Proposed Data Collection Submitted for Public Comment and Recommendations, 68699-68701 [2022-24921]

Download as PDF Federal Register / Vol. 87, No. 220 / Wednesday, November 16, 2022 / Notices and when actually using the service. In addition, this request includes the electronic versions that replace the three paper documents, one of which will include a minor reduction in the number of data collection items. The total estimated annual burden hours are 1,276. This represents an increase of 210 hours from 1,066 due primarily to the increase in applications, and transmittal forms. There is no cost to respondents except for their time. complete administrative forms in order to apply for NDI services, and submit records of study subjects for computer matching against the NDI file. A threeyear Revision request is submitted to continue the use of the two administrative forms (the Application form and Transmittal form) utilized in the operation of the National Death Index (NDI) program, along with worksheets used to calculate related fees. These forms are submitted by NDI users when applying for use of the NDI death, and the death certificate numbers of deceased study subjects. Using the NDI Plus service, researchers have the option of also receiving cause of death information for deceased subjects, thus reducing the need to request copies of death certificates from the jurisdictions. The NDI Plus option currently provides the International Classification of Disease (ICD) codes for the underlying and multiple causes of death for the years 1979–2021. Health researchers must 68699 ESTIMATES OF ANNUALIZED BURDEN HOURS Total burden hours Form name Researcher ........................................ Researcher ........................................ Researcher ........................................ 282 400 100 1 3 3 150/60 18/60 18/60 705 360 90 Researcher ........................................ Researcher ........................................ Application Form—Electronic ........... Transmittal Form—Paper/Electronic Early Transmittal Form—Paper/ Electronic. Fee Worksheet ................................. Early Release Fee Worksheet ......... 450 100 1 1 15/60 5/60 113 8 Total ........................................... ........................................................... ........................ ........................ ........................ 1,276 Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2022–24920 Filed 11–15–22; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–23–0728; Docket No. CDC–2022– 0130] 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 continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled National Notifiable Diseases Surveillance System. The purpose of this data collection is to provide the official source of statistics SUMMARY: khammond on DSKJM1Z7X2PROD with NOTICES Average burden per response (in hours) Number of responses per respondent Number of respondents Type of respondent VerDate Sep<11>2014 18:07 Nov 15, 2022 Jkt 259001 in the United States for nationally notifiable conditions. DATES: CDC must receive written comments on or before January 17, 2023. ADDRESSES: You may submit comments, identified by Docket No. CDC–2022– 0130 by either of the following methods: • Federal eRulemaking Portal: www.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 H21–8, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. CDC will post, without change, all relevant comments to www.regulations.gov. Please note: Submit all comments through the Federal eRulemaking portal (www.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 H21–8, Atlanta, Georgia 30329; Telephone: 404–639–7570; Email: omb@ cdc.gov. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (PRA) FOR FURTHER INFORMATION CONTACT: PO 00000 Frm 00032 Fmt 4703 Sfmt 4703 (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; 4. Minimize the burden of the collection of information on those who E:\FR\FM\16NON1.SGM 16NON1 68700 Federal Register / Vol. 87, No. 220 / Wednesday, November 16, 2022 / Notices 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; and 5. Assess information collection costs. Proposed Project National Notifiable Diseases Surveillance System (NNDSS) (OMB Control No. 0920–0728, Exp. 7/31/ 2025)—Revision—Center for Surveillance, Epidemiology and Laboratory Services (CSELS), Centers for Disease Control and Prevention (CDC). Background and Brief Description The Public Health Services Act (42 U.S.C. 241) authorizes CDC to disseminate nationally notifiable condition information. The National Notifiable Diseases Surveillance System (NNDSS) is based on data collected at the state, territorial and local levels because of legislation and regulations in those jurisdictions that require health care providers, medical laboratories, and other entities to submit healthrelated data on reportable conditions to public health departments. These reportable conditions, which include infectious and non-infectious diseases, vary by jurisdiction depending upon each jurisdiction’s health priorities and needs. Each year, the Council of State and Territorial Epidemiologists (CSTE), supported by CDC, determines which reportable conditions should be designated nationally notifiable or under standardized surveillance. CDC requests a three-year approval for a Revision for the NNDSS (OMB Control No. 0920–0728, Exp. 07/31/2025). This Revision includes requests for approval to: (1) receive case notification data for Carbapenemase-Producing Organisms, a new notifiable condition (NC); (2) receive case notification data for Strongyloidiasis, a new condition under standardized surveillance (CSS); and (3) Security Management Act of 2002 (FISMA) and the 2010 National Institute of Standards and Technology (NIST) Recommended Security Controls for Federal Information Systems and Organizations. Weekly tables of nationally notifiable diseases are available through CDC WONDER and data.cdc.gov. Annual summaries of finalized nationally notifiable disease data are published on CDC WONDER and data.cdc.gov and disease-specific data are published by individual CDC programs. The burden estimates include the number of hours that the public health department uses to process and send case notification data from their jurisdiction to CDC. Specifically, the burden estimates include separate burden hours incurred for automated and non-automated transmissions, separate weekly burden hours incurred for modernizing surveillance systems as part of CDC’s Data Modernization Initiative (DMI) implementation, separate burden hours incurred for annual data reconciliation and submission, and separate one-time burden hours incurred for the addition of new diseases and data elements. The burden estimates for the one-time burden for reporting jurisdictions are for the addition of case notification data for Carbapenemase-Producing Organisms, a new notifiable condition (NC); Strongyloidiasis, a new condition under standardized surveillance (CSS); and receive new disease-specific data elements for Carbapenemase-Producing Organisms, Candida auris, Melioidosis, Leptospirosis, Brucellosis, Carbon Monoxide Poisoning, and Hepatitis. The estimated annual burden for the 257 respondents is 18,354 hours, and has increased slightly from 18,294 to 18,354 due to the additional diseasespecific data elements added in this Revision. There are no costs to respondents other than their time to participate. receive new disease-specific data elements for Carbapenemase-Producing Organisms, Candida auris, Melioidosis, Leptospirosis, Brucellosis, Carbon Monoxide Poisoning, and Hepatitis. The NNDSS currently facilitates the submission and aggregation of case notification data voluntarily submitted to CDC from 60 jurisdictions: public health departments in every U.S. state, New York City, Washington, DC, five U.S. territories (American Samoa, the Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands), and three freely associated states (Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau). This information is shared across jurisdictional boundaries and both surveillance and prevention and control activities are coordinated at regional and national levels. Approximately 90% of case notifications are encrypted and submitted to NNDSS electronically from already existing databases by automated electronic messages. When automated transmission is not possible, case notifications are faxed, emailed, uploaded to a secure network or entered into a secure website. All case notifications that are faxed or emailed are done so in the form of an aggregate weekly or annual report, not individual cases. These different mechanisms used to send case notifications to CDC vary by the jurisdiction and the disease or condition. Jurisdictions remove most personally identifiable information (PII) before data are submitted to CDC, but some data elements (e.g., date of birth, date of diagnosis, county of residence) could potentially be combined with other information to identify individuals. Private information is not disclosed unless otherwise compelled by law. All data are treated in a secure manner consistent with the technical, administrative, and operational controls required by the Federal Information ESTIMATED ANNUALIZED BURDEN HOURS khammond on DSKJM1Z7X2PROD with NOTICES Type of respondent States States States States States ................................................ ................................................ ................................................ ................................................ ................................................ Territories Territories Territories Territories .......................................... .......................................... .......................................... .......................................... VerDate Sep<11>2014 17:27 Nov 15, 2022 Weekly (Automated) ......................... Weekly (Non- automated) ................ Weekly (DMI Implementation) .......... Annual .............................................. One-time Addition of Diseases and Data Elements. Weekly (Automated) ......................... Weekly, Quarterly (Non-automated) Weekly (DMI Implementation) .......... Annual .............................................. Jkt 259001 PO 00000 Frm 00033 Number of responses per respondent Number of respondents Form name Fmt 4703 Sfmt 4703 Average burden per response (in hours) Total burden (in hours) 50 10 50 50 50 52 52 52 1 1 20/60 2 4 75 2 867 1,040 10,400 3,750 100 5 5 5 5 52 56 52 1 20/60 20/60 4 5 87 93 1,040 25 E:\FR\FM\16NON1.SGM 16NON1 68701 Federal Register / Vol. 87, No. 220 / Wednesday, November 16, 2022 / Notices ESTIMATED ANNUALIZED BURDEN HOURS—Continued Territories .......................................... One-time Addition of Diseases and Data Elements. Weekly (Automated) ......................... Weekly, Quarterly (Non-automated) Annual .............................................. One-time Addition of Diseases and Data Elements. Weekly (Automated) ......................... Weekly (Non-automated) ................. Weekly (DMI Implementation) .......... Annual .............................................. One-time Addition of Diseases and Data Elements. 5 1 2 10 3 3 3 3 52 56 1 1 20/60 20/60 5 2 52 56 15 6 2 2 2 2 2 52 52 52 1 1 20/60 2 4 75 2 35 208 416 150 4 ........................................................... ........................ ........................ ........................ 18,354 Freely Freely Freely Freely Associated Associated Associated Associated States States States States .................. .................. .................. .................. Cities Cities Cities Cities Cities ................................................. ................................................. ................................................. ................................................. ................................................. Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2022–24921 Filed 11–15–22; 8:45 am] BILLING CODE 4163–18–P Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. You can also obtain copies of the proposed collection of information by emailing OPREinfocollection@acf.hhs.gov. Identify all requests by the title of the information collection. Administration for Children and Families Proposed Information Collection Activity; Evaluation of LifeSet (OMB #0970–0577) Office of Planning, Research, and Evaluation; Administration for Children and Families, Department of Health and Human Services. ACTION: Request for public comments. AGENCY: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services is proposing additional information collection activities to assess the implementation of LifeSet, a program that provides services and supports to young adults ages 17 to 21 with previous child welfare involvement. Current data collection activities are approved under this same Office of Management and Budget (OMB) #: 0970–0577. DATES: Comments due within 30 days of publication. OMB must make a decision VerDate Sep<11>2014 18:07 Nov 15, 2022 Jkt 259001 about the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. ADDRESSES: DEPARTMENT OF HEALTH AND HUMAN SERVICES SUMMARY: Number of respondents Total burden (in hours) Form name Total ........................................... khammond on DSKJM1Z7X2PROD with NOTICES Average burden per response (in hours) Number of responses per respondent Type of respondent SUPPLEMENTARY INFORMATION: Description: The proposed information collection activities are part of the second phase of a study that intends to assess the impact and implementation of LifeSet, a program that provides services and supports to young adults ages 17 to 21 with previous child welfare involvement. The program aims to support young adults in their transition from foster care to independent living in the areas of education, employment and earnings, housing and economic well-being, social support, well-being, health and PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 safety, and criminal involvement. It focuses on helping young adults identify and achieve their goals while developing the skills necessary for independent living. The evaluation is part of a larger project to help ACF build the evidence base in child welfare through rigorous evaluation of programs, practices, and policies. The activities and products from this project will contribute to evidence building in child welfare and help to determine the effectiveness of a program for youth formerly in foster care on young adult outcomes. The implementation study will collect information through video conferences and site visits to the participating program and child welfare agency. Data collection activities for the implementation study began, as previously approved by OMB. Additional protocols are proposed as part of the implementation study. Proposed information collection activities include interviews and focus groups with administrators and staff from the program developer, child welfare agency, and program providers; online survey of program staff; interviews with youth who participated in the program; and focus groups with youth who participated in the program and who received services as usual. Respondents: Program participants, young adults receiving services as usual, agency and program administrators and staff, other program stakeholders. E:\FR\FM\16NON1.SGM 16NON1

Agencies

[Federal Register Volume 87, Number 220 (Wednesday, November 16, 2022)]
[Notices]
[Pages 68699-68701]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-24921]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-23-0728; Docket No. CDC-2022-0130]


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 continuing information 
collection, as required by the Paperwork Reduction Act of 1995. This 
notice invites comment on a proposed information collection project 
titled National Notifiable Diseases Surveillance System. The purpose of 
this data collection is to provide the official source of statistics in 
the United States for nationally notifiable conditions.

DATES: CDC must receive written comments on or before January 17, 2023.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2022-
0130 by either of the following methods:
     Federal eRulemaking Portal: www.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 H21-8, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to www.regulations.gov.

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


FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffrey M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 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;
    4. Minimize the burden of the collection of information on those 
who

[[Page 68700]]

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; and
    5. Assess information collection costs.

Proposed Project

    National Notifiable Diseases Surveillance System (NNDSS) (OMB 
Control No. 0920-0728, Exp. 7/31/2025)--Revision--Center for 
Surveillance, Epidemiology and Laboratory Services (CSELS), Centers for 
Disease Control and Prevention (CDC).

Background and Brief Description

    The Public Health Services Act (42 U.S.C. 241) authorizes CDC to 
disseminate nationally notifiable condition information. The National 
Notifiable Diseases Surveillance System (NNDSS) is based on data 
collected at the state, territorial and local levels because of 
legislation and regulations in those jurisdictions that require health 
care providers, medical laboratories, and other entities to submit 
health-related data on reportable conditions to public health 
departments. These reportable conditions, which include infectious and 
non-infectious diseases, vary by jurisdiction depending upon each 
jurisdiction's health priorities and needs. Each year, the Council of 
State and Territorial Epidemiologists (CSTE), supported by CDC, 
determines which reportable conditions should be designated nationally 
notifiable or under standardized surveillance.
    CDC requests a three-year approval for a Revision for the NNDSS 
(OMB Control No. 0920-0728, Exp. 07/31/2025). This Revision includes 
requests for approval to: (1) receive case notification data for 
Carbapenemase-Producing Organisms, a new notifiable condition (NC); (2) 
receive case notification data for Strongyloidiasis, a new condition 
under standardized surveillance (CSS); and (3) receive new disease-
specific data elements for Carbapenemase-Producing Organisms, Candida 
auris, Melioidosis, Leptospirosis, Brucellosis, Carbon Monoxide 
Poisoning, and Hepatitis.
    The NNDSS currently facilitates the submission and aggregation of 
case notification data voluntarily submitted to CDC from 60 
jurisdictions: public health departments in every U.S. state, New York 
City, Washington, DC, five U.S. territories (American Samoa, the 
Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the 
U.S. Virgin Islands), and three freely associated states (Federated 
States of Micronesia, the Republic of the Marshall Islands, and the 
Republic of Palau). This information is shared across jurisdictional 
boundaries and both surveillance and prevention and control activities 
are coordinated at regional and national levels.
    Approximately 90% of case notifications are encrypted and submitted 
to NNDSS electronically from already existing databases by automated 
electronic messages. When automated transmission is not possible, case 
notifications are faxed, emailed, uploaded to a secure network or 
entered into a secure website. All case notifications that are faxed or 
emailed are done so in the form of an aggregate weekly or annual 
report, not individual cases. These different mechanisms used to send 
case notifications to CDC vary by the jurisdiction and the disease or 
condition. Jurisdictions remove most personally identifiable 
information (PII) before data are submitted to CDC, but some data 
elements (e.g., date of birth, date of diagnosis, county of residence) 
could potentially be combined with other information to identify 
individuals. Private information is not disclosed unless otherwise 
compelled by law. All data are treated in a secure manner consistent 
with the technical, administrative, and operational controls required 
by the Federal Information Security Management Act of 2002 (FISMA) and 
the 2010 National Institute of Standards and Technology (NIST) 
Recommended Security Controls for Federal Information Systems and 
Organizations. Weekly tables of nationally notifiable diseases are 
available through CDC WONDER and data.cdc.gov. Annual summaries of 
finalized nationally notifiable disease data are published on CDC 
WONDER and data.cdc.gov and disease-specific data are published by 
individual CDC programs.
    The burden estimates include the number of hours that the public 
health department uses to process and send case notification data from 
their jurisdiction to CDC. Specifically, the burden estimates include 
separate burden hours incurred for automated and non-automated 
transmissions, separate weekly burden hours incurred for modernizing 
surveillance systems as part of CDC's Data Modernization Initiative 
(DMI) implementation, separate burden hours incurred for annual data 
reconciliation and submission, and separate one-time burden hours 
incurred for the addition of new diseases and data elements. The burden 
estimates for the one-time burden for reporting jurisdictions are for 
the addition of case notification data for Carbapenemase-Producing 
Organisms, a new notifiable condition (NC); Strongyloidiasis, a new 
condition under standardized surveillance (CSS); and receive new 
disease-specific data elements for Carbapenemase-Producing Organisms, 
Candida auris, Melioidosis, Leptospirosis, Brucellosis, Carbon Monoxide 
Poisoning, and Hepatitis.
    The estimated annual burden for the 257 respondents is 18,354 
hours, and has increased slightly from 18,294 to 18,354 due to the 
additional disease-specific data elements added in this Revision. There 
are no costs to respondents other than their time to participate.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondent            Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
States........................  Weekly                        50              52           20/60             867
                                 (Automated).
States........................  Weekly (Non-                  10              52               2           1,040
                                 automated).
States........................  Weekly (DMI                   50              52               4          10,400
                                 Implementation).
States........................  Annual..........              50               1              75           3,750
States........................  One-time                      50               1               2             100
                                 Addition of
                                 Diseases and
                                 Data Elements.
Territories...................  Weekly                         5              52           20/60              87
                                 (Automated).
Territories...................  Weekly,                        5              56           20/60              93
                                 Quarterly (Non-
                                 automated).
Territories...................  Weekly (DMI                    5              52               4           1,040
                                 Implementation).
Territories...................  Annual..........               5               1               5              25

[[Page 68701]]

 
Territories...................  One-time                       5               1               2              10
                                 Addition of
                                 Diseases and
                                 Data Elements.
Freely Associated States......  Weekly                         3              52           20/60              52
                                 (Automated).
Freely Associated States......  Weekly,                        3              56           20/60              56
                                 Quarterly (Non-
                                 automated).
Freely Associated States......  Annual..........               3               1               5              15
Freely Associated States......  One-time                       3               1               2               6
                                 Addition of
                                 Diseases and
                                 Data Elements.
Cities........................  Weekly                         2              52           20/60              35
                                 (Automated).
Cities........................  Weekly (Non-                   2              52               2             208
                                 automated).
Cities........................  Weekly (DMI                    2              52               4             416
                                 Implementation).
Cities........................  Annual..........               2               1              75             150
Cities........................  One-time                       2               1               2               4
                                 Addition of
                                 Diseases and
                                 Data Elements.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          18,354
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2022-24921 Filed 11-15-22; 8:45 am]
BILLING CODE 4163-18-P


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