Total Inward Leakage Requirements for Respirators, 56141-56151 [E9-26008]
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Federal Register / Vol. 74, No. 209 / Friday, October 30, 2009 / Proposed Rules
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minimal objective medical information.
We are calling this method
‘‘Compassionate Allowances.’’ In
December 2007, April 2008, November
2008, and July 2009, we held
Compassionate Allowance public
hearings. These hearings concerned rare
diseases, cancers, traumatic brain injury
and stroke, early-onset alzheimer’s and
related dementias, respectively. This
hearing is the fifth in the series. The
purpose of this hearing is to obtain your
views about the advisability and
possible methods of identifying and
implementing compassionate
allowances for young adults with
Schizophrenia. We plan to address other
medical conditions at subsequent
hearings.
DATES: This hearing will be held on
November 18, 2009, between 8:30 a.m.
and 5 p.m., Pacific Standard Time
(PST), in San Francisco, CA. The
hearing will be held at the Parc 55 Hotel
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address is 55 Cyril Magnin Street, San
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is welcome to attend the hearing, only
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proceedings live via Webcast beginning
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You may access the Webcast line for the
hearing on the Social Security
Administration Web site at https://
www.socialsecurity.gov/compassionate
allowances/hearings.htm.
ADDRESSES: You may submit written
comments about the compassionate
allowances initiative with respect to
young adults with Schizophrenia, as
well as topics covered at the hearing by
(1) e-mail addressed to
Compassionate.Allowances@ssa.gov; or
(2) mail to Nancy Schoenberg, Acting
Director, Office of Compassionate
Allowances and Disability Outreach,
ODP, ORDP, Social Security
Administration, 4671 Annex Building,
6401 Security Boulevard, Baltimore, MD
21235–6401. We welcome your
comments, but we may not respond
directly to comments sent in response to
this notice of the hearing.
FOR FURTHER INFORMATION CONTACT:
Compassionate.Allowances@ssa.gov.
You may also mail inquiries about this
meeting to Nancy Schoenberg, Acting
Director, Office of Compassionate
Allowances and Disability Outreach,
ODP, ORDP, Social Security
Administration, 4671 Annex, 6401
Security Boulevard, Baltimore, MD
21235–6401. For information on
eligibility or filing for benefits, call our
national toll-free number 1–800–772–
1213 or TTY 1–800–325–0778, or visit
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16:11 Oct 29, 2009
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Social Security online, at https://
www.socialsecurity.gov.
SUPPLEMENTARY INFORMATION:
Background
Under titles II and XVI of the Act, we
pay benefits to individuals who meet
our rules for entitlement and have
medically determinable physical or
mental impairments that are severe
enough to meet the definition of
disability in the Act. The rules for
determining disability can be very
complicated, but some individuals have
such serious medical conditions that
their conditions obviously meet our
disability standards. To better address
the needs of these individuals, we are
implementing the Compassionate
Allowance initiative to quickly identify
diseases and other medical conditions
that invariably qualify under the Listing
of Impairments based on minimal
objective medical information.
Will We Respond to Your Comments?
We will carefully consider your
comments, although we will not
respond directly to comments sent in
response to this notice or the hearing.
Additional Hearings
We have held four hearings since
December 2007. The hearings were on
rare diseases, cancers, and traumatic
brain injury (TBI) and stroke, earlyonset alzheimer’s and related
dementias. You may access the
transcripts of the hearings at https://
www.socialsecurity.gov/
compassionateallowances. We plan to
hold additional hearings on other
conditions and will announce those
hearings later with notices in the
Federal Register.
(Catalog of Federal Domestic Assistance
Program Nos. 96.001, Social Security—
Disability Insurance; 96.006, Supplemental
Security Income. (72 FR at 62608).
Dated: October 26, 2009.
Michael J. Astrue,
Commissioner of Social Security.
[FR Doc. E9–26194 Filed 10–29–09; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
42 CFR Part 84
RIN 0920–AA33
Total Inward Leakage Requirements
for Respirators
AGENCY: Centers for Disease Control and
Prevention, HHS.
ACTION: Notice of proposed rulemaking.
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56141
SUMMARY: The Centers for Disease
Control and Prevention (‘‘CDC’’)
proposes to establish total inward
leakage (TIL) requirements for half-mask
air-purifying particulate respirators
approved by the National Institute for
Occupational Safety and Health
(‘‘NIOSH’’) of CDC. The proposed new
requirements specify TIL minimum
performance requirements and testing to
be conducted by NIOSH and respirator
manufacturers to demonstrate that these
respirators, when selected and used
correctly, provide effective respiratory
protection to intended users against
toxic dusts, mists, fumes, fibers, and
biological and infectious aerosols (e.g.
influenza A(H5N1), severe acute
respiratory syndrome (SARS)
coronavirus, and Mycobacterium
tuberculosis).
DATES: CDC invites comments on this
proposed rule from interested parties.
Comments must be received by
December 29, 2009.
ADDRESSES: You may submit comments,
identified by RIN: 0920–AA33, by any
of the following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
• E-mail: niocindocket@cdc.gov.
Include (HHS INSERT RIN NUMBER)
and ‘‘42 CFR part 84’’ in the subject line
of the message.
• Mail: NIOSH Docket Office, Robert
A. Taft Laboratories, MS–C34, 4676
Columbia Parkway, Cincinnati, OH
45226.
Instructions: All submissions received
must include the agency name and
docket number or Regulatory
Information Number (RIN) for this
rulemaking. All comments received will
be posted without change to https://
www.regulations.gov, including any
personal information provided. For
detailed instructions on submitting
comments and additional information
on the rulemaking process, see the
‘‘Public Participation’’ heading of the
SUPPLEMENTARY INFORMATION section of
this document.
Docket: For access to the docket to
read background documents or
comments received, go to https://
www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
William Newcomb, NIOSH National
Personal Protective Technology
Laboratory (‘‘NPPTL’’), Pittsburgh, PA,
(412) 386–4034 (this is not a toll-free
number). Information requests can also
be submitted by e-mail to
niocindocket@cdc.gov.
SUPPLEMENTARY INFORMATION:
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Federal Register / Vol. 74, No. 209 / Friday, October 30, 2009 / Proposed Rules
I. Public Participation
Interested persons or organizations
are invited to participate in this
rulemaking by submitting written views,
arguments, recommendations, and data.
Comments are invited on any topic
related to this proposal.
Comments submitted by e-mail or
mail should be addressed to the
‘‘NIOSH Docket Officer,’’ titled ‘‘NIOSH
Docket #137,’’ and should identify the
author(s), return address, and a phone
number, in case clarification is needed.
Comments can be submitted by e-mail
to: niocindocket@cdc.gov. E-mail
comments can be provided as e-mail
text or as a Word or Word Perfect file
attachment. Printed comments can be
sent to the NIOSH Docket Office at the
address above. All communications
received on or before the closing date
for comments will be fully considered
by CDC.
All comments submitted will be
available for examination in the rule
docket (a publicly available repository
of the documents associated with the
rulemaking) both before and after the
closing date for comments. A complete
electronic docket containing all
comments submitted will be available
at: https://www.cdc.gov/niosh/docket/
NIOSHdocket0137.html and comments
will be available in writing by request.
NIOSH includes all comments received
without change in the docket, including
any personal information provided.
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II. Background
A. Introduction
Under 42 CFR part 84, ‘‘Approval of
Respiratory Protective Devices’’ (‘‘Part
84’’) NIOSH approves respirators used
by workers in mines and other
workplaces for protection against
hazardous atmospheres. The Mine
Safety and Health Administration
(‘‘MSHA’’) and the Occupational Safety
and Health Administration (‘‘OSHA’’)
require U.S. employers to supply
NIOSH-approved respirators to their
employees whenever the employer
requires the use of respirators. In
addition, MSHA co-approves with
NIOSH all respirators used in mine
emergencies and mine rescue.
Testing, quality control, and other
requirements under Part 84 are intended
to ensure that respirators supplied to
U.S. workers provide effective
protection when properly employed
within a complete respiratory protection
program, as specified under MSHA and
OSHA regulations. NIOSH requirements
governing approval of the type of
respirators covered by this proposed
rule are specified in 42 CFR part 84,
principally under Subpart K—Non-
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Powered Air-Purifying Particulate
Respirators. These were last updated in
1995 (60 FR 30336–30404). At that time,
NIOSH proposed but ultimately omitted
requirements for testing the
performance of these respirators with
respect to TIL 1 to allow for further
research on the effectiveness of TIL
testing methods.2
The performance of the facepiece-toface seal and other potential sources of
leakage for this type of respirator are
important because these determine how
much unfiltered contaminated air the
worker might inhale. The facepiece-toface seal leakage can be substantial in
the case of a poorly fitting respirator.
Effective fit testing technology and
procedures now exist to assure that
respirators approved by NIOSH under
Subpart K of Part 84 have adequately
performing facepiece-to-face seals and
sufficiently control TIL. The purpose of
this rulemaking is to promulgate general
requirements for such TIL testing and
performance. The draft specific
technical procedures to be applied
under such requirements can be found
at https://www.cdc.gov/niosh/docket/
NIOSHdocket0137.html. When
finalized, the procedure will be detailed
with all other NIOSH respirator
certification testing procedures on the
NIOSH Web page at https://
www.cdc.gov/niosh/npptl/stps/
respirator_testing.htm.
B. Background and Significance
Employers rely upon NIOSHapproved respirators to protect their
employees from airborne toxic
contaminants and oxygen-deficient
environments. More than 3.3 million
private sector employees in the United
States wear respirators for certain work
tasks.
Workers depend on respirators to
protect them from asphyxiation or
airborne contaminants that are known
or suspected to cause acute and chronic
health effects, such as heavy metal
poisoning, acid burns, chronic
obstructive pulmonary disease, silicosis,
neurological disorders, and cancer.
As the last line of protection for
workers, respirators must be designed
and manufactured to perform reliably
and tested for compliance to a specified
minimum level of performance. The
worker might not be able to detect
ineffective performance of the respirator
prior to the toxic exposure, upon which
1 TIL is the combination of contaminated air
leaked through various potential sources including
the facepiece-to-face seal, exhalation valves (if any),
and gaskets (if any) and any contaminants that have
penetrated the filter.
2 The isoamyl acetate or American National
Standards Institute (ANSI)/OSHA accepted fit tests.
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it might be too late to avoid serious
injury or death.
Respirator manufacturers and NIOSH
have critical roles in assuring
employers, other purchasers of
respirators, and workers that their
respirators will provide the protection
that is implied by their NIOSH
certification. This rulemaking, which
has been identified as a priority among
the policymaking needs of the NIOSH
respirator certification program by
respirator manufacturers, employers,
and other stakeholders of the program,
is intended to strengthen this assurance.
C. Need for Rulemaking
This rulemaking would establish TIL
performance requirements and testing of
half-mask, air-purifying particulate
respirators currently approved under
the requirements of Part 84 Subpart K—
Non-Powered Air-Purifying Particulate
Respirators. These respirators are used
by two million U.S. workers: For
example, they are used in health care
settings by caregivers and staff to
patients with tuberculosis and other
respiratory infections; in foundries,
chemical manufacturing, and other
production facilities with potentially
hazardous aerosol exposures such as
metals, coal, plastics, fibers, nano
materials, and silica; and at construction
and landscaping sites where workers are
exposed to wood, silica, and other dusts
from the grounds and building
materials. These respirators are also
stockpiled in large caches for
deployment to public safety, health
care, and other service personnel in the
advent of an influenza pandemic.
NIOSH evaluation of the TIL
performance of these respirators would
provide increased assurance to
respirator purchasers and users that
NIOSH-approved respirators can be
expected to effectively protect the user
against particulate contaminants, when
properly donned and used. NIOSH has
conducted benchmark testing of 101
respirator models currently on the
market, using a testing regimen similar
to that being proposed in this
rulemaking, to assess their TIL
performance. Approximately 30 percent
of this class of respirators have
facepiece seals that did not perform
adequately to achieve a fit factor of 100
(limiting total inward leakage to no
more than 1 percent), as specified by
OSHA,3 for substantial numbers of the
human subjects donning them for
3 See
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29 CFR 1910.134 (f)(7).
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benchmark testing. This finding is
supported by published research.4 5
There are three implications of this
finding from benchmark testing, which
define the need for this rulemaking.
One, when an employer purchases one
of these respirator models with poor TIL
performance for use within a complete
respirator program, as specified by
OSHA and MSHA, fit-testing of the
employees should reveal that a
substantial proportion of the employees
do not achieve an adequate fit. This
presumably compels the employer to
purchase other respirators and conduct
additional fit-testing on employees,
continuing such purchases and fit
testing until respirators are identified,
through trial and error, that provide all
employees with adequately fitting
respirators.
This process of identifying respirators
that provide an adequate fit to each
employee would be streamlined through
NIOSH evaluation of TIL performance
as proposed in this rulemaking, using
panels of test subjects representative of
intended users of a particular respirator
model and size. The employee is more
likely to achieve a good fit from a
respirator make that has been
demonstrated through testing to achieve
a specified minimum level of
performance in this respect.
The second implication applies to
situations in which these poorly
performing respirators are being used by
employees and other individuals
without the benefit of a complete
respirator program that includes fit
testing. A recent NIOSH/Bureau of
Labor Statistics (BLS) survey of
respirator use among U.S. workers
found that 40 percent of employers are
not selecting respirators for their
employees based on fit testing.6 Selfemployed workers in industries such as
construction may be even less likely to
perform fit testing.
For these employee and worker
populations, the poor fit might not be
recognized, increasing the likelihood
that substantial numbers of these
respirator users are not being adequately
protected from their hazardous
exposures. While the only way to ensure
4 Coffey C, Lawrence R, Campbell D, Zhuang Z,
Calvert C, Jensen P. Fitting Characteristics of
Eighteen N95 Filtering Facepiece Respirators. JOEH.
2004;1: 262–271.
5 Lawrence R, Duling M, Calvert C, and Coffey C.
Comparison of Performance of Three Different
Types of Respiratory Protection Devices. JOEH.
2006;3:465–474.
6 NIOSH/BLS [2003]. Respirator usage in private
sector firms, 2001 (PDF only 1,118 KB (278 pages)).
Cincinnati, OH: U.S. Department of Health and
Human Services, Public Health Service, Centers for
Disease Control and Prevention, National Institute
for Occupational Safety and Health.
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that a particular respirator make and
size performs adequately for a user is
through fit testing of that user, NIOSH
testing and evaluation of TIL
performance would increase the
likelihood that these workers who lack
fit testing will be protected, by obtaining
respirators that are demonstrated to
generally provide a good fit to intended
users when worn properly.
The third implication applies to the
stockpiling of respirators for use in case
of an influenza pandemic. During a
disease outbreak, such respirators might
be deployed without a respirator
program and without fit testing.
Currently, the selection of NIOSH
approved respirators provides no
assurance that stockpiled respirators are
likely to provide adequate protection to
the health care, public safety, and other
personnel who might use them without
a respirator program and fit testing. The
availability of NIOSH certification with
respect to TIL performance would
increase the likelihood that such users
would obtain an adequate fit and
protection, even though it could not
provide the same level of assurance as
is obtained from fit testing of each
individual for the selection of
respirators.
In summary, revising Part 84 to
incorporate minimum performance
requirements governing TIL is a
necessary step to ensure that NIOSHapproved half-mask air purifying
particulate respirators have facepiece-toface and other seals that perform
adequately to provide effective
protection to most intended users.
While this certification testing will not
substitute for individual fit testing,
respirator training, and other
components of a complete respiratory
protection program critical to worker
protection, it will substantially improve
the current circumstances by approving
only respirators that demonstrate the
ability to meet minimum specified
performance requirements and are likely
to provide adequate protection to most
intended users when properly fitted and
worn.
D. Public Meetings for Discussion and
for Comment
NIOSH held public meetings to
discuss underlying issues and technical
matters addressed in this proposed rule
on August 25, 2004, at the Key Bridge
Marriott, Arlington, VA, and June 26,
2007, at The Embassy Suites Pittsburgh
International Airport, Coraopolis,
Pennsylvania.7 Official transcripts of the
7 Notice
of these meetings was published in the
Federal Register (FR69:133:42059)
(FR72:102:29501–29502). NIOSH also sent a letter
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56143
meetings, as well as public comments
submitted subsequently, are available in
Docket #36 from the NIOSH Docket
Office at the address provided above.
One issue of concern raised in
response to NIOSH presentations was
that the NIOSH rule would prevent
respirator manufacturers from
producing models targeted to specific
demographic subpopulations, such as
women, for example. The current
proposal would not impose any such
limitation. NIOSH will construct test
subject panels for the certification
testing that represent the population
targeted by the manufacturer, as
described in the manufacturer’s user
instructions.
Another concern raised by
commenters is that this rulemaking
would shift responsibility for the fit
achieved by employees from the
employer, who is required to conduct fit
testing under OSHA and MSHA
regulations, to the respirator
manufacturer. No such substitution is
intended or effected by the rulemaking.
As discussed above, NIOSH would
require that manufacturers produce
respirators that have effective face seals,
such that they can be expected generally
to fit intended users and control TIL
adequately when the respirators are
properly fit tested, donned, and used.
This general assurance does not replace
individual fit testing to be conducted by
employers, which ensures that each
individual employee obtains an
effective fit, as required by OSHA and
MSHA.
NIOSH already requires adequate TIL
performance for other types of
respirators under Part 84. NIOSH
omitted such requirements for the
category of respirator covered in this
rulemaking only because of testing
limitations that existed in 1995 when
Part 84 was established.
NIOSH received concerns regarding
the use of various testing technology
and methods to evaluate TIL. The
technology is identical to that in
common use for measuring respirator fit
and is accepted by OSHA.8
Comments were received questioning
the representativeness of the test panel
with respect to the population of
respirator users. The test panel was
developed by NIOSH to replace a panel
developed decades ago by Los Alamos
National Laboratory using military
personnel. The new panel has been the
subject of publications and multiple
reviews, including a review by the
announcing the meetings to known stakeholders
and posted it on the NIOSH Web page https://
www.cdc.gov/niosh/npptl.
8 29 CFR 1910.134, Appendix A, Part I, C, 3.
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Federal Register / Vol. 74, No. 209 / Friday, October 30, 2009 / Proposed Rules
Institute of Medicine.9 10 11 It is
documented in testing and agreed by
reviewers that the proposed panel
represents a substantial improvement
over its predecessor panel and should
be implemented.
Commenters also questioned the
number of test subjects and the pass/fail
criteria. NIOSH has changed the pass/
fail criteria and the number of test
subjects as a result of these comments.
A full technical discussion of the
statistical basis for the proposed
standards described below is provided
in a paper titled ‘‘Statistical Basis for
TIL Testing’’ in the NIOSH Docket for
this rulemaking posted at: https://
www.cdc.gov/niosh/docket/
NIOSHdocket0137.html. The maximum
allowable leakage is now equivalent to
the fit test criteria required by OSHA for
this type of respirator.12
These concerns have been given
consideration in the design of this
proposed rule and will be considered
further in the development of testing
procedures to be implemented under a
final rule. NIOSH encourages interested
parties to submit any technical concerns
along these lines, as well as policy
concerns, in response to this proposed
rule.
NIOSH will convene a public meeting
to provide stakeholders an opportunity
to comment orally on this rulemaking
during the comment period. The
meeting will be in the vicinity of
Washington DC and will be announced
in a separate notice in the Federal
Register. This meeting will also be
available through remote access
capabilities. Participants will be able to
simultaneously listen and view
presentations over the Internet, as well
as comment.
III. Summary of Proposed Rule
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This proposed rule would establish
new TIL requirements for half-mask airpurifying particulate respirators
approved by NIOSH, or NIOSH and
MSHA, under 42 CFR part 84—
Approval of Respiratory Protective
Devices. These provisions would be
added to Subpart K. The following is a
9 Zhuang Z, Bradtmiller B, and Shaffer R.E. New
Respirator Fit Test Panels Representing the Current
U.S. Civilian Workforce. Journal of Occupational
and Environmental Hygiene 2007;4: 647–659.
10 Zhuang Z, Groce D, Ahlers H, Iskander W,
Landsittle D, Guffey S, Benson S, Viscusi D, Shaffer
R. Correlation between Respirator Fit and
Respirator Fit Test Panel Cells by Respirator Size.
Journal of Occupational and Environmental
Hygiene. 2008;5: 617–628.
11 Institute of Medicine. Assessment of the NIOSH
Head-and-Face Anthropometric Survey of U.S.
Respirator Users. The National Academies Press,
Washington, DC (2007).
12 29 CFR 1910.134(f)(7).
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section-by-section summary which
describes and explains the provisions of
the rule. The public is invited to
provide comment on any aspect of the
proposed rule. The complete regulatory
text for this proposed rule is provided
in the last section of this notice. For the
convenience of readers, the regulatory
text presents the amended sections in
their entirety, including the proposed
new and revised paragraphs and those
that would remain unrevised under the
amended sections.
Subpart K
Section 84.175 Half-Mask Facepieces,
Full Facepieces, Hoods, Helmets, and
Mouthpieces; Fit and Total Inward
Leakage (TIL); Minimum Requirements
This section includes a variety of
general requirements governing the fit
and functionality of the various designs
of non-powered air-purifying particulate
respirators. NIOSH proposes to amend
this section to incorporate TIL standards
and a general specification of testing
requirements. Paragraphs in this section
that are not discussed below are current
provisions that NIOSH is not proposing
to amend.
A. Half-Mask Respirators Designed for
Specific Segments of the Population
Paragraph (a)(3) is new. It would
allow applicants to seek approval for
half-mask respirators designed to fit a
specific segment of the population, such
as ‘‘women’’ or persons within specific
dimensional limits. Currently,
respirators must be designed to fit the
population broadly, either by providing
one size that fits diverse facial shapes
and sizes or by providing multiple sizes.
It is advantageous to employers and
other respirator purchasers to supply a
respirator that fits the population
broadly because it simplifies their
selection and purchasing of such
equipment. It also increases the
likelihood that the majority of workers
and other respirator users will obtain
respirators that fit. However, in
connection with public discussions
regarding the concepts underlying TIL
standards and testing, several respirator
manufacturers have advocated that they
have the option of producing respirators
designed to fit particular
subpopulations, presumably to more
reliably achieve a fit for certain face
shapes that might not obtain a good fit
from generally-targeted designs.
Furthermore, while NIOSH benchmark
testing and other research have
indicated that many respirators do not
actually provide a good fit to substantial
segments of the population, it is
possible that some of these respirators
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are well designed to fit particular
subpopulations.
NIOSH accepts the proposition that in
some cases it might be effective to
design respirators to fit specific
subpopulations that share common
facial characteristics, resulting in better
TIL performance. Since this approach
would rely on purchasers recognizing
an appropriate match, NIOSH has
specified that the membership of the
subpopulation, as described, must be
somehow identified. Thus, for example,
sex is clear. However, it is unclear to
NIOSH whether there are other
demographic classifications or
descriptors for subpopulations that
could be both reliably interpreted by
users and reliably determinative in
terms of respirator fit. Users must be
provided sufficient information to
permit them to self-identify. They might
not effectively self-identify to match a
manufacturer’s intentions if provided
only vague general descriptions of
intended facial shapes or characteristics.
A new paragraph (g) would require
that any part of a respirator that would
have to be removed to conduct a user
seal check must be replaceable without
disturbing the fit of the respirator. This
is a current requirement for other types
of respirators and is essential to assuring
the validity of the seal check.
Paragraph (h) is also new. It would
require the user instructions of a halfmask respirator to specify the intended
users of the respirator, by facial size, if
applicable, and by other descriptive
information as might be necessary for
respirators designed for specific
subpopulations, as explained above.
This information would be relied upon
by purchasers and users and by NIOSH
in conducting TIL testing, as discussed
below.
B. Half-Mask Respirator TIL Testing
Requirements
General Discussion
Subsection (i) is new. It proposes the
general procedures, requirements, and
performance standards for TIL of nonpowered half-mask air-purifying
particulate respirators. The standards
have been designed statistically to
identify and pass with high accuracy
(greater than 90 percent probability)
those respirators that provide adequate
TIL performance to the large majority of
intended users (in the range of 80 to 90
percent of intended users) while failing
with near certainty (greater than 99
percent probability) those respirators
that do not provide adequate TIL
performance to a majority (50 percent or
more) of intended users. Adequate TIL
performance is a TIL value of 1.0,
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equivalent to a fit factor of 100, which
is the level of performance for these
respirators specified by OSHA.13 The
number of test subjects proposed for the
testing has been limited to maintain
reasonably modest testing costs for
NIOSH and respirator manufacturers
while achieving a representative crosssection of the intended user population
and providing sufficient ‘‘statistical
power’’ to evaluate TIL performance
accurately. A full technical discussion
of the statistical basis for the proposed
standards described below is provided
in a paper titled ‘‘Statistical Basis for
TIL Testing’’ in the NIOSH Docket for
this rulemaking posted at: https://
www.cdc.gov/niosh/docket/
NIOSHdocket0137.html. NIOSH
requests public comment concerning the
judgments inherent to these proposed
standards, as well as comment on the
supporting statistical analysis
referenced here.
NIOSH invites public comment on the
proposed standards specified in this
subsection. There are several critical
factors that the public should consider
in providing such comments:
1. What percentage of the intended
user population should be able to
achieve adequate TIL performance for
the respirator to be approved by NIOSH?
NIOSH has proposed that 75 percent or
higher should be able to achieve such
performance. This performance level is
based on the design and statistical
considerations presented above in this
General Discussion section; essentially,
using this 75 percent testing parameter
would provide strong assurance (90
percent probability) that testing
identifies for approval respirators fitting
the large majority—80 to 90 percent—of
intended users, while rejecting with
near certainty (99 percent probability)
respirators that fit only a minority—less
than 50 percent—of intended users.
2. As the percentage of the intended
user population capable of achieving
adequate TIL performance from a
respirator declines, at what point, if any,
should NIOSH set the limit to be nearly
certain (e.g., 99 percent or higher
probability) that the respirator would
not be approved? NIOSH has proposed
that a respirator should be rejected with
near certainty if it does not provide
adequate TIL performance to at least a
majority (50 percent or greater) of
intended users. NIOSH believes this is
a reasonable standard for defining the
performance of a poorly fitting
respirator that should not be approved.
3. How many test subjects should be
included in the testing, considering the
fact that testing accuracy increases with
13 See
29 CFR 1910.134(f)(7).
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the number of test subjects, but that the
cost of testing also increases with the
number of test subjects? Do the numbers
of subjects proposed by NIOSH (15 to 35
test subjects, as specified under
§ 84.175(i)(4)) reflect an appropriate
balance between limiting manufacturer
testing costs and providing sufficiently
accurate results? What level of testing
cost is supportable, in the view of
manufacturers? Would manufacturers
prefer a higher numbers of test subjects
and associated higher costs, to reduce
further the likelihood that a respirator
with adequate TIL performance is
denied by chance?
Discussion of Specific Provisions
Paragraph (i)(1) specifies that NIOSH
will apply solely the user instruction
information describing the intended
users of a respirator to select an
appropriate panel of TIL test subjects.
Thus, NIOSH will be interpreting the
user instructions with the same
limitations as a purchaser or intended
user.
This provision would have no
practical effect in the case of a respirator
designed to fit the general population,
either through one size that fits all users
or a comprehensive set of differing
sizes. In such a case, the respirator
would be tested against the NIOSH
testing panel, which respirator
manufacturers can replicate in their preapplication TIL testing to ensure that
their respirator is designed and
manufactured to achieve an adequate fit
on the testing panel to meet the NIOSH
TIL standard. On the other hand, this
provision limiting NIOSH to the
information provided in the user
instructions could be important in the
case of a respirator designed for use by
a specific subpopulation. As a
consequence, if the applicant were to
have selected test subjects for preapplication TIL testing using additional
criteria or distinguishing factors not
specified in the user instructions, it is
possible the applicant would obtain a
panel of test subjects substantially
different from that selected by NIOSH
for its TIL testing. A substantial
difference in test panels could produce
different testing results and potentially
result in the failure of the respirator to
pass the TIL performance standard.
Paragraph (i)(1) also specifies the
number or minimum number of
representative test subjects to be used in
TIL testing; 35 for a respirator intended
to fit the general population and a
minimum of 15 for a respirator intended
to fit one or more specific
subpopulations. These numbers are
proposed in combination with the
performance standards specified in
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56145
paragraph (i)(4) to provide a sufficiently
accurate measure of a respirator’s TIL
performance for at least 75 percent of
intended users while minimizing the
chance of either approving a respirator
that did not achieve adequate TIL
performance for at least 50 percent of
intended users or of disapproving a
respirator that only by chance failed to
achieve the TIL performance standard
for at least 75 percent of intended users.
A full technical discussion of the
statistical bases of these standards is
provided in a paper titled ‘‘Statistical
Basis for TIL Testing’’ posted at:
https://www.cdc.gov/niosh/docket/
NIOSHdocket0137.html.
Paragraph (i)(2) specifies that test
subjects will conduct a user seal check
or other donning procedure prior to
each test. This is appropriate practice
for a worker donning this type of
respirator, to ensure that it is positioned
correctly on the face to provide an
optimal facepiece-to-face seal.
Paragraph (i)(3) specifies that the TIL
test will be administered to each test
subject up to three times, terminating
testing either when a test has produced
a TIL value of 1.0 percent or less or after
the third test, whichever occurs first.
The TIL value of 1.0 percent is
equivalent to a fit factor of 100, which
is the minimum acceptable fit factor for
half-mask respirators specified by
OSHA under 29 CFR 1910.134 (f)(7).
The limit of administering the test up to
three times to achieve this performance
standard is integral to the statistical
basis establishing the accuracy of the
TIL testing, as discussed above and in
technical detail in the paper ‘‘Statistical
Basis for TIL Testing’’ posted at:
https://www.cdc.gov/niosh/docket/
NIOSHdocket0137.html.
Paragraph (i)(4) provides the TIL
performance standards for approval of
these respirators, differing under clauses
(i) and (ii) to account for the lower
minimum number of test subjects (a
minimum of 15 versus 35) that would be
used to test a respirator intended to fit
one or more specific subpopulations
under clause (ii). Given the lower
number of test subjects, a higher
proportion of the test subjects (80
percent versus approximately 75%)
would be required to achieve a TIL
value of 1.0 percent or less for the
respirator to be approved. This
difference is statistically based in the
decreasing reliability of an individual
test as the total number of test subjects
declines. It is discussed and illustrated
in the paper ‘‘Statistical Basis for TIL
Testing’’ posted at: https://www.cdc.gov/
niosh/docket/NIOSHdocket0137.html.
The proposed use of a minimum of 15
test subjects for respirators intended to
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fit one or more subpopulations of users
allows for the use of a larger number of
test subjects for subpopulations that are
more diverse and hence, require a more
diverse panel of test subjects to provide
sufficiently comprehensive
representation of facial dimensions.
Paragraph (i)(5) specifies that the
probe would be located halfway
between the wearer’s nose and mouth
for TIL testing of the respirator. This
specification is consistent with the
technology used for such testing and is
necessary to ensure a reproducible
determination of TIL.
Paragraph (i)(6) specifies the use of
sodium chloride (table salt) as the
challenge aerosol for TIL testing and
specifies a particle size range of 0.02 to
0.06 micrometers within a concentration
range of 1,500 to 3,000 particles/cm3.
Sodium chloride is used because it is
safe for the test subjects and has
appropriate physical properties for the
test. The particle size range represents
the most penetrating particle sizes,
producing an atmosphere that
challenges the limits of the respirator’s
TIL performance. The concentration
range allows for accurate measurement
using the current technology available
for TIL testing.
Paragraph (i)(7) specifies the sequence
of exercises that comprise the TIL test.
These are the standard, OSHA-required
set of exercises to be used in fit-testing
these respirators. They provide for
realistic respirator use conditions that
challenge the respirator’s TIL
performance through typical work
movements, postures, grimaces that can
disturb the facepiece-to-face seal,
talking, and deep breathing to increase
the negative pressure inside the
facepiece.
Paragraph (i)(8) specifies that the test
exercises will be performed using the
OSHA protocol provisions specified at
29 CFR 1910.134 Appendix A, Part
I.A.14(b). This protocol paragraph
specifies the duration of each test
exercise used in fit testing. Currently,
OSHA requires each exercise be
performed for one minute except for the
grimace, which is performed for 15
seconds. By specifying this element of
the OSHA protocol, NIOSH would
ensure that NIOSH TIL testing remains
consistent with OSHA fit testing
requirements in this regard.
Paragraph (i)(9) specifies that the test
subject will not adjust the facepiece
position once the TIL test exercises
begin, and that any such adjustment
would void the test, requiring that it be
repeated. This is current fit-testing
practice and is required by OSHA under
29 CFR 1910.134 Appendix A, Part
I.A.14(b). The intent of this requirement
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is to realistically reflect the practices
and conditions of workers when
wearing respirators. A worker typically
would adjust the facepiece if he sensed
a poor facepiece-to-face seal. However,
a worker might not adjust the facepiece
for many reasons, such as not sensing a
poor facepiece-to-face seal, or being
engaged in a task that occupies both
hands. Moreover, the need to adjust the
facepiece periodically after donning the
respirator indicates an undesirable TIL
performance characteristic. For
example, the need to make such
adjustments during a work task would
constitute a hazard if safe work practice
requires that the worker’s hands and/or
attention be fully engaged in the work
task.
Paragraph (i)(10) specifies how TIL is
determined. TIL results are expressed as
the percentage quantity of the ambient
concentration of sodium chloride
measured inside the respirator. For
example, if the ambient concentration
were 1000 particles/cm3 and the
respirator reduced this concentration to
10 particles/cm3, then the TIL would be
expressed as 1.0 percent, because the
concentration inside the respirator
facepiece was reduced to 1.0 percent of
the ambient level. This is equivalent to
a fit factor of 100, which is the inverse
of the TIL and is calculated as the ratio
of the ambient concentration over the
concentration inside the respirator
facepiece.
Paragraph (i)(11) specifies design and
performance attributes of the
instrumentation to be used to take
measurements of TIL. These include the
use of a condensation nuclei counter,
the ability to measure sodium chloride
challenge aerosol in the specified size
range of 0.02 to 0.06 micrometers, and
during measurement, responding
linearly to changes in the aerosol
concentration, within plus or minus five
percent, over the ambient concentration
range of 70 to 3,000 particles/cm3 and
TIL ≤ 5.0 percent. These attributes are
sufficient to meet the needs of TIL
testing as proposed and to ensure that
NIOSH and manufacturers use
equivalent instrumentation.
Section 84.205 Facepiece Test;
Minimum Requirements
This section specifies facepiece test
requirements for chemical cartridge
respirators. Some of these respirators are
designed as half-mask, combination
chemical cartridge/particulate filtering
(i.e., air-purifying) respirators. For such
combination respirators, NIOSH
proposes applying the identical TIL test
requirements as proposed under
§ 84.175 in this rulemaking for all halfmask air-purifying particulate
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respirators. These TIL test requirements
would be in addition to the current
facepiece test requirements already
covered under this section for chemical
cartridge respirators. Paragraphs in this
section that are not discussed below are
current provisions that NIOSH is not
proposing to amend.
A. Non-Germane Technical Revisions to
General Provisions of § 84.205
Paragraphs (c) and (d) would be
revised, substituting the term ‘‘user seal
check’’ for ‘‘fit test’’ to be consistent
with current terminology in use.
Paragraph (d)(1) would be revised to
reduce the specified ambient
concentration of isoamyl acetate vapor
in the testing chamber from 1,000 to 500
parts per million (ppm) for testing full
facepieces, mouthpieces, hoods, and
helmets. This represents current
practice, which the NIOSH respirator
certification program instituted when
NIOSH lowered the IDLH (Immediately
Dangerous to Life or Health
concentration) for isoamyl acetate to
1,000 ppm.
B. Coverage of Combination Half-Mask
Chemical Cartridge/Particulate Filtering
Respirators by TIL Testing
Requirements of § 84.175
A new paragraph (e) would be added
to require TIL testing under the
proposed provisions of § 84.175(i) for all
combination half-mask chemical
cartridge/particulate filtering
respirators. The NIOSH respirator
certification program currently conducts
qualitative testing using isoamyl acetate
vapor to evaluate the fit of chemical
cartridge respirators under § 84.205,
including these combination respirators.
The proposed TIL testing would ensure
that the particulate filtering protective
capacity of these combination
respirators is as effective as the singlepurpose air-purifying respirators
addressed by this rulemaking.
IV. Regulatory Assessment
Requirements
A. Executive Order 12866
Under Executive Order 12866 (58 FR
51735, October 4, 1993), the Agency
must determine whether a regulatory
action is ‘‘significant’’ and therefore
subject to review by the Office of
Management and Budget (OMB) and the
requirements of the executive order.
Under section 3(f), the order defines a
‘‘significant regulatory action’’ as an
action that is likely to result in a rule
(1) Having an annual effect on the
economy of $100 million or more, or
adversely and materially affecting a
sector of the economy, productivity,
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competition, jobs, the environment,
public health or safety, or state, local, or
tribal governments or communities (also
referred to as ‘‘economically
significant’’); (2) creating serious
inconsistency or otherwise interfering
with an action taken or planned by
another agency; (3) materially altering
the budgetary impacts of entitlements,
grants, user fees, or loan programs or the
rights and obligations of recipients
thereof; or (4) raising novel legal or
policy issues arising out of legal
mandates, the President’s priorities, or
the principles set forth in this executive
order.
This proposed rule is not considered
economically significant, as defined in
section 3(f)(1) of the executive order.
However, this proposed rule is a
‘‘significant regulatory action’’ within
the meaning of the executive order and
has been reviewed by OMB.
For the leading U.S. respirator
manufacturers who obtain approvals
from NIOSH, likely to represent a
majority share of the current market
supply of NIOSH-approved products
covered by this rulemaking, NIOSH
benchmark testing indicates that the
new TIL requirements can be met by
current products without additional
development or manufacturing costs.
For those manufacturers whose
products do not meet the proposed TIL
testing standards, NIOSH has estimated
design and retooling costs ranging from
$55,000 to $200,000 per model or
models of respirator with a unique
facepiece, depending on the unit
volume of production, the type of
facepiece seal, and the degree of
automation of the manufacturing
operation. NIOSH invites comment from
manufacturers on these estimates, all of
which are based on expert opinion.
It is not possible to estimate the
number of current approval holders
whose products would not meet the
proposed TIL requirements and who
would redesign their products to seek
new NIOSH approvals, incurring design
and retooling costs. However, to the
extent that some manufacturers may
decide not to redesign products and
seek new approvals, the proposed
implementation schedule for the new
requirements (see Section IV.J of this
preamble) would provide other
manufacturers sufficient time to
increase production capacity and
replace products exiting the NIOSHapproved respirator market. NIOSH
invites comment from approval holders
on their intent to seek new approvals
under the proposed requirements.
All manufacturers intending to
continue to hold NIOSH approvals for
respirators covered by this rulemaking
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would incur additional costs for TIL
testing. NIOSH estimates these costs
would range from $8,500 to $12,000 per
respirator approval, which would cover
a respirator produced in multiple sizes
and may also cover multiple respirator
models employing the same respirator
facepiece. The testing costs would vary
based on the number of test subjects
required. NIOSH anticipates
applications for up to 500 approvals
during the first two years of
implementation of TIL requirements,
when NIOSH expects the majority of
requests for approval would be received.
NIOSH estimates total testing and
certification costs to manufacturers of
up to $3.1 million annually for these
two initial implementation years.14
NIOSH anticipates TIL testing
associated with routine submissions for
new product approvals in subsequent
years will be required for less than 15
percent of the NIOSH-approved product
market annually, for estimated costs of
$825,000 annually.15
NIOSH does not anticipate additional
costs to consumers (e.g., employers, selfemployed workers) as a result of the
proposed TIL requirements. The current
NIOSH-approved products that NIOSH
expects to pass the proposed
requirements do not differ substantially
in price from comparable products that
are not expected to pass without
modification.
NIOSH anticipates the TIL
requirements will also result in
substantial benefits, although NIOSH
lacks information to estimate them
quantitatively. Of greatest importance,
substantial numbers of workers are more
likely to derive the expected respiratory
protection from hazardous particulate
exposures as a result of using respirators
with adequate TIL performance. As
discussed in Section II.C. of this
preamble, NIOSH benchmark testing
and other research indicate that many
respirators covered by this rulemaking
do not perform well in preventing
substantial inward leakage when tested
against diverse facial types and sizes.
Over 50 percent of workers and other
respirator users do not have the benefit
14 This estimate assumes testing and certification
of 250 units annually for two years at an average
annual cost of $11,000 per unit for a panel of test
subjects and $1,250 in other certification costs.
About 30 percent of these other certification costs
will be borne by the manufacturers irrespective of
this proposed rulemaking as a result these products
having a typical product life cycle of 5 to 10 years
(see note 10 below).
15 The product life cycle of these respirators is
typically 5 to 10 years; meaning between 10 and 20
percent of 500 NIOSH-certified respirators could be
expected to be redesigned annually on average.
However, product redesigns would not necessarily
involve redesign of the facepiece in such a way that
would require TIL retesting.
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56147
of individual fit testing, let alone a
complete respiratory protection
program. This suggests that substantial
numbers of workers may receive
improved protection as a result of
instituting TIL testing for the
certification of these respirators,
increasing the likelihood that a worker
without fit-testing or training might
obtain adequate TIL performance. Such
improved protection will result in
reduced work-related disease and
disability among the workforce,
including such conditions as workrelated silicosis, chronic obstructive
pulmonary disease (COPD), asthma, and
cancer, and biological and infectious
diseases such as avian influenza,
SARS,16 and tuberculosis.17 18 Workrelated COPD and asthma alone are
estimated to cost $6.6 billion
annually.19 The costs of this rulemaking
would be covered by the prevention of
a small fraction of a percent of the
occupational disease burden associated
with workplace respiratory hazards.
In addition, as discussed in Section
II.C. of this preamble, respirators that do
not perform adequately in TIL testing
would be expected to fail fit testing for
employees among employers who
conduct fit testing as required by OSHA.
This is presumably causing the
employers to purchase additional
respirator models until all employees
have respirators that fit adequately,
incurring costs for the non-fitting
respirators, for repeated respirator fit
testing, and for lost employee work time
consumed by the repetitive fit testing.
NIOSH invites comments from
employers regarding the current extent
of such costs.
In summary, while NIOSH cannot
estimate the total costs associated with
this rulemaking, available information
indicates these costs are modest and
also suggests that they are likely to be
considerably outweighed by economic
benefits reaped by improved worker
protection and the promotion of
increased efficiency among employer
respiratory protection programs.
16 Eninger R, Honda T, Adhikari A, HeinonenTanski H, Reponen T, and Grinshpun S. Filter
Performance of N99 and N95 Facepiece Respirators
Against Viruses and Ultrafine Particles. Ann.
Occup. Hyg. 2008;52(5):385–396.
17 Willeke K, Qian Y, Donnelly J, Grinshpun S,
Ulevicius V. Penetration of Airborne
Microorganisms Through a Surgical Mask and a
Dust/Mist Respirator. American Industrial Hygiene
Association Journal. 1996;57(4):348–355.
18 Qian Y, Willeke K, Grinshpun S, Donnelly J
and Coffey C. Performance of N95 Respirators:
Filtration Efficiency for Airborne Microbial and
Inert Particles. American Industrial Hygiene
Association Journal. 1998;59(2):128–132.
19 Leigh JP, Romano P, Schenker MB, and Kreiss
K. Costs of Occupational COPD and Asthma. Chest.
2002;121:264–272.
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Through this rulemaking, NIOSH is
inviting public comment from respirator
manufacturers, employers, and others to
provide greater specificity for NIOSH
estimates of economic costs and benefits
anticipated in association with the
implementation of the proposed TIL
requirements.
The proposed rule would not interfere
with state, local, and tribal governments
in the exercise of their governmental
functions.
B. Regulatory Flexibility Act
The Regulatory Flexibility Act (RFA),
5 U.S.C. 601 et seq., requires each
agency to consider the potential impact
of its regulations on small entities,
including small businesses, small
governmental units, and small not-forprofit organizations. The Department of
Health and Human Services (‘‘HHS’’)
certifies that this proposed rule would
not have a significant economic impact
on a substantial number of small entities
within the meaning of the RFA.
The majority of respirator
manufacturers producing half-mask airpurifying particulate respirators
approved by NIOSH and covered by this
rule are small businesses as defined
under the Small Business Act (Pub. L.
85–536) for this industry sector (NAICS
339112—Medical Instruments and
Equipment Manufacturers), employing
fewer than 500 employees. For these
manufacturers, the proposed rule would
establish new TIL requirements
applicable to respirators approved by
NIOSH for use in potentially hazardous
work atmospheres involving toxic,
obstructive, and carcinogenic dusts,
nanoparticles, and biological and
potentially infectious aerosols. Workers
don these respirators for protection in a
wide variety of industrial sectors, such
as mining, manufacturing, construction,
and agriculture, and service sectors,
such as health care, where medical,
nursing, and custodial staff are exposed
to biological and potentially infectious
aerosols. These respirators are also
being stockpiled and would be
employed extensively by health care,
public health, safety, and other first
responders who would be engaged in
the case of a pandemic influenza
outbreak.
This rulemaking will result in
additional costs for TIL testing and
certification by NIOSH, for all respirator
manufacturers intending to continue to
hold NIOSH approvals for respirators
covered by this rulemaking. As
explained in Section IV.A of this
preamble, NIOSH estimates the testing
costs would range from $8,500 to
$12,000 per respirator approval, which
would include a respirator produced in
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multiple sizes and may also cover
multiple respirator models employing
the same respirator facepiece. The cost
would vary depending on the number of
test subjects required. NIOSH
anticipates applications for up to 500
approvals during the first 2 years of
implementation of TIL requirements,
when the majority of requests for
approval would be received. NIOSH
estimates total testing and certificationrelated costs to manufacturers of $3.1
million annually for these 2
implementation years. NIOSH
anticipates TIL testing associated with
routine submissions for new product
approvals in subsequent years will be
required for less than 15 percent of the
NIOSH-approved product market
annually, for estimated costs of
$825,000 annually.
These total testing and certification
costs, from the initial 2-year
implementation period, when
annualized over an average 7.5-year
product life-cycle, amount to less than
$1.01 million annually. This is a small
fraction of one percent of the annual
revenues of respirator manufacturers,
which totaled $1.7 billion in 2001 for all
products and have grown extensively
since.20 Although respirator
manufacturers produce a wide range of
products beyond those covered by this
rulemaking, half-mask air-purifying
particulate respirators, including
chemical gas mask/filtering respirators,
represent the highest volume respirator
sales and comprise a large component of
total revenues.
After implementation, the routine
annualized costs to manufacturers
resulting from TIL testing associated
with the redesign of products would be
less than $141,000.21
As discussed in Section IV.A of this
preamble, this rulemaking is not
anticipated to result in any additional
costs to small employers or selfemployed workers and may result in
lower costs. Based on NIOSH
benchmark testing, respirators likely to
represent a majority share of the current
market supply are expected to pass the
proposed TIL standards without
modification, and these respirators are
priced comparably to respirators that are
not expected to pass as currently
designed. Furthermore, the costs
incurred by employers and by selfemployed workers in selecting
20 Frost and Sullivan Research Service; https://
www.frost.com/prod/servlet/report-brochure
published 30 March 2005.
21 This assumes new products would be
introduced for 15 percent of the product market
annually, resulting in $865,000 of annual TIL
testing costs. These are annualized over a 7.5 year
period (the average life-cycle of these products.
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adequately fitting respirators through
trial-and-error processes should be
reduced as the implementation of this
proposed rule curtails the supply of
NIOSH-approved respirators with poor
TIL performance.
NIOSH invites the public to provide
more specific and current revenue data
on the respirator market covered by this
rulemaking.
For the reasons provided, a regulatory
flexibility analysis, as provided for
under RFA, is not required.
C. What Are the Paperwork and Other
Information Collection Requirements
(Subject to the Paperwork Reduction
Act) Imposed Under This Rule?
The Paperwork Reduction Act is
applicable to the data collection aspects
of this rule. Under the Paperwork
Reduction Act of 1995, a federal agency
shall not conduct or sponsor a
collection of information from ten or
more persons other than Federal
employees unless the agency has
submitted a Standard Form 83,
Clearance Request, and Notice of
Action, to the Director of OMB, and the
Director has approved the proposed
collection of information. A person is
not required to respond to a collection
of information unless it displays a
currently valid OMB control number.
NIOSH has obtained approval from
OMB to collect information from
respirator manufacturers under OMB
Control No 0920–109 (Respiratory
Protective Devices), which covers all
information collection under 42 CFR
part 84. This rulemaking would require
NIOSH to collect new TIL testing
information from manufacturers
applying for approval of half-mask airpurifying particulate respirators covered
by this rulemaking.
NIOSH estimates that the proposed
TIL requirements will result in a minor
increase in reporting burden to
manufacturers. TIL testing would
require the submission in the
application package of one additional
page of data describing the test results.
These test results would already have
been recorded by the applicant within
the testing process so the only
additional burden to the applicant
would be any reformatting that might be
necessary and the transfer of the results
electronically to NIOSH. NIOSH
anticipates this reporting, as part of the
standard application package
transmitted to NIOSH, would take no
longer than 1 hour for completion; the
current information collection approval
pursuant to OMB Control No 0920–109
(Respiratory Protective Devices)
estimates 86 hours per submission for
each complete application under 42
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Federal Register / Vol. 74, No. 209 / Friday, October 30, 2009 / Proposed Rules
CFR 84.11. Accordingly, in conjunction
with this rulemaking, NIOSH will
submit a request to OMB to amend its
approval under OMB control No 0920–
109 to collect this additional
information.
D. Small Business Regulatory
Enforcement Fairness Act
As required by Congress under the
Small Business Regulatory Enforcement
Fairness Act of 1996 (5 U.S.C. 801 et
seq.), HHS would report to Congress the
promulgation of a final rule, once it is
developed, prior to its taking effect. The
report would state that HHS has
concluded that the rule is not a ‘‘major
rule’’ because it is not likely to result in
an annual effect on the economy of $100
million or more.
H. Executive Order 13045 (Protection of
Children From Environmental Health
Risks and Safety Risks)
In accordance with Executive Order
13045, HHS has evaluated the
environmental health and safety effects
of this proposed rule on children. HHS
has determined that the proposed rule
would have no effect on children.
I. Executive Order 13211 (Actions
Concerning Regulations That
Significantly Affect Energy Supply,
Distribution, or Use)
E. Unfunded Mandates Reform Act of
1995
Title II of the Unfunded Mandates
Reform Act of 1995 (2 U.S.C. 1531 et
seq.) directs agencies to assess the
effects of federal regulatory actions on
State, local, and tribal governments, and
the private sector ‘‘other than to the
extent that such regulations incorporate
requirements specifically set forth in
law.’’ For purposes of the Unfunded
Mandates Reform Act, this proposed
rule does not include any federal
mandate that may result in increased
annual expenditures in excess of $100
million by state, local or tribal
governments in the aggregate, or by the
private sector.
In accordance with Executive Order
13211, HHS has evaluated the effects of
this proposed rule on energy supply,
distribution, or use because it applies to
the underground coal mining sector
since coal mine operators are consumers
of respirators. The proposed rule is
unlikely to affect the cost of respirators
used in coal mines and hence is not
likely to have ‘‘a significant adverse
effect on the supply, distribution, or use
of energy.’’ Accordingly, this proposed
rule does not constitute a ‘‘significant
energy action’’ Under E.O. 13211 and
requires no further Agency action or
analysis.
J. Effective Date
F. Executive Order 12988 (Civil Justice)
This proposed rule has been drafted
and reviewed in accordance with
Executive Order 12988, Civil Justice
Reform and will not unduly burden the
federal court system. NIOSH has
provided TIL requirements it would
apply uniformly to all applications from
manufacturers of half-mask air-purifying
particulate respirators. This proposed
rule has been reviewed carefully to
eliminate drafting errors and
ambiguities.
sroberts on DSKD5P82C1PROD with PROPOSALS
G. Executive Order 13132 (Federalism)
HHS has reviewed this proposed rule
in accordance with Executive Order
13132 regarding federalism, and has
determined that it does not have
‘‘federalism implications.’’ The
proposed rule does not ‘‘have
substantial direct effects on the States,
on the relationship between the national
government and the States, or on the
distribution of power and
responsibilities among the various
levels of government.’’
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16:11 Oct 29, 2009
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NIOSH proposes that the final rule
would take effect 30 days from
publication in the Federal Register for
all new respirator approval applications
for half-mask air-purifying particulate
respirators. Approval holders could
continue to sell and ship respirators
certified under current provisions
subpart K as NIOSH/MSHA certified
respirators throughout a transition
period of three years from the effective
date of the final rule and NIOSH would
continue to consider modifications to
such approvals for two years from the
effective date. Continued use of
distributed respirators is under the
jurisdiction of OSHA and MSHA and
would not be affected by this rule.
NIOSH anticipates that OSHA and
MSHA would permit continued use of
those respirators since certifications will
not be revoked for respirators sold and
shipped by the approval holder during
the three-year transition period. The
authority for an approval holder to sell
and distribute under a NIOSH
certification any half-mask air-purifying
particulate respirator certified under the
current provisions of subpart K would
expire at the end of the three-year
period.
This 3-year transition period is
proposed to ensure the timely
replacement of respirators that
demonstrate poor TIL performance
while allowing an ample supply of
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56149
respirators to remain available for use,
since even a respirator with poor TIL
performance may provide degrees of
protection to different users. This
timeframe would provide sufficient time
for manufacturers to have respirators
approved and manufactured in
quantities to meet demand. According
to NIOSH benchmark testing and other
research, significant numbers of
currently approved respirators of
manufacturers with significant
production capacity are likely to pass
the proposed TIL testing and
performance standards without
modifications. On the other hand,
NIOSH also seeks to ensure that total
quantity of product supply remains
sufficient during the transition period
for current and potentially higher levels
of demand. Such a demand spike could
be anticipated if an influenza pandemic
were to develop or increase in threat,
instigating expanded stockpiling of
respirators by health care, public health
authorities, employers, workers, and the
general public.
NIOSH encourages the public to
comment on this proposed
implementation schedule and any
related issues. Some specific issues for
comment include the following:
1. Do manufacturers believe they can
meet the proposed TIL performance
standards and testing requirements and
provide adequate product supply to
meet anticipated market demand within
the proposed 3-year deadline?
2. Would any parties affected by this
proposed rule incur an exceptional and
unsupportable financial or other burden
as a consequence of the proposed 3-year
limit on the sale and distribution by
approval holders of respirators certified
under the current requirements (which
omit TIL standards and testing)?
3. Would a different implementation
schedule be better justified in terms of
balancing the public health, practical,
and economic benefits of removing from
the market NIOSH-approved respirators
with inadequate TIL performance
against the public health, practical, and
economic benefits of ensuring that an
adequate supply of NIOSH-approved
respirators remains constantly
available? Please describe the
advantages and disadvantages of
extending or contracting the
implementation schedule.
4. Are other factors that have not been
identified by NIOSH important to
deciding an appropriate implementation
schedule?
List of Subjects in 42 CFR Part 84
Mine safety and health, Occupational
safety and health, Personal protective
equipment, Respirators.
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56150
Federal Register / Vol. 74, No. 209 / Friday, October 30, 2009 / Proposed Rules
Text of the Proposed Rule
For the reasons discussed in the
preamble, NIOSH proposes to amend 42
CFR part 84 as follows:
PART 84—APPROVAL OF
RESPIRATORY PROTECTIVE DEVICES
1. The authority citation for Part 84
continues to read as follows:
Authority: 29 U.S.C. 651 et seq., and
657(g); 30 U.S.C. 3, 5, 7, 811, 842(h), 844.
Subpart K—Non-Powered Air-Purifying
Particulate Respirators
2. Amend § 84.175 by revising the
heading and adding new paragraphs
(a)(3), and (g) through (i) to read as
follows:
sroberts on DSKD5P82C1PROD with PROPOSALS
§ 84.175 Half-mask facepieces, full
facepieces, hoods, helmets, and
mouthpieces; fit and total inward leakage
(TIL); minimum requirements.
(a) * * *
(3) Half-mask facepieces may be
designed and constructed to fit only one
or more defined subpopulations of the
general population of respirator users,
such as ‘‘women’’ or persons with faces
within specific dimensional limits,
provided that the membership of the
subpopulation is readily discernable by
the intended users.
*
*
*
*
*
(g) Any respirator part that must be
removed by the respirator user to
perform a user seal check shall be
replaceable without special tools and
without disturbing the facepiece seal.
(h) User instructions for half-mask
respirators shall specify information
necessary to identify the intended
population of users:
(1) The applicant shall specify in the
user instructions the face size or sizes
that the respirator is intended to fit;
pursuant to this requirement, one
respirator may be intended to fit all face
sizes; and
(2) If appropriate pursuant to
paragraph (a)(3) of this section, then the
applicant shall also specify in the user
instructions any additional descriptions
necessary to indicate the
subpopulation(s) the respirator is
intended to fit, such as sex, general
facial characteristics, and/or precise
facial measurements.
(i) Half-mask respirator TIL1 testing
requirements:
(1) NIOSH will employ specifications
provided in user instructions, pursuant
1 TIL is the combination of contaminated air
leaked through various potential sources including
the facepiece-to-face seal, exhalation valves (if any),
and gaskets (if any) and any contaminants that have
penetrated the filter.
VerDate Nov<24>2008
16:11 Oct 29, 2009
Jkt 220001
to paragraphs (h)(1) and (h)(2) of this
section, to select representative test
subjects for TIL testing, without further
guidance from the manufacturer. NIOSH
will conduct testing on 35 test subjects
for a respirator of a single size or
multiple sizes intended to fit the general
population of respirator users, or on 15
or more test subjects for a respirator of
a single size or multiple sizes designed
to fit one or more specific
subpopulations of respirator users.
(2) Immediately before each test, test
subjects will conduct the user seal
check or other donning procedures as
specified in the user instructions.
(3) The TIL test shall be administered
to each test subject up to three times,
terminating testing either when a test
has produced a TIL value of 1.0 percent
or less or after the third test
administered to the test subject,
whichever occurs first.
(4) A TIL value of 1.0 percent or less
shall be achieved by at least:
(i) 26 out of 35 test subjects for a
respirator of a single size or of multiple
sizes, designed to fit the general
population of respirator users; or
(ii) 12 out of 15 test subjects (or 80
percent of test subjects if there are more
than 15) for a respirator of a single size
or multiple sizes designed to fit one or
more specific subpopulations of
respirator users.
(5) Each respirator used for testing
will be probed approximately halfway
between the wearer’s nose and mouth.
(6) The TIL will be measured in the
presence of a sodium chloride challenge
aerosol with a concentration of 1,500 to
3,000 particles/cm3 within the size
range of 0.02 to 0.06 micrometers.
(7) The TIL will be measured while
the following sequence of test exercises
is conducted:
(i) Normal breathing;
(ii) Deep breathing;
(iii) Turn head side to side while
pausing for two normal inhalations at
each side;
(iv) Move head up and down while
pausing for two normal inhalations in
the head up position and in the head
down position;
(v) Recite the Rainbow Passage;2
(vi) Reach for the floor and ceiling
while pausing for two normal
inhalations in the arms-up position and
in the arms-down position;
2 The Rainbow Passage is a public domain text
used in respirator testing to fully challenge the face
seal to distortions that might arise from talking
while wearing the respirator. It is widely available
on the internet using any Internet search engine by
entering ‘‘Rainbow Passage.’’ It is also available in
the OSHA respirator rule at 29 CFR 1910.134
Appendix A, part I.A.14(a)(5).
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Frm 00013
Fmt 4702
Sfmt 4702
(vii) Grimace (measurements during
the grimace are not included in the TIL
determination); and
(viii) Normal Breathing.
(8) Each test exercise will be
performed using the OSHA protocol as
specified at 29 CFR 1910.134 Appendix
A, Part I.A.14.(b).
(9) The facepiece position will not be
adjusted once the TIL test exercises
begin; any adjustment performed will
void the test and the test will be
repeated in its entirety.
(10) The TIL will be determined by
the ratio of the averages of the sodium
chloride aerosol challenge concentration
inside the facepiece to the challenge
concentration outside the facepiece
during the test; the TIL results will be
expressed as a percentage: TIL = [Cin/
Cout] × 100%.
(11) The instrumentation used to
measure the concentration inside and
outside the facepiece will:
(i) Utilize a condensation nuclei
counter;
(ii) Measure only the concentrations
of sodium chloride challenge aerosol in
the approximate size range of 0.02 to
0.06 micrometers (mass median
aerodynamic diameter); and
(iii) Respond linearly to changes in
the aerosol concentration, within ±5
percent, over the ambient concentration
range of 70 to 3,000 particles/cm3 and
TIL ≤ 5.0 percent, within the particle
size range of 0.02 to 0.06 micrometers.
3. Amend § 84.205 by revising
paragraphs (c), (d) and (e) to read as
follows:
§ 84.205 Facepiece test; minimum
requirements.
*
*
*
*
*
(c) Any chemical cartridge respirator
part which must be removed to perform
the facepiece or mouthpiece user seal
check shall be replaceable without
special tools and without disturbing
facepiece or mouthpiece fit.
(d) The facepiece or mouthpiece user
seal check using the positive or negative
pressure recommended by the applicant
and described in his instructions will be
used before each test.
(1) Each wearer will enter a chamber
containing 100 p.p.m. isoamyl acetate
vapor for half-mask facepieces, and 500
p.p.m. for full facepieces, mouthpieces,
hoods, and helmets.
(2) The facepiece or mouthpiece may
be adjusted, if necessary, in the test
chamber before starting the test.
(3) Each wearer will remain in the
chamber for 8 minutes while performing
the following activities:
(i) Two minutes, nodding and turning
head;
(ii) Two minutes, calisthenic arm
movements;
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Federal Register / Vol. 74, No. 209 / Friday, October 30, 2009 / Proposed Rules
(iii) Two minutes, running in place;
and
(iv) Two minutes, pumping with a tire
pump into a 28-liter (1 cubic-foot)
container.
(4) Each wearer shall not detect the
odor of isoamyl-acetate vapor during the
test.
(e) In addition, any combination halfmask chemical cartridge/particulate
filtering respirator shall meet the TIL
testing requirements specified in
paragraph (i) of § 84.175.
Dated: August 18, 2009.
Kathleen Sebelius,
Secretary, Department of Health and Human
Services.
[FR Doc. E9–26008 Filed 10–29–09; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Part 440, 447 and 457
[CMS–2232–P2; CMS–2244–P2]
RIN 0938–AP72 and 0938–AP73
Medicaid Program: State Flexibility for
Medicaid Benefit Packages and
Premiums and Cost Sharing
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Proposed Rule.
sroberts on DSKD5P82C1PROD with PROPOSALS
AGENCY:
SUMMARY: This document proposes to
temporarily delay the effective date of
the November 25, 2008 final rule
entitled, ‘‘Medicaid Program; Premiums
and Cost Sharing’’ and the December 3,
2008 final rule entitled, ‘‘Medicaid
Program; State Flexibility for Medicaid
Benefit Packages.’’ Upon the review and
consideration of the new provisions of
the American Recovery and
Reinvestment Act of 2009, the
Children’s Health Insurance Program
Reauthorization Act of 2009, and the
public comments received during the
reopened comment period, we believe
that it is necessary to revise a
substantial portion of the November 25,
2008 and the December 3, 2008 final
rules. To allow time to make these
revisions, the Department has
determined that it needs several more
months to revise the rule. Accordingly,
we are asking for public comment on
this proposal for delaying the effective
date of the final rules until July 1, 2010.
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, no later
than 5 p.m. on November 19, 2009.
VerDate Nov<24>2008
16:11 Oct 29, 2009
Jkt 220001
In commenting, please refer
to file code CMS–2244–P2 or CMS–
2232–P2. Because of staff and resource
limitations, we cannot accept comments
by facsimile (FAX) transmission.
You may submit comments in one of
four ways (please choose only one of the
ways listed):
1. Electronically. You may submit
electronic comments on this regulation
to https://www.regulations.gov. Follow
the instructions under the ‘‘More Search
Options’’ tab.
2. By regular mail. You may mail
written comments to the following
address ONLY: Centers for Medicare &
Medicaid Services, Department of
Health and Human Services, Attention:
CMS–2244–P2 or CMS–2232–P2, P.O.
Box 8010, Baltimore, MD 21244–8010.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
following address ONLY: Centers for
Medicare & Medicaid Services,
Department of Health and Human
Services, Attention: CMS–2244–P2 or
CMS–2232–P2, Mail Stop C4–26–05,
7500 Security Boulevard, Baltimore, MD
21244–1850.
4. By hand or courier. If you prefer,
you may deliver (by hand or courier)
your written comments before the close
of the comment period to either of the
following addresses:
a. For delivery in Washington, DC—
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Room 445–G, Hubert
H. Humphrey Building, 200
Independence Avenue, SW.,
Washington, DC 20201.
(Because access to the interior of the
Hubert H. Humphrey Building is not
readily available to persons without
Federal government identification,
commenters are encouraged to leave
their comments in the CMS drop slots
located in the main lobby of the
building. A stamp-in clock is available
for persons wishing to retain a proof of
filing by stamping in and retaining an
extra copy of the comments being filed.)
b. For delivery in Baltimore, MD—
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, 7500 Security
Boulevard, Baltimore, MD 21244–
1850.
If you intend to deliver your
comments to the Baltimore address,
please call telephone number (410) 786–
9994 in advance to schedule your
arrival with one of our staff members.
Comments mailed to the addresses
indicated as appropriate for hand or
ADDRESSES:
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56151
courier delivery may be delayed and
received after the comment period.
FOR FURTHER INFORMATION CONTACT:
Frances Crystal, (410) 786–1195 for
State Flexibility for Medicaid Benefit
Packages. Christine Gerhardt, (410) 786–
0693 for Premiums and Cost Sharing.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All
comments received before the close of
the comment period are available for
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment. We post all comments
received before the close of the
comment period on the following Web
site as soon as possible after they have
been received: https://
www.regulations.gov. Follow the search
instructions on that Web site to view
public comments.
Comments received timely will also
be available for public inspection as
they are received, generally beginning
approximately 3 weeks after publication
of a document, at the headquarters of
the Centers for Medicare & Medicaid
Services, 7500 Security Boulevard,
Baltimore, Maryland 21244, Monday
through Friday of each week from 8:30
a.m. to 4 p.m. To schedule an
appointment to view public comments,
phone 1–800–743–3951.
I. Background
A. State Flexibility for Medicaid Benefit
Packages
On December 3, 2008, we published
a final rule in the Federal Register (73
FR 73694) entitled ‘‘Medicaid Program;
State Flexibility for Medicaid Benefit
Packages.’’ The December 2008 final
rule implements provisions of section
6044 of the Deficit Reduction Act (DRA)
of 2005, (Pub. L. 109–171), enacted on
February 8, 2006, which amends the
Social Security Act (the Act) by adding
a new section 1937 related to the
coverage of medical assistance under
approved State plans. Section 1937
provides States increased flexibility
under an approved State plan to provide
covered medical assistance through
enrollment of certain Medicaid
recipients in benchmark or benchmarkequivalent benefit packages. The final
rule set forth the requirements and
limitations for this flexibility, after
consideration of public comments on
the February 22, 2008 proposed rule.
Subsequent to the publication of the
December 3, 2008 final rule, we
published an interim final rule with
comment period in the Federal Register
on February 2, 2009 (74 FR 5808) to
temporarily delay for 60 days the
effective date of the December 3, 2008
E:\FR\FM\30OCP1.SGM
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Agencies
[Federal Register Volume 74, Number 209 (Friday, October 30, 2009)]
[Proposed Rules]
[Pages 56141-56151]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-26008]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
42 CFR Part 84
RIN 0920-AA33
Total Inward Leakage Requirements for Respirators
AGENCY: Centers for Disease Control and Prevention, HHS.
ACTION: Notice of proposed rulemaking.
-----------------------------------------------------------------------
SUMMARY: The Centers for Disease Control and Prevention (``CDC'')
proposes to establish total inward leakage (TIL) requirements for half-
mask air-purifying particulate respirators approved by the National
Institute for Occupational Safety and Health (``NIOSH'') of CDC. The
proposed new requirements specify TIL minimum performance requirements
and testing to be conducted by NIOSH and respirator manufacturers to
demonstrate that these respirators, when selected and used correctly,
provide effective respiratory protection to intended users against
toxic dusts, mists, fumes, fibers, and biological and infectious
aerosols (e.g. influenza A(H5N1), severe acute respiratory syndrome
(SARS) coronavirus, and Mycobacterium tuberculosis).
DATES: CDC invites comments on this proposed rule from interested
parties. Comments must be received by December 29, 2009.
ADDRESSES: You may submit comments, identified by RIN: 0920-AA33, by
any of the following methods:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments.
E-mail: niocindocket@cdc.gov. Include (HHS INSERT RIN
NUMBER) and ``42 CFR part 84'' in the subject line of the message.
Mail: NIOSH Docket Office, Robert A. Taft Laboratories,
MS-C34, 4676 Columbia Parkway, Cincinnati, OH 45226.
Instructions: All submissions received must include the agency name
and docket number or Regulatory Information Number (RIN) for this
rulemaking. All comments received will be posted without change to
https://www.regulations.gov, including any personal information
provided. For detailed instructions on submitting comments and
additional information on the rulemaking process, see the ``Public
Participation'' heading of the SUPPLEMENTARY INFORMATION section of
this document.
Docket: For access to the docket to read background documents or
comments received, go to https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: William Newcomb, NIOSH National
Personal Protective Technology Laboratory (``NPPTL''), Pittsburgh, PA,
(412) 386-4034 (this is not a toll-free number). Information requests
can also be submitted by e-mail to niocindocket@cdc.gov.
SUPPLEMENTARY INFORMATION:
[[Page 56142]]
I. Public Participation
Interested persons or organizations are invited to participate in
this rulemaking by submitting written views, arguments,
recommendations, and data. Comments are invited on any topic related to
this proposal.
Comments submitted by e-mail or mail should be addressed to the
``NIOSH Docket Officer,'' titled ``NIOSH Docket 137,'' and
should identify the author(s), return address, and a phone number, in
case clarification is needed. Comments can be submitted by e-mail to:
niocindocket@cdc.gov. E-mail comments can be provided as e-mail text or
as a Word or Word Perfect file attachment. Printed comments can be sent
to the NIOSH Docket Office at the address above. All communications
received on or before the closing date for comments will be fully
considered by CDC.
All comments submitted will be available for examination in the
rule docket (a publicly available repository of the documents
associated with the rulemaking) both before and after the closing date
for comments. A complete electronic docket containing all comments
submitted will be available at: https://www.cdc.gov/niosh/docket/NIOSHdocket0137.html and comments will be available in writing by
request. NIOSH includes all comments received without change in the
docket, including any personal information provided.
II. Background
A. Introduction
Under 42 CFR part 84, ``Approval of Respiratory Protective
Devices'' (``Part 84'') NIOSH approves respirators used by workers in
mines and other workplaces for protection against hazardous
atmospheres. The Mine Safety and Health Administration (``MSHA'') and
the Occupational Safety and Health Administration (``OSHA'') require
U.S. employers to supply NIOSH-approved respirators to their employees
whenever the employer requires the use of respirators. In addition,
MSHA co-approves with NIOSH all respirators used in mine emergencies
and mine rescue.
Testing, quality control, and other requirements under Part 84 are
intended to ensure that respirators supplied to U.S. workers provide
effective protection when properly employed within a complete
respiratory protection program, as specified under MSHA and OSHA
regulations. NIOSH requirements governing approval of the type of
respirators covered by this proposed rule are specified in 42 CFR part
84, principally under Subpart K--Non-Powered Air-Purifying Particulate
Respirators. These were last updated in 1995 (60 FR 30336-30404). At
that time, NIOSH proposed but ultimately omitted requirements for
testing the performance of these respirators with respect to TIL \1\ to
allow for further research on the effectiveness of TIL testing
methods.\2\
---------------------------------------------------------------------------
\1\ TIL is the combination of contaminated air leaked through
various potential sources including the facepiece-to-face seal,
exhalation valves (if any), and gaskets (if any) and any
contaminants that have penetrated the filter.
\2\ The isoamyl acetate or American National Standards Institute
(ANSI)/OSHA accepted fit tests.
---------------------------------------------------------------------------
The performance of the facepiece-to-face seal and other potential
sources of leakage for this type of respirator are important because
these determine how much unfiltered contaminated air the worker might
inhale. The facepiece-to-face seal leakage can be substantial in the
case of a poorly fitting respirator.
Effective fit testing technology and procedures now exist to assure
that respirators approved by NIOSH under Subpart K of Part 84 have
adequately performing facepiece-to-face seals and sufficiently control
TIL. The purpose of this rulemaking is to promulgate general
requirements for such TIL testing and performance. The draft specific
technical procedures to be applied under such requirements can be found
at https://www.cdc.gov/niosh/docket/NIOSHdocket0137.html. When
finalized, the procedure will be detailed with all other NIOSH
respirator certification testing procedures on the NIOSH Web page at
https://www.cdc.gov/niosh/npptl/stps/respirator_testing.htm.
B. Background and Significance
Employers rely upon NIOSH-approved respirators to protect their
employees from airborne toxic contaminants and oxygen-deficient
environments. More than 3.3 million private sector employees in the
United States wear respirators for certain work tasks.
Workers depend on respirators to protect them from asphyxiation or
airborne contaminants that are known or suspected to cause acute and
chronic health effects, such as heavy metal poisoning, acid burns,
chronic obstructive pulmonary disease, silicosis, neurological
disorders, and cancer.
As the last line of protection for workers, respirators must be
designed and manufactured to perform reliably and tested for compliance
to a specified minimum level of performance. The worker might not be
able to detect ineffective performance of the respirator prior to the
toxic exposure, upon which it might be too late to avoid serious injury
or death.
Respirator manufacturers and NIOSH have critical roles in assuring
employers, other purchasers of respirators, and workers that their
respirators will provide the protection that is implied by their NIOSH
certification. This rulemaking, which has been identified as a priority
among the policymaking needs of the NIOSH respirator certification
program by respirator manufacturers, employers, and other stakeholders
of the program, is intended to strengthen this assurance.
C. Need for Rulemaking
This rulemaking would establish TIL performance requirements and
testing of half-mask, air-purifying particulate respirators currently
approved under the requirements of Part 84 Subpart K--Non-Powered Air-
Purifying Particulate Respirators. These respirators are used by two
million U.S. workers: For example, they are used in health care
settings by caregivers and staff to patients with tuberculosis and
other respiratory infections; in foundries, chemical manufacturing, and
other production facilities with potentially hazardous aerosol
exposures such as metals, coal, plastics, fibers, nano materials, and
silica; and at construction and landscaping sites where workers are
exposed to wood, silica, and other dusts from the grounds and building
materials. These respirators are also stockpiled in large caches for
deployment to public safety, health care, and other service personnel
in the advent of an influenza pandemic.
NIOSH evaluation of the TIL performance of these respirators would
provide increased assurance to respirator purchasers and users that
NIOSH-approved respirators can be expected to effectively protect the
user against particulate contaminants, when properly donned and used.
NIOSH has conducted benchmark testing of 101 respirator models
currently on the market, using a testing regimen similar to that being
proposed in this rulemaking, to assess their TIL performance.
Approximately 30 percent of this class of respirators have facepiece
seals that did not perform adequately to achieve a fit factor of 100
(limiting total inward leakage to no more than 1 percent), as specified
by OSHA,\3\ for substantial numbers of the human subjects donning them
for
[[Page 56143]]
benchmark testing. This finding is supported by published
research.4 5
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\3\ See 29 CFR 1910.134 (f)(7).
\4\ Coffey C, Lawrence R, Campbell D, Zhuang Z, Calvert C,
Jensen P. Fitting Characteristics of Eighteen N95 Filtering
Facepiece Respirators. JOEH. 2004;1: 262-271.
\5\ Lawrence R, Duling M, Calvert C, and Coffey C. Comparison of
Performance of Three Different Types of Respiratory Protection
Devices. JOEH. 2006;3:465-474.
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There are three implications of this finding from benchmark
testing, which define the need for this rulemaking. One, when an
employer purchases one of these respirator models with poor TIL
performance for use within a complete respirator program, as specified
by OSHA and MSHA, fit-testing of the employees should reveal that a
substantial proportion of the employees do not achieve an adequate fit.
This presumably compels the employer to purchase other respirators and
conduct additional fit-testing on employees, continuing such purchases
and fit testing until respirators are identified, through trial and
error, that provide all employees with adequately fitting respirators.
This process of identifying respirators that provide an adequate
fit to each employee would be streamlined through NIOSH evaluation of
TIL performance as proposed in this rulemaking, using panels of test
subjects representative of intended users of a particular respirator
model and size. The employee is more likely to achieve a good fit from
a respirator make that has been demonstrated through testing to achieve
a specified minimum level of performance in this respect.
The second implication applies to situations in which these poorly
performing respirators are being used by employees and other
individuals without the benefit of a complete respirator program that
includes fit testing. A recent NIOSH/Bureau of Labor Statistics (BLS)
survey of respirator use among U.S. workers found that 40 percent of
employers are not selecting respirators for their employees based on
fit testing.\6\ Self-employed workers in industries such as
construction may be even less likely to perform fit testing.
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\6\ NIOSH/BLS [2003]. Respirator usage in private sector firms,
2001 (PDF only 1,118 KB (278 pages)). Cincinnati, OH: U.S.
Department of Health and Human Services, Public Health Service,
Centers for Disease Control and Prevention, National Institute for
Occupational Safety and Health.
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For these employee and worker populations, the poor fit might not
be recognized, increasing the likelihood that substantial numbers of
these respirator users are not being adequately protected from their
hazardous exposures. While the only way to ensure that a particular
respirator make and size performs adequately for a user is through fit
testing of that user, NIOSH testing and evaluation of TIL performance
would increase the likelihood that these workers who lack fit testing
will be protected, by obtaining respirators that are demonstrated to
generally provide a good fit to intended users when worn properly.
The third implication applies to the stockpiling of respirators for
use in case of an influenza pandemic. During a disease outbreak, such
respirators might be deployed without a respirator program and without
fit testing. Currently, the selection of NIOSH approved respirators
provides no assurance that stockpiled respirators are likely to provide
adequate protection to the health care, public safety, and other
personnel who might use them without a respirator program and fit
testing. The availability of NIOSH certification with respect to TIL
performance would increase the likelihood that such users would obtain
an adequate fit and protection, even though it could not provide the
same level of assurance as is obtained from fit testing of each
individual for the selection of respirators.
In summary, revising Part 84 to incorporate minimum performance
requirements governing TIL is a necessary step to ensure that NIOSH-
approved half-mask air purifying particulate respirators have
facepiece-to-face and other seals that perform adequately to provide
effective protection to most intended users. While this certification
testing will not substitute for individual fit testing, respirator
training, and other components of a complete respiratory protection
program critical to worker protection, it will substantially improve
the current circumstances by approving only respirators that
demonstrate the ability to meet minimum specified performance
requirements and are likely to provide adequate protection to most
intended users when properly fitted and worn.
D. Public Meetings for Discussion and for Comment
NIOSH held public meetings to discuss underlying issues and
technical matters addressed in this proposed rule on August 25, 2004,
at the Key Bridge Marriott, Arlington, VA, and June 26, 2007, at The
Embassy Suites Pittsburgh International Airport, Coraopolis,
Pennsylvania.\7\ Official transcripts of the meetings, as well as
public comments submitted subsequently, are available in Docket
36 from the NIOSH Docket Office at the address provided above.
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\7\ Notice of these meetings was published in the Federal
Register (FR69:133:42059) (FR72:102:29501-29502). NIOSH also sent a
letter announcing the meetings to known stakeholders and posted it
on the NIOSH Web page https://www.cdc.gov/niosh/npptl.
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One issue of concern raised in response to NIOSH presentations was
that the NIOSH rule would prevent respirator manufacturers from
producing models targeted to specific demographic subpopulations, such
as women, for example. The current proposal would not impose any such
limitation. NIOSH will construct test subject panels for the
certification testing that represent the population targeted by the
manufacturer, as described in the manufacturer's user instructions.
Another concern raised by commenters is that this rulemaking would
shift responsibility for the fit achieved by employees from the
employer, who is required to conduct fit testing under OSHA and MSHA
regulations, to the respirator manufacturer. No such substitution is
intended or effected by the rulemaking. As discussed above, NIOSH would
require that manufacturers produce respirators that have effective face
seals, such that they can be expected generally to fit intended users
and control TIL adequately when the respirators are properly fit
tested, donned, and used. This general assurance does not replace
individual fit testing to be conducted by employers, which ensures that
each individual employee obtains an effective fit, as required by OSHA
and MSHA.
NIOSH already requires adequate TIL performance for other types of
respirators under Part 84. NIOSH omitted such requirements for the
category of respirator covered in this rulemaking only because of
testing limitations that existed in 1995 when Part 84 was established.
NIOSH received concerns regarding the use of various testing
technology and methods to evaluate TIL. The technology is identical to
that in common use for measuring respirator fit and is accepted by
OSHA.\8\
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\8\ 29 CFR 1910.134, Appendix A, Part I, C, 3.
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Comments were received questioning the representativeness of the
test panel with respect to the population of respirator users. The test
panel was developed by NIOSH to replace a panel developed decades ago
by Los Alamos National Laboratory using military personnel. The new
panel has been the subject of publications and multiple reviews,
including a review by the
[[Page 56144]]
Institute of Medicine.9 10 11 It is documented in testing
and agreed by reviewers that the proposed panel represents a
substantial improvement over its predecessor panel and should be
implemented.
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\9\ Zhuang Z, Bradtmiller B, and Shaffer R.E. New Respirator Fit
Test Panels Representing the Current U.S. Civilian Workforce.
Journal of Occupational and Environmental Hygiene 2007;4: 647-659.
\10\ Zhuang Z, Groce D, Ahlers H, Iskander W, Landsittle D,
Guffey S, Benson S, Viscusi D, Shaffer R. Correlation between
Respirator Fit and Respirator Fit Test Panel Cells by Respirator
Size. Journal of Occupational and Environmental Hygiene. 2008;5:
617-628.
\11\ Institute of Medicine. Assessment of the NIOSH Head-and-
Face Anthropometric Survey of U.S. Respirator Users. The National
Academies Press, Washington, DC (2007).
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Commenters also questioned the number of test subjects and the
pass/fail criteria. NIOSH has changed the pass/fail criteria and the
number of test subjects as a result of these comments. A full technical
discussion of the statistical basis for the proposed standards
described below is provided in a paper titled ``Statistical Basis for
TIL Testing'' in the NIOSH Docket for this rulemaking posted at: https://www.cdc.gov/niosh/docket/NIOSHdocket0137.html. The maximum allowable
leakage is now equivalent to the fit test criteria required by OSHA for
this type of respirator.\12\
---------------------------------------------------------------------------
\12\ 29 CFR 1910.134(f)(7).
---------------------------------------------------------------------------
These concerns have been given consideration in the design of this
proposed rule and will be considered further in the development of
testing procedures to be implemented under a final rule. NIOSH
encourages interested parties to submit any technical concerns along
these lines, as well as policy concerns, in response to this proposed
rule.
NIOSH will convene a public meeting to provide stakeholders an
opportunity to comment orally on this rulemaking during the comment
period. The meeting will be in the vicinity of Washington DC and will
be announced in a separate notice in the Federal Register. This meeting
will also be available through remote access capabilities. Participants
will be able to simultaneously listen and view presentations over the
Internet, as well as comment.
III. Summary of Proposed Rule
This proposed rule would establish new TIL requirements for half-
mask air-purifying particulate respirators approved by NIOSH, or NIOSH
and MSHA, under 42 CFR part 84--Approval of Respiratory Protective
Devices. These provisions would be added to Subpart K. The following is
a section-by-section summary which describes and explains the
provisions of the rule. The public is invited to provide comment on any
aspect of the proposed rule. The complete regulatory text for this
proposed rule is provided in the last section of this notice. For the
convenience of readers, the regulatory text presents the amended
sections in their entirety, including the proposed new and revised
paragraphs and those that would remain unrevised under the amended
sections.
Subpart K
Section 84.175 Half-Mask Facepieces, Full Facepieces, Hoods, Helmets,
and Mouthpieces; Fit and Total Inward Leakage (TIL); Minimum
Requirements
This section includes a variety of general requirements governing
the fit and functionality of the various designs of non-powered air-
purifying particulate respirators. NIOSH proposes to amend this section
to incorporate TIL standards and a general specification of testing
requirements. Paragraphs in this section that are not discussed below
are current provisions that NIOSH is not proposing to amend.
A. Half-Mask Respirators Designed for Specific Segments of the
Population
Paragraph (a)(3) is new. It would allow applicants to seek approval
for half-mask respirators designed to fit a specific segment of the
population, such as ``women'' or persons within specific dimensional
limits. Currently, respirators must be designed to fit the population
broadly, either by providing one size that fits diverse facial shapes
and sizes or by providing multiple sizes. It is advantageous to
employers and other respirator purchasers to supply a respirator that
fits the population broadly because it simplifies their selection and
purchasing of such equipment. It also increases the likelihood that the
majority of workers and other respirator users will obtain respirators
that fit. However, in connection with public discussions regarding the
concepts underlying TIL standards and testing, several respirator
manufacturers have advocated that they have the option of producing
respirators designed to fit particular subpopulations, presumably to
more reliably achieve a fit for certain face shapes that might not
obtain a good fit from generally-targeted designs. Furthermore, while
NIOSH benchmark testing and other research have indicated that many
respirators do not actually provide a good fit to substantial segments
of the population, it is possible that some of these respirators are
well designed to fit particular subpopulations.
NIOSH accepts the proposition that in some cases it might be
effective to design respirators to fit specific subpopulations that
share common facial characteristics, resulting in better TIL
performance. Since this approach would rely on purchasers recognizing
an appropriate match, NIOSH has specified that the membership of the
subpopulation, as described, must be somehow identified. Thus, for
example, sex is clear. However, it is unclear to NIOSH whether there
are other demographic classifications or descriptors for subpopulations
that could be both reliably interpreted by users and reliably
determinative in terms of respirator fit. Users must be provided
sufficient information to permit them to self-identify. They might not
effectively self-identify to match a manufacturer's intentions if
provided only vague general descriptions of intended facial shapes or
characteristics.
A new paragraph (g) would require that any part of a respirator
that would have to be removed to conduct a user seal check must be
replaceable without disturbing the fit of the respirator. This is a
current requirement for other types of respirators and is essential to
assuring the validity of the seal check.
Paragraph (h) is also new. It would require the user instructions
of a half-mask respirator to specify the intended users of the
respirator, by facial size, if applicable, and by other descriptive
information as might be necessary for respirators designed for specific
subpopulations, as explained above. This information would be relied
upon by purchasers and users and by NIOSH in conducting TIL testing, as
discussed below.
B. Half-Mask Respirator TIL Testing Requirements
General Discussion
Subsection (i) is new. It proposes the general procedures,
requirements, and performance standards for TIL of non-powered half-
mask air-purifying particulate respirators. The standards have been
designed statistically to identify and pass with high accuracy (greater
than 90 percent probability) those respirators that provide adequate
TIL performance to the large majority of intended users (in the range
of 80 to 90 percent of intended users) while failing with near
certainty (greater than 99 percent probability) those respirators that
do not provide adequate TIL performance to a majority (50 percent or
more) of intended users. Adequate TIL performance is a TIL value of
1.0,
[[Page 56145]]
equivalent to a fit factor of 100, which is the level of performance
for these respirators specified by OSHA.\13\ The number of test
subjects proposed for the testing has been limited to maintain
reasonably modest testing costs for NIOSH and respirator manufacturers
while achieving a representative cross-section of the intended user
population and providing sufficient ``statistical power'' to evaluate
TIL performance accurately. A full technical discussion of the
statistical basis for the proposed standards described below is
provided in a paper titled ``Statistical Basis for TIL Testing'' in the
NIOSH Docket for this rulemaking posted at: https://www.cdc.gov/niosh/docket/NIOSHdocket0137.html. NIOSH requests public comment concerning
the judgments inherent to these proposed standards, as well as comment
on the supporting statistical analysis referenced here.
---------------------------------------------------------------------------
\13\ See 29 CFR 1910.134(f)(7).
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NIOSH invites public comment on the proposed standards specified in
this subsection. There are several critical factors that the public
should consider in providing such comments:
1. What percentage of the intended user population should be able
to achieve adequate TIL performance for the respirator to be approved
by NIOSH? NIOSH has proposed that 75 percent or higher should be able
to achieve such performance. This performance level is based on the
design and statistical considerations presented above in this General
Discussion section; essentially, using this 75 percent testing
parameter would provide strong assurance (90 percent probability) that
testing identifies for approval respirators fitting the large
majority--80 to 90 percent--of intended users, while rejecting with
near certainty (99 percent probability) respirators that fit only a
minority--less than 50 percent--of intended users.
2. As the percentage of the intended user population capable of
achieving adequate TIL performance from a respirator declines, at what
point, if any, should NIOSH set the limit to be nearly certain (e.g.,
99 percent or higher probability) that the respirator would not be
approved? NIOSH has proposed that a respirator should be rejected with
near certainty if it does not provide adequate TIL performance to at
least a majority (50 percent or greater) of intended users. NIOSH
believes this is a reasonable standard for defining the performance of
a poorly fitting respirator that should not be approved.
3. How many test subjects should be included in the testing,
considering the fact that testing accuracy increases with the number of
test subjects, but that the cost of testing also increases with the
number of test subjects? Do the numbers of subjects proposed by NIOSH
(15 to 35 test subjects, as specified under Sec. 84.175(i)(4)) reflect
an appropriate balance between limiting manufacturer testing costs and
providing sufficiently accurate results? What level of testing cost is
supportable, in the view of manufacturers? Would manufacturers prefer a
higher numbers of test subjects and associated higher costs, to reduce
further the likelihood that a respirator with adequate TIL performance
is denied by chance?
Discussion of Specific Provisions
Paragraph (i)(1) specifies that NIOSH will apply solely the user
instruction information describing the intended users of a respirator
to select an appropriate panel of TIL test subjects. Thus, NIOSH will
be interpreting the user instructions with the same limitations as a
purchaser or intended user.
This provision would have no practical effect in the case of a
respirator designed to fit the general population, either through one
size that fits all users or a comprehensive set of differing sizes. In
such a case, the respirator would be tested against the NIOSH testing
panel, which respirator manufacturers can replicate in their pre-
application TIL testing to ensure that their respirator is designed and
manufactured to achieve an adequate fit on the testing panel to meet
the NIOSH TIL standard. On the other hand, this provision limiting
NIOSH to the information provided in the user instructions could be
important in the case of a respirator designed for use by a specific
subpopulation. As a consequence, if the applicant were to have selected
test subjects for pre-application TIL testing using additional criteria
or distinguishing factors not specified in the user instructions, it is
possible the applicant would obtain a panel of test subjects
substantially different from that selected by NIOSH for its TIL
testing. A substantial difference in test panels could produce
different testing results and potentially result in the failure of the
respirator to pass the TIL performance standard.
Paragraph (i)(1) also specifies the number or minimum number of
representative test subjects to be used in TIL testing; 35 for a
respirator intended to fit the general population and a minimum of 15
for a respirator intended to fit one or more specific subpopulations.
These numbers are proposed in combination with the performance
standards specified in paragraph (i)(4) to provide a sufficiently
accurate measure of a respirator's TIL performance for at least 75
percent of intended users while minimizing the chance of either
approving a respirator that did not achieve adequate TIL performance
for at least 50 percent of intended users or of disapproving a
respirator that only by chance failed to achieve the TIL performance
standard for at least 75 percent of intended users. A full technical
discussion of the statistical bases of these standards is provided in a
paper titled ``Statistical Basis for TIL Testing'' posted at: https://www.cdc.gov/niosh/docket/NIOSHdocket0137.html.
Paragraph (i)(2) specifies that test subjects will conduct a user
seal check or other donning procedure prior to each test. This is
appropriate practice for a worker donning this type of respirator, to
ensure that it is positioned correctly on the face to provide an
optimal facepiece-to-face seal.
Paragraph (i)(3) specifies that the TIL test will be administered
to each test subject up to three times, terminating testing either when
a test has produced a TIL value of 1.0 percent or less or after the
third test, whichever occurs first. The TIL value of 1.0 percent is
equivalent to a fit factor of 100, which is the minimum acceptable fit
factor for half-mask respirators specified by OSHA under 29 CFR
1910.134 (f)(7). The limit of administering the test up to three times
to achieve this performance standard is integral to the statistical
basis establishing the accuracy of the TIL testing, as discussed above
and in technical detail in the paper ``Statistical Basis for TIL
Testing'' posted at: https://www.cdc.gov/niosh/docket/NIOSHdocket0137.html.
Paragraph (i)(4) provides the TIL performance standards for
approval of these respirators, differing under clauses (i) and (ii) to
account for the lower minimum number of test subjects (a minimum of 15
versus 35) that would be used to test a respirator intended to fit one
or more specific subpopulations under clause (ii). Given the lower
number of test subjects, a higher proportion of the test subjects (80
percent versus approximately 75%) would be required to achieve a TIL
value of 1.0 percent or less for the respirator to be approved. This
difference is statistically based in the decreasing reliability of an
individual test as the total number of test subjects declines. It is
discussed and illustrated in the paper ``Statistical Basis for TIL
Testing'' posted at: https://www.cdc.gov/niosh/docket/NIOSHdocket0137.html. The proposed use of a minimum of 15 test subjects
for respirators intended to
[[Page 56146]]
fit one or more subpopulations of users allows for the use of a larger
number of test subjects for subpopulations that are more diverse and
hence, require a more diverse panel of test subjects to provide
sufficiently comprehensive representation of facial dimensions.
Paragraph (i)(5) specifies that the probe would be located halfway
between the wearer's nose and mouth for TIL testing of the respirator.
This specification is consistent with the technology used for such
testing and is necessary to ensure a reproducible determination of TIL.
Paragraph (i)(6) specifies the use of sodium chloride (table salt)
as the challenge aerosol for TIL testing and specifies a particle size
range of 0.02 to 0.06 micrometers within a concentration range of 1,500
to 3,000 particles/cm\3\. Sodium chloride is used because it is safe
for the test subjects and has appropriate physical properties for the
test. The particle size range represents the most penetrating particle
sizes, producing an atmosphere that challenges the limits of the
respirator's TIL performance. The concentration range allows for
accurate measurement using the current technology available for TIL
testing.
Paragraph (i)(7) specifies the sequence of exercises that comprise
the TIL test. These are the standard, OSHA-required set of exercises to
be used in fit-testing these respirators. They provide for realistic
respirator use conditions that challenge the respirator's TIL
performance through typical work movements, postures, grimaces that can
disturb the facepiece-to-face seal, talking, and deep breathing to
increase the negative pressure inside the facepiece.
Paragraph (i)(8) specifies that the test exercises will be
performed using the OSHA protocol provisions specified at 29 CFR
1910.134 Appendix A, Part I.A.14(b). This protocol paragraph specifies
the duration of each test exercise used in fit testing. Currently, OSHA
requires each exercise be performed for one minute except for the
grimace, which is performed for 15 seconds. By specifying this element
of the OSHA protocol, NIOSH would ensure that NIOSH TIL testing remains
consistent with OSHA fit testing requirements in this regard.
Paragraph (i)(9) specifies that the test subject will not adjust
the facepiece position once the TIL test exercises begin, and that any
such adjustment would void the test, requiring that it be repeated.
This is current fit-testing practice and is required by OSHA under 29
CFR 1910.134 Appendix A, Part I.A.14(b). The intent of this requirement
is to realistically reflect the practices and conditions of workers
when wearing respirators. A worker typically would adjust the facepiece
if he sensed a poor facepiece-to-face seal. However, a worker might not
adjust the facepiece for many reasons, such as not sensing a poor
facepiece-to-face seal, or being engaged in a task that occupies both
hands. Moreover, the need to adjust the facepiece periodically after
donning the respirator indicates an undesirable TIL performance
characteristic. For example, the need to make such adjustments during a
work task would constitute a hazard if safe work practice requires that
the worker's hands and/or attention be fully engaged in the work task.
Paragraph (i)(10) specifies how TIL is determined. TIL results are
expressed as the percentage quantity of the ambient concentration of
sodium chloride measured inside the respirator. For example, if the
ambient concentration were 1000 particles/cm\3\ and the respirator
reduced this concentration to 10 particles/cm\3\, then the TIL would be
expressed as 1.0 percent, because the concentration inside the
respirator facepiece was reduced to 1.0 percent of the ambient level.
This is equivalent to a fit factor of 100, which is the inverse of the
TIL and is calculated as the ratio of the ambient concentration over
the concentration inside the respirator facepiece.
Paragraph (i)(11) specifies design and performance attributes of
the instrumentation to be used to take measurements of TIL. These
include the use of a condensation nuclei counter, the ability to
measure sodium chloride challenge aerosol in the specified size range
of 0.02 to 0.06 micrometers, and during measurement, responding
linearly to changes in the aerosol concentration, within plus or minus
five percent, over the ambient concentration range of 70 to 3,000
particles/cm\3\ and TIL <= 5.0 percent. These attributes are sufficient
to meet the needs of TIL testing as proposed and to ensure that NIOSH
and manufacturers use equivalent instrumentation.
Section 84.205 Facepiece Test; Minimum Requirements
This section specifies facepiece test requirements for chemical
cartridge respirators. Some of these respirators are designed as half-
mask, combination chemical cartridge/particulate filtering (i.e., air-
purifying) respirators. For such combination respirators, NIOSH
proposes applying the identical TIL test requirements as proposed under
Sec. 84.175 in this rulemaking for all half-mask air-purifying
particulate respirators. These TIL test requirements would be in
addition to the current facepiece test requirements already covered
under this section for chemical cartridge respirators. Paragraphs in
this section that are not discussed below are current provisions that
NIOSH is not proposing to amend.
A. Non-Germane Technical Revisions to General Provisions of Sec.
84.205
Paragraphs (c) and (d) would be revised, substituting the term
``user seal check'' for ``fit test'' to be consistent with current
terminology in use.
Paragraph (d)(1) would be revised to reduce the specified ambient
concentration of isoamyl acetate vapor in the testing chamber from
1,000 to 500 parts per million (ppm) for testing full facepieces,
mouthpieces, hoods, and helmets. This represents current practice,
which the NIOSH respirator certification program instituted when NIOSH
lowered the IDLH (Immediately Dangerous to Life or Health
concentration) for isoamyl acetate to 1,000 ppm.
B. Coverage of Combination Half-Mask Chemical Cartridge/Particulate
Filtering Respirators by TIL Testing Requirements of Sec. 84.175
A new paragraph (e) would be added to require TIL testing under the
proposed provisions of Sec. 84.175(i) for all combination half-mask
chemical cartridge/particulate filtering respirators. The NIOSH
respirator certification program currently conducts qualitative testing
using isoamyl acetate vapor to evaluate the fit of chemical cartridge
respirators under Sec. 84.205, including these combination
respirators. The proposed TIL testing would ensure that the particulate
filtering protective capacity of these combination respirators is as
effective as the single-purpose air-purifying respirators addressed by
this rulemaking.
IV. Regulatory Assessment Requirements
A. Executive Order 12866
Under Executive Order 12866 (58 FR 51735, October 4, 1993), the
Agency must determine whether a regulatory action is ``significant''
and therefore subject to review by the Office of Management and Budget
(OMB) and the requirements of the executive order. Under section 3(f),
the order defines a ``significant regulatory action'' as an action that
is likely to result in a rule (1) Having an annual effect on the
economy of $100 million or more, or adversely and materially affecting
a sector of the economy, productivity,
[[Page 56147]]
competition, jobs, the environment, public health or safety, or state,
local, or tribal governments or communities (also referred to as
``economically significant''); (2) creating serious inconsistency or
otherwise interfering with an action taken or planned by another
agency; (3) materially altering the budgetary impacts of entitlements,
grants, user fees, or loan programs or the rights and obligations of
recipients thereof; or (4) raising novel legal or policy issues arising
out of legal mandates, the President's priorities, or the principles
set forth in this executive order.
This proposed rule is not considered economically significant, as
defined in section 3(f)(1) of the executive order. However, this
proposed rule is a ``significant regulatory action'' within the meaning
of the executive order and has been reviewed by OMB.
For the leading U.S. respirator manufacturers who obtain approvals
from NIOSH, likely to represent a majority share of the current market
supply of NIOSH-approved products covered by this rulemaking, NIOSH
benchmark testing indicates that the new TIL requirements can be met by
current products without additional development or manufacturing costs.
For those manufacturers whose products do not meet the proposed TIL
testing standards, NIOSH has estimated design and retooling costs
ranging from $55,000 to $200,000 per model or models of respirator with
a unique facepiece, depending on the unit volume of production, the
type of facepiece seal, and the degree of automation of the
manufacturing operation. NIOSH invites comment from manufacturers on
these estimates, all of which are based on expert opinion.
It is not possible to estimate the number of current approval
holders whose products would not meet the proposed TIL requirements and
who would redesign their products to seek new NIOSH approvals,
incurring design and retooling costs. However, to the extent that some
manufacturers may decide not to redesign products and seek new
approvals, the proposed implementation schedule for the new
requirements (see Section IV.J of this preamble) would provide other
manufacturers sufficient time to increase production capacity and
replace products exiting the NIOSH-approved respirator market. NIOSH
invites comment from approval holders on their intent to seek new
approvals under the proposed requirements.
All manufacturers intending to continue to hold NIOSH approvals for
respirators covered by this rulemaking would incur additional costs for
TIL testing. NIOSH estimates these costs would range from $8,500 to
$12,000 per respirator approval, which would cover a respirator
produced in multiple sizes and may also cover multiple respirator
models employing the same respirator facepiece. The testing costs would
vary based on the number of test subjects required. NIOSH anticipates
applications for up to 500 approvals during the first two years of
implementation of TIL requirements, when NIOSH expects the majority of
requests for approval would be received. NIOSH estimates total testing
and certification costs to manufacturers of up to $3.1 million annually
for these two initial implementation years.\14\ NIOSH anticipates TIL
testing associated with routine submissions for new product approvals
in subsequent years will be required for less than 15 percent of the
NIOSH-approved product market annually, for estimated costs of $825,000
annually.\15\
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\14\ This estimate assumes testing and certification of 250
units annually for two years at an average annual cost of $11,000
per unit for a panel of test subjects and $1,250 in other
certification costs. About 30 percent of these other certification
costs will be borne by the manufacturers irrespective of this
proposed rulemaking as a result these products having a typical
product life cycle of 5 to 10 years (see note 10 below).
\15\ The product life cycle of these respirators is typically 5
to 10 years; meaning between 10 and 20 percent of 500 NIOSH-
certified respirators could be expected to be redesigned annually on
average. However, product redesigns would not necessarily involve
redesign of the facepiece in such a way that would require TIL
retesting.
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NIOSH does not anticipate additional costs to consumers (e.g.,
employers, self-employed workers) as a result of the proposed TIL
requirements. The current NIOSH-approved products that NIOSH expects to
pass the proposed requirements do not differ substantially in price
from comparable products that are not expected to pass without
modification.
NIOSH anticipates the TIL requirements will also result in
substantial benefits, although NIOSH lacks information to estimate them
quantitatively. Of greatest importance, substantial numbers of workers
are more likely to derive the expected respiratory protection from
hazardous particulate exposures as a result of using respirators with
adequate TIL performance. As discussed in Section II.C. of this
preamble, NIOSH benchmark testing and other research indicate that many
respirators covered by this rulemaking do not perform well in
preventing substantial inward leakage when tested against diverse
facial types and sizes. Over 50 percent of workers and other respirator
users do not have the benefit of individual fit testing, let alone a
complete respiratory protection program. This suggests that substantial
numbers of workers may receive improved protection as a result of
instituting TIL testing for the certification of these respirators,
increasing the likelihood that a worker without fit-testing or training
might obtain adequate TIL performance. Such improved protection will
result in reduced work-related disease and disability among the
workforce, including such conditions as work-related silicosis, chronic
obstructive pulmonary disease (COPD), asthma, and cancer, and
biological and infectious diseases such as avian influenza, SARS,\16\
and tuberculosis.17 18 Work-related COPD and asthma alone
are estimated to cost $6.6 billion annually.\19\ The costs of this
rulemaking would be covered by the prevention of a small fraction of a
percent of the occupational disease burden associated with workplace
respiratory hazards.
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\16\ Eninger R, Honda T, Adhikari A, Heinonen-Tanski H, Reponen
T, and Grinshpun S. Filter Performance of N99 and N95 Facepiece
Respirators Against Viruses and Ultrafine Particles. Ann. Occup.
Hyg. 2008;52(5):385-396.
\17\ Willeke K, Qian Y, Donnelly J, Grinshpun S, Ulevicius V.
Penetration of Airborne Microorganisms Through a Surgical Mask and a
Dust/Mist Respirator. American Industrial Hygiene Association
Journal. 1996;57(4):348-355.
\18\ Qian Y, Willeke K, Grinshpun S, Donnelly J and Coffey C.
Performance of N95 Respirators: Filtration Efficiency for Airborne
Microbial and Inert Particles. American Industrial Hygiene
Association Journal. 1998;59(2):128-132.
\19\ Leigh JP, Romano P, Schenker MB, and Kreiss K. Costs of
Occupational COPD and Asthma. Chest. 2002;121:264-272.
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In addition, as discussed in Section II.C. of this preamble,
respirators that do not perform adequately in TIL testing would be
expected to fail fit testing for employees among employers who conduct
fit testing as required by OSHA. This is presumably causing the
employers to purchase additional respirator models until all employees
have respirators that fit adequately, incurring costs for the non-
fitting respirators, for repeated respirator fit testing, and for lost
employee work time consumed by the repetitive fit testing. NIOSH
invites comments from employers regarding the current extent of such
costs.
In summary, while NIOSH cannot estimate the total costs associated
with this rulemaking, available information indicates these costs are
modest and also suggests that they are likely to be considerably
outweighed by economic benefits reaped by improved worker protection
and the promotion of increased efficiency among employer respiratory
protection programs.
[[Page 56148]]
Through this rulemaking, NIOSH is inviting public comment from
respirator manufacturers, employers, and others to provide greater
specificity for NIOSH estimates of economic costs and benefits
anticipated in association with the implementation of the proposed TIL
requirements.
The proposed rule would not interfere with state, local, and tribal
governments in the exercise of their governmental functions.
B. Regulatory Flexibility Act
The Regulatory Flexibility Act (RFA), 5 U.S.C. 601 et seq.,
requires each agency to consider the potential impact of its
regulations on small entities, including small businesses, small
governmental units, and small not-for-profit organizations. The
Department of Health and Human Services (``HHS'') certifies that this
proposed rule would not have a significant economic impact on a
substantial number of small entities within the meaning of the RFA.
The majority of respirator manufacturers producing half-mask air-
purifying particulate respirators approved by NIOSH and covered by this
rule are small businesses as defined under the Small Business Act (Pub.
L. 85-536) for this industry sector (NAICS 339112--Medical Instruments
and Equipment Manufacturers), employing fewer than 500 employees. For
these manufacturers, the proposed rule would establish new TIL
requirements applicable to respirators approved by NIOSH for use in
potentially hazardous work atmospheres involving toxic, obstructive,
and carcinogenic dusts, nanoparticles, and biological and potentially
infectious aerosols. Workers don these respirators for protection in a
wide variety of industrial sectors, such as mining, manufacturing,
construction, and agriculture, and service sectors, such as health
care, where medical, nursing, and custodial staff are exposed to
biological and potentially infectious aerosols. These respirators are
also being stockpiled and would be employed extensively by health care,
public health, safety, and other first responders who would be engaged
in the case of a pandemic influenza outbreak.
This rulemaking will result in additional costs for TIL testing and
certification by NIOSH, for all respirator manufacturers intending to
continue to hold NIOSH approvals for respirators covered by this
rulemaking. As explained in Section IV.A of this preamble, NIOSH
estimates the testing costs would range from $8,500 to $12,000 per
respirator approval, which would include a respirator produced in
multiple sizes and may also cover multiple respirator models employing
the same respirator facepiece. The cost would vary depending on the
number of test subjects required. NIOSH anticipates applications for up
to 500 approvals during the first 2 years of implementation of TIL
requirements, when the majority of requests for approval would be
received. NIOSH estimates total testing and certification-related costs
to manufacturers of $3.1 million annually for these 2 implementation
years. NIOSH anticipates TIL testing associated with routine
submissions for new product approvals in subsequent years will be
required for less than 15 percent of the NIOSH-approved product market
annually, for estimated costs of $825,000 annually.
These total testing and certification costs, from the initial 2-
year implementation period, when annualized over an average 7.5-year
product life-cycle, amount to less than $1.01 million annually. This is
a small fraction of one percent of the annual revenues of respirator
manufacturers, which totaled $1.7 billion in 2001 for all products and
have grown extensively since.\20\ Although respirator manufacturers
produce a wide range of products beyond those covered by this
rulemaking, half-mask air-purifying particulate respirators, including
chemical gas mask/filtering respirators, represent the highest volume
respirator sales and comprise a large component of total revenues.
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\20\ Frost and Sullivan Research Service; https://www.frost.com/prod/servlet/report-brochure published 30 March 2005.
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After implementation, the routine annualized costs to manufacturers
resulting from TIL testing associated with the redesign of products
would be less than $141,000.\21\
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\21\ This assumes new products would be introduced for 15
percent of the product market annually, resulting in $865,000 of
annual TIL testing costs. These are annualized over a 7.5 year
period (the average life-cycle of these products.
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As discussed in Section IV.A of this preamble, this rulemaking is
not anticipated to result in any additional costs to small employers or
self-employed workers and may result in lower costs. Based on NIOSH
benchmark testing, respirators likely to represent a majority share of
the current market supply are expected to pass the proposed TIL
standards without modification, and these respirators are priced
comparably to respirators that are not expected to pass as currently
designed. Furthermore, the costs incurred by employers and by self-
employed workers in selecting adequately fitting respirators through
trial-and-error processes should be reduced as the implementation of
this proposed rule curtails the supply of NIOSH-approved respirators
with poor TIL performance.
NIOSH invites the public to provide more specific and current
revenue data on the respirator market covered by this rulemaking.
For the reasons provided, a regulatory flexibility analysis, as
provided for under RFA, is not required.
C. What Are the Paperwork and Other Information Collection Requirements
(Subject to the Paperwork Reduction Act) Imposed Under This Rule?
The Paperwork Reduction Act is applicable to the data collection
aspects of this rule. Under the Paperwork Reduction Act of 1995, a
federal agency shall not conduct or sponsor a collection of information
from ten or more persons other than Federal employees unless the agency
has submitted a Standard Form 83, Clearance Request, and Notice of
Action, to the Director of OMB, and the Director has approved the
proposed collection of information. A person is not required to respond
to a collection of information unless it displays a currently valid OMB
control number.
NIOSH has obtained approval from OMB to collect information from
respirator manufacturers under OMB Control No 0920-109 (Respiratory
Protective Devices), which covers all information collection under 42
CFR part 84. This rulemaking would require NIOSH to collect new TIL
testing information from manufacturers applying for approval of half-
mask air-purifying particulate respirators covered by this rulemaking.
NIOSH estimates that the proposed TIL requirements will result in a
minor increase in reporting burden to manufacturers. TIL testing would
require the submission in the application package of one additional
page of data describing the test results. These test results would
already have been recorded by the applicant within the testing process
so the only additional burden to the applicant would be any
reformatting that might be necessary and the transfer of the results
electronically to NIOSH. NIOSH anticipates this reporting, as part of
the standard application package transmitted to NIOSH, would take no
longer than 1 hour for completion; the current information collection
approval pursuant to OMB Control No 0920-109 (Respiratory Protective
Devices) estimates 86 hours per submission for each complete
application under 42
[[Page 56149]]
CFR 84.11. Accordingly, in conjunction with this rulemaking, NIOSH will
submit a request to OMB to amend its approval under OMB control No
0920-109 to collect this additional information.
D. Small Business Regulatory Enforcement Fairness Act
As required by Congress under the Small Business Regulatory
Enforcement Fairness Act of 1996 (5 U.S.C. 801 et seq.), HHS would
report to Congress the promulgation of a final rule, once it is
developed, prior to its taking effect. The report would state that HHS
has concluded that the rule is not a ``major rule'' because it is not
likely to result in an annual effect on the economy of $100 million or
more.
E. Unfunded Mandates Reform Act of 1995
Title II of the Unfunded Mandates Reform Act of 1995 (2 U.S.C. 1531
et seq.) directs agencies to assess the effects of federal regulatory
actions on State, local, and tribal governments, and the private sector
``other than to the extent that such regulations incorporate
requirements specifically set forth in law.'' For purposes of the
Unfunded Mandates Reform Act, this proposed rule does not include any
federal mandate that may result in increased annual expenditures in
excess of $100 million by state, local or tribal governments in the
aggregate, or by the private sector.
F. Executive Order 12988 (Civil Justice)
This proposed rule has been drafted and reviewed in accordance with
Executive Order 12988, Civil Justice Reform and will not unduly burden
the federal court system. NIOSH has provided TIL requirements it would
apply uniformly to all applications from manufacturers of half-mask
air-purifying particulate respirators. This proposed rule has been
reviewed carefully to eliminate drafting errors and ambiguities.
G. Executive Order 13132 (Federalism)
HHS has reviewed this proposed rule in accordance with Executive
Order 13132 regarding federalism, and has determined that it does not
have ``federalism implications.'' The proposed rule does not ``have
substantial direct effects on the States, on the relationship between
the national government and the States, or on the distribution of power
and responsibilities among the various levels of government.''
H. Executive Order 13045 (Protection of Children From Environmental
Health Risks and Safety Risks)
In accordance with Executive Order 13045, HHS has evaluated the
environmental health and safety effects of this proposed rule on
children. HHS has determined that the proposed rule would have no
effect on children.
I. Executive Order 13211 (Actions Concerning Regulations That
Significantly Affect Energy Supply, Distribution, or Use)
In accordance with Executive Order 13211, HHS has evaluated the
effects of this proposed rule on energy supply, distribution, or use
because it applies to the underground coal mining sector since coal
mine operators are consumers of respirators. The proposed rule is
unlikely to affect the cost of respirators used in coal mines and hence
is not likely to have ``a significant adverse effect on the supply,
distribution, or use of energy.'' Accordingly, this proposed rule does
not constitute a ``significant energy action'' Under E.O. 13211 and
requires no further Agency action or analysis.
J. Effective Date
NIOSH proposes that the final rule would take effect 30 days from
publication in the Federal Register for all new respirator approval
applications for half-mask air-purifying particulate respirators.
Approval holders could continue to sell and ship respirators certified
under current provisions subpart K as NIOSH/MSHA certified respirators
throughout a transition period of three years from the effective date
of the final rule and NIOSH would continue to consider modifications to
such approvals for two years from the effective date. Continued use of
distributed respirators is under the jurisdiction of OSHA and MSHA and
would not be affected by this rule. NIOSH anticipates that OSHA and
MSHA would permit continued use of those respirators since
certifications will not be revoked for respirators sold and shipped by
the approval holder during the three-year transition period. The
authority for an approval holder to sell and distribute under a NIOSH
certification any half-mask air-purifying particulate respirator
certified under the current provisions of subpart K would expire at the
end of the three-year period.
This 3-year transition period is proposed to ensure the timely
replacement of respirators that demonstrate poor TIL performance while
allowing an ample supply of respirators to remain available for use,
since even a respirator with poor TIL performance may provide degrees
of protection to different users. This timeframe would provide
sufficient time for manufacturers to have respirators approved and
manufactured in quantities to meet demand. According to NIOSH benchmark
testing and other research, significant numbers of currently approved
respirators of manufacturers with significant production capacity are
likely to pass the proposed TIL testing and performance standards
without modifications. On the other hand, NIOSH also seeks to ensure
that total quantity of product supply remains sufficient during the
transition period for current and potentially higher levels of demand.
Such a demand spike could be anticipated if an influenza pandemic were
to develop or increase in threat, instigating expanded stockpiling of
respirators by health care, public health authorities, employers,
workers, and the general public.
NIOSH encourages the public to comment on this proposed
implementation schedule and any related issues. Some specific issues
for comment include the following:
1. Do manufacturers believe they can meet the proposed TIL
performance standards and testing requirements and provide adequate
product supply to meet anticipated market demand within the proposed 3-
year deadline?
2. Would any parties affected by this proposed rule incur an
exceptional and unsupportable financial or other burden as a
consequence of the proposed 3-year limit on the sale and distribution
by approval holders of respirators certified under the current
requirements (which omit TIL standards and testing)?
3. Would a different implementation schedule be better