80_FR_50799 80 FR 50638 - Collecting On-Farm Antimicrobial Use and Resistance Data; Public Meeting; Request for Comments

80 FR 50638 - Collecting On-Farm Antimicrobial Use and Resistance Data; Public Meeting; Request for Comments

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 161 (August 20, 2015)

Page Range50638-50639
FR Document2015-20557

Federal Register, Volume 80 Issue 161 (Thursday, August 20, 2015)
[Federal Register Volume 80, Number 161 (Thursday, August 20, 2015)]
[Notices]
[Pages 50638-50639]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-20557]



[[Page 50638]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-N-2768]


Collecting On-Farm Antimicrobial Use and Resistance Data; Public 
Meeting; Request for Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public meeting; request for comments.

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

    The Food and Drug Administration (FDA), in collaboration with the 
U.S. Department of Agriculture (USDA) and the Centers for Disease 
Control and Prevention (CDC), is announcing plans for a jointly 
sponsored public meeting to obtain public input on possible approaches 
for collecting additional on-farm antimicrobial drug use and resistance 
data. Such data are important for assessing the impact of measures 
being implemented to foster the judicious use of medically important 
antimicrobial drugs in food-producing animals.
    Date and Time: The public meeting will be held September 30, 2015, 
from 8 a.m. to 4:30 p.m. Although you can comment on the interagency 
plan for collecting on-farm antimicrobial drug use and resistance data 
at any time, to ensure that the Agencies consider your comment before 
updating this plan, submit either electronic or written comments by 
November 30, 2015.
    Location: The public meeting will be held in the USDA Jefferson 
Auditorium (South Building), 1400 Independence Avenue SW., Washington, 
DC 20250. Please arrive between 7 a.m. and 7:30 a.m. to provide time to 
get through security. Attendees must provide a valid government issued 
photo ID (Driver's License, Identification Card, or Passport) to enter 
the facility. Attendees should enter the building via Wing 5 on the 
Independence Avenue side of the building. The South Building is 
accessible by the Smithsonian Metro station (exit Metro station through 
the ``Independence Avenue Exit'' and walk toward 15th Street on 
Independence Avenue to reach Wing 5). For more information on 
directions and parking, visit http://smithsonianassociates.org/ticketing/help/locations/jefferson.htm.
    Contact Person: Kelly Covington, Center for Veterinary Medicine 
(HFV-6), Food and Drug Administration, 7519 Standish Pl., Rockville, MD 
20855, 240-402-5661, FAX: 240-276-9020, email: 
[email protected].
    Registration and Requests for Oral Presentations: Registration is 
required for this public meeting. Please send registration information 
(including name, title, organization, address, telephone and fax 
numbers) by email to [email protected] by September 18, 2015. 
There is no fee to register for the public meeting, and registration 
will be on a first-come, first-served basis. If you need special 
accommodations due to a disability, please contact Kelly Covington (see 
Contact Person) at least 7 days in advance.
    Oral presentations can be made by members of the public during the 
open public comment period of the public meeting. These presentations 
will be scheduled between approximately 3 p.m. and 4 p.m. on September 
30, 2015. Those persons desiring to make an oral presentation should 
notify the contact person listed in this notice by September 16, 2015, 
and submit a brief statement of the general nature of information they 
wish to present. In an effort to accommodate all who desire to speak, 
time allotted for each presentation may be limited. The contact person 
will inform each speaker prior to the meeting of the time they are 
scheduled to speak.
    Comments: Regardless of attendance at the public meeting, 
interested persons may submit either electronic comments to http://www.regulations.gov or written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852, by (see Date and Time). It is only 
necessary to send one set of comments. Identify comments with the 
docket number found in brackets in the heading of this document. 
Received comments may be seen in the Division of Dockets Management 
between 9 a.m. and 4 p.m., Monday through Friday, and will be posted to 
the docket at http://www.regulations.gov.

SUPPLEMENTARY INFORMATION:

I. Background

    Antimicrobial drugs have been widely used in human and veterinary 
medicine for more than 50 years, with tremendous benefits to both human 
and animal health. The development of resistance to this important 
class of drugs, and the resulting loss of their effectiveness as 
antimicrobial therapies, poses a serious threat to public and animal 
health. Because antimicrobial drug use can contribute to the emergence 
of drug-resistant organisms, these important drugs must be used 
judiciously in both animal and human medicine to slow the development 
of resistance.
    In December 2013, FDA published Guidance for Industry (GFI) #213 
(http://www.fda.gov/downloads/AnimalVeterinary/GuidanceComplianceEnforcement/GuidanceforIndustry/UCM299624.pdf), which 
calls on animal drug sponsors of approved medically important 
antimicrobials administered through medicated feed or water to 
voluntarily remove production (growth promotion and feed efficiency) 
uses from their product labels, and bring the remaining therapeutic 
uses of these products (to treat, control, or prevent disease) under 
the oversight of a veterinarian by the end of December 2016. All 25 
affected drug sponsors have committed to implementing the changes 
described in GFI #213 by the December 2016 target date. Once the 
changes are fully implemented, it will be illegal to use these 
medically important antibiotics for production purposes, and animal 
producers will need to obtain authorization from a licensed 
veterinarian to use them for prevention, control, or treatment of a 
specifically identified disease.
    On March 27, 2015, the White House released the National Action 
Plan for Combating Antibiotic-resistant Bacteria (``National Action 
Plan'') (https://www.whitehouse.gov/sites/default/files/docs/national_action_plan_for_combating_antibotic-resistant_bacteria.pdf). 
Developed in response to Executive Order 13676, which was issued by 
President Barack Obama on September 18, 2014, the National Action Plan 
is intended to guide the activities of the U.S. Government as well as 
the actions of public health, health care, and veterinary partners in a 
common effort to address the urgent and serious public health threat of 
drug-resistant bacterial infections. Objective 2.4 of the National 
Action Plan is to enhance monitoring of antibiotic resistance patterns, 
as well as antibiotic sales, usage, and management practices, at 
multiple points in the production chain for food animals and retail 
meat. The public meeting being announced in this Federal Register 
notice is consistent with Sub-Objective 2.4.3 of the National Action 
Plan, which calls for the USDA and FDA to seek public input on a plan 
for collecting drug use and resistance data on farms.
    In April 2015, USDA's Animal and Plant Health Inspection Service 
published an Info Sheet entitled ``Proposed Initiatives From the USDA 
Antimicrobial Resistance Action Plan'' (http://www.aphis.usda.gov/animal_health/nahms/amr/downloads/ProposedInitiatives.pdf). The Info 
Sheet provides a brief synopsis of initiatives

[[Page 50639]]

proposed in the USDA Action plan, including a number of initiatives 
related to collecting on-farm antibiotic use and resistance data.
    Gathering information on the way medically important antimicrobials 
are used in food-producing animals is essential to measuring the impact 
of the FDA's GFI #213. FDA is collaborating with USDA and CDC to 
develop a plan for collecting additional on-farm data on antimicrobial 
use and resistance. Such data are intended to supplement existing 
information, including data on the quantity of antimicrobials sold or 
distributed for use in food-producing animals (reported under section 
105 of the Animal Drug User Fee Amendments of 2008) and data on 
antimicrobial resistance (e.g., collected under the National 
Antimicrobial Resistance Monitoring System and the National Animal 
Health Monitoring System). Data from multiple sources are needed to 
provide a comprehensive and science-based picture of antimicrobial drug 
use and resistance in animal agriculture.
    A data collection plan is needed to obtain additional information 
necessary to: (1) Assess the rate of adoption of changes outlined in 
the FDA's GFI #213; (2) help gauge the success of antibiotic 
stewardship efforts and guide their continued evolution and 
optimization; and (3) assess associations between antibiotic use 
practices and resistance. FDA is continuing to work with the USDA and 
CDC in developing this plan, and is holding this public meeting in 
order to obtain input from the public. This meeting is the first 
opportunity for public input as part of our ongoing effort to develop 
and implement plans for collecting additional on-farm antimicrobial 
drug use and resistance data.

II. Agenda

    The public meeting will provide an opportunity for public comment 
on possible approaches for collecting additional antimicrobial drug use 
data. The final agenda for the public meeting will be made available on 
the Agency's Web site at
    http://www.fda.gov/AnimalVeterinary/NewsEvents/WorkshopsConferencesMeetings/ucm456380.htm no later than 2 weeks prior 
to the meeting.

III. Transcript

    FDA will prepare a meeting transcript and make it available on the 
Agency's Web site (see section II) after the meeting. FDA anticipates 
that the transcript will be available approximately 60 business days 
after the meeting. A copy of the transcript will be available for 
public examination at the Division of Dockets Management (see Comments) 
between 9 a.m. and 4 p.m., Monday through Friday. In addition, copies 
of the transcript will be available in either hardcopy or on CD-ROM 
after submission of a Freedom of Information request. The Freedom of 
Information office address is available on the Agency's Web site at 
http://www.fda.gov.

    Dated: August 14, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-20557 Filed 8-19-15; 8:45 am]
BILLING CODE 4164-01-P



                                              50638                       Federal Register / Vol. 80, No. 161 / Thursday, August 20, 2015 / Notices

                                              DEPARTMENT OF HEALTH AND                                for this public meeting. Please send                     In December 2013, FDA published
                                              HUMAN SERVICES                                          registration information (including                   Guidance for Industry (GFI) #213
                                                                                                      name, title, organization, address,                   (http://www.fda.gov/downloads/
                                              Food and Drug Administration                            telephone and fax numbers) by email to                AnimalVeterinary/
                                              [Docket No. FDA–2015–N–2768]                            Kelly.Covington@fda.hhs.gov by                        GuidanceComplianceEnforcement/
                                                                                                      September 18, 2015. There is no fee to                GuidanceforIndustry/UCM299624.pdf),
                                              Collecting On-Farm Antimicrobial Use                    register for the public meeting, and                  which calls on animal drug sponsors of
                                              and Resistance Data; Public Meeting;                    registration will be on a first-come, first-          approved medically important
                                              Request for Comments                                    served basis. If you need special                     antimicrobials administered through
                                                                                                      accommodations due to a disability,                   medicated feed or water to voluntarily
                                              AGENCY:    Food and Drug Administration,                please contact Kelly Covington (see                   remove production (growth promotion
                                              HHS.                                                    Contact Person) at least 7 days in                    and feed efficiency) uses from their
                                              ACTION: Notice of public meeting;                       advance.                                              product labels, and bring the remaining
                                              request for comments.                                      Oral presentations can be made by                  therapeutic uses of these products (to
                                                                                                      members of the public during the open                 treat, control, or prevent disease) under
                                                 The Food and Drug Administration                                                                           the oversight of a veterinarian by the
                                              (FDA), in collaboration with the U.S.                   public comment period of the public
                                                                                                      meeting. These presentations will be                  end of December 2016. All 25 affected
                                              Department of Agriculture (USDA) and                                                                          drug sponsors have committed to
                                              the Centers for Disease Control and                     scheduled between approximately 3
                                                                                                      p.m. and 4 p.m. on September 30, 2015.                implementing the changes described in
                                              Prevention (CDC), is announcing plans                                                                         GFI #213 by the December 2016 target
                                              for a jointly sponsored public meeting to               Those persons desiring to make an oral
                                                                                                      presentation should notify the contact                date. Once the changes are fully
                                              obtain public input on possible                                                                               implemented, it will be illegal to use
                                              approaches for collecting additional on-                person listed in this notice by
                                                                                                      September 16, 2015, and submit a brief                these medically important antibiotics
                                              farm antimicrobial drug use and                                                                               for production purposes, and animal
                                              resistance data. Such data are important                statement of the general nature of
                                                                                                                                                            producers will need to obtain
                                              for assessing the impact of measures                    information they wish to present. In an
                                                                                                                                                            authorization from a licensed
                                              being implemented to foster the                         effort to accommodate all who desire to
                                                                                                                                                            veterinarian to use them for prevention,
                                              judicious use of medically important                    speak, time allotted for each
                                                                                                                                                            control, or treatment of a specifically
                                              antimicrobial drugs in food-producing                   presentation may be limited. The
                                                                                                                                                            identified disease.
                                              animals.                                                contact person will inform each speaker                  On March 27, 2015, the White House
                                                 Date and Time: The public meeting                    prior to the meeting of the time they are             released the National Action Plan for
                                              will be held September 30, 2015, from                   scheduled to speak.                                   Combating Antibiotic-resistant Bacteria
                                              8 a.m. to 4:30 p.m. Although you can                       Comments: Regardless of attendance                 (‘‘National Action Plan’’) (https://
                                              comment on the interagency plan for                     at the public meeting, interested persons             www.whitehouse.gov/sites/default/files/
                                              collecting on-farm antimicrobial drug                   may submit either electronic comments                 docs/national_action_plan_for_
                                              use and resistance data at any time, to                 to http://www.regulations.gov or written              combating_antibotic-resistant_
                                              ensure that the Agencies consider your                  comments to the Division of Dockets                   bacteria.pdf). Developed in response to
                                              comment before updating this plan,                      Management (HFA–305), Food and Drug                   Executive Order 13676, which was
                                              submit either electronic or written                     Administration, 5630 Fishers Lane, Rm.                issued by President Barack Obama on
                                              comments by November 30, 2015.                          1061, Rockville, MD 20852, by (see Date               September 18, 2014, the National Action
                                                 Location: The public meeting will be                 and Time). It is only necessary to send               Plan is intended to guide the activities
                                              held in the USDA Jefferson Auditorium                   one set of comments. Identify comments                of the U.S. Government as well as the
                                              (South Building), 1400 Independence                     with the docket number found in                       actions of public health, health care,
                                              Avenue SW., Washington, DC 20250.                       brackets in the heading of this                       and veterinary partners in a common
                                              Please arrive between 7 a.m. and 7:30                   document. Received comments may be                    effort to address the urgent and serious
                                              a.m. to provide time to get through                     seen in the Division of Dockets                       public health threat of drug-resistant
                                              security. Attendees must provide a valid                Management between 9 a.m. and 4 p.m.,                 bacterial infections. Objective 2.4 of the
                                              government issued photo ID (Driver’s                    Monday through Friday, and will be                    National Action Plan is to enhance
                                              License, Identification Card, or                        posted to the docket at http://                       monitoring of antibiotic resistance
                                              Passport) to enter the facility. Attendees              www.regulations.gov.                                  patterns, as well as antibiotic sales,
                                              should enter the building via Wing 5 on                                                                       usage, and management practices, at
                                              the Independence Avenue side of the                     SUPPLEMENTARY INFORMATION:                            multiple points in the production chain
                                              building. The South Building is                         I. Background                                         for food animals and retail meat. The
                                              accessible by the Smithsonian Metro                                                                           public meeting being announced in this
                                              station (exit Metro station through the                   Antimicrobial drugs have been widely                Federal Register notice is consistent
                                              ‘‘Independence Avenue Exit’’ and walk                   used in human and veterinary medicine                 with Sub-Objective 2.4.3 of the National
                                              toward 15th Street on Independence                      for more than 50 years, with tremendous               Action Plan, which calls for the USDA
                                              Avenue to reach Wing 5). For more                       benefits to both human and animal                     and FDA to seek public input on a plan
                                              information on directions and parking,                  health. The development of resistance to              for collecting drug use and resistance
                                              visit http://smithsonianassociates.org/                 this important class of drugs, and the                data on farms.
                                              ticketing/help/locations/jefferson.htm.                 resulting loss of their effectiveness as                 In April 2015, USDA’s Animal and
                                                 Contact Person: Kelly Covington,                     antimicrobial therapies, poses a serious              Plant Health Inspection Service
tkelley on DSK3SPTVN1PROD with NOTICES




                                              Center for Veterinary Medicine (HFV–                    threat to public and animal health.                   published an Info Sheet entitled
                                              6), Food and Drug Administration, 7519                  Because antimicrobial drug use can                    ‘‘Proposed Initiatives From the USDA
                                              Standish Pl., Rockville, MD 20855, 240–                 contribute to the emergence of drug-                  Antimicrobial Resistance Action Plan’’
                                              402–5661, FAX: 240–276–9020, email:                     resistant organisms, these important                  (http://www.aphis.usda.gov/animal_
                                              Kelly.Covington@fda.hhs.gov.                            drugs must be used judiciously in both                health/nahms/amr/downloads/
                                                 Registration and Requests for Oral                   animal and human medicine to slow the                 ProposedInitiatives.pdf). The Info Sheet
                                              Presentations: Registration is required                 development of resistance.                            provides a brief synopsis of initiatives


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                                                                          Federal Register / Vol. 80, No. 161 / Thursday, August 20, 2015 / Notices                                          50639

                                              proposed in the USDA Action plan,                       the meeting. A copy of the transcript                 741–8138 (301–443–0572 in the
                                              including a number of initiatives related               will be available for public examination              Washington, DC area). A notice in the
                                              to collecting on-farm antibiotic use and                at the Division of Dockets Management                 Federal Register about last minute
                                              resistance data.                                        (see Comments) between 9 a.m. and 4                   modifications that impact a previously
                                                 Gathering information on the way                     p.m., Monday through Friday. In                       announced advisory committee meeting
                                              medically important antimicrobials are                  addition, copies of the transcript will be            cannot always be published quickly
                                              used in food-producing animals is                       available in either hardcopy or on CD–                enough to provide timely notice.
                                              essential to measuring the impact of the                ROM after submission of a Freedom of                  Therefore, you should always check the
                                              FDA’s GFI #213. FDA is collaborating                    Information request. The Freedom of                   Agency’s Web site at http://
                                              with USDA and CDC to develop a plan                     Information office address is available               www.fda.gov/AdvisoryCommittees/
                                              for collecting additional on-farm data on               on the Agency’s Web site at http://                   default.htm and scroll down to the
                                              antimicrobial use and resistance. Such                  www.fda.gov.                                          appropriate advisory committee meeting
                                              data are intended to supplement                                                                               link, or call the advisory committee
                                                                                                        Dated: August 14, 2015.
                                              existing information, including data on                                                                       information line to learn about possible
                                              the quantity of antimicrobials sold or                  Leslie Kux,
                                                                                                                                                            modifications before coming to the
                                              distributed for use in food-producing                   Associate Commissioner for Policy.                    meeting.
                                              animals (reported under section 105 of                  [FR Doc. 2015–20557 Filed 8–19–15; 8:45 am]              Agenda: The committee will discuss
                                              the Animal Drug User Fee Amendments                     BILLING CODE 4164–01–P                                new drug application (NDA) 207959,
                                              of 2008) and data on antimicrobial                                                                            enclomiphene citrate 12.5 milligram
                                              resistance (e.g., collected under the                                                                         (mg) and 25 mg capsules, submitted by
                                              National Antimicrobial Resistance                       DEPARTMENT OF HEALTH AND                              Repros Therapeutics, Inc., for the
                                              Monitoring System and the National                      HUMAN SERVICES                                        proposed treatment of secondary
                                              Animal Health Monitoring System).                                                                             hypogonadism in fertile men (men with
                                              Data from multiple sources are needed                   Food and Drug Administration                          more than 15 million sperm/milliliter
                                              to provide a comprehensive and                          [Docket No. FDA–2015–N–0001]                          (ml)), younger than 60 years of age with
                                              science-based picture of antimicrobial                                                                        a Body Mass Index (BMI) over 25
                                              drug use and resistance in animal                       Bone, Reproductive, and Urologic                      kilograms (kg)/meters squared (m2).
                                              agriculture.                                            Drugs Advisory Committee; Notice of                      FDA intends to make background
                                                 A data collection plan is needed to                  Meeting                                               material available to the public no later
                                              obtain additional information necessary                                                                       than 2 business days before the meeting.
                                              to: (1) Assess the rate of adoption of                  AGENCY:    Food and Drug Administration,              If FDA is unable to post the background
                                              changes outlined in the FDA’s GFI #213;                 HHS.                                                  material on its Web site prior to the
                                              (2) help gauge the success of antibiotic                ACTION:   Notice.                                     meeting, the background material will
                                              stewardship efforts and guide their                                                                           be made publicly available at the
                                                                                                        This notice announces a forthcoming                 location of the advisory committee
                                              continued evolution and optimization;
                                                                                                      meeting of a public advisory committee                meeting and the background material
                                              and (3) assess associations between
                                                                                                      of the Food and Drug Administration                   will be posted on FDA’s Web site after
                                              antibiotic use practices and resistance.
                                                                                                      (FDA). The meeting will be open to the                the meeting. Background material is
                                              FDA is continuing to work with the
                                                                                                      public.                                               available at http://www.fda.gov/
                                              USDA and CDC in developing this plan,
                                                                                                        Name of Committee: Bone,                            AdvisoryCommittees/Calendar/
                                              and is holding this public meeting in
                                                                                                      Reproductive, and Urologic Drugs                      default.htm. Scroll down to the
                                              order to obtain input from the public.
                                                                                                      Advisory Committee.                                   appropriate advisory committee meeting
                                              This meeting is the first opportunity for
                                                                                                        General Function of the Committee:                  link.
                                              public input as part of our ongoing
                                                                                                      To provide advice and                                    Procedure: Interested persons may
                                              effort to develop and implement plans
                                                                                                      recommendations to the Agency on                      present data, information, or views,
                                              for collecting additional on-farm
                                                                                                      FDA’s regulatory issues.                              orally or in writing, on issues pending
                                              antimicrobial drug use and resistance
                                                                                                        Date and Time: The meeting will be                  before the committee. Written
                                              data.
                                                                                                      held on November 3, 2015, from 8:30                   submissions may be made to the contact
                                              II. Agenda                                              a.m. to 5 p.m.                                        person on or before October 20, 2015.
                                                 The public meeting will provide an                     Location: FDA White Oak Campus,                     Oral presentations from the public will
                                              opportunity for public comment on                       10903 New Hampshire Ave., Bldg. 31                    be scheduled between approximately 1
                                              possible approaches for collecting                      Conference Center, the Great Room (rm.                p.m. and 2 p.m. Those individuals
                                              additional antimicrobial drug use data.                 1503), Silver Spring, MD 20993–0002.                  interested in making formal oral
                                              The final agenda for the public meeting                 Answers to commonly asked questions                   presentations should notify the contact
                                              will be made available on the Agency’s                  including information regarding special               person and submit a brief statement of
                                              Web site at                                             accommodations due to a disability,                   the general nature of the evidence or
                                                 http://www.fda.gov/                                  visitor parking, and transportation may               arguments they wish to present, the
                                              AnimalVeterinary/NewsEvents/                            be accessed at: http://www.fda.gov/                   names and addresses of proposed
                                              WorkshopsConferencesMeetings/                           AdvisoryCommittees/                                   participants, and an indication of the
                                              ucm456380.htm no later than 2 weeks                     AboutAdvisoryCommittees/                              approximate time requested to make
                                              prior to the meeting.                                   ucm408555.htm.                                        their presentation on or before October
                                                                                                        Contact Person: Kalyani Bhatt, Center               9, 2015. Time allotted for each
                                              III. Transcript
tkelley on DSK3SPTVN1PROD with NOTICES




                                                                                                      for Drug Evaluation and Research, Food                presentation may be limited. If the
                                                 FDA will prepare a meeting transcript                and Drug Administration, 10903 New                    number of registrants requesting to
                                              and make it available on the Agency’s                   Hampshire Ave., Bldg. 31, Rm. 2417,                   speak is greater than can be reasonably
                                              Web site (see section II) after the                     Silver Spring, MD 20993–0002, 301–                    accommodated during the scheduled
                                              meeting. FDA anticipates that the                       796–9001, FAX: 301–847–8533, email:                   open public hearing session, FDA may
                                              transcript will be available                            BRUDAC@fda.hhs.gov, or FDA Advisory                   conduct a lottery to determine the
                                              approximately 60 business days after                    Committee Information Line, 1–800–                    speakers for the scheduled open public


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Document Created: 2015-12-15 11:08:27
Document Modified: 2015-12-15 11:08:27
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of public meeting; request for comments.
FR Citation80 FR 50638 

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