Proposed Data Collection Submitted for Public Comment and Recommendations, 60906-60908 [2015-25646]

Download as PDF 60906 Federal Register / Vol. 80, No. 195 / Thursday, October 8, 2015 / Notices health care, quality of life, social and educational outcomes, and transition of care from childhood to adulthood. The information collected from this population-based survey will be used to inform current knowledge, allocate resources, develop services, and, ultimately, improve long-term health of adults born with CHD. We estimate identifying 7,500 individuals with CHD in the birth defects surveillance systems, obtaining current addresses and sending surveys to 5,625 individuals with CHD (75%), and receiving completed surveys from 4,500 individuals (80%). The survey takes approximately 25 minutes to complete, which includes 5 minutes to read the informed consent and 20 minutes to answer survey questions. Therefore, we estimate the total burden hours are 1,875. There are no costs to participants other than their time. ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Number of responses per respondent Average burden per response (in hours) Total burden hours Type of respondent Form name Individuals with CHD ......................... Individuals with CHD ......................... Informed consent ........................... Survey ............................................ 4,500 4,500 1 1 5/60 20/60 375 1,500 Total ........................................... ......................................................... ........................ .......................... ........................ 1,875 Leroy A. Richardson, Chief, Information Collection Review Office, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention. [FR Doc. 2015–25647 Filed 10–7–15; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60 Day–16–15BHH; Docket No. CDC–2016– 0087] Proposed Data Collection Submitted for Public Comment and Recommendations Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. AGENCY: The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on the Personal Protective Equipment Information (PPE-Info) Database which is a compendium of personal protective equipment (PPE) Federal regulations and consensus standards. mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: Written comments must be received on December 7, 2015. DATES: VerDate Sep<11>2014 16:41 Oct 07, 2015 Jkt 238001 You may submit comments, identified by Docket No. CDC–2016– 0087 by any of the following methods: Federal eRulemaking Portal: Regulation.gov. Follow the instructions for submitting comments. Mail: Leroy A. Richardson, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS– D74, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to Regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to Regulations.gov. ADDRESSES: Please note: All public comment should be submitted through the Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the address listed above. To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact the Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road, NE., MS–D74, Atlanta, Georgia 30329; phone: 404–639–7570; Email: omb@cdc.gov. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501–3520), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. In addition, the PRA also requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each new proposed collection, each proposed FOR FURTHER INFORMATION CONTACT: PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 extension of existing collection of information, and each reinstatement of previously approved information collection before submitting the collection to OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below. Comments are invited on: (a) Whether the proposed 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 proposed 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 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. E:\FR\FM\08OCN1.SGM 08OCN1 60907 Federal Register / Vol. 80, No. 195 / Thursday, October 8, 2015 / Notices Proposed Project PPE-Info Database—New—National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC). Background and Brief Description The mission of the National Institute for Occupational Safety and Health (NIOSH) is to promote safety and health at work for all people through research and prevention. Under Public Law 91– 173 as amended by Public Law 95–164 (Federal Mine Safety and Health Act of 1977), NIOSH is proposing a three-year study to conduct research to advance the health and safety of workers. National Personal Protective Technology Laboratory (NPPTL) developed the NIOSH PPE-Info Database in response to recommendations from the Institute of Medicine (IOM) in its report, Certifying Personal Protective Technologies (PPT): Improving Worker Safety. The report recommended that NPPTL ‘‘expand its efforts to become a national clearinghouse for information on all types of PPT.’’ In its current application, the database provides standards developers, manufacturers, purchasers, and end users of PPE with a comprehensive tool which allows general or advanced criteria searches of relevant standards, target occupational groups, basic conformity assessment specifications, accredited lab information, and standard connections. The CDC is currently updating its PPE selection guidance related to the Ebola response. This guidance, Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing) (hereafter referred to as the ‘‘CDC Ebola Response PPE Guidance’’) will provide recommendations, in the form of protection standards, for PPE selection and use for the Ebola response. The NIOSH PPE-Info Database is being expanded as a tool to connect the protection standards that already exist in the database, with relevant PPE information as identified through the updated CDC Ebola Response PPE Guidance. This new aspect of the NIOSH PPE-Info Database allows end users (e.g., healthcare workers) to find products (e.g., gowns and coveralls) that are compliant (as verified by manufacturer) with the protection standards outlined by the CDC Ebola Response PPE Guidance. The initial information in the NIOSH PPE-Info Database will only offer guidance on gowns and coveralls, but is intended to expand to all PPE types associated with the official CDC Ebola Response PPE Guidance in the future. Since there is no single source of this information, NOISH is requesting that Manufactures provide it directly for input into the Ebola PPE selection guidance portion of the database. NIOSH is requesting that a Memorandum of Understanding (MOU) be developed with Ebola response PPE manufacturers to facilitate cooperation and collaboration on the provision of product information. The primary focus of the collaboration will be the exchange of manufacturer product information to be aggregated and displayed in the NIOSH PPE-Info Database. The nature and use of this information exchange includes the (1) provision of product information regarding compliance (as verified by manufacturers) with designated protection standards related to CDC guidance for personal protective equipment (PPE) used by healthcare workers during management of patients with confirmed or suspected Ebola Virus Disease (‘‘Ebola’’) and (2) the verification, by manufacturers, of product information displayed in the NIOSH PPE-Info Database. Once the MOU is signed, the manufacturer will be sent a product information sheet. Using he product information sheet, NIOSH collects manufacturer-specific product information such as; product category (e.g., gown or coverall), standards that the product claim complies with, product model number, product name, link to product specification sheet from manufacturer, and designation of whether third-party testing was performed. Once this information is completed, the product information sheet is electronically signed and returned by email to NIOSH. The NIOSH project officer will then upload the information into a PPE-Info sub database, which acts as an interim point for review. The manufacturer is then sent a link to the sub database to review their products. The manufacturer has one week to make objections. If no objections are made, the information in the sub-database gets published to the live NIOSH PPE-Info database. Quarterly, manufacturer products will be pulled from the database and sent through a pre generated product information sheet to the manufacturer POC. Manufacturers are required through the MOU to complete and return the PPE Information Sheet within two weeks of receipt along with the electronic verification form. NIOSH will be soliciting information from manufacturers and manufacturer POCs. For products that comply with gown and coverall standards, we estimate that seven manufacturers will need to supply product information. The amount of time for manufacturers to complete the initial product information sheets and make quarterly updated will be no more than 3 hours for the initial product information and one hour for the quarterly updates. The total estimated burden hours are 42. There are no costs to respondents other than their time. ESTIMATED ANNUALIZED BURDEN HOURS Number responses per respondent Number of respondents Average burden per response (in hours) Total burden hours Form name Manufacturer ............................................. Manufacturer POC .................................... mstockstill on DSK4VPTVN1PROD with NOTICES Type of respondent Initial Product Info Sheet .............. Quarterly product Info Sheet ........ 7 7 1 3 3 1 21 Total ................................................... ....................................................... ........................ .......................... ........................ 42 VerDate Sep<11>2014 16:41 Oct 07, 2015 Jkt 238001 PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 E:\FR\FM\08OCN1.SGM 08OCN1 60908 Federal Register / Vol. 80, No. 195 / Thursday, October 8, 2015 / Notices Leroy A. Richardson, Chief, Information Collection Review Office, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention. [FR Doc. 2015–25646 Filed 10–7–15; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES [60Day–16–0234; Docket No. CDC–2015– 0086] Proposed Data Collection Submitted for Public Comment and Recommendations Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. AGENCY: The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on the proposed revision of the National Ambulatory Medical Care Survey (NAMCS). The purpose of NAMCS is to meet the needs and demands for statistical information about the provision of ambulatory medical care services in the United States. SUMMARY: Written comments must be received on or before December 7, 2015. ADDRESSES: You may submit comments, identified by Docket No. CDC–2016– 0026 by any of the following methods: • Federal eRulemaking Portal: Regulation.gov. Follow the instructions for submitting comments. • Mail: Leroy A. Richardson, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS– D74, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to Regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to Regulations.gov. mstockstill on DSK4VPTVN1PROD with NOTICES VerDate Sep<11>2014 16:41 Oct 07, 2015 Jkt 238001 Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501–3520), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. In addition, the PRA also requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each new proposed collection, each proposed extension of existing collection of information, and each reinstatement of previously approved information collection before submitting the collection to OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below. Comments are invited on: (a) Whether the proposed 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 proposed 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 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. SUPPLEMENTARY INFORMATION: Centers for Disease Control and Prevention DATES: To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact the Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road, NE., MS–D74, Atlanta, Georgia 30329; phone: 404–639–7570; Email: omb@cdc.gov. FOR FURTHER INFORMATION CONTACT: PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 Proposed Project The National Ambulatory Medical Care Survey (NAMCS), (OMB No. 0920– 0234, expires 12/31/2017)—Revision — National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Background and Brief Description Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 242k), as amended, authorizes that the Secretary of Health and Human Services, acting through NCHS, shall collect statistics on the utilization of health care provided by non-federal office-based physicians in the United States. On December 19, 2014, the OMB approved data collection for three years from 2015 to 2017. This revision is to request approval to continue NAMCS data collection activities for three years from 2016– 2018 and to add questions to the physician interview that pertain to policies, services, and experiences related to the prevention and treatment of sexually transmitted infections (STIs) and HIV prevention among adolescents and others. Small modifications will also be made to questions on the use of electronic health records. This notice also covers a decrease in the sample size resulting from smaller budget allocations. Due to this decrease, selected state estimates will not be available for 2016–2018 data. The National Ambulatory Medical Care Survey (NAMCS) has been conducted intermittently from 1973 through 1985, and annually since 1989. The purpose of NAMCS, a voluntary survey, is to meet the needs and demands for statistical information about the provision of ambulatory medical care services in the United States. Ambulatory services are rendered in a wide variety of settings, including physicians’ offices and hospital outpatient and emergency departments. The NAMCS target universe consists of all office visits made by ambulatory patients to non-Federal office-based physicians (excluding those in the specialties of anesthesiology, radiology, and pathology) who are engaged in direct patient care. In 2006, physicians and mid-level providers (i.e., nurse practitioners, physician assistants, and nurse midwives) practicing in community health centers (CHCs) were added to the NAMCS sample, and these data will continue to be collected. To complement NAMCS data, NCHS initiated the National Hospital Ambulatory Medical Care Survey (NHAMCS, OMB No. 0920–0278, expires 02/28/18) in 1992 to provide E:\FR\FM\08OCN1.SGM 08OCN1

Agencies

[Federal Register Volume 80, Number 195 (Thursday, October 8, 2015)]
[Notices]
[Pages 60906-60908]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-25646]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-16-15BHH; Docket No. CDC-2016-0087]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing efforts to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies to take this opportunity to comment on proposed and/or 
continuing information collections, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on the Personal 
Protective Equipment Information (PPE-Info) Database which is a 
compendium of personal protective equipment (PPE) Federal regulations 
and consensus standards.

DATES: Written comments must be received on December 7, 2015.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0087 by any of the following methods:
    Federal eRulemaking Portal: Regulation.gov. Follow the instructions 
for submitting comments.
    Mail: Leroy A. Richardson, Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to Regulations.gov, including any personal information 
provided. For access to the docket to read background documents or 
comments received, go to Regulations.gov.

    Please note: All public comment should be submitted through the 
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the 
address listed above.


FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact the Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road, NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: omb@cdc.gov.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    Comments are invited on: (a) Whether the proposed 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 
proposed 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 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.

[[Page 60907]]

Proposed Project

    PPE-Info Database--New--National Institute for Occupational Safety 
and Health (NIOSH), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    The mission of the National Institute for Occupational Safety and 
Health (NIOSH) is to promote safety and health at work for all people 
through research and prevention. Under Public Law 91-173 as amended by 
Public Law 95-164 (Federal Mine Safety and Health Act of 1977), NIOSH 
is proposing a three-year study to conduct research to advance the 
health and safety of workers.
    National Personal Protective Technology Laboratory (NPPTL) 
developed the NIOSH PPE-Info Database in response to recommendations 
from the Institute of Medicine (IOM) in its report, Certifying Personal 
Protective Technologies (PPT): Improving Worker Safety. The report 
recommended that NPPTL ``expand its efforts to become a national 
clearinghouse for information on all types of PPT.''
    In its current application, the database provides standards 
developers, manufacturers, purchasers, and end users of PPE with a 
comprehensive tool which allows general or advanced criteria searches 
of relevant standards, target occupational groups, basic conformity 
assessment specifications, accredited lab information, and standard 
connections.
    The CDC is currently updating its PPE selection guidance related to 
the Ebola response. This guidance, Guidance on Personal Protective 
Equipment To Be Used by Healthcare Workers During Management of 
Patients with Ebola Virus Disease in U.S. Hospitals, Including 
Procedures for Putting On (Donning) and Removing (Doffing) (hereafter 
referred to as the ``CDC Ebola Response PPE Guidance'') will provide 
recommendations, in the form of protection standards, for PPE selection 
and use for the Ebola response.
    The NIOSH PPE-Info Database is being expanded as a tool to connect 
the protection standards that already exist in the database, with 
relevant PPE information as identified through the updated CDC Ebola 
Response PPE Guidance. This new aspect of the NIOSH PPE-Info Database 
allows end users (e.g., healthcare workers) to find products (e.g., 
gowns and coveralls) that are compliant (as verified by manufacturer) 
with the protection standards outlined by the CDC Ebola Response PPE 
Guidance. The initial information in the NIOSH PPE-Info Database will 
only offer guidance on gowns and coveralls, but is intended to expand 
to all PPE types associated with the official CDC Ebola Response PPE 
Guidance in the future. Since there is no single source of this 
information, NOISH is requesting that Manufactures provide it directly 
for input into the Ebola PPE selection guidance portion of the 
database.
    NIOSH is requesting that a Memorandum of Understanding (MOU) be 
developed with Ebola response PPE manufacturers to facilitate 
cooperation and collaboration on the provision of product information. 
The primary focus of the collaboration will be the exchange of 
manufacturer product information to be aggregated and displayed in the 
NIOSH PPE-Info Database.
    The nature and use of this information exchange includes the (1) 
provision of product information regarding compliance (as verified by 
manufacturers) with designated protection standards related to CDC 
guidance for personal protective equipment (PPE) used by healthcare 
workers during management of patients with confirmed or suspected Ebola 
Virus Disease (``Ebola'') and (2) the verification, by manufacturers, 
of product information displayed in the NIOSH PPE-Info Database.
    Once the MOU is signed, the manufacturer will be sent a product 
information sheet. Using he product information sheet, NIOSH collects 
manufacturer-specific product information such as; product category 
(e.g., gown or coverall), standards that the product claim complies 
with, product model number, product name, link to product specification 
sheet from manufacturer, and designation of whether third-party testing 
was performed. Once this information is completed, the product 
information sheet is electronically signed and returned by email to 
NIOSH. The NIOSH project officer will then upload the information into 
a PPE-Info sub database, which acts as an interim point for review. The 
manufacturer is then sent a link to the sub database to review their 
products. The manufacturer has one week to make objections. If no 
objections are made, the information in the sub-database gets published 
to the live NIOSH PPE-Info database.
    Quarterly, manufacturer products will be pulled from the database 
and sent through a pre generated product information sheet to the 
manufacturer POC. Manufacturers are required through the MOU to 
complete and return the PPE Information Sheet within two weeks of 
receipt along with the electronic verification form.
    NIOSH will be soliciting information from manufacturers and 
manufacturer POCs. For products that comply with gown and coverall 
standards, we estimate that seven manufacturers will need to supply 
product information. The amount of time for manufacturers to complete 
the initial product information sheets and make quarterly updated will 
be no more than 3 hours for the initial product information and one 
hour for the quarterly updates. The total estimated burden hours are 
42. There are no costs to respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                          Average
                                                        Number of         Number        burden per       Total
       Type of respondent             Form name        respondents    responses per    response  (in    burden
                                                                        respondent        hours)         hours
----------------------------------------------------------------------------------------------------------------
Manufacturer...................  Initial Product                  7                1               3
                                  Info Sheet.
Manufacturer POC...............  Quarterly product                7                3               1          21
                                  Info Sheet.
                                                    ------------------------------------------------------------
    Total......................  ..................  ..............  ...............  ..............          42
----------------------------------------------------------------------------------------------------------------



[[Page 60908]]

Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-25646 Filed 10-7-15; 8:45 am]
 BILLING CODE 4163-18-P
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