82_FR_41440 82 FR 41273 - Determination That CENESTIN (Estrogens, Conjugated Synthetic A) Tablets, 0.3 Milligrams, 0.45 Milligrams, 0.625 Milligrams, 0.9 Milligrams, and 1.25 Milligrams, Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

82 FR 41273 - Determination That CENESTIN (Estrogens, Conjugated Synthetic A) Tablets, 0.3 Milligrams, 0.45 Milligrams, 0.625 Milligrams, 0.9 Milligrams, and 1.25 Milligrams, Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 167 (August 30, 2017)

Page Range41273-41274
FR Document2017-18376

The Food and Drug Administration (FDA or Agency) has determined that CENESTIN (estrogens, conjugated synthetic A) Tablets, 0.3 milligrams (mg), 0.45 mg, 0.625 mg, 0.9 mg, and 1.25 mg, were not withdrawn from sale for reasons of safety or effectiveness. This determination will allow FDA to approve abbreviated new drug applications (ANDAs) for these products, if all other legal and regulatory requirements are met.

Federal Register, Volume 82 Issue 167 (Wednesday, August 30, 2017)
[Federal Register Volume 82, Number 167 (Wednesday, August 30, 2017)]
[Notices]
[Pages 41273-41274]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-18376]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-P-1461]


Determination That CENESTIN (Estrogens, Conjugated Synthetic A) 
Tablets, 0.3 Milligrams, 0.45 Milligrams, 0.625 Milligrams, 0.9 
Milligrams, and 1.25 Milligrams, Were Not Withdrawn From Sale for 
Reasons of Safety or Effectiveness

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) has 
determined that CENESTIN (estrogens, conjugated synthetic A) Tablets, 
0.3 milligrams (mg), 0.45 mg, 0.625 mg, 0.9

[[Page 41274]]

mg, and 1.25 mg, were not withdrawn from sale for reasons of safety or 
effectiveness. This determination will allow FDA to approve abbreviated 
new drug applications (ANDAs) for these products, if all other legal 
and regulatory requirements are met.

FOR FURTHER INFORMATION CONTACT: Bronwen Blass, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave. Bldg. 51, Rm. 6228, Silver Spring, MD 20993-0002, 301-
796-5092.

SUPPLEMENTARY INFORMATION: In 1984, Congress enacted the Drug Price 
Competition and Patent Term Restoration Act of 1984 (Pub. L. 98-417) 
(the 1984 amendments), which authorized the approval of duplicate 
versions of drug products under an ANDA procedure. ANDA applicants 
must, with certain exceptions, show that the drug for which they are 
seeking approval contains the same active ingredient in the same 
strength and dosage form as the ``listed drug,'' which is a version of 
the drug that was previously approved. ANDA applicants do not have to 
repeat the extensive clinical testing otherwise necessary to gain 
approval of a new drug application (NDA).
    The 1984 amendments include what is now section 505(j)(7) of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355(j)(7)), which 
requires FDA to publish a list of all approved drugs. FDA publishes 
this list as part of the ``Approved Drug Products With Therapeutic 
Equivalence Evaluations,'' which is known generally as the ``Orange 
Book.'' Under FDA regulations, drugs are removed from the list if the 
Agency withdraws or suspends approval of the drug's NDA or ANDA for 
reasons of safety or effectiveness or if FDA determines that the listed 
drug was withdrawn from sale for reasons of safety or effectiveness (21 
CFR 314.162).
    A person may petition the Agency to determine, or the Agency may 
determine on its own initiative, whether a listed drug was withdrawn 
from sale for reasons of safety or effectiveness. This determination 
may be made at any time after the drug has been withdrawn from sale, 
but must be made prior to approving an ANDA that refers to the listed 
drug (Sec.  314.161 (21 CFR 314.161)). FDA may not approve an ANDA that 
does not refer to a listed drug.
    CENESTIN (estrogens, conjugated synthetic A) Tablets, 0.3 mg, 0.45 
mg, 0.625 mg, 0.9 mg, and 1.25 mg, is the subject of NDA 020992, held 
by Teva Branded Pharmaceutical Products R&D, Inc. (Teva), and was 
initially approved on March 24, 1999. CENESTIN is indicated for 
treatment of moderate to severe vasomotor symptoms due to menopause and 
treatment of moderate to severe symptoms of vulvar and vaginal atrophy 
due to menopause.
    In 2016, Teva notified FDA that CENESTIN (estrogens, conjugated 
synthetic A) Tablets, 0.3 mg, 0.45 mg, 0.625 mg, 0.9 mg, and 1.25 mg, 
were being discontinued, and FDA moved the drug product to the 
``Discontinued Drug Product List'' section of the Orange Book.
    Foley & Lardner submitted a citizen petition dated March 8, 2017 
(Docket No. FDA-2017-P-1461), under 21 CFR 10.30, requesting that the 
Agency determine whether CENESTIN (estrogens, conjugated synthetic A) 
Tablets, 0.3 mg, 0.45 mg, 0.625 mg, 0.9 mg, and 1.25 mg, were withdrawn 
from sale for reasons of safety or effectiveness.
    After considering the citizen and reviewing Agency records and 
based on the information we have at this time, FDA has determined under 
Sec.  314.161 that CENESTIN (estrogens, conjugated synthetic A) 
Tablets, 0.3 mg, 0.45 mg, 0.625 mg, 0.9 mg, and 1.25 mg, were not 
withdrawn for reasons of safety or effectiveness. The petitioner has 
identified no data or other information suggesting that these products 
were withdrawn for reasons of safety or effectiveness. We have 
carefully reviewed our files for records concerning the withdrawal of 
these products from sale. We have also independently evaluated relevant 
literature and data for possible postmarketing adverse events. We have 
found no information that would indicate that these drug products were 
withdrawn from sale for reasons of safety or effectiveness.
    Accordingly, the Agency will continue to list CENESTIN (estrogens, 
conjugated synthetic A) Tablets, 0.3 mg, 0.45 mg, 0.625 mg, 0.9 mg, and 
1.25 mg, in the ``Discontinued Drug Product List'' section of the 
Orange Book. The ``Discontinued Drug Product List'' delineates, among 
other items, drug products that have been discontinued from marketing 
for reasons other than safety or effectiveness. ANDAs that refer to 
CENESTIN (estrogens, conjugated synthetic A) Tablets, 0.3 mg, 0.45 mg, 
0.625 mg, 0.9 mg, and 1.25 mg, may be approved by the Agency as long as 
they meet all other legal and regulatory requirements for the approval 
of ANDAs. If FDA determines that labeling for this drug product should 
be revised to meet current standards, the Agency will advise ANDA 
applicants to submit such labeling.

    Dated: August 24, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-18376 Filed 8-29-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                                             Federal Register / Vol. 82, No. 167 / Wednesday, August 30, 2017 / Notices                                                 41273

                                                  approval phase. These periods of time                     Dated: August 24, 2017.                             supplement ANDA 078311 in paper
                                                  were derived from the following dates:                  Anna K. Abram,                                        format on August 29, 2013, and in
                                                     1. The date an exemption under                       Deputy Commissioner for Policy, Planning,             electronic format on May 9, 2014.
                                                                                                          Legislation, and Analysis.                               On April 14, 2016, FDA informed
                                                  section 505(i) of the Federal Food, Drug,
                                                                                                          [FR Doc. 2017–18379 Filed 8–29–17; 8:45 am]           Upsher-Smith that the applicant’s fed
                                                  and Cosmetic Act (the FD&C Act) (21
                                                                                                                                                                bioequivalence study failed to meet
                                                  U.S.C. 355(i)) became effective: October                BILLING CODE 4164–01–P
                                                                                                                                                                FDA’s bioequivalence criteria and,
                                                  26, 2009. FDA has verified the                                                                                therefore, requested that Upsher-Smith
                                                  applicant’s claim that the date the                                                                           voluntarily seek withdrawal of ANDA
                                                                                                          DEPARTMENT OF HEALTH AND
                                                  investigational new drug application                                                                          078311 under § 314.150(d) (21 CFR
                                                                                                          HUMAN SERVICES
                                                  became effective was on October 26,                                                                           314.150(d)).
                                                  2009.                                                   Food and Drug Administration                             In a letter dated May 13, 2016,
                                                     2. The date the application was                                                                            Upsher-Smith requested that FDA
                                                                                                          [Docket No. FDA–2017–N–0002]
                                                  initially submitted with respect to the                                                                       withdraw approval of ANDA 078311 for
                                                  human drug product under section                        Upsher-Smith Laboratories, Inc.;                      PROPRANOLOL HYDROCHLORIDE
                                                  505(b) of the FD&C Act: April 25, 2014.                 Withdrawal of Approval of an                          Extended-Release Capsules under
                                                  FDA has verified the applicant’s claim                  Abbreviated New Drug Application for                  § 314.150(d) because the new
                                                  that the new drug application (NDA) for                 PROPRANOLOL HYDROCHLORIDE                             bioequivalence data did not
                                                  XTORO (NDA 206307) was initially                                                                              demonstrate therapeutic equivalence of
                                                  submitted on April 25, 2014.                            AGENCY:    Food and Drug Administration,              its product to the RLD, INDERAL LA. In
                                                                                                          HHS.                                                  that letter, Upsher-Smith also waived
                                                     3. The date the application was                                                                            any opportunity for a hearing otherwise
                                                                                                          ACTION:   Notice.
                                                  approved: December 17, 2014. FDA has                                                                          provided under § 314.150(a).
                                                  verified the applicant’s claim that NDA                 SUMMARY:   The Food and Drug                             Therefore, under section 505(e) of the
                                                  206307 was approved on December 17,                     Administration (FDA or the Agency) is                 Federal Food, Drug, and Cosmetic Act
                                                  2014.                                                   withdrawing approval of an abbreviated                (FD&C Act) (21 U.S.C. 355(e)) and
                                                     This determination of the regulatory                 new drug application (ANDA) for                       § 314.150(d), and under authority
                                                  review period establishes the maximum                   PROPRANOLOL HYDROCHLORIDE                             delegated by the Commissioner of Food
                                                  potential length of a patent extension.                 Extended-Release Capsules, held by                    and Drugs to the Director, Center for
                                                  However, the USPTO applies several                      Upsher-Smith Laboratories, Inc.                       Drug Evaluation and Research, approval
                                                  statutory limitations in its calculations               (Upsher-Smith), 6701 Evenstad Dr.,                    of ANDA 078311, and all amendments
                                                  of the actual period for patent extension.              Maple Grove, MN 55369. Upsher-Smith                   and supplements thereto, is withdrawn
                                                  In its application for patent extension,                has voluntarily requested that approval               (see DATES). Distribution of this product
                                                  this applicant seeks 1,058 days of patent               of this application be withdrawn and                  in interstate commerce without an
                                                  term extension.                                         has waived its opportunity for a hearing.             approved application is illegal and
                                                                                                          DATES: August 30, 2017.                               subject to regulatory action (see sections
                                                     Anyone with knowledge that any of                                                                          505(a) and 301(d) of the FD&C Act (21
                                                  the dates as published are incorrect may                FOR FURTHER INFORMATION CONTACT:
                                                                                                          Stefanie Kraus, Center for Drug                       U.S.C. 355(a) and 331(d)).
                                                  submit either electronic or written
                                                                                                          Evaluation and Research, Food and                       Dated: August 24, 2017.
                                                  comments and, under 21 CFR 60.24, ask
                                                  for a redetermination (see DATES).                      Drug Administration, 10903 New                        Anna K. Abram,
                                                  Furthermore, as specified in 21 CFR                     Hampshire Ave., Bldg. 51, Rm. 6215,                   Deputy Commissioner for Policy, Planning,
                                                  60.30, any interested person may                        Silver Spring, MD 20993–0002, 301–                    Legislation, and Analysis.
                                                  petition FDA for a determination                        796–9585.                                             [FR Doc. 2017–18375 Filed 8–29–17; 8:45 am]
                                                  regarding whether the applicant for                     SUPPLEMENTARY INFORMATION: On March                   BILLING CODE 4164–01–P

                                                  extension acted with due diligence                      6, 2009, FDA approved abbreviated new
                                                  during the regulatory review period. To                 drug application (ANDA) 078311 for
                                                                                                          PROPRANOLOL HYDROCHLORIDE                             DEPARTMENT OF HEALTH AND
                                                  meet its burden, the petition must                                                                            HUMAN SERVICES
                                                  comply with all the requirements of 21                  Extended-Release Capsules, USP, 60
                                                  CFR 60.30, including but not limited to:                milligrams (mg), 80 mg, 120 mg, and
                                                                                                                                                                Food and Drug Administration
                                                  Must be timely (see DATES), must be                     160 mg. In a letter dated August 9, 2011,
                                                  filed in accordance with 21 CFR 10.20,                  FDA informed Upsher-Smith that it had                 [Docket No. FDA–2017–P–1461]
                                                  must contain sufficient facts to merit an               concerns about the validity of
                                                                                                          bioequivalence data submitted with                    Determination That CENESTIN
                                                  FDA investigation, and must certify that                                                                      (Estrogens, Conjugated Synthetic A)
                                                  a true and complete copy of the petition                ANDA 078311 from studies conducted
                                                                                                          by a certain contract research                        Tablets, 0.3 Milligrams, 0.45 Milligrams,
                                                  has been served upon the patent                                                                               0.625 Milligrams, 0.9 Milligrams, and
                                                                                                          organization, establishing
                                                  applicant. (See H. Rept. 857, part 1, 98th                                                                    1.25 Milligrams, Were Not Withdrawn
                                                                                                          bioequivalence of Upsher-Smith’s
                                                  Cong., 2d sess., pp. 41–42, 1984.)                                                                            From Sale for Reasons of Safety or
                                                                                                          product to the reference listed drug
                                                  Petitions should be in the format                                                                             Effectiveness
                                                                                                          (RLD), INDERAL LA (propranolol
                                                  specified in 21 CFR 10.30.
                                                                                                          hydrochloride) Extended Release                       AGENCY:    Food and Drug Administration,
                                                     Submit petitions electronically to                   Capsules, 60 mg, 80 mg, 120 mg, and
mstockstill on DSK30JT082PROD with NOTICES




                                                                                                                                                                HHS.
                                                  https://www.regulations.gov at Docket                   160 mg. In that letter, FDA directed                  ACTION:   Notice.
                                                  No. FDA–2013–S–0610. Submit written                     Upsher-Smith to supplement its ANDA
                                                  petitions (two copies are required) to the              with either: (1) New bioequivalence                   SUMMARY:  The Food and Drug
                                                  Dockets Management Staff (HFA–305),                     studies or (2) re-assays of the samples               Administration (FDA or Agency) has
                                                  Food and Drug Administration, 5630                      from the original bioequivalence                      determined that CENESTIN (estrogens,
                                                  Fishers Lane, Rm. 1061, Rockville, MD                   studies. Upsher-Smith submitted new                   conjugated synthetic A) Tablets, 0.3
                                                  20852.                                                  fasted and fed bioequivalence studies to              milligrams (mg), 0.45 mg, 0.625 mg, 0.9


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                                                  41274                      Federal Register / Vol. 82, No. 167 / Wednesday, August 30, 2017 / Notices

                                                  mg, and 1.25 mg, were not withdrawn                     on March 24, 1999. CENESTIN is                          Dated: August 24, 2017.
                                                  from sale for reasons of safety or                      indicated for treatment of moderate to                Anna K. Abram,
                                                  effectiveness. This determination will                  severe vasomotor symptoms due to                      Deputy Commissioner for Policy, Planning,
                                                  allow FDA to approve abbreviated new                    menopause and treatment of moderate                   Legislation, and Analysis.
                                                  drug applications (ANDAs) for these                     to severe symptoms of vulvar and                      [FR Doc. 2017–18376 Filed 8–29–17; 8:45 am]
                                                  products, if all other legal and                        vaginal atrophy due to menopause.                     BILLING CODE 4164–01–P
                                                  regulatory requirements are met.                           In 2016, Teva notified FDA that
                                                  FOR FURTHER INFORMATION CONTACT:                        CENESTIN (estrogens, conjugated
                                                  Bronwen Blass, Center for Drug                          synthetic A) Tablets, 0.3 mg, 0.45 mg,                DEPARTMENT OF HEALTH AND
                                                  Evaluation and Research, Food and                       0.625 mg, 0.9 mg, and 1.25 mg, were                   HUMAN SERVICES
                                                  Drug Administration, 10903 New                          being discontinued, and FDA moved the
                                                  Hampshire Ave. Bldg. 51, Rm. 6228,                      drug product to the ‘‘Discontinued Drug               Food and Drug Administration
                                                  Silver Spring, MD 20993–0002, 301–                      Product List’’ section of the Orange                  [Docket Nos. FDA–2016–E–1283; FDA–
                                                  796–5092.                                               Book.                                                 2016–E–1291]
                                                                                                             Foley & Lardner submitted a citizen
                                                  SUPPLEMENTARY INFORMATION: In 1984,
                                                                                                          petition dated March 8, 2017 (Docket                  Determination of Regulatory Review
                                                  Congress enacted the Drug Price                         No. FDA–2017–P–1461), under 21 CFR                    Period for Purposes of Patent
                                                  Competition and Patent Term                             10.30, requesting that the Agency                     Extension; KENGREAL
                                                  Restoration Act of 1984 (Pub. L. 98–417)                determine whether CENESTIN
                                                  (the 1984 amendments), which                            (estrogens, conjugated synthetic A)                   AGENCY:    Food and Drug Administration,
                                                  authorized the approval of duplicate                    Tablets, 0.3 mg, 0.45 mg, 0.625 mg, 0.9               HHS.
                                                  versions of drug products under an                      mg, and 1.25 mg, were withdrawn from                  ACTION:   Notice.
                                                  ANDA procedure. ANDA applicants                         sale for reasons of safety or
                                                  must, with certain exceptions, show that                                                                      SUMMARY:    The Food and Drug
                                                                                                          effectiveness.                                        Administration (FDA or the Agency) has
                                                  the drug for which they are seeking                        After considering the citizen and
                                                  approval contains the same active                                                                             determined the regulatory review period
                                                                                                          reviewing Agency records and based on
                                                  ingredient in the same strength and                                                                           for KENGREAL and is publishing this
                                                                                                          the information we have at this time,
                                                  dosage form as the ‘‘listed drug,’’ which                                                                     notice of that determination as required
                                                                                                          FDA has determined under § 314.161
                                                  is a version of the drug that was                                                                             by law. FDA has made the
                                                                                                          that CENESTIN (estrogens, conjugated
                                                  previously approved. ANDA applicants                                                                          determination because of the
                                                                                                          synthetic A) Tablets, 0.3 mg, 0.45 mg,
                                                  do not have to repeat the extensive                                                                           submission of applications to the
                                                                                                          0.625 mg, 0.9 mg, and 1.25 mg, were not
                                                  clinical testing otherwise necessary to                                                                       Director of the U.S. Patent and
                                                                                                          withdrawn for reasons of safety or
                                                  gain approval of a new drug application                                                                       Trademark Office (USPTO), Department
                                                                                                          effectiveness. The petitioner has
                                                  (NDA).                                                                                                        of Commerce, for the extension of a
                                                                                                          identified no data or other information
                                                     The 1984 amendments include what                                                                           patent which claims that human drug
                                                                                                          suggesting that these products were
                                                  is now section 505(j)(7) of the Federal                                                                       product.
                                                                                                          withdrawn for reasons of safety or
                                                  Food, Drug, and Cosmetic Act (21 U.S.C.                 effectiveness. We have carefully                      DATES: Anyone with knowledge that any
                                                  355(j)(7)), which requires FDA to                       reviewed our files for records                        of the dates as published (in the
                                                  publish a list of all approved drugs.                   concerning the withdrawal of these                    SUPPLEMENTARY INFORMATION section) are
                                                  FDA publishes this list as part of the                  products from sale. We have also                      incorrect may submit either electronic
                                                  ‘‘Approved Drug Products With                           independently evaluated relevant                      or written comments and ask for a
                                                  Therapeutic Equivalence Evaluations,’’                  literature and data for possible                      redetermination by October 30, 2017.
                                                  which is known generally as the                         postmarketing adverse events. We have                 Furthermore, any interested person may
                                                  ‘‘Orange Book.’’ Under FDA regulations,                 found no information that would                       petition FDA for a determination
                                                  drugs are removed from the list if the                  indicate that these drug products were                regarding whether the applicant for
                                                  Agency withdraws or suspends                            withdrawn from sale for reasons of                    extension acted with due diligence
                                                  approval of the drug’s NDA or ANDA                      safety or effectiveness.                              during the regulatory review period by
                                                  for reasons of safety or effectiveness or                  Accordingly, the Agency will                       February 26, 2018. See ‘‘Petitions’’ in
                                                  if FDA determines that the listed drug                  continue to list CENESTIN (estrogens,                 the SUPPLEMENTARY INFORMATION section
                                                  was withdrawn from sale for reasons of                  conjugated synthetic A) Tablets, 0.3 mg,              for more information.
                                                  safety or effectiveness (21 CFR 314.162).               0.45 mg, 0.625 mg, 0.9 mg, and 1.25 mg,               ADDRESSES: You may submit comments
                                                     A person may petition the Agency to                  in the ‘‘Discontinued Drug Product List’’             as follows. Please note that late,
                                                  determine, or the Agency may                            section of the Orange Book. The                       untimely filed comments will not be
                                                  determine on its own initiative, whether                ‘‘Discontinued Drug Product List’’                    considered. Electronic comments must
                                                  a listed drug was withdrawn from sale                   delineates, among other items, drug                   be submitted on or before October 30,
                                                  for reasons of safety or effectiveness.                 products that have been discontinued                  2017. The https://www.regulations.gov
                                                  This determination may be made at any                   from marketing for reasons other than                 electronic filing system will accept
                                                  time after the drug has been withdrawn                  safety or effectiveness. ANDAs that refer             comments until midnight Eastern Time
                                                  from sale, but must be made prior to                    to CENESTIN (estrogens, conjugated                    at the end of October 30, 2017.
                                                  approving an ANDA that refers to the                    synthetic A) Tablets, 0.3 mg, 0.45 mg,                Comments received by mail/hand
                                                  listed drug (§ 314.161 (21 CFR 314.161)).               0.625 mg, 0.9 mg, and 1.25 mg, may be                 delivery/courier (for written/paper
                                                  FDA may not approve an ANDA that                        approved by the Agency as long as they                submissions) will be considered timely
mstockstill on DSK30JT082PROD with NOTICES




                                                  does not refer to a listed drug.                        meet all other legal and regulatory                   if they are postmarked or the delivery
                                                     CENESTIN (estrogens, conjugated                      requirements for the approval of                      service acceptance receipt is on or
                                                  synthetic A) Tablets, 0.3 mg, 0.45 mg,                  ANDAs. If FDA determines that labeling                before that date.
                                                  0.625 mg, 0.9 mg, and 1.25 mg, is the                   for this drug product should be revised
                                                  subject of NDA 020992, held by Teva                     to meet current standards, the Agency                 Electronic Submissions
                                                  Branded Pharmaceutical Products R&D,                    will advise ANDA applicants to submit                   Submit electronic comments in the
                                                  Inc. (Teva), and was initially approved                 such labeling.                                        following way:


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Document Created: 2017-08-30 04:08:38
Document Modified: 2017-08-30 04:08:38
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.
ContactBronwen Blass, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave. Bldg. 51, Rm. 6228, Silver Spring, MD 20993-0002, 301- 796-5092.
FR Citation82 FR 41273 

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