Draft NTP Monograph on the Systematic Review of Evidence of Long-Term Neurological Effects Following Acute Exposure to the Organophosphorus Nerve Agent Sarin; Availability of Document; Request for Comments; Notice of Peer-Review Meeting, 63662-63664 [2018-26745]

Download as PDF amozie on DSK3GDR082PROD with NOTICES1 63662 Federal Register / Vol. 83, No. 237 / Tuesday, December 11, 2018 / Notices accessing the ACBTSA website at https:// www.hhs.gov/bloodsafety. SUPPLEMENTARY INFORMATION: The ACBTSA provides advice to the Secretary through the Assistant Secretary for Health. The Committee advises on a range of policy issues to include: (1) Broad public health, ethical and legal issues related to transfusion and transplantation safety, (2) risk communications related to blood transfusion and tissue transplantation, and (3) the identification of public health issues that affect the availability of blood, blood products, and tissues. The Committee consists of 23 voting members; 14 public members, including the Chair, and nine (9) individuals designated to serve as official representative members. The public members are selected from State and local organizations, patient advocacy groups, provider organizations, academic researchers, ethicists, physicians, surgeons, scientists, risk communication experts, consumer advocates, and from among communities of persons who are frequent recipients of blood or blood products or who have received tissues or organs. The nine individuals who are appointed as official representatives are selected to serve the interests of the blood, blood products, tissue and organ professional organizations or business sectors. The representative members are selected from the following groups: The AABB (formerly the American Association of Blood Banks); American Association of Tissue Banks; Eye Bank Association of America; Association of Organ Procurement Organizations; and one of either the American Red Cross or America’s Blood Centers. The Committee composition can include additional representation from either the plasma protein fraction community or a trade organization; a manufacturer of blood, plasma, or other tissue/organ test kits; a manufacturer of blood, plasma or other tissue/organ equipment; a major hospital organization; or a major hospital accreditation organization. Where more than one company produces a specified product or process, representatives from those companies shall rotate on the same schedule as public members. All ACBTSA members are authorized to receive the prescribed per diem allowance and reimbursement for travel expenses that are incurred to attend meetings and conduct Committeerelated business, in accordance with Standard Government Travel Regulations. Individuals who are appointed to serve as public members are authorized also to receive a stipend VerDate Sep<11>2014 17:51 Dec 10, 2018 Jkt 247001 for attending Committee meetings and to carry out other Committee-related business. Individuals who are appointed to serve as representative members for a particular interest group or industry are not authorized to receive a stipend for the performance of these duties. This announcement is to solicit nominations of qualified candidates to five public member positions on the ACBTSA. Nominations In accordance with the charter, persons nominated for appointment as members of the ACBTSA should be among authorities knowledgeable in blood banking, tissue banking, transfusion medicine, organ or tissue transplantation, plasma therapies, transfusion and transplantation safety, bioethics, socioeconomics, health policy/law, and/or related disciplines. Nominations should be typewritten. The following information should be included in the package of material submitted for each individual being nominated for consideration of appointment: (a) The name, return address, daytime telephone number and affiliation(s) of the individual being nominated, the basis for the individual’s nomination, the category for which the individual is being nominated, and a statement bearing an original signature of the nominated individual that, if appointed, he or she is willing to serve as a member of the Committee; (b) the name, return address, and daytime telephone number at which the nominator may be contacted. Organizational nominators must identify a principal contact person in addition to the contact; and (c) a copy of a current curriculum vitae or resume for the nominated individual. Individuals can nominate themselves for consideration of appointment to the Committee. All nominations must include the required information. Incomplete nominations will not be processed for consideration. The letter from the nominator and certification of the nominated individual must bear original signatures; reproduced copies of these signatures are not acceptable. The Department is legally required to ensure that the membership of HHS Federal advisory committees is fairly balanced in terms of points of view represented and the functions to be performed by the advisory committee. Every effort is made to ensure that the views of women, all ethnic and racial groups, and people with disabilities are represented on HHS Federal Advisory committees and, therefore, the Department encourages nominations of qualified candidates from these groups. PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 The Department also encourages geographic diversity in the composition of the committee. Appointment to this Committee shall be made without discrimination on the basis of age, race, ethnicity, gender, sexual orientation, disability, and cultural, religious, or socioeconomic status. The Standards of Ethical Conduct for Employees of the Executive Branch are applicable to individuals who are appointed as public members of Federal advisory committees. Individuals appointed to serve as public members of Federal advisory committees are classified as special government employees (SGEs). SGEs are government employees for purposes of the conflict of interest laws. Therefore, individuals appointed to serve as public members of the ACBTSA are subject to an ethics review. The ethics review is conducted to determine if the individual has any interests and/or activities in the private sector that may conflict with performance of their official duties as a member of the Committee. Individuals appointed to serve as public members of the committee will be required to disclose information regarding financial holdings, consultancies, and research grants and/or contracts. Dated: October 19, 2018. James J. Berger, Senior Advisor for Blood and Tissue Policy, Designated Federal Officer, Advisory Committee on Blood and Tissue Safety and Availability. [FR Doc. 2018–26756 Filed 12–10–18; 8:45 am] BILLING CODE 4150–41–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Draft NTP Monograph on the Systematic Review of Evidence of Long-Term Neurological Effects Following Acute Exposure to the Organophosphorus Nerve Agent Sarin; Availability of Document; Request for Comments; Notice of Peer-Review Meeting AGENCY: National Institutes of Health, HHS. ACTION: Notice. The National Toxicology Program (NTP) announces availability of the Draft NTP Monograph on the Systematic Review of Evidence of LongTerm Neurological Effects Following Acute Exposure to the Organophosphorus Nerve Agent Sarin for public comment prior to peer review. In partnership with the National SUMMARY: E:\FR\FM\11DEN1.SGM 11DEN1 amozie on DSK3GDR082PROD with NOTICES1 Federal Register / Vol. 83, No. 237 / Tuesday, December 11, 2018 / Notices Institutes of Health (NIH) Countermeasures Against Chemical Threats (CounterACT) Program, the Office of Health Assessment and Translation (OHAT), Division of the National Toxicology Program (DNTP), National Institute of Environmental Health Sciences (NIEHS), conducted a systematic review to evaluate the evidence of long-term neurological damage in humans after acute, sublethal exposure to sarin. The date for the peer review is not yet set; however, it is anticipated to occur in early 2019. The peer-review meeting will be held by webcast only and open to the public; registration will be required for attendance by webcast and to present oral comments. Information about the meeting and registration is available at https://ntp.niehs.nih.gov/go/36051. DATES: Meeting: When set, the peer-review meeting date will be announced on the meeting web page at https://ntp.niehs. nih.gov/go/36051 along with deadlines for registration to present oral public comments and to view the webcast. The anticipated timeframe is early 2019. NTP will also announce the meeting date in an email Listserv notice. Persons can subscribe to news updates at https://tools.niehs.nih.gov/webforms/ index.cfm/main/formViewer/form_id/ 361. Document Availability: The draft NTP monograph should be available by December 5, 2018, at https:// ntp.niehs.nih.gov/go/36051. Written Public Comment Submissions: Deadline is January 17, 2019. Registration for Oral Comments: Please monitor the meeting web page at https://ntp.niehs.nih.gov/go/36051 for updates pertaining to the oral public comment registration deadline. Registration to View Webcast: Please monitor the meeting web page at https:// ntp.niehs.nih.gov/go/36051 for updates pertaining to the webcast registration deadline. ADDRESSES: Meeting Location: Webcast. Meeting web page: The draft NTP monograph, preliminary agenda, registration, and other meeting materials will be available at https://ntp.niehs. nih.gov/go/36051. Webcast: The URL for viewing the peer-review meeting webcast will be provided to registrants. FOR FURTHER INFORMATION CONTACT: Ms. Canden Byrd, ICF, 2635 Meridian Parkway, Suite 200, Durham, NC, USA 27713. Phone: (919) 293–1660, Fax: (919) 293–1645, Email: NTP-Meetings@ icf.com. VerDate Sep<11>2014 17:51 Dec 10, 2018 Jkt 247001 SUPPLEMENTARY INFORMATION: Background: OHAT serves as an environmental health resource to the public and to regulatory and health agencies. This office conducts evaluations to assess the evidence that environmental chemicals, physical substances, or mixtures (collectively referred to as ‘‘substances’’) cause adverse health effects and provides opinions on whether these substances may be of concern given what is known about current human exposure levels. Sarin is a highly toxic organophosphorus nerve agent that was developed for chemical warfare during World War II and continues to be used as a weapon. The draft NTP monograph presents the results of the systematic review to evaluate the evidence for longterm neurological effects in humans following acute, sub-lethal exposure to sarin with consideration of human, experimental animal, and mechanistic date. Long-term neurological effects of acute exposure to sarin are not well characterized. Previous reviews of potential health effects of sarin have generally not assessed individual study quality or considered multiple evidence streams (human, animal, and mechanistic data). In addition, the interpretation of effects of sarin in some previous reviews was compounded by concurrent exposure to multiple chemicals, such as assessments of health effects in military personnel during the Gulf War or other conflicts. Meeting Attendance Registration: The meeting is open to the public with time set aside for oral public comment. Registration is required to view the webcast; the URL for the webcast will be provided in the email confirming registration. Please monitor the meeting web page at https://ntp.niehs.nih.gov/ go/36051 for updates pertaining to the webcast registration deadline. Individuals with disabilities who need accommodation to view the webcast should contact Canden Byrd by phone: (919) 293–1660 or email: NTPMeetings@icf.com. TTY users should contact the Federal TTY Relay Service at (800) 877–8339. Requests should be made at least five business days in advance of the event. Public Comment Registration: NTP invites written and oral public comments on the draft NTP monograph that address scientific or technical issues. Guidelines for public comments are at https://ntp.niehs.nih.gov/ntp/ about_ntp/guidelines_public_ comments_508.pdf. The deadline for submission of written comments is January 17, 2019. Written public comments should be PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 63663 submitted through the meeting website. Persons submitting written comments should include name, affiliation, mailing address, phone, email, and sponsoring organization (if any). Written comments received in response to this notice will be posted on the NTP website, and the submitter will be identified by name, affiliation, and sponsoring organization (if any). Comments that address scientific or technical issues will be forwarded to the peer-review panel and NTP staff prior to the meeting. The agenda will allow for one oral public comment period (up to 12 commenters, up to 5 minutes per speaker). The deadline for registration to provide oral comments will be announced at https://ntp.niehs.nih.gov/ go/36051 after the meeting date is set. Registration will be on a first-come, first-served basis. Each organization will be allowed one time slot. Oral comments will be presented by teleconference line. The access number for the teleconference line will be provided to registrants by email prior to the meeting. Commenters will be notified approximately one week before the peer-review meeting about the actual time allotted per speaker. If possible, oral public commenters will be asked to send a copy of their slides and/or statement or talking points to Canden Byrd by email: NTPMeetings@icf.com by the registration deadline. Meeting Materials: The draft NTP monograph and preliminary agenda will be available on the NTP website at https://ntp.niehs.nih.gov/go/36051. The draft NTP monograph should be available by December 5, 2018. Additional information will be posted when available or may be requested in hardcopy, contact Canden Byrd by phone: (919) 293–1660 or email: NTPMeetings@icf.com. Individuals are encouraged to access the meeting web page to stay abreast of the most current information regarding the meeting. Following the meeting, a report of the peer review will be prepared and made available on the NTP website. Background Information on NTP PeerReview Panels: NTP panels are technical, scientific advisory bodies established on an ‘‘as needed’’ basis to provide independent scientific peer review and advise NTP on agents of public health concern, new/revised toxicological test methods, or other issues. These panels help ensure transparent, unbiased, and scientifically rigorous input to the program for its use in making credible decisions about human hazard, setting research and testing priorities, and providing E:\FR\FM\11DEN1.SGM 11DEN1 63664 Federal Register / Vol. 83, No. 237 / Tuesday, December 11, 2018 / Notices information to regulatory agencies about alternative methods for toxicity screening. NTP welcomes nominations of scientific experts for upcoming panels. Scientists interested in serving on an NTP panel should provide their current curriculum vitae to Canden Byrd by email: NTP-Meetings@icf.com. The authority for NTP panels is provided by 42 U.S.C. 217a; section 222 of the Public Health Service Act, as amended. The panel is governed by the Federal Advisory Committee Act, as amended (5 U.S.C. Appendix 2), which sets forth standards for the formation and use of advisory committees. Dated: November 28, 2018. Brian R. Berridge, Associate Director, National Toxicology Program. [FR Doc. 2018–26745 Filed 12–10–18; 8:45 am] BILLING CODE 4140–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; 30-Day Comment Request National Cancer Institute (NCI) Future Fellows Resume Databank AGENCY: National Institutes of Health, HHS. ACTION: Notice. In compliance with the Paperwork Reduction Act of 1995, the National Institutes of Health (NIH) has submitted to the Office of Management and Budget (OMB) a request for review and approval of the information collection listed below. DATES: Comments regarding this information collection are best assured of having their full effect if received SUMMARY: (OMB) a request for review and approval of the information collection listed below. Proposed Collection: National Cancer Institute Future Fellows Resume Databank, 0925–XXXX, Exp., Date XX/ XXXX, EXISTING COLLECTION IN USE WITHOUT OMB NUMBER, National Cancer Institute (NCI), National Institutes of Health (NIH). Need and Use of Information Collection: The National Cancer Institute, Center for Cancer Training mission is to catalyze the development of the 21st century workforce capable of advancing cancer research through a scientifically integrated approach. This is accomplished by, (1) coordinating and providing research training and career development activities for fellows and trainees in NCI’s laboratories, clinics, and other research groups, (2) developing, coordinating, and implementing opportunities in support of cancer research training, career development, and education at institutions nationwide, and (3) identifying workforce needs in cancer research and adapting NCI’s training and career development programs and funding opportunities to address these needs. The proposed information collection involves a website to collect and maintain resumes of interested candidates to be considered for postdoctoral fellowships and internships in science. After posting their resume in the database, NCI Scientists can view and select candidates for current fellowship and internship opportunities offered at NCI. OMB approval is requested for 3 years. There are no costs to respondents other than their time. The total estimated annualized burden are 200 hours. within 30-days of the date of this publication. Written comments and/or suggestions regarding the item(s) contained in this notice, especially regarding the estimated public burden and associated response time, should be directed to the: Office of Management and Budget, Office of Regulatory Affairs, OIRA_submission@omb.eop.gov or by fax to 202–395–6974, Attention: Desk Officer for NIH. FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the data collection plans and instruments, contact: Angela Jones, Program Coordinator, Center for Cancer Training, National Cancer Institute, 9609 Medical Center Drive, Room 2W– 236, Bethesda, Maryland, 20892 or call non-toll-free number (240) 276–5659 or Email your request, including your address to: jonesangel@mail.nih.gov. SUPPLEMENTARY INFORMATION: This proposed information collection was previously published in the Federal Register on August 13, 2018, page 40071 (83 FR 40071) and allowed 60 days for public comment. No public comments were received. The purpose of this notice is to allow an additional 30 days for public comment. The National Cancer Institute (NCI), National Institutes of Health, may not conduct or sponsor, and the respondent is not required to respond to, an information collection that has been extended, revised, or implemented on or after October 1, 1995, unless it displays a currently valid OMB control number. In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the National Institutes of Health (NIH) has submitted to the Office of Management and Budget ADDRESSES: ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents amozie on DSK3GDR082PROD with NOTICES1 Category of respondent Number of responses per respondent Average time per response (in hours) Total annual burden hours Individual .......................................................................................................... 200 2 30/60 200 Totals ........................................................................................................ 200 400 ........................ 200 Patricia M. Busche, Project Clearance Liaison, National Cancer Institute, National Institutes of Health. DEPARTMENT OF HEALTH AND HUMAN SERVICES [FR Doc. 2018–26765 Filed 12–10–18; 8:45 am] National Institutes of Health BILLING CODE 4140–01–P National Institute of Mental Health; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as VerDate Sep<11>2014 17:51 Dec 10, 2018 Jkt 247001 PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 amended, notice is hereby given of the following meeting. The meeting 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, E:\FR\FM\11DEN1.SGM 11DEN1

Agencies

[Federal Register Volume 83, Number 237 (Tuesday, December 11, 2018)]
[Notices]
[Pages 63662-63664]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-26745]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

National Institutes of Health


Draft NTP Monograph on the Systematic Review of Evidence of Long-
Term Neurological Effects Following Acute Exposure to the 
Organophosphorus Nerve Agent Sarin; Availability of Document; Request 
for Comments; Notice of Peer-Review Meeting

AGENCY: National Institutes of Health, HHS.

ACTION: Notice.

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

SUMMARY: The National Toxicology Program (NTP) announces availability 
of the Draft NTP Monograph on the Systematic Review of Evidence of 
Long-Term Neurological Effects Following Acute Exposure to the 
Organophosphorus Nerve Agent Sarin for public comment prior to peer 
review. In partnership with the National

[[Page 63663]]

Institutes of Health (NIH) Countermeasures Against Chemical Threats 
(CounterACT) Program, the Office of Health Assessment and Translation 
(OHAT), Division of the National Toxicology Program (DNTP), National 
Institute of Environmental Health Sciences (NIEHS), conducted a 
systematic review to evaluate the evidence of long-term neurological 
damage in humans after acute, sub-lethal exposure to sarin. The date 
for the peer review is not yet set; however, it is anticipated to occur 
in early 2019. The peer-review meeting will be held by webcast only and 
open to the public; registration will be required for attendance by 
webcast and to present oral comments. Information about the meeting and 
registration is available at https://ntp.niehs.nih.gov/go/36051.

DATES: 
    Meeting: When set, the peer-review meeting date will be announced 
on the meeting web page at https://ntp.niehs.nih.gov/go/36051 along 
with deadlines for registration to present oral public comments and to 
view the webcast. The anticipated timeframe is early 2019.
    NTP will also announce the meeting date in an email Listserv 
notice. Persons can subscribe to news updates at https://tools.niehs.nih.gov/webforms/index.cfm/main/formViewer/form_id/361.
    Document Availability: The draft NTP monograph should be available 
by December 5, 2018, at https://ntp.niehs.nih.gov/go/36051.
    Written Public Comment Submissions: Deadline is January 17, 2019.
    Registration for Oral Comments: Please monitor the meeting web page 
at https://ntp.niehs.nih.gov/go/36051 for updates pertaining to the 
oral public comment registration deadline.
    Registration to View Webcast: Please monitor the meeting web page 
at https://ntp.niehs.nih.gov/go/36051 for updates pertaining to the 
webcast registration deadline.

ADDRESSES: 
    Meeting Location: Webcast.
    Meeting web page: The draft NTP monograph, preliminary agenda, 
registration, and other meeting materials will be available at https://ntp.niehs.nih.gov/go/36051.
    Webcast: The URL for viewing the peer-review meeting webcast will 
be provided to registrants.

FOR FURTHER INFORMATION CONTACT: Ms. Canden Byrd, ICF, 2635 Meridian 
Parkway, Suite 200, Durham, NC, USA 27713. Phone: (919) 293-1660, Fax: 
(919) 293-1645, Email: [email protected].

SUPPLEMENTARY INFORMATION: 
    Background: OHAT serves as an environmental health resource to the 
public and to regulatory and health agencies. This office conducts 
evaluations to assess the evidence that environmental chemicals, 
physical substances, or mixtures (collectively referred to as 
``substances'') cause adverse health effects and provides opinions on 
whether these substances may be of concern given what is known about 
current human exposure levels.
    Sarin is a highly toxic organophosphorus nerve agent that was 
developed for chemical warfare during World War II and continues to be 
used as a weapon. The draft NTP monograph presents the results of the 
systematic review to evaluate the evidence for long-term neurological 
effects in humans following acute, sub-lethal exposure to sarin with 
consideration of human, experimental animal, and mechanistic date.
    Long-term neurological effects of acute exposure to sarin are not 
well characterized. Previous reviews of potential health effects of 
sarin have generally not assessed individual study quality or 
considered multiple evidence streams (human, animal, and mechanistic 
data). In addition, the interpretation of effects of sarin in some 
previous reviews was compounded by concurrent exposure to multiple 
chemicals, such as assessments of health effects in military personnel 
during the Gulf War or other conflicts.
    Meeting Attendance Registration: The meeting is open to the public 
with time set aside for oral public comment. Registration is required 
to view the webcast; the URL for the webcast will be provided in the 
email confirming registration. Please monitor the meeting web page at 
https://ntp.niehs.nih.gov/go/36051 for updates pertaining to the 
webcast registration deadline. Individuals with disabilities who need 
accommodation to view the webcast should contact Canden Byrd by phone: 
(919) 293-1660 or email: [email protected]. TTY users should contact 
the Federal TTY Relay Service at (800) 877-8339. Requests should be 
made at least five business days in advance of the event.
    Public Comment Registration: NTP invites written and oral public 
comments on the draft NTP monograph that address scientific or 
technical issues. Guidelines for public comments are at https://ntp.niehs.nih.gov/ntp/about_ntp/guidelines_public_comments_508.pdf.
    The deadline for submission of written comments is January 17, 
2019. Written public comments should be submitted through the meeting 
website. Persons submitting written comments should include name, 
affiliation, mailing address, phone, email, and sponsoring organization 
(if any). Written comments received in response to this notice will be 
posted on the NTP website, and the submitter will be identified by 
name, affiliation, and sponsoring organization (if any). Comments that 
address scientific or technical issues will be forwarded to the peer-
review panel and NTP staff prior to the meeting.
    The agenda will allow for one oral public comment period (up to 12 
commenters, up to 5 minutes per speaker). The deadline for registration 
to provide oral comments will be announced at https://ntp.niehs.nih.gov/go/36051 after the meeting date is set. Registration 
will be on a first-come, first-served basis. Each organization will be 
allowed one time slot. Oral comments will be presented by 
teleconference line. The access number for the teleconference line will 
be provided to registrants by email prior to the meeting. Commenters 
will be notified approximately one week before the peer-review meeting 
about the actual time allotted per speaker.
    If possible, oral public commenters will be asked to send a copy of 
their slides and/or statement or talking points to Canden Byrd by 
email: [email protected] by the registration deadline.
    Meeting Materials: The draft NTP monograph and preliminary agenda 
will be available on the NTP website at https://ntp.niehs.nih.gov/go/36051. The draft NTP monograph should be available by December 5, 2018. 
Additional information will be posted when available or may be 
requested in hardcopy, contact Canden Byrd by phone: (919) 293-1660 or 
email: [email protected]. Individuals are encouraged to access the 
meeting web page to stay abreast of the most current information 
regarding the meeting.
    Following the meeting, a report of the peer review will be prepared 
and made available on the NTP website.
    Background Information on NTP Peer-Review Panels: NTP panels are 
technical, scientific advisory bodies established on an ``as needed'' 
basis to provide independent scientific peer review and advise NTP on 
agents of public health concern, new/revised toxicological test 
methods, or other issues. These panels help ensure transparent, 
unbiased, and scientifically rigorous input to the program for its use 
in making credible decisions about human hazard, setting research and 
testing priorities, and providing

[[Page 63664]]

information to regulatory agencies about alternative methods for 
toxicity screening. NTP welcomes nominations of scientific experts for 
upcoming panels. Scientists interested in serving on an NTP panel 
should provide their current curriculum vitae to Canden Byrd by email: 
[email protected]. The authority for NTP panels is provided by 42 
U.S.C. 217a; section 222 of the Public Health Service Act, as amended. 
The panel is governed by the Federal Advisory Committee Act, as amended 
(5 U.S.C. Appendix 2), which sets forth standards for the formation and 
use of advisory committees.

    Dated: November 28, 2018.
Brian R. Berridge,
Associate Director, National Toxicology Program.
[FR Doc. 2018-26745 Filed 12-10-18; 8:45 am]
BILLING CODE 4140-01-P


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