/Charles W. Grim, DDS/
Charles W. Grim, D.D.S., M.H.S.A.
Assistant Surgeon General
Director, Indian Health Service
List the information attached to this Transmittal Notice (TN) in the order that it is attached. Example: IHM Part 1, Chapter 1, "Indian Health Service Manual System," pages 1-30, including Manual Exhibits 1-1-A through 1-1-H.
List the IHM information being replaced by the information attached to this TN. If portions of previous IHM chapters or delegations of authority are being replaced, list in sequential order the sections, pages, etc., that are being replaced. Example: IHM Chapter 1-1, "Indian Heath Manual System," pages 1-28, TN 91-4, dated October 10, 1991.
Include the instructions on discarding the information being replaced and filing the TN and the new information.
Date: (Insert the date that the TN is signed.)