81 FR 19108 - World Trade Center Health Program; Petition 010-Peripheral Neuropathy; Finding of Insufficient Evidence
DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Register Volume 81, Issue 64 (April 4, 2016)
Federal Register Volume 81, Issue 64 (April 4, 2016)
| Page Range | 19108-19110 | |
| FR Document | 2016-07567 |
[Federal Register Volume 81, Number 64 (Monday, April 4, 2016)] [Proposed Rules] [Pages 19108-19110] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-07567] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES 42 CFR Part 88 [NIOSH Docket 094] World Trade Center Health Program; Petition 010--Peripheral Neuropathy; Finding of Insufficient Evidence AGENCY: Centers for Disease Control and Prevention, HHS. ACTION: Denial of petition for addition of a health condition. ----------------------------------------------------------------------- SUMMARY: On January 5, 2016, the Administrator of the World Trade Center (WTC) Health Program received a petition (Petition 010) to add peripheral neuropathy to the List of WTC-Related Health Conditions (List). Upon reviewing the scientific and medical literature, including information provided by the petitioner, the Administrator has determined that the available evidence does not have the potential to provide a basis for a decision on whether to add peripheral neuropathy to the List. The Administrator finds that insufficient evidence exists to request a recommendation of the WTC Health Program Scientific/ Technical Advisory Committee (STAC), to publish a proposed rule, or to publish a determination not to publish a proposed rule. DATES: The Administrator of the WTC Health Program is denying this petition for the addition of a health condition as of April 4, 2016. FOR FURTHER INFORMATION CONTACT: Rachel Weiss, Program Analyst, 1090 Tusculum Avenue, MS: C-46, Cincinnati, OH 45226; telephone (855) 818- 1629 (this is a toll-free number); email [email protected]. SUPPLEMENTARY INFORMATION: Table of Contents A. WTC Health Program Statutory Authority B. Approval to Submit Document to the Office of the Federal Register C. Petition 010 D. Administrator's Determination on Petition 010 A. WTC Health Program Statutory Authority Title I of the James Zadroga 9/11 Health and Compensation Act of 2010 (Zadroga Act) Public Law 111-347, as amended by Public Law 114- 113, added Title XXXIII to the Public Health Service Act (PHS Act) \1\ establishing the WTC Health Program within the Department of Health and Human Services (HHS). The WTC Health Program provides medical monitoring and treatment benefits to eligible firefighters and related personnel, law enforcement officers, and rescue, recovery, and cleanup workers who responded to the September 11, 2001, terrorist attacks in New York City, at the Pentagon, and in Shanksville, [[Page 19109]] Pennsylvania (responders), and to eligible persons who were present in the dust or dust cloud on September 11, 2001 or who worked, resided, or attended school, childcare, or adult daycare in the New York City disaster area (survivors). --------------------------------------------------------------------------- \1\ Title XXXIII of the PHS Act is codified at 42 U.S.C. 300mm to 300mm-61. Those portions of the Zadroga Act found in Titles II and III of Public Law 111-347 do not pertain to the WTC Health Program and are codified elsewhere. --------------------------------------------------------------------------- All references to the Administrator of the WTC Health Program (Administrator) in this notice mean the Director of the National Institute for Occupational Safety and Health (NIOSH) or his or her designee. Pursuant to section 3312(a)(6)(B) of the PHS Act, interested parties may petition the Administrator to add a health condition to the List in 42 CFR 88.1. After receipt of a petition to add a condition to the List, the Administrator must take one of the following four actions described in PHS Act, section 3312(a)(6)(B) and 42 CFR 88.17: (i) Request a recommendation of the STAC; (ii) publish a proposed rule in the Federal Register to add such health condition; (iii) publish in the Federal Register the Administrator's determination not to publish such a proposed rule and the basis for such determination; or (iv) publish in the Federal Register a determination that insufficient evidence exists to take action under (i) through (iii) above. B. Approval To Submit Document to the Office of the Federal Register The Secretary, HHS, or her designee, the Director, Centers for Disease Control and Prevention (CDC) and Administrator, Agency for Toxic Substances and Disease Registry (ATSDR), authorized the undersigned, the Administrator of the WTC Health Program, to sign and submit the document to the Office of the Federal Register for publication as an official document of the WTC Health Program. Thomas R. Frieden, M.D., M.P.H., Director, CDC, and Administrator, ATSDR, approved this document on March 24, 2016, for publication. C. Petition 010 On January 5, 2016, the Administrator received a petition to add ``peripheral neuropathy'' to the List (Petition 010).\2\ The petition was submitted by a Fire Department of New York member who responded to the September 11, 2001, terrorist attacks in New York City. The petitioner indicated that he was diagnosed with peripheral neuropathy shortly after the incident. The petitioner described two studies as the medical basis for his petition: A study of the short-term effects of WTC dust on the sciatic nerve of laboratory rats, and another concerning neuropathic symptoms in WTC responders and survivors. Both studies, as well as an initial literature search conducted by the WTC Health Program, are described below. --------------------------------------------------------------------------- \2\ See Petition 010, WTC Health Program: Petitions Received. http://www.cdc.gov/wtc/received.html. --------------------------------------------------------------------------- D. Administrator's Determination on Petition 010 The Administrator has established a policy for evaluating whether to add non-cancer health conditions to the List of WTC-Related Health Conditions, published online in the Policies and Procedures section of the WTC Health Program Web site.\3\ In accordance with the policy, the Administrator directs the WTC Health Program to conduct a review of the scientific literature to determine if the available scientific information has the potential to provide a basis for a decision on whether to add the condition to the List. The literature review includes published, peer-reviewed epidemiologic studies (including direct observational studies in the case of health conditions such as injuries) about the health condition among 9/11-exposed populations. The studies are reviewed for their relevance, quantity, and quality to provide a basis for deciding whether to propose adding the health condition to the List. Where the available evidence has the potential to provide a basis for a decision, the scientific and medical evidence is further assessed to determine whether a causal relationship between 9/11 exposures and the health condition is supported. A health condition may be added to the List if published, peer-reviewed, direct observational or epidemiologic studies, as appropriate, provide substantial support \4\ for a causal relationship between 9/11 exposures and the health condition in 9/11-exposed populations. If the evidence assessment provides only modest support \5\ for a causal relationship between 9/11 exposures and the health condition, the Administrator may then evaluate additional published, peer-reviewed, epidemiologic studies, conducted among non-9/11-exposed populations, evaluating associations between the health condition of interest and 9/ 11 agents.\6\ If that additional assessment establishes substantial support for a causal relationship between a 9/11 agent or agents and the health condition, the health condition may be added to the List. --------------------------------------------------------------------------- \3\ John Howard MD, Administrator of the WTC Health Program, Policy and Procedures for Adding Non-Cancer Conditions to the List of WTC-Related Health Conditions, October 21, 2014. http://www.cdc.gov/wtc/pdfs/WTCHP_PP_Adding_NonCancers_21_Oct_2014.pdf. \4\ The substantial evidence standard is met when the Program assesses all of the available, relevant information and determines with high confidence that the evidence supports its findings regarding a causal association between the 9/11 exposure(s) and the health condition. \5\ The modest evidence standard is met when the Program assesses all of the available, relevant information and determines with moderate confidence that the evidence supports its findings regarding a causal association between the 9/11 exposure(s) and the health condition. \6\ 9/11 agents are chemical, physical, biological, or other agents or hazards reported in a published, peer-reviewed exposure assessment study of responders or survivors who were present in the New York City disaster area, at the Pentagon site, or at the Shanksville, Pennsylvania site, as those locations are defined in 42 CFR 88.1. --------------------------------------------------------------------------- In accordance with section 3312(a)(6)(B) of the PHS Act, 42 CFR 88.17, and the policy for the addition of non-cancer health conditions to the List, the Administrator reviewed the evidence presented in Petition 010. The WTC Health Program conducted a systematic literature search of the published scientific and medical literature \7\ for evidence of a causal relationship between 9/11 exposures and peripheral neuropathy and reviewed both studies submitted in the petition. --------------------------------------------------------------------------- \7\ Databases searched include: PubMed, Health & Safety Science Abstracts, Toxicology Abstracts, Toxline, Scopus, Embase, and NIOSHTIC-2. --------------------------------------------------------------------------- The first study cited by the petitioner, ``Analysis of Short-Term Effects of World Trade Center Dust on Rat Sciatic Nerve,'' by Stecker et al.\8\ investigated the short-term effects of WTC dust on the sciatic nerve in laboratory rats. This study was not identified in the literature search. Because this study does not meet the policy's requirement that the decision to add a health condition to the List must be based on epidemiologic studies of 9/11-exposed populations, it was not further considered. --------------------------------------------------------------------------- \8\ Mark Stecker, Jacqueline Segelnick, Marc Wilkenfeld, Analysis of Short-Term Effects of World Trade Center Dust on Rat Sciatic Nerve, JOEM 56(10):1024-1028, October 2014. --------------------------------------------------------------------------- The systematic literature search identified only one epidemiologic study regarding peripheral neuropathy in 9/11-exposed populations, which was the second study cited by the petitioner, ``Neuropathic Symptoms in World Trade Center Disaster Survivors and Responders,'' by Wilkenfeld et al.\9\ Upon review of the study's relevance, quantity, and quality, the paper was found to have numerous limitations, including a small sample size; exclusive use of subjective self- reported outcome and exposure data; lack of information about comparability among the groups; [[Page 19110]] lack of objective measurements to confirm the presence of peripheral neuropathy; and absence of control for key confounders other than the comorbidities studied. Each of these limitations affect the strength of the study results, and thus the Wilkenfeld et al. study is not sufficient to provide the Administrator with a potential basis for deciding whether to propose adding peripheral neuropathy to the List. --------------------------------------------------------------------------- \9\ Marc Wilkenfeld, Melissa Fazzari, Jacqueline Segelnick, and Mark Stecker, Neuropathic Symptoms in World Trade Center Disaster Survivors and Responders, JOEM 58(1):83-86, January 2016. --------------------------------------------------------------------------- Due to the substantial limitations inherent in the only available study, the Administrator has concluded that the available evidence does not have the potential to provide a basis for a decision on whether to add peripheral neuropathy to the List. The findings described above led the Administrator to determine that insufficient evidence exists to take further action, including either proposing the addition of peripheral neuropathy to the List (pursuant to PHS Act, sec. 3312(a)(6)(B)(ii) and 42 CFR 88.17(a)(2)(ii)) or publishing a determination not to publish a proposed rule in the Federal Register (pursuant to PHS Act, sec. 3312(a)(6)(B)(iii) and 42 CFR 88.17(a)(2)(iii)). The Administrator has also determined that requesting a recommendation from the STAC (pursuant to PHS Act, sec. 3312(a)(6)(B)(i) and 42 CFR 88.17(a)(2)(i)) is unwarranted. For the reasons discussed above, the request made in Petition 010 to add peripheral neuropathy to the List of WTC-Related Health Conditions is denied. Dated: March 28, 2016. John Howard, Administrator, World Trade Center Health Program and Director, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Department of Health and Human Services. [FR Doc. 2016-07567 Filed 4-1-16; 8:45 am] BILLING CODE 4163-18-P
![19108 Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Proposed Rules
SIP submission notes that the following • does not contain any unfunded ACTION: Denial of petition for addition of
State regulations and State statutes mandate or significantly or uniquely a health condition.
provide the Commonwealth the affect small governments, as described
authority to meet the requirements of in the Unfunded Mandates Reform Act SUMMARY: On January 5, 2016, the
this element: 401 KAR 50:066. of 1995 (Pub. L. 104–4); Administrator of the World Trade
Conformity of transportation plans, • does not have Federalism Center (WTC) Health Program received
programs, and projects; 401 KAR implications as specified in Executive a petition (Petition 010) to add
52:100. Public, Affected State, and US Order 13132 (64 FR 43255, August 10, peripheral neuropathy to the List of
EPA Review; and KRS Chapter 77. Air 1999); WTC-Related Health Conditions (List).
Pollution Control. EPA has made the • is not an economically significant Upon reviewing the scientific and
preliminary determination that regulatory action based on health or medical literature, including
Kentucky’s SIP and practices adequately safety risks subject to Executive Order information provided by the petitioner,
demonstrate consultation with affected 13045 (62 FR 19885, April 23, 1997); the Administrator has determined that
local entities related to the 2010 1-hour • is not a significant regulatory action the available evidence does not have the
SO2 NAAQS when necessary. subject to Executive Order 13211 (66 FR potential to provide a basis for a
28355, May 22, 2001); decision on whether to add peripheral
V. Proposed Action • is not subject to requirements of neuropathy to the List. The
With the exception of interstate Section 12(d) of the National Administrator finds that insufficient
transport provisions pertaining to the Technology Transfer and Advancement evidence exists to request a
contribution to nonattainment or Act of 1995 (15 U.S.C. 272 note) because recommendation of the WTC Health
interference with maintenance in other application of those requirements would Program Scientific/Technical Advisory
states and visibility protection be inconsistent with the CAA; and Committee (STAC), to publish a
requirements of section 110(a)(2)(D)(i)(I) • does not provide EPA with the proposed rule, or to publish a
and (II) (prongs 1, 2, and 4) and the discretionary authority to address, as determination not to publish a proposed
minor source program requirements of appropriate, disproportionate human rule.
section 110(a)(2)(C), EPA is proposing to health or environmental effects, using DATES: The Administrator of the WTC
approve Kentucky’s April 26, 2013, practicable and legally permissible Health Program is denying this petition
infrastructure SIP submission for the methods, under Executive Order 12898 for the addition of a health condition as
2010 1-hour SO2 NAAQS for the above (59 FR 7629, February 16, 1994). of April 4, 2016.
described infrastructure SIP In addition, the SIP is not approved FOR FURTHER INFORMATION CONTACT:
requirements. EPA is proposing to to apply on any Indian reservation land Rachel Weiss, Program Analyst, 1090
approve these portions of Kentucky’s or in any other area where EPA or an Tusculum Avenue, MS: C–46,
infrastructure SIP submission for the Indian tribe has demonstrated that a Cincinnati, OH 45226; telephone (855)
2010 1-hour SO2 NAAQS because these tribe has jurisdiction. In those areas of 818–1629 (this is a toll-free number);
aspects of the submission are consistent Indian country, the rule does not have email NIOSHregs@cdc.gov.
with section 110 of the CAA. tribal implications as specified by SUPPLEMENTARY INFORMATION:
Executive Order 13175 (65 FR 67249,
VI. Statutory and Executive Order November 9, 2000), nor will it impose Table of Contents
Reviews substantial direct costs on tribal A. WTC Health Program Statutory Authority
Under the CAA, the Administrator is governments or preempt tribal law. B. Approval to Submit Document to the
required to approve a SIP submission Office of the Federal Register
List of Subjects in 40 CFR Part 52 C. Petition 010
that complies with the provisions of the D. Administrator’s Determination on Petition
Act and applicable Federal regulations. Environmental protection, Air
pollution control, Incorporation by 010
See 42 U.S.C. 7410(k); 40 CFR 52.02(a).
Thus, in reviewing SIP submissions, reference, Intergovernmental relations, A. WTC Health Program Statutory
EPA’s role is to approve state choices, Nitrogen dioxide, Ozone, Reporting and Authority
provided that they meet the criteria of recordkeeping requirements, Volatile
Title I of the James Zadroga 9/11
the CAA. Accordingly, this proposed organic compounds.
Health and Compensation Act of 2010
action merely approves state law as Authority: 42 U.S.C. 7401 et seq. (Zadroga Act) Public Law 111–347, as
meeting federal requirements and does Dated: March 25, 2016. amended by Public Law 114–113, added
not impose additional requirements Heather McTeer Toney, Title XXXIII to the Public Health
beyond those imposed by state law. For Regional Administrator, Region 4. Service Act (PHS Act) 1 establishing the
that reason, this proposed action: WTC Health Program within the
[FR Doc. 2016–07644 Filed 4–1–16; 8:45 am]
• Is not a significant regulatory action Department of Health and Human
BILLING CODE 6560–50–P
subject to review by the Office of Services (HHS). The WTC Health
Management and Budget under Program provides medical monitoring
Executive Orders 12866 (58 FR 51735, and treatment benefits to eligible
October 4, 1993) and 13563 (76 FR 3821, DEPARTMENT OF HEALTH AND firefighters and related personnel, law
January 21, 2011); HUMAN SERVICES enforcement officers, and rescue,
• does not impose an information recovery, and cleanup workers who
mstockstill on DSK4VPTVN1PROD with PROPOSALS
42 CFR Part 88
collection burden under the provisions responded to the September 11, 2001,
of the Paperwork Reduction Act (44 [NIOSH Docket 094] terrorist attacks in New York City, at the
U.S.C. 3501 et seq.); Pentagon, and in Shanksville,
World Trade Center Health Program;
• is certified as not having a
Petition 010—Peripheral Neuropathy; 1 Title XXXIII of the PHS Act is codified at 42
significant economic impact on a
Finding of Insufficient Evidence U.S.C. 300mm to 300mm–61. Those portions of the
substantial number of small entities Zadroga Act found in Titles II and III of Public Law
under the Regulatory Flexibility Act (5 AGENCY: Centers for Disease Control and 111–347 do not pertain to the WTC Health Program
U.S.C. 601 et seq.); Prevention, HHS. and are codified elsewhere.
VerDate Sep<11>2014 18:23 Apr 01, 2016 Jkt 238001 PO 00000 Frm 00049 Fmt 4702 Sfmt 4702 E:\FR\FM\04APP1.SGM 04APP1](https://thefederalregister.org/doc/81_FR_19172/page/1.svg)
![19110 Federal Register / Vol. 81, No. 64 / Monday, April 4, 2016 / Proposed Rules
lack of objective measurements to SUMMARY: On February 8, 2016, the SUPPLEMENTARY INFORMATION:
confirm the presence of peripheral Bureau of Land Management (BLM)
Public Comment Procedures
neuropathy; and absence of control for published in the Federal Register a
key confounders other than the proposed rule that would reduce waste If you wish to comment, you may
comorbidities studied. Each of these of natural gas from venting, flaring, and submit your comments by any one of
limitations affect the strength of the leaks during oil and natural gas the methods listed in the ADDRESSES
study results, and thus the Wilkenfeld et production activities on onshore Federal section above. Please make your
al. study is not sufficient to provide the and Indian leases. The proposed rule comments as specific as possible by
Administrator with a potential basis for would also clarify when produced gas confining them to issues directly related
deciding whether to propose adding lost through venting, flaring, or leaks is to the content of the proposed rule, and
peripheral neuropathy to the List. subject to royalties, and when oil and explain the basis for your comments.
Due to the substantial limitations gas production used on site would be The comments and recommendations
inherent in the only available study, the royalty-free. The proposed rule would that will be most useful and likely to
Administrator has concluded that the replace existing provisions related to influence agency decisions are:
available evidence does not have the venting, flaring, and royalty-free use of 1. Those supported by quantitative
potential to provide a basis for a gas contained in the 1980 Notice to information or studies; and
decision on whether to add peripheral Lessees and Operators of Onshore 2. Those that include citations to, and
neuropathy to the List. Federal and Indian Oil and Gas Leases, analyses of, the applicable laws and
The findings described above led the Royalty or Compensation for Oil and regulations.
Administrator to determine that Gas Lost (NTL–4A), which is over 3 The BLM is not obligated to consider
insufficient evidence exists to take decades old. Today’s Federal Register or include in the Administrative Record
further action, including either Notice extends the public comment for the rule comments received after the
proposing the addition of peripheral period for 14 days beyond the initial close of the comment period (see DATES)
neuropathy to the List (pursuant to PHS comment period deadline. or comments delivered to an address
Act, sec. 3312(a)(6)(B)(ii) and 42 CFR DATES: The comment period for the
other than those listed above (see
ADDRESSES).
88.17(a)(2)(ii)) or publishing a proposed rule published on February 8,
Comments, including names and
determination not to publish a proposed 2016 (81 FR 6616) is extended. Send
street addresses of respondents, will be
rule in the Federal Register (pursuant to your comments on this proposed rule to
available for public review at the
PHS Act, sec. 3312(a)(6)(B)(iii) and 42 the BLM on or before April 22, 2016.
address listed under ADDRESSES during
CFR 88.17(a)(2)(iii)). The Administrator The BLM need not consider, or include
regular hours (7:45 a.m. to 4:15 p.m.),
has also determined that requesting a in the administrative record for the final
Monday through Friday, except
recommendation from the STAC rule, comments that the BLM receives
holidays.
(pursuant to PHS Act, sec. after the close of the comment period or Before including your address,
3312(a)(6)(B)(i) and 42 CFR comments delivered to an address other telephone number, email address, or
88.17(a)(2)(i)) is unwarranted. than those listed below (see ADDRESSES). other personal identifying information
For the reasons discussed above, the ADDRESSES: Mail: U.S. Department of in your comment, be advised that your
request made in Petition 010 to add the Interior, Director (630), Bureau of entire comment—including your
peripheral neuropathy to the List of Land Management, Mail Stop 2134 LM, personal identifying information—may
WTC-Related Health Conditions is 1849 C St. NW., Washington, DC 20240, be made publicly available at any time.
denied. Attention: 1004–AE14. Personal or While you can ask in your comment to
Dated: March 28, 2016. messenger delivery: Bureau of Land withhold from public review your
John Howard, Management, 20 M Street SE., Room personal identifying information, we
Administrator, World Trade Center Health
2134 LM, Attention: Regulatory Affairs, cannot guarantee that we will be able to
Program and Director, National Institute for Washington, DC 20003. Federal do so.
Occupational Safety and Health, Centers for eRulemaking Portal: http://
Disease Control and Prevention, Department www.regulations.gov. Follow the Background
of Health and Human Services. instructions at this Web site. The proposed rule was published on
[FR Doc. 2016–07567 Filed 4–1–16; 8:45 am] FOR FURTHER INFORMATION CONTACT: Eric February 8, 2016 (81 FR 6616), with a
BILLING CODE 4163–18–P Jones at the BLM Moab Field Office, 82 60-day comment period closing on April
East Dogwood Ave., Moab, UT 84532, or 8, 2016. Since publication, the BLM has
by telephone at 435–259–2117; or received requests to extend the
DEPARTMENT OF THE INTERIOR Timothy Spisak at the BLM Washington comment period on the proposed rule,
Office, 20 M Street SE., Room 2134LM, as well as requests not to extend the
Bureau of Land Management Washington, DC 20003, or by telephone comment period. Commenters
at 202–912–7311. For questions relating requesting an extension cited the
43 CFR Parts 3100, 3160, and 3170 to regulatory process issues, please technical nature and complexity of the
[15X.LLWO300000.L13100000.NB0000]
contact Faith Bremner, BLM proposed rule; its potential interaction
Washington Office, at 202–912–7441. with the BLM’s proposals to update and
RIN 1004–AE14 Persons who use a telecommunications replace oil and gas production
device for the deaf (TDD) may call the measurement rules currently found in
mstockstill on DSK4VPTVN1PROD with PROPOSALS
Waste Prevention, Production Subject Federal Information Relay Service Onshore Orders 3, 4, and 5; and the
to Royalties, and Resource (FIRS) at 1–800–877–8339 to contact the Environmental Protection Agency’s
Conservation above individuals during normal proposed rule to establish standards for
AGENCY: Bureau of Land Management, business hours. FIRS is available 24 control of emissions of methane and
Interior. hours a day, 7 days a week to leave a volatile organic compounds (VOCs)
message or question with the above from certain oil and gas production
ACTION: Proposed rule; extension of
individuals. You will receive a reply activities, which would be codified as
public comment period.
during normal business hours. 40 CFR part 60 subpart OOOOa.
VerDate Sep<11>2014 18:23 Apr 01, 2016 Jkt 238001 PO 00000 Frm 00051 Fmt 4702 Sfmt 4702 E:\FR\FM\04APP1.SGM 04APP1](https://thefederalregister.org/doc/81_FR_19172/page/3.svg)
Document Created: 2016-04-02 03:54:34
Document Modified: 2016-04-02 03:54:34
| 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 | Proposed Rules | |
| Action | Denial of petition for addition of a health condition. | |
| Dates | The Administrator of the WTC Health Program is denying this petition for the addition of a health condition as of April 4, 2016. | |
| Contact | Rachel Weiss, Program Analyst, 1090 Tusculum Avenue, MS: C-46, Cincinnati, OH 45226; telephone (855) 818- 1629 (this is a toll-free number); email [email protected] | |
| FR Citation | 81 FR 19108 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR