82_FR_60994 82 FR 60749 - Request for Nominations of Members for the Clinical Trials Transformation Initiative/Food and Drug Administration Patient Engagement Collaborative

82 FR 60749 - Request for Nominations of Members for the Clinical Trials Transformation Initiative/Food and Drug Administration Patient Engagement Collaborative

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 245 (December 22, 2017)

Page Range60749-60750
FR Document2017-27538

The Food and Drug Administration (FDA or Agency), in collaboration with the Clinical Trials Transformation Initiative (CTTI), is requesting nominations of patient advocates interested in participating on the Patient Engagement Collaborative (PEC). The PEC will be an ongoing, collaborative forum coordinated through the Patient Affairs Staff, Office of Medical Products and Tobacco (OMPT), Office of the Commissioner, and will be hosted by CTTI. Through the PEC, the patient community and regulators will be able to discuss an array of topics regarding increasing meaningful patient engagement in medical product development and regulatory discussions at FDA. The activities of the PEC may include, but are not limited to, providing diverse perspectives on topics such as systematic patient engagement, transparency, and communication; providing considerations for implementing new strategies to enhance patient engagement at FDA; and proposing new models of collaboration in which patients and patient advocates are partners in certain aspects of the medical product development and FDA review process.

Federal Register, Volume 82 Issue 245 (Friday, December 22, 2017)
[Federal Register Volume 82, Number 245 (Friday, December 22, 2017)]
[Notices]
[Pages 60749-60750]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-27538]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-N-6395]


Request for Nominations of Members for the Clinical Trials 
Transformation Initiative/Food and Drug Administration Patient 
Engagement Collaborative

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency), in 
collaboration with the Clinical Trials Transformation Initiative 
(CTTI), is requesting nominations of patient advocates interested in 
participating on the Patient Engagement Collaborative (PEC). The PEC 
will be an ongoing, collaborative forum coordinated through the Patient 
Affairs Staff, Office of Medical Products and Tobacco (OMPT), Office of 
the Commissioner, and will be hosted by CTTI. Through the PEC, the 
patient community and regulators will be able to discuss an array of 
topics regarding increasing meaningful patient engagement in medical 
product development and regulatory discussions at FDA. The activities 
of the PEC may include, but are not limited to, providing diverse 
perspectives on topics such as systematic patient engagement, 
transparency, and communication; providing considerations for 
implementing new strategies to enhance patient engagement at FDA; and 
proposing new models of collaboration in which patients and patient 
advocates are partners in certain aspects of the medical product 
development and FDA review process.

DATES: Nominations received by 11:59 p.m. Eastern Time on or before 
January 29, 2018, will be given first consideration for membership on 
the PEC. Nominations received after the submission deadline will be 
retained for future consideration.

ADDRESSES: All nominations should be submitted to the FDA's Patient 
Affairs Staff in the OMPT. Email nominations are preferred and should 
be submitted to [email protected]. Though not 
required, it is appreciated if all nomination materials are compiled 
into a single PDF file and attached to the submission email. 
Nominations may also be submitted by mail or delivery service to 
Patient Affairs Staff, Office of Medical Products and Tobacco, Office 
of the Commissioner, Food and Drug Administration, 10903 New Hampshire 
Ave., Bldg. 1, Rm. 1316, Silver Spring, MD 20993. Only complete 
applications, as described in section ``IV. Nomination Process'' of 
this document, will be considered.

FOR FURTHER INFORMATION CONTACT: Andrea Furia-Helms, Office of Medical 
Products and Tobacco, Office of the Commissioner, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 1316, Silver 
Spring, MD 20993, 301-796-8455, 
[email protected].

SUPPLEMENTARY INFORMATION: 

I. Background and Purpose

    The CTTI is a public-private partnership co-founded by FDA and Duke 
University whose mission is to develop and drive adoption of practices 
that will increase the quality and efficiency of clinical trials. FDA 
and CTTI have long involved patients and considered patient 
perspectives in their work. Furthering the engagement of patients as 
valued partners across the medical product research and development 
continuum requires an open forum for patients and regulators to discuss 
and exchange ideas.
    The PEC will be an ongoing, collaborative forum in which the 
patient community and regulators will discuss an array of topics 
regarding increasing patient engagement in medical product development 
and regulatory discussions at FDA. The PEC will be a joint endeavor 
between the CTTI and FDA. The activities of the PEC may inform relevant 
FDA and CTTI activities. The PEC is not intended to advise or otherwise 
direct the activities of either organization, and membership will not 
constitute employment by either organization.
    The Food and Drug Administration Safety and Innovation Act (Pub. L. 
112-144), section 1137, entitled ``Patient Participation in Medical 
Product Discussions,'' added section 569C to the Federal Food, Drug, 
and Cosmetic Act (21 U.S.C. 360bbb-8c). This provision directs the 
Secretary of Health and Human Services to develop and implement 
strategies to solicit the views of patients during the medical product 
development process and consider the perspectives of patients during 
regulatory discussions. On November 4, 2014, FDA issued a Federal 
Register notice establishing a docket (FDA-2014-N-1698) for public 
commenters to submit information related to FDA's implementation of 
this provision (79 FR 65410). Upon review of the comments received, one 
common theme, among others, included establishing an external group to 
provide input on patient engagement strategies across FDA's Centers.
    Recent legislation in both section 3001 of the 21st Century Cures 
Act and section 605 of the Food and Drug Administration Reauthorization 
Act of 2017 supports tools for fostering patient participation in the 
regulatory process.
    The purpose of this notice is to announce that the nomination 
process for the PEC is now open, and to invite and encourage 
nominations by the submission deadline for appropriately qualified 
individuals. Self-nominations are accepted.

II. Criteria for Membership

    The PEC will include up to 16 diverse representatives of the 
patient community. Selected members will include the following: (1) 
Patients who have personal disease experience; (2) caregivers who 
support patients, such as a parent, child, partner, other family 
member, or friend, and who have personal disease experience through 
this caregiver role; and (3) representatives from patient groups who, 
through their role in the patient group, have direct or indirect 
disease experience. Please note that for purposes of this activity, the 
term ``caregiver'' is not intended to include individuals who are 
engaged in caregiving as health care professionals; and the term 
``patient group'' is used herein to encompass patient advocacy

[[Page 60750]]

organizations, disease advocacy organizations, voluntary health 
agencies, nonprofit research foundations, and public health 
organizations. The ultimate goal of the nomination and selection 
process is to identify individuals who can represent a collective 
patient voice for their patient community.
    Selection criteria include the nominee's potential to meaningfully 
contribute to the activities of the PEC, ability to represent and 
express the patient voice for his or her constituency, ability to work 
in a constructive manner with involved stakeholders, and understanding 
of the clinical research enterprise. Consideration will also be given 
to ensuring the PEC includes diverse perspectives and experiences, 
including but not limited to, sociodemographic and disease experience 
diversity. It is anticipated that approximately half of the PEC 
membership will be selected from eligible CTTI member organizations and 
individuals, and half will be selected from other nominees. Members are 
required to be citizens and residents of the United States.
    Financial and other conflicts of interest will not necessarily make 
nominees ineligible for membership in the PEC. However, nominees cannot 
be direct employees of the medical product development industry.

III. Responsibilities and Expectations

    Meetings of the PEC will typically be held four times per year, 
either in-person (in the Washington, DC area) or by webinar, and 
additional meetings may be organized as needed. Accommodations will be 
made for members with special needs for travel or for participation in 
a meeting (e.g., accommodations for physical mobility impairments, 
dietary restrictions, etc.). Nominations for PEC membership are 
encouraged for individuals of all racial, ethnic, sexual orientation, 
and cultural groups with and without disabilities. Travel support will 
be provided.
    To help ensure continuity in its activities and organizational 
knowledge, the PEC will maintain staggered membership terms for patient 
community representatives. Membership terms are anticipated as 1- to 2-
year appointments, and will be determined during the process of 
selecting members. Members may serve up to two terms, with the 
possibility of extensions.
    Additional responsibilities and expectations are set forth in the 
Patient Engagement Collaborative Framework, which should be reviewed 
prior to submitting a nomination. The full text of the Patient 
Engagement Collaborative Framework is available at https://www.ctti-clinicaltrials.org/framework-cttifda-patient-engagement-collaborative.

IV. Nomination Process

    Any interested person may nominate one or more qualified 
individuals for membership on the PEC. Self-nominations are also 
accepted.
    Nominations should include the following: (1) A personal statement 
(maximum 800 words) from the nominee explaining his or her interest in 
becoming a member of the PEC; (2) a current, complete curriculum vitae 
or resume that shows relevant activities and experience; and (3) an 
optional letter of endorsement (maximum 800 words) from a patient group 
with which the nominee has worked closely on activities relevant to the 
PEC.
    The personal statement and optional letter of endorsement (if 
provided) should emphasize information relevant to the criteria for 
membership described above. The letter may address topics such as the 
nominee's involvement in patient advocacy activities, experiences that 
stimulated an interest in participating in discussions about patient 
engagement in medical product development and regulatory decision-
making, and other information that may be helpful in evaluating the 
nominee's qualifications as a potential member of the PEC.
    Nominations must provide the nominee's contact information (phone 
and email preferred), as well as state that the nominee is aware of the 
nomination (unless self-nominated) and is willing to serve as a member 
of the PEC.
    Additional information may be needed from nominees, including 
information relevant to understanding potential sources of conflict of 
interest, in which case nominees will be contacted directly.

    Dated: December 15, 2017.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2017-27538 Filed 12-20-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                                            Federal Register / Vol. 82, No. 245 / Friday, December 22, 2017 / Notices                                          60749

                                                regulations. This guidance is not subject               transparency, and communication;                      at FDA. The PEC will be a joint
                                                to Executive Order 12866.                               providing considerations for                          endeavor between the CTTI and FDA.
                                                                                                        implementing new strategies to enhance                The activities of the PEC may inform
                                                II. Paperwork Reduction Act of 1995
                                                                                                        patient engagement at FDA; and                        relevant FDA and CTTI activities. The
                                                   This draft guidance refers to                        proposing new models of collaboration                 PEC is not intended to advise or
                                                previously approved collections of                      in which patients and patient advocates               otherwise direct the activities of either
                                                information found in FDA regulations.                   are partners in certain aspects of the                organization, and membership will not
                                                These collections of information are                    medical product development and FDA                   constitute employment by either
                                                subject to review by the Office of                      review process.                                       organization.
                                                Management and Budget (OMB) under                       DATES: Nominations received by 11:59                     The Food and Drug Administration
                                                the Paperwork Reduction Act of 1995                     p.m. Eastern Time on or before January                Safety and Innovation Act (Pub. L. 112–
                                                (44 U.S.C. 3501–3520). The collections                  29, 2018, will be given first                         144), section 1137, entitled ‘‘Patient
                                                of information in 21 CFR 601.12 and                     consideration for membership on the                   Participation in Medical Product
                                                Form FDA 356h have been approved                        PEC. Nominations received after the                   Discussions,’’ added section 569C to the
                                                under OMB control number 0910–0338.                     submission deadline will be retained for              Federal Food, Drug, and Cosmetic Act
                                                III. Electronic Access                                  future consideration.                                 (21 U.S.C. 360bbb–8c). This provision
                                                                                                        ADDRESSES: All nominations should be                  directs the Secretary of Health and
                                                   Persons with access to the internet                                                                        Human Services to develop and
                                                may obtain the draft guidance at either                 submitted to the FDA’s Patient Affairs
                                                                                                        Staff in the OMPT. Email nominations                  implement strategies to solicit the views
                                                https://www.fda.gov/BiologicsBlood                                                                            of patients during the medical product
                                                Vaccines/GuidanceCompliance                             are preferred and should be submitted
                                                                                                        to PatientEngagementCollaborative@                    development process and consider the
                                                RegulatoryInformation/Guidances/                                                                              perspectives of patients during
                                                default.htm or https://                                 fda.hhs.gov. Though not required, it is
                                                                                                        appreciated if all nomination materials               regulatory discussions. On November 4,
                                                www.regulations.gov.                                                                                          2014, FDA issued a Federal Register
                                                                                                        are compiled into a single PDF file and
                                                  Dated: December 18, 2017.                             attached to the submission email.                     notice establishing a docket (FDA–
                                                Leslie Kux,                                             Nominations may also be submitted by                  2014–N–1698) for public commenters to
                                                Associate Commissioner for Policy.                      mail or delivery service to Patient                   submit information related to FDA’s
                                                [FR Doc. 2017–27569 Filed 12–21–17; 8:45 am]            Affairs Staff, Office of Medical Products             implementation of this provision (79 FR
                                                                                                        and Tobacco, Office of the                            65410). Upon review of the comments
                                                BILLING CODE 4164–01–P
                                                                                                        Commissioner, Food and Drug                           received, one common theme, among
                                                                                                        Administration, 10903 New Hampshire                   others, included establishing an external
                                                DEPARTMENT OF HEALTH AND                                Ave., Bldg. 1, Rm. 1316, Silver Spring,               group to provide input on patient
                                                HUMAN SERVICES                                          MD 20993. Only complete applications,                 engagement strategies across FDA’s
                                                                                                        as described in section ‘‘IV. Nomination              Centers.
                                                Food and Drug Administration                            Process’’ of this document, will be                      Recent legislation in both section
                                                                                                        considered.                                           3001 of the 21st Century Cures Act and
                                                [Docket No. FDA–2017–N–6395]                                                                                  section 605 of the Food and Drug
                                                                                                        FOR FURTHER INFORMATION CONTACT:                      Administration Reauthorization Act of
                                                Request for Nominations of Members                      Andrea Furia-Helms, Office of Medical                 2017 supports tools for fostering patient
                                                for the Clinical Trials Transformation                  Products and Tobacco, Office of the                   participation in the regulatory process.
                                                Initiative/Food and Drug                                Commissioner, Food and Drug                              The purpose of this notice is to
                                                Administration Patient Engagement                       Administration, 10903 New Hampshire                   announce that the nomination process
                                                Collaborative                                           Ave., Bldg. 1, Rm. 1316, Silver Spring,               for the PEC is now open, and to invite
                                                AGENCY:    Food and Drug Administration,                MD 20993, 301–796–8455,                               and encourage nominations by the
                                                HHS.                                                    PatientEngagementCollaborative@                       submission deadline for appropriately
                                                ACTION:   Notice.                                       fda.hhs.gov.                                          qualified individuals. Self-nominations
                                                                                                        SUPPLEMENTARY INFORMATION:                            are accepted.
                                                SUMMARY:   The Food and Drug
                                                Administration (FDA or Agency), in                      I. Background and Purpose                             II. Criteria for Membership
                                                collaboration with the Clinical Trials                     The CTTI is a public-private                          The PEC will include up to 16 diverse
                                                Transformation Initiative (CTTI), is                    partnership co-founded by FDA and                     representatives of the patient
                                                requesting nominations of patient                       Duke University whose mission is to                   community. Selected members will
                                                advocates interested in participating on                develop and drive adoption of practices               include the following: (1) Patients who
                                                the Patient Engagement Collaborative                    that will increase the quality and                    have personal disease experience; (2)
                                                (PEC). The PEC will be an ongoing,                      efficiency of clinical trials. FDA and                caregivers who support patients, such as
                                                collaborative forum coordinated through                 CTTI have long involved patients and                  a parent, child, partner, other family
                                                the Patient Affairs Staff, Office of                    considered patient perspectives in their              member, or friend, and who have
                                                Medical Products and Tobacco (OMPT),                    work. Furthering the engagement of                    personal disease experience through
                                                Office of the Commissioner, and will be                 patients as valued partners across the                this caregiver role; and (3)
                                                hosted by CTTI. Through the PEC, the                    medical product research and                          representatives from patient groups
                                                patient community and regulators will                   development continuum requires an                     who, through their role in the patient
                                                be able to discuss an array of topics                                                                         group, have direct or indirect disease
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                                                                                                        open forum for patients and regulators
                                                regarding increasing meaningful patient                 to discuss and exchange ideas.                        experience. Please note that for
                                                engagement in medical product                              The PEC will be an ongoing,                        purposes of this activity, the term
                                                development and regulatory discussions                  collaborative forum in which the patient              ‘‘caregiver’’ is not intended to include
                                                at FDA. The activities of the PEC may                   community and regulators will discuss                 individuals who are engaged in
                                                include, but are not limited to,                        an array of topics regarding increasing               caregiving as health care professionals;
                                                providing diverse perspectives on topics                patient engagement in medical product                 and the term ‘‘patient group’’ is used
                                                such as systematic patient engagement,                  development and regulatory discussions                herein to encompass patient advocacy


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                                                60750                       Federal Register / Vol. 82, No. 245 / Friday, December 22, 2017 / Notices

                                                organizations, disease advocacy                         of the Patient Engagement Collaborative               DEPARTMENT OF HEALTH AND
                                                organizations, voluntary health                         Framework is available at https://                    HUMAN SERVICES
                                                agencies, nonprofit research                            www.ctti-clinicaltrials.org/framework-
                                                foundations, and public health                          cttifda-patient-engagement-                           Food and Drug Administration
                                                organizations. The ultimate goal of the                 collaborative.                                        [Docket No. FDA–1995–D–0288 (Formerly
                                                nomination and selection process is to                                                                        Docket No. 95D–0052)]
                                                identify individuals who can represent                  IV. Nomination Process
                                                a collective patient voice for their                                                                          Chemistry, Manufacturing, and
                                                                                                           Any interested person may nominate
                                                patient community.                                                                                            Controls Changes to an Approved
                                                   Selection criteria include the                       one or more qualified individuals for
                                                                                                        membership on the PEC. Self-                          Application: Certain Biological
                                                nominee’s potential to meaningfully                                                                           Products; Draft Guidance for Industry;
                                                contribute to the activities of the PEC,                nominations are also accepted.
                                                                                                                                                              Availability
                                                ability to represent and express the                       Nominations should include the
                                                patient voice for his or her constituency,              following: (1) A personal statement                   AGENCY:    Food and Drug Administration,
                                                ability to work in a constructive manner                (maximum 800 words) from the                          HHS.
                                                with involved stakeholders, and                         nominee explaining his or her interest                ACTION:   Notice of availability.
                                                understanding of the clinical research                  in becoming a member of the PEC; (2)
                                                enterprise. Consideration will also be                  a current, complete curriculum vitae or               SUMMARY:   The Food and Drug
                                                given to ensuring the PEC includes                      resume that shows relevant activities                 Administration (FDA or Agency) is
                                                diverse perspectives and experiences,                                                                         announcing the availability of a draft
                                                                                                        and experience; and (3) an optional
                                                including but not limited to,                                                                                 document entitled ‘‘Chemistry,
                                                                                                        letter of endorsement (maximum 800
                                                sociodemographic and disease                                                                                  Manufacturing, and Controls Changes to
                                                                                                        words) from a patient group with which                an Approved Application: Certain
                                                experience diversity. It is anticipated
                                                that approximately half of the PEC                      the nominee has worked closely on                     Biological Products; Draft Guidance for
                                                membership will be selected from                        activities relevant to the PEC.                       Industry.’’ The draft guidance is
                                                eligible CTTI member organizations and                     The personal statement and optional                intended to assist applicants and
                                                individuals, and half will be selected                  letter of endorsement (if provided)                   manufacturers of certain licensed
                                                from other nominees. Members are                        should emphasize information relevant                 biological products in determining
                                                required to be citizens and residents of                to the criteria for membership described              which reporting category is appropriate
                                                the United States.                                      above. The letter may address topics                  for a change in chemistry,
                                                   Financial and other conflicts of                     such as the nominee’s involvement in                  manufacturing, and controls (CMC)
                                                interest will not necessarily make                      patient advocacy activities, experiences              information to an approved biologics
                                                nominees ineligible for membership in                   that stimulated an interest in                        license application (BLA). The draft
                                                the PEC. However, nominees cannot be                    participating in discussions about                    guidance provides applicants and
                                                direct employees of the medical product                                                                       manufacturers general and
                                                                                                        patient engagement in medical product
                                                development industry.                                                                                         administrative information on reporting
                                                                                                        development and regulatory decision-
                                                III. Responsibilities and Expectations                  making, and other information that may                and evaluating changes and
                                                                                                        be helpful in evaluating the nominee’s                recommendations for reporting
                                                   Meetings of the PEC will typically be                                                                      categories based on a tiered-reporting
                                                held four times per year, either in-                    qualifications as a potential member of
                                                                                                                                                              system for specific changes. The draft
                                                person (in the Washington, DC area) or                  the PEC.
                                                                                                                                                              guidance, when finalized, is intended to
                                                by webinar, and additional meetings                        Nominations must provide the                       supersede the document entitled
                                                may be organized as needed.                             nominee’s contact information (phone                  ‘‘Guidance for Industry: Changes to an
                                                Accommodations will be made for                         and email preferred), as well as state                Approved Application: Biological
                                                members with special needs for travel or                that the nominee is aware of the                      Products’’ dated July 1997 (July 1997
                                                for participation in a meeting (e.g.,                   nomination (unless self-nominated) and                guidance).
                                                accommodations for physical mobility                    is willing to serve as a member of the
                                                impairments, dietary restrictions, etc.).                                                                     DATES:  Submit either electronic or
                                                                                                        PEC.                                                  written comments on the draft guidance
                                                Nominations for PEC membership are
                                                encouraged for individuals of all racial,                  Additional information may be                      by March 22, 2018 to ensure that the
                                                ethnic, sexual orientation, and cultural                needed from nominees, including                       Agency considers your comment on this
                                                groups with and without disabilities.                   information relevant to understanding                 draft guidance before it begins work on
                                                Travel support will be provided.                        potential sources of conflict of interest,            the final version of the guidance.
                                                   To help ensure continuity in its                     in which case nominees will be                        ADDRESSES: You may submit comments
                                                activities and organizational knowledge,                contacted directly.                                   on any guidance at any time as follows:
                                                the PEC will maintain staggered                           Dated: December 15, 2017.                           Electronic Submissions
                                                membership terms for patient
                                                                                                        Leslie Kux,                                             Submit electronic comments in the
                                                community representatives.
                                                Membership terms are anticipated as 1-                  Associate Commissioner for Policy.                    following way:
                                                to 2-year appointments, and will be                     [FR Doc. 2017–27538 Filed 12–20–17; 8:45 am]            • Federal eRulemaking Portal:
                                                determined during the process of                        BILLING CODE 4164–01–P                                https://www.regulations.gov. Follow the
                                                                                                                                                              instructions for submitting comments.
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                                                selecting members. Members may serve
                                                up to two terms, with the possibility of                                                                      Comments submitted electronically,
                                                extensions.                                                                                                   including attachments, to https://
                                                   Additional responsibilities and                                                                            www.regulations.gov will be posted to
                                                expectations are set forth in the Patient                                                                     the docket unchanged. Because your
                                                Engagement Collaborative Framework,                                                                           comment will be made public, you are
                                                which should be reviewed prior to                                                                             solely responsible for ensuring that your
                                                submitting a nomination. The full text                                                                        comment does not include any


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Document Created: 2017-12-22 00:33:59
Document Modified: 2017-12-22 00:33:59
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.
DatesNominations received by 11:59 p.m. Eastern Time on or before January 29, 2018, will be given first consideration for membership on the PEC. Nominations received after the submission deadline will be retained for future consideration.
ContactAndrea Furia-Helms, Office of Medical Products and Tobacco, Office of the Commissioner, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 1316, Silver Spring, MD 20993, 301-796-8455, [email protected]
FR Citation82 FR 60749 

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