81_FR_30405 81 FR 30311 - Postmarket Surveillance Under Section 522 of the Federal Food, Drug, and Cosmetic Act; Guidance for Industry and Food and Drug Administration Staff; Availability

81 FR 30311 - Postmarket Surveillance Under Section 522 of the Federal Food, Drug, and Cosmetic Act; Guidance for Industry and Food and Drug Administration Staff; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 94 (May 16, 2016)

Page Range30311-30312
FR Document2016-11450

The Food and Drug Administration (FDA or Agency) is announcing the availability of the guidance entitled ``Postmarket Surveillance Under Section 522 of the Federal Food, Drug, and Cosmetic Act.'' This guidance is intended to assist manufacturers of devices subject to section 522 postmarket surveillance orders by providing an overview of the Federal Food, Drug, and Cosmetic Act (the FD&C Act), information on how to fulfill section 522 obligations, and recommendations on the format, content, and review of postmarket surveillance plan submissions.

Federal Register, Volume 81 Issue 94 (Monday, May 16, 2016)
[Federal Register Volume 81, Number 94 (Monday, May 16, 2016)]
[Notices]
[Pages 30311-30312]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-11450]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2011-D-0514]


Postmarket Surveillance Under Section 522 of the Federal Food, 
Drug, and Cosmetic Act; Guidance for Industry and Food and Drug 
Administration Staff; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of the guidance entitled ``Postmarket Surveillance 
Under Section 522 of the Federal Food, Drug, and Cosmetic Act.'' This 
guidance is intended to assist manufacturers of devices subject to 
section 522 postmarket surveillance orders by providing an overview of 
the Federal Food, Drug, and Cosmetic Act (the FD&C Act), information on 
how to fulfill section 522 obligations, and recommendations on the 
format, content, and review of postmarket surveillance plan 
submissions.

DATES: Submit either electronic or written comments on this guidance at 
any time. General comments on Agency guidance documents are welcome at 
any time.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to http://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on http://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the

[[Page 30312]]

manner detailed (see ``Written/Paper Submissions'' and 
``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2011-D-0514 for ``Postmarket Surveillance Under Section 522 of the 
Federal Food, Drug, and Cosmetic Act.'' Received comments will be 
placed in the docket and, except for those submitted as ``Confidential 
Submissions,'' publicly viewable at http://www.regulations.gov or at 
the Division of Dockets Management between 9 a.m. and 4 p.m., Monday 
through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to http://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.
    Submit written requests for single copies of the guidance to the 
Office of the Center Director, Guidance and Policy Development, Center 
for Devices and Radiological Health, Food and Drug Administration, 
10903 New Hampshire Ave., Bldg. 66, Rm. 5431, Silver Spring, MD 20993-
0002. Send one self-addressed adhesive label to assist that office in 
processing your request. The guidance may also be obtained by mail by 
calling CBER at 1-800-835-4709 or 240-402-8010. See the SUPPLEMENTARY 
INFORMATION section for information on electronic access to the 
guidance.

FOR FURTHER INFORMATION CONTACT: Nicole Jones, Associate Director 
Program Operations, Center for Devices and Radiological Health, Food 
and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 4108, 
Silver Spring, MD 20993-0002, 301-796-6062.

SUPPLEMENTARY INFORMATION:

I. Background

    Section 522 of the FD&C Act (21 U.S.C. 360l) provides FDA with the 
authority to require manufacturers to conduct postmarket surveillance 
of certain class II or class III devices. This guidance is intended to 
assist manufacturers of devices subject to section 522 postmarket 
surveillance orders by providing an overview of section 522 of the FD&C 
Act, information on how to fulfill section 522 obligations, and 
recommendations on the format, content, and review of postmarket 
surveillance plan submissions.
    FDA issued the draft of this guidance, originally entitled ``Draft 
Guidance for Industry and Food and Drug Administration Staff; 
Procedures for Handling Section 522 Postmarket Surveillance Studies,'' 
on August 16, 2011 (76 FR 50740). The comment period ended on November 
14, 2011.
    This document supersedes the guidance entitled, ``Guidance for 
Industry and FDA Staff; Postmarket Surveillance under Section 522 of 
the Federal Food, Drug, and Cosmetic Act,'' dated April 27, 2006.

II. Significance of Guidance

    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
current thinking of FDA on postmarket surveillance under section 522 of 
the FD&C Act. It does not establish any rights for any person and is 
not binding on FDA or the public. You can use an alternative approach 
if it satisfies the requirements of the applicable statutes and 
regulations.

III. Electronic Access

    Persons interested in obtaining a copy of the guidance may do so by 
downloading an electronic copy from the Internet. A search capability 
for all Center for Devices and Radiological Health guidance documents 
is available at http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/default.htm. Guidance 
documents are also available at http://www.regulations.gov. Persons 
unable to download an electronic copy of ``Postmarket Surveillance 
Under Section 522 of the Federal Food, Drug, and Cosmetic Act'' may 
send an email request to [email protected] to receive an 
electronic copy of the document. Please use the document number 1754 to 
identify the guidance you are requesting.

IV. Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information found in FDA regulations. These collections of information 
are subject to review by the Office of Management and Budget (OMB) 
under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The 
collections of information in 21 CFR part 822 have been approved under 
0910-0449.

    Dated: May 10, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-11450 Filed 5-13-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                    Federal Register / Vol. 81, No. 94 / Monday, May 16, 2016 / Notices                                               30311

                                                    your requests. See the SUPPLEMENTARY                    received several comments from the                    DEPARTMENT OF HEALTH AND
                                                    INFORMATION section for electronic                      pharmaceutical industry and others. We                HUMAN SERVICES
                                                    access to the guidance document.                        have carefully considered the comments
                                                    FOR FURTHER INFORMATION CONTACT:                        and have made the following changes in                Food and Drug Administration
                                                    Elizabeth Hausner, Center for Drug                      response to the comments: (1) Changed                 [Docket No. FDA–2011–D–0514]
                                                    Evaluation and Research, Food and                       the title of the guidance to
                                                    Drug Administration, 10903 New                          ‘‘Considerations for Use of                           Postmarket Surveillance Under Section
                                                    Hampshire Ave., Bldg. 22, Rm. 4145,                     Histopathology and Its Associated                     522 of the Federal Food, Drug, and
                                                    Silver Spring, MD 20993–0002, 301–                      Methodologies to Support Biomarker                    Cosmetic Act; Guidance for Industry
                                                    796–1084.                                               Qualification’’; (2) clarified the scope of           and Food and Drug Administration
                                                    SUPPLEMENTARY INFORMATION:                              the guidance; (3) added more                          Staff; Availability

                                                    I. Background                                           information concerning data used to                   AGENCY:   Food and Drug Administration,
                                                                                                            support biomarker qualification; (4)                  HHS.
                                                       FDA is announcing the availability of                confirmed and clarified the rationale for             ACTION:   Notice of availability.
                                                    a guidance for industry entitled                        assessment of outcomes without
                                                    ‘‘Considerations for Use of                             knowledge of group assignments in                     SUMMARY:    The Food and Drug
                                                    Histopathology and Its Associated                       confirmatory studies; and (5) clarified               Administration (FDA or Agency) is
                                                    Methodologies to Support Biomarker                      the distinction between biomarker                     announcing the availability of the
                                                    Qualification.’’ The FDA Critical Path                                                                        guidance entitled ‘‘Postmarket
                                                                                                            sensitivity and specificity. In addition
                                                    Initiative identified the discovery,                                                                          Surveillance Under Section 522 of the
                                                                                                            we have made editorial changes to
                                                    characterization, qualification, and use                                                                      Federal Food, Drug, and Cosmetic Act.’’
                                                    of biomarkers as important for                          improve clarity. This guidance finalizes
                                                                                                                                                                  This guidance is intended to assist
                                                    improving the efficiency and success                    the draft guidance issued in December
                                                                                                                                                                  manufacturers of devices subject to
                                                    rate of medical product development.                    2011.                                                 section 522 postmarket surveillance
                                                    Biomarkers have been broadly applied                       This guidance is being issued                      orders by providing an overview of the
                                                    to describe the following:                              consistent with FDA’s good guidance                   Federal Food, Drug, and Cosmetic Act
                                                       • Structural features from the                       practices regulation (21 CFR 10.115).                 (the FD&C Act), information on how to
                                                    molecular to the anatomic level (e.g.,                  The guidance represents the current                   fulfill section 522 obligations, and
                                                    genetic composition, receptor                           thinking of FDA on considerations for                 recommendations on the format,
                                                    expression patterns, radiographic                       the use of histopathology and its                     content, and review of postmarket
                                                    appearances);                                           associated methodologies to support                   surveillance plan submissions.
                                                       • Biochemical measurements (e.g.,                    biomarker qualification. It does not                  DATES: Submit either electronic or
                                                    serum levels of electrolytes, cardiac                   establish any rights for any person and               written comments on this guidance at
                                                    troponins); and                                         is not binding on FDA or the public.                  any time. General comments on Agency
                                                       • Physiologic organ system function                  You can use an alternative approach if                guidance documents are welcome at any
                                                    tests (e.g., creatinine clearance,                      it satisfies the requirements of the                  time.
                                                    pulmonary function tests, cardiac                                                                             ADDRESSES: You may submit comments
                                                                                                            applicable statutes and regulations.
                                                    ejection fraction, electrocardiography).                                                                      as follows:
                                                       The type of study reports to be                      II. Paperwork Reduction Act of 1995
                                                    submitted in support of a biomarker                                                                           Electronic Submissions
                                                    qualification will depend upon the                        This guidance contains information                    Submit electronic comments in the
                                                    proposed context of use and the                         collection provisions that are subject to             following way:
                                                    ultimate goal of the submission. The                    review by the Office of Management and                  • Federal eRulemaking Portal: http://
                                                    proposed context of use dictates the                    Budget (OMB) under the Paperwork                      www.regulations.gov. Follow the
                                                    depth, extent, and rigor of the                         Reduction Act of 1995 (44 U.S.C. 3501–                instructions for submitting comments.
                                                    supporting data for the biomarker. If a                 3520). The collections of information in              Comments submitted electronically,
                                                    biomarker becomes qualified,                            this guidance were approved under                     including attachments, to http://
                                                    analytically valid measurements of it                   OMB control numbers 0910–0001 for                     www.regulations.gov will be posted to
                                                    can be relied upon to have a specific                   submissions related to 21 CFR 314, and                the docket unchanged. Because your
                                                    and interpretable meaning (e.g.,                        0910–0014 for submissions related to 21               comment will be made public, you are
                                                    physiologic, toxicologic, pharmacologic,                CFR 312.                                              solely responsible for ensuring that your
                                                    or clinical) in drug development and                                                                          comment does not include any
                                                    regulatory decision-making. Industry                    III. Electronic Access                                confidential information that you or a
                                                    can then employ the biomarker for the                                                                         third party may not wish to be posted,
                                                                                                              Persons with access to the Internet
                                                    qualified context of use during                                                                               such as medical information, your or
                                                                                                            may obtain the document at either
                                                    premarketing drug development, and                                                                            anyone else’s Social Security number, or
                                                    FDA reviewers can be confident about                    http://www.fda.gov/Drugs/Guidance
                                                                                                                                                                  confidential business information, such
                                                    its qualified context of use without the                ComplianceRegulatoryInformation/
                                                                                                                                                                  as a manufacturing process. Please note
                                                    need to reconfirm its applicability or                  Guidances/default.htm or http://                      that if you include your name, contact
                                                    utility. Accordingly, data supporting                   www.regulations.gov.                                  information, or other information that
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    qualification of a nonclinical biomarker                  Dated: May 10, 2016.                                identifies you in the body of your
                                                    should be reliable, repeatable, and of                  Leslie Kux,                                           comments, that information will be
                                                    assured integrity.                                      Associate Commissioner for Policy.                    posted on http://www.regulations.gov.
                                                       In the Federal Register of December                                                                          • If you want to submit a comment
                                                                                                            [FR Doc. 2016–11438 Filed 5–13–16; 8:45 am]
                                                    30, 2011 (76 FR 82306), FDA announced                                                                         with confidential information that you
                                                    the availability of a draft guidance                    BILLING CODE 4164–01–P                                do not wish to be made available to the
                                                    entitled ‘‘Use of Histology in Biomarker                                                                      public, submit the comment as a
                                                    Qualification Studies.’’ The Agency                                                                           written/paper submission and in the


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                                                    30312                           Federal Register / Vol. 81, No. 94 / Monday, May 16, 2016 / Notices

                                                    manner detailed (see ‘‘Written/Paper                       Docket: For access to the docket to                practices regulation (21 CFR 10.115).
                                                    Submissions’’ and ‘‘Instructions’’).                    read background documents or the                      The guidance represents the current
                                                                                                            electronic and written/paper comments                 thinking of FDA on postmarket
                                                    Written/Paper Submissions
                                                                                                            received, go to http://                               surveillance under section 522 of the
                                                       Submit written/paper submissions as                  www.regulations.gov and insert the                    FD&C Act. It does not establish any
                                                    follows:                                                docket number, found in brackets in the               rights for any person and is not binding
                                                       • Mail/Hand delivery/Courier (for                    heading of this document, into the                    on FDA or the public. You can use an
                                                    written/paper submissions): Division of                 ‘‘Search’’ box and follow the prompts                 alternative approach if it satisfies the
                                                    Dockets Management (HFA–305), Food                      and/or go to the Division of Dockets                  requirements of the applicable statutes
                                                    and Drug Administration, 5630 Fishers                   Management, 5630 Fishers Lane, Rm.                    and regulations.
                                                    Lane, Rm. 1061, Rockville, MD 20852.                    1061, Rockville, MD 20852.
                                                       • For written/paper comments                            Submit written requests for single                 III. Electronic Access
                                                    submitted to the Division of Dockets                    copies of the guidance to the Office of                  Persons interested in obtaining a copy
                                                    Management, FDA will post your                          the Center Director, Guidance and                     of the guidance may do so by
                                                    comment, as well as any attachments,                    Policy Development, Center for Devices                downloading an electronic copy from
                                                    except for information submitted,                       and Radiological Health, Food and Drug                the Internet. A search capability for all
                                                    marked and identified, as confidential,                 Administration, 10903 New Hampshire                   Center for Devices and Radiological
                                                    if submitted as detailed in                             Ave., Bldg. 66, Rm. 5431, Silver Spring,              Health guidance documents is available
                                                    ‘‘Instructions.’’                                       MD 20993–0002. Send one self-                         at http://www.fda.gov/MedicalDevices/
                                                       Instructions: All submissions received               addressed adhesive label to assist that               DeviceRegulationandGuidance/
                                                    must include the Docket No. FDA–                        office in processing your request. The                GuidanceDocuments/default.htm.
                                                    2011–D–0514 for ‘‘Postmarket                            guidance may also be obtained by mail                 Guidance documents are also available
                                                    Surveillance Under Section 522 of the                   by calling CBER at 1–800–835–4709 or                  at http://www.regulations.gov. Persons
                                                    Federal Food, Drug, and Cosmetic Act.’’                 240–402–8010. See the SUPPLEMENTARY                   unable to download an electronic copy
                                                    Received comments will be placed in                     INFORMATION section for information on                of ‘‘Postmarket Surveillance Under
                                                    the docket and, except for those                        electronic access to the guidance.                    Section 522 of the Federal Food, Drug,
                                                    submitted as ‘‘Confidential                             FOR FURTHER INFORMATION CONTACT:                      and Cosmetic Act’’ may send an email
                                                    Submissions,’’ publicly viewable at                     Nicole Jones, Associate Director
                                                    http://www.regulations.gov or at the                                                                          request to CDRH-Guidance@fda.hhs.gov
                                                                                                            Program Operations, Center for Devices                to receive an electronic copy of the
                                                    Division of Dockets Management                          and Radiological Health, Food and Drug
                                                    between 9 a.m. and 4 p.m., Monday                                                                             document. Please use the document
                                                                                                            Administration, 10903 New Hampshire                   number 1754 to identify the guidance
                                                    through Friday.                                         Ave., Bldg. 66, Rm. 4108, Silver Spring,
                                                       • Confidential Submissions—To                                                                              you are requesting.
                                                                                                            MD 20993–0002, 301–796–6062.
                                                    submit a comment with confidential                                                                            IV. Paperwork Reduction Act of 1995
                                                    information that you do not wish to be                  SUPPLEMENTARY INFORMATION:
                                                    made publicly available, submit your                                                                            This guidance refers to previously
                                                                                                            I. Background
                                                    comments only as a written/paper                                                                              approved collections of information
                                                                                                               Section 522 of the FD&C Act (21                    found in FDA regulations. These
                                                    submission. You should submit two
                                                                                                            U.S.C. 360l) provides FDA with the                    collections of information are subject to
                                                    copies total. One copy will include the                 authority to require manufacturers to
                                                    information you claim to be confidential                                                                      review by the Office of Management and
                                                                                                            conduct postmarket surveillance of                    Budget (OMB) under the Paperwork
                                                    with a heading or cover note that states                certain class II or class III devices. This
                                                    ‘‘THIS DOCUMENT CONTAINS                                                                                      Reduction Act of 1995 (44 U.S.C. 3501–
                                                                                                            guidance is intended to assist                        3520). The collections of information in
                                                    CONFIDENTIAL INFORMATION.’’ The                         manufacturers of devices subject to
                                                    Agency will review this copy, including                                                                       21 CFR part 822 have been approved
                                                                                                            section 522 postmarket surveillance                   under 0910–0449.
                                                    the claimed confidential information, in                orders by providing an overview of
                                                    its consideration of comments. The                                                                              Dated: May 10, 2016.
                                                                                                            section 522 of the FD&C Act,
                                                    second copy, which will have the                        information on how to fulfill section                 Leslie Kux,
                                                    claimed confidential information                        522 obligations, and recommendations                  Associate Commissioner for Policy.
                                                    redacted/blacked out, will be available                 on the format, content, and review of                 [FR Doc. 2016–11450 Filed 5–13–16; 8:45 am]
                                                    for public viewing and posted on http://                postmarket surveillance plan                          BILLING CODE 4164–01–P
                                                    www.regulations.gov. Submit both                        submissions.
                                                    copies to the Division of Dockets                          FDA issued the draft of this guidance,
                                                    Management. If you do not wish your                     originally entitled ‘‘Draft Guidance for              DEPARTMENT OF HEALTH AND
                                                    name and contact information to be                      Industry and Food and Drug                            HUMAN SERVICES
                                                    made publicly available, you can                        Administration Staff; Procedures for
                                                    provide this information on the cover                   Handling Section 522 Postmarket                       Food and Drug Administration
                                                    sheet and not in the body of your                       Surveillance Studies,’’ on August 16,
                                                    comments and you must identify this                                                                           [Docket No. FDA–2012–N–1203]
                                                                                                            2011 (76 FR 50740). The comment
                                                    information as ‘‘confidential.’’ Any                    period ended on November 14, 2011.                    Agency Information Collection
                                                    information marked as ‘‘confidential’’                     This document supersedes the                       Activities; Submission for Office of
                                                    will not be disclosed except in
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                            guidance entitled, ‘‘Guidance for                     Management and Budget Review;
                                                    accordance with 21 CFR 10.20 and other                  Industry and FDA Staff; Postmarket                    Comment Request; Information To
                                                    applicable disclosure law. For more                     Surveillance under Section 522 of the                 Accompany Humanitarian Device
                                                    information about FDA’s posting of                      Federal Food, Drug, and Cosmetic Act,’’               Exemption Applications and Annual
                                                    comments to public dockets, see 80 FR                   dated April 27, 2006.                                 Distribution Number Reporting
                                                    56469, September 18, 2015, or access                                                                          Requirements
                                                    the information at: http://www.fda.gov/                 II. Significance of Guidance
                                                    regulatoryinformation/dockets/                             This guidance is being issued                      AGENCY:   Food and Drug Administration,
                                                    default.htm.                                            consistent with FDA’s good guidance                   HHS.


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Document Created: 2016-05-14 01:17:24
Document Modified: 2016-05-14 01:17:24
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 availability.
DatesSubmit either electronic or written comments on this guidance at any time. General comments on Agency guidance documents are welcome at any time.
ContactNicole Jones, Associate Director Program Operations, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 4108, Silver Spring, MD 20993-0002, 301-796-6062.
FR Citation81 FR 30311 

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