Agency Information Collection Activities; Proposed Collection; Comment Request; Data Collection Materials for the Annual Performance Reporting of the Administration for Community Living's American Indian, Alaskan Natives and Native Hawaiian Programs, 7379-7381 [2019-03847]

Download as PDF 7379 Federal Register / Vol. 84, No. 42 / Monday, March 4, 2019 / Notices Zika virus disease and Zika virus congenital infection are nationally notifiable conditions for which the Council of State and Territorial Epidemiologists (CSTE) has established interim case definitions. All 50 states, the District of Columbia, and Puerto Rico, the U.S. Virgin Islands, American Samoa, Guam, and the Northern Mariana Islands currently participate in reporting of arboviral diseases through ArboNET. However, ArboNET does not capture all the information needed to provide timely situational awareness in the context of the ongoing public health response. In particular, ArboNET collects limited data on pregnancy, pregnancy and birth outcomes, and congenital infections, all of which are necessary for informing ongoing response efforts. As part of the public health response to the Zika virus disease outbreak, CDC will conduct supplemental surveillance of antenatal diagnostic testing and clinical outcomes among pregnant women with laboratory evidence of Zika virus or unspecified flavivirus infection and their infants through the U.S. Zika increase, and sexual transmission from male travelers to their sex partners in the United States will likely continue to occur. In addition, mosquito-borne local transmission may occur in states where Aedes species mosquitoes are present. In some Brazilian states where Zika virus transmission has occurred, there has been an increase in cases of infants born with microcephaly. Zika virus infections have been confirmed in several infants with microcephaly and in fetal losses in women infected during pregnancy. In addition to microcephaly, a range of other problems have been detected among fetuses and infants infected with Zika virus before birth, such as absent or poorly developed brain structures, defects of the eye, hearing deficits, and impaired growth. The Ministry of Health in Brazil, with support from the Pan American Health Organization (PAHO), the U.S. Centers for Disease Control and Prevention (CDC), and other partners, is investigating the association between Zika virus infection and microcephaly, as well as other adverse pregnancy and infant outcomes. Pregnancy Registry. It is anticipated that the Registry will provide critical information to direct CDC clinical recommendations and public health guidance and messages. The data to be collected for the Registry includes information about Zika infection-related tests and procedures conducted as part of the mother’s and child’s routine clinical care, and in line with existing CDC, American College of Obstetricians and Gynecologists and Society of Maternal Fetal Medicine, and American Academy of Pediatrics recommendations for evaluation, diagnosis, and follow-up of women infected with Zika virus during pregnancy and their children. No additional tests or procedures will be performed specifically for Registry purposes. This request is submitted to extend the collection period of collection OMB number 0920–1143 for an additional three years. The total estimated annual burden hours are 23,833. There are no costs to the respondents other than their time. ESTIMATES OF ANNUALIZED BURDEN HOURS Average burden per response (in hours) Form name State, Territorial and Local Health Departments. Maternal Health History Form .......... 1,100 10 30/60 5,500 Supplemental Imaging Form ............ Laboratory Results Form ................. Assessment at Delivery Form .......... Infant Health Follow-Up Form .......... 1,100 1,100 1,100 1,100 10 10 10 30 10/60 15/60 30/60 15/60 1,833 2,750 5,500 8,250 ........................................................... ........................ ........................ ........................ 23,833 Clinicians and Other Providers ......... Total ............................................... Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2019–03775 Filed 3–1–19; 8:45 am] BILLING CODE 4163–18–P Number of respondents Number of responses per respondent Type of respondent DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Community Living [OMB #0985–0059] Agency Information Collection Activities; Proposed Collection; Comment Request; Data Collection Materials for the Annual Performance Reporting of the Administration for Community Living’s American Indian, Alaskan Natives and Native Hawaiian Programs Administration for Community Living (ACL), HHS. ACTION: Notice. AGENCY: The Administration for Community Living is announcing that the proposed collection of information listed above has been submitted to the SUMMARY: VerDate Sep<11>2014 17:33 Mar 01, 2019 Jkt 247001 PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 Total burden hours Office of Management and Budget (OMB) for review and clearance as required under Paperwork Reduction Act of 1995. This 30-Day notice collects comments on the information collection requirements related to the Revision of a Currently Approved Collection (ICR Rev) and solicits comments on the information collection requirements related to the annual Program Performance Report (PPR) for the American Indian, Alaskan Natives and Native Hawaiian Programs under Title VI of the Older Americans Act. DATES: Submit written comments on the collection of information by April 3, 2019. Submit written comments on the collection of information by: (a) Email to: OIRA_submission@ omb.eop.gov, Attn: OMB Desk Officer for ACL; ADDRESSES: E:\FR\FM\04MRN1.SGM 04MRN1 7380 Federal Register / Vol. 84, No. 42 / Monday, March 4, 2019 / Notices (b) fax to 202.395.5806, Attn: OMB Desk Officer for ACL; or (c) by mail to the Office of Information and Regulatory Affairs, OMB, New Executive Office Bldg., 725 17th St. NW, Rm. 10235, Washington, DC 20503, Attn: OMB Desk Officer for ACL. FOR FURTHER INFORMATION CONTACT: Kristen Hudgins, Social Science Analyst, Administration for Community Living, Washington, DC 20201, 202– 795–7732 or kristen.hudgins@ acl.hhs.gov. In compliance with 44 U.S.C. 3507, ACL has submitted the following proposed collection of information to OMB for review and clearance. The data collection materials for the annual performance data for the Administration for Community Living’s American Indian, Alaskan Natives and Native Hawaiian Programs (OAA Title VI) is a revision of a currently approved annual program performance data collection SUPPLEMENTARY INFORMATION: (OMB# 0985–0059). These data collection materials have been updated to better align with comparable data collected for ACL’s other nutritional, supportive, and caregiving grants. Proposed changes include adding data components and updating others for more accurate reporting of persons served and activities provided through the Title VI-funded programs. The revised data collection will provide data necessary to determine the effectiveness of the program. Some examples of these changes are updating definitions in Title VI to be more in line with Title III, asking for unduplicated numbers of people served for different services and the number of hours spent providing said services. Additionally, the caregiver portion of the PPR has been updated to collect more information around types of caregivers served and unduplicated numbers of caregivers. Another element added has to do with information on expenditures. This data collection will also support ACL in tracking performance outcomes and Topic/issue efficiency measures with respect to the annual and long-term performance targets established in compliance with the Government Performance Results Modernization Act (GPRAMA). Comments in Response to the 60-Day Federal Register Notice A notice was published in the Federal Register on August 15, 2018, Vol. 83, No. 158, pp. 40519–40520. ACL received comments from ten (10) organizations and two (2) individuals about the Program Performance Report (PPR) redesign. ACL reviewed all of the comments. However, some of the comments were deemed to not be relevant because they were: (a) About the data submission process itself; (b) did not request a change; (c) only related to format; or (d) indicated topics for technical assistance and training for the final data collection. For ease of review, the remaining comments and their responses have been grouped by topic or issue. The ACL responses for each topic/issue are detailed below: Comment ACL response Additional comment boxes for story telling. One of the comments was to include a comment box to the PPR to allow for programs to better share their stories. Additional data reporting ...... There were some concerns expressed around having to keep track of and report additional data. ‘‘Tribal Organization’’ ........... There was a suggestion posited by two organizations to change the term ‘‘Tribal Organization’’ to something more encompassing. Staffing/Volunteers ............... Five organizations commented that they found the prospect of collecting data on volunteers and their hours to be an unnecessary reporting burden. There was one comment noting that there were too many questions around nutrition education and counseling. ACL has added a comment box at the end of the PPR for program staff to share contextual information about how their program is addressing the needs of Elders in their community. Although ACL understands that reporting can be a burdensome process, having better and richer data is a priority for the Title VI program, particularly where it allows us to align with the data collection for Title III. ACL has decided to use the term ‘‘Grantee Name’’ to be more inclusive of tribal consortia, Native Hawaiian organizations, and other entities that did not feel covered under the previous term of ‘‘Tribal Organization’’. Upon consideration of the issues brought up through the FRN comments, ACL has decided to remove the question on volunteers and volunteer hours. ACL understands that reporting can be a burdensome process and so have updated the questions under ‘‘Other Nutrition Services’’ to only ask one additional question regarding number of persons receiving nutrition counseling. In keeping with Title III’s SPR we have updated Nutrition Education hours to ‘‘sessions’’. ACL has decided to remove this question from the PPR and will consider posing it to grantees through a different data collection source at a later date. ACL will not add an ombudsman question back into the Title VI PPR as official ombudsman services should be reported through the State Ombudsman and collected in the NORS tool. However, ACL has decided to add in a question related to visiting nursing homes and other assisted living facilities as we agree that these activities are important to capture. ACL has decided to add an optional text box for programs to share other supportive services they may offer that are not currently listed. ACL appreciates the suggestion to collect more data but has decided in the interest of balancing data collection and burden to not make the distinction between the different ‘‘types’’ of transportation provided by a program. Nutrition Questions .............. Meal Mileage ........................ Ombudsman ......................... There were many comments (both positive and asking for clarification) related to a proposed question around home-delivered meal mileage. Removal of the ombudsman question ............................ Other Supportive Services ... Suggestions to add space for grantees to report on the types of supportive services they provide. Transportation ...................... Suggestions to split transportation into assisted and unassisted as they are in Title III’s SPR. VerDate Sep<11>2014 17:33 Mar 01, 2019 Jkt 247001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 E:\FR\FM\04MRN1.SGM 04MRN1 7381 Federal Register / Vol. 84, No. 42 / Monday, March 4, 2019 / Notices Topic/issue Comment ACL response Social Events ....................... Question about the purpose of ‘‘social events held’’ and whether it would be better to change to ‘‘social/recreation events held’’ to allow cost sharing with Title III. The comments on the newly added finance section for Part A/B were varied and ran from asking that the question be removed and others asking for more options to share data. Title III does not ask for this information. A social event, as it is being defined in Title VI, can be recorded as ‘‘Other’’ in SPR. ACL is sensitive to the burden that may be caused by asking for new kinds of information from our grantees, we find that requiring this information will allow us to better advocate for our programs and their financial needs. Based on the comments ACL has added an optional text box for grantees to explain more about their financial situations, and has also added additional options under the section asking for types of funding used. ACL has updated the language in this section to be less wordy and using the term ‘‘caregiver’’ rather than ‘‘persons’’ to make it clearer that the intended recipients of services are caregivers and not those they care for. ACL has chosen to maintain consistency in this area with Title III’s SPR and will ensure that training and technical materials make it clear how we are defining Information and Assistance and how to best collect it. ACL is sensitive to the burden that may be caused by asking for new kinds of information from our grantees, we find that requiring this information will allow us to better advocate for our programs and their financial needs. ACL chose respite care from the five required services based on the thinking that the cost of this service would be easier to track. Finance Section for Part A/B Caregiver (language) ........... Suggestions to change some of the language in the caregiver section to make it clearer. Caregiver (Information and Assistance). There were a couple of suggestions that Information and Assistance should be separated from one another. Finance Section for Part C .. Suggestion to not add the finance section and asking for the cost of respite care to be pulled out. The proposed form(s) may be found on the ACL website at https:// www.acl.gov/about-acl/public-input. Estimated Program Burden Title VI funding is broken into three categories. Parts A and B are for nutritional and supportive programming, and ask for the same information. Part A is for American Indian and Alaska Native grantees, and Part B is for Native Hawaiian grantees. Part C is for caregiver programming. All Part C grantees must have Part A/B funding; but not all Part A/B grantees will have Part C programs. Therefore, Number of respondents Respondent/data collection activity there are 270 unique respondents, but only 237 will have to complete all portions of the PPR. ACL believes that the increase in burden hours is justified by the improved quality of the data and will ultimately improve the services provided to Native Elders. Responses per respondent Hours per response Annual burden hours PPR Part A/B ................................................................................................... PPR Part C ...................................................................................................... 270 237 1 1 1.83 1.66 494.1 393.4 Total .......................................................................................................... ........................ ........................ ........................ 887.5 Dated: February 22, 2019. Mary Lazare, Principal Deputy Administrator. DEPARTMENT OF HEALTH AND HUMAN SERVICES [FR Doc. 2019–03847 Filed 3–1–19; 8:45 am] Food and Drug Administration [Docket No. FDA–2018–N–3490] BILLING CODE 4154–01–P Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Exempt Infant Formula Production: Current Good Manufacturing Practices, Quality Control Procedures, Conduct of Audits, and Records AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing SUMMARY: VerDate Sep<11>2014 17:33 Mar 01, 2019 Jkt 247001 PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995. Fax written comments on the collection of information by April 3, 2019. DATES: To ensure that comments on the information collection are received, OMB recommends that written comments be faxed to the Office of Information and Regulatory Affairs, OMB, Attn: FDA Desk Officer, Fax: 202– 395–7285, or emailed to oira_ submission@omb.eop.gov. All comments should be identified with the OMB control number 0910–0811. Also include the FDA docket number found ADDRESSES: E:\FR\FM\04MRN1.SGM 04MRN1

Agencies

[Federal Register Volume 84, Number 42 (Monday, March 4, 2019)]
[Notices]
[Pages 7379-7381]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-03847]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Community Living

[OMB #0985-0059]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Data Collection Materials for the Annual Performance 
Reporting of the Administration for Community Living's American Indian, 
Alaskan Natives and Native Hawaiian Programs

AGENCY: Administration for Community Living (ACL), HHS.

ACTION: Notice.

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

SUMMARY: The Administration for Community Living is announcing that the 
proposed collection of information listed above has been submitted to 
the Office of Management and Budget (OMB) for review and clearance as 
required under Paperwork Reduction Act of 1995. This 30-Day notice 
collects comments on the information collection requirements related to 
the Revision of a Currently Approved Collection (ICR Rev) and solicits 
comments on the information collection requirements related to the 
annual Program Performance Report (PPR) for the American Indian, 
Alaskan Natives and Native Hawaiian Programs under Title VI of the 
Older Americans Act.

DATES: Submit written comments on the collection of information by 
April 3, 2019.

ADDRESSES: Submit written comments on the collection of information by:

(a) Email to: OIRA_submission@omb.eop.gov, Attn: OMB Desk Officer for 
ACL;

[[Page 7380]]

(b) fax to 202.395.5806, Attn: OMB Desk Officer for ACL; or
(c) by mail to the Office of Information and Regulatory Affairs, OMB, 
New Executive Office Bldg., 725 17th St. NW, Rm. 10235, Washington, DC 
20503, Attn: OMB Desk Officer for ACL.

FOR FURTHER INFORMATION CONTACT: Kristen Hudgins, Social Science 
Analyst, Administration for Community Living, Washington, DC 20201, 
202-795-7732 or kristen.hudgins@acl.hhs.gov.

SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, ACL has 
submitted the following proposed collection of information to OMB for 
review and clearance. The data collection materials for the annual 
performance data for the Administration for Community Living's American 
Indian, Alaskan Natives and Native Hawaiian Programs (OAA Title VI) is 
a revision of a currently approved annual program performance data 
collection (OMB# 0985-0059). These data collection materials have been 
updated to better align with comparable data collected for ACL's other 
nutritional, supportive, and caregiving grants. Proposed changes 
include adding data components and updating others for more accurate 
reporting of persons served and activities provided through the Title 
VI-funded programs. The revised data collection will provide data 
necessary to determine the effectiveness of the program. Some examples 
of these changes are updating definitions in Title VI to be more in 
line with Title III, asking for unduplicated numbers of people served 
for different services and the number of hours spent providing said 
services. Additionally, the caregiver portion of the PPR has been 
updated to collect more information around types of caregivers served 
and unduplicated numbers of caregivers. Another element added has to do 
with information on expenditures. This data collection will also 
support ACL in tracking performance outcomes and efficiency measures 
with respect to the annual and long-term performance targets 
established in compliance with the Government Performance Results 
Modernization Act (GPRAMA).

Comments in Response to the 60-Day Federal Register Notice

    A notice was published in the Federal Register on August 15, 2018, 
Vol. 83, No. 158, pp. 40519-40520. ACL received comments from ten (10) 
organizations and two (2) individuals about the Program Performance 
Report (PPR) redesign. ACL reviewed all of the comments. However, some 
of the comments were deemed to not be relevant because they were: (a) 
About the data submission process itself; (b) did not request a change; 
(c) only related to format; or (d) indicated topics for technical 
assistance and training for the final data collection. For ease of 
review, the remaining comments and their responses have been grouped by 
topic or issue. The ACL responses for each topic/issue are detailed 
below:

------------------------------------------------------------------------
         Topic/issue                 Comment            ACL response
------------------------------------------------------------------------
Additional comment boxes for  One of the comments   ACL has added a
 story telling.                was to include a      comment box at the
                               comment box to the    end of the PPR for
                               PPR to allow for      program staff to
                               programs to better    share contextual
                               share their stories.  information about
                                                     how their program
                                                     is addressing the
                                                     needs of Elders in
                                                     their community.
Additional data reporting...  There were some       Although ACL
                               concerns expressed    understands that
                               around having to      reporting can be a
                               keep track of and     burdensome process,
                               report additional     having better and
                               data.                 richer data is a
                                                     priority for the
                                                     Title VI program,
                                                     particularly where
                                                     it allows us to
                                                     align with the data
                                                     collection for
                                                     Title III.
``Tribal Organization''.....  There was a           ACL has decided to
                               suggestion posited    use the term
                               by two                ``Grantee Name'' to
                               organizations to      be more inclusive
                               change the term       of tribal
                               ``Tribal              consortia, Native
                               Organization'' to     Hawaiian
                               something more        organizations, and
                               encompassing.         other entities that
                                                     did not feel
                                                     covered under the
                                                     previous term of
                                                     ``Tribal
                                                     Organization''.
Staffing/Volunteers.........  Five organizations    Upon consideration
                               commented that they   of the issues
                               found the prospect    brought up through
                               of collecting data    the FRN comments,
                               on volunteers and     ACL has decided to
                               their hours to be     remove the question
                               an unnecessary        on volunteers and
                               reporting burden.     volunteer hours.
Nutrition Questions.........  There was one         ACL understands that
                               comment noting that   reporting can be a
                               there were too many   burdensome process
                               questions around      and so have updated
                               nutrition education   the questions under
                               and counseling.       ``Other Nutrition
                                                     Services'' to only
                                                     ask one additional
                                                     question regarding
                                                     number of persons
                                                     receiving nutrition
                                                     counseling. In
                                                     keeping with Title
                                                     III's SPR we have
                                                     updated Nutrition
                                                     Education hours to
                                                     ``sessions''.
Meal Mileage................  There were many       ACL has decided to
                               comments (both        remove this
                               positive and asking   question from the
                               for clarification)    PPR and will
                               related to a          consider posing it
                               proposed question     to grantees through
                               around home-          a different data
                               delivered meal        collection source
                               mileage.              at a later date.
Ombudsman...................  Removal of the        ACL will not add an
                               ombudsman question.   ombudsman question
                                                     back into the Title
                                                     VI PPR as official
                                                     ombudsman services
                                                     should be reported
                                                     through the State
                                                     Ombudsman and
                                                     collected in the
                                                     NORS tool. However,
                                                     ACL has decided to
                                                     add in a question
                                                     related to visiting
                                                     nursing homes and
                                                     other assisted
                                                     living facilities
                                                     as we agree that
                                                     these activities
                                                     are important to
                                                     capture.
Other Supportive Services...  Suggestions to add    ACL has decided to
                               space for grantees    add an optional
                               to report on the      text box for
                               types of supportive   programs to share
                               services they         other supportive
                               provide.              services they may
                                                     offer that are not
                                                     currently listed.
Transportation..............  Suggestions to split  ACL appreciates the
                               transportation into   suggestion to
                               assisted and          collect more data
                               unassisted as they    but has decided in
                               are in Title III's    the interest of
                               SPR.                  balancing data
                                                     collection and
                                                     burden to not make
                                                     the distinction
                                                     between the
                                                     different ``types''
                                                     of transportation
                                                     provided by a
                                                     program.

[[Page 7381]]

 
Social Events...............  Question about the    Title III does not
                               purpose of ``social   ask for this
                               events held'' and     information. A
                               whether it would be   social event, as it
                               better to change to   is being defined in
                               ``social/recreation   Title VI, can be
                               events held'' to      recorded as
                               allow cost sharing    ``Other'' in SPR.
                               with Title III.
Finance Section for Part A/B  The comments on the   ACL is sensitive to
                               newly added finance   the burden that may
                               section for Part A/   be caused by asking
                               B were varied and     for new kinds of
                               ran from asking       information from
                               that the question     our grantees, we
                               be removed and        find that requiring
                               others asking for     this information
                               more options to       will allow us to
                               share data.           better advocate for
                                                     our programs and
                                                     their financial
                                                     needs. Based on the
                                                     comments ACL has
                                                     added an optional
                                                     text box for
                                                     grantees to explain
                                                     more about their
                                                     financial
                                                     situations, and has
                                                     also added
                                                     additional options
                                                     under the section
                                                     asking for types of
                                                     funding used.
Caregiver (language)........  Suggestions to        ACL has updated the
                               change some of the    language in this
                               language in the       section to be less
                               caregiver section     wordy and using the
                               to make it clearer.   term ``caregiver''
                                                     rather than
                                                     ``persons'' to make
                                                     it clearer that the
                                                     intended recipients
                                                     of services are
                                                     caregivers and not
                                                     those they care
                                                     for.
Caregiver (Information and    There were a couple   ACL has chosen to
 Assistance).                  of suggestions that   maintain
                               Information and       consistency in this
                               Assistance should     area with Title
                               be separated from     III's SPR and will
                               one another.          ensure that
                                                     training and
                                                     technical materials
                                                     make it clear how
                                                     we are defining
                                                     Information and
                                                     Assistance and how
                                                     to best collect it.
Finance Section for Part C..  Suggestion to not     ACL is sensitive to
                               add the finance       the burden that may
                               section and asking    be caused by asking
                               for the cost of       for new kinds of
                               respite care to be    information from
                               pulled out.           our grantees, we
                                                     find that requiring
                                                     this information
                                                     will allow us to
                                                     better advocate for
                                                     our programs and
                                                     their financial
                                                     needs. ACL chose
                                                     respite care from
                                                     the five required
                                                     services based on
                                                     the thinking that
                                                     the cost of this
                                                     service would be
                                                     easier to track.
------------------------------------------------------------------------

    The proposed form(s) may be found on the ACL website at https://www.acl.gov/about-acl/public-input.

Estimated Program Burden

    Title VI funding is broken into three categories. Parts A and B are 
for nutritional and supportive programming, and ask for the same 
information. Part A is for American Indian and Alaska Native grantees, 
and Part B is for Native Hawaiian grantees. Part C is for caregiver 
programming. All Part C grantees must have Part A/B funding; but not 
all Part A/B grantees will have Part C programs. Therefore, there are 
270 unique respondents, but only 237 will have to complete all portions 
of the PPR. ACL believes that the increase in burden hours is justified 
by the improved quality of the data and will ultimately improve the 
services provided to Native Elders.

----------------------------------------------------------------------------------------------------------------
                                                     Number of     Responses per     Hours per     Annual burden
       Respondent/data collection activity          respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
PPR Part A/B....................................             270               1            1.83           494.1
PPR Part C......................................             237               1            1.66           393.4
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............           887.5
----------------------------------------------------------------------------------------------------------------


    Dated: February 22, 2019.
Mary Lazare,
Principal Deputy Administrator.
[FR Doc. 2019-03847 Filed 3-1-19; 8:45 am]
 BILLING CODE 4154-01-P
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