0.1     Educational Institution

(a) Mississippi State University

(b) McArthur Hall, Room 431

(c) Mississippi State, MS  39762

0.2     Reporting Unit is: (Mark one.)

A.         Independently Administered Public Institution

B.         Independently Administered Nonprofit Institution

C.    X  Administered as Part of a Public System

D.         Administered as Part of a Nonprofit System

E.          Other (Specify)

0.3     Official to Contact Concerning this Statement

(a) Ronald S. Brown, Associate Comptroller

(b) Phone Number: (662) 325 - 2302

0.4     Statement Type and Effective Date:
        A. (Mark type of submission. If a revision, enter number.)

(a)           Original Statement

(b)   X    Amended Statement; Revision No. 1

        B. Effective Date of this Statement (specify):   July 16, 2004

0.5     Statement Submitted To (Provide office name, location and telephone number, include area code and extension):

        A. Cognizant Federal Agency:

Department of Health and Human Services
Cohen Building - Room 1067
330 Independence Avenue, SW
Washington, DC 20201-0001