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SORN 09-90-0062

System name:   Administrative Claims, HHS/OS/OGC.

Security classification:   None.

System location:   See Appendix.

Categories of individuals covered by the system:   HHS employees, recipients of Federal assistance under HHS funded programs, and members of the public who have a claim against HHS or against whom HHS has a claim--Federal Torts Claims Act, Military Personnel and Civilian Employees Claims Act, Federal Claims Collection Act, Federal Medical Care Recovery Act, Act for Waiver of Overpayment of Pay.

Categories of records in the system:   Information that is pertinent to the particular claim being asserted, including accident reports, hospital records, charges for medical services, certifications of overpayment, certifications of indebtedness, audits of payroll accounts during periods of overpayments, earning and leave statements, claims officers memoranda, final determinations made on claims (including Early Offers Pilot records), identify of debtors and information pertaining to how debts arose.

Authority for maintenance of the system:   Federal Tort Claims Act, 28 U.S.C. 261-2680, 1346(b); Waiver of Overpayment of Pay Act, 5 U.S.C. 5584; Military Personnel and Civilian Employees Claims Act, 31 U.S.C. 240-243; Federal Claims Collection Act, 31 U.S.C. 951-953; Federal Medical Care Recovery Act, 42 U.S.C. 2651-2653.

Purpose(s):

To adjudicate claims asserted by or against the Department.

Routine uses of records maintained in the system, including categories of users and the purposes of such uses:

Records maintained for the Early Offers Pilot may be disclosed only for Routine Use Nos. 1 (to the extent the disclosure is to the HHS contractor who maintains the records for the Early Offers Pilot), 3 (in the event of Freedom of Information Act litigation), 5, and 13 below.

Records from this system may be disclosed as follows:

1. Federal, State, and local government agencies, private individuals, private and public hospitals,           allegedly negligent parties, private attorneys, insurance companies, individual law enforcement officers, tribal officials, and other persons with relevant information for the purpose of investigating, settling, or adjudicating claims and subsequent litigation action.

2. To a congressional office from the record of an individual in response to an inquiry from the congressional office made at the request of that individual.

3. In the event of litigation where the defendant is (a) the Department, any component of the Department, or any employee of the Department in his or her official capacity; (b) the United States where the Department determines that the claim, if successful, is likely to directly affect the operations of the Department or any of its components; or (c) any Department employee in his or

her individual capacity where the Justice Department has agreed to represent such employee, the Department may disclose such records as it deems desirable or necessary to the Department of Justice to enable that Department to present an effective defense, provide such disclosure is compatible with the purpose for which the records were collected.

4. In the event that a system of records maintained by this agency to carry out its functions indicates a violation or potential violation of law, whether civil, criminal or regulatory in nature, and whether arising by general statute or particular program statue, or by regulation, rule or order issued pursuant thereto, the relevant records in the system of records may be referred, as a routine use, to the appropriate agency, whether local, state, federal, or foreign, charged with the responsibility of investigating or prosecuting such violation or charged with enforcing or implementing the statute, or rule, regulation or order issued pursuant thereto.

5. In the event the Department deems it desirable or necessary, in determining whether particular records are required to be disclosed under the Freedom of Information Act, disclosure may be made to the Department of Justice for the purpose of obtaining its advice.

6. To a federal, state or local agency maintaining civil, criminal or other pertinent records, such as current licenses, if necessary to obtain a record relevant to a DHHS decision concerning the hiring or retention of an employee, the issuance of a security clearance, the letting of a contract, or the issuance of a license, grant or other benefit.

7. To a federal agency, in response to its request, in connection with the hiring or retention of an employee, the issuance of a security clearance, the reporting of an investigation of an employee, the letting of a contract, or the issuance of a license, grant, or other benefit by the requesting agency, to the extent that the record is relevant and necessary to the requesting agency's decision on the matter.

8. To the Department of Justice or other appropriate federal agencies in defending claims against the United States when the claim is based upon an individual's mental or physical condition and is alleged to have arisen because of activities of the Public Health Service in connection with such individual.

9. A record from this system may be disclosed to the following entities in order to help collect a debt owed the United States.

       a. To another Federal agency so that agency can effect a salary offset;

       b. To another Federal agency so that agency can effect an administrative offset under common law or under 31 U.S.C. 3716 (withholding from money payable to, or held on behalf of, the individual);

      c. To the Treasury Department to request his/her mailing address under I.R.C. 6103(m)(2) in order to locate him/her or in order to have a credit report prepared;

       d. To agents of the Department and to other third parties to help locate him/her in order to help collect or compromise a debt;

       e. To debt collection agents under 31 U.S.C. 3718 or under common law

            to help collect a debt; and

       f. To the Justice Department for litigation or further administrative action.  

Disclosure under part (d) of this use is limited to the individual's name, address, Social Security Number, and other information necessary to identify him/her. Disclosure under parts (a)-(c) and (e) is limited to those items; the amount, status, and history of the claim; and the agency or program under which the claim arose. An address obtained from IRS may be disclosed to a credit reporting agency under part (d) only for purposes of preparing a commercial credit report on the individual. Part (a) applies to claims or debts arising under or payable under the Social Security Act if and only if the employee consents in writing to the offset.

10. A record from this system may be disclosed to another federal agency that has asked the Department to effect an administrative offset, under common law or under 31 U.S.C. 3716, to help collect a debt owed the United States.

Disclosure under this routine use is limited to: Name, address, Social Security Number, and other information necessary to identify the individual; information about the money payable to or held for the individual; and other information concerning the administrative offset.

11. Disclosures with regard to claims or debts arising under or payable under the Social Security Act may be made from this system to “consumer reporting agencies'' as defined in the Fair Credit Reporting Act (15 U.S.C. 1681a(f)) or the Federal Claims Collection Act of 1966 (31 U.S.C. 3701(a)(3)). However, this disclosure will not be made with regard to debts from overpayments to beneficiaries under Title II (Old-Age, Survivors, and Disability Insurance) and Title XVI (Supplemental Security Income) of this Act. The purpose of this disclosure is to aid in the collection of outstanding debts owed to the Federal Government. Disclosure of records is limited to the individual's name, address, Social Security number, and other information necessary to establish the individual's identity; the amount, status, and history of the claim; and the agency or program under which the claim arose.

12. When a debt becomes legally or administratively uncollectible in whole or in part, a record may be disclosed to the Internal Revenue Service to report the written-off part as income.

13. Records may be disclosed to student volunteers, individuals working under a personal services contract, and other individuals performing functions for the Department but technically not having the status of agency employees, if they need access to the records in order to perform their assigned agency functions.

Disclosure to consumer reporting agencies:   Disclosures pursuant to 5 U.S.C. 552a(b)(12): Disclosures may be made from this system to “consumer reporting agencies'' as defined in the Fair Credit Reporting Act (15 U.S.C. 1681a(f) or the Federal Claims Collections Act of 1966 (31 U.S.C. 3701(a)(3)). The purpose of this disclosure is to aid in the collection of outstanding debts owed to the Federal Government, typically, to provide an incentive for debtors to repay delinquent Federal Government debts by making these debts part of their credit records. Disclosure of records is limited to the individual's name, address, Social Security number, and other information necessary to establish the individual's identity; the amount, status, and history of the claim; and the agency or program under which the claim arose. This disclosure will be made only after the procedural

requirements of 31 U.S.C. 3711(f) have been followed.

Policies and practices for storing, retrieving, accessing, retaining, and disposing of records in the system: 

Storage:   Legal size files in filing cabinets.

Retrievability:  These records are manually retrieved by name of the non-Government party, whether claimant, plaintiff, or alleged debtor. In some instances, these records are retrievable by computer using name of the party involved.

Safeguards:  Office buildings in which files are kept are locked after the close of the business day. These files are only accessible to General Counsel staff, to designated claims program specialists in the Public Health Service, and with respect to the Early Offers Pilot records, to HHS's contractor.

Retention and disposal:  The records are maintained for an indefinite duration.

System manager(s) and address:  The agency official responsible for the system policies and practices outlined above is: The General Counsel, Department of Health and Human Services, Office of the General Counsel, Room 713F, Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201.

Notification procedure:  Any inquiries regarding this system of records should be addressed to the System Manager.  (These notification and access procedures are in accordance with Department Regulations (45 CFR 5b.5).)

Record access procedures:  Same as notification procedures. Requesters should also reasonably specify the record contents being sought. (These access procedures are in accordance with Department Regulations (45 CFR 5b.5(a)(2)), Federal Register, October 8, 1975, page 47410.)

Contesting record procedures:  Contact the official at the address specified under System Manager(s) Address above, and reasonably identify the record, specify the information to be contested, and specify the corrective action sought, with supporting justification (i.e., how it is inaccurate, irrelevant, not timely, or incomplete). (These procedures are in accordance with Department Regulations (45 CFR 5b.7), Federal Register, October 8, 1975, page 47411.)

Record source categories:  The information in this system comes from a number of sources including private individuals, private and public hospitals, doctors, law enforcement agencies and officials, private attorneys, accident reports, third parties, claimants or beneficiaries and their relatives, other Federal agencies, State and local governments, agencies and instrumentalities.

Systems exempted from certain provisions of the act:  None.

Appendix - 1

     Office of the General Counsel--Headquarters Offices

     Department of Health and Human Services

     Humphrey Building, Room 713F

     200 Independence Avenue, SW.

     Washington, DC 20201.

     Office of the General Counsel, Regional Attorney

     Region I, Department of Health and Human Services

     John F. Kennedy Federal Building, Room 2250

     Government Center

     Boston, Massachusetts 02203.

     Office of the General Counsel, Regional Attorney

     Region II, Department of Health and Human Services

     Jacob K. Javitz Federal Building, Room 3908,

     26 Federal Plaza

     New York, New York 10278.

     Office of the General Counsel, Regional Attorney

     Region III, Department of Health and Human Services

     The Public Ledger Building, Suite 418, 150 S.

     Independence Mall West

     Philadelphia, Pennsylvania 19106-3499.

     Office of the General Counsel, Regional Attorney

     Region IV, Department of Health and Human Services

     Suite 5M60

     61 Forsyth Street

     Atlanta, Georgia 30303.

     Office of the General Counsel, Regional Attorney

     Region V, Department of Health and Human Services

     Suite 700

     233 North Michigan Avenue

     Chicago, Illinois 60601-5519.

     Office of the General Counsel, Regional Attorney

     Region VI, Department of Health and Human Services

     Room 1138, 1301 Young Street

     Dallas, Texas 75202.

     Office of the General Counsel, Regional Attorney

     Region VII, Department of Health and Human Services

     Room 1711, 601 East 12th Street

     Kansas City, Missouri  64106.

     Office of the General Counsel, Regional Attorney

    Region VIII, Department of Health and Human Services

     Room 300

     1961 Stout Street

     Denver, Colorado 80294.

     Office of the General Counsel, Regional Attorney

     Region IX, Department of Health and Human Services

     Room 420, 50 United Nations Plaza

     San Francisco, California 94102-4912.

     Office of the General Counsel, Regional Attorney

     Region X, Department of Health and Human Services

     Blanchard Plaza, Suite 702

     2201 Sixth Avenue

     Seattle, Washington 98121-1833.

     Director, Division of Public Health Service Claims

     Room 17A-17, Parklawn Building,

     5600 Fishers Lane

     Rockville, Maryland 20857.

     For records related to the Early Offers Pilot

     Professor David A. Hyman

     University of Illinois

     College of Law

     504 East Pennsylvania Avenue

     Champaign, Illinois 61820-6909.