identifier type="Statute citation">106 Stat. 4572</identifier>
         <identifier type="Statute citation">106 Stat. 4584</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
         <titleInfo>
              <title>United States Public Law 437 (94th Congress)</title>
        </titleInfo>
         <identifier type="public law citation">Public Law 94-437</identifier>
         <identifier type="public law citation">Public Law No 94-437</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
         <titleInfo>
              <title>United States Public Law 573 (102nd Congress)</title>
        </titleInfo>
         <identifier type="public law citation">Public Law 102-573</identifier>
         <identifier type="public law citation">Public Law No 102-573</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
         <titleInfo>
              <title>Executive Communication Number 1895 (119th Congress)</title>
        </titleInfo>
         <identifier type="executive communication number">EC-1895</identifier>
    </relatedItem>
    <extension>
         <congress>119</congress>
    </extension>
    <relatedItem type="isReferencedBy">
         <titleInfo>
              <title>Executive Communication Number 1960 (119th Congress)</title>
        </titleInfo>
         <identifier type="executive communication number">EC-1960</identifier>
    </relatedItem>
    <extension>
         <congress>119</congress>
    </extension>
</mods>