80 FR 18427 - International Labour Office (ILO) Reference Radiographs

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 65 (April 6, 2015)

Page Range		18427-18429
FR Document		2015-07814

The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease and Prevention is collaborating with the Labour Inspection, Labour Administration and Occupational Safety and Health Branch of the International Labour Office (ILO) in developing a set of digital reference radiographs for the ILO International Classification of Radiographs of Pneumoconiosis (ILO Classification). The current ILO Classification depends on 22 standard reference radiographs that are used to formally identify and characterize pneumoconiosis and related pulmonary abnormalities arising from occupational exposure. The original standards were based on film radiography, but the advent of digital radiography has led to the need for reference standards based on digitally-acquired images. NIOSH is assisting the ILO in the process of identifying such digital images. For this purpose, NIOSH is requesting trained users of the ILO Classification (e.g., NIOSH B-Readers [1] and other such experts) to submit comments regarding any of the current standard reference images that are felt to be deficient and for which improvements could be made. The current structure and format of the ILO Classification is to remain unchanged at the present time. NIOSH is not soliciting comments on the ILO Classification itself. Comments received on the ILO Classification will be considered irrelevant to the purpose of this docket.

Federal Register, Volume 80 Issue 65 (Monday, April 6, 2015)

[Federal Register Volume 80, Number 65 (Monday, April 6, 2015)]
[Notices]
[Pages 18427-18429]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2015-07814]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket Number CDC-2015-0008; NIOSH-282]

International Labour Office (ILO) Reference Radiographs

AGENCY: National Institute for Occupational Safety and Health (NIOSH)
of the Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).

ACTION: Request for information and comment.

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

SUMMARY: The National Institute for Occupational Safety and Health
(NIOSH) of the Centers for Disease and Prevention is collaborating with
the Labour Inspection, Labour Administration and Occupational Safety
and Health Branch of the International Labour Office (ILO) in
developing a set of digital reference radiographs for the ILO
International Classification of Radiographs of Pneumoconiosis (ILO
Classification). The current ILO Classification depends on 22 standard
reference radiographs that are used to formally identify and
characterize pneumoconiosis and related pulmonary abnormalities arising
from occupational exposure. The original standards were based on film
radiography, but the advent of digital radiography has led to the need
for reference standards based on digitally-acquired images. NIOSH is
assisting the ILO in the process of identifying such digital images.
For this purpose, NIOSH is requesting trained users of the ILO
Classification (e.g., NIOSH B-Readers [1] and other such experts) to
submit comments regarding any of the current standard reference images
that are felt to be deficient and for which improvements could be made.
The current structure and format of the ILO Classification is to remain
unchanged at the present time. NIOSH is not soliciting comments on the
ILO Classification itself. Comments received on the ILO Classification
will be considered irrelevant to the purpose of this docket.

DATES: Electronic or written comments must be received by June 5, 2015.

ADDRESSES: You may submit comments, identified by CDC-2015-0008 and
docket number NIOSH-282, by any of the following methods:
Federal eRulemaking Portal: http://www.regulations.gov.
Follow the instructions for submitting comments.
Mail: National Institute for Occupational Safety and
Health, NIOSH Docket Office, 1090 Tusculum Avenue, MS C-34, Cincinnati,
OH 45226-1998.
Instructions: All information received in response to this notice
must include the agency name and docket number (CDC-2015-0008; NIOSH-
282). All relevant comments received will be posted without change to
www.regulations.gov, including any personal information provided. All
electronic comments should be formatted as Microsoft Word. For access
to the docket to read background documents or comments received, go to
www.regulations.gov. All information received in response to this
notice will also be available for public examination and copying at the
NIOSH Docket Office, 1150 Tusculum Avenue, Room 155, Cincinnati, OH
45226.

FOR FURTHER INFORMATION CONTACT: Michael Attfield, 1095 Willowdale
Road, Morgantown, WV 26505-2888, telephone (304) 285-5737 (this is not
a toll free number).

SUPPLEMENTARY INFORMATION:

Table of Contents

Background
Information Needs
References
Background: Chest radiographs (X-Rays) provide critical medical
information for the assessment of the pneumoconioses and related
disorders in individuals, for example, those caused by inhaling coal,
silica, and asbestos dusts [2]. Prior to 1950, the information evident
on a radiograph could only be interpreted qualitatively. However in
1950, the International Labour Office (ILO) established a more
quantitative system whereby the various parenchymal and pleural changes
could be formally recognized and categorized.

[[Page 18428]]

The quantitative system is not intended for the medical diagnosis of
the pneumoconioses and related occupational diseases, but has proved
invaluable for the accurate and reliable identification and
characterization of such diseases and disorders in many scientific and
administrative applications, including research into disease causation,
evaluation of risk in terms of dust exposure, disease surveillance,
disease prevention, and worker compensation. The ILO has periodically
held meetings of experts with the intent of improving and refining the
original classification scheme. The current edition is the
International Classification of Radiographs of Pneumoconiosis, Revised
Edition 2011 [3].
The ILO Classification, as of the 2000 revision, consists of 22
standard reference radiographic films. These films were selected to
demonstrate a variety of types and severities of lung abnormalities
that frequently arise from occupational dust exposure. Proper use of
the classification involves a visual comparison of the test subject's
X-Ray film side-by-side with the standards. The test subject is
assigned the classification pertaining to the standard radiograph or
radiographs to which it is most similar in appearance, i.e., Category
0/0, 1/1, 2/2, or 3/3; and the types p/p, q/q, r/r, s/s, t/t, or u/u,
where applicable. The person undertaking the classification, typically
a physician formally trained in the use of the ILO Classification,
completes a data entry sheet where they record their classifications of
each of the various abnormalities. In addition, ancillary information
on the quality of the radiograph and the presence of other medical
findings is noted.
The ILO classification was developed and used for over 50 years
solely in conjunction with film radiography. In recent years
radiographic technology has advanced to digital imaging. This poses
severe problems for the use of the ILO Classification since the test
subject's image must be viewed on a computer terminal screen while the
standards can only be seen on a separate film viewing box. This results
in the process being extremely cumbersome, while intrinsic differences
in the appearance of film versus digital images interfere with the
proper assessment of abnormality. To minimize these problems, the ILO
released a set of digitized images in 2011. These images are digitized
views of the existing film images, obtained by formally scanning each
film to a digital file image.
While digitizing the current standard reference films removed the
need to employ a light box, as both images could now be viewed on the
same computerized image display system alongside that showing the
subject's radiograph, it did not eliminate the problems arising from
different inherent appearances between the original film and the
digital test images, since those still remained in the digitized
versions. Ultimately, the best means to remove the potentially
interfering visual differences from the comparison between the
digitally-acquired chest radiographic image and the reference image is
to select new digitally-acquired reference images.
NIOSH is collaborating with and assisting the ILO in identifying a
set of 22 digital images, each of which is intended to mimic as closely
as possible the type and severity of abnormality evident on each of the
current standard films/digitized images. There is no intention to
modify or alter the underlying structure or format of the existing ILO
Classification. The final outcome of this exercise will simply be an
additional set of standard reference images, derived from digitally-
acquired images.
In pursuing this objective both NIOSH and the ILO are aware that
users of the classification may feel that one or more of the existing
standard references do not optimally demonstrate the specified
parenchymal or pleural findings. Appendix C of the manual that
accompanies the ILO Classification [2] provides comments on each of the
current standard radiographs. Comments range from issues of quality
(e.g., unsharp, overexposed), excluded regions (e.g., costrophenic
angles), and other factors. In addition, there is no category 1/1 s/s
standard as there should be. Instead a 1/1 s/t is used. Moreover, only
single quadrant views are available for all of the u/u type small
opacity severities when individual full chest image standards would be
better. To the extent possible, it is hoped to correct these known
issues during the identification of new digital images.
In addition to the published issues, regular users of the ILO
Classification may feel that certain of the standard reference
radiographs are sub-optimal in some way or another. For example,
perhaps the appearances of a particular standard are generally felt to
be at variance with its formally-designated degree of abnormality. In
addition, there may be other factors where there are opportunities for
improvement.
NIOSH and the ILO, in selecting the new digital standard images,
wish to correct any technical issues affecting the current standard
reference radiographs. To be able to do this, they require access to
information on perceived problems with the current standards. This
docket is a request for information from interested parties on
perceived issues with any of the current standards. This request in no
way involves comment on the structure and content of the ILO
Classification per se. NIOSH and the ILO will summarize the comments
received on each of the standard radiographs, and employ that
information in the derivation of the new digital standard reference
radiographs.
Information Needs: NIOSH is seeking additional data and information
to ensure that generally perceived technical issues affecting any of
the current ILO Classification standard radiographs are addressed in
the development of a set of digital standard radiographs. Information
is particularly needed for:
(1) The standard reference title to which your submitted comments
apply. For small opacities please state `small opacities' and the
profusion (0/0, 1/1, 2/2, or 3/3, and the type (p/p, q/q, r/r, s/s, t/
t, or u/u, where applicable) for which you are supplying comments. For
large opacities please state `large opacities' and the stage (A, B, C).
For pleural abnormalities, please state `pleural'.
(2) For radiographs concerning small opacities, please note whether
the standard radiograph shows appearances consistent with its
designated profusion, and if not, what profusion you believe it shows.
(3) For radiographs concerning small opacities, please note whether
the standard radiograph shows appearances consistent with its
designated type, and if not, what type you believe it shows.
(4) For large opacities, please note whether the standard
radiograph shows appearances consistent with its designated stage, and
if not, what stage you believe it shows.
(5) For the composite radiograph showing pleural abnormalities,
please note your concerns with each segment.
(6) For all, please note any problems associated with other factors
that impact its optimal reliability as a standard, indicate their
effect on classification, and suggest a solution for improvement.

References

1. NIOSH [2012]. Chest Radiography: The NIOSH B Reader Program. http://www.cdc.gov/niosh/topics/chestradiography/breader.html.
2. NIOSH [2011]. Chest Radiography: Evaluating Occupational Lung
Disorders. http://www.cdc.gov/niosh/topics/chestradiography/default.html.

[[Page 18429]]

3. ILO [2011]. The ILO International Classification of Radiographs of
Pneumoconioses. http://www.ilo.org/safework/info/WCMS_108548/lang_en/
index.htm.

Dated: March 30, 2015.
John Howard,
Director, National Institute for Occupational Safety and Health,
Centers for Disease Control and Prevention.
[FR Doc. 2015-07814 Filed 4-3-15; 8:45 am]
BILLING CODE 4163-19-P

Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices 18427

group practice; group practice employer the criteria in the law. The form also system. Approximately 60 percent of the
identification number; names and DEA notifies practitioners of Privacy Act certified physicians have consented to
registration numbers of group considerations, and permits disclosure on the SAMHSA
practitioners; purpose of notification practitioners to expressly consent to Buprenorphine Physician Locator.
new, immediate, or renewal; disclose limited information to the Respondents may submit the form
certification of qualifying criteria for SAMHSA Buprenorphine Physician electronically, through a dedicated Web
treatment and management of opiate Locator. page that SAMHSA will establish for the
dependent patients; certification of Since July 2002, SAMHSA has purpose, as well as via U.S. mail.
received over 25,000 notifications and
capacity to refer patients for appropriate There are no changes to the forms and
has certified almost 27,000 physicians.
counseling and other appropriate burden hours.
Fifty-none percent of the notifications
ancillary services; certification of were submitted by mail or by facsimile, The following table summarizes the
maximum patient load, certification to with approximately forty-one percent estimated annual burden for the use of
use only those drug products that meet submitted through the Web based online this form.

Responses Burden per
Number of Total burden
Purpose of submission per response
respondents (hours)
respondent (hour)

Initial Application for Waiver ............................................................................ 1,500 1 .083 125
Notification to Prescribe Immediately .............................................................. 50 1 .083 4
Notice to Treat up to 100 patients ................................................................... 500 1 .040 20

Total .......................................................................................................... 2,050 ........................ ........................ 149

Send comments to Summer King, Radiographs of Pneumoconiosis (ILO Instructions: All information received
SAMHSA Reports Clearance Officer, Classification). The current ILO in response to this notice must include
Room 2–1057, One Choke Cherry Road, Classification depends on 22 standard the agency name and docket number
Rockville, MD 20857 or email her a reference radiographs that are used to (CDC–2015–0008; NIOSH–282). All
copy at summer.king@samhsa.hhs.gov. formally identify and characterize relevant comments received will be
Written comments should be received pneumoconiosis and related pulmonary posted without change to
by June 5, 2015. abnormalities arising from occupational www.regulations.gov, including any
exposure. The original standards were personal information provided. All
Summer King,
based on film radiography, but the electronic comments should be
Statistician. advent of digital radiography has led to formatted as Microsoft Word. For access
[FR Doc. 2015–07727 Filed 4–3–15; 8:45 am] the need for reference standards based to the docket to read background
BILLING CODE 4162–20–P on digitally-acquired images. NIOSH is documents or comments received, go to
assisting the ILO in the process of www.regulations.gov. All information
identifying such digital images. received in response to this notice will
DEPARTMENT OF HEALTH AND also be available for public examination
HUMAN SERVICES For this purpose, NIOSH is requesting
trained users of the ILO Classification and copying at the NIOSH Docket
Centers for Disease Control and (e.g., NIOSH B-Readers [1] and other Office, 1150 Tusculum Avenue, Room
Prevention such experts) to submit comments 155, Cincinnati, OH 45226.
regarding any of the current standard FOR FURTHER INFORMATION CONTACT:
[Docket Number CDC–2015–0008; NIOSH– reference images that are felt to be Michael Attfield, 1095 Willowdale
282] deficient and for which improvements Road, Morgantown, WV 26505–2888,
could be made. The current structure telephone (304) 285–5737 (this is not a
International Labour Office (ILO) and format of the ILO Classification is toll free number).
Reference Radiographs to remain unchanged at the present SUPPLEMENTARY INFORMATION:
AGENCY: National Institute for time. NIOSH is not soliciting comments
on the ILO Classification itself. Table of Contents
Occupational Safety and Health
(NIOSH) of the Centers for Disease Comments received on the ILO • Background
Control and Prevention (CDC), Classification will be considered • Information Needs
Department of Health and Human irrelevant to the purpose of this docket. • References
Services (HHS). DATES:Electronic or written comments Background: Chest radiographs (X-
ACTION: Request for information and must be received by June 5, 2015. Rays) provide critical medical
comment. information for the assessment of the
ADDRESSES: You may submit comments, pneumoconioses and related disorders
SUMMARY: The National Institute for identified by CDC–2015–0008 and in individuals, for example, those
Occupational Safety and Health docket number NIOSH–282, by any of caused by inhaling coal, silica, and
(NIOSH) of the Centers for Disease and the following methods: asbestos dusts [2]. Prior to 1950, the
• Federal eRulemaking Portal: http://
tkelley on DSK4VPTVN1PROD with NOTICES

Prevention is collaborating with the information evident on a radiograph
Labour Inspection, Labour www.regulations.gov. Follow the could only be interpreted qualitatively.
Administration and Occupational Safety instructions for submitting comments. However in 1950, the International
and Health Branch of the International • Mail: National Institute for Labour Office (ILO) established a more
Labour Office (ILO) in developing a set Occupational Safety and Health, NIOSH quantitative system whereby the various
of digital reference radiographs for the Docket Office, 1090 Tusculum Avenue, parenchymal and pleural changes could
ILO International Classification of MS C–34, Cincinnati, OH 45226–1998. be formally recognized and categorized.

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18428 Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices

The quantitative system is not intended employ a light box, as both images to information on perceived problems
for the medical diagnosis of the could now be viewed on the same with the current standards. This docket
pneumoconioses and related computerized image display system is a request for information from
occupational diseases, but has proved alongside that showing the subject’s interested parties on perceived issues
invaluable for the accurate and reliable radiograph, it did not eliminate the with any of the current standards. This
identification and characterization of problems arising from different inherent request in no way involves comment on
such diseases and disorders in many appearances between the original film the structure and content of the ILO
scientific and administrative and the digital test images, since those Classification per se. NIOSH and the
applications, including research into still remained in the digitized versions. ILO will summarize the comments
disease causation, evaluation of risk in Ultimately, the best means to remove received on each of the standard
terms of dust exposure, disease the potentially interfering visual radiographs, and employ that
surveillance, disease prevention, and differences from the comparison information in the derivation of the new
worker compensation. The ILO has between the digitally-acquired chest digital standard reference radiographs.
periodically held meetings of experts radiographic image and the reference Information Needs: NIOSH is seeking
with the intent of improving and image is to select new digitally-acquired additional data and information to
refining the original classification reference images. ensure that generally perceived
scheme. The current edition is the NIOSH is collaborating with and technical issues affecting any of the
International Classification of assisting the ILO in identifying a set of current ILO Classification standard
Radiographs of Pneumoconiosis, 22 digital images, each of which is radiographs are addressed in the
Revised Edition 2011 [3]. intended to mimic as closely as possible development of a set of digital standard
The ILO Classification, as of the 2000 the type and severity of abnormality radiographs. Information is particularly
revision, consists of 22 standard evident on each of the current standard needed for:
reference radiographic films. These films/digitized images. There is no (1) The standard reference title to
films were selected to demonstrate a intention to modify or alter the which your submitted comments apply.
variety of types and severities of lung underlying structure or format of the For small opacities please state ‘small
abnormalities that frequently arise from existing ILO Classification. The final opacities’ and the profusion (0/0, 1/1,
occupational dust exposure. Proper use outcome of this exercise will simply be 2/2, or 3/3, and the type (p/p, q/q, r/r,
of the classification involves a visual an additional set of standard reference s/s, t/t, or u/u, where applicable) for
comparison of the test subject’s X-Ray images, derived from digitally-acquired which you are supplying comments. For
film side-by-side with the standards. images. large opacities please state ‘large
The test subject is assigned the In pursuing this objective both NIOSH
opacities’ and the stage (A, B, C). For
classification pertaining to the standard and the ILO are aware that users of the
pleural abnormalities, please state
radiograph or radiographs to which it is classification may feel that one or more
‘pleural’.
most similar in appearance, i.e., of the existing standard references do
not optimally demonstrate the specified (2) For radiographs concerning small
Category 0/0, 1/1, 2/2, or 3/3; and the
parenchymal or pleural findings. opacities, please note whether the
types p/p, q/q, r/r, s/s, t/t, or u/u, where
Appendix C of the manual that standard radiograph shows appearances
applicable. The person undertaking the
classification, typically a physician accompanies the ILO Classification [2] consistent with its designated profusion,
formally trained in the use of the ILO provides comments on each of the and if not, what profusion you believe
Classification, completes a data entry current standard radiographs. it shows.
sheet where they record their Comments range from issues of quality (3) For radiographs concerning small
classifications of each of the various (e.g., unsharp, overexposed), excluded opacities, please note whether the
abnormalities. In addition, ancillary regions (e.g., costrophenic angles), and standard radiograph shows appearances
information on the quality of the other factors. In addition, there is no consistent with its designated type, and
radiograph and the presence of other category 1/1 s/s standard as there if not, what type you believe it shows.
medical findings is noted. should be. Instead a 1/1 s/t is used. (4) For large opacities, please note
The ILO classification was developed Moreover, only single quadrant views whether the standard radiograph shows
and used for over 50 years solely in are available for all of the u/u type small appearances consistent with its
conjunction with film radiography. In opacity severities when individual full designated stage, and if not, what stage
recent years radiographic technology chest image standards would be better. you believe it shows.
has advanced to digital imaging. This To the extent possible, it is hoped to (5) For the composite radiograph
poses severe problems for the use of the correct these known issues during the showing pleural abnormalities, please
ILO Classification since the test identification of new digital images. note your concerns with each segment.
subject’s image must be viewed on a In addition to the published issues, (6) For all, please note any problems
computer terminal screen while the regular users of the ILO Classification associated with other factors that impact
standards can only be seen on a separate may feel that certain of the standard its optimal reliability as a standard,
film viewing box. This results in the reference radiographs are sub-optimal in indicate their effect on classification,
process being extremely cumbersome, some way or another. For example, and suggest a solution for improvement.
while intrinsic differences in the perhaps the appearances of a particular
References
appearance of film versus digital images standard are generally felt to be at
interfere with the proper assessment of variance with its formally-designated 1. NIOSH [2012]. Chest Radiography:
abnormality. To minimize these degree of abnormality. In addition, there The NIOSH B Reader Program.
tkelley on DSK4VPTVN1PROD with NOTICES

problems, the ILO released a set of may be other factors where there are http://www.cdc.gov/niosh/topics/
digitized images in 2011. These images opportunities for improvement. chestradiography/breader.html.
are digitized views of the existing film NIOSH and the ILO, in selecting the 2. NIOSH [2011]. Chest Radiography:
images, obtained by formally scanning new digital standard images, wish to Evaluating Occupational Lung
each film to a digital file image. correct any technical issues affecting the Disorders. http://www.cdc.gov/
While digitizing the current standard current standard reference radiographs. niosh/topics/chestradiography/
reference films removed the need to To be able to do this, they require access default.html.

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Federal Register / Vol. 80, No. 65 / Monday, April 6, 2015 / Notices 18429

3. ILO [2011]. The ILO International National Prevention, Health Promotion, Dated: March 25, 2015.
Classification of Radiographs of and Public Health Council (the Corinne M. Graffunder,
Pneumoconioses. http:// Council). The Advisory Group provides Designated Federal Officer, Advisory Group
www.ilo.org/safework/info/WCMS_ recommendations and advice to the on Prevention, Health Promotion, and
108548/lang--en/index.htm. Council. Integrative and Public Health, Office of the
Surgeon General.
Dated: March 30, 2015. The Advisory Group was terminated [FR Doc. 2015–07744 Filed 4–3–15; 8:45 am]
John Howard, on September 30, 2012, by E. O. 13591,
BILLING CODE 4163–18–P
Director, National Institute for Occupational dated November 23, 2011. Authority for
Safety and Health, Centers for Disease Control the Advisory Group to be re-established
and Prevention. was given under E. O. 13631, dated DEPARTMENT OF HEALTH AND
[FR Doc. 2015–07814 Filed 4–3–15; 8:45 am] December 7, 2012. Authority for the HUMAN SERVICES
BILLING CODE 4163–19–P Advisory Group to continue to operate
until September 30, 2015 was given National Institutes of Health
under Executive Order 13652, dated
DEPARTMENT OF HEALTH AND Eunice Kennedy Shriver National
September 30, 2013.
HUMAN SERVICES Institute of Child Health and Human
It is authorized for the Advisory Development: Notice of Closed
Meeting of the Advisory Group on Group to consist of not more than 25 Meeting
Prevention, Health Promotion, and non-federal members. The Advisory
Integrative and Public Health Group currently has 21 members who Pursuant to section 10(d) of the
AGENCY: Office of the Surgeon General were appointed by the President. The Federal Advisory Committee Act, as
of the United States Public Health membership includes a diverse group of amended (5 U.S.C. App.), notice is
Service, Office of the Assistant Secretary licensed health professionals, including hereby given of the following meeting.
for Health, Office of the Secretary, integrative health practitioners who The meeting will be closed to the
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preventive medicine; (4) health amended. The grant applications and
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directed towards the Council, the Name of Committee: Eunice Kennedy
Information about the Advisory Group Shriver National Institute of Child Health
and the agenda for this meeting can be Surgeon General, the Administration,
and Human Development Special Emphasis
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Web site: http://www.surgeon Members of the public have the Cytogenetic Disorders.
general.gov/initiatives/prevention/ opportunity to attend the meeting and/ Date: April 30, 2015.
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Agenda: To review and evaluate concept
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Advisory Group is a non-discretionary Research; 93.209, Contraception and
of the public who wish to have Infertility Loan Repayment Program; National
federal advisory committee that was materials distributed to the Advisory Institutes of Health, HHS)
tkelley on DSK4VPTVN1PROD with NOTICES

initially established under Executive Group members at this scheduled
Order 13544, dated June 10, 2010, to Dated: March 31, 2015.
meeting should submit those materials
comply with the statutes under section Michelle Trout,
when they register.
4001 of the Patient Protection and Program Analyst, Office of Federal Advisory
Affordable Care Act, Pub. L. 111–148. Committee Policy.
The Advisory Group was established to [FR Doc. 2015–07742 Filed 4–3–15; 8:45 am]
assist in carrying out the mission of the BILLING CODE 4140–01–P

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Document Created: 2015-12-18 11:17:53
Document Modified: 2015-12-18 11:17:53

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Request for information and comment.
Dates		Electronic or written comments must be received by June 5, 2015.
Contact		Michael Attfield, 1095 Willowdale Road, Morgantown, WV 26505-2888, telephone (304) 285-5737 (this is not a toll free number).
FR Citation		80 FR 18427

80 FR 18427 - International Labour Office (ILO) Reference Radiographs

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 80, Issue 65 (April 6, 2015)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention