Proposed Data Collection Submitted for Public Comment and Recommendations, 51958-51960 [2018-22358]

Download as PDF 51958 Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices khammond on DSK30JT082PROD with NOTICES inappropriate for public disclosure. If you include your name, contact information, or other information that identifies you in the body of your comments, that information will be on public display. CDC will review all submissions and may choose (but is not required) to redact, or withhold, submissions containing private or proprietary information such as Social Security numbers, medical information, inappropriate language, or duplicate/ near-duplicate examples of a mass-mail campaign. CDC will carefully consider all comments timely submitted in preparation of the final guideline Infection Control in Healthcare Personnel: Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services and may revise the final document as appropriate. Background The Draft Guideline, located in the ‘‘Supporting & Related Material’’ tab of the docket, updates two sections from the 1998 Guideline: C. Infection Control Objectives for a Personnel Health Service and D. Elements of a Personnel Health Service for Infection Control. Those sections described the infrastructure and routine practices of Occupational Health Services for providing occupational infection prevention and control services to healthcare personnel. Once finalized, the Draft Guideline is intended for use by the leaders and staff of Occupational Health Services and the administrators and leaders of healthcare organizations in order to facilitate the provision of occupational infection prevention and control services to healthcare personnel. Since 2015, the Healthcare Infection Control Practices Advisory Committee (HICPAC) has worked with national partners, academicians, public health professionals, healthcare providers, and other partners to develop this Draft Guideline as a recommendation for CDC to update sections of the 1998 Guideline. HICPAC includes representatives from public health, infectious diseases, regulatory and other federal agencies, professional societies, and other stakeholders. The draft recommendations in this Draft Guideline are informed by a systematic literature review of articles published in peer-reviewed journals or repositories of systematic reviews; and a review of occupational infection prevention and control guidelines, regulations, and standards. This Draft Guideline is not, and once finalized will not be, a federal rule or regulation; instead its purpose, as discussed above, VerDate Sep<11>2014 21:34 Oct 12, 2018 Jkt 247001 will be to facilitate the provision of occupational prevention and control services to healthcare personnel. Dated: October 10, 2018. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2018–22377 Filed 10–12–18; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–19–1105; Docket No. CDC–2018– 0098] 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 effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled One Health Harmful Algal Bloom System (OHHABS). The OHHABS is a voluntary reporting system available to state and territorial public health departments and their designated environmental health or animal health partners. It collects data on individual human and animal cases of illnesses from harmful algal bloom (HAB)associated exposures, as well as environmental data about HABs. DATES: CDC must receive written comments on or before December 14, 2018. SUMMARY: You may submit comments, identified by Docket No. CDC–2018– 0098 by any of the following methods: • Federal eRulemaking Portal: Regulations.gov. Follow the instructions for submitting comments. • Mail: Jeffrey M. Zirger, 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. CDC will post, without ADDRESSES: PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 change, all relevant comments to Regulations.gov. Please note: Submit all comments 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 Jeffrey M. Zirger, 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 the OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below. The OMB is particularly interested in comments that will help: 1. Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; 2. Evaluate 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. Enhance the quality, utility, and clarity of the information to be collected; and 4. Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submissions of responses. 5. Assess information collection costs. FOR FURTHER INFORMATION: Proposed Project One Health Harmful Algal Bloom System (OHHABS)—Extension— National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), E:\FR\FM\15OCN1.SGM 15OCN1 51959 Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices Centers for Disease Control and Prevention (CDC). Background and Brief Description The Centers for Disease Control and Prevention (CDC), National Center for Emerging and Zoonotic Infectious Diseases requests a three-year extension for the One Health Harmful Algal Bloom System (OHHABS) for harmful algal bloom (HAB) and HAB-associated illness surveillance. Algal toxins from Harmful Algal Blooms (HABs) include some of the most potent natural chemicals; these toxins can contaminate surface water used for recreation and drinking, as well as food sources. HABs pose a threat to both humans and animals. Human and animal illnesses from environmental exposures to HABs in fresh and marine waters have been documented in the United States. Animal illness may be an indicator of bloom toxicity; thus, it is necessary to provide a One Health approach for reporting HAB-associated illnesses and events. One Health is a collaborative, multisectoral, and transdisciplinary approach with the goal of achieving optimal health outcomes recognizing the interconnection between people, animals, plants, and their shared environment. HABs are an emerging public health concern. Several outbreaks related to HABs in freshwater settings have occurred in the United States. In 2009– 2010, 11 HAB-associated outbreaks in fresh water settings were reported to the CDC Waterborne Disease and Outbreak Surveillance System (WBDOSS). These 11 outbreaks represent 46% of the outbreaks associated with untreated recreational water reported in 2009– 2010 and 79% of HAB-associated outbreaks reported to WBDOSS since 1978. At least 61 persons experienced based reporting system, is nationally available for state and territorial health departments to voluntarily report information about HAB-associated human and animal cases and HAB events. States and territories lacking a database to collect information on HAB events and HAB-associated illnesses may use OHHABS as a repository to track and review HAB events and HABassociated illnesses within their state or territory. OHHABS data may help states and territories characterize the baseline frequency of HAB events and HABassociated illnesses. Data from states and territories will be assessed by CDC to determine and characterize HAB events and HAB-associated illnesses nationally. As with all routine public health surveillance conducted by CDC, participation by states and territorial health departments with OHHABS is voluntary. Participating states and territories will remain responsible for the collection and interpretation of these data elements at the state level and will voluntarily submit them to CDC. HAB event and HAB-associated human and animal case definitions, which were created for OHHABS with input from state and federal partners, are available online to assist states and territories. States and territories that lack state-specific case and event definitions may use the HAB-associated human and animal case and HAB event definitions to identify suspect, probable, and confirmed HAB-associated cases and HAB events, respectively, to report to OHHABS. There is no cost to respondents other than the time to participate. Authorizing legislation comes from Section 301 of the Public Health Service Act (42 U.S.C. 241). health effects such as dermatologic, gastrointestinal, respiratory, or neurologic symptoms. In August 2014, detectable levels of microcystin, a potent HAB toxin, were detected in the drinking water supply in Toledo, Ohio, resulting in a ‘‘do not drink’’ water advisory and an extensive emergency response. Known adverse health effects from HABs in marine waters include respiratory illness and seafood poisoning. In 2007, 15 persons were affected with respiratory illness from exposures to brevetoxins, an algal toxin, during a Florida red tide. From 2007– 2011, HAB-associated foodborne exposures were identified for 273 case reports of human illness through a separate five year data collection effort with a subset of states. Of these reports, 248 reported ciguatera fish poisoning or poisoning by other toxins in seafood, including saxitoxin and brevetoxin. A review of national outbreak data reported to CDC for the time period 1998–2015 identified outbreaks of ciguatera fish poisoning as the second most common cause of fish-associated foodborne disease outbreaks in the United States. The purpose of OHHABS is (1) to provide a database for routine data collection at the state/territorial and national level to identify and characterize HAB events, HABassociated illnesses, and HAB exposures in the United States, and (2) to better inform and improve our understanding of HAB-associated illnesses and exposures through routine surveillance to inform public health policy and illness prevention efforts. OHHABS (electronic, year-round collection) includes questions about HAB events and HAB-associated-illness for human and animal cases. OHHABS, a web- khammond on DSK30JT082PROD with NOTICES ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Number of responses per respondent Average burden per response (in hours) Total burden (in hours) Type of respondents Form name State/territorial epidemiologists ......... One Health Harmful Algal Bloom System (OHHABS). 57 3 20/60 57 Total ........................................... ........................................................... ........................ ........................ ........................ 57 VerDate Sep<11>2014 21:34 Oct 12, 2018 Jkt 247001 PO 00000 Frm 00037 Fmt 4703 Sfmt 9990 E:\FR\FM\15OCN1.SGM 15OCN1 51960 Federal Register / Vol. 83, No. 199 / Monday, October 15, 2018 / Notices khammond on DSK30JT082PROD with NOTICES Jeffrey M. Zirger, Acting 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. and Enrollment Group, Center for Consumer Information and Insurance Oversight, CMS, 7501 Wisconsin Ave. Bethesda, MD 20814, (410) 786–0639, or by email at Jack.Lavelle1@cms.hhs.gov. SUPPLEMENTARY INFORMATION: The [FR Doc. 2018–22358 Filed 10–12–18; 8:45 am] Privacy Act of 1974, as amended (5 BILLING CODE 4163–18–P U.S.C. 552a) provides certain protections for individuals applying for and receiving federal benefits. The law DEPARTMENT OF HEALTH AND governs the use of computer matching HUMAN SERVICES by federal agencies when records in a system of records (meaning, federal Centers for Medicare & Medicaid agency records about individuals Services retrieved by name or other personal Privacy Act of 1974; Matching Program identifier) are matched with records of other federal or non-federal agencies. AGENCY: Centers for Medicare & The Privacy Act requires agencies Medicaid Services (CMS), Department involved in a matching program to: of Health and Human Services (HHS). 1. Enter into a written agreement, ACTION: Notice of a new matching which must be prepared in accordance program. with the Privacy Act, approved by the Data Integrity Board of each source and SUMMARY: In accordance with subsection recipient federal agency, provided to (e)(12) of the Privacy Act of 1974, as Congress and the Office of Management amended, the Department of Health and and Budget (OMB), and made available Human Services (HHS), Centers for to the public, as required by 5 U.S.C. Medicare & Medicaid Services (CMS) is 552a(o), (u)(3)(A), and (u)(4). providing notice of a re-established 2. Notify the individuals whose matching program between CMS and information will be used in the each State Based Administering Entity matching program that the information (AE), titled ‘‘Determining Eligibility for they provide is subject to verification Enrollment in Applicable State Health through matching, as required by 5 Subsidy Programs Under the Patient U.S.C. 552a(o)(1)(D). Protection and Affordable Care Act.’’ 3. Verify match findings before DATES: The deadline for comments on suspending, terminating, reducing, or this notice is November 14, 2018. The making a final denial of an individual’s re-established matching program will benefits or payments or taking other commence not sooner than 30 days after adverse action against the individual, as publication of this notice, provided no required by 5 U.S.C. 552a(p). comments are received that warrant a 4. Report the matching program to change to this notice. The matching Congress and the OMB, in advance and program will be conducted for an initial annually, as required by 5 U.S.C. term of 18 months (from approximately 552a(o)(2)(A)(i), (r), and (u)(3)(D). October 2018 to April 2020) and within 5. Publish advance notice of the 3 months of expiration may be renewed matching program in the Federal for one additional year if the parties Register as required by 5 U.S.C. make no changes to the matching 552a(e)(12). program and certify that the program This matching program meets these has been conducted in compliance with requirements. the matching agreement. Walter Stone, ADDRESSES: Written comments can be CMS Privacy Act Officer, Information Security sent to: CMS Privacy Act Officer, and Privacy Group, and Office of Information Division of Security, Privacy Policy & Technology, Centers for Medicare & Medicaid Governance, Information Security & Service. Privacy Group, Office of Information Participating Agencies Technology, CMS, 7500 Security Blvd., Baltimore, MD 21244–1870, Mailstop: Department of Health and Human N3–15–25, or by email to: walter.stone@ Services (HHS), Centers for Medicare & cms.hhs.gov. Comments received will be Medicaid Services (CMS), and the AE in available for review at this location, by each state. Each is both a source and a appointment, during regular business recipient agency as explained in the hours, Monday through Friday from Purpose(s) section below. 9:00 a.m. to 3:00 p.m. AEs administer insurance affordability programs, and include FOR FURTHER INFORMATION CONTACT: If Medicaid/Children’s Health Insurance you have questions about the matching Program (CHIP) agencies, state-based program, you may contact Jack Lavelle, exchanges (SBEs), and basic health Senior Advisor, Marketplace Eligibility VerDate Sep<11>2014 21:34 Oct 12, 2018 Jkt 247001 PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 programs (BHPs). In states that operate a SBE, the AE would include the Medicaid/CHIP agency. Additionally, there are two states—Minnesota and New York—where the AE operates both a SBE and BHP. In states that have elected to utilize the federally-facilitated exchange (FFE), the AE would include only the Medicaid/CHIP agency. Authority for Conducting the Matching Program The statutory authority for the matching program is 42 U.S.C. 18001, et seq. Purpose(s) The matching program will enable CMS to provide information (including information CMS receives from other federal agencies under related matching agreements) to AEs, to assist AEs in verifying applicant information as required by the Affordable Care Act to determine applicants’ eligibility for enrollment in applicable state health subsidy programs, including exemption from the requirement to maintain minimum essential coverage (MEC) or from the individual responsibility payment. In addition, to avoid dual enrollment, information will be shared between CMS and AEs, and among AEs, for the purpose of verifying whether applicants and enrollees are currently eligible for or enrolled in a Medicaid/ CHIP program. All information will be shared through a data services hub (Hub) established by CMS to support the federally-facilitated health insurance exchange (which CMS operates) and state-based exchanges. Categories of Individuals The individuals whose information will be used in the matching program are consumers who apply for eligibility to enroll in applicable state health subsidy programs through an exchange established under ACA and other relevant individuals (such as, applicants’ household members). Categories of Records The categories of records that will be used in the matching program are identifying records; minimum essential coverage period records; return information (household income and family size information); citizenship status records; birth and death information; disability coverage and income information; and imprisonment status records. The data elements CMS will receive from AEs may include: 1. Social security number (if applicable). 2. last name. E:\FR\FM\15OCN1.SGM 15OCN1

Agencies

[Federal Register Volume 83, Number 199 (Monday, October 15, 2018)]
[Notices]
[Pages 51958-51960]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-22358]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-19-1105; Docket No. CDC-2018-0098]


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 effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled One Health Harmful Algal Bloom 
System (OHHABS). The OHHABS is a voluntary reporting system available 
to state and territorial public health departments and their designated 
environmental health or animal health partners. It collects data on 
individual human and animal cases of illnesses from harmful algal bloom 
(HAB)-associated exposures, as well as environmental data about HABs.

DATES: CDC must receive written comments on or before December 14, 
2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0098 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Jeffrey M. Zirger, 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. CDC will post, without change, all relevant comments 
to Regulations.gov.

    Please note:  Submit all comments through the Federal 
eRulemaking portal (regulations.gov) or by U.S. mail to the address 
listed above.


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

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 the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate 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. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    One Health Harmful Algal Bloom System (OHHABS)--Extension--National 
Center for Emerging and Zoonotic Infectious Diseases (NCEZID),

[[Page 51959]]

Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    The Centers for Disease Control and Prevention (CDC), National 
Center for Emerging and Zoonotic Infectious Diseases requests a three-
year extension for the One Health Harmful Algal Bloom System (OHHABS) 
for harmful algal bloom (HAB) and HAB-associated illness surveillance.
    Algal toxins from Harmful Algal Blooms (HABs) include some of the 
most potent natural chemicals; these toxins can contaminate surface 
water used for recreation and drinking, as well as food sources. HABs 
pose a threat to both humans and animals. Human and animal illnesses 
from environmental exposures to HABs in fresh and marine waters have 
been documented in the United States. Animal illness may be an 
indicator of bloom toxicity; thus, it is necessary to provide a One 
Health approach for reporting HAB-associated illnesses and events. One 
Health is a collaborative, multisectoral, and trans-disciplinary 
approach with the goal of achieving optimal health outcomes recognizing 
the interconnection between people, animals, plants, and their shared 
environment.
    HABs are an emerging public health concern. Several outbreaks 
related to HABs in freshwater settings have occurred in the United 
States. In 2009-2010, 11 HAB-associated outbreaks in fresh water 
settings were reported to the CDC Waterborne Disease and Outbreak 
Surveillance System (WBDOSS). These 11 outbreaks represent 46% of the 
outbreaks associated with untreated recreational water reported in 
2009-2010 and 79% of HAB-associated outbreaks reported to WBDOSS since 
1978. At least 61 persons experienced health effects such as 
dermatologic, gastrointestinal, respiratory, or neurologic symptoms. In 
August 2014, detectable levels of microcystin, a potent HAB toxin, were 
detected in the drinking water supply in Toledo, Ohio, resulting in a 
``do not drink'' water advisory and an extensive emergency response.
    Known adverse health effects from HABs in marine waters include 
respiratory illness and seafood poisoning. In 2007, 15 persons were 
affected with respiratory illness from exposures to brevetoxins, an 
algal toxin, during a Florida red tide. From 2007-2011, HAB-associated 
foodborne exposures were identified for 273 case reports of human 
illness through a separate five year data collection effort with a 
subset of states. Of these reports, 248 reported ciguatera fish 
poisoning or poisoning by other toxins in seafood, including saxitoxin 
and brevetoxin. A review of national outbreak data reported to CDC for 
the time period 1998-2015 identified outbreaks of ciguatera fish 
poisoning as the second most common cause of fish-associated foodborne 
disease outbreaks in the United States.
    The purpose of OHHABS is (1) to provide a database for routine data 
collection at the state/territorial and national level to identify and 
characterize HAB events, HAB-associated illnesses, and HAB exposures in 
the United States, and (2) to better inform and improve our 
understanding of HAB-associated illnesses and exposures through routine 
surveillance to inform public health policy and illness prevention 
efforts. OHHABS (electronic, year-round collection) includes questions 
about HAB events and HAB-associated-illness for human and animal cases. 
OHHABS, a web-based reporting system, is nationally available for state 
and territorial health departments to voluntarily report information 
about HAB-associated human and animal cases and HAB events.
    States and territories lacking a database to collect information on 
HAB events and HAB-associated illnesses may use OHHABS as a repository 
to track and review HAB events and HAB-associated illnesses within 
their state or territory. OHHABS data may help states and territories 
characterize the baseline frequency of HAB events and HAB-associated 
illnesses. Data from states and territories will be assessed by CDC to 
determine and characterize HAB events and HAB-associated illnesses 
nationally.
    As with all routine public health surveillance conducted by CDC, 
participation by states and territorial health departments with OHHABS 
is voluntary. Participating states and territories will remain 
responsible for the collection and interpretation of these data 
elements at the state level and will voluntarily submit them to CDC. 
HAB event and HAB-associated human and animal case definitions, which 
were created for OHHABS with input from state and federal partners, are 
available online to assist states and territories. States and 
territories that lack state-specific case and event definitions may use 
the HAB-associated human and animal case and HAB event definitions to 
identify suspect, probable, and confirmed HAB-associated cases and HAB 
events, respectively, to report to OHHABS.
    There is no cost to respondents other than the time to participate. 
Authorizing legislation comes from Section 301 of the Public Health 
Service Act (42 U.S.C. 241).

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
State/territorial               One Health                    57               3           20/60              57
 epidemiologists.                Harmful Algal
                                 Bloom System
                                 (OHHABS).
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............              57
----------------------------------------------------------------------------------------------------------------



[[Page 51960]]

Jeffrey M. Zirger,
Acting 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. 2018-22358 Filed 10-12-18; 8:45 am]
 BILLING CODE 4163-18-P


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