Transmittal Notice 73-4 Amendment 1
This transmittal forwards a revision of Part 4, Other Services, Chapter 3, Program Analysis Reports and Statistics. Forms HSA-1-1, 1-2, 1-3, and 1-4 are forwarded to replace draft copies included with TN No. 73.4.
Emery A. Johnson, M.D.
Assistant Surgeon General
Director, Indian Health Service
Page 20, Form HSA-1-1, Monthly Cover Sheet.
Page 21, Form HSA-1-2, Monthly Worksheet.
Page 22, Form HSA-1-3, Monthly Administrative Data.
Page 23, Form HSA-1-4, Number of Hours of Laboratory Staff by Day and Discipline Record.
Remove Pages 20, 21, 22, and 23 and insert new pages.
Distribution: P-ABCDG under d and B, C under d
Date: December 19, 1973