United States v. Guadalupe Rosales-Gonzales ( 2015 )


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  •                 FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    UNITED STATES OF AMERICA,                 No. 14-50286
    Plaintiff-Appellee,
    D.C. No.
    v.                     3:14-CR-00523-
    LAB-1
    GUADALUPE ROSALES-GONZALES,
    Defendant-Appellant.           OPINION
    Appeal from the United States District Court
    for the Southern District of California
    Larry A. Burns, District Judge, Presiding
    Argued and Submitted
    August 3, 2015—Pasadena, California
    Filed September 16, 2015
    Before: Dorothy W. Nelson, Barry G. Silverman,
    and Kim McLane Wardlaw, Circuit Judges.
    Opinion by Judge D.W. Nelson
    2           UNITED STATES V. ROSALES-GONZALES
    SUMMARY*
    Criminal Law
    Affirming a sentence for being a removed immigrant
    found in the United States, the panel held that a fast-track
    departure under U.S.S.G. § 5K3.1 is purely discretionary,
    such that the parties’ joint request does not necessitate that
    the district court grant it.
    The panel held that the district court neither committed
    procedural error nor imposed a substantively unreasonable
    sentence.
    COUNSEL
    Holly S. Hanover (argued), The Law Offices of Holly S.
    Hanover, Spring Valley, California, for Defendant-Appellant.
    Steven Lee (argued), Special Assistant United States
    Attorney, Laura Duffy, United States Attorney, and Bruce
    Castetter, Chief, Appellate Section, Criminal Division, San
    Diego, for Plaintiff-Appellee.
    *
    This summary constitutes no part of the opinion of the court. It has
    been prepared by court staff for the convenience of the reader.
    UNITED STATES V. ROSALES-GONZALES                   3
    OPINION
    D.W. NELSON, Senior Circuit Judge:
    Guadalupe Rosales-Gonzales appeals his 27-month
    sentence following his guilty plea and conviction for being a
    removed immigrant found in the United States. Rosales-
    Gonzales contends that the district court erred in not granting
    him a fast-track departure, which the parties jointly requested.
    We hold that the fast-track departure is purely discretionary,
    such that a joint request does not necessitate departure under
    the Guidelines. Because Rosales-Gonzales’s sentence was
    substantively reasonable, we affirm the sentencing and
    judgment.
    I. Background
    On February 4, 2014, U.S. Customs and Border
    Protection arrested Rosales-Gonzales as a removed immigrant
    found in the U.S. in violation of 8 U.S.C. § 1326. The
    government filed a one-count information charging Rosales-
    Gonzales with violating 8 U.S.C. § 1326. Rosales-Gonzales
    pled guilty to the charged violation pursuant to a written plea
    agreement. Under the terms of the plea agreement, the parties
    agreed to request jointly, among other recommendations, a
    four-level departure pursuant § 5K3.1 of the Sentencing
    Guidelines based on Rosales-Gonzales’s participation in a
    fast-track/early disposition program.
    On June 9, 2014, the district court held a sentencing
    hearing. At the outset of the hearing, the district court judge
    provided what he termed as “preliminary thoughts” on the
    parties’ sentencing recommendations. Specifically, the
    district court judge noted that he was not inclined to grant the
    4         UNITED STATES V. ROSALES-GONZALES
    requested fast-track departure because of Rosales-Gonzales’s
    prior convictions for the same offense and because the
    requested sentence of nine months’ imprisonment would be
    less than Rosales-Gonzales’s previous 14-month sentence for
    an identical offense. After the government amended its
    sentencing request to a 15-month term, the district court
    judge again stated that he was not inclined to “go along with
    that” and “was not on board with 15 months.”
    The district court then heard argument from both defense
    counsel and the government, and permitted Rosales-Gonzales
    to speak. Defense counsel focused her argument almost
    entirely on Rosales-Gonzales’s physical condition,
    specifically the effects of a stroke he had suffered. The
    district court judge then questioned the government about
    why it had recommended the fast-track departure in a case in
    which the defendant had been deported 35 times. The
    government responded that it had considered the sentencing
    factors set forth in 18 U.S.C. § 3553. The government also
    noted that Rosales-Gonzales settled his case “in an expedient
    manner” and waived both indictment and his right to appeal.
    Following the parties’ arguments, the district court judge
    explained that he agreed with the parties as to the first part of
    the Guidelines calculation, including that the base offense
    level was eight, Rosales-Gonzales’s four prior felony
    convictions added four points, but that he had accepted
    responsibility, which dropped the offense level to ten. The
    district court also agreed with the parties that Rosales-
    Gonzales’s criminal history category was five, thus, the
    sentence range would be 21 to 27 months. The district court
    judge disagreed with the parties, however, that the fast-track
    departure under § 5K3.1 applied and declined to apply it.
    The district court judge then determined that an “upper end”
    Guidelines sentence was warranted and sentenced Rosales-
    UNITED STATES V. ROSALES-GONZALES                    5
    Gonzales to 27 months’ imprisonment. Rosales-Gonzales
    timely appealed his sentence to this court.
    II. Standard of Review
    We analyze challenges to criminal sentences in two steps:
    First, we “consider whether the district court committed
    significant procedural error.” United States v. Carty,
    
    520 F.3d 984
    , 993 (9th Cir. 2008) (en banc). Second, “we
    consider the substantive reasonableness of the sentence.” 
    Id. Where the
    district court has “committed a significant
    procedural error, such as a material error in the Guidelines
    calculation that serves as the start point for the district court’s
    sentencing decision, we will remand for resentencing
    pursuant to 18 U.S.C. § 3742(f).” United States v. Pham,
    
    545 F.3d 712
    , 716 (9th Cir. 2008) (internal quotation marks
    and citation omitted).          We review the substantive
    reasonableness of the sentence for abuse of discretion.
    United States v. Autery, 
    555 F.3d 864
    , 871 (9th Cir. 2009).
    III.      Discussion
    This case requires us to determine whether a district court
    must grant a departure under § 5K3.1 of the Sentencing
    Guidelines for participation in a fast-track program when the
    parties jointly request this departure. In answering this
    question, we consider both procedural error and the
    substantive reasonableness of Rosales-Gonzales’s sentence.
    A. Procedural Error
    Rosales-Gonzales argues the district court procedurally
    erred by denying the parties’ joint request for the fast-track
    departure under § 5K3.1 of the Sentencing Guidelines and by
    6               UNITED STATES V. ROSALES-GONZALES
    not using the Sentencing Guidelines as its starting point. We
    evaluate these arguments in turn.
    1. Denial of the Fast-Track Departure Under
    § 5K3.1
    Post-Booker1,
    we elect to review the district court’s
    application of the advisory sentencing
    guidelines only insofar as they do not involve
    departures. To the extent that a district court
    has framed its analysis in terms of a
    downward or upward departure, we will treat
    such so-called departures as an exercise of
    post-Booker discretion to sentence a
    defendant outside of the applicable guidelines
    range.
    United States v. Mohamed, 
    459 F.3d 979
    , 987 (9th Cir. 2006);
    see also United States v. Vasquez-Cruz, 
    692 F.3d 1001
    , 1008
    (9th Cir. 2012) (reaffirming that departures are reviewed as
    part of the substantive reasonableness analysis and not for
    procedural error). As such, “we do not need to consider
    whether the district court correctly applied [the relevant
    departure provision]; rather, we review the district court’s
    deviation from the applicable guidelines range for
    reasonableness.” United States v. Tankersley, 
    537 F.3d 1100
    ,
    1114 (9th Cir. 2008); see also United States v. Blixt, 
    548 F.3d 882
    , 890–91 (9th Cir. 2008) (reviewing the district court’s
    denial of a downward departure under § 5K2.13 of the
    1
    United States v. Booker, 
    543 U.S. 220
    (2005).
    UNITED STATES V. ROSALES-GONZALES                  7
    Sentencing Guidelines only as part of the substantive
    reasonableness analysis).
    Thus, our case law is clear that we do not review the
    denial of a departure under § 5K of the Sentencing Guidelines
    for procedural error. See United States v. Ellis, 
    641 F.3d 411
    ,
    420–21 (9th Cir. 2011). Accordingly, we reject Rosales-
    Gonzales’s argument that the district court committed
    procedural error by declining to grant him a four-level
    downward departure under § 5K3.1. We address his
    additional arguments concerning the denial of this departure
    below in our analysis of the substantive reasonableness of his
    sentence.
    2. Sentencing Guidelines as the “Starting Point”
    The Sentencing Guidelines establish a three-step
    procedure that district courts must follow in determining the
    proper sentence: (1) calculate the appropriate Guidelines
    range, including the offense level and criminal history
    category of the defendant; (2) consider any applicable
    departures under § 5H or § 5K of the Guidelines; and
    (3) consider the factors enumerated in 18 U.S.C. § 3553(a).
    U.S. Sentencing Guidelines Manual § 1B1.1 (2014); see also
    United States v. Lee, 
    725 F.3d 1159
    , 1165 n.5 (9th Cir. 2013)
    (per curiam) (same). The Supreme Court has held that even
    though the Sentencing Guidelines are advisory only, district
    courts must use the Guidelines as the “starting point” for
    determining a sentence. See, e.g., Gall v. United States,
    
    552 U.S. 38
    , 49 (2007). While the district court may impose
    a sentence outside the Guidelines range, “it may not
    manipulate the calculations under the Sentencing Guidelines
    in order to produce a Guidelines range that will allow it to
    impose the sentence it prefers.” 
    Lee, 725 F.3d at 1164
    .
    8          UNITED STATES V. ROSALES-GONZALES
    Although Rosales-Gonzales contends his case is
    analogous to Lee, we find the facts sufficiently
    distinguishable to conclude the district court did not err. In
    Lee, the district court began by finding a base offense level of
    
    38. 725 F.3d at 1162
    . The probation officer then recalculated
    the defendant’s offense level as 35, based on a three-level
    reduction for acceptance of responsibility, resulting in a
    sentencing range of 188–235 months and a mandatory
    minimum of 120 months. 
    Id. The government
    subsequently
    moved for a ten-level reduction under § 5K1.1 based on the
    defendant’s substantial assistance and requested a 96-month
    sentence. 
    Id. at 1163.
    The district court granted the request
    for a reduction under §5K1.1. 
    Id. The district
    court then
    incorrectly calculated the defendant’s new offense level after
    the departure as 28, and, also incorrectly, stated that the
    appropriate Guidelines range was 78–97 months. 
    Id. Before the
    court could impose the final sentence, the probation
    officer interrupted to explain that, with a ten-level departure,
    the defendant’s offense level was actually 25, not 28,
    resulting in a Guidelines range of 63–78 months, so a
    sentence exceeding 78 months would be an above-Guidelines
    sentence. 
    Id. at 1163–64.
    The government then stated that “it
    believed ‘96 months was appropriate, whatever level one has
    to depart to, to get that.’” 
    Id. at 1164.
    Thereafter, the district
    court granted the government’s amended request for a seven-
    level departure—resulting in a Guidelines range of 87–108
    months—and sentenced the defendant to 96 months’
    imprisonment. 
    Id. Thus, the
    district court appeared to
    manipulate the Guidelines range to impose a 96-month
    sentence.
    Here, however, the district court did not engage in
    calculation or recalculation in an attempt to get to a specific
    sentence requested by the government or preferred by the
    UNITED STATES V. ROSALES-GONZALES                          9
    district court. The district court judge noted that he had
    reviewed the parties’ filings, including the request for the
    fast-track departure, but stated, from the outset, that he did
    not believe Rosales-Gonzales was entitled to the fast-track
    departure. The district court then heard argument from both
    parties, as well as Rosales-Gonzales’s statement, before
    imposing the final sentence. In doing so, the court first
    calculated an offense level of 10 and a criminal history
    category of 5, resulting in a Guidelines range of 21–27
    months, a calculation that Rosales-Gonzales does not dispute.
    The court explained that it disagreed with the government’s
    assessment that Rosales-Gonzales qualified for the fast-track
    departure and declined to apply it to his sentence.2 The court
    concluded that the § 3553(a) factors warranted an “upper
    end” Guidelines sentence and imposed a 27-month prison
    term.
    Although at times the district court judge indicated he
    would not sentence Rosales-Gonzales to 15 months or
    fewer—stating he would not “go along with that” and “was
    not on board with 15 months”—the court also expressed that
    his thoughts were preliminary and provided the parties an
    opportunity to argue. Of course, simply terming a
    predetermination as a “preliminary thought” would not be
    sufficient, on its own, to distinguish this case from Lee in a
    2
    The district court based much of its reasoning on a memorandum from
    the Department of Justice to United States Attorneys regarding when fast-
    track departure is applicable. See Memorandum for All United States
    Attorneys from James M. Cole, Deputy Attorney General (Jan. 31, 2012),
    available at http://www.justice.gov/dag/fast-track-program.pdf. Rosales-
    Gonzales has not challenged the district court’s reliance on this
    memorandum. Additionally, the factors discussed by the memorandum,
    at least as noted by the district court, overlap significantly with the
    § 3553(a) factors.
    10        UNITED STATES V. ROSALES-GONZALES
    meaningful way. However, we do not find the district court’s
    phrasing here to be disingenuous. The district court calculated
    the proper Guidelines range at step one, considered the
    applicable fast-track departure but declined to grant it at step
    two, and evaluated the § 3553(a) factors at step three. The
    district court did not commit procedural error.
    B. Substantive Reasonableness
    Rosales-Gonzales challenges the reasonableness of his
    sentence based on the denial of the fast-track departure and
    the “parsimony principle” of 18 U.S.C. § 3553(a). United
    States v. Chavez, 
    611 F.3d 1006
    , 1009, 1010 (9th Cir. 2010)
    (per curiam). Although we have explained that sentences
    involving departures are “subject to a unitary review for
    reasonableness,” 
    Mohamed, 459 F.3d at 987
    , we analyze his
    arguments related to the fast-track departure separately to
    clarify the nature of the departure and provide guidance for
    future cases.
    1. Denial of the Fast-Track Departure Under
    § 5K3.1
    Rosales-Gonzales principally argues that the district court
    lacked discretion to deny the fast-track departure under
    § 5K3.1. Specifically, Rosales-Gonzales urges us to read
    United States v. Gonzalez-Zotelo, 
    556 F.3d 736
    (9th Cir.
    2009), as prohibiting district courts from denying a properly-
    requested fast-track departure. We disagree and hold that
    district courts retain discretion to reject fast-track departures
    under § 5K3.1 of the Sentencing Guidelines.
    As noted, we have declined to consider whether a district
    court has properly granted or denied a departure under § 5K
    UNITED STATES V. ROSALES-GONZALES                 11
    of the Sentencing Guidelines post-Booker. See, e.g., 
    Blixt, 548 F.3d at 890
    –91. Further, we have explained that “[t]he
    old departure scheme is relevant today only insofar as factors
    that might have supported (or not supported) a departure may
    tend to show that a non-guidelines sentence is (or is not)
    reasonable.” 
    Tankersley, 537 F.3d at 1114
    . We have
    described all departures as “exercise[s] of discretion,”
    
    Mohamed, 459 F.3d at 986
    , and we have not found, nor could
    counsel identify, any other departures under § 5K that we
    have treated as mandatory.
    In addition, the statutory text at issue supports our view.
    The Prosecutorial Remedies and Other Tools to End the
    Exploitation of Children Today (PROTECT) Act of 2003,
    which implements the fast-track departure, reflects no
    indication that Congress intended the departure to be
    mandatory. As is relevant here, the PROTECT Act provides
    only that the Sentencing Commission must promulgate “a
    policy statement authorizing a downward departure of not
    more than 4 levels if the Government files a motion for such
    departure pursuant to an early disposition program authorized
    by the Attorney General and the United States Attorney.”
    Pub. L. No. 108–21, § 401(m)(2)(B), 117 Stat. 650, 675
    (2003). Additionally, the language of § 5K3.1 itself provides
    that “[u]pon motion of the Government, the court may depart
    downward not more than 4 levels pursuant to an early
    disposition program,” again indicating that the court retains
    discretion to decide whether or not to grant the departure.
    U.S.S.G. § 5K3.1.
    Moreover, Rosales-Gonzales’s reliance on Gonzalez-
    Zotelo is misplaced. In that case, we held that the district
    court committed plain error by granting the defendant a four-
    level fast-track departure even though the government had not
    12        UNITED STATES V. ROSALES-GONZALES
    requested 
    one. 556 F.3d at 741
    . We explained that district
    courts may consider only unwarranted sentencing disparities.
    
    Id. at 739.
    Sentencing disparities between fast-track and non-
    fast-track defendants under 18 U.S.C. § 3553(a)(6) are not
    unwarranted because the differences in those sentences “are
    justified by the benefits gained by the government when
    defendants plead guilty early in criminal proceedings.” 
    Id. (internal quotation
    marks omitted). We held that while the
    Supreme Court’s decision in Kimbrough v. United States,
    
    552 U.S. 85
    (2007), allows district courts to depart from the
    Guidelines based on a disagreement with Guidelines policy,
    it does not allow district courts to sentence in contravention
    to congressional policy. 
    Gonzalez-Zotelo, 556 F.3d at 740
    –41.
    However, where a district court denies a jointly requested
    fast-track departure, the district court does not contravene the
    congressional policy at issue in Gonzalez-Zotelo. The
    relevant congressional policy in Gonzalez-Zotelo was that
    Congress had authorized the fast-track program and, thus, had
    authorized disparities between fast-track and non-fast-track
    defendants, such that consideration of these disparities was
    improper. 
    See 556 F.3d at 739
    –40. Gonzalez-Zotelo, thus,
    says nothing about whether congressional policy dictates that
    the particular departure at issue here—the fast-track departure
    itself—is mandatory upon motion of the government or upon
    joint recommendation of the parties. On this point, the
    Second Circuit’s recent decision in United States v. Shand,
    
    739 F.3d 714
    (2d Cir. 2014) (per curiam), is instructive. In
    Shand, the defendant similarly argued that the district court
    lacks discretion to deny a fast-track departure when the
    government properly requests it. 
    Id. at 715.
    The Second
    Circuit rejected this argument, relying mainly on the text of
    the § 5K3.1, explaining that the permissive use of “may”
    UNITED STATES V. ROSALES-GONZALES                   13
    distinguished this section of the Guidelines from other
    mandatory ones. 
    Id. at 715–16.
    We also reject Rosales-Gonzales’s arguments that
    allowing district courts to deny fast-track departures would
    interfere with prosecutorial discretion or have a chilling effect
    on plea bargaining. Rosales-Gonzales’s plea agreement was
    made pursuant to Federal Rule of Criminal Procedure
    11(c)(1)(B), which provides that the government will
    “recommend, or agree not to oppose the defendant’s request,
    that a particular sentence or sentencing range is appropriate
    or that a particular . . . policy statement . . . does or does not
    apply (such a recommendation or request does not bind the
    court).” Even where the parties make a joint recommendation
    for a sentence in such cases, the district court may
    nevertheless exercise its discretion to reject the joint
    recommendation. See, e.g., United States v. Camarillo-Tello,
    
    236 F.3d 1024
    , 1028 (9th Cir. 2001). Thus, we see no reason
    why the rejection of a sentencing proposal recommending a
    fast-track departure would uniquely interfere with
    prosecutorial discretion or chill the plea bargaining process.
    This is not to say, however, that a district court can
    simply ignore the fast-track departure, or other discretionary
    departures under § 5K of the Sentencing Guidelines. As we
    have previously noted in the context of accepting or rejecting
    plea agreements, “the existence of discretion requires its
    exercise, and when a court establishes a broad policy based
    on events unrelated to the individual case before it, no
    discretion has been exercised.” In re Morgan, 
    506 F.3d 705
    ,
    712 (9th Cir. 2007) (internal quotation marks, alterations,
    citations omitted). Just as it would be an abuse of discretion
    for a district court judge to have a blanket policy against
    accepting plea agreements with binding sentences
    14        UNITED STATES V. ROSALES-GONZALES
    incorporating the fast-track departure, see United States v.
    Gonzalez, 502 F. App’x 665, 667 (9th Cir. 2012), so too
    would it be an abuse of discretion for a district court judge to
    implement a blanket policy against granting recommended
    fast-track departures in plea agreements with non-binding
    sentences, cf. United States v. Odachyan, 
    749 F.3d 798
    ,
    804–05 (9th Cir. 2014) (Reinhardt, J., concurring) (explaining
    that a district court judge’s statement indicating the judge
    considered the defendant to be part of a group of immigrants
    that “prey on this government’s institutions” was adverse to
    § 3553(a)’s requirement of an individualized determination
    at sentencing). Though counsel for Rosales-Gonzales
    contended that the district court judge here was more reticent
    than other judges to grant the fast-track departure, she
    conceded—and the record does not contradict—that the
    district court judge does not have a blanket policy of denying
    the fast-track departure.
    2. Parsimony Principle
    Under 18 U.S.C. § 3553(a), the district court shall
    “impose a sentence sufficient, but not greater than necessary,
    to comply with the purposes set forth” in § 3553(a)(2). This
    provision, also known as the “parsimony principle” or
    “‘parsimony clause,’” “is a guidepost, an overarching
    principle that directs judges in the appropriate exercise of
    their sentencing discretion within the sentencing range
    authorized and consideration of factors prescribed by
    Congress.” 
    Chavez, 611 F.3d at 1010
    . As such, challenging
    a sentence as violating the “parsimony principle” is simply
    another way of stating that the sentence is unreasonable. See
    United States v. Crowe, 
    563 F.3d 969
    , 977 n.16 (9th Cir.
    2009).
    UNITED STATES V. ROSALES-GONZALES                 15
    The district court properly considered the relevant
    § 3553(a) factors and did not abuse its discretion in
    sentencing Rosales-Gonzales to 27 months’ imprisonment.
    In discussing whether to grant the fast-track departure and
    determining the proper sentence, the district court properly
    considered Rosales-Gonzales’s past criminal and immigration
    history. See 18 U.S.C. §§ 3553(a)(1) (“the history and
    characteristics of the defendant”), 3553(a)(2)(A) (“to promote
    respect for the law”), 3553(a)(2)(B) (“to afford adequate
    deterrence to criminal conduct”). The district court also
    heard argument from defense counsel regarding Rosales-
    Gonzales’s health, asked questions about his physical
    condition, and considered these issues in determining the
    sentence. Ultimately, the district court weighed in Rosales-
    Gonzales’s favor the fact that he was not a dangerous
    criminal. However, the district court weighed Rosales-
    Gonzales’s multiple felony convictions for this same offense
    and multiple removals against him. The district court also
    found the need to deter future criminal activity warranted an
    “upper end” Guidelines sentence. Thus, the district court
    imposed a 27-month sentence.
    Rosales-Gonzales’s further arguments lack merit. First,
    he contends that the court misunderstood the deterrent value
    of an increased sentence. In other words, the district court
    reasoned that the prior sentence did not work because it did
    not deter Rosales-Gonzales from committing the same crime.
    Thus, the court imposed a harsher sentence to deter him from
    reentering the country illegally. Rosales-Gonzales mentions
    empirical evidence that undermines this reasoning, though he
    does not appear to have presented this evidence to the district
    court, nor does he ask us to take judicial notice of it.
    Moreover, this argument does not account for the fact that the
    longer sentence imposed in this matter resulted largely from
    16        UNITED STATES V. ROSALES-GONZALES
    a Guidelines calculation that takes into account criminal
    history. Here, the Guidelines range was 21–27 months based
    on the applicable offense level and criminal history category.
    See United States v. Gonzalez Vazquez, 
    719 F.3d 1086
    , 1089
    (9th Cir. 2013) (discussing criminal history in sentencing).
    Second, Rosales-Gonzales argues that the district court
    failed to take into account “the real conduct and
    circumstances,” at issue, 
    Gall, 552 U.S. at 54
    (internal
    quotation marks and citation omitted), and instead focused on
    imposing a higher sentence than Rosales-Gonzales had
    received in a previous case. The record belies this claim. As
    explained, the district court evaluated the § 3553(a) factors
    and considered the relevant circumstances.
    Finally, Rosales-Gonzales posits that his sentence was
    longer than necessary to protect the public. This contention
    fails to account for his recidivism. In sum, Rosales-Gonzales
    has not established that his within-Guidelines sentence was
    unreasonable. See 
    Carty, 520 F.3d at 994
    (noting “a
    Guidelines sentence ‘will usually be reasonable’” (quoting
    Rita v. United States, 
    551 U.S. 338
    , 351 (2007)).
    IV.     Conclusion
    The district court neither committed procedural error nor
    imposed a substantively unreasonable sentence. The district
    court had discretion to reject the parties’ joint request for a
    four-level departure under § 5K3.1 of the Sentencing
    Guidelines for Rosales-Gonzales’s participation in a fast-
    track program, and the district court properly considered the
    § 3553(a) sentencing factors.
    AFFIRMED.