DEC 20 1991
AUTHORITY DELEGATED AND TO WHOM
Pursuant to the authority delegated to the Director of Headquarters Operations, Indian Health Service (IHS), by the Director, IHS, on October 21, 1991, concerning the authority to approve reorganization proposals, I hereby delegate to all Area Directors the authority to approve reorganizations at the fifth echelon level or below for their respective Areas.
REDELEGATION AND RESTRICTIONS
The authority to approve fifth echelon organization levels may not be redelegated. The authority to approve sixth echelon organization levels or below may be redelegated by the Area Directors no lower than the following:
INFORMATION AND GUIDANCE
Consultation with the Assistant Secretary for Health is required before the approval of a reorganization which is expected to create significant interest from individuals or entities within or outside the Department.
Exercise of this authority shall be in accordance with General Administration Manual Chapter HHS 8-60 and any PHS or IHS supplements thereto.
This delegation is effective upon date of signature.
/Robert A. Marsland/ Robert A. Marsland Assistant Surgeon General
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