Proposed Collection; 60 Day Comment Request Prevalence, Incidence, Epidemiology and Molecular Variants of HIV in Blood Donors in Brazil (NHLBI), 78876-78878 [2014-30657]
Download as PDF
78876
Federal Register / Vol. 79, No. 250 / Wednesday, December 31, 2014 / Notices
require more rigorous designs that
address: The target population to which
generalizations will be made, the
sampling frame, the sample design
(including stratification and clustering),
the precision requirements or power
calculations that justify the proposed
sample size, the expected response rate,
methods for assessing potential nonresponse bias, the protocols for data
collection, and any testing procedures
that were or will be undertaken prior to
fielding the study. Depending on the
degree of influence the results are likely
to have, such collections may still be
eligible for submission for other generic
mechanisms that are designed to yield
quantitative results.
As a general matter, information
collections will not result in any new
system of records containing privacy
information and will not ask questions
of a sensitive nature, such as sexual
behavior and attitudes, religious beliefs,
and other matters that are commonly
considered private.
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information.
An agency may not conduct or
sponsor, and a person is not required to
respond to, a collection of information
unless it displays a currently valid
Office of Management and Budget
control number.
OMB approval is requested for 3
years. There are no costs to respondents
other than their time. The total
estimated annualized burden hours are
1,312.
Request for Comments: Comments
submitted in response to this notice will
be summarized and/or included in the
request for OMB approval. Comments
are invited on: (a) Whether the
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
collection of information; (c) ways to
enhance the quality, utility, and clarity
of the information to be collected; (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology;
and (e) estimates of capital or start-up
costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
ESTIMATED ANNUALIZED BURDEN HOURS
Annual
frequency per
response
Number of
respondents
Type of collection
Hours per
response
Total hours
Customer outcomes and usability testing ........................................................
Customer Satisfaction and needs assessment survey ...................................
Focus Groups ..................................................................................................
Small Discussion Groups .................................................................................
Pilot Testing of instruments for applicability among diverse populations .......
888
600
60
60
300
1
1
1
1
1
40/60
40/60
1
1
40/60
592
400
60
60
200
Total .................................................................................................................
........................
........................
........................
1,312
Dated: December 24, 2014.
Genevieve deAlmeida,
Project Clearance Liaison, NIDA, NIH.
[FR Doc. 2014–30656 Filed 12–30–14; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection; 60 Day Comment
Request Prevalence, Incidence,
Epidemiology and Molecular Variants
of HIV in Blood Donors in Brazil
(NHLBI)
In compliance with the
requirement of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
for opportunity for public comment on
proposed data collection projects, the
National Heart, Lung, and Blood
Institute (NHLBI), the National
Institutes of Health (NIH), will publish
periodic summaries of proposed
projects to the Office of Management
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
22:02 Dec 30, 2014
Jkt 235001
and Budget (OMB) for review and
approval.
Written comments and/or suggestions
from the public and affected agencies
are invited on one or more of the
following points: (1) Whether the
proposed collection of information is
necessary for the proper performance of
the function of the agency, including
whether the information will have
practical utility; (2) The accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used; (3)
Ways to enhance the quality, utility, and
clarity of the information to be
collected; and (4) Ways to minimize the
burden of the collection of information
on those who are to respond, including
the use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology.
To Submit Comments and for Further
Information: To obtain a copy of the
data collection plans and instruments,
PO 00000
Frm 00098
Fmt 4703
Sfmt 4703
submit comments in writing, or request
more information on the proposed
project, contact: Simone Glynn, MD,
Project Officer/ICD Contact, Two
Rockledge Center, Suite 9142, 6701
Rockledge Drive, Bethesda, MD 20892,
or call non-toll-free number (301)–435–
0065, or Email your request to: glynnsa@
nhlbi.nih.gov. Formal requests for
additional plans and instruments must
be requested in writing.
Comments Due Date: Comments
regarding this information collection are
best assured of having their full effect if
received within 60 days of the date of
this publication.
Proposed Collection: Prevalence,
Incidence, Epidemiology and Molecular
Variants of HIV in Blood Donors in
Brazil 0925–0597 expiration date, July
31, 2015, Extension, National Heart,
Lung, and Blood Institute (NHLBI), the
National Institutes of Health (NIH).
Need and Use of Information
Collection: Establishing and monitoring
viral prevalence and incidence rates,
and identifying behavioral risk
behaviors for HIV infection among
E:\FR\FM\31DEN1.SGM
31DEN1
Federal Register / Vol. 79, No. 250 / Wednesday, December 31, 2014 / Notices
donors are critical steps to assessing and
reducing risk of HIV transmission
through blood transfusion. Detecting
donors with recently acquired HIV
infection is particularly critical as it
enables characterization of the viral
subtypes currently transmitted within
the screened population. In addition to
characterizing genotypes of recently
infected donors for purposes of blood
safety, molecular surveillance of
incident HIV infections in blood donors
serves important public health roles by
identifying new HIV infections for antiretroviral treatment, and enabling
documentation of the rates of primary
transmission of anti-viral drug resistant
strains in the community. This study is
a continuation of a previous research
project which enrolled eligible HIV
positive blood donors and analyzed HIV
molecular variants and their association
with risk.
This previous project was conducted
by the NHLBI Retrovirus Epidemiology
Donor Study—II (REDS–II) International
Brazil program and included not only
data collection on HIV seropositive
donors but also collection of risk factor
data on uninfected donors. The current
Recipient Epidemiology and Donor
Evaluation Study—III (REDS–III)
research proposal is a continuation of
the previous REDS–II project at the
same four blood centers in Brazil,
located in the cities of Sao Paulo, Recife,
Rio de Janeiro and Belo Horizonte, but
this time restricted to the study of HIVpositive subjects.
The primary study aims are to
continue monitoring HIV molecular
variants and risk behaviors in blood
donors in Brazil, and to evaluate HIV
subtype and drug resistance profiles
among HIV positive donors according to
HIV infection status (recent versus longstanding infection), year of donation,
and site of collection. Additional study
objectives include determining trends in
HIV molecular variants and risk factors
associated with HIV infection by
combining data collected in the
previous REDS–II project with that
which will be obtained in the planned
research activities.
Nucleic acid testing (NAT) testing for
HIV is currently being implemented in
Brazil. It will be important to continue
to collect molecular surveillance and
risk factor data on HIV infections,
especially now that infections that
might not have been identified by
serology testing alone could be
recognized through the use of NAT.
NAT-only infections represent very
recently acquired infections. The NAT
assay will be used at the four REDS–III
blood centers in Brazil during the
planned research activities. In addition,
in order to distinguish between recent
seroconversion and long-standing
infection, samples from all HIV
antibody—dual reactive donations and/
or NAT positive donations will be tested
by the Recent Infection Testing
Algorithm (RITA) which is based on use
of a sensitive/less-sensitive enzyme
immunoassay (‘‘detuned’’ Enzyme
Immunoassay). RITA testing will be
performed by the Blood Systems
Research Institute, San Francisco,
California, USA, which is the REDS–III
Central Laboratory.
Subjects are being enrolled for a
5-year period from July 2012 through
2017. According to the Brazilian
guidelines, blood donors are requested
to return to the blood bank for HIV
confirmatory testing and HIV
counseling. Donors are invited to
participate in the study through
administration of informed consent
when they return for HIV counseling.
Once informed consent has been
administered and enrollment has
occurred, participants are asked to
78877
complete a confidential selfadministered risk factor questionnaire
by computer. In addition, a small blood
sample is collected from each HIV
positive participant to be used for the
genotyping and drug resistance testing.
The results of the drug resistance testing
are communicated back to the HIV
positive participants during an inperson counseling session at the blood
center. For those individuals who do
not return for confirmatory testing, the
samples will be anonymized and sent to
the REDS–III central laboratory to
perform the recent infection testing
algorithm (RITA).
This research effort will allow for an
evaluation of trends in the trafficking of
non-B subtypes and rates of
transmission of drug resistant viral
strains in low risk blood donors. These
data could also be compared with data
from similar studies in higher risk
populations. Monitoring drug resistance
strains is extremely important in a
country that provides free anti-retroviral
therapy for HIV infected individuals,
many of whom have low level education
and modest resources, thus making
compliance with drug regimens and
hence the risk of drug resistant HIV a
serious problem.
The findings from this project will
add to those obtained in the REDS–II
study, allowing for extended trend
analyses over a 10-year period and will
complement similar monitoring of HIV
prevalence, incidence, transfusion risk
and molecular variants in the USA and
other funded international REDS–III
sites in South Africa and China, thus
allowing direct comparisons of these
parameters on a global level.
OMB approval is requested for 3
years. There are no costs to respondents
other than their time. The total
estimated annualized burden hours are
40.
Type of respondent
Number of
respondents
Number of
responses per
respondent
Average
burden per
response
(in hours)
Total annual
burden hour
Risk Factor Assessment ...................
mstockstill on DSK4VPTVN1PROD with NOTICES
Form name
Adult Donors ....................................
100
1
24/60
40
VerDate Sep<11>2014
22:02 Dec 30, 2014
Jkt 235001
PO 00000
Frm 00099
Fmt 4703
Sfmt 9990
E:\FR\FM\31DEN1.SGM
31DEN1
78878
Federal Register / Vol. 79, No. 250 / Wednesday, December 31, 2014 / Notices
Place: National Institutes of Health,
Building 31, Conference Room 6, 31 Center
Drive, Bethesda, MD 20892.
Closed: 3:15 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Building 31, Conference Room 6, 31 Center
Drive, Bethesda, MD 20892.
Contact Person: Danilo A. Tagle, Ph.D.,
Executive Secretary, National Center for
Advancing Translational Sciences, 1
Democracy Plaza, Room 992, Bethesda, MD
20892, 301–594–8064, Danilo.Tagle@nih.gov.
This notice is being published less than 15
days prior to the meeting due to finalizing
the agenda and scheduling of meeting topics.
Dated: December 18, 2014.
Lynn Susulske,
NHLBI Project Clearance Liaison, National
Institutes of Health.
[FR Doc. 2014–30657 Filed 12–30–14; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Center for Advancing
Translational Sciences; Notice of
Meetings
mstockstill on DSK4VPTVN1PROD with NOTICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of meetings of the National
Center for Advancing Translational
Sciences.
The meetings will be open to the
public as indicated below, with
attendance limited to space available.
Individuals who plan to attend and
need special assistance, such as sign
language interpretation or other
reasonable accommodations, should
notify the Contact Person listed below
in advance of the meeting.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications
and/or contract proposals and the
discussions could disclose confidential
trade secrets or commercial property
such as patentable material, and
personal information concerning
individuals associated with the grant
applications and/or contract proposals,
the disclosure of which would
constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Cures Acceleration
Network Review Board.
Date: January 15, 2015.
Time: 8:30 a.m. to 3:00 p.m.
Agenda: Report from the Institute Director.
Place: National Institutes of Health,
Building 31, Conference Room 6, 31 Center
Drive, Bethesda, MD 20892.
Contact Person: Danilo A. Tagle, Ph.D.,
Executive Secretary, National Center for
Advancing Translational Sciences, 1
Democracy Plaza, Room 992, Bethesda, MD
20892, 301–594–8064, Danilo.Tagle@nih.gov.
This notice is being published less than 15
days prior to the meeting due to finalizing
the agenda and scheduling of meeting topics.
Name of Committee: National Center for
Advancing Translational Sciences Advisory
Council.
Date: January 15, 2015.
Open: 8:30 a.m. to 3:00 p.m.
Agenda: Report from the Institute Director
and other staff.
VerDate Sep<11>2014
22:02 Dec 30, 2014
Jkt 235001
(Catalogue of Federal Domestic Assistance
Program Nos. 93.859, Pharmacology,
Physiology, and Biological Chemistry
Research; 93.350, B—Cooperative
Agreements; 93.859, Biomedical Research
and Research Training, National Institutes of
Health, HHS)
Dated: December 23, 2014.
David Clary,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2014–30619 Filed 12–30–14; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Allergy and
Infectious Diseases; Notice of
Meetings
Pursuant to section 10(a) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of meetings of the AIDS
Research Advisory Committee, NIAID.
The meetings will be open to the
public, with attendance limited to space
available. Individuals who plan to
attend and need special assistance, such
as sign language interpretation or other
reasonable accommodations, should
notify the Contact Person listed below
in advance of the meeting.
Name of Committee: AIDS Research
Advisory Committee, NIAID.
Date: January 26, 2015.
Time: 1:00 p.m. to 5:00 p.m.
Agenda: Reports from the Division Director
and other staff.
Place: National Institutes of Health,
Natcher Building, Conference Rooms E1/E2,
45 Center Drive, Bethesda, MD 20892.
Contact Person: Mark A. Mueller,
Executive Secretary, AIDS Research Advisory
Committee, Division of AIDS, NIAID/NIH,
5601 Fishers Lane, RM 8D39 Bethesda, MD
20892, 301–402–2308, mark.mueller@
nih.gov.
Name of Committee: AIDS Research
Advisory Committee, NIAID.
Date: May 18, 2015.
PO 00000
Frm 00100
Fmt 4703
Sfmt 4703
Time: 1:00 p.m. to 5:00 p.m.
Agenda: Reports from the Division Director
and other staff.
Place: National Institutes of Health,
Natcher Building, Conference Rooms E1/E2,
45 Center Drive, Bethesda, MD 20892.
Contact Person: Mark A. Mueller,
Executive Secretary, AIDS Research Advisory
Committee, Division of AIDS, NIAID/NIH,
5601 Fishers Lane, RM 8D39 Bethesda, MD
20892, 301–402–2308, mark.mueller@
nih.gov.
Name of Committee: AIDS Research
Advisory Committee, NIAID.
Date: September 21, 2015.
Time: 1:00 p.m. to 5:00 p.m.
Agenda: Reports from the Division Director
and other staff.
Place: National Institutes of Health,
Natcher Building, Conference Rooms E1/E2,
45 Center Drive, Bethesda, MD 20892.
Contact Person: Mark A. Mueller,
Executive Secretary, AIDS Research Advisory
Committee, Division of AIDS, NIAID/NIH,
5601 Fishers Lane, RM 8D39 Bethesda, MD
20892, 301–402–2308, mark.mueller@
nih.gov.
In the interest of security, NIH has
instituted stringent procedures for entrance
onto the NIH campus. All visitor vehicles,
including taxicabs, hotel, and airport shuttles
will be inspected before being allowed on
campus. Visitors will be asked to show one
form of identification (for example, a
government-issued photo ID, driver’s license,
or passport) and to state the purpose of their
visit.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.855, Allergy, Immunology,
and Transplantation Research; 93.856,
Microbiology and Infectious Diseases
Research, National Institutes of Health, HHS)
Dated: December 23, 2014.
David Clary,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2014–30620 Filed 12–30–14; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Center For Scientific Review; Notice of
Closed Meetings
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
E:\FR\FM\31DEN1.SGM
31DEN1
Agencies
[Federal Register Volume 79, Number 250 (Wednesday, December 31, 2014)]
[Notices]
[Pages 78876-78878]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-30657]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health
Proposed Collection; 60 Day Comment Request Prevalence,
Incidence, Epidemiology and Molecular Variants of HIV in Blood Donors
in Brazil (NHLBI)
SUMMARY: In compliance with the requirement of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995, for opportunity for public comment
on proposed data collection projects, the National Heart, Lung, and
Blood Institute (NHLBI), the National Institutes of Health (NIH), will
publish periodic summaries of proposed projects to the Office of
Management and Budget (OMB) for review and approval.
Written comments and/or suggestions from the public and affected
agencies are invited on one or more of the following points: (1)
Whether the proposed collection of information is necessary for the
proper performance of the function of the agency, including whether the
information will have practical utility; (2) The accuracy of the
agency's estimate of the burden of the proposed collection of
information, including the validity of the methodology and assumptions
used; (3) Ways to enhance the quality, utility, and clarity of the
information to be collected; and (4) Ways to minimize the burden of the
collection of information on those who are to respond, including the
use of appropriate automated, electronic, mechanical, or other
technological collection techniques or other forms of information
technology.
To Submit Comments and for Further Information: To obtain a copy of
the data collection plans and instruments, submit comments in writing,
or request more information on the proposed project, contact: Simone
Glynn, MD, Project Officer/ICD Contact, Two Rockledge Center, Suite
9142, 6701 Rockledge Drive, Bethesda, MD 20892, or call non-toll-free
number (301)-435-0065, or Email your request to: glynnsa@nhlbi.nih.gov.
Formal requests for additional plans and instruments must be requested
in writing.
Comments Due Date: Comments regarding this information collection
are best assured of having their full effect if received within 60 days
of the date of this publication.
Proposed Collection: Prevalence, Incidence, Epidemiology and
Molecular Variants of HIV in Blood Donors in Brazil 0925-0597
expiration date, July 31, 2015, Extension, National Heart, Lung, and
Blood Institute (NHLBI), the National Institutes of Health (NIH).
Need and Use of Information Collection: Establishing and monitoring
viral prevalence and incidence rates, and identifying behavioral risk
behaviors for HIV infection among
[[Page 78877]]
donors are critical steps to assessing and reducing risk of HIV
transmission through blood transfusion. Detecting donors with recently
acquired HIV infection is particularly critical as it enables
characterization of the viral subtypes currently transmitted within the
screened population. In addition to characterizing genotypes of
recently infected donors for purposes of blood safety, molecular
surveillance of incident HIV infections in blood donors serves
important public health roles by identifying new HIV infections for
anti-retroviral treatment, and enabling documentation of the rates of
primary transmission of anti-viral drug resistant strains in the
community. This study is a continuation of a previous research project
which enrolled eligible HIV positive blood donors and analyzed HIV
molecular variants and their association with risk.
This previous project was conducted by the NHLBI Retrovirus
Epidemiology Donor Study--II (REDS-II) International Brazil program and
included not only data collection on HIV seropositive donors but also
collection of risk factor data on uninfected donors. The current
Recipient Epidemiology and Donor Evaluation Study--III (REDS-III)
research proposal is a continuation of the previous REDS-II project at
the same four blood centers in Brazil, located in the cities of Sao
Paulo, Recife, Rio de Janeiro and Belo Horizonte, but this time
restricted to the study of HIV-positive subjects.
The primary study aims are to continue monitoring HIV molecular
variants and risk behaviors in blood donors in Brazil, and to evaluate
HIV subtype and drug resistance profiles among HIV positive donors
according to HIV infection status (recent versus long-standing
infection), year of donation, and site of collection. Additional study
objectives include determining trends in HIV molecular variants and
risk factors associated with HIV infection by combining data collected
in the previous REDS-II project with that which will be obtained in the
planned research activities.
Nucleic acid testing (NAT) testing for HIV is currently being
implemented in Brazil. It will be important to continue to collect
molecular surveillance and risk factor data on HIV infections,
especially now that infections that might not have been identified by
serology testing alone could be recognized through the use of NAT. NAT-
only infections represent very recently acquired infections. The NAT
assay will be used at the four REDS-III blood centers in Brazil during
the planned research activities. In addition, in order to distinguish
between recent seroconversion and long-standing infection, samples from
all HIV antibody--dual reactive donations and/or NAT positive donations
will be tested by the Recent Infection Testing Algorithm (RITA) which
is based on use of a sensitive/less-sensitive enzyme immunoassay
(``detuned'' Enzyme Immunoassay). RITA testing will be performed by the
Blood Systems Research Institute, San Francisco, California, USA, which
is the REDS-III Central Laboratory.
Subjects are being enrolled for a 5-year period from July 2012
through 2017. According to the Brazilian guidelines, blood donors are
requested to return to the blood bank for HIV confirmatory testing and
HIV counseling. Donors are invited to participate in the study through
administration of informed consent when they return for HIV counseling.
Once informed consent has been administered and enrollment has
occurred, participants are asked to complete a confidential self-
administered risk factor questionnaire by computer. In addition, a
small blood sample is collected from each HIV positive participant to
be used for the genotyping and drug resistance testing. The results of
the drug resistance testing are communicated back to the HIV positive
participants during an in-person counseling session at the blood
center. For those individuals who do not return for confirmatory
testing, the samples will be anonymized and sent to the REDS-III
central laboratory to perform the recent infection testing algorithm
(RITA).
This research effort will allow for an evaluation of trends in the
trafficking of non-B subtypes and rates of transmission of drug
resistant viral strains in low risk blood donors. These data could also
be compared with data from similar studies in higher risk populations.
Monitoring drug resistance strains is extremely important in a country
that provides free anti-retroviral therapy for HIV infected
individuals, many of whom have low level education and modest
resources, thus making compliance with drug regimens and hence the risk
of drug resistant HIV a serious problem.
The findings from this project will add to those obtained in the
REDS-II study, allowing for extended trend analyses over a 10-year
period and will complement similar monitoring of HIV prevalence,
incidence, transfusion risk and molecular variants in the USA and other
funded international REDS-III sites in South Africa and China, thus
allowing direct comparisons of these parameters on a global level.
OMB approval is requested for 3 years. There are no costs to
respondents other than their time. The total estimated annualized
burden hours are 40.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Type of respondent Number of responses per per response Total annual
respondents respondent (in hours) burden hour
--------------------------------------------------------------------------------------------------------------------------------------------------------
Risk Factor Assessment.......................... Adult Donors...................... 100 1 24/60 40
--------------------------------------------------------------------------------------------------------------------------------------------------------
[[Page 78878]]
Dated: December 18, 2014.
Lynn Susulske,
NHLBI Project Clearance Liaison, National Institutes of Health.
[FR Doc. 2014-30657 Filed 12-30-14; 8:45 am]
BILLING CODE 4140-01-P