81_FR_32043 81 FR 31945 - Chronic Obstructive Pulmonary Disease: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

81 FR 31945 - Chronic Obstructive Pulmonary Disease: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 98 (May 20, 2016)

Page Range31945-31946
FR Document2016-11855

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Chronic Obstructive Pulmonary Disease: Developing Drugs for Treatment.'' This guidance is intended to assist sponsors in designing a clinical development program for new drug products for the treatment of chronic obstructive pulmonary disease (COPD). This guidance revises the draft guidance of the same name, issued November 9, 2007, by adding information regarding the St. George's Respiratory Questionnaire (SGRQ).

Federal Register, Volume 81 Issue 98 (Friday, May 20, 2016)
[Federal Register Volume 81, Number 98 (Friday, May 20, 2016)]
[Notices]
[Pages 31945-31946]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-11855]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2007-D-0133]


Chronic Obstructive Pulmonary Disease: Developing Drugs for 
Treatment; Draft Guidance for Industry; Availability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the availability of a draft guidance for industry entitled ``Chronic 
Obstructive Pulmonary Disease: Developing Drugs for Treatment.'' This 
guidance is intended to assist sponsors in designing a clinical 
development program for new drug products for the treatment of chronic 
obstructive pulmonary disease (COPD). This guidance revises the draft 
guidance of the same name, issued November 9, 2007, by adding 
information regarding the St. George's Respiratory Questionnaire 
(SGRQ).

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by July 19, 2016.

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.

[[Page 31946]]

     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 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-2007-D-0133 for ``Chronic Obstructive Pulmonary Disease: Developing 
Drugs for Treatment; Draft Guidance for Industry; Availability.'' 
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 draft guidance to 
the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave., 
Hillandale Building, 4th Floor, Silver Spring, MD 20993-0002. Send one 
self-addressed adhesive label to assist that office in processing your 
requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.

FOR FURTHER INFORMATION CONTACT: Badrul A. Chowdhury, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 3326, Silver Spring, MD 20993-0002, 301-
796-2300.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Chronic Obstructive Pulmonary Disease: Developing Drugs for 
Treatment.'' This guidance is intended to assist sponsors in designing 
a clinical development program for new drug products for the treatment 
of COPD. The emphasis of this guidance is on the assessment of efficacy 
of a new molecular entity (NME) in phase 3 clinical studies of COPD. 
Development of NMEs for COPD poses challenges and opportunities. Not 
all drugs developed for COPD will fit into the types described, and the 
efficacy endpoints discussed in this guidance may not fit the need for 
all drugs. FDA encourages sponsors to develop clinical programs that 
fit their particular needs and to discuss their planned approach with 
the Center for Drug Evaluation and Research's Division of Pulmonary, 
Allergy, and Rheumatology Products. For novel approaches, where 
warranted, outside expertise can be sought, including consultation with 
the Pulmonary-Allergy Drugs Advisory Committee.
    This guidance revises the draft guidance of the same name, issued 
November 9, 2007 (72 FR 63618), by adding information on the use of 
SGRQ in COPD studies. FDA acknowledges the importance of assessing 
patient perspectives in clinical trials and therefore is interested in 
eliciting comment on the SGRQ, included in Appendix A.
    Also, this guidance outlines FDA's thinking based on information 
that was available in 2007 on the development of various types of drugs 
for COPD. FDA acknowledges that the landscape of clinical trials has 
evolved since 2007 and therefore is encouraging public comment on the 
body of the guidance in addition to public comment on the SGRQ 
information added in Appendix A.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on the 
development of drug products for the treatment of COPD. 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.

II. Electronic Access

    Persons with access to the Internet may obtain the draft guidance 
at either http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.

    Dated: May 13, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-11855 Filed 5-19-16; 8:45 am]
BILLING CODE 4164-01-P



                                                                                   Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices                                                                          31945

                                                  Ave., Bldg. 66, Rm. 1650, Silver Spring,                 Act. The 30-day period for requesting                                  The regulations provide that FDA
                                                  MD 20993–0002, 301–796–6524.                             reconsideration of an FDA action under                              publish a quarterly list of available
                                                  SUPPLEMENTARY INFORMATION:                               § 10.33(b) (21 CFR 10.33(b)) for notices                            safety and effectiveness summaries of
                                                                                                           announcing approval of a PMA begins                                 PMA approvals and denials that were
                                                  I. Background                                            on the day the notice is placed on the                              announced during that quarter. The
                                                    In accordance with sections 515(d)(4)                  Internet. Section 10.33(b) provides that                            following is a list of approved PMAs for
                                                  and (e)(2) of the Federal Food, Drug, and                FDA may, for good cause, extend this                                which summaries of safety and
                                                  Cosmetic Act (the FD&C Act) (21 U.S.C.                   30-day period. Reconsideration of a                                 effectiveness were placed on the
                                                  360e(d)(4) and (e)(2)), notification of an               denial or withdrawal of approval of a                               Internet from January 1, 2016, through
                                                  order approving, denying, or                             PMA may be sought only by the                                       March 31, 2016. There were no denial
                                                  withdrawing approval of a PMA will                       applicant; in these cases, the 30-day                               actions during this period. The list
                                                  continue to include a notice of                          period will begin when the applicant is                             provides the manufacturer’s name, the
                                                  opportunity to request review of the                     notified by FDA in writing of its                                   product’s generic name or the trade
                                                  order under section 515(g) of the FD&C                   decision.                                                           name, and the approval date.

                                                   TABLE 1—LIST OF SAFETY AND EFFECTIVENESS SUMMARIES FOR APPROVED PMAS MADE AVAILABLE FROM JANUARY 1,
                                                                                       2016, THROUGH MARCH 31, 2016
                                                             PMA No.,                                Applicant                                                       Trade name                                            Approval date
                                                             Docket No.

                                                  H130006, FDA–2015–M–4950              Torax Medical, Inc ..................      FENIX Continence Restoration System ...................................                    12/18/2015
                                                  H140005, FDA–2015–M–4948              ARUP Laboratories .................        PDGFRB FISH for Gleevec Eligibility in Myelodysplastic Syn-                                12/18/2015
                                                                                                                                     drome/Myeloproliferative Disease (MDS/MPD).
                                                  H140006, FDA–2015–M–4949              ARUP Laboratories .................        KIT D816V Mutation Detection by PCR for Gleevec Eligibility                                12/18/2015
                                                                                                                                     in Aggressive Systemic Mastocytosis (ASM).
                                                  P130007/S004, FDA–2016–M–             Animas Corp ...........................    Animas Vibe System ................................................................        12/24/2015
                                                    0120.
                                                  P900033/S042, FDA–2016–M–             Integra LifeSciences Corp ......           Integra Omnigraft Dermal Regeneration Matrix and Integra                                     1/7/2016
                                                    0121.                                                                             Dermal Regeneration Template.
                                                  P080028, FDA–2016–M–0122              Storz Medical Ag ....................      Storz Medical Duolith SD1 Shock Wave Therapy ...................                             1/8/2016
                                                  P150011, FDA–2016–M–0123              LivaNova Canada Corp ..........            Perceval Sutureless Heart Valve .............................................                1/8/2016
                                                  P150027, FDA–2016–M–0803              Dako North America, Inc ........           PD–L1 IHC 28–8 pharmDx ......................................................               1/23/2016
                                                  P150004, FDA–2016–M–0804              Spinal Modulation, Inc ............        Axium Neurostimulator System ................................................               2/11/2016
                                                  P150022, FDA–2016–M–0805              Rex Medical, L.P ....................      Closer Vascular Sealing System .............................................                2/12/2016
                                                  P120018, FDA–2016–M–0806              Sharps Terminator, LLC .........           Sharps Terminator ...................................................................       2/17/2016
                                                  P150005, FDA–2016–M–0807              Boston Scientific Corp ............        Blazer Open-Irrigated Ablation Catheter System ....................                         2/24/2016
                                                  P130009/S037, FDA–2016–M–             Edwards Lifesciences, LLC ....             SAPIEN XT Transcatheter Heart Valve and Accessories .......                                 2/29/2016
                                                    0926.
                                                  P020004/S123, FDA–2016–M–             W.L. Gore & Associates, Inc ..             GORE EXCLUDER Iliac Branch Endoprosthesis ....................                              2/29/2016
                                                    0928.



                                                  II. Electronic Access                                    ACTION:     Notice of availability.                                 ADDRESSES:         You may submit comments
                                                     Persons with access to the Internet                                                                                       as follows:
                                                  may obtain the documents at http://                      SUMMARY:   The Food and Drug                                        Electronic Submissions
                                                  www.fda.gov/MedicalDevices/                              Administration (FDA or Agency) is
                                                  ProductsandMedicalProcedures/                            announcing the availability of a draft                                Submit electronic comments in the
                                                  DeviceApprovalsandClearances/                            guidance for industry entitled ‘‘Chronic                            following way:
                                                  PMAApprovals/default.htm.                                Obstructive Pulmonary Disease:                                        • Federal eRulemaking Portal: http://
                                                    Dated: May 16, 2016.                                   Developing Drugs for Treatment.’’ This                              www.regulations.gov. Follow the
                                                  Leslie Kux,                                              guidance is intended to assist sponsors                             instructions for submitting comments.
                                                  Associate Commissioner for Policy.                       in designing a clinical development                                 Comments submitted electronically,
                                                                                                           program for new drug products for the                               including attachments, to http://
                                                  [FR Doc. 2016–11856 Filed 5–19–16; 8:45 am]
                                                                                                           treatment of chronic obstructive                                    www.regulations.gov will be posted to
                                                  BILLING CODE 4164–01–P
                                                                                                           pulmonary disease (COPD). This                                      the docket unchanged. Because your
                                                                                                           guidance revises the draft guidance of                              comment will be made public, you are
                                                  DEPARTMENT OF HEALTH AND                                 the same name, issued November 9,                                   solely responsible for ensuring that your
                                                  HUMAN SERVICES                                           2007, by adding information regarding                               comment does not include any
                                                                                                           the St. George’s Respiratory                                        confidential information that you or a
                                                  Food and Drug Administration                             Questionnaire (SGRQ).                                               third party may not wish to be posted,
                                                                                                                                                                               such as medical information, your or
                                                  [Docket No. FDA–2007–D–0133]                             DATES:  Although you can comment on                                 anyone else’s Social Security number, or
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                           any guidance at any time (see 21 CFR                                confidential business information, such
                                                  Chronic Obstructive Pulmonary                            10.115(g)(5)), to ensure that the Agency                            as a manufacturing process. Please note
                                                  Disease: Developing Drugs for                            considers your comment on this draft                                that if you include your name, contact
                                                  Treatment; Draft Guidance for                            guidance before it begins work on the                               information, or other information that
                                                  Industry; Availability
                                                                                                           final version of the guidance, submit                               identifies you in the body of your
                                                  AGENCY:    Food and Drug Administration,                 either electronic or written comments                               comments, that information will be
                                                  HHS.                                                     on the draft guidance by July 19, 2016.                             posted on http://www.regulations.gov.


                                             VerDate Sep<11>2014   17:40 May 19, 2016   Jkt 238001   PO 00000     Frm 00037       Fmt 4703   Sfmt 4703      E:\FR\FM\20MYN1.SGM           20MYN1


                                                  31946                            Federal Register / Vol. 81, No. 98 / Friday, May 20, 2016 / Notices

                                                    • If you want to submit a comment                     comments to public dockets, see 80 FR                 November 9, 2007 (72 FR 63618), by
                                                  with confidential information that you                  56469, September 18, 2015, or access                  adding information on the use of SGRQ
                                                  do not wish to be made available to the                 the information at: http://www.fda.gov/               in COPD studies. FDA acknowledges the
                                                  public, submit the comment as a                         regulatoryinformation/dockets/                        importance of assessing patient
                                                  written/paper submission and in the                     default.htm.                                          perspectives in clinical trials and
                                                  manner detailed (see ‘‘Written/Paper                       Docket: For access to the docket to                therefore is interested in eliciting
                                                  Submissions’’ and ‘‘Instructions’’).                    read background documents or the                      comment on the SGRQ, included in
                                                                                                          electronic and written/paper comments                 Appendix A.
                                                  Written/Paper Submissions                               received, go to http://                                  Also, this guidance outlines FDA’s
                                                     Submit written/paper submissions as                  www.regulations.gov and insert the                    thinking based on information that was
                                                  follows:                                                docket number, found in brackets in the               available in 2007 on the development of
                                                     • Mail/Hand delivery/Courier (for                    heading of this document, into the                    various types of drugs for COPD. FDA
                                                  written/paper submissions): Division of                 ‘‘Search’’ box and follow the prompts                 acknowledges that the landscape of
                                                  Dockets Management (HFA–305), Food                      and/or go to the Division of Dockets                  clinical trials has evolved since 2007
                                                  and Drug Administration, 5630 Fishers                   Management, 5630 Fishers Lane, Rm.                    and therefore is encouraging public
                                                  Lane, Rm. 1061, Rockville, MD 20852.                    1061, Rockville, MD 20852.                            comment on the body of the guidance in
                                                     • For written/paper comments                            Submit written requests for single                 addition to public comment on the
                                                  submitted to the Division of Dockets                    copies of the draft guidance to the                   SGRQ information added in Appendix
                                                  Management, FDA will post your                          Division of Drug Information, Center for              A.
                                                  comment, as well as any attachments,                    Drug Evaluation and Research, Food                       This draft guidance is being issued
                                                  except for information submitted,                       and Drug Administration, 10001 New                    consistent with FDA’s good guidance
                                                  marked and identified, as confidential,                 Hampshire Ave., Hillandale Building,                  practices regulation (21 CFR 10.115).
                                                  if submitted as detailed in                             4th Floor, Silver Spring, MD 20993–                   The draft guidance, when finalized, will
                                                  ‘‘Instructions.’’                                       0002. Send one self-addressed adhesive                represent the current thinking of FDA
                                                     Instructions: All submissions received               label to assist that office in processing             on the development of drug products for
                                                  must include the Docket No. FDA–                        your requests. See the SUPPLEMENTARY                  the treatment of COPD. It does not
                                                  2007–D–0133 for ‘‘Chronic Obstructive                   INFORMATION section for electronic                    establish any rights for any person and
                                                  Pulmonary Disease: Developing Drugs                     access to the draft guidance document.                is not binding on FDA or the public.
                                                  for Treatment; Draft Guidance for                       FOR FURTHER INFORMATION CONTACT:                      You can use an alternative approach if
                                                  Industry; Availability.’’ Received                      Badrul A. Chowdhury, Center for Drug                  it satisfies the requirements of the
                                                  comments will be placed in the docket                   Evaluation and Research, Food and                     applicable statutes and regulations.
                                                  and, except for those submitted as                      Drug Administration, 10903 New
                                                  ‘‘Confidential Submissions,’’ publicly                                                                        II. Electronic Access
                                                                                                          Hampshire Ave., Bldg. 22, Rm. 3326,
                                                  viewable at http://www.regulations.gov                  Silver Spring, MD 20993–0002, 301–                       Persons with access to the Internet
                                                  or at the Division of Dockets                           796–2300.                                             may obtain the draft guidance at either
                                                  Management between 9 a.m. and 4 p.m.,                                                                         http://www.fda.gov/Drugs/Guidance
                                                                                                          SUPPLEMENTARY INFORMATION:
                                                  Monday through Friday.                                                                                        ComplianceRegulatoryInformation/
                                                     • Confidential Submissions—To                        I. Background                                         Guidances/default.htm or http://
                                                  submit a comment with confidential                         FDA is announcing the availability of              www.regulations.gov.
                                                  information that you do not wish to be                  a draft guidance for industry entitled                  Dated: May 13, 2016.
                                                  made publicly available, submit your                    ‘‘Chronic Obstructive Pulmonary
                                                  comments only as a written/paper                                                                              Leslie Kux,
                                                                                                          Disease: Developing Drugs for                         Associate Commissioner for Policy.
                                                  submission. You should submit two                       Treatment.’’ This guidance is intended
                                                  copies total. One copy will include the                                                                       [FR Doc. 2016–11855 Filed 5–19–16; 8:45 am]
                                                                                                          to assist sponsors in designing a clinical
                                                  information you claim to be confidential                development program for new drug                      BILLING CODE 4164–01–P
                                                  with a heading or cover note that states                products for the treatment of COPD. The
                                                  ‘‘THIS DOCUMENT CONTAINS                                emphasis of this guidance is on the
                                                  CONFIDENTIAL INFORMATION.’’ The                                                                               DEPARTMENT OF HEALTH AND
                                                                                                          assessment of efficacy of a new
                                                  Agency will review this copy, including                                                                       HUMAN SERVICES
                                                                                                          molecular entity (NME) in phase 3
                                                  the claimed confidential information, in                clinical studies of COPD. Development                 Food and Drug Administration
                                                  its consideration of comments. The                      of NMEs for COPD poses challenges and
                                                  second copy, which will have the                        opportunities. Not all drugs developed                [Docket No. FDA–2016–N–0001]
                                                  claimed confidential information                        for COPD will fit into the types
                                                  redacted/blacked out, will be available                                                                       Blood Products Advisory Committee;
                                                                                                          described, and the efficacy endpoints
                                                  for public viewing and posted on http://                                                                      Notice of Meeting
                                                                                                          discussed in this guidance may not fit
                                                  www.regulations.gov. Submit both                        the need for all drugs. FDA encourages                AGENCY:   Food and Drug Administration,
                                                  copies to the Division of Dockets                       sponsors to develop clinical programs                 HHS.
                                                  Management. If you do not wish your                     that fit their particular needs and to                ACTION:   Notice.
                                                  name and contact information to be                      discuss their planned approach with the
                                                  made publicly available, you can                        Center for Drug Evaluation and                        SUMMARY:   The Food and Drug
                                                  provide this information on the cover                   Research’s Division of Pulmonary,                     Administration (FDA) announces a
                                                  sheet and not in the body of your                                                                             forthcoming public advisory committee
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                          Allergy, and Rheumatology Products.
                                                  comments and you must identify this                     For novel approaches, where warranted,                meeting of the Blood Products Advisory
                                                  information as ‘‘confidential.’’ Any                    outside expertise can be sought,                      Committee. The general function of the
                                                  information marked as ‘‘confidential’’                  including consultation with the                       committee is to provide advice and
                                                  will not be disclosed except in                         Pulmonary-Allergy Drugs Advisory                      recommendations to the Agency on
                                                  accordance with 21 CFR 10.20 and other                  Committee.                                            FDA’s regulatory issues. At least one
                                                  applicable disclosure law. For more                        This guidance revises the draft                    portion of the meeting will be closed to
                                                  information about FDA’s posting of                      guidance of the same name, issued                     the public.


                                             VerDate Sep<11>2014   17:40 May 19, 2016   Jkt 238001   PO 00000   Frm 00038   Fmt 4703   Sfmt 4703   E:\FR\FM\20MYN1.SGM   20MYN1



Document Created: 2016-05-20 01:59:56
Document Modified: 2016-05-20 01:59:56
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.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the draft guidance by July 19, 2016.
ContactBadrul A. Chowdhury, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 3326, Silver Spring, MD 20993-0002, 301- 796-2300.
FR Citation81 FR 31945 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR