annual allotment of funds for child welfare services to the State in accordance with the approved apportionment of funds; and (2) the voucher for the first quarterly payment certified by the Chief of the Children's Bureau.

(i) The allotment made is for the entire fiscal year and for the maximum fund available under the apportionment.

(ii) Subsequently vouchers for quarterly payments to each State are submitted to the Commissioner of Social Security who indicates his approval by signing the document.

(iii) The vouchers for payments to the States as certified by the Chief of the Children's Bureau and the Commissioner of Social Security are listed on a schedule of disbursements which is sent with the vouchers to the Secretary of the Treasury for payment.

(d) Review of operation and consultation service. (1) For purposes of information on the operation of the State plan reports are submitted by the State public health agencies to the Children's Bureau.

The following financial reports are submitted quarterly: CWS 11-Statement of Receipts and Expenditures; CWS 11.1-Summary of Expenditures by Budget Total; and CWS 11.3-List of Unliquidated Obligations. The following annual financial reports are submitted: CWS 11.1-Summary of Expenditures by Budget Total; CWS 11.2-Detail of Expenditures by Budget Item; CWS 11.2-Supplemental Sheet, Supplemental report on indirect participation; and CWS 11.4-Certificate of Executive Officer of State Public Welfare Agency on amounts reported on Forms CWS 11.1 and 11.2.

(2) The following reports on child welfare services under the State plan are submitted by each State public welfare agency: CWS 51-Report on Service to Individual Children (Quarterly); CWS 51a-Statement on Coverage of Current Service Report CWS 51 (Quarterly); CWS 60-Personnel in the Child Welfare Program (Annual); CWS 70-Annual Report on Characteristics of Children Receiving Service; and CWS 71-Annual Report on Children Receiving Service from Institutions.

(3) The regional child-welfare consultants visit each State public welfare agency periodically and confer with the State welfare administrator, the child welfare director and other members of the staff on the operation of the State plan, problems that have arisen, and

ways of extending and strengthening State and local child-welfare services. With the State staff, visits are made to local units, district offices of the State agency or State children's institutions where services are being provided through the use of child-welfare services funds. Through arrangement by the regional consultant, special consultants on the staff of the Children's Bureau such as the consultant on foster care, the consultant on group work, the staff of the Mental Health Unit may provide special service to a State to aid in improving the child welfare program.

(a) Any applicant for a grant under this part may file application therefor with the Regional Commissioner of the Social and Rehabilitation Service, for the region of the Department in which the project is to be conducted, on such forms and containing such information as the Bureau may prescribe. The application shall contain à budget and a narrative plan of the way the applicant intends to conduct the project and carry out the requirements of this part. A revision of the budget and project plan is required whenever there is to be à significant change in the scope of project activities.

(b) The application shall be executed by an individual authorized to act for the applicant and to assume on behalf of the applicant the obligations imposed by the terms and conditions of the grant, including this part and the policies and procedures for these grants.

(c) The applicant will be notified of action taken on his application. If a grant is made, the initial award will specify the project period for which support is contemplated if the activity is satisfactorily carried out and Federal funds are available. For continuation

support, grantees must make separate application annually.

§ 208.5 Matching requirements.

Federal funds will be granted on the basis of project applications and will not exceed 75 percent of the cost of the project. The non-Federal participation may be derived from a variety of sources, including; (a) new State or local appropriations or other new grantee funds, and (b) existing funds and time of personnel used for the on-going activities of the grantee agency which are made a part of the project. Services or space donated to the project may not be included as a grantee contribution. Grantee funds or services derived from other Federal funds or used for matching any other Federal grant may not be used to match the Federal funds in this program except as otherwise specifically allowed by Federal statute.

The application shall describe the standards required for personnel and facilities utilized in the provision of services under the program. These standards for personnel and facilities must be those which; (a) are found, upon investigation by the grantee, to be best adapted for the attainment of the specific purpose, (b) will assume a reasonably high standard of care, and (c) are in substantial accordance with national standards as accepted by the Social and Rehabilitation Service or standards prescribed by the Social and Rehabilitation Service. However, if a project is planned for an area in which it is not possible to meet such standards, the best available resources must be used, and steps must be taken to improve the care. The application must include a description of such steps.

§ 208.7 Availability of services.

Services in the project must be available:

(a) Without any requirement for legal residence except that the person or family is currently living in the area served by the project;

(b) Upon referral from any source including the patient's own application; (c) With respect for the dignity of the individual;

(d) With efficient administrative procedures for registration, avoiding prolonged waiting and multiple visits for registration;

(e) Without regard to race, religion, national origin, or maternity or marital status; and

(f) Only to persons who are of low income or who for other reasons beyond their control could not obtain services comparable to those provided under the project. However, if specific income standards are used, they must be applied flexibly, with due regard for total family needs in the particular case. Determinations of eligibility for services under the project shall be made by the project director or someone on the project staff designated by him, and shall be made in accordance with this section, policies and procedures governing the project, and the project plan and budget as approved. § 208.8

Provision of services.

(a) Acceptance of services under the project must be voluntary, and individuals must not be subjected to any coercion to receive services, or to employ or not to employ any particular method of family planning. Acceptance of family planning services shall not be a prerequisite to eligibility for or receipt of any other services.

(b) Measures must be taken to promote community understanding of the objectives of the program, to make the availability of services known to the community, and to encourage and facilitate attendance in the program.

(c) The project must be coordinated with related services of the local health and welfare departments, hospitals and related voluntary agencies, and health projects supported by the Office of Economic Opportunity. Where appropriate, there should be referral arrangements with local welfare departments for services to persons under the Aid to Families With Dependent Children Program.

(d) The program must include counselling, and interpretation to individuals of the services provided.

(e) Family planning medical services should be under the direction and responsibility of a physician with special training or experience in family planning.

(f) Projects are to be designed to assure comprehensiveness and continuity in the health management and supervision of project patients with respect to family planning services.

(g) A variety of medically approved methods of family planning, including the rhythm method, must be available

(a) Project plans shall set forth the methods utilized by the grantee in establishing the rates of payment for medical care, and in substantiating that the rates are reasonable and necessary to maintain standards relating to the provision of services established pursuant to § 208.6. Grantees will maintain a schedule of rates for such services.

(b) All services purchased for project patients must be authorized by the project director or his designee on the project staff.

(c) No charge shall be made to any person or family for services under the project, except for inpatient hospital care and physicians' services rendered in hospitals, and then only to the extent that payment will be made by a third party (including a government agency) which is authorized or is under legal liability to pay such charges.

§ 208.10 Confidentiality of information.

All information as to personal facts and circumstances obtained by the project staff shall constitute privileged communications, shall be held confidential, and shall not be divulged without the individual's consent except as may be necessary to provide services to the individual. Information may be disclosed in summary, statistical, or other form which does not identify particular - individuals.

(8) Any other costs not approved in the plan and budget.

§ 208.12 Interest and other income.

(a) Pursuant to section 203 of the Intergovernmental Cooperation Act of 1968 (Public Law 90-577), a State, as defined in section 102 of that Act, will not be held accountable for interest earned on grant funds, pending their disbursement for program purposes. A State, as defined in the Intergovernmental Cooperation Act, section 102, means any one of the several States, the District of Columbia, Puerto Rico, any territory or possession of the United States, or any agency or instrumentality of a State, but does not include the governments of the political subdivisions of the State. All other grantees must return to the Social and Rehabilitation Service all interest earned on grant funds.

(b) All grantees must return to the Social and Rehabilitation Service a part of any other project income proportionate to the grant contribution to the support of the project.

A grant may be terminated in whole or in part at any time at the discretion of the Administrator of Social and Rehabilitation Service. Noncancellable obligations of the grantee properly incurred prior to the receipt of the notice of termination will be honored. The grantee shall be promptly notified of such termination in writing and given the reasons therefor.

§ 208.17 Records and reports.

(a) The grantee shall maintain such records, including medical, fiscal, and other health records, and make such reports, as the Bureau may prescribe.

(b) All fiscal transactions by a grantee relating to grants under this part are subject to audit by the Department to determine whether expenditures have been made in accordance with this part, policies and procedures governing the project, and the project plan and budget as approved.

§ 208.18 Copyright.

The Government of the United States reserves a royalty free, nonexclusive license to use and authorize others to use all copyrightable or copyrighted material resulting from a project.

§ 208.19 Effect of payment.

Neither the approval of a project plan nor any certification of funds or payment to a grantee pursuant thereto shall be deemed to waive the obligation of the grantee to observe before or after such action any Federal requirements, or to waive the right or duty of the Administrator of Social and Rehabilitation Service to withhold funds for noncompliance with Federal requirements.

§ 300.1

Availability of official records. The principal official records of the Hospital are administrative and clinical records. All clinical records are confidential. No records or other official instruments containing information shall be withdrawn from the files of the Hospital by, or furnished to, any person not an authorized employee of the Hospital, without prior authority of the Hospital Superintendent, or the Secretary of Health, Education, and Welfare. (R.S. 161; 6 U.S.C. 301) [13 F.R. 7742, Dec. 15, 1948]

§ 300.2 Disclosure of information.

No copy of, or information relative to, any official record or other official business of the Hospital, which appears to be of confidential nature, shall be given to any person unless:

(a) Such person obtains a court order therefor, or makes application therefor in the manner prescribed in paragraph (b) of this section.

(b) It appears to the Superintendent of the Hospital that the furnishing there

of would not be inimical to the public interest or to the welfare of the patient. The application mentioned above shall be addressed to the Superintendent and must set forth the interest of the applicant in the subject matter and the purpose for which such copy or information is desired.

(R.S. 161; 5 U.S.C. 301) [13 F.R. 7743, Dec. 15, 1948]

PART 301-DISBURSEMENT OF PENSION MONEY

Sec.

301.1

301.2

301.3

301.4

301.5

301.6 301.7

301.8

301.9

301.10

Deposit of money in Treasury.
Keeping accounts of money.

Purposes for which money shall be
disbursed.

Part of funds reserved for use of pen-
sioner.

Payment of board to St. Elizabeths
Hospital.

Use of unobligated balance of funds.
Disposition of funds not exceeding
$15 per month.

Disposition of funds greater than $15, and not exceeding $25, per month.. Disposition of funds in excess of $25 per month.

Amount available for disbursement to a nondependent relative. 301.11 Use of fund where there are no relatives of certain classes.

301.12 Disposition of balance of fund in case of discharge or death.