PERSONNEL DELEGATIONS
AUTHORITY	DELEGATED TO
1.  PERSONNEL MANAGEMENT AUTHORITIES D/A to Propose and Decide on Adverse Actions under HHS Personnel Instruction 752-1 (5 CFR Part 752 as supplemented by HHS Personnel Instruction 572-l.) Does not include the authority to suspend/remove employees on grounds of disloyalty or subversion. The deciding official must be a different and higher level official than the proposing official for any adverse action under this authority, except in the case of furloughs or any action for which thirty days advance written notice is not required by 5 CFR Part 752.  Not recommended for delegation below the Area Director.	To Propose - All Supervisors (11/15/84) To Receive:  All Supervisors w/line Authority (11/15/84) Area Directors (11/15/84)
2.  APPOINTING AUTHORITY Delegation of Appointing Authority (HHS 300 series) Appoint personnel a) Does not apply to Commissioned Corps. b) Can only be delegated to the Area Personnel Officers by the Area   Directors.	Director, IHS (4/4/1995) DHO (4/7/95) Assoc Dir OHR(4/7/95) Dir, DPM/OHR (4/12/95) Area Directors (4/l2/95) Assoc Dir, OHPRD (4/l2/95)
3.  APPOINTMENT ABOVE MINIMUM RATE D/A to Approve an Appointment Above the Minimum Rate 5 USC 5333; FPM Ch 338; Personnel Instructions HHS 338-2 PHS 338-2.) GS-11 and above, based on existing pay and unusually high or unique qualifications of the candidate. The Area Directors can only delegate this authority to Personnel Officials.	Director, IHS (4/4/1995) DHO (4/7/95) Assoc Dir OHR(4/7/95) Dir, DPM (4/12/95) Area Directors (4/l2/95) Assoc Dir, OHPRD (4/l2/95)
4.  AWARDS - INCENTIVE D/A for Incentive Awards Program  (Instruction HHS 250-3, Delegation of   Personnel and EEO Authority and Hq/Regional Office Relationships; HHS Instruction  451-1.) Grant cash and honor awards for employees/groups.     a)  Excludes Commissioned Corps. b) The authority to approve cash awards for amounts between $2,501 and $3,500 for individuals and between $2,501 and $5,000 for groups may not be further delegated. Retained by the Director, IHS. c)  The authority to recommend and approve time off awards may be delegated  with redelegation authorized; however, the official approving a time off award for more than one work day must be at a higher level than the official recommending the award.	DHO (10/23/92) Assoc Dir, OHR (10/23/92) Dir, DPM/OHR (10/27/92) All Assoc  Dirs(10/27/92) All  Area Directors (10/23/92) Assoc Dir, OHPRD(10/23/92)
5.  AWARDS -  PERFORMANCE:   EPMS D/A  for Performance Awards under the Employee Performance management System (EPMS) (5 CFR 430; and HHS Instruction 430-5.) Awards up to $5,000.)	DHO (5/2/95) Assoc Dir, OHR (5/4/95) Director, DPM/OHR (5/9/95) Area Directors (5/4/95) Assoc Dir, OHPRD (5/4/95)
6.  AWARDS - PERFORMANCE: PMRS	CANCELLED BY PHS (7/25/94) (SEE PERSONNEL D/A - PERFORMANCE APPRAISAL PROVISIONS UNDER THE PERFORMANCE MANAGEMENT SYSTEM (PMS))
7.  CLASSIFICATION AUTHORITY Delegation of Classification Authority IHS may classify grade level 15 and below excluding PL 80-313 scientific positions, Personnel Officer, SES, General  Counsel 905 series.  Area Directors may delegate this authority to Personnel Officers (appropriate level).	Director, IHS (4/4/1995) DHO (4/7/95) Assoc Dir OHR(4/7/95) Dir, DPM/OHR (4/12/95) Area Directors (4/l2/95) Assoc Dir, OHPRD (4/l2/95)
8. CONSULTING ASSN.  OF SUPERVISORS AND MANAGERS D/A to Approve the establishment of an Official Consulting Relationship with an association of Supervisors and Managers (HHS Personnel Instruction 251-1, Intramanagement Communication and Consultation.	RETAINED BY THE DIRECTOR, IHS
9.  DETAIL - UNDER PHS ACT D/A to Approve Detail  of Civil Service Personnel under the PHS Act (Secs. 214(a)(b)(c)(d) of the PHS Act, 42 USC 215)  Detail IHS personnel to other Executive Agencies, Congress. a)  Does not apply to the Commissioned Corps. b) Delegated to the Area Directors by the DH0 without authority to redelegate.	DHO (8/23/90) Area Directors (1/2/9l) Assoc Dir, OAM(1/2/91)
10.  DELEGATION OF AUTHORITY TO DETAIL PERSONNEL D/A to Detail Personnel (FPM Ch 300, Subch 8; Sec 3341 of Title 5 USC) Approve details of 120 days or less. Agencies to delegate to officials within their appointing authority.	(DHO 7/18/94) Assoc Dir, OHR(09/27/94) (D/A to Area Directors) is PENDING SIGNATURE) All Assoc Dir. (11/4/94)
11. EMPLOYEE ASSOCIATIONS D/A for Employee Associations (HHS GAM; other applicable manuals). (Excludes Parklawn Building.) Further delegation is not authorized.	Area Directors (4/l/93) Assoc Dir, OHPRD(4/1/93)
12. EQUAL EMPLOYMENT OPPORTUNITY PROGRAM D/A Concerning the Equal Employment Opportunity Program (Title 29, CFR Part 1613.) (RESERVED) Issue EEO decisions; excludes CC personnel. Excludes class action complaints. (EEO D/A: 9/20/95) This does not apply to the Commissioned Corps.  Delegated to the Director, EEO and Civil Rights Staff in Headquarters , with further delegation authorized.  D/A dated 7/11/97 to the Director, OCAO, is made for EEO programs at Oklahoma City Area, Albuquerque Area, Navajo Area, and Headquarters-West.  The EEO authority for all other Areas and Headquarters-East is retained at Headquarters-East.	Dir., IHS to Deputy Dir, Indian Health Policy 11/01/05 Dir, EEO & Civil Rights Staff (7/11/97) Area Director, OCAO (7/11/97)
13.  FLEXTIME AND ALTERNATIVE WORK SCHEDULES D/A for Flexitime and Alternative Work Schedules (5 USC 6101) Flexitime schedules, alternative work  schedules.  Further delegation by the Area Directors is authorized.  This delegation may be delegated by chain of command from the Area Directors to Branch Chiefs.	DHO (12/7/92) Assoc Dir, OHR (12/7/92) All Assoc Dir (12/11/92)  Div Dir, OEHE (12/22/92)  Div Dir, OHP (12/17/92) Div Dir, OAM (12/16/92) Div Dir, OIRM (l/26/93) Area Directors (12/7/92) Assoc Dir, OHPRD (12/11/92)
14.  GRIEVANCE DECISIONS D/A to  Issue Grievance Decisions under HHS Personnel Instruction 771-3   5 CFR Part 771 This authority should be redelegated through chain of command to supervisory levels.	Director IHS (4/4/95) Deputy Director IHS   (w/ restrictions)(9/22/86) All Assoc Dir HQ Div/Br  chiefs Area Dirs(4/7/95)
15.  INTERGOVERNMENT PERSONNEL ACT (IPA) AGREEMENTS D/A to  Approve and Disapprove Inter- Government Personnel Act (IPA) Assignments The Area Directors can only delegate this authority to the Area Office and Service Unit personnel officials.	DHO (5/20/99) Director, OMS (5/20/99) Director, OPH (5/20/99) Director, DHR (5/20/99) Area Directors (5/20/99)
16.  LABOR RELATIONS MANAGEMENT MATTERS D/A in Labor-Relations Management Matters Designate Collective Bargaining Officials; designate Labor Relations Officer; approve labor management agreements. This authority may be redelegated through chain of command to the Area Personnel Officers (for further delegation to the Labor Relations Specialist)	Area Directors (11/21/89) Assoc. Dir, OHR (12/28/92) Employee/Labor Relations (12/31/92)
17.  LEAVE, EXCUSE ABSENCE, RESTORE ANNUAL LEAVE D/A to Grant Leave, excuse Absence, and Approve the Restoration of Annual Leave (Sec 6304, Title 5 USC) Leave: This authority should be delegated to immediate supervisors.  Advance Annual Leave/Sick Leave LWOP, and excused absences beyond one hour without charge to leave: This authority should be delegated to Area Executive Officer, Associate Directors, Service Unit Directors, (follow chain of command).	Assoc. Dir, OAM (11/2/87) Assoc. Dirs, IHS (11/2/87) Immed Supervisors (11/2/87) Area Directors (11/2/87) Chief Admin. Ofcr/OHPRD  (11/2/87)
18.  MOTOR VEHICLE OPERATION IDENTIFICATION CARDS D/A to Issue Motor Vehicle Operator Identification Cards Motor Vehicle Operator Program.    This delegation should be delegated to as few as possible, consistent with effective administration of the program (follow chain of command).	Assoc Dir, OAM(11/23/88) Dir/DAS/OAM (X/23/88) Assoc. Dir./EO,OHPRD(11/23/88) Area Directors (11/23/88)
19.  OATH OF OFFICE Administering  the Oath of Office (Title 5, USC Sec 3331) The Area Directors may only delegate this authority to Area and Service Unit Personnel Officials	DHO (4/7/95) Assoc Dir OHR(4/7/95) Dir, DPM/OHR (4/12/95) Assoc Dir,OAM(1/25/91) Assoc Dir, OHPRD (4/l2/95) Area Directors (4/l2/95)
20.  ETHICS PROGRAM  AUTHORITY Authority delegated to the Director for Management Operations and the Director, Program Integrity and Ethics Staff. This delegation is being reissued to reflect changes incurred by the 2004 Indian Health Service Headquarters reorganization.	To: Director, PIES, and Area Directors From Deputy Ethics Counselor 02/14/08
21.  OVERTIME APPROVAL	CANCELLED AND  REPLACED Personnel D/A PREMIUM PAY ).
21.  PREMIUM PAY Delegation of Authority to Approve Overtime Includes the authority to approve irregular, occasional or regularly scheduled overtime payment for work performed at the work site, home, or an alternate work site. Requirements and instructions for exercising these authorities are contained in the Human Services Personnel Instruction 550-1, "Premium Pay." a)  Area Directors should delegate this authority to supervisory personnel  through chain of command. b) May not be redelegated by the Area Director.	DHO (l/27/98) Dir, OMS (l/27/98) Dir, OPH (l/27/98) DHO to Area Directors 11/13/02 OMS Div and Staff Dirs (6/19/98)
22.  PAY - FOR WORK AT HOME D/A to Approve Pay for Work at Home D/A #49-Flexible Workplace	CANCELLED (See Personnel Arrangements Program)
23.  PAY RATES - SET NON-GS POSITIONS D/A to Set Rates  of Pay for Positions Not Covered by the General schedule (5 USC 3109 appointees or those exempt from General Schedule; can be redelegated to Director, IHS, direct reports only.  These authorities should not be redelegated by the Area Director.  Division of Personnel Management advised that this authority is rarely used and most of the authorities rest at the Area Director level.	DHO (9/3/92) Area Directors (9/11/92) Assoc Dir, OHPRD (2/8/93)
24.  INDIAN HEALTH SERVICE DESIGNATED MANAGEMENT OFFICIAL This delegation delegates the authority from the Deputy Director for Management Operations to the Director, Office of Management Services, to serve as the Indian Health Service Headquarters Designated Management Official. This authority may not be redelegated.	Deputy Director for Mgmt. Operations to Director, OMS (01/13/06)
25.  PERFORMANCE APPRAISAL: PMRS	CANCELED BY PHS 07/25/94
26.  PHYSICIANS COMPARABILITY ALLOWANCE (PCA) D/A For Determining PCA eligibility (HHS Instruction 250-3, and 595-l).  This authority may be redelegated through the chain of command to the appropriate level.	DHO (11/21/94) Assoc Dir, OHR (11/21/94) Dir, DPM (11/23/94) Area Directors (11/21/94)
27.  RECRUITING  FIRMS - COMMERCIAL, NON-PROFIT Temporary D/A to Acquire the Use of Commercial Recruiting Firms and Non-Profit Employment Service	DHO (8/23/90) Assoc Dir, OAM (11/20/9O)1/ Dir, DPM/OHR (l/28/91)
28.  REMOVALS, REDUCTIONS IN GRADE D/A to Propose, Decide. and Concur in  Reductions in Grade and Removals Under HHS Personnel Instruction 432-1K (5 CFR Part 432, Removals based on unacceptable performance)  This delegation will be updated by Headquarters in accordance with the PHS D/A dated 10/24/88 as continued in the reorganization order of 10/31/95.	Director IHS(4/4/95) Area Directors (4/7/95)   To Propose and Decide: Immediate Supervisors from the Director, OMPHS 2/14/83 To Concur: Supervisor next in line over the immediate supervisor from the Director, OMPHS 2/14/83
29.  REPRIMANDS, OFFICIAL D/A to Issue Official Reprimands The authority should be redelegated through chain of command to all supervisors in the Area.	Assoc  Dir, OAM (8/l/90) All Assoc Dir (8/7/90) All Supervisors (8/7/90)  (as indicated) Area Directors (8/l/90)
30.  SELECTING AUTHORITY Delegation of Selecting Authority Authority to select SES, nominate appointees for President, **excludes excepted GS-13 and above Indian Preference candidates. ** This may have to be changed--ASH retained this authority.  a)  Prior concurrence by the Director, DPM, IHS, is required for Supervisory personnel positions at GS-12 and above. b) This authority does not include Commissioned Corps. c)  The Assistant Secretary for Personnel Administration must concur in the selection to fill the top personnel officer position and the EEO position, regardless of grade. d) This authority should be delegated through the chain of command to select employees.	Director, IHS(4/4/95) DHO(4/7/95) Assoc Dir, OHR(4/7/95) Dir, DPM/OHR(4/12/95) Area Directors (4/12/95) Assoc Dir OHPRD(4/12/95)
31.  SES EMPLOYEES  - REMOVALS AND REASSIGNMENTS D/A to Remove Employees from or to Reassign within SES Removal of SES for Unacceptable Performance. This authority was delegated to the Director, IHS, with authority for redelegate to officials one level below the Director, IHS.	Dep Director, IHS (8/16/90) DHO (8/16/90)
32.  SES - QUALIFICATION STANDARDS D/A to Establish Qualification Standards for SES Positions Establish SES standards filled by career appointment. This authority was delegated to the Director , IHS, without the authority to redelegate.	RETAINED BY THE DIRECTOR, IHS
33.  SES - MANAGING PERFORMANCE OF SES D/A to Implement Performance Appraisals for SES Positions To finalize SES Ratings. This authority was delegated to the Director, IHS, without the authority to redelegate.	RETAINED BY THE DIRECTOR, IHS
34.  TERM APPOINTMENTS D/A to Determine when Term Appointments Are Appropriate (FPM Ch 316)  Authority to determine that a position may be filled by term appointment.	Dir, IHS(2/2/94) DHO(5/24/94) Assoc Dir, OHR(5/24/94)
35.  TRAINING - TO ACQUIRE D/A to Acquire Training  Authority combined w/authority to Approve Training	(SEE PERSONNEL D/A TRAINING- TO APPROVE AND ACQUIRE )
36.  TRAINING - TO APPROVE AND ACQUIRE D/A  Approve and to Authorize Training (HHS transmittal 95.5)  a) To approve training is a management authority and should be delegated to management officials with further delegation authorized (division level). b) To authorize training no longer requires a D/A	DHO (10/19/99) Assoc. Dir, OHR (10/19/99) Dir, DPM/OHR(10/19/99) Chief, CDTB (10/19/99) Dir, Clinical Support Ctr, Phoenix (8/12/96) Area Directors (11/02/95) Assoc. Dir , OHPRD (10/19/99)
37.  WITHIN GRADE - QUALITY STEP INCREASES D/A to Determine Action on Within-Grade Increases and D/A to Determine Action on Quality Step Increases (5 CFR 531, Subpart D) Authority to other than the immediate supervisor to reverse or sustain a negative determination of periodic increase.  This authority was delegated to all IHS supervisors by the Director of Headquarters Operations.	Immediate Supervisors (l/24/92) as appropriate
38.  APPROVE PAYMENT OF TRAVEL AND  TRANSPORTATION EXPENSES TO FIRST POST OF DUTY FOR NEW APPOINTEES. PHS delegated this authority to IHS 5/16/91 as a result of FEPCA.  D/As are presently being drafted in DDCB.  a) The Area Director can only delegate this authority to Area and Service Unit Personnel Officials. b)  The waiver of the employment agreement can only be delegated to a Personnel Official. c) The authority to approve payment of travel and transportation expenses can only be delegated to Executive Officers. (IHS Headquarters elected to leave this authority at the office level.)	DHO (4/7/95) Assoc Dir, OHR (4/7/95)1/ Dir, DPM/OHR (4/12/95) Area Directors (4/12/95) Assoc Dir OHPRD (4/12/95)
39.  APPROVE PAYMENT OF TRAVEL EXPENSES   PRE-EMPLOYMENT INTERVIEWS PHS delegated this authority to IHS on 4/30/91 as a result of FEPCA. No restrictions for further delegation.	DHO(8/23/90) Area Directors (9/5/91) Assoc. Dir, OAM (9/5/91) Assoc Dir, OHPRD(9/6/91)
40.  TRAVEL AND TRANSPORTATION TO  OVERSEAS DUTY STATIONS  IHS does not have overseas Duty Stations; further Delegation of this Authority in the IHS is not required.	RETAINED BY THE DIRECTOR, IHS
41.  APPROVE RECRUITMENT AND RELOCATION BONUSES AND RETENTION ALLOWANCES Authority delegated to approve individual recruitment bonuses, individual. relocation bonuses, initial retention allowance, and to approve renewals of retention allowances.	Dir, IHS(2/7/94) Deputy Dir., IHS; Deputy Dir., Mgmt. Ops.; HQ Office Dirs., Area Dir's., from Director, IHS 01/21/09
42.  GRANT WAIVERS UNDER TITLE 18 USC SECTION 208 FOR ADVISORY COMMITTEE MEMBERS This authority will be delegated to the Deputy Ethics Counselor (Associate  Director, OAM) without authority to redelegate.	BEING RESEARCHED BY IHS
43.  APPROVE PAYMENT OF SUPERVISORY DIFFERENTIALS This authority currently rests with the Director, IHS, and will be delegated per recommendations by the Office of Human Resources, IHS Headquarters.	BEING RESEARCHED BY IHS
44.  REDUCTIONS IN FORCE, FURLOUGH, AND CHANGES TO COMPETITIVE AREAS To Conduct Reductions in Force This authority may not be redelegated.	DHO(2/7/96) Area Directors (2/12/96) Assoc Dir, OHPRD (2/12/96) Assoc Dir, OHR (2/12/96) Dir, DPM (2/13/96)
45.  PART TIME EMPLOYMENT	CANCELLED (Combined with  Personnel D/A FLEXITIME AND ALTERNATIVE WORK SCHEDULES)
46.  APPROVE PHYSICIAN AND DENTIST PAY  Authority to Approve Physician and Dentist pay not to exceed prescribed pay in title 38; and approve PDP for physicians and dentists who are fulfilling a service obligation related to a Federal medical scholarship program or to a loan repayment program.	Director to Deputy Director, IHS; and Area Directors 07/19/06
47.  PERFORMANCE APPRAISAL PROVISIONS UNDER THE PERFORMANCE MANAGEMENT  SYSTEM (PMS) Authority to determine whether temporary employees may be permitted to serve without a performance evaluation.  The ASPER reaffirmed authorities of appraising officials/reviewing officials as set forth in the HHS Instruction 430-4; along w/the authority to officials w/the responsibility for managing performance awards budgets. Prior concurrence by the Director, Division of Personnel Management, OHR, Headquarters, is required for supervisory personnel positions at GS-12 and above.	DHO (7/17/95) Assoc. Dir, OHR (7/18/95) All Assoc. Dirs (8/8/95) Area Directors (7/17/95)
48.  ESTABLISH WORKWEEKS AND WORK SCHEDULES Authority to establish workweeks and work schedules for employees within their organizations. Further redelegation is authorized.	DHO (7/24/95) Area Directors (7/24/95) Assoc Dir, OHR (7/24/95) All Assoc. Dirs (8/8/95)
49.  FLEXIBLE WORKPLACE ARRANGEMENTS PROGRAM Authority to implement the Flexible Workplace   Arrangements (FWAP).  a)  The authority to approve the IHS supplemental plan for implementing the FWAP, and the authority to approve exceptions to the provisions of the IHS supplemental plan, are delegated to the Associate Director, OAM, without Authority to redelegate. b)  The authority to approve requests to participate in the FWAP may be  redelegated with further redelegation authorized; however, the authority  must be exercised by an official higher than the employee's immediate  supervisor.	DHO (7/17/95) Area Directors (7/17/95) Assoc. Dir, OAM (7/17/95)  All Assoc. Dirs (7/18/95)
50.  TITLE 38 PREMIUM PAY Authority to approve Title 38 base overtime  rate and other premium pay provisions.  The Office of Human Resources has recommended that this authority be retained by the Director, IHS (IHS is not ready to implement this policy).	DHO (11/25/96) Area Directors (11/25/96) Assoc Dir, OHPRD (11/25/96)
51.  WAIVE MANDATORY ELECTRONIC FUNDS Authority to waive mandatory electronic funds transfer for Federal wage, salary, or retirement payments upon written request by the recipient.  a)  This authority was delegated directly to the PBS Agency Personnel Officers  by the Director, Office of Personnel Management.  This authority applies to recipients who begin to receive such payments on or after January 1,1995, including new Federal employees,  new Federal retirees, and those hired from outside the HHS. b) This authority may be redelegated to Personnel Officials, and must be in writing.	Director, DPM (OHR) (2/17/95) Area Directors (6/30/95) Assoc Dir, OHPRD (6/30/95)
52.  EXECUTIVE RESOURCE MANAGEMENT Various personnel authorities for Executive-Level Positions (Senior Executive Service (SES) (ASPER D/A: 9/27/95) The Office of Human Resources has recommended that the Director, IHS, retain his authority.	RETAINED BY DIRECTOR, IHS
53.  TITLE 38 SPECIAL SALARY RATES Authority to approve increases in existing Title 38 Special Salary Rate authorizations under certain provisions; recommend the establishment of new Title 38 Special Salary Rates; and recommend increases to existing Title 38 Special Salary Rates that are not coincident with and/or greater than the percent of GS increase under 5 U.S.C. 5303 and/or the Hospital ECI.	(BEING RESEARCHED/OHR)
54.  APPROVE GRADE AND PAY RETENTION IN NON-MANDATORY CIRCUMSTANCES To approve grade and pay retention for eligible employees as a result of reorganization or position reclassification  decision or management action. (HHS Instruction 531-2, Setting Salary, 5/20/96. ) This authority must be redelegated to Area and ORPRD servicing personnel officials.  This delegation provides authority to approve grade and pay retention in non-mandatory circumstances for eligible employees who might be reduced in grade or pay as a result of a reorganization, position reclassification, or management action.	Dir., DPM/OHR (4/21/94) Area Dir. (10/22/96) Assoc Dir, OHPRD (10/22/96)
55.  WAIVER OF OVERPAYMENT OF PAY AND ALLOWANCES. Delegates to the Director, Office of Management, PHS, the authority to waive claims for erroneous payment of pay and allowances made to PHS Personnel.	ASH, (12/27/90)
56.  APPROVAL OF VOLUNTARY EARLY RETIREMENT AUTHORITY Delegates to the Director of Headquarters Operations and the Director, Oklahoma City Area the following: a.)  The use of Voluntary Early Retirement under 5 U.S.C 8336(d)(2), 5 U.S.C 8414(1)(B), and section 7001, Public Law 105-174 (as amended by P.L. 106-58) b.)  The voluntary early retirement option under 5 CFR section 831.114 and 842.213.	Director, IHS to DHO and Director Oklahoma City Area (11/03/00)
57.  ESTABLISH AND ACCEPT VOLUNTEER SERVICES The Director, IHS delegates the authority to establish and accept volunteer services, under 5 U.S.C 217 (b), for use in the operation of health care facility or provision of health care.	Director to DHO; Dir. OMS; Dir., DHR; Area and Service Unit Director; and Area Personnel Officers 05/11/04
58.  APPOINTMENT TO POSITION OF DEPUTY ETHICS COUNSELOR Associate General Counsel for Ethics, Designated Agency Ethics Official Edgar M. Swindell, appoints Robert G. McSwain, Director, OMS, IHS to the position of Deputy Ethics Counselor for the Indian Health Service.	Associate General Counsel for Ethics Edgar M. Swindell to R.G.McSwain (02/04/02
59.   D/A TO ACCEPT A DONATION OF LAND FOR AN INDIAN HEALTH CLINIC AND STAFF QUARTERS Enabling Document:  HHS D/A dated May 2, 2003 from the Secretary HHS to the Interim Director, IHS. Delegates all authorities vested in the Secretary HHS, under P.L. 107-63, to the Interior and Related Agencies Appropriations Act for Fiscal Year 2002, 115 Stat. 458 to accept land donated by the Tanadgusix Corporation, to acquire sites for and Indian Health Clinic and staff quarters, located on St. Paul Island, Alaska, to the Directors OPH and OEHE.	Interim Director, IHS to Director OPH and Director OEHE (05/23/03)

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