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    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Contents</UNITNAME>
    <CNTNTS>
        <AGCY>
            <EAR>
                Agriculture
                <PRTPAGE P="iii"/>
            </EAR>
            <HD>Agriculture Department</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Foreign Agricultural Service</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Rural Housing Service</P>
            </SEE>
        </AGCY>
        <AGCY>
            <EAR>Army</EAR>
            <HD>Army Department</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Meetings:</SJ>
                <SJDENT>
                    <SJDOC>Board of Visitors, United States Military Academy, </SJDOC>
                    <PGS>43554-43555</PGS>
                    <FRDOCBP>2023-14497</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Centers Medicare</EAR>
            <HD>Centers for Medicare &amp; Medicaid Services</HD>
            <CAT>
                <HD>PROPOSED RULES</HD>
                <SJ>Medicare Program:</SJ>
                <SJDENT>
                    <SJDOC>Calendar Year 2024 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Program Requirements; etc., </SJDOC>
                    <PGS>43654-43817</PGS>
                    <FRDOCBP>2023-14044</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Civil Rights</EAR>
            <HD>Civil Rights Commission</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Meetings:</SJ>
                <SJDENT>
                    <SJDOC>Puerto Rico Advisory Committee, </SJDOC>
                    <PGS>43544-43545</PGS>
                    <FRDOCBP>2023-14452</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Texas Advisory Committee, </SJDOC>
                    <PGS>43545</PGS>
                    <FRDOCBP>2023-14451</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>U.S. Virgin Islands Advisory Committee; Correction, </SJDOC>
                    <PGS>43546</PGS>
                    <FRDOCBP>2023-14449</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Washington Advisory Committee, </SJDOC>
                    <PGS>43545-43546</PGS>
                    <FRDOCBP>2023-14450</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Commerce</EAR>
            <HD>Commerce Department</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Foreign-Trade Zones Board</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>International Trade Administration</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>National Oceanic and Atmospheric Administration</P>
            </SEE>
        </AGCY>
        <AGCY>
            <EAR>Defense Department</EAR>
            <HD>Defense Department</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Army Department</P>
            </SEE>
        </AGCY>
        <AGCY>
            <EAR>Education Department</EAR>
            <HD>Education Department</HD>
            <CAT>
                <HD>RULES</HD>
                <DOCENT>
                    <DOC>Improving Income Driven Repayment for the William D. Ford Federal Direct Loan Program and the Federal Family Education Loan Program, </DOC>
                    <PGS>43820-43905</PGS>
                    <FRDOCBP>2023-13112</FRDOCBP>
                </DOCENT>
            </CAT>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Agency Information Collection Activities; Proposals, Submissions, and Approvals:</SJ>
                <SJDENT>
                    <SJDOC>Federal Family Education Loan, Perkins and TEACH Grant Total and Permanent Disability Discharge Application and Related Forms, </SJDOC>
                    <PGS>43556-43557</PGS>
                    <FRDOCBP>2023-14504</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Gaining Early Awareness and Readiness for Undergraduate Programs Final Performance Report, </SJDOC>
                    <PGS>43555-43556</PGS>
                    <FRDOCBP>2023-14507</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Higher Education Emergency Relief Fund No Cost Extension Request Form, </SJDOC>
                    <PGS>43557</PGS>
                    <FRDOCBP>2023-14505</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Loan Discharge Applications (Direct Loan/Federal Family Education Loan/Perkins), </SJDOC>
                    <PGS>43557-43558</PGS>
                    <FRDOCBP>2023-14506</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>National Implementation Study of Student Support and Academic Enrichment Grants (Title IV, Part A), </SJDOC>
                    <PGS>43558-43559</PGS>
                    <FRDOCBP>2023-14436</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Election</EAR>
            <HD>Election Assistance Commission</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Meetings; Sunshine Act, </DOC>
                    <PGS>43559</PGS>
                    <FRDOCBP>2023-14646</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Energy Department</EAR>
            <HD>Energy Department</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Federal Energy Regulatory Commission</P>
            </SEE>
        </AGCY>
        <AGCY>
            <EAR>Environmental Protection</EAR>
            <HD>Environmental Protection Agency</HD>
            <CAT>
                <HD>RULES</HD>
                <SJ>Air Quality State Implementation Plans; Approvals and Promulgations:</SJ>
                <SJDENT>
                    <SJDOC>California; San Joaquin Valley Air Pollution Control District; Stationary Source Permits, </SJDOC>
                    <PGS>43434-43440</PGS>
                    <FRDOCBP>2023-14132</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Ohio; Consumer Products Rule, </SJDOC>
                    <PGS>43440-43441</PGS>
                    <FRDOCBP>2023-14168</FRDOCBP>
                </SJDENT>
                <SJ>Pesticide Tolerances:</SJ>
                <SJDENT>
                    <SJDOC>Benzpyrimoxan, </SJDOC>
                    <PGS>43442-43446</PGS>
                    <FRDOCBP>2023-14404</FRDOCBP>
                </SJDENT>
            </CAT>
            <CAT>
                <HD>PROPOSED RULES</HD>
                <SJ>Air Quality State Implementation Plans; Approvals and Promulgations:</SJ>
                <SJDENT>
                    <SJDOC>New Hampshire; Reasonably Available Control Technology for the 2008 and 2015 Ozone Standards, </SJDOC>
                    <PGS>43483-43489</PGS>
                    <FRDOCBP>2023-14535</FRDOCBP>
                </SJDENT>
            </CAT>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Meetings:</SJ>
                <SJDENT>
                    <SJDOC>1,4-Dioxane; Draft Supplement to the Toxic Substances Control Act Risk Evaluation; Science Advisory Committee on Chemicals, </SJDOC>
                    <PGS>43562-43565</PGS>
                    <FRDOCBP>2023-14445</FRDOCBP>
                </SJDENT>
                <SJ>Permits; Applications, Issuances, etc.:</SJ>
                <SJDENT>
                    <SJDOC>Draft National Pollutant Discharge Elimination System General Permit for the Eastern Portion of the Outer Continental Shelf of the Gulf of Mexico; Availability of Draft National Environmental Policy Categorial Exclusion, </SJDOC>
                    <PGS>43562</PGS>
                    <FRDOCBP>2023-14484</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Export Import</EAR>
            <HD>Export-Import Bank</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Meetings; Sunshine Act, </DOC>
                    <PGS>43565-43566</PGS>
                    <FRDOCBP>2023-14588</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Federal Aviation</EAR>
            <HD>Federal Aviation Administration</HD>
            <CAT>
                <HD>RULES</HD>
                <SJ>Airspace Designations and Reporting Points:</SJ>
                <SJDENT>
                    <SJDOC>Devils Lake, ND, </SJDOC>
                    <PGS>43429-43430</PGS>
                    <FRDOCBP>2023-14356</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Hartington, NE, </SJDOC>
                    <PGS>43430-43431</PGS>
                    <FRDOCBP>2023-14350</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Kalamazoo, MI, </SJDOC>
                    <PGS>43433-43434</PGS>
                    <FRDOCBP>2023-14459</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Sonora, TX, </SJDOC>
                    <PGS>43432-43433</PGS>
                    <FRDOCBP>2023-14480</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Whiteriver, AZ, </SJDOC>
                    <PGS>43431-43432</PGS>
                    <FRDOCBP>2023-14357</FRDOCBP>
                </SJDENT>
                <SJ>Airworthiness Directives:</SJ>
                <SJDENT>
                    <SJDOC>Safran Helicopter Engines, S.A. (Type Certificate Previously Held by Turbomeca, S.A.) Engines, </SJDOC>
                    <PGS>43426-43429</PGS>
                    <FRDOCBP>2023-14585</FRDOCBP>
                </SJDENT>
            </CAT>
            <CAT>
                <HD>PROPOSED RULES</HD>
                <SJ>Airworthiness Directives:</SJ>
                <SJDENT>
                    <SJDOC>Dassault Aviation Airplanes, </SJDOC>
                    <PGS>43477-43479</PGS>
                    <FRDOCBP>2023-14367</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>The Boeing Company Airplanes, </SJDOC>
                    <PGS>43479-43482</PGS>
                    <FRDOCBP>2023-14330</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Federal Communications</EAR>
            <HD>Federal Communications Commission</HD>
            <CAT>
                <HD>RULES</HD>
                <DOCENT>
                    <DOC>Advanced Methods to Target and Eliminate Unlawful Robocalls, Call Authentication Trust Anchor, </DOC>
                    <PGS>43446-43460</PGS>
                    <FRDOCBP>2023-13035</FRDOCBP>
                </DOCENT>
                <DOCENT>
                    <DOC>Expanding Flexible Use of the 12.2-12.7 GHz Band, </DOC>
                    <PGS>43462-43476</PGS>
                    <FRDOCBP>2023-13503</FRDOCBP>
                </DOCENT>
                <DOCENT>
                    <DOC>Expanding Flexible Use of the 12.7-13.25 GHz Band for Mobile Broadband or Other Expanded Use, </DOC>
                    <PGS>43460-43462</PGS>
                    <FRDOCBP>2023-13502</FRDOCBP>
                </DOCENT>
            </CAT>
            <CAT>
                <HD>PROPOSED RULES</HD>
                <DOCENT>
                    <DOC>Advanced Methods to Target and Eliminate Unlawful Robocalls, </DOC>
                    <PGS>43489-43502</PGS>
                    <FRDOCBP>2023-13032</FRDOCBP>
                </DOCENT>
                <DOCENT>
                    <DOC>Expanding Flexible Use of the 12.2-12.7 GHz Band, </DOC>
                    <PGS>43502-43514</PGS>
                    <FRDOCBP>2023-13501</FRDOCBP>
                </DOCENT>
                <DOCENT>
                    <PRTPAGE P="iv"/>
                    <DOC>Expanding Use of the 12.7-13.25 GHz Band for Mobile Broadband or Other Expanded Use, </DOC>
                    <PGS>43938-43975</PGS>
                    <FRDOCBP>2023-13500</FRDOCBP>
                </DOCENT>
                <DOCENT>
                    <DOC>Facilitating Implementation of Next Generation 911 Services, </DOC>
                    <PGS>43514-43543</PGS>
                    <FRDOCBP>2023-14402</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Federal Energy</EAR>
            <HD>Federal Energy Regulatory Commission</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Combined Filings, </DOC>
                    <PGS>43560-43561</PGS>
                    <FRDOCBP>2023-14489</FRDOCBP>
                      
                    <FRDOCBP>2023-14492</FRDOCBP>
                </DOCENT>
                <SJ>Initial Market-Based Rate Filings Including Requests for Blanket Section 204 Authorizations:</SJ>
                <SJDENT>
                    <SJDOC>Clearwater Wind East, LLC, </SJDOC>
                    <PGS>43559-43560</PGS>
                    <FRDOCBP>2023-14490</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Vikings Energy Farm LLC, </SJDOC>
                    <PGS>43561-43562</PGS>
                    <FRDOCBP>2023-14491</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Federal Labor</EAR>
            <HD>Federal Labor Relations Authority</HD>
            <CAT>
                <HD>RULES</HD>
                <DOCENT>
                    <DOC>Miscellaneous and General Requirements, </DOC>
                    <PGS>43425-43426</PGS>
                    <FRDOCBP>2023-14399</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Federal Motor</EAR>
            <HD>Federal Motor Carrier Safety Administration</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Exemption Application:</SJ>
                <SJDENT>
                    <SJDOC>Qualification of Drivers; Hearing, </SJDOC>
                    <PGS>43644-43649</PGS>
                    <FRDOCBP>2023-14463</FRDOCBP>
                      
                    <FRDOCBP>2023-14464</FRDOCBP>
                      
                    <FRDOCBP>2023-14465</FRDOCBP>
                      
                    <FRDOCBP>2023-14466</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Qualification of Drivers; Implantable Cardioverter Defibrillator, </SJDOC>
                    <PGS>43643-43644</PGS>
                    <FRDOCBP>2023-14462</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Fish</EAR>
            <HD>Fish and Wildlife Service</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Marine Mammals:</SJ>
                <SJDENT>
                    <SJDOC>Letters of Authorization to Take Pacific Walruses and Polar Bears in the Beaufort Sea, Alaska, in 2022, </SJDOC>
                    <PGS>43621-43622</PGS>
                    <FRDOCBP>2023-14442</FRDOCBP>
                </SJDENT>
                <SJ>Permits; Applications, Issuances, etc.:</SJ>
                <SJDENT>
                    <SJDOC>Endangered and Threatened Species, Recovery Permit Applications, </SJDOC>
                    <PGS>43622-43626</PGS>
                    <FRDOCBP>2023-14509</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Food and Drug</EAR>
            <HD>Food and Drug Administration</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Agency Information Collection Activities; Proposals, Submissions, and Approvals:</SJ>
                <SJDENT>
                    <SJDOC>Human Cells, Tissues, and Cellular and Tissue-Based Products, </SJDOC>
                    <PGS>43567-43569</PGS>
                    <FRDOCBP>2023-14467</FRDOCBP>
                </SJDENT>
                <SJ>Meetings:</SJ>
                <SJDENT>
                    <SJDOC>Medical Imaging Drugs Advisory Committee, </SJDOC>
                    <PGS>43566-43567</PGS>
                    <FRDOCBP>2023-14460</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Foreign Agricultural</EAR>
            <HD>Foreign Agricultural Service</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Fiscal Year 2023 Tariff-Rate Quota Increase:</SJ>
                <SJDENT>
                    <SJDOC>Raw Cane Sugar, </SJDOC>
                    <PGS>43544</PGS>
                    <FRDOCBP>2023-14458</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Foreign Claims</EAR>
            <HD>Foreign Claims Settlement Commission</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Meetings; Sunshine Act, </DOC>
                    <PGS>43635-43636</PGS>
                    <FRDOCBP>2023-14659</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Foreign Trade</EAR>
            <HD>Foreign-Trade Zones Board</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Authorization of Production Activity:</SJ>
                <SJDENT>
                    <SJDOC>Caterpillar Inc., Foreign-Trade Zone 155, Victoria, TX, </SJDOC>
                    <PGS>43546</PGS>
                    <FRDOCBP>2023-14495</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Geological</EAR>
            <HD>Geological Survey</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Agency Information Collection Activities; Proposals, Submissions, and Approvals:</SJ>
                <SJDENT>
                    <SJDOC>Turtle Distribution Database, </SJDOC>
                    <PGS>43626-43627</PGS>
                    <FRDOCBP>2023-14479</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Health and Human</EAR>
            <HD>Health and Human Services Department</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Centers for Medicare &amp; Medicaid Services</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Food and Drug Administration</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Health Resources and Services Administration</P>
            </SEE>
            <CAT>
                <HD>PROPOSED RULES</HD>
                <DOCENT>
                    <DOC>Control of Communicable Diseases; Foreign Quarantine: Importation of Dogs and Cats, </DOC>
                    <PGS>43978-44029</PGS>
                    <FRDOCBP>2023-14343</FRDOCBP>
                </DOCENT>
            </CAT>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Extension of Temporary Suspension of Dogs Entering the United States from Countries with a High Risk of Rabies, </DOC>
                    <PGS>43570-43581</PGS>
                    <FRDOCBP>2023-14342</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Health Resources</EAR>
            <HD>Health Resources and Services Administration</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Requests for Nominations:</SJ>
                <SJDENT>
                    <SJDOC>Advisory Committee on Organ Transplantation, </SJDOC>
                    <PGS>43569-43570</PGS>
                    <FRDOCBP>2023-14502</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Homeland</EAR>
            <HD>Homeland Security Department</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Implementation of a Family Reunification Parole Process for Colombians, </DOC>
                    <PGS>43591-43601</PGS>
                    <FRDOCBP>2023-14472</FRDOCBP>
                </DOCENT>
                <DOCENT>
                    <DOC>Implementation of a Family Reunification Parole Process for Guatemalans, </DOC>
                    <PGS>43581-43591</PGS>
                    <FRDOCBP>2023-14473</FRDOCBP>
                </DOCENT>
                <DOCENT>
                    <DOC>Implementation of a Family Reunification Parole Process for Hondurans, </DOC>
                    <PGS>43601-43611</PGS>
                    <FRDOCBP>2023-14474</FRDOCBP>
                </DOCENT>
                <DOCENT>
                    <DOC>Implementation of a Family Reunification Parole Process for Salvadorans, </DOC>
                    <PGS>43611-43621</PGS>
                    <FRDOCBP>2023-14475</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Housing</EAR>
            <HD>Housing and Urban Development Department</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Regulatory Waiver Requests Granted for the Fourth Quarter of Calendar Year 2022, </DOC>
                    <PGS>43908-43936</PGS>
                    <FRDOCBP>2023-14304</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Indian Affairs</EAR>
            <HD>Indian Affairs Bureau</HD>
            <CAT>
                <HD>PROPOSED RULES</HD>
                <DOCENT>
                    <DOC>Mining of the Osage Mineral Estate for Oil and Gas, </DOC>
                    <PGS>43482-43483</PGS>
                    <FRDOCBP>2023-14440</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Interior</EAR>
            <HD>Interior Department</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Fish and Wildlife Service</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Geological Survey</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Indian Affairs Bureau</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Land Management Bureau</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Reclamation Bureau</P>
            </SEE>
        </AGCY>
        <AGCY>
            <EAR>International Trade Adm</EAR>
            <HD>International Trade Administration</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Antidumping or Countervailing Duty Investigations, Orders, or Reviews:</SJ>
                <SJDENT>
                    <SJDOC>Agreement Suspending the Antidumping Duty Investigation on Sugar from Mexico, </SJDOC>
                    <PGS>43546-43548</PGS>
                    <FRDOCBP>2023-14503</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Agreement Suspending the Countervailing Duty Investigation on Sugar from Mexico, </SJDOC>
                    <PGS>43552-43553</PGS>
                    <FRDOCBP>2023-14501</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Certain Passenger Vehicles and Light Truck Tires from the People's Republic of China, </SJDOC>
                    <PGS>43548-43549</PGS>
                    <FRDOCBP>2023-14496</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Citric Acid and Certain Citrate Salts from the People's Republic of China, </SJDOC>
                    <PGS>43551-43552</PGS>
                    <FRDOCBP>2023-14621</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Steel Wire Garment Hangers from the Socialist Republic of Vietnam, </SJDOC>
                    <PGS>43550-43551</PGS>
                    <FRDOCBP>2023-14494</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>International Trade Com</EAR>
            <HD>International Trade Commission</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Investigations; Determinations, Modifications, and Rulings, etc.:</SJ>
                <SJDENT>
                    <SJDOC>Greenhouse Gas Emissions Intensities of the U.S. Steel and Aluminum Industries at the Product Level; Meeting, </SJDOC>
                    <PGS>43633-43635</PGS>
                    <FRDOCBP>2023-14500</FRDOCBP>
                </SJDENT>
                <DOCENT>
                    <DOC>Meetings; Sunshine Act, </DOC>
                    <PGS>43633</PGS>
                    <FRDOCBP>2023-14622</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Justice Department</EAR>
            <HD>Justice Department</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Foreign Claims Settlement Commission</P>
            </SEE>
        </AGCY>
        <AGCY>
            <EAR>
                Land
                <PRTPAGE P="v"/>
            </EAR>
            <HD>Land Management Bureau</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Plats of Survey:</SJ>
                <SJDENT>
                    <SJDOC>Minnesota, </SJDOC>
                    <PGS>43628-43629</PGS>
                    <FRDOCBP>2023-14487</FRDOCBP>
                </SJDENT>
                <SJ>Realty Action:</SJ>
                <SJDENT>
                    <SJDOC>Classification for Lease and/or Conveyance of Public Lands in Humboldt County, NV, </SJDOC>
                    <PGS>43627-43628</PGS>
                    <FRDOCBP>2023-14446</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Maritime</EAR>
            <HD>Maritime Administration</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Meetings:</SJ>
                <SJDENT>
                    <SJDOC>Decommissioning and Disposition of the National Historic Landmark Nuclear Ship Savannah, </SJDOC>
                    <PGS>43649-43650</PGS>
                    <FRDOCBP>2023-14488</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>National Endowment for the Arts</EAR>
            <HD>National Endowment for the Arts</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Meetings:</SJ>
                <SJDENT>
                    <SJDOC>Arts Advisory Panel, </SJDOC>
                    <PGS>43636</PGS>
                    <FRDOCBP>2023-14493</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>National Foundation</EAR>
            <HD>National Foundation on the Arts and the Humanities</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>National Endowment for the Arts</P>
            </SEE>
        </AGCY>
        <AGCY>
            <EAR>National Oceanic</EAR>
            <HD>National Oceanic and Atmospheric Administration</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Meetings:</SJ>
                <SJDENT>
                    <SJDOC>Pacific Fishery Management Council, </SJDOC>
                    <PGS>43553-43554</PGS>
                    <FRDOCBP>2023-14482</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>South Atlantic Fishery Management Council; Public Hearing, </SJDOC>
                    <PGS>43554</PGS>
                    <FRDOCBP>2023-14483</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Nuclear Regulatory</EAR>
            <HD>Nuclear Regulatory Commission</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Meetings; Sunshine Act, </DOC>
                    <PGS>43636</PGS>
                    <FRDOCBP>2023-14583</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Reclamation</EAR>
            <HD>Reclamation Bureau</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Agency Information Collection Activities; Proposals, Submissions, and Approvals:</SJ>
                <SJDENT>
                    <SJDOC>Certification Summary Form, Reporting Summary Form for Acreage Limitation, </SJDOC>
                    <PGS>43632-43633</PGS>
                    <FRDOCBP>2023-14439</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Forms to Determine Compliance by Certain Landholders, </SJDOC>
                    <PGS>43629-43631</PGS>
                    <FRDOCBP>2023-14437</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>Individual Landholder's and Farm Operator's Certification and Reporting Forms for Acreage Limitation, </SJDOC>
                    <PGS>43631-43632</PGS>
                    <FRDOCBP>2023-14438</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Rural Housing Service</EAR>
            <HD>Rural Housing Service</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Funding Availability:</SJ>
                <SJDENT>
                    <SJDOC>Native Community Development Financial Institution Relending Demonstration Program Fiscal Year 2023; Correction, </SJDOC>
                    <PGS>43544</PGS>
                    <FRDOCBP>2023-14470</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Securities</EAR>
            <HD>Securities and Exchange Commission</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Meetings; Sunshine Act, </DOC>
                    <PGS>43639-43641</PGS>
                    <FRDOCBP>2023-14559</FRDOCBP>
                      
                    <FRDOCBP>2023-14636</FRDOCBP>
                </DOCENT>
                <SJ>Self-Regulatory Organizations; Proposed Rule Changes:</SJ>
                <SJDENT>
                    <SJDOC>Options Clearing Corp., </SJDOC>
                    <PGS>43640-43641</PGS>
                    <FRDOCBP>2023-14441</FRDOCBP>
                </SJDENT>
                <SJDENT>
                    <SJDOC>The Nasdaq Stock Market LLC, </SJDOC>
                    <PGS>43637-43639</PGS>
                    <FRDOCBP>2023-14443</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Social</EAR>
            <HD>Social Security Administration</HD>
            <CAT>
                <HD>NOTICES</HD>
                <DOCENT>
                    <DOC>Agency Information Collection Activities; Proposals, Submissions, and Approvals, </DOC>
                    <PGS>43642-43643</PGS>
                    <FRDOCBP>2023-14447</FRDOCBP>
                </DOCENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Transportation Department</EAR>
            <HD>Transportation Department</HD>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Federal Aviation Administration</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Federal Motor Carrier Safety Administration</P>
            </SEE>
            <SEE>
                <HD SOURCE="HED">See</HD>
                <P>Maritime Administration</P>
            </SEE>
        </AGCY>
        <AGCY>
            <EAR>Treasury</EAR>
            <HD>Treasury Department</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Meetings:</SJ>
                <SJDENT>
                    <SJDOC>Debt Management Advisory Committee, </SJDOC>
                    <PGS>43650-43651</PGS>
                    <FRDOCBP>2023-14477</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <AGCY>
            <EAR>Veteran Affairs</EAR>
            <HD>Veterans Affairs Department</HD>
            <CAT>
                <HD>NOTICES</HD>
                <SJ>Agency Information Collection Activities; Proposals, Submissions, and Approvals:</SJ>
                <SJDENT>
                    <SJDOC>Financial Status Report, </SJDOC>
                    <PGS>43651</PGS>
                    <FRDOCBP>2023-14448</FRDOCBP>
                </SJDENT>
            </CAT>
        </AGCY>
        <PTS>
            <HD SOURCE="HED">Separate Parts In This Issue</HD>
            <HD>Part II</HD>
            <DOCENT>
                <DOC>Health and Human Services Department, Centers for Medicare &amp; Medicaid Services, </DOC>
                <PGS>43654-43817</PGS>
                <FRDOCBP>2023-14044</FRDOCBP>
            </DOCENT>
            <HD>Part III</HD>
            <DOCENT>
                <DOC>Education Department, </DOC>
                <PGS>43820-43905</PGS>
                <FRDOCBP>2023-13112</FRDOCBP>
            </DOCENT>
            <HD>Part IV</HD>
            <DOCENT>
                <DOC>Housing and Urban Development Department, </DOC>
                <PGS>43908-43936</PGS>
                <FRDOCBP>2023-14304</FRDOCBP>
            </DOCENT>
            <HD>Part V</HD>
            <DOCENT>
                <DOC>Federal Communications Commission, </DOC>
                <PGS>43938-43975</PGS>
                <FRDOCBP>2023-13500</FRDOCBP>
            </DOCENT>
            <HD>Part VI</HD>
            <DOCENT>
                <DOC>Health and Human Services Department, </DOC>
                <PGS>43978-44029</PGS>
                <FRDOCBP>2023-14343</FRDOCBP>
            </DOCENT>
        </PTS>
        <AIDS>
            <HD SOURCE="HED">Reader Aids</HD>
            <P>Consult the Reader Aids section at the end of this issue for phone numbers, online resources, finding aids, and notice of recently enacted public laws.</P>
            <P>To subscribe to the Federal Register Table of Contents electronic mailing list, go to https://public.govdelivery.com/accounts/USGPOOFR/subscriber/new, enter your e-mail address, then follow the instructions to join, leave, or manage your subscription.</P>
        </AIDS>
    </CNTNTS>
    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Rules and Regulations</UNITNAME>
    <RULES>
        <RULE>
            <PREAMB>
                <PRTPAGE P="43425"/>
                <AGENCY TYPE="F">FEDERAL LABOR RELATIONS AUTHORITY</AGENCY>
                <CFR>5 CFR Part 2429</CFR>
                <SUBJECT>Miscellaneous and General Requirements</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Labor Relations Authority.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Interim final rule; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Federal Labor Relations Authority (FLRA) is implementing this interim final rule with comment period (interim final rule) to enable parties to proceedings before the FLRA's three-Member, decisional component (the Authority) to voluntarily request—in individual cases filed through the FLRA's electronic-filing (eFiling) system—that the Authority use electronic mail (email) to serve the requesting parties any decisions, orders, and notices (Authority documents) issued in those individual cases. The Authority welcomes comments on this interim final rule.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>This interim final rule is effective on July 11, 2023. The FLRA will accept public comments until August 10, 2023</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>You may send comments, which must include the caption “Miscellaneous and General Requirements,” by one of the following methods:</P>
                    <P>
                        • 
                        <E T="03">Email:</E>
                          
                        <E T="03">FedRegComments@flra.gov.</E>
                         Include “Miscellaneous and General Requirements” in the subject line of the message.
                    </P>
                    <P>
                        • 
                        <E T="03">Mail:</E>
                         Erica Balkum, Chief, Office of Case Intake and Publication, Federal Labor Relations Authority, Docket Room, Suite 200, 1400 K Street NW, Washington, DC 20424-0001.
                    </P>
                    <P>
                        <E T="03">Instructions:</E>
                         Do not mail written comments if they have been submitted via email. Interested persons who mail written comments must submit an original and 4 copies of each written comment, with any enclosures, on 8
                        <FR>1/2</FR>
                         x 11 inch paper. Do not deliver comments by hand.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Erica Balkum, Chief, Office of Case Intake and Publication at 
                        <E T="03">ebalkum@flra.gov</E>
                         or at: (771) 444-5805.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>Currently, the FLRA's regulations do not recognize email transmission as an official method of service of Authority documents on parties to Authority proceedings. The Authority has received numerous party requests for email service of such documents, particularly due to an increase in telework and remote work by party practitioners. Email service would allow parties to receive Authority documents on the same day of service. Under the FLRA's regulations, when Authority documents are served by first-class mail, the responding party receives five additional days for filing any responsive filings. 5 CFR 2429.22. However, the Authority has found that there have been many instances when mail has taken longer than five days to reach the intended recipient, thereby shortening the recipient's response time. Allowing parties to opt for email service of Authority documents would avoid that problem and thereby improve customer service.</P>
                <P>In addition, preparing and mailing paper copies of Authority documents to parties imposes significant costs on the Authority in terms of staff time, supplies, and equipment maintenance. Making email service a recognized, official method of service would also reduce or eliminate these costs.</P>
                <P>For these reasons, the Authority hereby amends its regulations to allow parties using the FLRA's eFiling system to consent to email service of Authority documents in individual cases. If a party consents to email service in a particular case, then the Authority shall serve documents on that party exclusively by email to the email address that the party provides in the eFiling system. It is the party's obligation to maintain a valid email address in the system for proper service. When the Authority serves parties Authority documents by email, the date of service shall be the date the email is sent.</P>
                <P>We emphasize that these amendments apply only to documents issued by the FLRA's Office of Case Intake and Publication in cases pending before the FLRA's Members. It does not apply to documents issued in cases pending before other FLRA offices or components, such as the Office of Administrative Law Judges or the Office of the General Counsel.</P>
                <P>
                    The Authority finds that this interim final rule is not a substantive rule, but is a rule of agency organization, procedure, or practice, for which advance notice is not required. 5 U.S.C. 553(b)(A); 
                    <E T="03">Chrysler Corp.</E>
                     v. 
                    <E T="03">Brown,</E>
                     441 U.S. 281, 301-02 &amp; n.30 (1979) (stating that a substantive or legislative rule is one that “affect[s] individual rights or obligations”). However, as noted above, the Authority welcomes comments on this interim final rule.
                </P>
                <HD SOURCE="HD1">Regulatory Flexibility Act Certification</HD>
                <P>Pursuant to section 605(b) of the Regulatory Flexibility Act, 5 U.S.C. 605(b), the Chairman of the FLRA has determined that this interim final rule will not have a significant impact on a substantial number of small entities, because this interim final rule applies only to Federal agencies, Federal employees, and labor organizations representing those employees.</P>
                <HD SOURCE="HD1">Executive Order 12866, Regulatory Review</HD>
                <P>The FLRA is an independent regulatory agency and thus is not subject to the requirements of E.O. 12866 (58 FR 51735, Sept. 30, 1993).</P>
                <HD SOURCE="HD1">Executive Order 13132, Federalism</HD>
                <P>The FLRA is an independent regulatory agency and thus is not subject to the requirements of E.O. 13132 (64 FR 43255, Aug. 4, 1999).</P>
                <HD SOURCE="HD1">Unfunded Mandates Reform Act of 1995</HD>
                <P>This interim final rule will not result in the expenditure by state, local, and tribal governments, in the aggregate, or by the private sector, of $100,000,000 or more in any one year, and it will not significantly or uniquely affect small governments. Therefore, no actions were deemed necessary under the provisions of the Unfunded Mandates Reform Act of 1995.</P>
                <HD SOURCE="HD1">Small Business Regulatory Enforcement Fairness Act of 1996</HD>
                <P>
                    This action is not a major rule as defined by section 804 of the Small Business Regulatory Enforcement Fairness Act of 1996. This interim final rule will not result in an annual effect 
                    <PRTPAGE P="43426"/>
                    on the economy of $100,000,000 or more; a major increase in costs or prices; or significant adverse effects on competition, employment, investment, productivity, innovation, or on the ability of United States-based companies to compete with foreign-based companies in domestic and export markets.
                </P>
                <HD SOURCE="HD1">Paperwork Reduction Act of 1995</HD>
                <P>
                    The amended regulations contain no additional information collection or record-keeping requirements under the Paperwork Reduction Act of 1995, 44 U.S.C. 3501, 
                    <E T="03">et seq.</E>
                </P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 5 CFR Part 2429</HD>
                    <P>Administrative practice and procedure, Government employees, Labor management relations.</P>
                </LSTSUB>
                <P>For the reasons stated in the preamble, the FLRA amends 5 CFR part 2429 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 2429—MISCELLANEOUS AND GENERAL REQUIREMENTS</HD>
                </PART>
                <REGTEXT TITLE="5" PART="2429">
                    <AMDPAR>1. The authority citation for part 2429 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>5 U.S.C. 7134; § 2429.18 also issued under 28 U.S.C. 2112(a).</P>
                    </AUTH>
                </REGTEXT>
                <REGTEXT TITLE="5" PART="2429">
                    <AMDPAR>2. Amend § 2429.12 by revising paragraphs (a) and (c) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 2429.12 </SECTNO>
                        <SUBJECT>Service of process and papers by the Authority.</SUBJECT>
                        <P>
                            (a) 
                            <E T="03">Methods of service.</E>
                             Notices of hearings, decisions and orders of Regional Directors, decisions and recommended orders of Administrative Law Judges, decisions of the Authority, complaints, amended complaints, withdrawals of complaints, written rulings on motions, and all other papers required by this subchapter to be issued by the Authority, the General Counsel, Regional Directors, Hearing Officers, Administrative Law Judges, and Regional Directors when not acting as a party under part 2423 of this subchapter, shall be served personally, by first-class mail, by facsimile transmission, by certified mail, or, as described below with respect to documents issued by the Authority, by electronic mail (hereinafter, “email”). Where facsimile equipment is available, rulings on motions; information pertaining to prehearing disclosure, conferences, orders, or hearing dates, and locations; information pertaining to subpoenas; and other similar or time sensitive matters may be served by facsimile transmission. Where a party using the FLRA's eFiling system has consented to electronic service of documents issued by the Authority in a particular case, the Authority shall serve documents on that party exclusively by email to the email address provided by the party.
                        </P>
                        <STARS/>
                        <P>
                            (c) 
                            <E T="03">Proof of service.</E>
                             Proof of service shall be verified by certificate of the individual serving the papers describing the manner of such service. When service is by mail, the date of service shall be the day when the matter served is deposited in the United States mail. When service is by facsimile, the date of service shall be the date the facsimile transmission is transmitted and, when necessary, verified by a dated facsimile record of transmission. When parties are served documents by the Authority by email, the date of service shall be the date the email is sent.
                        </P>
                    </SECTION>
                </REGTEXT>
                <SIG>
                    <DATED>Approved: July 3, 2023.</DATED>
                    <NAME>Rebecca J. Osborne,</NAME>
                    <TITLE>Federal Register Liaison, Federal Labor Relations Authority.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14399 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 7627-01-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Aviation Administration</SUBAGY>
                <CFR>14 CFR Part 39</CFR>
                <DEPDOC>[Docket No. FAA-2023-1411; Project Identifier MCAI-2023-00710-E; Amendment 39-22499; AD 2023-13-14]</DEPDOC>
                <RIN>RIN 2120-AA64</RIN>
                <SUBJECT>Airworthiness Directives; Safran Helicopter Engines, S.A. (Type Certificate Previously Held by Turbomeca, S.A.) Engines</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Aviation Administration (FAA), DOT.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The FAA is superseding Airworthiness Directive (AD) 2023-01-12, which applied to all Safran Helicopter Engines, S.A. (Safran) Model Arriel 1C, Arriel 1C1, and Arriel 1C2 engines. AD 2023-01-12 required replacing affected fire detectors and prohibited installation of affected fire detectors. Since the FAA issued AD 2023-01-12, the FAA has determined that Model Arriel 1K1 engines are also affected by the unsafe condition. This AD is prompted by reports of false engine fire warnings. This AD requires replacing the affected fire detectors, prohibits installation of affected fire detectors, and adds Model Arriel 1K1 engines to the applicability, as specified in an European Union Aviation Safety Agency (EASA) AD, which is incorporated by reference (IBR). The FAA is issuing this AD to address the unsafe condition on these products.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>This AD is effective July 25, 2023.</P>
                    <P>The Director of the Federal Register approved the incorporation by reference of a certain publication listed in this AD as of July 25, 2023.</P>
                    <P>The FAA must receive comments on this AD by August 24, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>You may send comments, using the procedures found in 14 CFR 11.43 and 11.45, by any of the following methods:</P>
                    <P>
                        • 
                        <E T="03">Federal eRulemaking Portal:</E>
                         Go to 
                        <E T="03">regulations.gov.</E>
                         Follow the instructions for submitting comments.
                    </P>
                    <P>
                        • 
                        <E T="03">Fax:</E>
                         (202) 493-2251.
                    </P>
                    <P>
                        • 
                        <E T="03">Mail:</E>
                         U.S. Department of Transportation, Docket Operations, M-30, West Building Ground Floor, Room W12-140, 1200 New Jersey Avenue SE, Washington, DC 20590.
                    </P>
                    <P>
                        • 
                        <E T="03">Hand Delivery:</E>
                         Deliver to Mail address above between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays.
                    </P>
                    <P>
                        <E T="03">AD Docket:</E>
                         You may examine the AD docket at 
                        <E T="03">regulations.gov</E>
                         under Docket No. FAA-2023-1411; or in person at Docket Operations between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. The AD docket contains this final rule, the mandatory continuing airworthiness information (MCAI), any comments received, and other information. The street address for Docket Operations is listed above.
                    </P>
                    <P>
                        <E T="03">Material Incorporated by Reference:</E>
                    </P>
                    <P>
                        • For service information incorporated by reference in this final rule, contact EASA, Konrad-Adenauer-Ufer 3, 50668 Cologne, Germany; phone: +49 221 8999 000; email: 
                        <E T="03">ADs@easa.europa.eu;</E>
                         website: 
                        <E T="03">easa.europa.eu.</E>
                         You may find this material on the EASA website at 
                        <E T="03">ad.easa.europa.eu.</E>
                    </P>
                    <P>
                        • You may view this service information at the FAA, Airworthiness Products Section, Operational Safety Branch, 1200 District Avenue, Burlington, MA 01803. For information on the availability of this material at the FAA, call (817) 222-5110. It is also available at 
                        <E T="03">regulations.gov</E>
                         under Docket No. FAA-2023-1411.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Kevin Clark, Aviation Safety Engineer, FAA, 1600 Stewart Avenue, Suite 410, Westbury, NY 11590; phone: (781) 238-7088; email: 
                        <E T="03">kevin.m.clark@faa.gov</E>
                        .
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Comments Invited</HD>
                <P>
                    The FAA invites you to send any written data, views, or arguments about this final rule. Send your comments to 
                    <PRTPAGE P="43427"/>
                    an address listed under 
                    <E T="02">ADDRESSES</E>
                    . Include “Docket No. FAA-2023-1411; Project Identifier MCAI-2023-00710-E” at the beginning of your comments. The most helpful comments reference a specific portion of the final rule, explain the reason for any recommended change, and include supporting data. The FAA will consider all comments received by the closing date and may amend this final rule because of those comments.
                </P>
                <P>Except for Confidential Business Information (CBI) as described in the following paragraph, and other information as described in 14 CFR 11.35, the FAA will post all comments received, without change, to regulations.gov, including any personal information you provide. The agency will also post a report summarizing each substantive verbal contact received about this final rule.</P>
                <HD SOURCE="HD1">Confidential Business Information</HD>
                <P>CBI is commercial or financial information that is both customarily and actually treated as private by its owner. Under the Freedom of Information Act (FOIA) (5 U.S.C. 552), CBI is exempt from public disclosure. If your comments responsive to this AD contain commercial or financial information that is customarily treated as private, that you actually treat as private, and that is relevant or responsive to this AD, it is important that you clearly designate the submitted comments as CBI. Please mark each page of your submission containing CBI as “PROPIN.” The FAA will treat such marked submissions as confidential under the FOIA, and they will not be placed in the public docket of this AD. Submissions containing CBI should be sent to Kevin Clark, Aviation Safety Engineer, FAA, 1600 Stewart Avenue, Suite 410, Westbury, NY 11590. Any commentary that the FAA receives which is not specifically designated as CBI will be placed in the public docket for this rulemaking.</P>
                <HD SOURCE="HD1">Background</HD>
                <P>The FAA issued AD 2023-01-12, Amendment 39-22306 (88 FR 3629, January 20, 2023) (AD 2023-01-12), for all Safran Helicopter Engines, S.A. (Type Certificate previously held by Turbomeca, S.A.) Model Arriel 1C, Arriel 1C1, and Arriel 1C2 engines. AD 2023-01-12 was prompted by an MCAI originated by EASA, which is the Technical Agent for the Member States of the European Union. EASA issued EASA AD 2022-0256, dated December 19, 2022 (EASA AD 2022-0256) to correct an unsafe condition identified as reports of false engine fire warnings.</P>
                <P>AD 2023-01-12 required replacing the affected fire detectors and prohibited installation of affected fire detectors, as specified in EASA AD 2022-0256. The FAA issued AD 2023-01-12 to prevent false engine fire warnings.</P>
                <HD SOURCE="HD1">Actions Since AD 2023-01-12 Was Issued</HD>
                <P>Since the FAA issued AD 2023-01-12, EASA superseded EASA AD 2022-0256 and issued EASA AD 2023-0110, dated May 26, 2023 (EASA AD 2023-0110) (referred to after this as the MCAI). The MCAI states that Safran determined that Model Arriel 1K and Arriel 1K1 engines may also have the affected fire detectors installed and are subject to the same unsafe condition. The MCAI retains the requirements of EASA AD 2022-0256 and expands the applicability to include the Model Arriel 1K and Arriel 1K1 engines.</P>
                <P>You may examine the MCAI in the AD docket at regulations.gov under Docket No. FAA-2023-1411.</P>
                <HD SOURCE="HD1">Related Service Information Under 1 CFR Part 51</HD>
                <P>
                    The FAA reviewed EASA AD 2023-0110, which specifies procedures for replacing affected fire detectors. EASA AD 2023-0110 also specifies not to install an affected fire detector on any engine. This service information is reasonably available because the interested parties have access to it through their normal course of business or by the means identified in 
                    <E T="02">ADDRESSES</E>
                    .
                </P>
                <P>
                    This service information is reasonably available because the interested parties have access to it through their normal course of business or by the means identified in 
                    <E T="02">ADDRESSES</E>
                    .
                </P>
                <HD SOURCE="HD1">FAA's Determination</HD>
                <P>These products have been approved by the aviation authority of another country and are approved for operation in the United States. Pursuant to the FAA's bilateral agreement with this State of Design Authority, it has notified the FAA of the unsafe condition described in the MCAI described above. The FAA is issuing this AD after determining that the unsafe condition described previously is likely to exist or develop on other products of the same type design.</P>
                <HD SOURCE="HD1">AD Requirements</HD>
                <P>This AD retains none of the requirements of AD 2023-01-12, This AD adds Model Arriel 1K1 engines to the applicability and requires accomplishing the actions specified in the MCAI already described, except for any differences identified as exceptions in the regulatory text of this AD, and except as discussed under “Differences Between this AD and the MCAI”.</P>
                <HD SOURCE="HD1">Differences Between This AD and the MCAI</HD>
                <P>Model Arriel 1K engines are contained in the applicability of EASA AD 2023-0110 but do not have an FAA type certificate. Therefore, this AD does not include those engines in the applicability.</P>
                <HD SOURCE="HD1">Justification for Immediate Adoption and Determination of the Effective Date</HD>
                <P>
                    Section 553(b)(3)(B) of the Administrative Procedure Act (APA) (5 U.S.C. 551 
                    <E T="03">et seq.</E>
                    ) authorizes agencies to dispense with notice and comment procedures for rules when the agency, for “good cause,” finds that those procedures are “impracticable, unnecessary, or contrary to the public interest.” Under this section, an agency, upon finding good cause, may issue a final rule without providing notice and seeking comment prior to issuance. Further, section 553(d) of the APA authorizes agencies to make rules effective in less than thirty days, upon a finding of good cause.
                </P>
                <P>
                    An unsafe condition exists that requires the immediate adoption of this AD without providing an opportunity for public comments prior to adoption. The FAA has found that the risk to the flying public justifies foregoing notice and comment prior to adoption of this rule because fire detectors that do not conform to the type design could lead to false engine fire warnings. Safran was informed of three occurrences of illumination of the engine fire alarm without confirmed fire (untimely illumination) on airframes equipped with affected fire detectors. False engine fire warnings are an unsafe condition requiring urgent corrective action because, if a helicopter is equipped with two engines with an affected fire detector installed, an engine fire warning could occur on both engines during the same flight. This unsafe condition, if not addressed, could lead to commanded in-flight engine shut-down, possibly resulting in damage to the helicopter and reduced control of the helicopter. Replacement of the fire detectors for Model Arriel 1K1 engines requires compliance within 30 flight hours or 60 days from the effective date of this AD. Replacement of the fire detectors for Model Arriel 1C, Arriel 1C1, and Arriel 1C2 engines requires compliance before further flight. Accordingly, notice and opportunity for prior public comment are impracticable 
                    <PRTPAGE P="43428"/>
                    and contrary to the public interest pursuant to 5 U.S.C. 553(b)(3)(B).
                </P>
                <P>In addition, the FAA finds that good cause exists pursuant to 5 U.S.C. 553(d) for making this amendment effective in less than 30 days, for the same reasons the FAA found good cause to forgo notice and comment.</P>
                <HD SOURCE="HD1">Regulatory Flexibility Act</HD>
                <P>The requirements of the Regulatory Flexibility Act (RFA) do not apply when an agency finds good cause pursuant to 5 U.S.C. 553 to adopt a rule without prior notice and comment. Because FAA has determined that it has good cause to adopt this rule without prior notice and comment, RFA analysis is not required.</P>
                <HD SOURCE="HD1">Costs of Compliance</HD>
                <P>The FAA estimates that this AD affects 30 engines installed on helicopters of U.S. registry.</P>
                <P>The FAA estimates the following costs to comply with this AD:</P>
                <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s50,r75,12,12,12">
                    <TTITLE>Estimated Costs</TTITLE>
                    <BOXHD>
                        <CHED H="1">Action</CHED>
                        <CHED H="1">Labor cost</CHED>
                        <CHED H="1">Parts cost</CHED>
                        <CHED H="1">
                            Cost per
                            <LI>product</LI>
                        </CHED>
                        <CHED H="1">
                            Cost on U.S.
                            <LI>operators</LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">Replace fire detectors</ENT>
                        <ENT>1 work-hour × $85 per hour = $85</ENT>
                        <ENT>$1,800</ENT>
                        <ENT>$1,885</ENT>
                        <ENT>$56,550</ENT>
                    </ROW>
                </GPOTABLE>
                <HD SOURCE="HD1">Authority for This Rulemaking</HD>
                <P>Title 49 of the United States Code specifies the FAA's authority to issue rules on aviation safety. Subtitle I, section 106, describes the authority of the FAA Administrator. Subtitle VII, Aviation Programs, describes in more detail the scope of the Agency's authority.</P>
                <P>The FAA is issuing this rulemaking under the authority described in Subtitle VII, Part A, Subpart III, Section 44701: General requirements. Under that section, Congress charges the FAA with promoting safe flight of civil aircraft in air commerce by prescribing regulations for practices, methods, and procedures the Administrator finds necessary for safety in air commerce. This regulation is within the scope of that authority because it addresses an unsafe condition that is likely to exist or develop on products identified in this rulemaking action.</P>
                <HD SOURCE="HD1">Regulatory Findings</HD>
                <P>This AD will not have federalism implications under Executive Order 13132. This AD will not have a substantial direct effect on the States, on the relationship between the national government and the States, or on the distribution of power and responsibilities among the various levels of government.</P>
                <P>For the reasons discussed above, I certify that this AD:</P>
                <P>(1) Is not a “significant regulatory action” under Executive Order 12866, and</P>
                <P>(2) Will not affect intrastate aviation in Alaska.</P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 14 CFR Part 39</HD>
                    <P>Air transportation, Aircraft, Aviation safety, Incorporation by reference, Safety.</P>
                </LSTSUB>
                <HD SOURCE="HD1">The Amendment</HD>
                <P>Accordingly, under the authority delegated to me by the Administrator, the FAA amends 14 CFR part 39 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 39—AIRWORTHINESS DIRECTIVES</HD>
                </PART>
                <REGTEXT TITLE="14" PART="39">
                    <AMDPAR>1. The authority citation for part 39 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 49 U.S.C. 106(g), 40113, 44701.</P>
                    </AUTH>
                </REGTEXT>
                <SECTION>
                    <SECTNO>§ 39.13 </SECTNO>
                    <SUBJECT>[Amended] </SUBJECT>
                </SECTION>
                <REGTEXT TITLE="14" PART="39">
                    <AMDPAR>2. The FAA amends § 39.13 by:</AMDPAR>
                    <AMDPAR>a. Removing Airworthiness Directive 2023-01-12, Amendment 39-22306 (88 FR 3629, January 20, 2023); and</AMDPAR>
                    <AMDPAR>b. Adding the following new airworthiness directive:</AMDPAR>
                    <EXTRACT>
                        <FP SOURCE="FP-2">
                            <E T="04">2023-13-14 Safran Helicopter Engines, S.A. (Type Certificate Previously Held by Turbomeca, S.A.):</E>
                             Amendment 39-22499; Docket No. FAA-2023-1411; Project Identifier MCAI-2023-00710-E.
                        </FP>
                        <HD SOURCE="HD1">(a) Effective Date</HD>
                        <P>This airworthiness directive (AD) is effective July 25, 2023.</P>
                        <HD SOURCE="HD1">(b) Affected ADs</HD>
                        <P>This AD replaces AD 2023-01-12, Amendment 39-22306 (88 FR 3629, January 20, 2023) (AD 2023-01-12).</P>
                        <HD SOURCE="HD1">(c) Applicability</HD>
                        <P>This AD applies to all Safran Helicopter Engines, S.A. (Type Certificate previously held by Turbomeca, S.A.) Model Arriel 1C, Arriel 1C1, Arriel 1C2, and Arriel 1K1 engines.</P>
                        <HD SOURCE="HD1">(d) Subject</HD>
                        <P>Joint Aircraft System Component (JASC) Code 7200, Engine (Turbine/Turboprop).</P>
                        <HD SOURCE="HD1">(e) Unsafe Condition</HD>
                        <P>This AD was prompted by false engine fire warnings. The FAA is issuing this AD to prevent false engine fire warnings. The unsafe condition, if not addressed, could lead to commanded in-flight engine shut-down, possibly resulting in damage to the helicopter and reduced control of the helicopter.</P>
                        <HD SOURCE="HD1">(f) Compliance</HD>
                        <P>Comply with this AD within the compliance times specified, unless already done.</P>
                        <HD SOURCE="HD1">(g) Required Actions</HD>
                        <P>Except as specified in paragraphs (h) and (i) of this AD: Perform all required actions within the compliance times specified in, and in accordance with European Union Aviation Safety Agency (EASA) AD 2023-0110, dated May 26, 2023.</P>
                        <HD SOURCE="HD1">(h) Exceptions to EASA AD 2023-0110</HD>
                        <P>(1) Where the “Reference Date” for Model Arriel 1K1 engines in Table 1 of EASA AD 2023-0110 specifies “The effective date of this [EASA] AD,” this AD requires using the effective date of this AD.</P>
                        <P>(2) Where the “Reference Date” for Model Arriel 1C, Arriel 1C1, and Arriel 1C2 engines in Table 1 of EASA AD 2023-0110 specifies “02 January 2023,” this AD requires compliance before further flight.</P>
                        <P>(3) This AD does not adopt the Remarks paragraph of EASA AD 2023-0110.</P>
                        <P>(4) Although the service information referenced in EASA AD 2023-0110 specifies to discard any removed fire detectors, this AD requires removing those parts from service.</P>
                        <HD SOURCE="HD1">(i) No Reporting Requirement</HD>
                        <P>Although the service information referenced in EASA AD 2023-0110 specifies to submit certain information to the manufacturer, this AD does not include that requirement.</P>
                        <HD SOURCE="HD1">(j) Alternative Methods of Compliance (AMOCs)</HD>
                        <P>
                            (1) The Manager, International Validation Branch, FAA, has the authority to approve AMOCs for this AD, if requested using the procedures found in 14 CFR 39.19. In accordance with 14 CFR 39.19, send your request to your principal inspector or local Flight Standards District Office, as appropriate. If sending information directly to the manager of the International Validation Branch, send it to the attention of the person identified in paragraph (k) of this AD and email to: 
                            <E T="03">ANE-AD-AMOC@faa.gov.</E>
                        </P>
                        <P>(2) Before using any approved AMOC, notify your appropriate principal inspector, or lacking a principal inspector, the manager of the local flight standards district office/certificate holding district office.</P>
                        <HD SOURCE="HD1">(k) Additional Information</HD>
                        <P>
                            For more information about this AD, contact Kevin Clark, Aviation Safety 
                            <PRTPAGE P="43429"/>
                            Engineer, FAA, 1600 Stewart Avenue, Suite 410, Westbury, NY 11590; phone: (781) 238-7088; email: 
                            <E T="03">kevin.m.clark@faa.gov.</E>
                        </P>
                        <HD SOURCE="HD1">(l) Material Incorporated by Reference</HD>
                        <P>(1) The Director of the Federal Register approved the incorporation by reference of the service information listed in this paragraph under 5 U.S.C. 552(a) and 1 CFR part 51.</P>
                        <P>(2) You must use this service information as applicable to do the actions required by this AD, unless the AD specifies otherwise.</P>
                        <P>(i) European Union Aviation Safety Agency AD 2023-0110, dated May 26, 2023.</P>
                        <P>(ii) [Reserved]</P>
                        <P>
                            (3) For EASA AD 2023-0110, contact EASA, Konrad-Adenauer-Ufer 3, 50668 Cologne, Germany; phone: +49 221 8999 000; email: 
                            <E T="03">ADs@easa.europa.eu.</E>
                             You may find this material on the EASA website at 
                            <E T="03">ad.easa.europa.eu.</E>
                        </P>
                        <P>(4) You may view this service information at the FAA, Airworthiness Products Section, Operational Safety Branch, 1200 District Avenue, Burlington, MA 01803. For information on the availability of this material at the FAA, call (817) 222-5110.</P>
                        <P>
                            (5) You may view this service information that is incorporated by reference at the National Archives and Records Administration (NARA). For information on the availability of this material at NARA, email: 
                            <E T="03">fr.inspection@nara.gov,</E>
                             or go to: 
                            <E T="03">www.archives.gov/federal-register/cfr/ibr-locations.html.</E>
                        </P>
                    </EXTRACT>
                </REGTEXT>
                <SIG>
                    <DATED>Issued on June 30, 2023.</DATED>
                    <NAME>Michael Linegang,</NAME>
                    <TITLE>Acting Director, Compliance &amp; Airworthiness Division, Aircraft Certification Service.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14585 Filed 7-6-23; 11:15 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-13-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Aviation Administration</SUBAGY>
                <CFR>14 CFR Part 71</CFR>
                <DEPDOC>[Docket No. FAA-2023-1077; Airspace Docket No. 23-AGL-16]</DEPDOC>
                <RIN>RIN 2120-AA66</RIN>
                <SUBJECT>Amendment of Class E Airspace; Devils Lake, ND</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Aviation Administration (FAA), DOT.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This action amends the Class E airspace at Devils Lake, ND. This action is the result of an airspace review caused by the decommissioning of the Devils Lake very high frequency omnidirectional range (VOR) as part of the VOR Minimum Operating Network (MON) Program. The geographic coordinates of the airport are also being updated to coincide with the FAA's aeronautical database.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Effective 0901 UTC, October 5, 2023. The Director of the Federal Register approves this incorporation by reference action under 1 CFR part 51, subject to the annual revision of FAA Order JO 7400.11 and publication of conforming amendments.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        A copy of the Notice of Proposed Rulemaking (NPRM), all comments received, this final rule, and all background material may be viewed online at 
                        <E T="03">www.regulations.gov</E>
                         using the FAA Docket number. Electronic retrieval help and guidelines are available on the website. It is available 24 hours each day, 365 days each year.
                    </P>
                    <P>
                        FAA Order JO 7400.11G, Airspace Designations and Reporting Points, and subsequent amendments can be viewed online at 
                        <E T="03">www.faa.gov/air_traffic/publications/.</E>
                         You may also contact the Rules and Regulations Group, Office of Policy, Federal Aviation Administration, 800 Independence Avenue SW, Washington, DC 20591; telephone: (202) 267-8783.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Jeffrey Claypool, Federal Aviation Administration, Operations Support Group, Central Service Center, 10101 Hillwood Parkway, Fort Worth, TX 76177; telephone (817) 222-5711.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Authority for This Rulemaking</HD>
                <P>The FAA's authority to issue rules regarding aviation safety is found in Title 49 of the United States Code. Subtitle I, Section 106 describes the authority of the FAA Administrator. Subtitle VII, Aviation Programs, describes in more detail the scope of the agency's authority. This rulemaking is promulgated under the authority described in Subtitle VII, Part A, Subpart I, Section 40103. Under that section, the FAA is charged with prescribing regulations to assign the use of airspace necessary to ensure the safety of aircraft and the efficient use of airspace. This regulation is within the scope of that authority as it amends the Class E surface airspace and the Class E airspace extending upward from 700 feet above the surface at Devils Lake Regional Airport, Devils Lake, ND, to support instrument flight rule operations at this airport.</P>
                <HD SOURCE="HD1">History</HD>
                <P>
                    The FAA published an NPRM for Docket No. FAA-2023-1077 in the 
                    <E T="04">Federal Register</E>
                     (88 FR 29563; May 8, 2023) proposing to amend the Class E airspace at Devils Lake, ND. Interested parties were invited to participate in this rulemaking effort by submitting written comments on the proposal to the FAA. No comments were received.
                </P>
                <HD SOURCE="HD1">Incorporation by Reference</HD>
                <P>
                    Class E airspace designations are published in paragraphs 6002 and 6005 of FAA Order JO 7400.11, Airspace Designations and Reporting Points, which is incorporated by reference in 14 CFR 71.1 on an annual basis. This document amends the current version of that order, FAA Order JO 7400.11G, dated August 19, 2022, and effective September 15, 2022. FAA Order JO 7400.11G is publicly available as listed in the 
                    <E T="02">ADDRESSES</E>
                     section of this document. These amendments will be published in the next update to FAA Order JO 7400.11.
                </P>
                <P>FAA Order JO 7400.11G lists Class A, B, C, D, and E airspace areas, air traffic service routes, and reporting points.</P>
                <HD SOURCE="HD1">The Rule</HD>
                <P>This amendment to 14 CFR part 71:</P>
                <P>Modifies the Class E surface airspace to within a 4.3-mile (increased from a 4-mile) radius of Devils Lake Regional Airport, Devils Lake, ND; removes the Devils Lake VOR/DME and associated extensions from the airspace legal description; updates the geographic coordinates of the airport to coincide with the FAA's aeronautical database; and replaces the outdated term “Notice to Airmen” with “Notice to Air Missions”;</P>
                <P>Modifies the Class E airspace extending upward from 700 feet above the surface to within a 6.8-mile (decreased from an 8.7-mile) radius of Devils Lake Regional Airport; removes the Devils Lake VOR/DME from the airspace legal description; removes the Class E airspace extending upward from 1,200 feet above the surface as it is now redundant with the Class E airspace extending upward from 1,200 feet above the surface over the State of North Dakota; and updates geographic coordinates of the airport to coincide with the FAA's aeronautical database.</P>
                <HD SOURCE="HD1">Regulatory Notices and Analyses</HD>
                <P>
                    The FAA has determined that this regulation only involves an established body of technical regulations for which frequent and routine amendments are necessary to keep them operationally current. It, therefore: (1) is not a “significant regulatory action” under Executive Order 12866; (2) is not a “significant rule” under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does not warrant preparation of a regulatory evaluation as the anticipated impact is so minimal. Since this is a routine matter that only affects air traffic 
                    <PRTPAGE P="43430"/>
                    procedures and air navigation, it is certified that this rule, when promulgated, does not have a significant economic impact on a substantial number of small entities under the criteria of the Regulatory Flexibility Act.
                </P>
                <HD SOURCE="HD1">Environmental Review</HD>
                <P>The FAA has determined that this action qualifies for categorical exclusion under the National Environmental Policy Act in accordance with FAA Order 1050.1F, “Environmental Impacts: Policies and Procedures,” paragraph 5-6.5.a. This airspace action is not expected to cause any potentially significant environmental impacts, and no extraordinary circumstances exist that warrant preparation of an environmental assessment.</P>
                <LSTSUB>
                    <HD SOURCE="HED">Lists of Subjects in 14 CFR 71</HD>
                    <P>Airspace, Incorporation by reference, Navigation (air).</P>
                </LSTSUB>
                <HD SOURCE="HD1">The Amendment</HD>
                <P>In consideration of the foregoing, the Federal Aviation Administration amends 14 CFR part 71 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 71—DESIGNATION OF CLASS A, B, C, D, AND E AIRSPACE AREAS; AIR TRAFFIC SERVICE ROUTES; AND REPORTING POINTS</HD>
                </PART>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>1. The authority citation for 14 CFR part 71 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 49 U.S.C. 106(f), 106(g); 40103, 40113, 40120; E.O. 10854, 24 FR 9565, 3 CFR, 1959-1963 Comp., p. 389.</P>
                    </AUTH>
                </REGTEXT>
                <SECTION>
                    <SECTNO>§ 71.1</SECTNO>
                    <SUBJECT> [Amended]</SUBJECT>
                </SECTION>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>2. The incorporation by reference in 14 CFR 71.1 of FAA Order JO 7400.11G, Airspace Designations and Reporting Points, dated August 19, 2022, and effective September 15, 2022, is amended as follows:</AMDPAR>
                    <EXTRACT>
                        <HD SOURCE="HD2">Paragraph 6002 Class E Airspace Areas Designated as a Surface Area.</HD>
                        <STARS/>
                        <HD SOURCE="HD1">AGL ND E2 Devils Lake, ND [Amended]</HD>
                        <FP SOURCE="FP-2">Devils Lake Regional Airport, ND</FP>
                        <FP SOURCE="FP1-2">(Lat 48°07′00″ N, long 98°54′37″ W)</FP>
                        <P>Within a 4.3-mile radius of Devils Lake Regional Airport. This Class E airspace area is effective during the specific dates and times established in advance by a Notice to Air Missions. The effective date and time will thereafter be continuously published in the Chart Supplement.</P>
                        <STARS/>
                        <HD SOURCE="HD2">Paragraph 6005 Class E Airspace Areas Extending Upward From 700 Feet or More Above the Surface of the Earth.</HD>
                        <STARS/>
                        <HD SOURCE="HD1">AGL ND E5 Devils Lake, ND [Amended]</HD>
                        <FP SOURCE="FP-2">Devils Lake Regional Airport, ND</FP>
                        <FP SOURCE="FP1-2">(Lat 48°07′00″ N, long 98°54′37″ W)</FP>
                        <P>That airspace extending upward from 700 feet above the surface within a 6.8-mile radius of Devils Lake Regional Airport.</P>
                    </EXTRACT>
                    <STARS/>
                </REGTEXT>
                <SIG>
                    <DATED>Issued in Fort Worth, Texas, on July 3, 2023.</DATED>
                    <NAME>Martin A. Skinner,</NAME>
                    <TITLE>Acting Manager, Operations Support Group, ATO Central Service Center.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14356 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-13-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Aviation Administration</SUBAGY>
                <CFR>14 CFR Part 71</CFR>
                <DEPDOC>[Docket No. FAA-2023-1009; Airspace Docket No. 23-ACE-5]</DEPDOC>
                <RIN>RIN 2120-AA66</RIN>
                <SUBJECT>Amendment of Class E Airspace; Hartington, NE</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Aviation Administration (FAA), DOT.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This action amends the Class E airspace at Hartington, NE. This action is the result of an airspace review caused by the decommissioning of the Yankton very high frequency omnidirectional range (VOR) as part of the VOR Minimum Operating Network (MON) Program. The name and geographic coordinates of the airport are also being updated to coincide with the FAA's aeronautical database.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Effective 0901 UTC, October 5, 2023. The Director of the Federal Register approves this incorporation by reference action under 1 CFR part 51, subject to the annual revision of FAA Order JO 7400.11 and publication of conforming amendments.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        A copy of the Notice of Proposed Rulemaking (NPRM), all comments received, this final rule, and all background material may be viewed online at 
                        <E T="03">www.regulations.gov</E>
                         using the FAA Docket number. Electronic retrieval help and guidelines are available on the website. It is available 24 hours each day, 365 days each year.
                    </P>
                    <P>
                        FAA Order JO 7400.11G, Airspace Designations and Reporting Points, and subsequent amendments can be viewed online at 
                        <E T="03">www.faa.gov/air_traffic/publications/.</E>
                         You may also contact the Rules and Regulations Group, Office of Policy, Federal Aviation Administration, 800 Independence Avenue SW, Washington, DC 20591; telephone: (202) 267-8783.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Jeffrey Claypool, Federal Aviation Administration, Operations Support Group, Central Service Center, 10101 Hillwood Parkway, Fort Worth, TX 76177; telephone (817) 222-5711.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Authority for This Rulemaking</HD>
                <P>The FAA's authority to issue rules regarding aviation safety is found in Title 49 of the United States Code. Subtitle I, Section 106 describes the authority of the FAA Administrator. Subtitle VII, Aviation Programs, describes in more detail the scope of the agency's authority. This rulemaking is promulgated under the authority described in Subtitle VII, Part A, Subpart I, Section 40103. Under that section, the FAA is charged with prescribing regulations to assign the use of airspace necessary to ensure the safety of aircraft and the efficient use of airspace. This regulation is within the scope of that authority as it amends the Class E airspace extending upward from 700 feet above the surface at Hartington Municipal Airport/Bud Becker Field, Hartington, NE, to support instrument flight rule operations at this airport.</P>
                <HD SOURCE="HD1">History</HD>
                <P>
                    The FAA published an NPRM for Docket No. FAA-2023-1009 in the 
                    <E T="04">Federal Register</E>
                     (88 FR 29566; May 8, 2023) proposing to amend the Class E airspace at Hartington, NE. Interested parties were invited to participate in this rulemaking effort by submitting written comments on the proposal to the FAA. No comments were received.
                </P>
                <HD SOURCE="HD1">Incorporation by Reference</HD>
                <P>
                    Class E airspace designations are published in paragraph 6005 of FAA Order JO 7400.11, Airspace Designations and Reporting Points, which is incorporated by reference in 14 CFR 71.1 on an annual basis. This document amends the current version of that order, FAA Order JO 7400.11G, dated August 19, 2022, and effective September 15, 2022. FAA Order JO 7400.11G is publicly available as listed in the 
                    <E T="02">ADDRESSES</E>
                     section of this document. These amendments will be published in the next update to FAA Order JO 7400.11.
                </P>
                <P>FAA Order JO 7400.11G lists Class A, B, C, D, and E airspace areas, air traffic service routes, and reporting points.</P>
                <HD SOURCE="HD1">The Rule</HD>
                <P>
                    This amendment to 14 CFR part 71 modifies the Class E airspace extending upward from 700 feet above the surface to within a 6.9-mile (decreased from an 8.6-mile) radius of Hartington 
                    <PRTPAGE P="43431"/>
                    Municipal Airport/Bud Becker Field, Hartington, NE; and updates the name (previously Hartington Municipal Airport) and geographic coordinates of the airport to coincide with the FAA's aeronautical database.
                </P>
                <HD SOURCE="HD1">Regulatory Notices and Analyses</HD>
                <P>The FAA has determined that this regulation only involves an established body of technical regulations for which frequent and routine amendments are necessary to keep them operationally current. It, therefore: (1) is not a “significant regulatory action” under Executive Order 12866; (2) is not a “significant rule” under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does not warrant preparation of a regulatory evaluation as the anticipated impact is so minimal. Since this is a routine matter that only affects air traffic procedures and air navigation, it is certified that this rule, when promulgated, does not have a significant economic impact on a substantial number of small entities under the criteria of the Regulatory Flexibility Act.</P>
                <HD SOURCE="HD1">Environmental Review</HD>
                <P>The FAA has determined that this action qualifies for categorical exclusion under the National Environmental Policy Act in accordance with FAA Order 1050.1F, “Environmental Impacts: Policies and Procedures,” paragraph 5-6.5.a. This airspace action is not expected to cause any potentially significant environmental impacts, and no extraordinary circumstances exist that warrant preparation of an environmental assessment.</P>
                <LSTSUB>
                    <HD SOURCE="HED">Lists of Subjects in 14 CFR 71</HD>
                    <P>Airspace, Incorporation by reference, Navigation (air). </P>
                </LSTSUB>
                <HD SOURCE="HD1">The Amendment</HD>
                <P>In consideration of the foregoing, the Federal Aviation Administration amends 14 CFR part 71 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 71—DESIGNATION OF CLASS A, B, C, D, AND E AIRSPACE AREAS; AIR TRAFFIC SERVICE ROUTES; AND REPORTING POINTS</HD>
                </PART>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>1. The authority citation for 14 CFR part 71 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>49 U.S.C. 106(f), 106(g); 40103, 40113, 40120; E.O. 10854, 24 FR 9565, 3 CFR, 1959-1963 Comp., p. 389.</P>
                    </AUTH>
                </REGTEXT>
                <SECTION>
                    <SECTNO>§ 71.1 </SECTNO>
                    <SUBJECT>[Amended]</SUBJECT>
                </SECTION>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>2. The incorporation by reference in 14 CFR 71.1 of FAA Order JO 7400.11G, Airspace Designations and Reporting Points, dated August 19, 2022, and effective September 15, 2022, is amended as follows:</AMDPAR>
                    <EXTRACT>
                        <HD SOURCE="HD2">Paragraph 6005 Class E Airspace Areas Extending Upward From 700 Feet or More Above the Surface of the Earth.</HD>
                        <STARS/>
                        <HD SOURCE="HD1">ACE NE E5 Hartington, NE [Amended]</HD>
                        <FP SOURCE="FP-2">Hartington Municipal Airport/Bud Becker Field, NE</FP>
                        <FP SOURCE="FP1-2">(Lat 42°36′11″ N, long 97°15′13″ W)</FP>
                        <P>That airspace extending upward from 700 feet above the surface within a 6.9-mile radius of Hartington Municipal Airport/Bud Becker Field.</P>
                        <STARS/>
                    </EXTRACT>
                </REGTEXT>
                <SIG>
                    <DATED>Issued in Fort Worth, Texas, on July 3, 2023.</DATED>
                    <NAME>Martin A. Skinner,</NAME>
                    <TITLE>Acting Manager, Operations Support Group, ATO Central Service Center.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14350 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-13-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Aviation Administration</SUBAGY>
                <CFR>14 CFR Part 71</CFR>
                <DEPDOC>[Docket No. FAA-2023-1078; Airspace Docket No. 23-AWP-30]</DEPDOC>
                <RIN>RIN 2120-AA66</RIN>
                <SUBJECT>Establishment of Class E Airspace; Whiteriver, AZ</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Aviation Administration (FAA), DOT.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This action establishes Class E airspace at Whiteriver, AZ. This action supports new instrument procedures at this airport.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Effective 0901 UTC, October 5, 2023. The Director of the Federal Register approves this incorporation by reference action under 1 CFR part 51, subject to the annual revision of FAA Order JO 7400.11 and publication of conforming amendments.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        A copy of the Notice of Proposed Rulemaking (NPRM), all comments received, this final rule, and all background material may be viewed online at 
                        <E T="03">www.regulations.gov</E>
                         using the FAA Docket number. Electronic retrieval help and guidelines are available on the website. It is available 24 hours each day, 365 days each year.
                    </P>
                    <P>
                        FAA Order JO 7400.11G, Airspace Designations and Reporting Points, and subsequent amendments can be viewed online at 
                        <E T="03">www.faa.gov/air_traffic/publications/.</E>
                         You may also contact the Rules and Regulations Group, Office of Policy, Federal Aviation Administration, 800 Independence Avenue SW, Washington, DC 20591; telephone: (202) 267-8783.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Jeffrey Claypool, Federal Aviation Administration, Operations Support Group, Central Service Center, 10101 Hillwood Parkway, Fort Worth, TX 76177; telephone (817) 222-5711.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Authority for This Rulemaking</HD>
                <P>The FAA's authority to issue rules regarding aviation safety is found in Title 49 of the United States Code. Subtitle I, Section 106 describes the authority of the FAA Administrator. Subtitle VII, Aviation Programs, describes in more detail the scope of the agency's authority. This rulemaking is promulgated under the authority described in Subtitle VII, Part A, Subpart I, Section 40103. Under that section, the FAA is charged with prescribing regulations to assign the use of airspace necessary to ensure the safety of aircraft and the efficient use of airspace. This regulation is within the scope of that authority as it establishes Class E airspace extending upward from 700 feet above the surface and Class E airspace extending upward from 1,200 feet above the surface at Whiteriver Airport, Whiteriver, AZ, to support instrument flight rule operations at this airport.</P>
                <HD SOURCE="HD1">History</HD>
                <P>
                    The FAA published an NPRM for Docket No. FAA-2023-1078 in the 
                    <E T="04">Federal Register</E>
                     (88 FR 29571; May 8, 2023) proposing to establish Class E airspace at Whiteriver, AZ. Interested parties were invited to participate in this rulemaking effort by submitting written comments on the proposal to the FAA. No comments were received.
                </P>
                <HD SOURCE="HD1">Incorporation by Reference</HD>
                <P>
                    Class E airspace designations are published in paragraph 6005 of FAA Order JO 7400.11, Airspace Designations and Reporting Points, which is incorporated by reference in 14 CFR 71.1 on an annual basis. This document amends the current version of that order, FAA Order JO 7400.11G, dated August 19, 2022, and effective September 15, 2022. FAA Order JO 7400.11G is publicly available as listed in the 
                    <E T="02">ADDRESSES</E>
                     section of this document. These amendments will be published in the next update to FAA Order JO 7400.11.
                </P>
                <P>
                    FAA Order JO 7400.11G lists Class A, B, C, D, and E airspace areas, air traffic service routes, and reporting points.
                    <PRTPAGE P="43432"/>
                </P>
                <HD SOURCE="HD1">The Rule</HD>
                <P>This amendment to 14 CFR part 71:</P>
                <P>Establishes Class E airspace extending upward from 700 feet above the surface within a 37.8-mile radius of Whiteriver Airport, Whiteriver, AZ;</P>
                <P>And establishes Class E airspace extending upward from 1,200 feet above the surface to within a 78.3-mile radius of Whiteriver Airport.</P>
                <HD SOURCE="HD1">Regulatory Notices and Analyses</HD>
                <P>The FAA has determined that this regulation only involves an established body of technical regulations for which frequent and routine amendments are necessary to keep them operationally current. It, therefore: (1) is not a “significant regulatory action” under Executive Order 12866; (2) is not a “significant rule” under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does not warrant preparation of a regulatory evaluation as the anticipated impact is so minimal. Since this is a routine matter that only affects air traffic procedures and air navigation, it is certified that this rule, when promulgated, does not have a significant economic impact on a substantial number of small entities under the criteria of the Regulatory Flexibility Act.</P>
                <HD SOURCE="HD1">Environmental Review</HD>
                <P>The FAA has determined that this action qualifies for categorical exclusion under the National Environmental Policy Act in accordance with FAA Order 1050.1F, “Environmental Impacts: Policies and Procedures,” paragraph 5-6.5.a. This airspace action is not expected to cause any potentially significant environmental impacts, and no extraordinary circumstances exist that warrant preparation of an environmental assessment.</P>
                <LSTSUB>
                    <HD SOURCE="HED">Lists of Subjects in 14 CFR 71</HD>
                    <P>Airspace, Incorporation by reference, Navigation (air).</P>
                </LSTSUB>
                <HD SOURCE="HD1">The Amendment</HD>
                <P>In consideration of the foregoing, the Federal Aviation Administration amends 14 CFR part 71 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 71—DESIGNATION OF CLASS A, B, C, D, AND E AIRSPACE AREAS; AIR TRAFFIC SERVICE ROUTES; AND REPORTING POINTS</HD>
                </PART>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>1. The authority citation for 14 CFR part 71 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 49 U.S.C. 106(f), 106(g); 40103, 40113, 40120; E.O. 10854, 24 FR 9565, 3 CFR, 1959-1963 Comp., p. 389.</P>
                    </AUTH>
                </REGTEXT>
                <SECTION>
                    <SECTNO>§ 71.1</SECTNO>
                    <SUBJECT> [Amended]</SUBJECT>
                </SECTION>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>2. The incorporation by reference in 14 CFR 71.1 of FAA Order JO 7400.11G, Airspace Designations and Reporting Points, dated August 19, 2022, and effective September 15, 2022, is amended as follows:</AMDPAR>
                    <EXTRACT>
                        <HD SOURCE="HD2">Paragraph 6005 Class E Airspace Areas Extending Upward From 700 Feet or More Above the Surface of the Earth.</HD>
                        <STARS/>
                        <HD SOURCE="HD1">AWP AZ E5 Whiteriver, AZ [Establish]</HD>
                        <FP SOURCE="FP-2">Whiteriver Airport, AZ</FP>
                        <FP SOURCE="FP1-2">(Lat 33°48′38″ N, long 109°59′09″ W)</FP>
                        <P>That airspace extending upward from 700 feet above the surface within a 37.8-mile radius of Whiteriver Airport; and that airspace extending upward from 1,200 feet above the surface within a 78.3-mile radius of Whiteriver Airport.</P>
                    </EXTRACT>
                    <STARS/>
                </REGTEXT>
                <SIG>
                    <DATED>Issued in Fort Worth, Texas, on July 3, 2023.</DATED>
                    <NAME>Martin A. Skinner,</NAME>
                    <TITLE>Acting Manager, Operations Support Group, ATO Central Service Center.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14357 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-13-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Aviation Administration</SUBAGY>
                <CFR>14 CFR Part 71</CFR>
                <DEPDOC>[Docket No. FAA-2023-0732; Airspace Docket No. 23-ASW-10]</DEPDOC>
                <RIN>RIN 2120-AA66</RIN>
                <SUBJECT>Amendment of Class E Airspace; Sonora, TX</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Aviation Administration (FAA), DOT.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This action amends the Class E airspace at Sonora, TX. This action is the result of an airspace review caused by the decommissioning of the Sonora non-directional beacon (NDB).</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Effective 0901 UTC, October 5, 2023. The Director of the Federal Register approves this incorporation by reference action under 1 CFR part 51, subject to the annual revision of FAA Order JO 7400.11 and publication of conforming amendments.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        A copy of the Notice of Proposed Rulemaking (NPRM), all comments received, this final rule, and all background material may be viewed online at 
                        <E T="03">www.regulations.gov</E>
                         using the FAA Docket number. Electronic retrieval help and guidelines are available on the website. It is available 24 hours each day, 365 days each year.
                    </P>
                    <P>
                        FAA Order JO 7400.11G, Airspace Designations and Reporting Points, and subsequent amendments can be viewed online at 
                        <E T="03">www.faa.gov/air_traffic/publications/.</E>
                         You may also contact the Rules and Regulations Group, Office of Policy, Federal Aviation Administration, 800 Independence Avenue SW, Washington, DC 20591; telephone: (202) 267-8783.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Rebecca Shelby, Federal Aviation Administration, Operations Support Group, Central Service Center, 10101 Hillwood Parkway, Fort Worth, TX 76177; telephone (817) 222-5857.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Authority for This Rulemaking</HD>
                <P>The FAA's authority to issue rules regarding aviation safety is found in Title 49 of the United States Code. Subtitle I, Section 106 describes the authority of the FAA Administrator. Subtitle VII, Aviation Programs, describes in more detail the scope of the agency's authority. This rulemaking is promulgated under the authority described in Subtitle VII, Part A, Subpart I, Section 40103. Under that section, the FAA is charged with prescribing regulations to assign the use of airspace necessary to ensure the safety of aircraft and the efficient use of airspace. This regulation is within the scope of that authority as it amends the Class E airspace extending upward from 700 feet above the surface at Sonora Municipal Airport, Sonora, TX, to support instrument flight rule (IFR) operations at this airport.</P>
                <HD SOURCE="HD1">History</HD>
                <P>
                    The FAA published an NPRM for Docket No. FAA-2023-0732 in the 
                    <E T="04">Federal Register</E>
                     (88 FR 30266; May 11, 2023) proposing to amend the Class E airspace at Sonora, TX. Interested parties were invited to participate in this rulemaking effort by submitting written comments on the proposal to the FAA. No comments were received.
                </P>
                <HD SOURCE="HD1">Incorporation by Reference</HD>
                <P>
                    Class E airspace designations are published in paragraph 6005 of FAA Order JO 7400.11, Airspace Designations and Reporting Points, which is incorporated by reference in 14 CFR 71.1 on an annual basis. This document amends the current version of that order, FAA Order JO 7400.11G, dated August 19, 2022, and effective September 15, 2022. FAA Order JO 7400.11G is publicly available as listed in the 
                    <E T="02">ADDRESSES</E>
                     section of this document. These amendments will be published in the next update to FAA Order JO 7400.11.
                    <PRTPAGE P="43433"/>
                </P>
                <P>FAA Order JO 7400.11G lists Class A, B, C, D, and E airspace areas, air traffic service routes, and reporting points.</P>
                <HD SOURCE="HD1">The Rule</HD>
                <P>This amendment to 14 CFR part 71 modifies the Class E airspace extending upward from 700 feet above the surface to within a 6.4-mile (decreased from a 7.1-mile) radius of Sonora Municipal Airport, Sonora, TX.</P>
                <HD SOURCE="HD1">Regulatory Notices and Analyses</HD>
                <P>The FAA has determined that this regulation only involves an established body of technical regulations for which frequent and routine amendments are necessary to keep them operationally current. It, therefore: (1) is not a “significant regulatory action” under Executive Order 12866; (2) is not a “significant rule” under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does not warrant preparation of a regulatory evaluation as the anticipated impact is so minimal. Since this is a routine matter that only affects air traffic procedures and air navigation, it is certified that this rule, when promulgated, does not have a significant economic impact on a substantial number of small entities under the criteria of the Regulatory Flexibility Act.</P>
                <HD SOURCE="HD1">Environmental Review</HD>
                <P>The FAA has determined that this action qualifies for categorical exclusion under the National Environmental Policy Act in accordance with FAA Order 1050.1F, “Environmental Impacts: Policies and Procedures,” paragraph 5-6.5.a. This airspace action is not expected to cause any potentially significant environmental impacts, and no extraordinary circumstances exist that warrant preparation of an environmental assessment.</P>
                <LSTSUB>
                    <HD SOURCE="HED">Lists of Subjects in 14 CFR Part 71</HD>
                    <P>Airspace, Incorporation by reference, Navigation (air). </P>
                </LSTSUB>
                <HD SOURCE="HD1">The Amendment</HD>
                <P>In consideration of the foregoing, the Federal Aviation Administration amends 14 CFR part 71 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 71—DESIGNATION OF CLASS A, B, C, D, AND E AIRSPACE AREAS; AIR TRAFFIC SERVICE ROUTES; AND REPORTING POINTS</HD>
                </PART>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>1. The authority citation for 14 CFR part 71 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 49 U.S.C. 106(f), 106(g); 40103, 40113, 40120; E.O. 10854, 24 FR 9565, 3 CFR, 1959-1963 Comp., p. 389.</P>
                    </AUTH>
                </REGTEXT>
                <SECTION>
                    <SECTNO>§ 71.1</SECTNO>
                    <SUBJECT> [Amended]</SUBJECT>
                </SECTION>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>2. The incorporation by reference in 14 CFR 71.1 of FAA Order JO 7400.11G, Airspace Designations and Reporting Points, dated August 19, 2022, and effective September 15, 2022, is amended as follows:</AMDPAR>
                    <EXTRACT>
                        <HD SOURCE="HD2">Paragraph 6005 Class E Airspace Areas Extending Upward From 700 Feet or More Above the Surface of the Earth.</HD>
                        <STARS/>
                        <HD SOURCE="HD1">ASW TX E5 Sonora, TX [Amended]</HD>
                        <FP SOURCE="FP-2">Sonora Municipal Airport, TX</FP>
                        <FP SOURCE="FP1-2">(Lat 30°35′09″ N, long 100°38′55″ W)</FP>
                        <P>That airspace extending upward from 700 feet above the surface within a 6.4-mile radius of Sonora Municipal Airport.</P>
                        <STARS/>
                    </EXTRACT>
                </REGTEXT>
                <SIG>
                    <DATED>Issued in Fort Worth, Texas, on July 5, 2023.</DATED>
                    <NAME>Martin A. Skinner,</NAME>
                    <TITLE>Acting Manager, Operations Support Group, ATO Central Service Center.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14480 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-13-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Aviation Administration</SUBAGY>
                <CFR>14 CFR Part 71</CFR>
                <DEPDOC>[Docket No. FAA-2023-1007; Airspace Docket No. 23-AGL-13]</DEPDOC>
                <RIN>RIN 2120-AA66</RIN>
                <SUBJECT>Amendment of Class D and E Airspace and Revocation of Class E Airspace; Kalamazoo, MI</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Aviation Administration (FAA), DOT.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This action amends the Class D and Class E airspace and removes Class E airspace at Kalamazoo, MI. This action is the result of an airspace review caused by the decommissioning of the Kalamazoo very high frequency omnidirectional range (VOR) as part of the VOR Minimum Operating Network (MON) Program. The geographic coordinates of Kalamazoo/Battle Creek International Airport and the name of the Borgess Medical Center Helipad are also being updated to coincide with the FAA's aeronautical database.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Effective 0901 UTC, October 5, 2023. The Director of the Federal Register approves this incorporation by reference action under 1 CFR part 51, subject to the annual revision of FAA Order JO 7400.11 and publication of conforming amendments.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        A copy of the Notice of Proposed Rulemaking (NPRM), all comments received, this final rule, and all background material may be viewed online at 
                        <E T="03">www.regulations.gov</E>
                         using the FAA Docket number. Electronic retrieval help and guidelines are available on the website. It is available 24 hours each day, 365 days each year.
                    </P>
                    <P>
                        FAA Order JO 7400.11G, Airspace Designations and Reporting Points, and subsequent amendments can be viewed online at 
                        <E T="03">www.faa.gov/air_traffic/publications/.</E>
                         You may also contact the Rules and Regulations Group, Office of Policy, Federal Aviation Administration, 800 Independence Avenue SW, Washington, DC 20591; telephone: (202) 267-8783.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Jeffrey Claypool, Federal Aviation Administration, Operations Support Group, Central Service Center, 10101 Hillwood Parkway, Fort Worth, TX 76177; telephone (817) 222-5711.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Authority for This Rulemaking</HD>
                <P>The FAA's authority to issue rules regarding aviation safety is found in Title 49 of the United States Code. Subtitle I, Section 106 describes the authority of the FAA Administrator. Subtitle VII, Aviation Programs, describes in more detail the scope of the agency's authority. This rulemaking is promulgated under the authority described in Subtitle VII, Part A, Subpart I, Section 40103. Under that section, the FAA is charged with prescribing regulations to assign the use of airspace necessary to ensure the safety of aircraft and the efficient use of airspace. This regulation is within the scope of that authority as it amends the Class D airspace and the Class E airspace extending upward from 700 feet above the surface, and removes the Class E airspace designated as an extension to Class D airspace at Kalamazoo/Battle Creek International Airport, Kalamazoo, MI, to support instrument flight rule operations at this airport.</P>
                <HD SOURCE="HD1">History</HD>
                <P>
                    The FAA published an NPRM for Docket No. FAA-2023-1007 in the 
                    <E T="04">Federal Register</E>
                     (88 FR 29575; May 8, 2023) proposing to amend the Class D and Class E airspace and remove Class E airspace at Kalamazoo, MI. Interested parties were invited to participate in this rulemaking effort by submitting written comments on the proposal to the FAA. No comments were received.
                </P>
                <HD SOURCE="HD1">Incorporation by Reference</HD>
                <P>
                    Class D and E airspace designations are published in paragraphs 5000, 6004, and 6005 of FAA Order JO 7400.11, 
                    <PRTPAGE P="43434"/>
                    Airspace Designations and Reporting Points, which is incorporated by reference in 14 CFR 71.1 on an annual basis. This document amends the current version of that order, FAA Order JO 7400.11G, dated August 19, 2022, and effective September 15, 2022. FAA Order JO 7400.11G is publicly available as listed in the 
                    <E T="02">ADDRESSES</E>
                     section of this document. These amendments will be published in the next update to FAA Order JO 7400.11.
                </P>
                <P>FAA Order JO 7400.11G lists Class A, B, C, D, and E airspace areas, air traffic service routes, and reporting points.</P>
                <HD SOURCE="HD1">The Rule</HD>
                <P>This amendment to 14 CFR part 71:</P>
                <P>Modifies the Class D airspace to within a 4.2-mile (increased from a 4.1-mile) radius of Kalamazoo/Battle Creek International Airport, Kalamazoo, MI; replaces the outdated terms “Notice to Airmen” with “Notice to Air Missions” and “Airport/Facility Directory” with “Chart Supplement”; and updates the geographic coordinates of Kalamazoo/Battle Creek International Airport to coincide with the FAA's aeronautical database;</P>
                <P>Removes the Class E airspace designated as an extension to Class D airspace at Kalamazoo/Battle Creek International Airport as it is no longer required;</P>
                <P>And modifies the Class E airspace extending upward from 700 feet above the surface to within a 6.7-mile (increased from a 6.6-mile) radius of Kalamazoo/Battle Creek International Airport; updates geographic coordinates of Kalamazoo/Battle Creek International Airport and the name of Borgess Medical Center Helipad (previously Burgess Hospital), Kalamazoo, MI, to coincide with the FAA's aeronautical database; and removes the cities associated with the airports in the header of the airspace legal description to comply with changes to FAA Order JO 7400.2P, Procedures for Handling Airspace Matters.</P>
                <HD SOURCE="HD1">Regulatory Notices and Analyses</HD>
                <P>The FAA has determined that this regulation only involves an established body of technical regulations for which frequent and routine amendments are necessary to keep them operationally current. It, therefore: (1) is not a “significant regulatory action” under Executive Order 12866; (2) is not a “significant rule” under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does not warrant preparation of a regulatory evaluation as the anticipated impact is so minimal. Since this is a routine matter that only affects air traffic procedures and air navigation, it is certified that this rule, when promulgated, does not have a significant economic impact on a substantial number of small entities under the criteria of the Regulatory Flexibility Act.</P>
                <HD SOURCE="HD1">Environmental Review</HD>
                <P>The FAA has determined that this action qualifies for categorical exclusion under the National Environmental Policy Act in accordance with FAA Order 1050.1F, “Environmental Impacts: Policies and Procedures,” paragraph 5-6.5.a. This airspace action is not expected to cause any potentially significant environmental impacts, and no extraordinary circumstances exist that warrant preparation of an environmental assessment.</P>
                <LSTSUB>
                    <HD SOURCE="HED">Lists of Subjects in 14 CFR Part 71</HD>
                    <P>Airspace, Incorporation by reference, Navigation (air). </P>
                </LSTSUB>
                <HD SOURCE="HD1">The Amendment</HD>
                <P>In consideration of the foregoing, the Federal Aviation Administration amends 14 CFR part 71 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 71—DESIGNATION OF CLASS A, B, C, D, AND E AIRSPACE AREAS; AIR TRAFFIC SERVICE ROUTES; AND REPORTING POINTS</HD>
                </PART>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>1. The authority citation for 14 CFR part 71 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>49 U.S.C. 106(f), 106(g); 40103, 40113, 40120; E.O. 10854, 24 FR 9565, 3 CFR, 1959-1963 Comp., p. 389.</P>
                    </AUTH>
                </REGTEXT>
                <SECTION>
                    <SECTNO>§ 71.1 </SECTNO>
                    <SUBJECT>[Amended]</SUBJECT>
                </SECTION>
                <REGTEXT TITLE="14" PART="71">
                    <AMDPAR>2. The incorporation by reference in 14 CFR 71.1 of FAA Order JO 7400.11G, Airspace Designations and Reporting Points, dated August 19, 2022, and effective September 15, 2022, is amended as follows:</AMDPAR>
                    <EXTRACT>
                        <HD SOURCE="HD2">Paragraph 5000 Class D Airspace.</HD>
                        <STARS/>
                        <HD SOURCE="HD1">AGL MI D Kalamazoo, MI [Amended]</HD>
                        <FP SOURCE="FP-2">Kalamazoo/Battle Creek International Airport, MI</FP>
                        <FP SOURCE="FP1-2">(Lat 42°14′04″ N, long 85°33′06″ W)</FP>
                        <P>That airspace extending upward from the surface to and including 3,400 feet MSL within a 4.2-mile radius of the Kalamazoo/Battle Creek International Airport. This Class D airspace area is effective during the specific dates and times established in advance by a Notice to Air Missions. The effective dates and times will thereafter be continuously published in the Chart Supplement.</P>
                        <STARS/>
                        <HD SOURCE="HD2">Paragraph 6004 Class E Airspace Areas Designated as an Extension to a Class D or Class E Surface Area.</HD>
                        <STARS/>
                        <HD SOURCE="HD1">AGL MI E4 Kalamazoo, MI [Remove]</HD>
                        <STARS/>
                        <HD SOURCE="HD2">Paragraph 6005 Class E Airspace Areas Extending Upward From 700 Feet or More Above the Surface of the Earth.</HD>
                        <STARS/>
                        <HD SOURCE="HD1">AGL MI E5 Kalamazoo, MI [Amended]</HD>
                        <FP SOURCE="FP-2">Kalamazoo/Battle Creek International Airport, MI</FP>
                        <FP SOURCE="FP1-2">(Lat 42°14′04″ N, long 85°33′06″ W)</FP>
                        <FP SOURCE="FP-2">Borgess Medical Center Helipad, MI, Point in Space Coordinates</FP>
                        <FP SOURCE="FP1-2">(Lat 42°19′44″ N, long 85°34′47″ W)</FP>
                        <P>That airspace extending upward from 700 feet above the surface within a 6.7-mile radius of the Kalamazoo/Battle Creek International Airport; and within a 6-mile radius of the Borgess Medical Center Helipad point in space coordinates.</P>
                        <STARS/>
                    </EXTRACT>
                </REGTEXT>
                <SIG>
                    <DATED>Issued in Fort Worth, Texas, on July 5, 2023.</DATED>
                    <NAME>Martin A. Skinner,</NAME>
                    <TITLE>Acting Manager, Operations Support Group, ATO Central Service Center.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14459 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-13-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="N">ENVIRONMENTAL PROTECTION AGENCY</AGENCY>
                <CFR>40 CFR Part 52</CFR>
                <DEPDOC>[EPA-R09-OAR-2022-0420; FRL-9970-02-R9]</DEPDOC>
                <SUBJECT>Air Plan Revisions; California; San Joaquin Valley Air Pollution Control District; Stationary Source Permits</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Environmental Protection Agency (EPA).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Environmental Protection Agency (EPA) is taking final action on a permitting rule submitted as a revision to the San Joaquin Valley Air Pollution Control District (SJVAPCD or “District”) portion of the California state implementation plan (SIP). We are finalizing a limited approval and limited disapproval of the rule. This revision concerns the District's new source review (NSR) permitting program for new and modified sources of air pollution under section 110(a)(2)(C) and part D of title I of the Clean Air Act (CAA or “Act”).</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>This rule is effective on August 9, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        The EPA has established a docket for this action under Docket ID No. EPA-R09-OAR-2022-0420. All documents in the docket are listed on the 
                        <E T="03">https://www.regulations.gov</E>
                         website. Although listed in the index, some information is not publicly 
                        <PRTPAGE P="43435"/>
                        available, 
                        <E T="03">e.g.,</E>
                         confidential business information (CBI) or other information whose disclosure is restricted by statute. Certain other material, such as copyrighted material, is not placed on the internet and will be publicly available only in hard copy form. Publicly available docket materials are available through 
                        <E T="03">https://www.regulations.gov,</E>
                         or please contact the person identified in the 
                        <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                         section for additional availability information. If you need assistance in a language other than English or if you are a person with a disability who needs a reasonable accommodation at no cost to you, please contact the person identified in the 
                        <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                         section.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Laura Yannayon, EPA Region IX, Air-3-2, 75 Hawthorne St., San Francisco, CA 94105. By phone: (415) 972-3534 or by email at 
                        <E T="03">yannayon.laura@epa.gov</E>
                        .
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>Throughout this document, the terms “we,” “us,” and “our” refer to the EPA.</P>
                <HD SOURCE="HD1">Table of Contents </HD>
                <EXTRACT>
                    <FP SOURCE="FP-2">I. Proposed Action</FP>
                    <FP SOURCE="FP-2">II. Public Comments and EPA Responses</FP>
                    <FP SOURCE="FP-2">III. EPA Action</FP>
                    <FP SOURCE="FP-2">IV. Incorporation by Reference</FP>
                    <FP SOURCE="FP-2">V. Statutory and Executive Order Reviews</FP>
                </EXTRACT>
                <HD SOURCE="HD1">I. Proposed Action</HD>
                <P>
                    On July 29, 2022, the EPA proposed a limited approval and limited disapproval of the following SJVAPCD rule into the California SIP.
                    <SU>1</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         87 FR 45730.
                    </P>
                </FTNT>
                <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s25,r100,12,12">
                    <TTITLE>Table 1—Submitted Rule</TTITLE>
                    <BOXHD>
                        <CHED H="1">Rule No.</CHED>
                        <CHED H="1">Rule title</CHED>
                        <CHED H="1">Amended date</CHED>
                        <CHED H="1">Submitted date</CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">2201</ENT>
                        <ENT>New and Modified Stationary Source Review Rule</ENT>
                        <ENT>08/15/19</ENT>
                        <ENT>11/20/19</ENT>
                    </ROW>
                </GPOTABLE>
                <P>
                    In our July 29, 2022 action, we proposed a limited approval of Rule 2201 because we determined that it generally satisfies the applicable CAA and regulatory requirements for sources subject to nonattainment NSR permit program requirements for Extreme ozone nonattainment areas and Serious PM
                    <E T="52">2.5</E>
                     nonattainment areas.
                    <SU>2</SU>
                    <FTREF/>
                     However, we also determined that Rule 2201 does not fully satisfy all these requirements, and identified the following deficiencies in the rule:
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         The District submitted the revised Rule 2201 to address requirements applicable following the EPA's reclassifications of the San Joaquin Valley to Serious nonattainment for the 1997, 2006, and 2012 PM
                        <E T="52">2.5</E>
                         NAAQS. The submittal also generally satisfies applicable requirements for the 2015 ozone NAAQS.
                    </P>
                </FTNT>
                <P>
                    1. Missing definitions related to the definition of the term “major modification,” and deficiencies in the definitions for the terms: Major Source; Routine Maintenance, Repair and Replacement; PM
                    <E T="52">10</E>
                     Emissions; Secondary Emissions; and Volatile Organic Compounds.
                </P>
                <P>2. Provisions allowing the use of interprecursor trading (IPT) of ozone precursors to satisfy emission offset requirements, which are no longer permissible due to a 2021 D.C. Circuit Court of Appeals decision.</P>
                <P>3. Exemptions from otherwise applicable offset requirements for the relocation of emission units or stationary sources, if certain conditions are met, and for the installation or modification of required control equipment.</P>
                <P>4. The lack of public notice requirements for minor source permits addressing emissions of ozone precursors.</P>
                <P>5. Failure of the federal offset equivalency tracking system to ensure equivalency with federal offset requirements.</P>
                <P>6. Missing provisions for Temporary Replacement Units and Routine Replacement Emission Units.</P>
                <P>7. Other minor deficiencies, including issues relating to stack height requirements at 40 CFR 51.164; enforceable procedures as provided at 40 CFR 51.165(a)(5)(i) and (ii); and permit issuance restrictions based on inadequate SIP implementation at CAA section 173(a)(4).</P>
                <P>These deficiencies are the basis for the EPA's final limited approval and limited disapproval of Rule 2201. Our proposed action and the associated technical support document (TSD) contain more information on the basis for this rulemaking and on our evaluation of the submittal, including a detailed discussion of each deficiency.</P>
                <HD SOURCE="HD1">II. Public Comments and EPA Responses</HD>
                <P>The EPA's proposed action provided a 30-day public comment period. During this period, we received two comment letters, both of which are included in the docket for this action. The first is from an individual; it appears to be generally supportive of the action and does not raise any discernable issues that are adverse to our action as proposed. The second comment letter was submitted by the Central Valley Air Quality Coalition, Medical Advocates for Healthy Air, and Little Manila Rising. Issues raised in this comment are summarized with responses below.</P>
                <P>
                    <E T="03">Comment 1:</E>
                     The commenters express support for the EPA's proposed disapproval of the District's offset equivalency system, and for strengthening Rule 2201's automatic remedies for equivalency failure that would require the District to quantify and restore negative balances in the offset equivalency system. The commenters include information regarding the severity of ozone and PM
                    <E T="52">2.5</E>
                     pollution in the San Joaquin Valley, the sources and conditions contributing to this pollution, and the health effects associated with exposure to these pollutants. The commenters also describe their previous work to raise concerns associated with the District's ERC system and offset equivalency demonstration tracking system.
                </P>
                <P>
                    <E T="03">Response:</E>
                     The EPA appreciates the commenters' interest and involvement in issues surrounding the District's use of ERCs and offsets in its equivalency demonstration tracking system, and their support for this action. As explained elsewhere in this notice, we are finalizing our proposed limited approval and limited disapproval of Rule 2201 for the reasons articulated in our proposed rule.
                </P>
                <P>
                    <E T="03">Comment 2:</E>
                     Notwithstanding their general support for the EPA's proposed action, including disapproval of the equivalency system, the commenters disagree with a statement in the EPA's proposed action that the Rule 2201 remedies do not provide a mechanism to require the District to quantify or restore a negative balance in the equivalency system, and therefore fail to ensure full federal offset equivalency in the event of a shortfall. The commenters state that the EPA has neglected to recognize the automatic remedies for a 
                    <PRTPAGE P="43436"/>
                    failure to submit annual reports meeting the Rule 2201 requirements, which they say can correct historical equivalency system failures.
                </P>
                <P>Citing Rule 2201 and statements from the preamble to the EPA's 2004 approval of the rule, the commenters argue that sections 7.4.1.3 and 7.4.2.3 of the rule provide an enforceable mechanism to require the District to quantify and correct negative balances in the equivalency system. These provisions apply when the District fails to submit a report meeting the annual demonstration requirements of sections 7.2.1 or 7.2.2 (respectively), and require the District to apply specified federal offset requirements until it submits a report that meets the applicable requirements. According to the commenters, “[u]pon submission of corrected reports, automatic remedies for the period the system failed equivalency—the negative balance—would apply and those permits in that period would have to meet federal standards, thus correcting the negative balance.”</P>
                <P>The commenters request that the EPA clarify that this remedial scheme applies and not foreclose potential action to enforce the existing SIP-approved rule to remedy asserted violations of Rule 2201.</P>
                <P>
                    <E T="03">Response:</E>
                     While we agree that Rule 2201 provides automatic enforceable remedies if the District fails to submit a required annual report containing the required information, we cannot provide the clarification requested by the commenters because we do not agree that these remedies are adequate to correct historical offset equivalency system failures as described by the commenter. As stated in our proposed action and cited by the commenters, even when the Rule 2201 remedies are fully implemented in response to an equivalency failure, the equivalency system will retain a historic deficit relative to the federal program, which is not made whole under the rule.
                    <SU>3</SU>
                    <FTREF/>
                     As the commenters note, the rule also applies federal offset requirement remedies when the District fails to submit a compliant annual equivalency report. In that case, the District would be required to adopt federal offset requirements as prescribed by section 7.4.1.3 or 7.4.2.3 (as applicable), which would remain in place until the District submits a report complying with the applicable requirements in section 7.2.1 or 7.2.2. Critically, however, the rule contains no requirement for the District to submit a corrected report or to restore any negative balance in the equivalency system. Should the District subsequently submit corrected reports showing an equivalency shortfall, the applicable federal offset requirements would remain in place, but the rule would not require the District to restore the negative balance.
                </P>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         87 FR 45730, 45734/2 (July 29, 2022).
                    </P>
                </FTNT>
                <P>
                    As we explained in our proposed action, the Rule 2201 remedies are inadequate to ensure equivalency once available carryover offsets and additional creditable emission reductions are exhausted.
                    <SU>4</SU>
                    <FTREF/>
                     Our 2004 approval of the rule acknowledged that a deficit could remain even after all available emission reductions were exhausted, in which case the District would be required to implement federal offsetting requirements:
                </P>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         Id. at 45734/1.
                    </P>
                </FTNT>
                <EXTRACT>
                    <P>
                        Should the District allow too many non-surplus emission reductions to be used as offsets, the remedy is outlined in section 7.4. The District will retire additional creditable reductions that have not been used as offsets and have been banked or generated as a result of enforceable permitting actions. 
                        <E T="03">If a deficit remains,</E>
                         the District must implement the requirements specified in the federal rules.
                        <SU>5</SU>
                        <FTREF/>
                         (Emphasis added.)
                    </P>
                    <FTNT>
                        <P>
                            <SU>5</SU>
                             69 FR 27837, 27839 (May 17, 2004).
                        </P>
                    </FTNT>
                </EXTRACT>
                <P>
                    These federal offsetting requirements do not apply retroactively. Rule 2201 clearly establishes that the remedy shall be implemented prospectively through subsequent permitting actions, specifying that “all ATCs issued after the report deadline for that year shall comply” with the federal offsetting requirements.
                    <SU>6</SU>
                    <FTREF/>
                     Similar language appears in the rule's other federal offset remedy provisions.
                    <SU>7</SU>
                    <FTREF/>
                     Once the District has exhausted all creditable offsets and additional creditable emissions reductions under section 7.4.1.1 and implemented the federal offset remedies for new permitting actions under section 7.4.1.2, the rule provides no further corrective mechanisms to restore a prior shortfall. Specifically, there is no requirement for the District to collect any additional offsets from a source that was previously issued a permit under the rule.
                    <SU>8</SU>
                    <FTREF/>
                     Accordingly, as noted in our proposed action, the equivalency system may retain a historical deficit relative to the federal program even after all applicable remedies are fully implemented.
                </P>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         Rule 2201, section 7.4.1.2.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         See id. at section 7.4.1.3; 7.4.2.1; 7.4.2.3 (implementing remedies through conditions of subsequent ATCs).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         See 69 FR at 27839 (specifying that “a source that complies with the applicable District SIP-approved NSR rule would be in compliance with the provisions of the Clean Air Act that the District SIP rule implements,” and that the District would not be required “to withdraw a permit issued in reliance on an emission reduction credit that is of lesser surplus value at the time of use under federal criteria”).
                    </P>
                </FTNT>
                <P>In reviewing the Rule 2201 text, we fail to see any provisions that would provide a mechanism to require the District to quantify and correct any negative balance in the equivalency system, as claimed by the commentors. In particular, we see nothing in the rule that would require the District to submit a corrected report once the remedies from sections 7.4.1.3 and 7.4.2.3 of the rule are imposed, as the commenters appear to suggest. As noted above, these remedies apply “until” the District submits a report that complies with the applicable requirements. But if the District does not submit any such correction, the federal offset remedy remains in place, and the District is not otherwise compelled to take any further action.</P>
                <P>
                    <E T="03">Comment 3:</E>
                     The commenters recount concerns associated with the creditability of emissions reductions from agricultural engine electrification (“Ag-ICE”) projects and orphan shutdowns, and argue that the District's provisional withdrawal of these reductions from the equivalency system means that all reports that relied on these reductions to show equivalency (beginning with the 2007-2008 report) violate sections 7.2.1 and 7.2.2 of the rule. Therefore, according to the commenters, the automatic remedies in sections 7.4.1.3 and 7.4.2.3 should apply until the District submits corrected annual reports for these periods. If the District corrects these reports and quantifies the equivalency system deficit, the commenters state, the corrected reports will indicate when the District first had negative balances in its equivalency system, and the automatic remedies for equivalency failure would take effect upon the due date for the first corrected annual report to show system failure, meaning that all permits issued from that date forward would need to meet the appropriate federal offset requirements.
                </P>
                <P>
                    <E T="03">Response:</E>
                     As explained in our response to the prior comment, we disagree that the Rule 2201 remedies would require the District to submit corrected reports or to retroactively apply federal offset requirements to permitting actions completed in prior reporting years. Further, while we acknowledge the commenters' concerns about the creditability of emissions reductions from Ag-ICE projects and orphan shutdowns, a determination of whether prior annual equivalency reports complied with the applicable requirements of the SIP-approved version of Rule 2201 is outside the scope of this rulemaking action.
                    <PRTPAGE P="43437"/>
                </P>
                <P>
                    <E T="03">Comment 4:</E>
                     The commenters state that the EPA should revisit the technical basis for our proposed approval of the District's nonattainment area NSR precursor demonstration for ammonia. The commenters assert that the EPA has failed to consider two significant issues related to the 2025 NO
                    <E T="52">X</E>
                     inventory used to assess the contribution of major sources of ammonia on ambient air quality. In particular, the commenters say that the 50% reduction in NO
                    <E T="52">X</E>
                     emissions between 2013 and 2025 cited in the TSD may be overstated because the EPA has not yet approved several of the strategies to achieve over 33 tons per day (tpd) of reductions in CARB's “aggregate commitment” in the 2018 San Joaquin Valley PM
                    <E T="52">2.5</E>
                     Plan. In addition, the commenters say that the NO
                    <E T="52">X</E>
                     emissions inventory used in the modeling fails to fully account for NO
                    <E T="52">X</E>
                     emissions from soil. The commenters cite Almarez et al. (2018) and Sha et al. (2021), which they say show that including NO
                    <E T="52">X</E>
                     emissions from soil could increase total NO
                    <E T="52">X</E>
                     in the emissions inventory by 50%.
                </P>
                <P>
                    The commenters request that the EPA require the District to perform a precursor demonstration without the 2025 NO
                    <E T="52">X</E>
                     inventory which relies on reductions from the aggregate commitments, suggesting that it would be more appropriate to use the current year inventory adjusted to conservatively account for soil NO
                    <E T="52">X</E>
                     data.
                </P>
                <P>
                    <E T="03">Response:</E>
                     The EPA does not agree that the technical basis for the NSR precursor demonstration is improper for the reasons suggested by the commenter. The projected 50% emissions reduction between 2013 and 2025, cited in the TSD 
                    <SU>9</SU>
                    <FTREF/>
                     and precursor demonstration,
                    <SU>10</SU>
                    <FTREF/>
                     comes from the 2018 San Joaquin Valley PM
                    <E T="52">2.5</E>
                     Plan.
                    <SU>11</SU>
                    <FTREF/>
                     Table B-2 of the Plan's Appendix B shows the baseline emissions inventory for NO
                    <E T="52">X</E>
                    , which projects emissions reductions expected due to existing control measures. This baseline inventory does not include additional reductions from new control measures or aggregate commitments in the Plan. During the 2013 to 2025 period, baseline annual average NO
                    <E T="52">X</E>
                     emissions are projected to decrease from 317.2 tons per day (tpd) to 143.7 tpd, a decrease of 54.7%. Similarly, for the same time period, baseline winter season emissions are projected to decrease from 300.5 tpd to 134.5 tpd, a decrease of 55.2%. Over 90% of the decrease is due to NO
                    <E T="52">X</E>
                     emissions reductions from the existing motor vehicle control program.
                    <SU>12</SU>
                    <FTREF/>
                     Thus, NO
                    <E T="52">X</E>
                     emissions are projected to decrease by over 50%, independent of any NO
                    <E T="52">X</E>
                     reductions required for District's attainment plan for the 2012 annual PM
                    <E T="52">2.5</E>
                     NAAQS.
                </P>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         TSD Attachment 2, “Evaluation of NNSR Precursor Demonstration for NH
                        <E T="52">3</E>
                         for the San Joaquin Valley Unified Air Pollution Control District,” Memorandum from Scott Bohning, EPA Region 9, to Docket EPA-R09-OAR-2022-0420, San Joaquin Valley NSR Rule 2201, p. 9.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         SJVAPCD, “Final Draft Staff Report: Rules 2201, 2301, and 2520” July 15, 2019, Appendix E, “Demonstration of Contribution of Hypothetical Increased Ammonia Emissions to PM
                        <E T="52">2.5</E>
                         Concentrations in the San Joaquin Valley,” p. 59.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         SJVAPCD, “2018 Plan for the 1997, 2006, and 2012 p.m.2.5 Standards,” November 15, 2018, Appendix B, Table B-2 (“2018 San Joaquin Valley PM
                        <E T="52">2.5</E>
                         Plan”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         Id. Baseline motor vehicle program NO
                        <E T="52">X</E>
                         emissions decrease from 270.5 tpd to 108.6, a reduction of 161.9, which is 93.3% of the total NO
                        <E T="52">X</E>
                         decrease of 317.2 − 143.7 = 173.5 tpd.
                    </P>
                </FTNT>
                <P>
                    The precursor demonstration's 2025 modeling includes reductions from the aggregate commitments, and therefore shows lower NO
                    <E T="52">X</E>
                     emissions than the 2025 baseline. With these lower NO
                    <E T="52">X</E>
                     emissions, modeling of PM
                    <E T="52">2.5</E>
                     formation would tend to be more NO
                    <E T="52">X</E>
                    -limited and less ammonia-limited than the higher baseline inventories, and therefore less responsive to the addition of hypothetical new ammonia point sources. With or without the aggregate commitment reductions, the model response to adding hypothetical new ammonia sources is small enough to sustain the conclusion that these sources would not contribute significantly to PM
                    <E T="52">2.5</E>
                     levels exceeding the NAAQS. As we noted in our evaluation of the precursor demonstration: 
                </P>
                <EXTRACT>
                    <P>
                        For the 24-hour average, the maximum modeled contribution is 0.394 µg/m
                        <SU>3</SU>
                        , well below the recommended contribution threshold of 1.5 µg/m3. For the annual average, the maximum impact of 0.038 µg/m
                        <SU>3</SU>
                         is also well below the threshold of 0.2 µg/m
                        <SU>3</SU>
                        . The District notes that the contributions are 26% and 20%, respectively, of the 24-hour and annual thresholds, despite the very conservative assumptions used for the hypothetical sources and the source modifications.
                        <SU>13</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>13</SU>
                             TSD Attachment 2, p.12.
                        </P>
                    </FTNT>
                </EXTRACT>
                <P>
                    Thus, without the aggregate commitment NO
                    <E T="52">X</E>
                     reductions, the atmosphere would have to be nearly four times as sensitive to ammonia increases for the model responses to exceed the contribution thresholds. The EPA does not believe that is credible. As an approximate check, the EPA estimated the effect of including the aggregate commitments; that is, the effect of increasing the model emissions input by 33.88 tpd of NO
                    <E T="52">X</E>
                    .
                    <SU>14</SU>
                    <FTREF/>
                     The aggregate commitments represent a reduction of 23.6% from 2025 baseline emissions of 143.7 tpd. For comparison, baseline annual NO
                    <E T="52">X</E>
                     emissions decreased by 26.8% between 2020 and 2024 (203.3 tpd down to 148.9 tpd).
                    <SU>15</SU>
                    <FTREF/>
                     The comprehensive ammonia precursor demonstration in the 2018 San Joaquin Valley PM
                    <E T="52">2.5</E>
                     Plan 
                    <SU>16</SU>
                    <FTREF/>
                     estimates the effect of a 30% reduction in ammonia emissions for both 2020 and 2024 baseline emissions, using the same underlying 2013 base case as the NSR precursor demonstration. In going from the 2024 to the 2020 results, the response increased by 100%, a factor of two, for the Bakersfield-Planz site (0.12 up to 0.24 µg/m
                    <SU>3</SU>
                    ), which is the most responsive site, and by an average of 62% over all sites. This shows that a NO
                    <E T="52">X</E>
                     emissions increase comparable to that from the aggregate commitments increased the sensitivity to ammonia by at most a factor of two. That is far less than the factor of four increase that would be needed for hypothetical new ammonia sources to exceed the contribution threshold. Therefore, the NSR precursor demonstration results support the conclusion that new major sources and major modifications would not contribute significantly to PM
                    <E T="52">2.5</E>
                     levels exceeding the NAAQS even when NO
                    <E T="52">X</E>
                     reductions from the aggregate commitments are included.
                </P>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         These aggregate commitments are described and summed in the EPA's proposed action on the 2018 San Joaquin Valley PM
                        <E T="52">2.5</E>
                         Plan at 86 FR 74310, 74331 (December 29, 2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         2018 San Joaquin Valley PM
                        <E T="52">2.5</E>
                         Plan at Appendix B, Table B-2.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         Id. at Appendix G. The EPA approved this precursor demonstration with its accompanying modeling for the 2006 24-hour PM
                        <E T="52">2.5</E>
                         NAAQS, 85 FR 44192, July 22, 2020.
                    </P>
                </FTNT>
                <P>
                    With respect to the amount of NO
                    <E T="52">X</E>
                     emitted by soil in the San Joaquin Valley, there is conflicting research. The commenters cite conclusions of Almaraz et al. (2018) and Sha et al. (2021) that soil NO
                    <E T="52">X</E>
                     emissions are underestimated in the CARB emissions inventory system,
                    <SU>17</SU>
                    <FTREF/>
                     and that they comprise 30-40% of total NO
                    <E T="52">X</E>
                     emissions in California. While higher levels of soil NO
                    <E T="52">X</E>
                     (or NO
                    <E T="52">X</E>
                     more generally) would tend to increase the modeled sensitivity of ambient PM
                    <E T="52">2.5</E>
                     to ammonia, we maintain that there is not a sufficient basis to conclude that higher soil NO
                    <E T="52">X</E>
                     emissions should be used in the air quality modeling for the San Joaquin Valley.
                    <SU>18</SU>
                    <FTREF/>
                     In contrast to the studies cited 
                    <PRTPAGE P="43438"/>
                    by the commenters, Guo et al. (2020) 
                    <SU>19</SU>
                    <FTREF/>
                     does not find such a discrepancy in emissions estimates, concluding that soil NO
                    <E T="52">X</E>
                     is about 1% of anthropogenic NO
                    <E T="52">X</E>
                     emissions. Almaraz et al. estimates the fraction of nitrogen applied as fertilizer and released as NO
                    <E T="52">X</E>
                     to the atmosphere to be 15%, while seven other studies reviewed by Guo et al. estimate it to be 2% or less. Almaraz et al., Sha et al., and Guo et al. all report high agreement between their modeled and observed soil NO
                    <E T="52">X</E>
                     emissions. Almaraz et al. acknowledges the limited number of surface measurements that were available for purposes of comparing the model results and the difficulty in comparing the model results to the observations and notes the need for more field measurements. Guo et al. states that obtaining an emission factor correlating NO
                    <E T="52">X</E>
                     emissions to fertilizer application from the data available in various studies (including Almaraz et al.) would be “difficult or impossible” due to the sparsity of data collected in terms of sampling length, sampling frequency, and the episodic nature of nitrogen gas emissions from soil.
                </P>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         Almarez et al. discuss a comparison to NO
                        <E T="52">X</E>
                         in the California Emissions Projection Analysis Model (CEPAM), the basis for CARB planning and modeling.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         See EPA Region IX, “Response to Comments Document for the EPA's Final Action on the San Joaquin Valley Serious Area Plan for the 2006 PM
                        <E T="52">2.5</E>
                         NAAQS,” June 2020, pp. 148 and 158. This document accompanies the EPA's final rule published at 85 FR 44192 (July 22, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         Guo et al. (2020), “Assessment of Nitrogen Oxide Emissions and San Joaquin Valley PM
                        <E T="52">2.5</E>
                         Impacts From Soils in California,” Journal of Geophysical Research: Atmospheres, 125(24), doi:10.1029/2020JD033304; available at 
                        <E T="03">https://doi.org/10.1029/2020JD033304</E>
                        .
                    </P>
                </FTNT>
                <P>
                    In light of the uncertainties and disagreements among studies, at this time the EPA does not believe that available research provides sufficient certainty about the magnitude and proportion of soil NO
                    <E T="52">X</E>
                     emissions attributable to agricultural fertilizer application to require substantial revisions in either the NO
                    <E T="52">X</E>
                     emissions inventory or the PM
                    <E T="52">2.5</E>
                     modeling at this time.
                </P>
                <P>
                    In summary, the EPA disagrees with the commenters that the District's ammonia precursor demonstration is insufficient. The EPA believes that the modeling in the precursor demonstration adequately shows that new and modified major sources of ammonia would not contribute significantly to PM
                    <E T="52">2.5</E>
                     levels above the NAAQS. The EPA therefore affirms our approval of the District's nonattainment area NSR precursor demonstration for ammonia, and our approval of Rule 2201 without including ammonia as a PM
                    <E T="52">2.5</E>
                     precursor.
                    <SU>20</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         For the 2012 PM
                        <E T="52">2.5</E>
                         NAAQS, the EPA recently proposed to disapprove the comprehensive precursor demonstration for ammonia in the 2018 Plan for the 1997, 2006, and 2012 PM
                        <E T="52">2.5</E>
                         Standards. 87 FR 60494 (October 5, 2022). That demonstration modeled ammonia emissions reductions of 30%-70% of the total inventory and compared the response at monitor locations, as recommended in EPA's “PM
                        <E T="52">2.5</E>
                         Precursor Demonstration Guidance,” EPA-454/R-19-004, US EPA OAQPS, May 2019, available at 
                        <E T="03">https://www.epa.gov/pm-pollution/pm25-precursor-demonstration-guidance</E>
                        . The proposed disapproval focused on some responses above the recommended contribution threshold, and the reliance on reduction of no more than 30%. in the plan's precursor demonstration. In contrast, for the nonattainment area new source review precursor demonstration considered here the same guidance recommends modeling ammonia emissions increases, from a variety of hypothetical new sources. The two precursor demonstrations have different requirements and follow different procedures for assessing ammonia's contribution to PM
                        <E T="52">2.5</E>
                        . This is appropriate for the different regulatory requirements and source types covered by the two types of demonstrations, and the EPA's conclusion on the two may also be different.
                    </P>
                </FTNT>
                <HD SOURCE="HD1">III. EPA Action</HD>
                <P>No comments were submitted that change our assessment of Rule 2201 as described in our proposed action. Therefore, as authorized in sections 110(k)(3) and 301(a) of the Act, the EPA is finalizing a limited approval and limited disapproval of Rule 2201. This action incorporates the submitted rule into the California SIP, including those provisions identified as deficient.</P>
                <P>This approval is limited because the EPA is simultaneously finalizing a limited disapproval of the rule under section 110(k)(3). Our limited disapproval action triggers an obligation for the EPA to promulgate a federal implementation plan (FIP) unless we approve subsequent SIP revisions that correct the rule deficiencies within 24 months of this final action. Additionally, because the deficiency relates to nonattainment NSR requirements under part D of title I of the Act, the offset sanction in CAA section 179(b)(2) will be imposed in the San Joaquin Valley nonattainment area 18 months after the effective date of this action, and the highway funding sanction in CAA section 179(b)(1) will be imposed in the area six months after the offset sanction is imposed, unless the EPA approves subsequent SIP revisions that correct the rule deficiencies prior to the implementation of the sanctions. The EPA intends to work with the District to correct the deficiencies in a timely manner.</P>
                <P>
                    Note that Rule 2201 has been adopted by the SJVAPCD, and the EPA's final limited disapproval does not prevent the local agency from enforcing it. The limited disapproval would also not prevent any portion of the rule from being incorporated by reference into the federally enforceable SIP.
                    <SU>21</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         Memorandum dated July 9, 1992, from John Calcagni, Director, Air Quality Management Division, Office of Air Quality Planning and Standards, U.S. EPA, to EPA Regional Air Directors, Regions I-X, Subject: “Processing of State Implementation Plan (SIP) Submittals.”
                    </P>
                </FTNT>
                <HD SOURCE="HD1">IV. Incorporation by Reference</HD>
                <P>
                    In this rule, the EPA is finalizing regulatory text that includes incorporation by reference. In accordance with requirements of 1 CFR 51.5, the EPA is finalizing the incorporation by reference of SJVAPCD Rule 2201, “New and Modified Stationary Source Review Rule,” amended on August 15, 2019, which implements the District's NSR permitting program for new and modified sources of air pollution under section 110(a)(2)(C) and part D of title I of the CAA. The EPA has made, and will continue to make, these materials available through 
                    <E T="03">www.regulations.gov</E>
                     and at the EPA Region IX Office (please contact the person identified in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section of this preamble for more information).
                </P>
                <HD SOURCE="HD1">V. Statutory and Executive Order Reviews</HD>
                <P>
                    Additional information about these statutes and Executive orders can be found at 
                    <E T="03">https://www.epa.gov/laws-regulations/laws-and-executive-orders</E>
                    .
                </P>
                <HD SOURCE="HD2">A. Executive Order 12866: Regulatory Planning and Review and Executive Order 13563: Improving Regulation and Regulatory Review</HD>
                <P>This action is not a significant regulatory action and was therefore not submitted to the Office of Management and Budget (OMB) for review.</P>
                <HD SOURCE="HD2">B. Paperwork Reduction Act (PRA)</HD>
                <P>This action does not impose an information collection burden under the PRA because this action does not impose additional requirements beyond those imposed by state law.</P>
                <HD SOURCE="HD2">C. Regulatory Flexibility Act (RFA)</HD>
                <P>I certify that this action will not have a significant economic impact on a substantial number of small entities under the RFA. This action will not impose any requirements on small entities beyond those imposed by state law.</P>
                <HD SOURCE="HD2">D. Unfunded Mandates Reform Act (UMRA)</HD>
                <P>
                    This action does not contain any unfunded mandate as described in UMRA, 2 U.S.C. 1531-1538, and does not significantly or uniquely affect small governments. This action does not impose additional requirements beyond those imposed by state law. Accordingly, no additional costs to State, local, or tribal governments, or to the private sector, will result from this action.
                    <PRTPAGE P="43439"/>
                </P>
                <HD SOURCE="HD2">E. Executive Order 13132: Federalism</HD>
                <P>This action does not have federalism implications. It will not have substantial direct effects on the states, on the relationship between the national government and the states, or on the distribution of power and responsibilities among the various levels of government.</P>
                <HD SOURCE="HD2">F. Executive Order 13175: Coordination With Indian Tribal Governments</HD>
                <P>This action does not have tribal implications, as specified in Executive Order 13175, because the SIP is not approved to apply on any Indian reservation land or in any other area where the EPA or an Indian tribe has demonstrated that a tribe has jurisdiction, and will not impose substantial direct costs on tribal governments or preempt tribal law. Thus, Executive Order 13175 does not apply to this action.</P>
                <HD SOURCE="HD2">G. Executive Order 13045: Protection of Children From Environmental Health Risks and Safety Risks</HD>
                <P>The EPA interprets Executive Order 13045 as applying only to those regulatory actions that concern environmental health or safety risks that the EPA has reason to believe may disproportionately affect children, per the definition of “covered regulatory action” in section 2-202 of the Executive Order. This action is not subject to Executive Order 13045 because it does not impose additional requirements beyond those imposed by state law.</P>
                <HD SOURCE="HD2">H. Executive Order 13211: Actions That Significantly Affect Energy Supply, Distribution, or Use</HD>
                <P>This action is not subject to Executive Order 13211, because it is not a significant regulatory action under Executive Order 12866.</P>
                <HD SOURCE="HD2">I. National Technology Transfer and Advancement Act (NTTAA)</HD>
                <P>Section 12(d) of the NTTAA directs the EPA to use voluntary consensus standards in its regulatory activities unless to do so would be inconsistent with applicable law or otherwise impractical. The EPA believes that this action is not subject to the requirements of section 12(d) of the NTTAA because application of those requirements would be inconsistent with the CAA.</P>
                <HD SOURCE="HD2">J. Executive Order 12898: Federal Actions To Address Environmental Justice in Minority Populations and Low-Income Populations</HD>
                <P>Executive Order 12898 (Federal Actions To Address Environmental Justice in Minority Populations and Low-Income Populations, 59 FR 7629, Feb. 16, 1994) directs Federal agencies to identify and address “disproportionately high and adverse human health or environmental effects” of their actions on minority populations and low-income populations to the greatest extent practicable and permitted by law. The EPA defines environmental justice (EJ) as “the fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies.” The EPA further defines the term fair treatment to mean that “no group of people should bear a disproportionate burden of environmental harms and risks, including those resulting from the negative environmental consequences of industrial, governmental, and commercial operations or programs and policies.”</P>
                <P>Under the CAA, the Administrator is required to approve a SIP submission that complies with the provisions of the Act and applicable federal regulations. 42 U.S.C. 7410(k); 40 CFR 52.02(a). Thus, in reviewing SIP submissions, the EPA's role is to review state choices, and approve those choices if they meet the minimum criteria of the Act. Accordingly, this action is finalizing a limited approval and limited disapproval of Rule 2201 as meeting federal requirements and does not impose additional requirements beyond those imposed by state law.</P>
                <P>The State did not evaluate environmental justice considerations as part of its SIP submittal; the CAA and applicable implementing regulations neither prohibit nor require such an evaluation. The EPA did not perform an EJ analysis and did not consider EJ in this action. Due to the nature of the action being taken here, this action is expected to have a neutral to positive impact on the air quality of the affected area. Consideration of EJ is not required as part of this action, and there is no information in the record inconsistent with the stated goal of E.O. 12898 of achieving environmental justice for people of color, low-income populations, and Indigenous peoples.</P>
                <HD SOURCE="HD2">K. Congressional Review Act (CRA)</HD>
                <P>This action is subject to the CRA, and the EPA will submit a rule report to each House of the Congress and to the Comptroller General of the United States. This action is not a “major rule” as defined by 5 U.S.C. 804(2).</P>
                <HD SOURCE="HD2">L. Petitions for Judicial Review</HD>
                <P>Under section 307(b)(1) of the Clean Air Act, petitions for judicial review of this action must be filed in the United States Court of Appeals for the appropriate circuit by September 8, 2023. Filing a petition for reconsideration by the Administrator of this final rule does not affect the finality of this rule for the purposes of judicial review nor does it extend the time within which a petition for judicial review may be filed, and shall not postpone the effectiveness of such rule or action. This action may not be challenged later in proceedings to enforce its requirements (see section 307(b)(2)).</P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 40 CFR Part 52</HD>
                    <P>Environmental protection, Air pollution control, Carbon monoxide, Incorporation by reference, Intergovernmental relations, Lead, Nitrogen dioxide, Ozone, Particulate matter, Reporting and recordkeeping requirements, Sulfur dioxide, Volatile organic compounds.</P>
                </LSTSUB>
                <AUTH>
                    <HD SOURCE="HED">Authority: </HD>
                    <P>
                        42 U.S.C. 7401 
                        <E T="03">et seq.</E>
                    </P>
                </AUTH>
                <SIG>
                    <DATED>Dated: June 28, 2023.</DATED>
                    <NAME>Martha Guzman Aceves,</NAME>
                    <TITLE>Regional Administrator, Region IX.</TITLE>
                </SIG>
                <P>Part 52, chapter I, title 40 of the Code of Federal Regulations is amended as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 52—APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS</HD>
                </PART>
                <REGTEXT TITLE="40" PART="52">
                    <AMDPAR>1. The authority citation for Part 52 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P>
                             42 U.S.C. 7401 
                            <E T="03">et seq.</E>
                        </P>
                    </AUTH>
                </REGTEXT>
                <SUBPART>
                    <HD SOURCE="HED">Subpart F—California</HD>
                </SUBPART>
                <REGTEXT TITLE="40" PART="52">
                    <AMDPAR>
                        2. Section 52.220 is amended by adding paragraphs (c)(400)(i)(A)(
                        <E T="03">2</E>
                        ) and (c)(598) to read as follows:
                    </AMDPAR>
                    <SECTION>
                        <SECTNO>§ 52.220 </SECTNO>
                        <SUBJECT>Identification of plan-in part.</SUBJECT>
                        <STARS/>
                        <P>(c) * * *</P>
                        <P>(400) * * *</P>
                        <P>(i) * * *</P>
                        <P>(A) * * *</P>
                        <P>
                            (
                            <E T="03">2</E>
                            ) Previously approved on September 17, 2014, in paragraph (c)(400)(i)(A)(
                            <E T="03">1</E>
                            ) of this section and now deleted with replacement in (c)(598)(i)(A)(
                            <E T="03">1</E>
                            ), Rule 2201, “New and Modified Stationary Source Review Rule,” amended on April 21, 2011.
                        </P>
                        <STARS/>
                        <P>
                            (598) The following regulations were submitted on November 20, 2019, by the Governor's designee as an attachment to a letter dated November 15, 2019.
                            <PRTPAGE P="43440"/>
                        </P>
                        <P>
                            (i) 
                            <E T="03">Incorporation by reference.</E>
                             (A) San Joaquin Valley Unified Air Pollution Control District.
                        </P>
                        <P>
                            (
                            <E T="03">1</E>
                            ) Rule 2201, “New and Modified Stationary Source Review Rule,” amended on August 15, 2019.
                        </P>
                        <P>
                            (
                            <E T="03">2</E>
                            ) [Reserved]
                        </P>
                        <P>(B) [Reserved]</P>
                        <P>(ii) [Reserved]</P>
                        <STARS/>
                    </SECTION>
                </REGTEXT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14132 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6560-50-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="S">ENVIRONMENTAL PROTECTION AGENCY</AGENCY>
                <CFR>40 CFR Part 52</CFR>
                <DEPDOC>[EPA-R05-OAR-2022-0788; FRL-10425-02-R5]</DEPDOC>
                <SUBJECT>Air Plan Approval; Ohio; Consumer Products Rule</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Environmental Protection Agency (EPA).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Environmental Protection Agency (EPA) is approving, under the Clean Air Act (CAA), a State Implementation Plan (SIP) revision submitted by the Ohio Environmental Protection Agency (Ohio EPA) on September 7, 2022. Ohio EPA requests that EPA approve revised volatile organic compounds (VOCs) control rules under Chapter 3745-112 of the Ohio Administrative Code (OAC) into Ohio's SIP. The revised rules will reduce emissions that contribute to ozone formation and assist with efforts to achieve and maintain the 2015 ozone National Ambient Air Quality Standard (NAAQS). EPA finds that these rules are approvable because they are SIP strengthening measures. EPA proposed to approve this action on February 27, 2023, and received no adverse comments.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>This final rule is effective on August 9, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        EPA has established a docket for this action under Docket ID No. EPA-R05-OAR-2022-0788. All documents in the docket are listed on the 
                        <E T="03">www.regulations.gov</E>
                         website. Although listed in the index, some information is not publicly available, 
                        <E T="03">i.e.,</E>
                         Confidential Business Information (CBI) or other information whose disclosure is restricted by statute. Certain other material, such as copyrighted material, is not placed on the internet and will be publicly available only in hard copy form. Publicly available docket materials are available either through 
                        <E T="03">www.regulations.gov</E>
                         or at the Environmental Protection Agency, Region 5, Air and Radiation Division, 77 West Jackson Boulevard, Chicago, Illinois 60604. This facility is open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding Federal holidays and facility closures due to COVID-19. We recommend that you telephone Katie Mullen, at (312) 353-3490 before visiting the Region 5 office.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Katie Mullen, Attainment Planning and Maintenance Section, Air Programs Branch (AR-18J), Environmental Protection Agency, Region 5, 77 West Jackson Boulevard, Chicago, Illinois 60604, (312) 353-3490, 
                        <E T="03">mullen.kathleen@epa.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>Throughout this document whenever “we,” “us,” or “our” is used, we mean EPA.</P>
                <HD SOURCE="HD1">I. Background Information</HD>
                <P>On February 27, 2023, EPA proposed to approve revisions to OAC Chapter 3745-112. The revised rules include OAC 3745-112-01 (Definitions); 3745-112-02 (Applicability); 3745-112-03 (Standards); 3745-112-04 (Exemptions); 3745-112-05 (Administrative Requirements); 3745-112-06 (Reporting Requirements); 3745-112-07 (Variances); and 3745-112-08 (Test Methods), effective on June 20, 2022. These revised rules are intended to assist in achieving and maintaining the 2015 ozone NAAQS through the regulation of VOCs in consumer products. We find that these rules are approvable because they are SIP strengthening measures. An explanation of the CAA requirements, a detailed analysis of the revisions, and EPA's reasons for proposing approval were provided in the notice of proposed rulemaking (88 FR 12303) and will not be restated here. The public comment period for this proposed rule ended on March 29, 2023. EPA received no adverse comments on the proposal.</P>
                <HD SOURCE="HD1">II. Final Action</HD>
                <P>EPA is approving rule revisions to Chapter 3745-112 of the OAC. The revised rules include OAC 3745-112-01 to OAC 3745-112-08 and are intended to assist in achieving and maintaining the 2015 ozone NAAQS through the regulation of VOCs in consumer products. EPA finds that these rules are approvable because they strengthen the VOC control portion of Ohio's SIP.</P>
                <HD SOURCE="HD1">III. Incorporation by Reference</HD>
                <P>
                    In this rule, EPA is finalizing regulatory text that includes incorporation by reference. In accordance with requirements of 1 CFR 51.5, EPA is finalizing the incorporation by reference of the Ohio Administrative Code Regulations described in section I of this preamble and set forth in the amendments to 40 CFR part 52 below. EPA has made, and will continue to make, these documents generally available through 
                    <E T="03">www.regulations.gov,</E>
                     and at the EPA Region 5 Office (please contact the person identified in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section of this preamble for more information). Therefore, these materials have been approved by EPA for inclusion in the SIP, have been incorporated by reference by EPA into that plan, are fully federally enforceable under sections 110 and 113 of the CAA as of the effective date of the final rulemaking of EPA's approval, and will be incorporated by reference in the next update to the SIP compilation.
                    <SU>1</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         62 FR 27968 (May 22, 1997).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">IV. Statutory and Executive Order Reviews</HD>
                <P>Under the CAA, the Administrator is required to approve a SIP submission that complies with the provisions of the CAA and applicable Federal regulations. 42 U.S.C. 7410(k); 40 CFR 52.02(a). Thus, in reviewing SIP submissions, EPA's role is to approve state choices, provided that they meet the criteria of the CAA. Accordingly, this action merely approves state law as meeting Federal requirements and does not impose additional requirements beyond those imposed by state law. For that reason, this action:</P>
                <P>• Is not a significant regulatory action subject to review by the Office of Management and Budget under Executive Orders 12866 (58 FR 51735, October 4, 1993) and 14094 (88 FR 21879, April 11, 2023);</P>
                <P>
                    • Does not impose an information collection burden under the provisions of the Paperwork Reduction Act (44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    );
                </P>
                <P>
                    • Is certified as not having a significant economic impact on a substantial number of small entities under the Regulatory Flexibility Act (5 U.S.C. 601 
                    <E T="03">et seq.</E>
                    );
                </P>
                <P>• Does not contain any unfunded mandate or significantly or uniquely affect small governments, as described in the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4);</P>
                <P>• Does not have federalism implications as specified in Executive Order 13132 (64 FR 43255, August 10, 1999);</P>
                <P>
                    • Is not subject to Executive Order 13045 (62 FR 19885, April 23, 1997) because it approves a state program;
                    <PRTPAGE P="43441"/>
                </P>
                <P>• Is not a significant regulatory action subject to Executive Order 13211 (66 FR 28355, May 22, 2001); and</P>
                <P>• Is not subject to requirements of Section 12(d) of the National Technology Transfer and Advancement Act of 1995 (15 U.S.C. 272 note) because application of those requirements would be inconsistent with the CAA.</P>
                <P>In addition, the SIP is not approved to apply on any Indian reservation land or in any other area where EPA or an Indian tribe has demonstrated that a tribe has jurisdiction. In those areas of Indian country, the rule does not have tribal implications and will not impose substantial direct costs on tribal governments or preempt tribal law as specified by Executive Order 13175 (65 FR 67249, November 9, 2000).</P>
                <P>Executive Order 12898 (Federal Actions To Address Environmental Justice in Minority Populations and Low-Income Populations, 59 FR 7629, February 16, 1994) directs Federal agencies to identify and address “disproportionately high and adverse human health or environmental effects” of their actions on minority populations and low-income populations to the greatest extent practicable and permitted by law. EPA defines environmental justice (EJ) as “the fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies.” EPA further defines the term fair treatment to mean that “no group of people should bear a disproportionate burden of environmental harms and risks, including those resulting from the negative environmental consequences of industrial, governmental, and commercial operations or programs and policies.”</P>
                <P>The Ohio Environmental Protection Agency did not evaluate environmental justice considerations as part of its SIP submittal; the CAA and applicable implementing regulations neither prohibit nor require such an evaluation. EPA did not perform an EJ analysis and did not consider EJ in this action. Due to the nature of the action being taken here, this action is expected to have a neutral to positive impact on the air quality of the affected area. Consideration of EJ is not required as part of this action, and there is no information in the record inconsistent with the stated goal of E.O. 12898 of achieving environmental justice for people of color, low-income populations, and Indigenous peoples.</P>
                <P>This action is subject to the Congressional Review Act, and EPA will submit a rule report to each House of the Congress and to the Comptroller General of the United States. This action is not a “major rule” as defined by 5 U.S.C. 804(2).</P>
                <P>Under section 307(b)(1) of the CAA, petitions for judicial review of this action must be filed in the United States Court of Appeals for the appropriate circuit by September 8, 2023. Filing a petition for reconsideration by the Administrator of this final rule does not affect the finality of this action for the purposes of judicial review nor does it extend the time within which a petition for judicial review may be filed, and shall not postpone the effectiveness of such rule or action. This action may not be challenged later in proceedings to enforce its requirements. (See section 307(b)(2).)</P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 40 CFR Part 52</HD>
                    <P>Environmental protection, Air pollution control, Incorporation by reference, Intergovernmental relations, Ozone, Volatile organic compounds.</P>
                </LSTSUB>
                <SIG>
                    <DATED>Dated: June 29, 2023.</DATED>
                    <NAME>Debra Shore,</NAME>
                    <TITLE>Regional Administrator, Region 5.</TITLE>
                </SIG>
                <P>For the reasons stated in the preamble, title 40 CFR part 52 is amended as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 52—APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS</HD>
                </PART>
                <REGTEXT TITLE="40" PART="52">
                    <AMDPAR>1. The authority citation for part 52 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>
                            42 U.S.C. 7401 
                            <E T="03">et seq.</E>
                        </P>
                    </AUTH>
                </REGTEXT>
                <REGTEXT TITLE="40" PART="52">
                    <AMDPAR>2. In § 52.1870, the table in paragraph (c) is amended by revising the section entitled “Chapter 3745-112 Volatile Organic Compound Limits in Consumer Products” to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 52.1870 </SECTNO>
                        <SUBJECT>Identification of plan.</SUBJECT>
                        <STARS/>
                        <P>(c) * * *</P>
                        <GPOTABLE COLS="5" OPTS="L1,i1" CDEF="xs54,r50,12,r100,12">
                            <TTITLE>EPA-Approved Ohio Regulations</TTITLE>
                            <BOXHD>
                                <CHED H="1">Ohio citation</CHED>
                                <CHED H="1">Title/subject</CHED>
                                <CHED H="1">
                                    Ohio
                                    <LI>effective</LI>
                                    <LI>date</LI>
                                </CHED>
                                <CHED H="1">EPA approval date</CHED>
                                <CHED H="1">Notes</CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="22"> </ENT>
                            </ROW>
                            <ROW RUL="s">
                                <ENT I="28">*         *         *         *         *         *         *</ENT>
                            </ROW>
                            <ROW EXPSTB="04" RUL="s">
                                <ENT I="21">
                                    <E T="02">Chapter 3745-112 Volatile Organic Compound Limits in Consumer Products</E>
                                </ENT>
                            </ROW>
                            <ROW EXPSTB="00">
                                <ENT I="01">3745-112-01</ENT>
                                <ENT>Definitions</ENT>
                                <ENT>6/20/2022</ENT>
                                <ENT>
                                    7/10/2023, [INSERT 
                                    <E T="02">FEDERAL REGISTER</E>
                                     CITATION]
                                </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">3745-112-02</ENT>
                                <ENT>Applicability</ENT>
                                <ENT>6/20/2022</ENT>
                                <ENT>
                                    7/10/2023, [INSERT 
                                    <E T="02">FEDERAL REGISTER</E>
                                     CITATION]
                                </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">3745-112-03</ENT>
                                <ENT>Standards</ENT>
                                <ENT>6/20/2022</ENT>
                                <ENT>
                                    7/10/2023, [INSERT 
                                    <E T="02">FEDERAL REGISTER</E>
                                     CITATION]
                                </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">3745-112-04</ENT>
                                <ENT>Exemptions</ENT>
                                <ENT>6/20/2022</ENT>
                                <ENT>
                                    7/10/2023, [INSERT 
                                    <E T="02">FEDERAL REGISTER</E>
                                     CITATION]
                                </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">3745-112-05</ENT>
                                <ENT>Administrative Requirements</ENT>
                                <ENT>6/20/2022</ENT>
                                <ENT>
                                    7/10/2023, [INSERT 
                                    <E T="02">FEDERAL REGISTER</E>
                                     CITATION]
                                </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">3745-112-06</ENT>
                                <ENT>Reporting Requirements</ENT>
                                <ENT>6/20/2022</ENT>
                                <ENT>
                                    7/10/2023, [INSERT 
                                    <E T="02">FEDERAL REGISTER</E>
                                     CITATION]
                                </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">3745-112-07</ENT>
                                <ENT>Variances</ENT>
                                <ENT>6/20/2022</ENT>
                                <ENT>
                                    7/10/2023, [INSERT 
                                    <E T="02">FEDERAL REGISTER</E>
                                     CITATION]
                                </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">3745-112-08</ENT>
                                <ENT>Test Methods</ENT>
                                <ENT>6/20/2022</ENT>
                                <ENT>
                                    7/10/2023, [INSERT 
                                    <E T="02">FEDERAL REGISTER</E>
                                     CITATION]
                                </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="22"> </ENT>
                            </ROW>
                            <ROW>
                                <ENT I="28">*         *         *         *         *         *         *</ENT>
                            </ROW>
                        </GPOTABLE>
                        <STARS/>
                    </SECTION>
                </REGTEXT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14168 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6560-50-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <PRTPAGE P="43442"/>
                <AGENCY TYPE="S">ENVIRONMENTAL PROTECTION AGENCY</AGENCY>
                <CFR>40 CFR Part 180</CFR>
                <DEPDOC>[EPA-HQ-OPP-2021-0646; FRL-11057-01-OCSPP]</DEPDOC>
                <SUBJECT>Benzpyrimoxan; Pesticide Tolerances</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Environmental Protection Agency (EPA).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This regulation establishes tolerances for residues of benzpyrimoxan in or on rice, husked; rice, polished rice; and rice, bran. Nichino America, Inc. requested these tolerances under the Federal Food, Drug, and Cosmetic Act (FFDCA).</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>
                        This regulation is effective July 10, 2023. Objections and requests for hearings must be received on or before September 8, 2023 and must be filed in accordance with the instructions provided in 40 CFR part 178 (see also Unit I.C. of the 
                        <E T="02">SUPPLEMENTARY INFORMATION</E>
                        ).
                    </P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        The docket for this action, identified by docket identification (ID) number EPA-HQ-OPP-2021-0646, is available at 
                        <E T="03">https://www.regulations.gov</E>
                         or at the Office of Pesticide Programs Regulatory Public Docket (OPP Docket) in the Environmental Protection Agency Docket Center (EPA/DC), West William Jefferson Clinton Bldg., Rm. 3334, 1301 Constitution Ave. NW, Washington, DC 20460-0001. The Public Reading Room is open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding legal holidays. The telephone number for the Public Reading Room and the OPP docket is (202) 566-1744. For the latest status information on EPA/DC services, docket access, visit 
                        <E T="03">https://www.epa.gov/dockets.</E>
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Charles Smith, Director, Registration Division (7505T), Office of Pesticide Programs, Environmental Protection Agency, 1200 Pennsylvania Ave. NW, Washington, DC 20460-0001; main telephone number: (202) 566-1030; email address: 
                        <E T="03">RDFRNotices@epa.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. General Information</HD>
                <HD SOURCE="HD2">A. Does this action apply to me?</HD>
                <P>You may be potentially affected by this action if you are an agricultural producer, food manufacturer, or pesticide manufacturer. The following list of North American Industrial Classification System (NAICS) codes is not intended to be exhaustive, but rather provides a guide to help readers determine whether this document applies to them. Potentially affected entities may include:</P>
                <P>• Crop production (NAICS code 111).</P>
                <P>• Animal production (NAICS code 112).</P>
                <P>• Food manufacturing (NAICS code 311).</P>
                <P>• Pesticide manufacturing (NAICS code 32532).</P>
                <HD SOURCE="HD2">B. How can I get electronic access to other related information?</HD>
                <P>
                    You may access a frequently updated electronic version of EPA's tolerance regulations at 40 CFR part 180 through the 
                    <E T="04">Federal Register</E>
                     Office's e-CFR site at 
                    <E T="03">https://www.ecfr.gov/current/title-40.</E>
                </P>
                <HD SOURCE="HD2">C. How can I file an objection or hearing request?</HD>
                <P>Under FFDCA section 408(g), 21 U.S.C. 346a, any person may file an objection to any aspect of this regulation and may also request a hearing on those objections. You must file your objection or request a hearing on this regulation in accordance with the instructions provided in 40 CFR part 178. To ensure proper receipt by EPA, you must identify docket ID number EPA-HQ-OPP-2021-0646 in the subject line on the first page of your submission. All objections and requests for a hearing must be in writing and must be received by the Hearing Clerk on or before September 8, 2023. Addresses for mail and hand delivery of objections and hearing requests are provided in 40 CFR 178.25(b).</P>
                <P>In addition to filing an objection or hearing request with the Hearing Clerk as described in 40 CFR part 178, please submit a copy of the filing (excluding any Confidential Business Information (CBI)) for inclusion in the public docket. Information not marked confidential pursuant to 40 CFR part 2 may be disclosed publicly by EPA without prior notice. Submit the non-CBI copy of your objection or hearing request, identified by docket ID number EPA-HQ-OPP-2021-0646, by one of the following methods:</P>
                <P>
                    • 
                    <E T="03">Federal eRulemaking Portal: https://www.regulations.gov.</E>
                     Follow the online instructions for submitting comments. Do not submit electronically any information you consider to be CBI or other information whose disclosure is restricted by statute.
                </P>
                <P>
                    • 
                    <E T="03">Mail:</E>
                     OPP Docket, Environmental Protection Agency Docket Center (EPA/DC), (28221T), 1200 Pennsylvania Ave. NW, Washington, DC 20460-0001.
                </P>
                <P>
                    • 
                    <E T="03">Hand Delivery:</E>
                     To make special arrangements for hand delivery or delivery of boxed information, please follow the instructions at 
                    <E T="03">https://www.epa.gov/dockets/contacts.html.</E>
                </P>
                <P>
                    Additional instructions on commenting or visiting the docket, along with more information about dockets generally, is available at 
                    <E T="03">https://www.epa.gov/dockets.</E>
                </P>
                <HD SOURCE="HD1">II. Summary of Petitioned-For Tolerance</HD>
                <P>
                    In the 
                    <E T="04">Federal Register</E>
                     of February 25, 2022 (87 FR 10760) (FRL-9410-01-OCSPP), EPA issued a document pursuant to FFDCA section 408(d)(3), 21 U.S.C. 346a(d)(3), announcing the filing of a pesticide petition (PP 1E8949) by Nichino America, Inc. 4550 Linden Hill Road, Suite 501, Wilmington, DE 19808. The petition requested that 40 CFR part 180 be amended by establishing tolerances for residues of the insecticide benzpyrimoxan, including its metabolites and degradates, in or on the raw agricultural commodity rice, grain at 0.9 parts per million (ppm). The requested tolerance is for food imported into the U.S. and it is not registered for use in the U.S. That document referenced a summary of the petition prepared by Nichino America, Inc., the registrant, which is available in the docket, 
                    <E T="03">https://www.regulations.gov.</E>
                     One comment was received on the notice of filing. EPA's response to the comment is discussed in Unit IV.C.
                </P>
                <P>Based upon review of the data supporting the petition, EPA is revising the tolerance commodity definition for the requested tolerance in/on rice, grain and is also establishing tolerances for rice, polished rice and rice, bran. The reason for these changes is explained in Unit IV.D.</P>
                <HD SOURCE="HD1">III. Aggregate Risk Assessment and Determination of Safety</HD>
                <P>
                    Section 408(b)(2)(A)(i) of FFDCA allows EPA to establish a tolerance (the legal limit for a pesticide chemical residue in or on a food) only if EPA determines that the tolerance is “safe”. Section 408(b)(2)(A)(ii) of FFDCA defines “safe” to mean that “there is a reasonable certainty that no harm will result from aggregate exposure to the pesticide chemical residue, including all anticipated dietary exposures and all other exposures for which there is reliable information”. This includes exposure through drinking water and in residential settings but does not include occupational exposure. Section 408(b)(2)(C) of FFDCA requires EPA to give special consideration to exposure of infants and children to the pesticide chemical residue in establishing a tolerance and to “ensure that there is a reasonable certainty that no harm will result to infants and children from aggregate exposure to the pesticide chemical residue. . . .”
                    <PRTPAGE P="43443"/>
                </P>
                <P>Consistent with FFDCA section 408(b)(2)(D), and the factors specified in FFDCA section 408(b)(2)(D), EPA has reviewed the available scientific data and other relevant information in support of this action. EPA has sufficient data to assess the hazards of and to make a determination on aggregate exposure for benzpyrimoxan including exposure resulting from the tolerances established by this action. EPA's assessment of exposures and risks associated with benzpyrimoxan follows.</P>
                <HD SOURCE="HD2">A. Toxicological Profile</HD>
                <P>EPA has evaluated the available toxicity data and considered its validity, completeness, and reliability as well as the relationship of the results of the studies to human risk. EPA has also considered available information concerning the variability of the sensitivities of major identifiable subgroups of consumers, including infants and children.</P>
                <P>The toxicology database for benzpyrimoxan is complete for the establishment of a tolerance without U.S. registration. The affected target organs following the administration of benzpyrimoxan are the kidney and urinary tract. Crystals were observed in the kidneys and urinary tract along with tissue damage in both mice and rats following subchronic and chronic oral administration. The rat appeared to be the most sensitive species tested, with mouse and dog having similar toxicity. There did not appear to be a difference in toxicity by sex in any species.</P>
                <P>Increased quantitative susceptibility was seen in the rabbit preliminary developmental study where decreases in fetal body weight were observed in the absence of adverse maternal toxicity. There was no evidence of increased quantitative or qualitative lifestage susceptibility in the definitive rat or rabbit developmental toxicity or in the preliminary rat developmental toxicity. Increased qualitative susceptibility in the form of mortality (post-implantation loss and decreased viability index) was seen in the reproductive toxicity study in rats. The concern for increased susceptibility is low as there were clear lowest-observed-adverse-effect-levels (LOAELs) and no-observed-adverse-effect-levels (NOAELs) in the developmental and reproductive toxicity studies and the points of departure (PODs) are protective of the increased susceptibility. There was no evidence of treatment-related tumors in the rat or mouse carcinogenicity studies and all of the mutagenicity studies were negative.</P>
                <P>
                    Benzpyrimoxan is classified as: “Not likely to be carcinogenic to humans” based on lack of treatment-related tumors in long-term dietary studies in the rat and mouse and low concern for genotoxicity. No treatment-related increase in the incidence of tumors was observed in carcinogenicity studies in rats or mice. Additionally, there is no evidence of mutagenicity 
                    <E T="03">in vivo</E>
                     or 
                    <E T="03">in vitro.</E>
                </P>
                <P>Toxicity data were submitted for the benzpyrimoxan metabolite DH-04 in the form of a 90-day oral toxicity study in rats. In this study, kidney effects and urine effects were observed in males and females at 65 and 78 mg/kg/day, respectively. Mortality was observed at the highest dose tested (168/181 mg/kg/day [M/F]), and histopathological evaluation revealed various cardiovascular and/or renal lesions. By comparing the effects at the LOAEL for this study to the parent 90-day oral rat study, it is estimated that DH-04 is approximately 3X more toxic than the parent compound. Consequently, a 3X potency factor for DH-04 will be used when conducting the dietary exposure assessment.</P>
                <P>
                    Specific information on the studies received and the nature of the adverse effects caused by benzpyrimoxan as well as the no-observed-adverse-effect-level (NOAEL) and the lowest-observed-adverse-effect-level (LOAEL) from the toxicity studies can be found at 
                    <E T="03">https://www.regulations.gov</E>
                     in document “Benzpyrimoxan: First Food Use; Human Health Risk Assessment to Support the Establishment of a Tolerance without U.S. Registration in/on Rice” hereinafter “Benzpyrimoxan Human Health Risk Assessment” at page 24 in docket ID number EPA-HQ-OPP-2021-0646.
                </P>
                <HD SOURCE="HD2">B. Toxicological Points of Departure/Levels of Concern</HD>
                <P>
                    Once a pesticide's toxicological profile is determined, EPA identifies toxicological points of departure (POD) and levels of concern to use in evaluating the risk posed by human exposure to the pesticide. For hazards that have a threshold below which there is no appreciable risk, the toxicological POD is used as the basis for derivation of reference values for risk assessment. PODs are developed based on a careful analysis of the doses in each toxicological study to determine the dose at which no adverse effects are observed (the NOAEL) and the lowest dose at which adverse effects of concern are identified (the LOAEL). Uncertainty/safety factors are used in conjunction with the POD to calculate a safe exposure level—generally referred to as a population-adjusted dose (PAD) or a reference dose (RfD)—and a safe margin of exposure (MOE). For non-threshold risks, the Agency assumes that any amount of exposure will lead to some degree of risk. Thus, the Agency estimates risk in terms of the probability of an occurrence of the adverse effect expected in a lifetime. For more information on the general principles EPA uses in risk characterization and a complete description of the risk assessment process, see 
                    <E T="03">https://www.epa.gov/pesticide-science-and-assessing-pesticide-risks/assessing-human-health-risk-pesticides.</E>
                </P>
                <P>A summary of the toxicological endpoints for benzpyrimoxan used for human risk assessment can be found in the Benzpyrimoxan Human Health Risk Assessment on pages 15-16.</P>
                <HD SOURCE="HD2">C. Exposure Assessment</HD>
                <P>
                    1. 
                    <E T="03">Dietary exposure from food and feed uses.</E>
                     In evaluating dietary exposure to benzpyrimoxan, EPA considered exposure under the petitioned-for tolerances. EPA assessed dietary exposures from benzpyrimoxan in food as follows:
                </P>
                <P>
                    i. 
                    <E T="03">Acute exposure.</E>
                     Quantitative acute dietary exposure and risk assessments are performed for a food-use pesticide, if a toxicological study has indicated the possibility of an effect of concern occurring as a result of a 1-day or single exposure. No such effects were identified in the toxicological studies for benzpyrimoxan; therefore, a quantitative acute dietary exposure assessment is unnecessary.
                </P>
                <P>
                    ii. 
                    <E T="03">Chronic exposure.</E>
                     In conducting the chronic dietary exposure assessment, EPA used 2005-2010 food consumption data from the U.S. Department of Agriculture's National Health and Nutrition Examination Survey, What We Eat in America (NHANES/WWEIA). As to residue levels in food, EPA used tolerance-level residues (or higher to account for additional residues of concern), default processing factors, and 100 percent crop treated (PCT) assumptions.
                </P>
                <P>
                    iii. 
                    <E T="03">Cancer.</E>
                     EPA determines whether quantitative cancer exposure and risk assessments are appropriate for a food-use pesticide based on the weight of the evidence from cancer studies and other relevant data. Based on the data summarized in Unit III.A., EPA has concluded that benzpyrimoxan does not pose a cancer risk to humans due to absence of treatment-related tumors or evidence of mutagenicity in the available studies. Therefore, a dietary exposure assessment for the purpose of assessing cancer risk is unnecessary.
                </P>
                <P>
                    iv. 
                    <E T="03">Anticipated residue and percent crop treated (PCT) information.</E>
                     EPA did not use anticipated residue and/or PCT 
                    <PRTPAGE P="43444"/>
                    information in the dietary assessment for benzpyrimoxan. Tolerance level residues (or higher to account for additional residues of concern), default processing factors, and 100 PCT were assumed for all food commodities.
                </P>
                <P>
                    2. 
                    <E T="03">Dietary exposure from drinking water.</E>
                     EPA assumes that there is no exposure through drinking water because benzpyrimoxan is not registered for use in the United States. Because residues are not expected in drinking water, dietary risk estimates include exposures from food only.
                </P>
                <P>
                    3. 
                    <E T="03">From non-dietary exposure.</E>
                     The term “residential exposure” is used in this document to refer to non-occupational, non-dietary exposure (
                    <E T="03">e.g.,</E>
                     for lawn and garden pest control, indoor pest control, termiticides, and flea and tick control on pets). Benzpyrimoxan is not registered for any specific use patterns that would result in residential exposure.
                </P>
                <P>
                    4. 
                    <E T="03">Cumulative effects from substances with a common mechanism of toxicity.</E>
                     Section 408(b)(2)(D)(v) of FFDCA requires that, when considering whether to establish, modify, or revoke a tolerance, the Agency consider “available information” concerning the cumulative effects of a particular pesticide's residues and “other substances that have a common mechanism of toxicity.”
                </P>
                <P>Unlike other pesticides for which EPA has followed a cumulative risk approach based on a common mechanism of toxicity, EPA has not made a common mechanism of toxicity finding as to benzpyrimoxan and any other substances. In addition, benzpyrimoxan does not appear to produce a toxic metabolite produced by other substances. For the purposes of this action, therefore, EPA has not assumed that benzpyrimoxan has a common mechanism of toxicity with other substances.</P>
                <HD SOURCE="HD2">D. Safety Factor for Infants and Children</HD>
                <P>
                    1. 
                    <E T="03">In general.</E>
                     Section 408(b)(2)(C) of FFDCA provides that EPA shall apply an additional tenfold (10X) margin of safety for infants and children in the case of threshold effects to account for prenatal and postnatal toxicity and the completeness of the database on toxicity and exposure unless EPA determines based on reliable data that a different margin of safety will be safe for infants and children. This additional margin of safety is commonly referred to as the FQPA Safety Factor (SF). In applying this provision, EPA either retains the default value of 10X, or uses a different additional safety factor when reliable data available to EPA support the choice of a different factor.
                </P>
                <P>
                    2. 
                    <E T="03">Prenatal and postnatal sensitivity.</E>
                     There was no evidence of increased quantitative or qualitative lifestage susceptibility in the definitive rat or rabbit developmental toxicity or in the preliminary rat developmental toxicity. However, in the preliminary rabbit developmental study, which tested up to a higher dose than the definitive study (30 mg/kg/day), decreased fetal body weights were observed at 60 mg/kg/day in the absence of adverse maternal effects. Marginal body-weight decreases associated with marked food consumption decreases were observed in the maternal animals in this study, but they did not reach adversity.
                </P>
                <P>In the two-generation reproduction study, the parental animals had gross (depressed areas) and histopathological (pelvic crystals and obstructive nephropathy) effects in the kidneys of P and F1 generation males. Degenerative necrosis and hepatocyte centrilobular hypertrophy associated with increased liver weights were also observed in the parental generation. In the offspring F1 and F2 generations, increased incidences of mortality and decreases in pup body weight were observed. Increased incidence of post-implantation loss and decreased viability indices early during lactation at the same dose as that eliciting parental effects were considered to be both offspring and reproductive effects and indicated increased qualitative susceptibility.</P>
                <P>
                    3. 
                    <E T="03">Conclusion.</E>
                     EPA has determined that reliable data show the safety of infants and children would be adequately protected if the FQPA SF were reduced from 10X to 1X. That decision is based on the following findings:
                </P>
                <P>i. The toxicity database for benzpyrimoxan is complete for evaluating and characterizing toxicity, assessing pre- and postnatal susceptibility under FQPA, and selecting endpoints for the anticipated exposure pathways. Developmental toxicity studies in the rat and rabbit and a two-generation reproductive toxicity study in the rat are available, in addition to an acute neurotoxicity study.</P>
                <P>ii. There is no evidence of neurotoxicity in the benzpyrimoxan database including an acute neurotoxicity study which tested up to the limit dose and functional observation batteries and motor activity observations performed in the 90-day and combined chronic/carcinogenicity rat studies. EPA has waived both the subchronic neurotoxicity and immunotoxicity studies at this time.</P>
                <P>iii. As stated above, no evidence of increased quantitative or qualitative lifestage susceptibility was seen in the definitive rat and rabbit developmental studies, as there were no maternal or developmental adverse effects in those studies. In the preliminary rabbit developmental study, which tested up to a higher dose (60 mg/kg/day) than the definitive study (30 mg/kg/day), adverse fetal body weights were observed in the absence of adverse maternal effects, suggesting quantitative susceptibility at ≥60 mg/kg/day. Transient body-weight decreases and marked decreases in food consumption during treatment were observed in maternal animals at this dose but were not considered to reach adversity; however, based on the findings at the highest dose tested (60 mg/kg/day) it is unlikely that the maternal animals could have tolerated much higher dosing given those observations. In the two-generation reproduction toxicity study, parental toxicity (kidney and liver effects) was observed at the same dose as offspring (mortality, decreases in body weight, post-implantation loss, and decreased viability indices) and reproductive (post-implantation loss and decreased viability indices) effects. The concern for susceptibility observed in the preliminary developmental study in rabbits is low as the effects in the maternal animals approached adversity. Additionally, there is a clear NOAEL established for developmental effects in that study and the offspring and reproductive effects in the two-generation reproduction study, and the PODs selected for risk assessment are protective of the observed quantitative and qualitative susceptibility in those two studies.</P>
                <P>iv. There are no residual uncertainties identified in the exposure databases. An unrefined dietary exposure assessment was completed (tolerance level residues (or higher to account for additional residues of concern), default processing factors, and 100 PCT were assumed). In addition, there are no proposed or registered uses that would result to residential exposures. These assessments will not underestimate the exposure and risks posed by benzpyrimoxan.</P>
                <HD SOURCE="HD2">E. Aggregate Risks and Determination of Safety</HD>
                <P>
                    EPA determines whether acute and chronic dietary pesticide exposures are safe by comparing dietary exposure estimates to the acute PAD (aPAD) and chronic PAD (cPAD). Short-, intermediate-, and chronic-term 
                    <PRTPAGE P="43445"/>
                    aggregate risks are evaluated by comparing the estimated total food, water, and residential exposure to the appropriate PODs to ensure that an adequate MOE exists.
                </P>
                <P>
                    1. 
                    <E T="03">Acute risk.</E>
                     An acute aggregate risk assessment takes into account acute exposure estimates from dietary consumption of food and drinking water. No adverse effect resulting from a single oral exposure was identified and no acute dietary endpoint was selected. Therefore, benzpyrimoxan is not expected to pose an acute risk.
                </P>
                <P>
                    2. 
                    <E T="03">Chronic risk.</E>
                     Using the exposure assumptions described in this unit for chronic exposure, EPA has concluded that chronic exposure to benzpyrimoxan from food only will utilize less than (&lt;) 1% of the cPAD for all infants (&lt;1 year old), the subpopulation with the highest risk estimate. There are no residential uses for benzpyrimoxan.
                </P>
                <P>
                    3. 
                    <E T="03">Short- and intermediate- term risk.</E>
                     Short- and intermediate-term aggregate exposure takes into account short- and intermediate-term residential exposure plus chronic exposure to food and water (considered to be a background exposure level). Because benzpyrimoxan is not registered in the United States, the only exposures will be dietary from residues in or on imported rice; therefore, no short-term or intermediate-term residential exposure is expected. Because there is no short- or intermediate-term residential exposure and chronic dietary exposure has already been assessed under the appropriately protective cPAD (which is at least as protective as the POD used to assess short-term risk), no further assessment of short- or intermediate-term risk is necessary, and EPA relies on the chronic dietary risk assessment for evaluating short- and intermediate-term risk for benzpyrimoxan.
                </P>
                <P>
                    5. 
                    <E T="03">Aggregate cancer risk for U.S. population.</E>
                     Based on the lack of evidence of carcinogenicity in two adequate rodent carcinogenicity studies, benzpyrimoxan is not expected to pose a cancer risk to humans.
                </P>
                <P>
                    6. 
                    <E T="03">Determination of safety.</E>
                     Based on these risk assessments, EPA concludes that there is a reasonable certainty that no harm will result to the general population, or to infants and children from aggregate exposure to benzpyrimoxan residues.
                </P>
                <HD SOURCE="HD1">IV. Other Considerations</HD>
                <HD SOURCE="HD2">A. Analytical Enforcement Methodology</HD>
                <P>Adequate enforcement methodology (Smithers Method 14078.6140, a QuEChERS based liquid chromatography with tandem mass spectrometry (LC-MS/MS) multi-residue method) is available to enforce the tolerance expression.</P>
                <P>
                    The method may be requested from: Chief, Analytical Chemistry Branch, Environmental Science Center, 701 Mapes Rd., Ft. Meade, MD 20755-5350; telephone number: (410) 305-2905; email address: 
                    <E T="03">residuemethods@epa.gov.</E>
                </P>
                <HD SOURCE="HD2">B. International Residue Limits</HD>
                <P>In making its tolerance decisions, EPA seeks to harmonize U.S. tolerances with international standards whenever possible, consistent with U.S. food safety standards and agricultural practices. EPA considers the international maximum residue limits (MRLs) established by the Codex Alimentarius Commission (Codex), as required by FFDCA section 408(b)(4). The Codex Alimentarius is a joint United Nations Food and Agriculture Organization/World Health Organization food standards program, and it is recognized as an international food safety standards-setting organization in trade agreements to which the United States is a party. EPA may establish a tolerance that is different from a Codex MRL; however, FFDCA section 408(b)(4) requires that EPA explain the reasons for departing from the Codex level.</P>
                <P>The Codex has not established a MRL for benzpyrimoxan.</P>
                <HD SOURCE="HD2">C. Response to Comments</HD>
                <P>One comment was received in response to the Notice of Filing. The comment stated that “there is still a lot we do not know about many of the chemicals we utilize and ingestion of these chemicals is not likely beneficial. Gathering that we should limit potential exposure to these by consumers as much as possible, why was the petition made to grant an exemption or tolerance? What is the user's or manufacturer's reasoning to request the allowance of more of these chemicals to remain on produce and potentially be ingested, and should more long-term information be acquired on the chemicals before allowing such a decision to be made?”</P>
                <P>Although the Agency recognizes that some individuals believe pesticides should be more restricted on agricultural crops, the existing legal framework provided by section 408 of the FFDCA authorizes EPA to establish tolerances when it determines that the tolerance is safe. Upon consideration of the validity, completeness, and reliability of the available data as well as other factors the FFDCA requires EPA to consider, EPA has determined that benzpyrimoxan tolerances are safe. The commenter has provided no information indicating that a safety determination cannot be supported.</P>
                <HD SOURCE="HD2">D. Revisions to Petitioned-For Tolerances</HD>
                <P>Although the petitioner requested a tolerance for “rice, grain”, EPA is establishing tolerances for “rice, husked”, “rice, polished rice”, and “rice, bran”. Each of these commodities is a processed form of the “rice, grain” raw agricultural commodity that was requested. Consistent with its authority to establish tolerances that vary from what was requested under section 408(d)(4)(A)(i) of the FFDCA, EPA is establishing tolerances that align better with the Agency's current preferred commodity vocabulary and with the actual form of the commodities that may be imported into the United States. In addition, the available residue data indicate that separate tolerances are needed for the processed commodities of “rice, polished rice” and “rice, bran” due to the concentration of residues.</P>
                <HD SOURCE="HD1">V. Conclusion</HD>
                <P>Therefore, tolerances are established for residues of benzpyrimoxan, including its metabolites and degradates, in or on rice, husked at 0.9 ppm; rice, polished rice at 0.15 ppm; and rice, bran at 3 ppm.</P>
                <HD SOURCE="HD1">VI. Statutory and Executive Order Reviews</HD>
                <P>
                    This action establishes tolerances under FFDCA section 408(d) in response to a petition submitted to the Agency. The Office of Management and Budget (OMB) has exempted these types of actions from review under Executive Order 12866, entitled “Regulatory Planning and Review” (58 FR 51735, October 4, 1993). Because this action has been exempted from review under Executive Order 12866, this action is not subject to Executive Order 13211, entitled “Actions Concerning Regulations That Significantly Affect Energy Supply, Distribution, or Use” (66 FR 28355, May 22, 2001) or Executive Order 13045, entitled “Protection of Children from Environmental Health Risks and Safety Risks” (62 FR 19885, April 23, 1997). This action does not contain any information collections subject to OMB approval under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ), nor does it require any special considerations under Executive Order 12898, entitled “Federal Actions to Address Environmental Justice in Minority Populations and Low-Income 
                    <PRTPAGE P="43446"/>
                    Populations” (59 FR 7629, February 16, 1994).
                </P>
                <P>
                    Since tolerances and exemptions that are established on the basis of a petition under FFDCA section 408(d), such as the tolerances in this final rule, do not require the issuance of a proposed rule, the requirements of the Regulatory Flexibility Act (RFA) (5 U.S.C. 601 
                    <E T="03">et seq.</E>
                    ), do not apply.
                </P>
                <P>
                    This action directly regulates growers, food processors, food handlers, and food retailers, not States or tribes, nor does this action alter the relationships or distribution of power and responsibilities established by Congress in the preemption provisions of FFDCA section 408(n)(4). As such, the Agency has determined that this action will not have a substantial direct effect on States or tribal governments, on the relationship between the national government and the States or tribal governments, or on the distribution of power and responsibilities among the various levels of government or between the Federal Government and Indian tribes. Thus, the Agency has determined that Executive Order 13132, entitled “Federalism” (64 FR 43255, August 10, 1999) and Executive Order 13175, entitled “Consultation and Coordination with Indian Tribal Governments” (65 FR 67249, November 9, 2000) do not apply to this action. In addition, this action does not impose any enforceable duty or contain any unfunded mandate as described under Title II of the Unfunded Mandates Reform Act (UMRA) (2 U.S.C. 1501 
                    <E T="03">et seq.</E>
                    ).
                </P>
                <P>This action does not involve any technical standards that would require Agency consideration of voluntary consensus standards pursuant to section 12(d) of the National Technology Transfer and Advancement Act (NTTAA) (15 U.S.C. 272 note).</P>
                <HD SOURCE="HD1">VII. Congressional Review Act</HD>
                <P>
                    Pursuant to the Congressional Review Act (5 U.S.C. 801 
                    <E T="03">et seq.</E>
                    ), EPA will submit a report containing this rule and other required information to the U.S. Senate, the U.S. House of Representatives, and the Comptroller General of the United States prior to publication of the rule in the 
                    <E T="04">Federal Register</E>
                    . This action is not a “major rule” as defined by 5 U.S.C. 804(2).
                </P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 40 CFR Part 180</HD>
                    <P>Environmental protection, Administrative practice and procedure, Agricultural commodities, Pesticides and pests, Reporting and recordkeeping requirements.</P>
                </LSTSUB>
                <SIG>
                    <DATED>Dated: June 30, 2023.</DATED>
                    <NAME>Daniel Rosenblatt,</NAME>
                    <TITLE>Acting Director, Office of Pesticide Programs.</TITLE>
                </SIG>
                <P>Therefore, 40 CFR chapter I is amended as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 180—TOLERANCES AND EXEMPTIONS FOR PESTICIDE CHEMICAL RESIDUES IN FOOD</HD>
                </PART>
                <REGTEXT TITLE="40" PART="180">
                    <AMDPAR>1. The authority citation for part 180 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>21 U.S.C. 321(q), 346a and 371.</P>
                    </AUTH>
                </REGTEXT>
                <REGTEXT TITLE="40" PART="180">
                    <AMDPAR>2. Add § 180.724 to subpart C to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 180.724 </SECTNO>
                        <SUBJECT>Benzpyrimoxan; tolerances for residues.</SUBJECT>
                        <P>
                            (a) 
                            <E T="03">General.</E>
                             Tolerances are established for residues of benzpyrimoxan, including its metabolites and degradates, in or on the commodities in Table 1 to this paragraph (a). Compliance with the tolerance levels specified in Table 1 to this paragraph (a) is to be determined by measuring residues of benzpyrimoxan (5-(1,3-dioxan-2-yl)-4-[[4-(trifluoromethyl)phenyl]methoxy]pyrimidine) in or on the following commodities:
                        </P>
                        <GPOTABLE COLS="2" OPTS="L2,i1" CDEF="s50,12">
                            <TTITLE>
                                Table 1 to Paragraph 
                                <E T="01">(a)</E>
                            </TTITLE>
                            <BOXHD>
                                <CHED H="1">Commodity</CHED>
                                <CHED H="1">
                                    Parts per
                                    <LI>million</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">
                                    Rice, husked 
                                    <SU>1</SU>
                                </ENT>
                                <ENT>0.9</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">
                                    Rice, polished rice 
                                    <SU>1</SU>
                                </ENT>
                                <ENT>0.15</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">
                                    Rice, bran 
                                    <SU>1</SU>
                                </ENT>
                                <ENT>3</ENT>
                            </ROW>
                            <TNOTE>
                                <SU>1</SU>
                                 There are no U.S. registrations as of July 10, 2023.
                            </TNOTE>
                        </GPOTABLE>
                        <P>(b)-(d) [Reserved]</P>
                    </SECTION>
                </REGTEXT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14404 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6560-50-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="N">FEDERAL COMMUNICATIONS COMMISSION</AGENCY>
                <CFR>47 CFR Parts 0 and 64</CFR>
                <DEPDOC>[CG Docket No. 17-59; WC Docket 17-97; FCC 23-37; FR ID 148396]</DEPDOC>
                <SUBJECT>Advanced Methods To Target and Eliminate Unlawful Robocalls, Call Authentication Trust Anchor</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Communications Commission.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In this document, the Federal Communications Commission (Commission) expands several rules previously adopted for gateway providers to other categories of voice service providers and modifies or removes existing rules consistent with these changes. Specifically, the Commission requires all domestic voice service providers to respond to traceback requests from the Commission, civil and criminal law enforcement, and the industry traceback consortium within 24 hours of the receipt of the request. Second, it requires originating providers to block substantially similar traffic when the Commission notifies the provider of illegal traffic or risk the Commission requiring all providers immediately downstream to block all of that provider's traffic. This rule is consistent with the rule for gateway providers, and requires non-gateway intermediate or terminating providers that receive such a notice to promptly inform the Commission that it is not the originating or gateway provider for the identified traffic, identify the upstream provider(s) from which it received the traffic, and, if possible, take lawful step to mitigate the traffic. Third it requires all voice service providers to take reasonable and effective steps to ensure that the immediate upstream provider is not using it to carry or process a high volume of illegal traffic. Finally, it updates the Commission's Robocall Mitigation Database certification requirements to reflect the 24-hour traceback requirement.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>
                        Effective January 8, 2024, except for the amendments to 47 CFR 64.6305(d)(2)(ii) and (iii), (e)(2)(ii), and (f)(2)(iii) (amendatory instruction 5), which are delayed indefinitely. The amendments to 47 CFR 64.6305(d)(2)(ii) and (iii), (e)(2)(ii), and (f)(2)(iii) will become effective following publication of a document in the 
                        <E T="04">Federal Register</E>
                         announcing approval of the information collection and the relevant effective date.
                    </P>
                </EFFDATE>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Jerusha Burnett, Consumer Policy Division, Consumer and Governmental Affairs Bureau, email at 
                        <E T="03">jerusha.burnett@fcc.gov</E>
                         or by phone at (202) 418-0526.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    This is a summary of the Commission's 
                    <E T="03">Report and Order,</E>
                     in CG Docket No. 17-59 and WC Docket 17-97, FCC 23-37, adopted on May 18, 2023, and released on May 19, 2023. The 
                    <E T="03">Further Notice of Proposed Rulemaking and Notice of Inquiry</E>
                     that was adopted concurrently with the 
                    <E T="03">Report and Order</E>
                     is published elsewhere in this issue of the 
                    <E T="04">Federal Register</E>
                    . The document is available for download at 
                    <E T="03">https://docs.fcc.gov/public/attachments/FCC-23-37A1.pdf.</E>
                </P>
                <P>
                    To request this document in accessible formats for people with 
                    <PRTPAGE P="43447"/>
                    disabilities (
                    <E T="03">e.g.,</E>
                     Braille, large print, electronic files, audio format) or to request reasonable accommodations (
                    <E T="03">e.g.,</E>
                     accessible format documents, sign language interpreters, CART), send an email to 
                    <E T="03">fcc504@fcc.gov</E>
                     or call the FCC's Consumer and Governmental Affairs Bureau at (202) 418-0530. The amendments to 47 CFR 64.6305(d)(2)(ii) and (e)(2)(ii) do not themselves contain information collection requirements subject to approval. However, substantive changes made to those rules in the 
                    <E T="03">2023 Caller ID Authentication Order,</E>
                     88 FR 40096 (June 21, 2023), and that are delayed indefinitely, pending approval of information collection requirements associated with that order, must become effective at the same time as or before the changes to 47 CFR 64.6305(d)(2)(ii) and (e)(2)(ii) adopted herein. Therefore, the changes in 47 CFR 64.6305(d)(2) and (e)(2) are delayed indefinitely pending the effective date of the changes to those rules from the 
                    <E T="03">2023 Caller ID Authentication Order.</E>
                </P>
                <HD SOURCE="HD1">Final Paperwork Reduction Act of 1995 Analysis</HD>
                <P>This document may contain new or modified information collection requirements subject to the Paperwork Reduction Act of 1995 (PRA), Public Law 104-13. This document will be submitted to the Office of Management and Budget (OMB) for review under section 3507(d) of the PRA. OMB, the general public, and other Federal agencies will be invited to comment on the new or modified information collection requirements contained in this proceeding.</P>
                <HD SOURCE="HD1">Congressional Review Act</HD>
                <P>
                    The Commission sent a copy of the 
                    <E T="03">Report and Order</E>
                     to Congress and the Government Accountability Office pursuant to the Congressional Review Act, 
                    <E T="03">see</E>
                     5 U.S.C. 801(a)(1)(A).
                </P>
                <HD SOURCE="HD1">Synopsis</HD>
                <P>
                    1. In this item, the Commission extends some of the requirements it adopted in the 
                    <E T="03">Gateway Provider Order,</E>
                     87 FR 42916 (July 18, 2022), to other voice service providers in the call path. First, the Commission requires all voice service providers, rather than only gateway providers, to respond to traceback requests within 24 hours. Second, the Commission extends the requirements to block calls following Commission notification. Finally, the Commission expands the know-your-upstream-provider requirement to cover all voice service providers. The Commission also makes other changes to voice service providers' Robocall Mitigation Database filing and mitigation obligations to be consistent with these new rules. Taken together, the expansion of these rules protects consumers from illegal calls, holds voice service providers responsible for the calls they carry, and aids in the identification of bad actors.
                </P>
                <HD SOURCE="HD2">24-Hour Traceback Requirement</HD>
                <P>2. The Commission requires all voice service providers, regardless of their position in the call path, to fully respond to traceback requests from the Commission, civil and criminal law enforcement, and the industry traceback consortium within 24 hours of receipt of such a request. This extends the rule the Commission previously adopted for gateway providers to all voice service providers and replaces the existing requirement to respond “fully and in a timely manner.” While some commenters opposed the 24-hour requirement in general, none argued that non-gateway providers are less capable of complying with such a requirement.</P>
                <P>
                    3. Rapid traceback is essential to identifying both callers placing illegal calls and the voice service providers that facilitate them. Time is of the essence in 
                    <E T="03">all</E>
                     traceback requests, including domestic-only tracebacks. While gateway providers play a critical role, they are not the only voice service providers with an important role to play. As one commenter noted, voice service providers do not retain call detail records for a consistent period of time, so the traceback process must finish before any voice service providers in the call path seeking to shield bad actors dispose of their records. The Commission therefore agrees with commenters that argue a general 24-hour traceback requirement is a prudent measure, with benefits that outweigh the burdens. In particular, the Commission finds that the benefits of having a single, clear, equitable rule for all traceback requests outweigh the burdens of requiring a response within 24 hours. Further, the Commission made clear in adopting the existing requirement to respond “fully and in a timely manner” that it expected responses “within a few hours, and certainly not more than 24 hours absent extenuating circumstances.” As a result, this modification is primarily a matter of codifying the Commission's existing expectation, rather than significantly modifying the standard.
                </P>
                <P>4. Out of an abundance of caution, the Commission initially limited the strict 24-hour requirement to gateway providers, based on their particular position in the call path and the need for especially rapid responses in the case of foreign-originated calls. Many calls, however, transit multiple U.S.-based intermediate providers' networks after passing through a gateway provider's network, and delay by any of the intermediate providers in responding to traceback requests has the same impact as delay by the gateway provider. When an intermediate provider receives a traceback request, it may not know if the call originated from outside the United States, making it impossible to apply different standards to foreign-originated calls versus domestic calls through the entire call path.</P>
                <P>
                    5. The Commission disagrees with commenters that argue against a strict 24-hour requirement. While the Commission understands that some smaller voice service providers that have not received previous traceback requests may be unfamiliar with the process, they will have ample time to become familiar before the requirements take effect. Additionally, the Commission adopted rules that require a response from all voice service providers “fully and in a timely manner” in December 2020, more than two years ago. In adopting that rule, the Commission made clear its expectation that responses would be made “within a few hours, and certainly in less than 24 hours absent extenuating circumstances.” Voice service providers have therefore had a significant amount of time to improve their processes so that they can respond within 24 hours in the vast majority of cases. Similarly, voice service providers can identify a clear point of contact for traceback requests and provide it to the entities authorized to make traceback requests. The Commission will consider limited waivers where a voice service provider that normally responds within the 24-hour time frame has a truly unexpected or unpredictable issue that leads to a delayed response in a particular case or for a short period of time. This may, in some instances, include problems with the point of contact or other delays caused by the request not being properly received. Voice service providers for which this requirement poses a unique and significant burden may apply for a waiver of this rule under the “good cause” standard of § 1.3 of the Commission's rules. Under that standard, for example, waivers may be available in the event of sudden unforeseen circumstances that prevent compliance for a limited period or for a limited number of calls. By doing so, voice service providers can significantly reduce the risk that traceback requests will be missed or delayed. For those 
                    <PRTPAGE P="43448"/>
                    voice service providers for which requests outside of business hours pose a problem, the Commission adopts the same restrictions on the 24-hour clock that it imposed for gateway providers. The 24-hour clock, consistent with the Commission's proposal to adopt the clock as adopted for gateway providers, does not start outside of business hours of the local time for the responding office. Requests received outside of business hours as defined in the Commission's rules are deemed received at 8 a.m. on the next business day. Similarly, if the 24-hour response period would end on a non-business day, either a weekend or a Federal legal holiday, the 24-hour clock does not run for the weekend or the holiday in question, and restarts at 12:01 a.m. on the next business day following when the request would otherwise be due. “Business day” for these purposes is Monday through Friday, excluding Federal legal holidays, and “business hours” are 8 a.m. to 5:30 p.m. on a business day, consistent with the definition of office hours in the Commission's rules.
                </P>
                <P>
                    6. Consistent with that finding, the Commission declines INCOMPAS' request that the Commission double the response time to 48 hours or allow voice service providers to submit a response indicating that responding requires additional time along with assurances that it will complete the traceback request “in a timely manner.” INCOMPAS offers little in the way of support for this proposed doubling of the traceback response time and the Commission is not persuaded that the narrow reasons it does offer cannot be adequately addressed through the Commission's waiver process. Additionally, allowing for a “request received” response to obtain further time could allow bad-actor providers to simply delay traceback responses. The Commission is also unpersuaded by other commenters opposing the 24-hour requirement whose arguments were vague. Other objections to the requirement were vague and unsupported, 
                    <E T="03">e.g.,</E>
                     the requirement “will likely result in increased enforcement activity and expenses for good actors who for legitimate reasons (and on an infrequent basis) may not respond in a timely manner” or is “unnecessary and unwarranted.”
                </P>
                <P>
                    7. The Commission further declines to adopt the tiered approach that it sought comment on in the 
                    <E T="03">Gateway Provider Further Notice of Proposed Rulemaking (FNPRM),</E>
                     87 FR 42670 (July 18, 2022). The Commission finds that the tiered approach is too complicated; voice service providers and other entities would not easily know when each response is due with a tiered approach. A uniform rule for all types of voice service providers is significantly easier to follow and enforce. While a tiered approach might benefit some smaller voice service providers that receive few requests, the benefits do not outweigh the overall burdens of administering such a complex system. This 24-hour requirement is a clear standard that the Commission believes all voice service providers will be able to implement because for several years they have already complied with the “timely manner” requirement.
                </P>
                <P>8. The Commission is similarly unpersuaded by arguments that the current efficiency of the traceback system, where many voice service providers do respond rapidly, indicates that a strict rule is inappropriate. The Commission applauds the industry for its work at improving traceback and recognizes that many, if not most, voice service providers already respond in under 24 hours. There are, however, a large number of voice service providers, and experience indicates that some may not be incentivized to respond without delay. The failure of any one voice service provider to do so presents a potential bottleneck. For those voice service providers that already respond within 24 hours, this requirement presents no new burden; those voice service providers can simply continue what they have been doing. It is voice service providers that do not respond within that timeframe that present a problem, and this requirement puts them clearly on notice that any delaying tactics will not be tolerated in a way that a “timely” requirement does not.</P>
                <P>9. Finally, the Commission declines INCOMPAS' request to remove the Commission and civil and criminal law enforcement from the list of entities authorized to make a traceback request under the Commission's rules. The Commission has included these entities on the list since it adopted the initial rule in 2020, and voice service providers have not provided evidence that requests from these entities present problems. The mere fact that “many companies have established processes” to respond to these entities does not justify excluding them in the rule.</P>
                <HD SOURCE="HD2">Mandatory Blocking Following Commission Notification</HD>
                <P>
                    10. The Commission next extends two of the mandatory blocking requirements adopted in the 
                    <E T="03">Gateway Provider Order</E>
                     to a wider range of voice service providers. First, the Commission modifies the existing requirement for voice service providers to effectively mitigate illegal traffic; the Commission now requires all originating providers to block such traffic when notified by the Commission, consistent with the existing requirement for gateway providers. Second, the Commission makes it clear that, while terminating and non-gateway intermediate providers are not generally required to block, they are required to respond and provide accurate information regarding the source from which they received the traffic. Finally, the Commission requires voice service providers immediately downstream from a bad-actor voice service provider that has failed to meet these obligations to block all traffic from the identified provider when notified by the Commission that the upstream provider failed to meet its obligation to block illegal traffic or inform the Commission as to the source of the traffic.
                </P>
                <P>
                    11. Consistent with the rules the Commission adopted in the 
                    <E T="03">Gateway Provider Order,</E>
                     the Commission ensures that all voice service providers are afforded due process; the rule the Commission adopts here includes a clear process that allows ample time for a notified voice service provider to remedy the problem and demonstrate that it can be a good actor in the calling ecosystem before the Commission directs downstream providers to begin blocking. This process, adopted for gateway providers in the 
                    <E T="03">Gateway Provider Order,</E>
                     includes the following steps: (1) the Enforcement Bureau shall provide the voice service provider with an initial Notification of Suspected Illegal Traffic; (2) the provider shall be granted time to investigate and act upon that notice; (3) if the provider fails to respond or its response is deemed insufficient, the Enforcement Bureau shall issue an Initial Determination Order, providing a final opportunity for the provider to respond; and (4) if the provider fails to respond or that response is deemed insufficient, the Enforcement Bureau shall issue a Final Determination Order, directing downstream voice service providers to block all traffic from the identified provider. In the 
                    <E T="03">Gateway Provider FNPRM,</E>
                     the Commission sought comment on extending this process to all voice service providers.
                </P>
                <P>
                    12. 
                    <E T="03">Blocking Following Commission Notification of Suspected Illegal Traffic.</E>
                     The Commission first extends the requirement to block and cease carrying or transmitting illegal traffic when notified of such traffic by the Commission through the Enforcement Bureau; in extending the rule, the Commission applies it to originating providers as well as gateway providers. 
                    <PRTPAGE P="43449"/>
                    To comply with this requirement, originating providers must block or cease accepting traffic that is substantially similar to the identified traffic on an ongoing basis. Any voice service provider that is not an originating or gateway provider and is notified by the Commission of illegal traffic must still identify the upstream voice service provider(s) from which it received the identified traffic and, if possible, take lawful steps to mitigate this traffic. The Commission finds that, in most instances, blocking is the most effective means of mitigating illegal traffic and nothing in the record contradicts this conclusion. Further, this modification eliminates potential ambiguity and provides certainty to voice service providers that may otherwise be unsure how to comply.
                </P>
                <P>13. In expanding this requirement, the Commission makes clear that nothing in this rule precludes the originating provider from taking steps other than blocking the calls to eliminate this traffic, provided it can ensure that the method has the same effect as ongoing blocking. For example, if the originating provider stops the calls by terminating the customer relationship, it must ensure that it terminates all related accounts and does not permit the customer to open a new account under the same or a different name in order to resume originating illegal calls.</P>
                <P>14. The record supports extending this rule and creating a uniform process, rather than treating gateway and originating providers differently. A single, clear standard requiring blocking by the first domestic voice service provider in the call path eliminates possible confusion, better aligns with industry practices, and provides greater certainty to voice service providers while also protecting consumers. Because voice service providers further down the call path from the originator may find it challenging to detect and block illegal traffic, the Commission limits the blocking requirement to originating and gateway providers but still requires non-gateway intermediate providers to play their part by identifying the source of the traffic and taking steps, if possible, to mitigate that traffic. By requiring blocking by originating and gateway providers, the Commission properly balances the burden of identifying and blocking substantially similar traffic on an ongoing basis with the benefit to consumers.</P>
                <P>
                    15. With these modifications to the Commission's rules, all traffic that transits the U.S. network will be subject to its blocking requirements, even if non-gateway intermediate providers are not generally required to block. While the Commission agrees with the 51 State attorneys general (AGs) that no traffic should be exempt from its blocking mandate, it does not agree that there should be no variation “across provider types or roles.” The Commission believes the key is to ensure that 
                    <E T="03">all traffic</E>
                     is subject to the rule so that bad actors can be identified and stopped. The rule the Commission adopts in this document holds originating providers responsible for the traffic their customers originate.
                </P>
                <P>16. The Commission further declines to remove the requirement to block “substantially similar traffic” as one commenter asks. A rule that only requires an originating provider to block the traffic specifically identified in the initial notice would arguably block no traffic at all, as the Enforcement Bureau cannot identify specific illegal traffic before it has been originated. The requirement to block substantially similar traffic is therefore essential to the operation of the rule.</P>
                <P>
                    17. 
                    <E T="03">Obligations of a Terminating or Non-Gateway Intermediate Provider When Notified by the Commission.</E>
                     Any terminating or non-gateway intermediate provider that is notified under this rule must promptly inform the Commission that it is not the originating or gateway provider for the identified traffic, specify which upstream voice service provider(s) with direct access to the U.S. public switched telephone network it received the traffic from, and, if possible, take lawful steps to mitigate this traffic. Voice service providers that fail to take available steps to effectively mitigate illegal traffic may be deemed to have knowingly and willfully engaged in transmitting unlawful robocalls. The Commission notes that one clearly available tool is its safe harbor that, once the upstream provider has been notified of the identified illegal traffic by the Commission, permits the downstream provider to block all traffic from that upstream provider if the upstream provider fails to effectively mitigate the illegal traffic within 48 hours or fails to implement effective measures to prevent new and renewing customers from using its network to originate illegal calls. Voice service providers are already required to take these steps under the Commission's existing rules, reflecting their affirmative obligations to identify and mitigate traffic when notified by the Commission. However, the Commission is concerned that some voice service providers may provide inaccurate information, avoid responding, or continue to facilitate illegal traffic. The Commission makes clear that failing to respond or providing inaccurate information is unacceptable; in such cases, the Enforcement Bureau may make use of the downstream provider blocking requirement and move to the Initial Determination Order and Final Determination Order, consistent with the process the Commission discusses further below. The Commission has determined that a uniform set of procedures for all voice service providers reduces the burden of compliance with these rules and ensures due process in the event the Commission pursues enforcement action against providers carrying suspected illegal robocall traffic. Nothing in the record opposes this conclusion.
                </P>
                <P>
                    18. 
                    <E T="03">Downstream Provider Blocking.</E>
                     The Commission also requires blocking by voice service providers immediately downstream from any voice service provider when notified by the Commission that the voice service provider has failed to satisfy its obligations under these rules. This expands the Commission's requirement for voice service providers immediately downstream from a gateway provider to block all traffic from the identified provider when notified by the Commission that the gateway provider failed to block. If the Enforcement Bureau determines a voice service provider has failed to satisfy § 64.1200(n)(2), it shall publish and release an Initial Determination Order as described below, giving the provider a final opportunity to respond to the Enforcement Bureau's initial determination. If the Enforcement Bureau determines that the identified provider continues to violate its obligations, the Enforcement Bureau shall release and publish a Final Determination Order in EB Docket No. 22-174 to direct downstream providers to both block and cease accepting all traffic they receive directly from the identified provider starting 30 days from the release date of the Final Determination Order.
                </P>
                <P>
                    19. The record supports extending this requirement. The Commission agrees with commenters that urge it to limit this requirement to voice service providers immediately downstream from the identified provider. This limitation is consistent with the rule adopted in the 
                    <E T="03">Gateway Provider Order,</E>
                     and the Commission sees no reason to take a different approach here. If the voice service provider immediately downstream from the identified provider complies with the Commission's rules, then the calls should never reach any voice service providers further downstream. Further, 
                    <PRTPAGE P="43450"/>
                    voice service providers more than one step downstream from the identified provider may not know in real time that the call came from the identified provider, making it unreasonable to require them to block the calls. The Commission also agrees that this requirement should include the blocking of all traffic from the identified provider, rather than requiring the immediate downstream voice service provider to determine which calls to block. Because the Commission requires the blocking of all traffic from the identified provider, it sees no reason to provide detailed information regarding what traffic must be blocked.
                </P>
                <P>
                    20. 
                    <E T="03">Process for Issuing a Notification of Suspected Illegal Traffic.</E>
                     The Enforcement Bureau shall make an initial determination that the voice service provider is originating, carrying, or transmitting suspected illegal traffic and notify the provider by issuing a written Notification of Suspected Illegal Traffic. The Notification of Suspected Illegal Traffic shall: (1) identify with as much particularity as possible the suspected illegal traffic; (2) provide the basis for the Enforcement Bureau's reasonable belief that the identified traffic is unlawful; (3) cite the statutory or regulatory provisions the suspected illegal traffic appears to violate; and (4) direct the provider receiving the notice that it must comply with § 64.1200(n)(2) of the Commission's rules.
                </P>
                <P>21. The Enforcement Bureau's Notification of Suspected Illegal Traffic shall specify a timeframe of no fewer than 14 days for a notified provider to complete its investigation and report its results. Upon receiving such notice, the provider must promptly investigate the traffic identified in the notice and begin blocking the identified traffic within the timeframe specified in the Notification of Suspected Illegal Traffic unless its investigation determines that the traffic is legal.</P>
                <P>22. The Commission makes clear that the requirement to block on an ongoing basis is not tied to the number in the caller ID field or any other single criterion. Instead, the Commission requires the notified provider to block on a continuing basis any traffic that is substantially similar to the identified traffic and provide the Enforcement Bureau with a plan as to how it expects to do so. The Commission does not define “substantially similar traffic” in any detail here because that will be a case-specific determination based on the traffic at issue. The Commission notes that each calling campaign will have unique qualities that are better addressed by tailoring the analytics to the particular campaign on a case-by-case basis. The Commission nevertheless encourages originating providers to consider common indicia of illegal calls including, but not limited to: call duration; call completion ratios; large bursts of calls in a short time frame; neighbor spoofing patterns; and sequential dialing patterns. If the notified provider is an originating provider, the identity of the caller may be a material factor in identifying whether the traffic is substantially similar. However, an originating provider may not assume, without evidence, that the caller only has one subscriber line from which it is placing calls and must maintain vigilance to ensure that the caller does not use different existing accounts or open new accounts, under the same or a different name, to continue to place illegal calls. Additionally, the Commission strongly encourages any voice service provider that has been previously notified of illegal traffic as an originating provider to notify the Commission if it has reason to believe that the caller has moved to a different originating provider and is continuing to originate illegal calls. If the notified provider is a terminating or non-gateway intermediate provider, it must promptly inform the Commission that it is not the originating or gateway provider for the identified traffic, specify which upstream voice service provider(s) with direct access to the U.S. public switched telephone network it received the traffic from and, if possible, take lawful steps to mitigate this traffic.</P>
                <P>23. Each notified provider will have flexibility to determine the correct approach for each particular case, but must provide a detailed plan in its response to the Enforcement Bureau so that the Bureau can assess the plan's sufficiency. If the Enforcement Bureau determines that the plan is insufficient, it shall provide the notified provider an opportunity to remedy the deficiencies prior to taking further action. The Commission will consider the notified provider to be in compliance with the Commission's mandatory blocking rule if it blocks traffic in accordance with its approved plan. The Enforcement Bureau may require the notified provider to modify its approved plan if it determines that the provider is not blocking substantially similar traffic. Additionally, if the Enforcement Bureau finds that the notified provider continues to allow suspected illegal traffic onto the U.S. network, it may proceed to an Initial Determination Order or Final Determination Order, as appropriate.</P>
                <P>
                    24. 
                    <E T="03">Provider Investigation.</E>
                     Each notified provider must investigate the identified traffic and report the results of its investigation to the Enforcement Bureau in the timeframe specified in the Notification of Suspected Illegal Traffic, as follows:
                </P>
                <P>• If the provider's investigation determines that it served as the originating provider or gateway provider for the identified traffic, it must block the identified traffic within the timeframe specified in the Notification of Suspected Illegal Traffic (unless its investigation determines that the traffic is not illegal) and include in its report to the Enforcement Bureau: (1) a certification that it is blocking the identified traffic and will continue to do so; and (2) a description of its plan to identify and block substantially similar traffic on an ongoing basis.</P>
                <P>• If the provider's investigation determines that the identified traffic is not illegal, it shall provide an explanation as to why the provider reasonably concluded that the identified traffic is not illegal and what steps it took to reach that conclusion. Absent such a showing, or if the Enforcement Bureau determines based on the evidence that the traffic is illegal despite the provider's assertions, the identified traffic will be deemed illegal.</P>
                <P>• If the provider's investigation determines it did not serve as an originating provider or gateway provider for any of the identified traffic, it shall provide an explanation as to how it reached that conclusion, identify the upstream provider(s) from which it received the identified traffic, and, if possible, take lawful steps to mitigate this traffic. If the notified provider determines that the traffic is not illegal, it must inform the Enforcement Bureau and explain its conclusion within the specified timeframe.</P>
                <P>
                    25. 
                    <E T="03">Process for Issuing an Initial Determination Order.</E>
                     If the notified provider fails to respond to the notice within the specified timeframe, the Enforcement Bureau determines that the response is insufficient, the Enforcement Bureau determines that the notified provider is continuing to originate, carry, or transmit substantially similar traffic onto the U.S. network, or the Enforcement Bureau determines based on the evidence that the traffic is illegal despite the provider's assertions, the Enforcement Bureau shall issue an Initial Determination Order to the notified provider stating its determination that the provider is not in compliance with § 64.1200(n)(2). This Initial Determination Order must include the Enforcement Bureau's reasoning for its determination and give the provider a minimum of 14 days to provide a final response prior to the Enforcement 
                    <PRTPAGE P="43451"/>
                    Bureau's final determination as to whether the provider is in compliance with § 64.1200(n)(2).
                </P>
                <P>
                    26. 
                    <E T="03">Process for Issuing a Final Determination Order.</E>
                     If the notified provider does not adequately respond to the Initial Determination Order or continues to originate substantially similar traffic, or the Enforcement Bureau determines based on the evidence that the traffic is illegal despite the provider's assertions, the Enforcement Bureau shall issue a Final Determination Order. The Enforcement Bureau shall publish the Final Determination Order in EB Docket No. 22-174 to direct downstream providers to both block and cease accepting all traffic they receive directly from the identified provider starting 30 days from the release date of the Final Determination Order. The Final Determination Order may be adopted up to one year after the release date of the Initial Determination Order and may be based on either an immediate failure to comply with § 64.1200(n)(2) or a determination that the provider has failed to meet its ongoing obligation to block substantially similar traffic under that rule.
                </P>
                <P>27. Each Final Determination Order shall state the grounds for the Enforcement Bureau's determination that the identified provider has failed to comply with its obligation to block illegal traffic and direct downstream providers to initiate blocking 30 days from the release date of the Final Determination Order. A provider that chooses to initiate blocking sooner than 30 days from the release date may do so, consistent with the Commission's existing safe harbor in § 64.1200(k)(4).</P>
                <P>
                    28. 
                    <E T="03">Safe Harbor.</E>
                     The Commission extends the limited safe harbor from liability under the Communications Act or the Commission's rules, which it adopted in the 
                    <E T="03">Gateway Provider Order,</E>
                     to include any voice service provider that inadvertently blocks lawful traffic as part of the requirement to block substantially similar traffic in accordance with the originating provider's approved plan. The record supports extending this safe harbor to protect voice service providers that take steps to prevent illegal calls from reaching consumers and the Commission sees no reason not to provide this protection.
                </P>
                <P>
                    29. 
                    <E T="03">Protections for Lawful Callers.</E>
                     Consistent with the Commission's existing blocking rules, voice service providers must never block emergency calls to 911 and must make all reasonable efforts to ensure that they do not block calls from public safety answering points (PSAPs) and government emergency numbers. The Commission declines to adopt additional transparency and redress requirements at this time or extend any other existing requirements that would not already apply to the blocking mandates it adopts in this document. These rules require the Commission to direct which types of calls voice service providers should block, so the blocking provider is not in a position to provide redress. The Commission did not receive specific comment on the need for additional protections for lawful calls.
                </P>
                <HD SOURCE="HD2">“Know Your Upstream Provider”</HD>
                <P>30. The Commission requires all voice service providers accepting traffic from an upstream provider to take steps to “know” that immediate upstream provider. This extends its existing requirement for gateway providers to all voice service providers; it holds all voice service providers in the call path responsible for the calls that transit their networks. Specifically, the Commission requires every voice service provider to take reasonable and effective steps to ensure that the immediate upstream provider is not using it to carry or process a high volume of illegal traffic. The Commission therefore agrees with commenters urging it to adopt a rule that would hold all providers in the call path responsible for the traffic that transits their network. The Commission agrees with USTelecom that the best method to do so is by adopting a know-your-upstream-provider requirement.</P>
                <P>
                    31. The Commission finds that, while intermediate providers may be unable to identify the calling customer with sufficient accuracy to know whether they are placing illegal calls, the Commission cannot permit them to “intentionally or negligently ignore red flags from their upstream providers.” As YouMail noted, “the goal of every network should be to transit only legal calls.” Extending this requirement to every voice service provider that receives traffic from an upstream provider, rather than solely to gateway providers, ensures that 
                    <E T="03">all</E>
                     voice service providers in the call path are responsible for keeping illegal traffic off the U.S. network. Consistent with the Commission's existing rules, the Commission does not require voice service providers to take specific, defined steps to meet this requirement, and instead allows each voice service provider flexibility to determine the best approach for its network, so long as the steps are effective. In general, the Commission expects voice service providers will need to exercise due diligence before accepting traffic from an upstream provider, and may want to collect information such as “obtaining the [voice service provider's] physical business location, contact person(s), state or country of incorporation, federal tax ID (if applicable), and the nature of the [voice service provider's] business.” The Commission does not find that collecting this information is either uniformly necessary or sufficient, and voice service providers may need to take additional steps, such as adopting contract terms that allow for termination and acting on those terms in the event that the upstream provider attempts to use the network to carry or process a high volume of illegal traffic. As the Commission made clear in the 
                    <E T="03">Gateway Provider Order</E>
                     and 
                    <E T="03">Gateway Provider FNPRM,</E>
                     it does not expect perfection. However, all voice service providers must take effective steps, and if a voice service provider carries or transmits a high volume of illegal traffic that primarily originates from one or more specific upstream providers, the steps that provider has taken are not effective and must be modified for that provider to be in compliance with the Commission's rules. The Commission encourages voice service providers to regularly evaluate and adjust their approach so that that it remains effective.
                </P>
                <P>
                    32. Lastly, in the 
                    <E T="03">2023 Caller ID Authentication Order,</E>
                     88 FR 40096 (June 21, 2023), the Commission adopted a requirement that originating, terminating, and intermediate providers describe any procedures in place to know their upstream providers in their robocall mitigation plans. Now that all voice service providers, including intermediate providers, will be required to take reasonable and effective steps to know their upstream providers, all such providers will also be required to describe those steps in their robocall mitigation plans filed in the Robocall Mitigation Database, pursuant to the requirement adopted in the 
                    <E T="03">2023 Caller ID Authentication Order.</E>
                </P>
                <HD SOURCE="HD2">Other Issues</HD>
                <P>
                    33. 
                    <E T="03">Updating Robocall Mitigation Database Certifications to Include Traceback Compliance.</E>
                     In this document, the Commission modifies § 64.1200(n)(1) to require all voice service providers to respond to traceback requests within 24 hours. Consistent with its rule applicable to gateway providers, which already were required to respond to traceback requests within 24 hours, the Commission now requires voice service providers to commit to responding fully and within 24 hours to all traceback requests consistent with the 
                    <PRTPAGE P="43452"/>
                    requirements it adopts in this document in § 64.1200 of its rules, and to include a statement in their Robocall Mitigation Database filings certifying to this commitment. The Commission concludes that these limited rule modifications will ensure that voice service providers' mitigation and filing obligations are in line with their underlying compliance duties, enhance the usefulness of the Robocall Mitigation Database to both the Commission and voice service providers, and promote rule uniformity and administrability. While no party commented on these specific changes, there was significant support to adopt Robocall Mitigation Database filing and mitigation obligations for all voice service providers in the call path. The Commission also updates cross-references to § 64.1200 in its Robocall Mitigation Database certification rules to account for the amendments it adopts in the Report and Order.
                </P>
                <P>
                    34. 
                    <E T="03">Effective Measures to Prevent New and Renewing Customers from Originating Illegal Calls.</E>
                     The Commission declines to further clarify its existing requirement for voice service providers to take affirmative, effective measures to prevent new and renewing customers from using their networks to originate illegal calls, as some commenters request. The Commission agrees with commenters that support its existing flexible approach under this rule. Flexibility to adapt to changing calling patterns is necessary to avoid giving the “playbook” to bad actor callers, thus an outcomes-based standard is most appropriate. The Commission thus decline to be more prescriptive on the steps voice service providers should take to block, as requested by some commenters.
                </P>
                <P>35. The Commission further declines a commenter's request that it clarify that “adopting a know-your-customer or upstream-provider standard for new or renewing customers satisfies the effective measures standard.” The commenter did not define “know-your-customer” and the Commission is not aware of any universally accepted minimum standard in the industry. Without such a definition or minimum standard, there is no guarantee that a process that an individual voice service provider describes as “know-your-customer” would be sufficient. The rule requires “effective” measures; blanket approval of measures voice service providers deem “know-your-customer” clearly does not satisfy this requirement and could lead to voice service providers adopting ineffective processes. The Commission also declines to remove the “new and renewing customer” language, as one commenter requests. This limitation will have less impact the longer the rule is in effect; more contracts will include the new provision as they are renewed over time. This limitation recognizes the challenge of modifying existing, in-force contracts.</P>
                <P>
                    36. 
                    <E T="03">Differential Treatment of Non-Conversational Traffic.</E>
                     The Commission declines to adopt a requirement that originating voice service providers ensure that customers originating non-conversational traffic only seek to originate lawful calls. While many illegal calls are of short duration, it does not follow that all calls of short duration are inherently suspect. The Commission agrees with commenters that argue against such requirements and are persuaded that this sort of traffic segmentation is likely to harm wanted, or even essential, traffic. In fact, only one commenter urged us to adopt a rule treating non-conversational traffic differently from conversational traffic, and even that commenter acknowledged that not all non-conversational traffic is illegal. Such a rule could, for example, make it impossible for medical centers or schools in rural areas with few voice service providers to find a provider willing to carry their traffic, which may include emergency notifications, appointment reminders, or other important notifications; the Commission will not throw the baby out with the bathwater.
                </P>
                <P>37. Moreover, the Commission does not believe that a strict rule for non-conversational traffic would lead to any real benefit. To do so, the Commission would need to adopt standards for whether calls are “non-conversational” or “conversational,” which bad actors could use ensure that their traffic does not meet the criteria for stricter treatment. As a result, not only is the risk of such a rule unacceptably high, but the potential benefit is low.</P>
                <P>
                    38. 
                    <E T="03">Strict Liability.</E>
                     The Commission similarly declines to adopt a strict liability standard for an originating provider when its customer originates illegal calls. The Commission asked about a strict liability standard in the 
                    <E T="03">Gateway Provider FNPRM</E>
                     in the context of differential treatment of non-conversational traffic, which it has declined to adopt. The Commission disagrees with commenters that ask it to adopt this standard more broadly and agree with those who argue strict liability is inappropriate. Protecting consumers from illegal calls cannot come at the cost of blocking high volumes of lawful traffic in order to avoid the possibility that some of those calls might be illegal—which is the behavior many voice service providers would have to undertake if the Commission imposed strict liability.
                </P>
                <P>
                    39. 
                    <E T="03">Public Traceback.</E>
                     The Commission declines to require that the industry make traceback information publicly available, as one commenter asks. The Commission believes this approach places too much weight on receipt of traceback requests as an indicator that a voice service provider is a bad actor. Voice service providers that handle a large volume of calls, especially as intermediate providers, are likely to receive a high volume of traceback requests even if they are not bad actors. A general rule requiring the publication of traceback information could hamper industry efforts by discouraging voice service providers from initiating traceback requests without law enforcement intervention. Publication of traceback information may be appropriate and beneficial in certain instances, particularly when the information is published in aggregate, rather than tied to individual, specific requests. Nothing here limits the ability of the Commission or another entity to publish such information.
                </P>
                <HD SOURCE="HD2">Summary of Costs and Benefits</HD>
                <P>
                    40. The record in this proceeding supports the Commission's conclusion in the 
                    <E T="03">Gateway Provider FNPRM</E>
                     that the Commission's proposed rules and actions, some of which it addresses in this document, “will account for another large share of the annual $13.5 billion minimum benefit we originally estimated” and that the benefits “will far exceed the costs imposed on providers.”
                </P>
                <P>
                    41. In this document, the Commission reaffirms that all voice service providers are responsible for all calls they originate, carry, or transmit. In doing so, the Commission expands several of its rules to cover a wider group of voice service providers. First, the Commission codifies its existing expectation that voice service providers respond to traceback requests within 24 hours by expanding the strict 24-hour requirement it adopted for gateway providers to all providers in the call path. Requiring rapid response to traceback complements the Commission's STIR/SHAKEN caller ID authentication rules by making it easier to identify bad actors even where caller ID authentication information is unavailable. This codification is a key piece of the Commission's comprehensive approach to combating illegal calls and supports the benefits of that approach without incurring a significant practical cost when compared to its existing requirements.
                    <PRTPAGE P="43453"/>
                </P>
                <P>
                    42. Second, the Commission extends its requirement to block following Commission notification to originating providers and makes clear that 
                    <E T="03">any</E>
                     voice service provider that receives such a notification is required to respond to the Commission and, if it is not an originating or gateway provider, inform the Commission where it got the traffic. If any voice service provider refuses to comply with this requirement, all voice service providers immediately downstream from the non-compliant provider may be required to block all traffic from that provider. Voice service providers must comply with Commission rules, and this rule provides clear, immediate consequences for voice service providers that refuse to do so, even if that voice service provider would be unable to pay a forfeiture. The Commission does not expect that originating providers will incur significant costs as a result of this rule because action by providers is required only when the Commission notifies the provider. Further, because providers generally adhere to Commission rules, the Commission expects that downstream providers will receive Commission notification to block only rarely. If the Commission were to issue such a blocking notification to a downstream provider, it would benefit consumers by stopping illegal calls while causing disruption to provider relationships and possibly stopping some legal calls. While the disruption of legal calls would harm consumers, the Commission expects this scenario to arise infrequently. The power of this aspect of the rule is that it gives providers strong incentives to comply with the Commission's blocking rules. Because illegal calls cause large harms to consumers, stopping even a small share of illegal calls benefits consumers significantly and, as explained above, the Commission expects this rule to have minimal costs. Therefore, the Commission finds that the benefits of this rule outweigh its costs.
                </P>
                <P>43. Finally, the Commission expands the know-your-upstream-provider requirement to all voice service providers. This expanded requirement codifies that all voice service providers, regardless of their position in the call path, are responsible for preventing illegal calls. Because voice service providers should already be exercising due diligence by knowing their upstream call providers, this new rule has small costs. It has greater benefits in deterring providers from shirking their due-diligence responsibility.</P>
                <P>44. These expanded rules will ultimately prevent illegal calls from ringing consumers' phones, both by deterring callers from placing them in the first instance and by stopping the calls before they reach the consumer. The rules also make bad actors, whether callers or voice service providers, easier to identify. Taken together, these new and expanded rules increase the effectiveness of all of the Commission's efforts to combat illegal calls, including its existing affirmative obligations and Robocall Mitigation Database filing requirements. These rules, together with the Commission's existing rules, make it easier to identify and stop illegal calls before they reach consumers. As the Commission found previously, an overall reduction in illegal calls will lower network costs by eliminating both unwanted traffic congestion and the labor costs of handling numerous customer complaints, and these new rules contribute to this overall reduction. This reduction in illegal calls will also help restore confidence in the U.S. telephone network and facilitate reliable access to emergency and healthcare services.</P>
                <P>45. Although sparse in quantitative estimates, the record in this proceeding supports the Commission's conclusion that the benefits of these rules exceed their costs. A more uniform blocking standard will “provide additional benefits and reduce the overall burden” on providers. Extending these rules, originally adopted for gateway providers, to all voice service providers will not be overly costly or burdensome. The incremental costs of compliance with the Commission's new rules is “relatively small.” Given that robocalls reduce public welfare by billions of dollars annually, even a small percentage reduction in robocalls implies benefits that exceed the costs of the Commission's new rules.</P>
                <HD SOURCE="HD2">Legal Authority</HD>
                <P>46. The Commission's legal authority to adopt these requirements stems from sections 201(b), 202(a), and 251(e) of the Communications Act of 1934, as amended (the Act) as well as from the Truth in Caller ID Act and the Commission's ancillary authority. Sections 201(b) and 202(a) grant the Commission broad authority to adopt rules governing just and reasonable practices of common carriers.</P>
                <P>47. The Commission's section 251(e) numbering authority provides independent jurisdiction to prevent the abuse of North American Numbering Plan (NANP) resources; this particularly applies where callers spoof caller ID for fraudulent purposes and therefore exploit numbering resources, regardless of whether the voice service provider is a common carrier. Similarly, the Truth in Caller ID Act grants the Commission authority to prescribe rules to make unlawful the spoofing of caller ID information with the intent to defraud, cause harm, or wrongfully obtain something of value. Taken together, section 251(e) of the Communications Act and the Truth in Caller ID Act grant the Commission authority to prescribe rules to prevent the unlawful spoofing of caller ID and abuse of NANP resources by all voice service providers.</P>
                <P>48. The Commission further finds that these rules reduce the chance of unlawfully spoofed calls reaching consumers and thus are within its authority under the statutes referenced above. In particular, the requirement to respond to traceback requests within 24 hours directly impacts a caller's ability to unlawfully spoof caller ID by making it easier to detect the originator of the call. The other requirements are aimed at curbing the use of NANP numbers (whether spoofed or not) for unlawful purposes as they are focused on mitigating and preventing illegal calls.</P>
                <P>49. While the Commission concludes that its direct sources of authority provide an ample basis to adopt its proposed rules for all voice service providers, the Commission's ancillary authority in section 4(i) provides an independent basis to do so with respect to providers that have not been classified as common carriers. The Commission may exercise ancillary jurisdiction when two conditions are satisfied: (1) the Commission's general jurisdictional grant under Title I of the Communications Act covers the regulated subject; and (2) the regulations are reasonably ancillary to the Commission's effective performance of its statutorily mandated responsibilities. The Commission concludes that the regulations adopted in this document satisfy the first prong because providers that interconnect with the public switched telephone network and exchange IP traffic clearly offer “communication by wire and radio.”</P>
                <P>
                    50. With regard to the second prong, requiring voice service providers to comply with the Commission's proposed rules is reasonably ancillary to the Commission's effective performance of its statutory responsibilities under sections 201(b), 202(a), and 251(e) of the Communications Act and the Truth in Caller ID Act as described above. With respect to sections 201(b) and 202(a), absent application of the Commission's proposed rules to providers that are not classified as common carriers, originators of illegal calls could circumvent the Commission's proposed scheme by sending calls only via 
                    <PRTPAGE P="43454"/>
                    providers that have not yet been classified as common carriers.
                </P>
                <HD SOURCE="HD2">Final Regulatory Flexibility Analysis</HD>
                <P>
                    51. As required by the Regulatory Flexibility Act of 1980 (RFA), as amended, an Initial Regulatory Flexibility Analysis (IRFA) was incorporated into the 
                    <E T="03">Further Notice of Proposed Rulemaking</E>
                     adopted in May 2022 and published at 87 FR 42670 on July 18, 2022 (
                    <E T="03">May 2022 FNPRM</E>
                    ). The Commission sought written public comment on the proposals in the 
                    <E T="03">May 2022 FNPRM,</E>
                     including comment on the IRFA. This Final Regulatory Flexibility Analysis (FRFA) conforms to the RFA.
                </P>
                <HD SOURCE="HD2">Need for, and Objectives of, the Order</HD>
                <P>
                    52. The 
                    <E T="03">Report and Order</E>
                     takes important steps in the fight against illegal robocalls by extending certain requirements to a broader range of voice service providers. First, the 
                    <E T="03">Report and Order</E>
                     requires all domestic voice service providers to respond to traceback requests within 24 hours of the request, extending the previous rule applicable to gateway providers to all providers. Second, it requires originating providers to block illegal traffic when notified of such traffic by the Commission and, if they fail to do so, requires all voice service providers in the U.S. to block all traffic from the bad-actor voice service provider, consistent with the existing rule for gateway providers. This modification eliminates potential ambiguity as to how providers should effectively mitigate illegal traffic and provides certainty to voice service providers that may otherwise be unsure how to comply. Finally, it requires all voice service providers accepting traffic from an upstream provider to take reasonable and effective steps to ensure that the immediate upstream provider is not using them to carry or process a high volume of illegal traffic. The expansion of these rules protects consumers from illegal calls, holds voice service providers responsible for the calls they carry, and aids in the identification of bad actors.
                </P>
                <HD SOURCE="HD2">Summary of Significant Issues Raised by Public Comments in Response to the IRFA</HD>
                <P>
                    53. While no comments specifically addressed the 
                    <E T="03">May 2022 FNPRM</E>
                     IRFA, the Commission did receive some comments that addressed the impact of the proposed rules on small providers. Some commenters raised concerns about the 24-hour traceback requirement. In particular, commenters noted that the Commission recognized that smaller providers may struggle to respond quickly and result in “significant burdens” to small entities. Still other comments urged us to adopt a tiered approach to provide flexibility for smaller providers that receive infrequent traceback requests. The Commission acknowledges these concerns in the 
                    <E T="03">Report and Order,</E>
                     and discusses steps taken to address these concerns in Section F of this FRFA. The rule the Commission adopts in the 
                    <E T="03">Report and Order</E>
                     codifies the expectation of the existing rule and provides flexibility to address requests received on evenings, weekends, and holidays. The Commission further considered the potential impact of the rules proposed in the IRFA on small entities and took steps where appropriate and feasible to reduce the compliance and economic burden for small entities.
                </P>
                <HD SOURCE="HD2">Response To Comments by the Chief Counsel for Advocacy of the Small Business Administration</HD>
                <P>54. Pursuant to the Small Business Jobs Act of 2010, which amended the RFA, the Commission is required to respond to any comments filed by the Chief Counsel for Advocacy of the Small Business Administration (SBA), and to provide a detailed statement of any change made to the proposed rules as a result of those comments. The Chief Counsel did not file any comments in response to the proposed rules in this proceeding.</P>
                <HD SOURCE="HD2">Description and Estimate of the Number of Small Entities to Which Rules Will Apply</HD>
                <P>55. The RFA directs agencies to provide a description of, and where feasible, an estimate of the number of small entities that may be affected by the rules adopted herein. The RFA generally defines the term “small entity” as having the same meaning as the terms “small business,” “small organization,” and “small governmental jurisdiction.” In addition, the term “small business” has the same meaning as the term “small-business concern” under the Small Business Act. A “small-business concern” is one which: (1) is independently owned and operated; (2) is not dominant in its field of operation; and (3) satisfies any additional criteria established by the SBA.</P>
                <P>
                    56. 
                    <E T="03">Small Businesses, Small Organizations, Small Governmental Jurisdictions.</E>
                     The Commission's actions, over time, may affect small entities that are not easily categorized at present. The Commission therefore describes here, at the outset, three broad groups of small entities that could be directly affected herein. First, while there are industry specific size standards for small businesses that are used in the regulatory flexibility analysis, according to data from the Small Business Administration's (SBA) Office of Advocacy, in general a small business is an independent business having fewer than 500 employees. These types of small businesses represent 99.9% of all businesses in the United States, which translates to 32.5 million businesses.
                </P>
                <P>57. Next, the type of small entity described as a “small organization” is generally “any not-for-profit enterprise which is independently owned and operated and is not dominant in its field.” The Internal Revenue Service (IRS) uses a revenue benchmark of $50,000 or less to delineate its annual electronic filing requirements for small exempt organizations. Nationwide, for tax year 2020, there were approximately 447,689 small exempt organizations in the U.S. reporting revenues of $50,000 or less according to the registration and tax data for exempt organizations available from the IRS.</P>
                <P>58. Finally, the small entity described as a “small governmental jurisdiction” is defined generally as “governments of cities, counties, towns, townships, villages, school districts, or special districts, with a population of less than fifty thousand.” U.S. Census Bureau data from the 2017 Census of Governments indicate that there were 90,075 local governmental jurisdictions consisting of general purpose governments and special purpose governments in the United States. Of this number there were 36,931 general purpose governments (county, municipal and town or township) with populations of less than 50,000 and 12,040 special purpose governments—independent school districts with enrollment populations of less than 50,000. Accordingly, based on the 2017 U.S. Census of Governments data, the Commission estimates that at least 48,971 entities fall into the category of “small governmental jurisdictions.”</P>
                <HD SOURCE="HD2">Wireline Carriers</HD>
                <P>
                    59. 
                    <E T="03">Wired Telecommunications Carriers.</E>
                     The U.S. Census Bureau defines this industry as establishments primarily engaged in operating and/or providing access to transmission facilities and infrastructure that they own and/or lease for the transmission of voice, data, text, sound, and video using wired communications networks. Transmission facilities may be based on a single technology or a combination of technologies. Establishments in this industry use the wired telecommunications network facilities 
                    <PRTPAGE P="43455"/>
                    that they operate to provide a variety of services, such as wired telephony services, including VoIP services, wired (cable) audio and video programming distribution, and wired broadband internet services. By exception, establishments providing satellite television distribution services using facilities and infrastructure that they operate are included in this industry. Wired Telecommunications Carriers are also referred to as wireline carriers or fixed local service providers.
                </P>
                <P>60. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 5,183 providers that reported they were engaged in the provision of fixed local services. Of these providers, the Commission estimates that 4,737 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.</P>
                <P>
                    61. 
                    <E T="03">Local Exchange Carriers</E>
                     (
                    <E T="03">LECs</E>
                    ). Neither the Commission nor the SBA has developed a size standard for small businesses specifically applicable to local exchange services. Providers of these services include both incumbent and competitive local exchange service providers. Wired Telecommunications Carriers is the closest industry with an SBA small business size standard. Wired Telecommunications Carriers are also referred to as wireline carriers or fixed local service providers. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 5,183 providers that reported they were fixed local exchange service providers. Of these providers, the Commission estimates that 4,737 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    62. 
                    <E T="03">Incumbent Local Exchange Carriers (Incumbent LECs).</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for incumbent local exchange carriers. Wired Telecommunications Carriers is the closest industry with an SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms in this industry that operated for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 1,227 providers that reported they were incumbent local exchange service providers. Of these providers, the Commission estimates that 929 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, the Commission estimates that the majority of incumbent local exchange carriers can be considered small entities.
                </P>
                <P>
                    63. 
                    <E T="03">Competitive Local Exchange Carriers (LECs).</E>
                     Neither the Commission nor the SBA has developed a size standard for small businesses specifically applicable to local exchange services. Providers of these services include several types of competitive local exchange service providers. Wired Telecommunications Carriers is the closest industry with a SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 3,956 providers that reported they were competitive local exchange service providers. Of these providers, the Commission estimates that 3,808 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    64. 
                    <E T="03">Interexchange Carriers (IXCs).</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for Interexchange Carriers. Wired Telecommunications Carriers is the closest industry with a SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 151 providers that reported they were engaged in the provision of interexchange services. Of these providers, the Commission estimates that 131 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, the Commission estimates that the majority of providers in this industry can be considered small entities.
                </P>
                <P>
                    65. 
                    <E T="03">Cable System Operators (Telecom Act Standard).</E>
                     The Communications Act of 1934, as amended, contains a size standard for a “small cable operator,” which is “a cable operator that, directly or through an affiliate, serves in the aggregate fewer than one percent of all subscribers in the United States and is not affiliated with any entity or entities whose gross annual revenues in the aggregate exceed $250,000,000.” For purposes of the Telecom Act Standard, the Commission determined that a cable system operator that serves fewer than 677,000 subscribers, either directly or through affiliates, will meet the definition of a small cable operator based on the cable subscriber count established in a 2001 Public Notice. Based on industry data, only six cable system operators have more than 677,000 subscribers. Accordingly, the Commission estimates that the majority of cable system operators are small under this size standard. The Commission notes however, that the Commission neither requests nor collects information on whether cable system operators are affiliated with entities whose gross annual revenues exceed $250 million. Therefore, the Commission is unable at this time to estimate with greater precision the number of cable system operators that would qualify as small cable operators under the definition in the Communications Act.
                </P>
                <P>
                    66. 
                    <E T="03">Other Toll Carriers.</E>
                     Neither the Commission nor the SBA has developed a definition for small businesses specifically applicable to Other Toll Carriers. This category includes toll carriers that do not fall within the categories of interexchange carriers, operator service providers, prepaid calling card providers, satellite service 
                    <PRTPAGE P="43456"/>
                    carriers, or toll resellers. Wired Telecommunications Carriers is the closest industry with a SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms in this industry that operated for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 115 providers that reported they were engaged in the provision of other toll services. Of these providers, the Commission estimates that 113 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <HD SOURCE="HD2">Wireless Carriers</HD>
                <P>
                    67. 
                    <E T="03">Wireless Telecommunications Carriers (except Satellite).</E>
                     This industry comprises establishments engaged in operating and maintaining switching and transmission facilities to provide communications via the airwaves. Establishments in this industry have spectrum licenses and provide services using that spectrum, such as cellular services, paging services, wireless internet access, and wireless video services. The SBA size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms in this industry that operated for the entire year. Of that number, 2,837 firms employed fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 797 providers that reported they were engaged in the provision of wireless services. Of these providers, the Commission estimates that 715 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    68. 
                    <E T="03">Satellite Telecommunications.</E>
                     This industry comprises firms “primarily engaged in providing telecommunications services to other establishments in the telecommunications and broadcasting industries by forwarding and receiving communications signals via a system of satellites or reselling satellite telecommunications.” Satellite telecommunications service providers include satellite and earth station operators. The SBA small business size standard for this industry classifies a business with $38.5 million or less in annual receipts as small. U.S. Census Bureau data for 2017 show that 275 firms in this industry operated for the entire year. Of this number, 242 firms had revenue of less than $25 million. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 71 providers that reported they were engaged in the provision of satellite telecommunications services. Of these providers, the Commission estimates that approximately 48 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, a little more than of these providers can be considered small entities.
                </P>
                <HD SOURCE="HD2">Resellers</HD>
                <P>
                    69. 
                    <E T="03">Local Resellers.</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for Local Resellers. Telecommunications Resellers is the closest industry with a SBA small business size standard. The Telecommunications Resellers industry comprises establishments engaged in purchasing access and network capacity from owners and operators of telecommunications networks and reselling wired and wireless telecommunications services (except satellite) to businesses and households. Establishments in this industry resell telecommunications; they do not operate transmission facilities and infrastructure. Mobile virtual network operators (MVNOs) are included in this industry. The SBA small business size standard for Telecommunications Resellers classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that 1,386 firms in this industry provided resale services for the entire year. Of that number, 1,375 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 293 providers that reported they were engaged in the provision of local resale services. Of these providers, the Commission estimates that 289 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    70. 
                    <E T="03">Toll Resellers.</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for Toll Resellers. Telecommunications Resellers is the closest industry with a SBA small business size standard. The Telecommunications Resellers industry comprises establishments engaged in purchasing access and network capacity from owners and operators of telecommunications networks and reselling wired and wireless telecommunications services (except satellite) to businesses and households. Establishments in this industry resell telecommunications; they do not operate transmission facilities and infrastructure. Mobile virtual network operators (MVNOs) are included in this industry. The SBA small business size standard for Telecommunications Resellers classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that 1,386 firms in this industry provided resale services for the entire year. Of that number, 1,375 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 518 providers that reported they were engaged in the provision of toll services. Of these providers, the Commission estimates that 495 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    71. 
                    <E T="03">Prepaid Calling Card Providers.</E>
                     Neither the Commission nor the SBA has developed a small business size standard specifically for prepaid calling card providers. Telecommunications Resellers is the closest industry with a SBA small business size standard. The Telecommunications Resellers industry comprises establishments engaged in purchasing access and network capacity from owners and operators of telecommunications networks and reselling wired and wireless telecommunications services (except satellite) to businesses and households. Establishments in this industry resell telecommunications; they do not operate transmission facilities and infrastructure. Mobile virtual network operators (MVNOs) are included in this industry. The SBA small business size standard for Telecommunications Resellers classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that 1,386 firms in this industry provided resale services for the entire year. Of that number, 1,375 firms operated with fewer than 250 employees. Additionally, based on Commission 
                    <PRTPAGE P="43457"/>
                    data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 58 providers that reported they were engaged in the provision of payphone services. Of these providers, the Commission estimates that 57 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <HD SOURCE="HD2">Other Entities</HD>
                <P>
                    72. 
                    <E T="03">All Other Telecommunications.</E>
                     This industry is comprised of establishments primarily engaged in providing specialized telecommunications services, such as satellite tracking, communications telemetry, and radar station operation. This industry also includes establishments primarily engaged in providing satellite terminal stations and associated facilities connected with one or more terrestrial systems and capable of transmitting telecommunications to, and receiving telecommunications from, satellite systems. Providers of internet services (
                    <E T="03">e.g.,</E>
                     dial-up ISPs) or voice over internet protocol (VoIP) services via client-supplied telecommunications connections are also included in this industry. The SBA small business size standard for this industry classifies firms with annual receipts of $35 million or less as small. U.S. Census Bureau data for 2017 show that there were 1,079 firms in this industry that operated for the entire year. Of those firms, 1,039 had revenue of less than $25 million. Based on this data, the Commission estimates that the majority of “All Other Telecommunications” firms can be considered small.
                </P>
                <HD SOURCE="HD2">Description of Projected Reporting, Recordkeeping, and Other Compliance Requirements for Small Entities</HD>
                <P>
                    73. The 
                    <E T="03">Report and Order</E>
                     requires voice service providers to meet certain obligations. These changes affect small and large companies and apply to all the classes of regulated entities identified above. First, all voice service providers must fully respond to traceback requests from the Commission, civil and criminal law enforcement, and the industry traceback consortium within 24 hours of receipt of such a request. The voice service provider should respond with information about the provider from which it directly received the call. Small entity voice service providers may need to identify dedicated staff of other professionals to act as a clear point of contact to respond to traceback requests in a timely manner.
                </P>
                <P>74. Second, originating voice service providers, and any intermediate or terminating provider immediately downstream from the originate provider, must block calls in certain instances. Specifically, the originating provider must block illegal traffic once notified of such traffic by the Commission through its Enforcement Bureau. In order to comply with this requirement, small entities that are originating providers must block traffic that is substantially similar to the identified traffic on an ongoing basis. When an originating provider fails to comply with this requirement, the Commission may require small entity providers immediately downstream from an originating provider to block all traffic from the identified provider when notified by the Commission. As part of this requirement, a notified small entity originating provider must promptly report the results of its investigation to the Enforcement Bureau within 14 days, including, unless the originating provider determines it is either not an originating or gateway provider for any of the identified traffic or that the identified traffic is not illegal, both a certification that it is blocking the identified traffic and will continue to do so and a description of its plan to identify the traffic on an ongoing basis. In order to comply with the downstream provider blocking requirement, all providers must monitor EB Docket No. 22-174 and initiate blocking within 30 days of a Blocking Order being released.</P>
                <HD SOURCE="HD2">Steps Taken To Minimize the Significant Economic Impact on Small Entities, and Significant Alternatives Considered</HD>
                <P>75. The RFA requires an agency to provide, “a description of the steps the agency has taken to minimize the significant economic impact on small entities . . . including a statement of the factual, policy, and legal reasons for selecting the alternative adopted in the final rule and why each one of the other significant alternatives to the rule considered by the agency which affect the impact on small entities was rejected.”</P>
                <P>
                    76. Generally, the decisions the Commission made in the 
                    <E T="03">Report and Order</E>
                     apply to all providers. Treating small providers differently from larger providers would have a significant impact on the success of the rules the Commission adopts in this document, meaning that fewer consumers would be protected from illegal calls and bad-actor callers would have more opportunities to find ways around these restrictions. However, the Commission did take steps to ensure that small entity and other providers would not be unduly burdened by these requirements. Specifically, the Commission allowed flexibility where appropriate to ensure that small providers, can determine the best approach for compliance based on the needs of their networks. For example, providers have the flexibility to determine their proposed approach to blocking illegal traffic when notified by the Commission and to determine the steps they take to “know the upstream provider.”
                </P>
                <HD SOURCE="HD2">Report to Congress</HD>
                <P>
                    77. The Commission will send a copy of the 
                    <E T="03">Gateway Provider Report and Order</E>
                     and 
                    <E T="03">Order on Reconsideration,</E>
                     including this FRFA, in a report to be sent to Congress pursuant to the Congressional Review Act. In addition, the Commission will send a copy of the 
                    <E T="03">Gateway Provider Report and Order</E>
                     and 
                    <E T="03">Order on Reconsideration,</E>
                     including this FRFA, to the Chief Counsel for Advocacy of the Small Business Administration. A copy of the 
                    <E T="03">Gateway Provider Report and Order</E>
                     and 
                    <E T="03">Order on Reconsideration</E>
                     (or summaries thereof) will also be published in the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <HD SOURCE="HD2">Ordering Clauses</HD>
                <P>
                    78. 
                    <E T="03">It is ordered</E>
                     that, pursuant to sections 4(i), 201, 202, 217, 227, 227b, 251(e), 303(r), and 403 of the Communications Act of 1934, as amended, 47 U.S.C. 154(i), 201, 202, 217, 227, 251(e), 303(r), 403, the 
                    <E T="03">Report and Order</E>
                     is adopted.
                </P>
                <P>
                    79. 
                    <E T="03">It is further ordered</E>
                     that the Report and Order shall be effective 180 days after publication in the 
                    <E T="04">Federal Register</E>
                    , except that the amendments to § 64.6305(d)(2)(iii) and (f)(2)(iii), 47 CFR 64.6305(d)(2)(iii) and (f)(2)(iii), which may contain new or modified information collection requirements, will not become effective until the later of: (i) 180 days after publication in the 
                    <E T="04">Federal Register</E>
                    ; or (ii) 30 days after the Office of Management and Budget completes review of any information collection requirements that the Consumer &amp; Governmental Affairs Bureau determines is required under the Paperwork Reduction Act. In addition, the amendments to § 64.6305(d)(2)(ii) and (e)(2)(ii), 47 CFR 64.6305(d)(2)(ii) and (e)(2)(ii), will not become effective until the later of: (i) 180 days after publication in the 
                    <E T="04">Federal Register</E>
                    ; or (ii) 30 days after the Office of Management and Budget completes review of any information collection requirements that the Wireline Competition Bureau determines is required under the Paperwork Reduction Act for the changes made to these paragraphs in the 
                    <E T="03">2023 Caller ID Authentication Order.</E>
                     The Commission 
                    <PRTPAGE P="43458"/>
                    directs the Consumer &amp; Governmental Affairs Bureau and the Wireline Competition Bureau, as appropriate, to announce the effective dates for § 64.6305(d)(2)(ii) and (iii), (e)(2)(ii), and (f)(2)(iii) by subsequent Public Notice.
                </P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects</HD>
                    <CFR>47 CFR Part 0</CFR>
                    <P>Authority delegations (Government agencies), Communications, Communications common carriers, Classified information, Freedom of information, Government publications, Infants and children, Organization and functions (Government agencies), Postal Service, Privacy, Reporting and recordkeeping requirements, Sunshine Act, Telecommunications.</P>
                    <CFR>47 CFR Part 64</CFR>
                    <P>Communications common carriers, Reporting and recordkeeping requirements, Telecommunications, Telephone.</P>
                </LSTSUB>
                <SIG>
                    <FP>Federal Communications Commission.</FP>
                    <NAME>Marlene Dortch,</NAME>
                    <TITLE>Secretary, Office of the Secretary.</TITLE>
                </SIG>
                <HD SOURCE="HD1">Final Rules</HD>
                <P>For the reasons discussed in the preamble, the Federal Communications Commission amends 47 CFR parts 0 and 64 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 0—COMMISSION ORGANIZATION</HD>
                    <SUBPART>
                        <HD SOURCE="HED">Subpart A—Organization</HD>
                    </SUBPART>
                </PART>
                <REGTEXT TITLE="47" PART="0">
                    <AMDPAR>1. The authority citation for part 0, subpart A, continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P> 47 U.S.C. 151, 154(i), 154(j), 155, 225, and 409, unless otherwise noted.</P>
                    </AUTH>
                </REGTEXT>
                <REGTEXT TITLE="47" PART="0">
                    <AMDPAR>2. Amend § 0.111 by revising paragraph (a)(27) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 0.111 </SECTNO>
                        <SUBJECT>Functions of the Bureau.</SUBJECT>
                        <P>(a) * * *</P>
                        <P>(27) Identify suspected illegal calls and provide written notice to voice service providers. The Enforcement Bureau shall:</P>
                        <P>(i) Identify with as much particularity as possible the suspected traffic;</P>
                        <P>(ii) Cite the statutory or regulatory provisions the suspected traffic appears to violate;</P>
                        <P>(iii) Provide the basis for the Enforcement Bureau's reasonable belief that the identified traffic is unlawful, including any relevant nonconfidential evidence from credible sources such as the industry traceback consortium or law enforcement agencies; and</P>
                        <P>(iv) Direct the voice service provider receiving the notice that it must comply with § 64.1200(n)(2) of this chapter.</P>
                        <STARS/>
                    </SECTION>
                </REGTEXT>
                <PART>
                    <HD SOURCE="HED">PART 64—MISCELLANEOUS RULES RELATING TO COMMON CARRIERS</HD>
                </PART>
                <REGTEXT TITLE="47" PART="64">
                    <AMDPAR>3. The authority citation for part 64 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 47 U.S.C. 151, 152, 154, 201, 202, 217, 218, 220, 222, 225, 226, 227, 227b, 228, 251(a), 251(e), 254(k), 255, 262, 276, 403(b)(2)(B), (c), 616, 617, 620, 1401-1473, unless otherwise noted; Pub. L. 115-141, Div. P, sec. 503, 132 Stat. 348, 1091.</P>
                    </AUTH>
                </REGTEXT>
                <REGTEXT TITLE="47" PART="64">
                    <AMDPAR>4. Amend § 64.1200 by:</AMDPAR>
                    <AMDPAR>a. Revising paragraphs (k)(5) and (6) and (n)(1);</AMDPAR>
                    <AMDPAR>b. Removing paragraph (n)(2);</AMDPAR>
                    <AMDPAR>c. Redesignating paragraphs (n)(3), (4), (5), and (6) as paragraphs (n)(4), (5), (2), and (3), respectively; and</AMDPAR>
                    <AMDPAR>d. Revising newly redesignating paragraphs (n)(2), (3), and (5).</AMDPAR>
                    <P>The revisions read as follows:</P>
                    <SECTION>
                        <SECTNO>§ 64.1200 </SECTNO>
                        <SUBJECT>Delivery restrictions.</SUBJECT>
                        <STARS/>
                        <P>(k) * * *</P>
                        <P>(5) A provider may not block a voice call under paragraphs (k)(1) through (4), paragraph (k)(11), paragraphs (n)(2) and (3), paragraph (n)(5), or paragraph (o) of this section if the call is an emergency call placed to 911.</P>
                        <P>(6) When blocking consistent with paragraphs (k)(1) through (4), paragraph (k)(11), paragraphs (n)(2) and (3), paragraph (n)(5), or paragraph (o) of this section, a provider must make all reasonable efforts to ensure that calls from public safety answering points and government emergency numbers are not blocked.</P>
                        <STARS/>
                        <P>(n) * * *</P>
                        <P>
                            (1) Upon receipt of a traceback request from the Commission, civil law enforcement, criminal law enforcement, or the industry traceback consortium, the provider must fully respond to the traceback request within 24 hours of receipt of the request. The 24-hour clock does not start outside of business hours, and requests received during that time are deemed received at 8 a.m. on the next business day. If the 24-hour response period would end on a non-business day, either a weekend or a Federal legal holiday, the 24-hour clock does not run for the weekend or holiday in question, and restarts at 12:01 a.m. on the next business day following when the request would otherwise be due. For example, a request received at 3 p.m. on a Friday will be due at 3 p.m. on the following Monday, assuming that Monday is not a Federal legal holiday. For purposes of this paragraph (n)(1), 
                            <E T="03">business day</E>
                             is defined as Monday through Friday, excluding Federal legal holidays, and 
                            <E T="03">business hours</E>
                             is defined as 8 a.m. to 5:30 p.m. on a business day. For purposes of this paragraph (n)(1), all times are local time for the office that is required to respond to the request.
                        </P>
                        <P>
                            (2) Upon receipt of a Notice of Suspected Illegal Traffic from the Commission through its Enforcement Bureau, take the applicable actions with respect to the identified traffic described in paragraphs (n)(2)(i) through (iii) of this section. The provider will not be held liable under the Communications Act or the Commission's rules in this chapter for providers that inadvertently block lawful traffic as part of the requirement to block substantially similar traffic so long as it is blocking consistent with the requirements of paragraphs (n)(2)(i) through (iii). For purposes of this paragraph (n)(2), 
                            <E T="03">identified traffic</E>
                             means the illegal traffic identified in the Notification of Suspected Illegal Traffic issued by the Enforcement Bureau. The following procedures shall apply:
                        </P>
                        <P>(i)(A) The Enforcement Bureau will issue a Notification of Suspected Illegal Traffic that identifies with as much particularity as possible the suspected illegal traffic; provides the basis for the Enforcement Bureau's reasonable belief that the identified traffic is unlawful; cites the statutory or regulatory provisions the identified traffic appears to violate; and directs the provider receiving the notice that it must comply with this section. The Enforcement Bureau's Notification of Suspected Illegal Traffic shall give the identified provider a minimum of 14 days to comply with the notice. Each notified provider must promptly investigate the identified traffic and report the results of that investigation to the Enforcement Bureau within the timeframe specified in the Notification of Suspected Illegal Traffic. If the provider's investigation determines that it served as the gateway or originating provider for the identified traffic, it must block or cease accepting the identified traffic and substantially similar traffic on an ongoing basis within the timeframe specified in the Notification of Suspected Illegal Traffic. The provider must include in its report to the Enforcement Bureau:</P>
                        <P>
                            (
                            <E T="03">1</E>
                            ) A certification that it is blocking the identified traffic and will continue to do so; and
                        </P>
                        <P>
                            (
                            <E T="03">2</E>
                            ) A description of its plan to identify and block or cease accepting substantially similar traffic on an ongoing basis.
                        </P>
                        <P>
                            (B) If the provider's investigation determines that the identified traffic is not illegal, it shall provide an explanation as to why the provider reasonably concluded that the identified traffic is not illegal and what steps it took to reach that conclusion. Absent 
                            <PRTPAGE P="43459"/>
                            such a showing, or if the Enforcement Bureau determines based on the evidence that the traffic is illegal despite the provider's assertions, the identified traffic will be deemed illegal. If the notified provider determines during this investigation that it did not serve as the gateway provider or originating provider for any of the identified traffic, it shall provide an explanation as to how it reached that conclusion and, if it is a non-gateway intermediate or terminating provider for the identified traffic, it must identify the upstream provider(s) from which it received the identified traffic and, if possible, take lawful steps to mitigate this traffic. If the Enforcement Bureau finds that an approved plan is not blocking substantially similar traffic, the identified provider shall modify its plan to block such traffic. If the Enforcement Bureau finds that the identified provider continues to allow suspected illegal traffic onto the U.S. network, it may proceed under paragraph (n)(2)(ii) or (iii) of this section, as appropriate.
                        </P>
                        <P>(ii) If the provider fails to respond to the Notification of Suspected Illegal Traffic, the Enforcement Bureau determines that the response is insufficient, the Enforcement Bureau determines that the provider is continuing to originate substantially similar traffic or allow substantially similar traffic onto the U.S. network after the timeframe specified in the Notification of Suspected Illegal Traffic, or the Enforcement Bureau determines based on the evidence that the traffic is illegal despite the provider's assertions, the Enforcement Bureau shall issue an Initial Determination Order to the provider stating the Bureau's initial determination that the provider is not in compliance with this section. The Initial Determination Order shall include the Enforcement Bureau's reasoning for its determination and give the provider a minimum of 14 days to provide a final response prior to the Enforcement Bureau making a final determination on whether the provider is in compliance with this section.</P>
                        <P>
                            (iii) If the provider does not provide an adequate response to the Initial Determination Order within the timeframe permitted in that Order or continues to originate substantially similar traffic onto the U.S. network, the Enforcement Bureau shall issue a Final Determination Order finding that the provider is not in compliance with this section. The Final Determination Orders shall be published in EB Docket No. 22-174 at 
                            <E T="03">https://www.fcc.gov/ecfs/search/search-filings.</E>
                             A Final Determination Order may be issued up to one year after the release date of the Initial Determination Order, and may be based on either an immediate failure to comply with this section or a determination that the provider has failed to meet its ongoing obligation under this section to block substantially similar traffic.
                        </P>
                        <P>
                            (3) When notified by the Commission through its Enforcement Bureau that a Final Determination Order has been issued finding that an upstream provider has failed to comply with paragraph (n)(2) of this section, block and cease accepting all traffic received directly from the upstream provider beginning 30 days after the release date of the Final Determination Order. This paragraph (n)(3) applies to any provider immediately downstream from the upstream provider. The Enforcement Bureau shall provide notification by publishing the Final Determination Order in EB Docket No. 22-174 at 
                            <E T="03">https://www.fcc.gov/ecfs/search/search-filings.</E>
                             Providers must monitor EB Docket No. 22-174 and initiate blocking no later than 30 days from the release date of the Final Determination Order. A provider that chooses to initiate blocking sooner than 30 days from the release date may do so consistent with paragraph (k)(4) of this section.
                        </P>
                        <STARS/>
                        <P>(5) Take reasonable and effective steps to ensure that any originating provider or intermediate provider, foreign or domestic, from which it directly receives traffic is not using the provider to carry or process a high volume of illegal traffic onto the U.S. network.</P>
                        <STARS/>
                    </SECTION>
                </REGTEXT>
                <REGTEXT TITLE="47" PART="64">
                    <AMDPAR>4. Amend § 64.6305 by revising paragraphs (a)(2) and (c)(2) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 64.6305 </SECTNO>
                        <SUBJECT>Robocall mitigation and certification.</SUBJECT>
                        <P>(a) * * *</P>
                        <P>(2) Any robocall mitigation program implemented pursuant to paragraph (a)(1) of this section shall include reasonable steps to avoid originating illegal robocall traffic and shall include a commitment to respond within 24 hours to all traceback requests from the Commission, law enforcement, and the industry traceback consortium, and to cooperate with such entities in investigating and stopping any illegal robocallers that use its service to originate calls.</P>
                        <STARS/>
                        <P>(c) * * *</P>
                        <P>(2) Any robocall mitigation program implemented pursuant to paragraph (c)(1) of this section shall include reasonable steps to avoid carrying or processing illegal robocall traffic and shall include a commitment to respond within 24 hours to all traceback requests from the Commission, law enforcement, and the industry traceback consortium, and to cooperate with such entities in investigating and stopping any illegal robocallers that use its service to carry or process calls.</P>
                        <STARS/>
                    </SECTION>
                </REGTEXT>
                <REGTEXT TITLE="47" PART="64">
                    <AMDPAR>5. Delayed indefinitely, further amend § 64.6305 by revising paragraphs (d)(2)(ii) and (iii), (e)(2)(ii), and (f)(2)(iii) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 64.6305 </SECTNO>
                        <SUBJECT>Robocall mitigation and certification.</SUBJECT>
                        <STARS/>
                        <P>(d) * * *</P>
                        <P>(2) * * *</P>
                        <P>(ii) The specific reasonable steps the voice service provider has taken to avoid originating illegal robocall traffic as part of its robocall mitigation program, including a description of how it complies with its obligation to know its customers pursuant to § 64.1200(n)(4), any procedures in place to know its upstream providers, and the analytics system(s) it uses to identify and block illegal traffic, including whether it uses any third-party analytics vendor(s) and the name(s) of such vendor(s);</P>
                        <P>(iii) A statement of the voice service provider's commitment to respond within 24 hours to all traceback requests from the Commission, law enforcement, and the industry traceback consortium, and to cooperate with such entities in investigating and stopping any illegal robocallers that use its service to originate calls; and</P>
                        <STARS/>
                        <P>(e) * * *</P>
                        <P>(2) * * *</P>
                        <P>(ii) The specific reasonable steps the gateway provider has taken to avoid carrying or processing illegal robocall traffic as part of its robocall mitigation program, including a description of how it complies with its obligation to know its upstream providers pursuant to § 64.1200(n)(5), the analytics system(s) it uses to identify and block illegal traffic, and whether it uses any third-party analytics vendor(s) and the name(s) of such vendor(s);</P>
                        <STARS/>
                        <P>(f) * * *</P>
                        <P>(2) * * *</P>
                        <P>
                            (iii) A statement of the non-gateway intermediate provider's commitment to respond within 24 hours to all traceback requests from the Commission, law enforcement, and the industry traceback consortium, and to cooperate with such entities in investigating and stopping 
                            <PRTPAGE P="43460"/>
                            any illegal robocallers that use its service to carry or process calls; and
                        </P>
                        <STARS/>
                    </SECTION>
                </REGTEXT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-13035 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6712-01-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="S">FEDERAL COMMUNICATIONS COMMISSION</AGENCY>
                <CFR>47 CFR Parts 1, 2, 15, 25, 27, 74, 78, and 101</CFR>
                <DEPDOC>[GN Docket No. 22-352; FCC 23-36; FR ID 148340]</DEPDOC>
                <SUBJECT>Expanding Flexible Use of the 12.7-13.25 GHz Band for Mobile Broadband or Other Expanded Use</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Communications Commission.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final order.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        In this document, the Federal Communications Commission (Commission) directs certain fixed and mobile Broadcast Auxiliary Services (BAS) and Cable Television Relay Services (CARS) licensees authorized to use the 12.7-13.25 GHz (12.7 GHz) band to certify the accuracy of the information reflected on their licenses, including whether their facilities are 
                        <E T="03">operating</E>
                         as authorized. If a licensee is unable to make such a certification for a given license, it must cancel or modify the license in accordance with the Commission's rules. The Order is intended to improve the data that the public and the Commission have to make informed comments and decisions about the proposals discussed in the concurrent notice of proposed rulemaking, published elsewhere in this issue of the 
                        <E T="04">Federal Register</E>
                        , in which the Commission proposes to protect only those 12.7 GHz BAS and CARS stations for which the licensee timely files the certification required in this Order. A subsequent public notice will provide detailed filing instructions and establish a window for the filing of certifications.
                    </P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The order is effective July 10, 2023.</P>
                </EFFDATE>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Simon Banyai of the Wireless Telecommunications Bureau, at 
                        <E T="03">simon.banyai@fcc.gov</E>
                         or (202) 418-1443.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    This is a summary of the Commission's Order in GN Docket No. 22-352 included in the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order, FCC 23-36, adopted on May 18, 2023 and released on May 19, 2023. The full text this document is available at 
                    <E T="03">https://docs.fcc.gov/public/attachments/FCC-23-36A1.pdf.</E>
                     The Report and Order and the Further Notice of Proposed Rulemaking (WT Docket No. 20-443), and the Notice of Proposed Rulemaking and the Order (GN Docket No. 22-352), 
                    <E T="03">i.e.,</E>
                     the four FCC actions in FCC 23-36, are published separately in the Rules and Regulations and the Proposed Rules sections, as applicable, of this issue of the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <P>
                    <E T="03">Paperwork Reduction Act:</E>
                     The Order in GN Docket No. 22-352 does not contain new or modified information collection requirements subject to the Paperwork Reduction Act of 1995 (PRA), Public Law 104-13. In addition, therefore, the Order does not contain any new or modified information collection burden for small business concerns with fewer than 25 employees, pursuant to the Small Business Paperwork Relief Act of 2002, Public Law 107-198, see 44 U.S.C. 3506(c)(4).
                </P>
                <HD SOURCE="HD1">Synopsis</HD>
                <HD SOURCE="HD1">I. Order in GN Docket No. 22-352</HD>
                <P>
                    1. In the 12.7 Notice of Inquiry (12.7 NOI), the Commission noted that to the extent it considers relocation of incumbents, or even future sharing between incumbents and new entrants, it will be important to have clear information about the nature and density of incumbent use.
                    <SU>1</SU>
                    <FTREF/>
                     Accordingly, the Commission sought comment on whether to require incumbents in the 12.7 GHz band to submit information detailing their current use of the band, and if so, what such information it should require to be submitted.
                    <SU>2</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         
                        <E T="03">See In the Matter of Expanding Use of the 12.7-13.25 GHz Band for Mobile Broadband or Other Expanded Use,</E>
                         GN Docket No. 22-352, Notice of Inquiry, FCC 22-80, 2022 WL 16634851, at *9, para. 25 (Oct. 28, 2022) (
                        <E T="03">12.7 NOI</E>
                        ). Record references and citations refer to GN Docket No. 22-352, unless otherwise noted.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">Id.</E>
                         (citing Letter from Scott K. Bergmann, Senior Vice President, Regulatory Affairs, CTIA, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 22-352, at 3 (filed Oct. 20, 2022)).
                    </P>
                </FTNT>
                <P>
                    2. In response, several commenters urge the Commission to require incumbents to confirm that they are actually operating in the band and to provide detailed information about their operations including transmitter and receiver characteristics.
                    <SU>3</SU>
                    <FTREF/>
                     For the 23 uplink Earth stations authorized in the band, and for the fixed point-to-point links authorized under parts 78 and 101, the operator or licensee must file a separate renewal application for each authorization.
                    <SU>4</SU>
                    <FTREF/>
                     All of the fixed links under part 101, however, were first authorized relatively recently (2017 or later) and typically consist of paired transmitters and receivers providing a communications link between two fixed locations. By contrast, many of the Broadcast Auxiliary Services (BAS) and Cable Television Relay Services (CARS) incumbents were first authorized decades ago to use channels throughout the 12.7 GHz band over geographic areas for operations typically consisting of a collection of receive sites, mobile equipment, and control equipment,
                    <FTREF/>
                    <SU>5</SU>
                      
                    <PRTPAGE P="43461"/>
                    which heightens the need to ensure that these authorizations in the Universal Licensing System (ULS) 
                    <SU>6</SU>
                    <FTREF/>
                     and the Cable Operations and Licensing System (COALS) 
                    <SU>7</SU>
                    <FTREF/>
                     still accurately reflect current operations.
                </P>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See, e.g.,</E>
                         AT&amp;T Comments at 4 (asserting that to rationally assess how to protect non-Federal incumbents' operations, the Commission should require them to provide detailed “technical and operational data about their services, including transmitter and receiver characteristics”); Ericsson Comments at 12 (“Ericsson supports the Commission seeking information on incumbent use in the band to help assess how it can optimize the introduction of mobile broadband in the 12.7 GHz band”); NCTA Comments at 12 (“NCTA applauds the Commission's collection of more detailed and up-to-date information regarding incumbents to help facilitate consideration of `sharing between incumbents and new entrants' ”) (quoting 
                        <E T="03">12.7 NOI</E>
                         at *9, para. 25); Nokia Comments at 3 (urging the Commission to “require incumbents in the 12.7 GHz band to provide relevant and accurate data” and to use that data to conduct an “in-depth evaluation of the sharing or coexistence conditions for the different incumbent uses in the band” to determine more conclusively “which incumbent services could share the band with mobile broadband, and which incumbent services should be relocated.”); Qualcomm Comments at 9 (contending that “licensing records . . . . do not fully reflect actual use or the intensity of that use” and that “[a]ccurate and updated data on the uses of the band are instrumental” to evaluating possible expanded uses and encouraging the Commission to ask incumbent licensees to (1) “confirm whether they are actually operating on the frequency band”; (2) “provide data about their operations”, and (3) provide “the actual technical parameters of such operations.”); T-Mobile Comments at 8 (stating that as part of relocating incumbents, the Commission could “require incumbent licensees to provide information about their operations, including certifying to their use, to ensure the accuracy of cost estimates related to their systems.”); Verizon Comments at 10 (stating that the Commission “should collect information about how much spectrum incumbent operators use to support their services, the breadth of geographic use by licensees,” and “should also establish a deadline for operators to provide this information so that stakeholders may be on notice regarding further action in this proceeding.”); Letter from Sarah Leggin, Assistant Vice President, Regulatory Affairs, CTIA, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 22-352, at 2 (filed May 5, 2023) (urging the Commission to require CARS licensees to certify that the COALS database accurately reflects current operations in the 12.7 GHz band).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         47 CFR 25.121(b), 78.15(a), 78.29, and 101.5; 
                        <E T="03">see also id.</E>
                         § 1.949. For the 12.7 GHz band incumbents licensed under part 74, however, most BAS authorizations are associated with a parent broadcast license and renewed automatically upon renewal of the parent broadcast license. 
                        <E T="03">See</E>
                         47 CFR 74.15(b), (e). Although this streamlined process reduces paperwork burdens and avoids termination for non-renewal of BAS authorizations that support ongoing broadcast operations, it may also increase the probability of inaccurate licensing and operational data in the Commission' records.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See. e.g., Improving Public Safety Communications in the 800 MHz Band,</E>
                         WT Docket 02-55, Memorandum Opinion and Order and Further Notice of Proposed Rulemaking, 23 FCC 
                        <PRTPAGE/>
                        Rcd. 4393, 4408 para 44 (2008); 
                        <E T="03">Improving Public Safety Communications in the 800 MHz Band,</E>
                         WT Docket 00-55, Report and Order, Fifth Report and Order, Fourth Memorandum Opinion and Order, and Order, 19 FCC Rcd 14969 (2004).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         Licensing data for fixed and mobile BAS is in ULS. 
                        <E T="03">See https://wireless2.fcc.gov/UlsApp/ApplicationSearch/searchAppl.jsp.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         Licensing data for fixed and mobile CARS is in COALS. 
                        <E T="03">See https://fccprod.servicenowservices.com/coals.</E>
                    </P>
                </FTNT>
                <P>
                    3. Accordingly, to improve the data that the public and the Commission have to make informed comments and decisions about the proposals discussed in the notice of proposed rulemaking (
                    <E T="03">see</E>
                     FCC 23-36, paras. 58-142) (FR 2023-13500), published elsewhere in this issue of the 
                    <E T="04">Federal Register</E>
                    , the Commission directs fixed and mobile BAS and CARS licensees under parts 74 and 78, to certify the accuracy of all information reflected on each license that includes authority to operate in the 12.7 GHz band, including whether the facilities are operating as authorized. If a licensee is unable to make such a certification for a given license, it must cancel or modify the license in accordance with the Commission's rules.
                    <SU>8</SU>
                    <FTREF/>
                     The Commission exempts from this Order BAS and CARS licensees that have filed separate applications, on or after January 1, 2021, for new or modified licenses in the 12.7 GHz band. The Commission notes that for purposes of implementing the Paperwork Reduction Act of 1995 (PRA), these certifications are not “information” collections that require approval from the Office of Management and Budget (OMB).
                    <SU>9</SU>
                    <FTREF/>
                     The Commission directs the Wireless Telecommunications Bureau, in coordination with the Media Bureau, to issue a Public Notice that will: (1) provide detailed instructions for BAS and CARS licensees to file certifications regarding existing information in ULS and COALS, respectively; and (2) establish a window for the filing of certifications. The Commission also directs the Bureaus, in coordination with the Office of Economics and Analytics, to consider whether additional information should be collected from some or all 12.7 GHz band incumbents to seek comment regarding the need to initiate an information collection if such additional information is necessary to supplement the information submitted in this proceeding, and to comply with all requirements associated with any such information collection under the PRA.
                    <SU>10</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         47 CFR 74.600-74.690. Based on ULS data, 12.7 GHz band BAS licenses for the following radio service codes (followed by the approximate number of such licenses in parentheses) are subject to this certification requirement: Aural Intercity Relay (1), TV Intercity Relay (1179), TV Pickup (403), TV Studio-Transmitter Link (485), TV Translator Relay (32).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         
                        <E T="03">See</E>
                         5 CFR 1320.3(h)(1) (defining “information” as not generally including certifications); 
                        <E T="03">accord,</E>
                         84 FR 22733, 22734, n.12 (May 20, 2019) (concluding that the certification requirement for Earth station incumbents in the 3.7-4.2 GHz band was not considered “information” for purposes of the Paperwork Reduction Act (citing 5 CFR 1320.3(h)(1)); Notice of Office of Management and Budget Action, ICR Ref. No. 201811-3060-018 (Jan. 28, 2019), available at 
                        <E T="03">https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201811-3060-018;</E>
                         Federal Communications Commission, Expanding Flexible Use of the 3.7 to 4.2 GHz Band, 84 FR 13141, Apr. 4, 2019.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         While the Commission has discretion to seek comment before undertaking an information collection, it has never taken the position that such comment, other than the comment sought as part of the PRA process, is a necessary prerequisite. Because the information collection adopted here is designed solely to obtain the information necessary to evaluate whether to adopt future Commission rules, it has no direct “future effect” and as such is not a rule requiring notice under the Administrative Procedure Act (APA). 
                        <E T="03">See</E>
                         5 U.S.C. 551(4).
                    </P>
                </FTNT>
                <P>
                    4. The Commission acknowledges that several comments recommend also seeking information from all incumbent licensees in the 12.7 GHz band, as well as in the bands adjacent to the 12.7 GHz band.
                    <SU>11</SU>
                    <FTREF/>
                     As noted in the notice of proposed rulemaking (FCC 23-36) (FR 2023-13500), the Commission's rules require all in-band incumbents to operate in accordance with their authorizations. In the notice of proposed rulemaking,
                    <SU>12</SU>
                    <FTREF/>
                     the Commission specifically seeks detailed information on the receiver, antenna, and operational characteristics for services operating in the adjacent bands from incumbents in adjacent bands, including Direct Broadcast Satellite (DBS), Fixed Satellite Service (FSS) (space-to-Earth) limited to non-geostationary orbit systems (NGSO FSS), Multi-Channel Video and Data Distribution Service (MVDDS), active spaceborne sensors, and aeronautical radionavigation services (ARNS), that contend that provisions beyond the existing 12.7 GHz band fixed service protection levels for adjacent bands would be necessary for mobile broadband or other expanded-use operations in the 12.7 GHz band to prevent harmful interference to operations in those adjacent bands.
                </P>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Nokia Comments at 8 (contending that “the Commission should require incumbents in the . . . lower and upper adjacent bands to provide relevant and accurate information about their deployments and receiver characteristics”); Verizon Comments at 10 (quoting 
                        <E T="03">12.7 NOI</E>
                         at *14, para. 40) (stating that the Commission “should collect information on `detailed information on the receiver, antenna, and operational characteristics for services operating in the adjacent bands.' ”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">See</E>
                         Notice of Proposed Rulemaking at para. 121.
                    </P>
                </FTNT>
                <P>5. Although the Commission does not require incumbents to provide additional information on their existing operations at this time, the Commission proposes in the Notice of Proposed Rulemaking to protect only those BAS and CARS stations licensed in ULS and COALS, respectively, for which the licensee timely files the certification required in this Order (to the extent they have not filed a new or modification application in ULS or COALS for the station on or after January 1, 2021) and to protect FS incumbents based on licensing data. For the 23 incumbent Earth stations in the band, the Commission also proposes in the Notice of Proposed Rulemaking to use the International Bureau Filing System (IBFS) data in defining the scope of the grandfathered status of these stations. Because the Commission may use these data to inform its deliberations regarding the future use of the 12.7 GHz band, including possible interference avoidance coordination or relocation of facilities, or grandfathered status that could require future licensees to accept harmful interference from existing operations, the Commission encourages all licensees to timely submit their data and to update their information in the event of a change in any of the operational parameters.</P>
                <HD SOURCE="HD1">II. Ordering Clauses</HD>
                <P>
                    6. 
                    <E T="03">It is ordered</E>
                     that, pursuant to sections 1, 2, 4, 5, 301, 302, 303, 304, 307, 309, 310, and 316 of the Communications Act of 1934, 47 U.S.C. 151, 152, 154, 155, 301, 302a, 303, 304, 307, 309, 310, 316, and § 1.411 of the Commission's rules, 47 CFR 1.411, the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking, and Order in the captioned dockets 
                    <E T="03">is adopted.</E>
                </P>
                <P>
                    7. The inquiry in 
                    <E T="03">Expanding Flexible Use in Mid-Band Spectrum Between 3.7-24 GHz,</E>
                     GN Docket No. 17-183, is 
                    <E T="03">terminated</E>
                     as to the mid-band spectrum between 12.2 GHz and 13.25 GHz.
                </P>
                <P>
                    8. 
                    <E T="03">It is further ordered</E>
                     that, pursuant to applicable procedures set forth in §§ 1.415 and 1.419 of the Commission's rules, 47 CFR 1.415, 1.419, interested parties may file comment on the Further Notice of Proposed Rulemaking in WT Docket No. 20-443 and the Notice of Proposed Rulemaking in GN Docket No. 22-352 on or before the number of days shown on the first page of this document after publication in the 
                    <E T="04">Federal Register</E>
                    , and reply comment on or before the number of days shown on 
                    <PRTPAGE P="43462"/>
                    the first page of this document after publication in the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <P>
                    9. 
                    <E T="03">It is further ordered</E>
                     that the Commission's Office of the Secretary, Reference Information Center, 
                    <E T="03">shall send</E>
                     a copy of the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking, and Order, including the associated Initial Regulatory Flexibility Analyses to the Chief Counsel for Advocacy of the Small Business Administration.
                </P>
                <SIG>
                    <FP>Federal Communications Commission.</FP>
                    <NAME>Marlene Dortch,</NAME>
                    <TITLE>Secretary, Office of the Secretary.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-13502 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6712-01-P</BILCOD>
        </RULE>
        <RULE>
            <PREAMB>
                <AGENCY TYPE="S">FEDERAL COMMUNICATIONS COMMISSION</AGENCY>
                <CFR>47 CFR Parts 2, 25, 27, and 101</CFR>
                <DEPDOC>[GN Docket No. 22-253; FCC 23-36; FR ID 149901]</DEPDOC>
                <SUBJECT>Expanding Flexible Use of the 12.2-12.7 GHz Band</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Communications Commission.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Final report and order.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In this document, the Federal Communications Commission (Commission or FCC) finds that it is not in the public interest to add a mobile allocation to permit a two-way terrestrial 5G service in the 12.2 GHz band based on the current record.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The report and order is effective on July 10, 2023.</P>
                </EFFDATE>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Madelaine Maior of the Wireless Telecommunications Bureau, Broadband Division, at 
                        <E T="03">madelaine.maior@fcc.gov</E>
                         or 202-418-1466; Simon Banyai of the Wireless Telecommunications Bureau, at 
                        <E T="03">simon.banyai@fcc.gov</E>
                         or (202) 418-1443; or Nick Oros of the Office of Engineering and Technology, at 
                        <E T="03">nicholas.oros@fcc.gov</E>
                         or (202) 418-2099.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    This a summary of the Commission's 
                    <E T="03">Report and Order (R&amp;O)</E>
                     in WT Docket No. 20-443 included in the 
                    <E T="03">Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order,</E>
                     FCC 23-36, adopted on May 18, 2023 and released May 19, 2023. The full text of this document is available at 
                    <E T="03">https://docs.fcc.gov/public/attachments/FCC-23-36A1.pdf.</E>
                     The 
                    <E T="03">R&amp;O</E>
                     and the 
                    <E T="03">Further Notice of Proposed Rulemaking</E>
                     (WT Docket No. 20-443), and the 
                    <E T="03">Notice of Proposed Rulemaking</E>
                     and the 
                    <E T="03">Order</E>
                     (GN Docket No. 22-352), 
                    <E T="03">i.e.,</E>
                     the four FCC actions in FCC 23-36, are published separately in the Rules and Regulations and the Proposed Rules sections, as applicable, of this issue of the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <P>
                    <E T="03">People with Disabilities:</E>
                     To request materials in accessible formats (braille, large print, computer diskettes, or audio recordings), please send an email to 
                    <E T="03">FCC504@fcc.gov</E>
                     or call the Consumer &amp; Government Affairs Bureau at (202) 418-0530 (VOICE), (202) 418-0432 (TTY).
                </P>
                <P>
                    <E T="03">Regulatory Flexibility Act:</E>
                     The Regulatory Flexibility Act of 1980, as amended (RFA), requires that an agency prepare a regulatory flexibility analysis for notice-and-comment rulemakings, unless the agency certifies that “the rule will not, if promulgated, have a significant economic impact on a substantial number of small entities.” In the Report and Order, the Commission declines to adopt rule changes and, therefore a Final Regulatory Flexibility Analysis has not been performed.
                </P>
                <P>
                    <E T="03">Congressional Review Act:</E>
                     The Commission will not send a copy of the Report and Order to Congress and the Government Accountability Office pursuant to the Congressional Review Act (CRA), 
                    <E T="03">see</E>
                     5 U.S.C. 801(a)(1)(A), because it does not adopt any rule as defined in the Congressional Review Act, 5 U.S.C. 804(3).
                </P>
                <P>
                    <E T="03">Ex Parte Rules:</E>
                     This proceeding shall be treated as a “permit-but-disclose” proceeding in accordance with the Commission's ex parte rules. Persons making ex parte presentations must file a copy of any written presentation or a memorandum summarizing any oral presentation within two business days after the presentation (unless a different deadline applicable to the Sunshine period applies). Persons making oral ex parte presentations are reminded that memoranda summarizing the presentation must (1) list all persons attending or otherwise participating in the meeting at which the ex parte presentation was made, and (2) summarize all data presented and arguments made during the presentation. If the presentation consisted in whole or in part of the presentation of data or arguments already reflected in the presenter's written comments, memoranda, or other filings in the proceeding, the presenter may provide citations to such data or arguments in his or her prior comments, memoranda, or other filings (specifying the relevant page and/or paragraph numbers where such data or arguments can be found) in lieu of summarizing them in the memorandum. In proceedings governed by § 1.49(f) or for which the Commission has made available a method of electronic filing, written ex parte presentations and memoranda summarizing oral ex parte presentations, and all attachments thereto, must be filed through the electronic comment filing system available for that proceeding, and must be filed in their native format (
                    <E T="03">e.g.,</E>
                     .doc, .xml, .ppt, searchable .pdf). Documents shown or given to Commission staff during ex parte meetings are deemed to be written ex parte presentations and must be filed consistent with § 1.1206(b). Participants in this proceeding should familiarize themselves with the Commission's ex parte rules.
                </P>
                <HD SOURCE="HD1">Synopsis</HD>
                <HD SOURCE="HD1">I. Report and Order</HD>
                <HD SOURCE="HD2">A. Background</HD>
                <P>
                    1. In this 
                    <E T="03">R&amp;O,</E>
                     the Commission takes steps to ensure current and future satellite services relied upon by millions of people across the country are preserved and protected in the 12.2-12.7 GHz band (12.2 GHz band) 
                    <SU>1</SU>
                    <FTREF/>
                     The Commission finds that authorizing two-way, high-powered terrestrial mobile service in the 12.2 GHz band would impose a significant risk of harmful interference to existing and emergent services in the band, including satellite services. Such interference could undermine investments made by incumbent licensees and jeopardize their potential to provide new services to underserved communities, including rural communities. The 12.2 GHz band is allocated on a primary basis for non-Federal use for Broadcasting Satellite Service (BSS) (referred to domestically as Direct Broadcast Satellite (DBS)), Fixed Satellite Service (FSS) (space-to-Earth) limited to non-geostationary orbit systems (NGSO FSS), and Fixed Service.
                    <SU>2</SU>
                    <FTREF/>
                     While the three services are 
                    <PRTPAGE P="43463"/>
                    co-primary, NGSO FSS and Fixed Service are allocated on a non-harmful interference basis to DBS.
                    <SU>3</SU>
                    <FTREF/>
                     Currently there are three services operating in the band: DBS providers operating under the primary BSS allocation, NGSO FSS licensees operating under the co-primary NGSO FSS allocation, and Multi-Channel Video and Data Distribution Service (MVDDS) licensees operating under the co-primary Fixed Service allocation.
                    <SU>4</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         In order to distinguish references to the bands in this item, the Commission refers to the 12.2-12.7 GHz band as the 12.2 GHz band throughout. 
                        <E T="03">See Expanding Flexible Use of the 12.2-12.7 GHz Band,</E>
                         WT Docket Nos. 20-443 et al., Notice of Proposed Rulemaking, 36 FCC Rcd 606 (2021), (86 FR 13266 (March 8, 2021)) 
                        <E T="03">(12.2 NPRM</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See</E>
                         47 CFR 2.106, United States Table of Frequency Allocations, non-Federal Table for the band 12.2-12.7 GHz. NGSO FSS (space-to-Earth) operations are authorized pursuant to international footnote 5.487A (revised as 47 CFR 2.106(b)(487)(i), at 88 FR 37318, June 7, 2023, effective July 7, 2023), which provides additional allocations including in Region 2 as follows “[The 12.2-12.7 GHz is] allocated to the fixed-satellite service (space-to-Earth) on a primary basis, limited to non-geostationary systems and subject to application of the provisions of [International Telecommunication Union (ITU) Radio Regulations] No. 9.12 for coordination with other non-geostationary-satellite systems in the fixed-satellite service. Non-
                        <PRTPAGE/>
                        geostationary-satellite systems in the fixed-satellite service shall not claim protection from geostationary-satellite networks in the broadcasting-satellite service operating in accordance with the Radio Regulations, irrespective of the dates of receipt by the [ITU Radiocommunication] Bureau of the complete coordination or notification information, as appropriate, for the non-geostationary-satellite systems in the fixed-satellite service and of the complete coordination or notification information, as appropriate, for the geostationary-satellite networks, and [ITU Regulations] No. 5.43A does not apply. Non-geostationary-satellite systems in the fixed-satellite service in the [12 GHz band] shall be operated in such a way that any unacceptable interference that may occur during their operation shall be rapidly eliminated.”
                    </P>
                    <P>
                        47 CFR 2.106, n.5.487A (n.5.487A revised as 47 CFR 2.106(b)(487)(i), at 88 FR 37318, June 7, 2023, effective July 7, 2023). When an international footnote is applicable without modification to non-Federal operations, the Commission places the footnote on the non-Federal Table. 
                        <E T="03">See</E>
                         47 CFR 2.105(d)(5).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         47 CFR 2.106, n.5.490 (International Footnote) (n.5.490 revised as 47 CFR 2.106(b)(490), at 88 FR 37318, June 7, 2023, effective July 7, 2023). In Region 2, in the 12.2-12.7 GHz band, existing and future terrestrial radiocommunication services shall not cause harmful interference to the space services operating in conformity with the broadcasting satellite Plan for Region 2 contained in Appendix 30. “Harmful Interference” is defined under the Commission's rules as “[i]nterference which endangers the functioning of a radionavigation service or of other safety services or seriously degrades, obstructs, or repeatedly interrupts a radiocommunication service operating in accordance with the ITU Radio Regulations.” 47 CFR 2.1(c). 
                        <E T="03">See</E>
                         also Annex to the Constitution of the ITU, 1003 (defining harmful interference).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         47 CFR 101.147(a) n.31.
                    </P>
                </FTNT>
                <P>
                    2. While DBS service began in 1994, and NGSO FSS systems were authorized in the early 2000s, the Commission permitted MVDDS to operate in the 12.2 GHz band starting in 2004 under technical rules to ensure that MVDDS stations do not cause harmful interference to DBS or earlier-in-time NGSO FSS fixed subscriber receivers.
                    <SU>5</SU>
                    <FTREF/>
                     To that end, MVDDS service was limited to a relatively low power, one-way, digital fixed non-broadcast service, including one-way direct-to-home/office wireless service with each proposed transmitter subject to detailed prior coordination requirements.
                    <SU>6</SU>
                    <FTREF/>
                     In April 2016, a coalition of MVDDS licensees filed a Petition for Rulemaking requesting reforms to the 12.2 GHz band rules, including permitting MVDDS licensees to use the band for two-way mobile broadband services.
                    <SU>7</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See Amendment of Parts 2 and 25 of the Commission's Rules to Permit Operation of NGSO FSS Systems Co-Frequency with GSO and Terrestrial Systems in the Ku-Band Frequency Range, Amendment of the Commission's Rules to Authorize Subsidiary Terrestrial Use of the 12.2-12.7 GHz Band by Direct Broadcast Satellite Licensees and Their Affiliates; and Applications of Broadwave USA, PDC Broadband Corporation, and Satellite Receivers, Ltd. to Provide A Fixed Service in the 12.2-12.7 GHz Band,</E>
                         ET Docket No. 98-206, First Report and Order and Further Notice of Proposed Rule Making, 16 FCC Rcd 4096, 4177, para. 213 (2000) (
                        <E T="03">First Report and Order and FNPRM).</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         
                        <E T="03">See</E>
                         47 CFR 101.1407 (two-way services can be provided using spectrum in other bands for the return link). 
                        <E T="03">See also Amendment of Parts 2 and 25 of the Commission's Rules to Permit Operation of NGSO FSS Systems Co-Frequency with GSO and Terrestrial Systems in the Ku-Band Frequency Range,</E>
                         Memorandum Opinion and Order and Second Report and Order, 17 FCC Rcd 9614 (2002) (
                        <E T="03">MVDDS Second Report and Order</E>
                        ) (
                        <E T="03">aff'd Northpoint Technology, LTD et al.</E>
                         v. 
                        <E T="03">FCC,</E>
                         414 F.3d 61 (D.C. Cir. 2005)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         Petition of MVDDS 5G Coalition Petition for Rulemaking, RM-11768, at 17-18 (filed Apr. 26, 2016), 
                        <E T="03">https://www.fcc.gov/ecfs/document/60001658886/1</E>
                         (MVDDS 5G Coalition Petition). 
                        <E T="03">See also Petition for Rulemakings Filed,</E>
                         Public Notice, Report No. 3042, at 8, 17-18 (May 9, 2016) (Petition Public Notice).
                    </P>
                </FTNT>
                <P>
                    3. Later in 2016, the International Bureau opened a processing round to accept NGSO FSS applications and petitions for market access in several frequency bands 
                    <SU>8</SU>
                    <FTREF/>
                     and the Commission reformed its NGSO FSS rules.
                    <SU>9</SU>
                    <FTREF/>
                     In 2017, the Commission granted the first of the new generation NGSO FSS requests—a petition for market access by WorldVu Satellites Limited (OneWeb) for a planned Low Earth Orbit (LEO) NGSO FSS satellite system of 720 satellites authorized by the United Kingdom in the 10.7-12.7 GHz Band (in addition to several other bands).
                    <SU>10</SU>
                    <FTREF/>
                     The Commission concluded that “the pendency of the MVDDS 5G Coalition's Petition for Rulemaking was not a sufficient reason to delay or deny these requests to use the band under the existing NGSO FSS allocation and service rules.” 
                    <SU>11</SU>
                    <FTREF/>
                     In granting this request, however, the Commission conditioned access to the 12 GHz band on the outcome of the MVDDS 5G Coalition's Petition and any other rulemaking initiated on the Commission's own motion.
                    <SU>12</SU>
                    <FTREF/>
                     The Commission also agreed with comments of the MVDDS 5G Coalition that MVDDS should not have to protect any NGSO FSS earth stations in motion operations in the band, if authorized in the future, because such operations had not been contemplated under the longstanding first-in-time MVDDS/NGSO FSS sharing approach.
                    <SU>13</SU>
                    <FTREF/>
                     The NGSO FSS Report and Order adopted, among other things, spectrum sharing rules and a more flexible milestone schedule for NGSO FSS systems.
                    <SU>14</SU>
                    <FTREF/>
                     The Commission subsequently granted five additional NGSO FSS requests to use bands that include the 12.2 GHz band (among others).
                    <SU>15</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         
                        <E T="03">See Satellite Policy Branch Information; OneWeb Petition Accepted for Filing (IBFS File No. SAT-LOI-20160428-00041), Cut-Off Established for Additional NGSO-Like Satellite Applications or Petitions for Operations in the 10.7-12.7 GHz, 14.0-14.5 GHz, 17.8-18.6 GHz, 18.8-19.3 GHz, 27.5-28.35 GHz, 28.35-29.1 GHz, and 29.5-30.0 GHz Bands,</E>
                         Public Notice, 31 FCC Rcd 7666 (IB July 15, 2016).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         In September 2017, the Commission adopted the 
                        <E T="03">NGSO FSS Report and Order,</E>
                         updating several rules and policies governing NGSO FSS systems. 
                        <E T="03">See Update to Parts 2 and 25 Concerning Non-Geostationary, Fixed-Satellite Service Systems and Related Matters,</E>
                         Report and Order (82 FR 59972 (Dec. 18, 2017)) and Further Notice of Proposed Rulemaking (82 FR 52869 (Nov. 15, 20217)), 32 FCC Rcd 7809 (2017) (
                        <E T="03">NGSO FSS Report and Order</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See WorldVu Satellites Limited, Petition for Declaratory Ruling Granting Access to the U.S. Market for the OneWeb NGSO FSS System,</E>
                         Order and Declaratory Ruling, 32 FCC Rcd 5366 (2017) (
                        <E T="03">OneWeb Order</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">Id.</E>
                         at 5369, para. 6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">Id.</E>
                         at 5378, para. 26 (“This grant of U.S. market access and any earth station licenses granted in the future are subject to modification to bring them into conformance with any rules or policies adopted by the Commission in the future.”). 
                        <E T="03">See also id.</E>
                         at 5369, para. 6 (“Accordingly, any investment made toward operations in this band by OneWeb in the United States assume the risk that operations may be subject to additional conditions or requirements as a result of such Commission actions.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         
                        <E T="03">Id.</E>
                         at 5370, para. 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         
                        <E T="03">See NGSO FSS Report and Order,</E>
                         32 FCC Rcd at 7821-31, paras. 37-68.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         
                        <E T="03">Space Norway AS, Petition for a Declaratory Ruling Granting Access to the U.S. Market for the Arctic Satellite Broadband Mission,</E>
                         Order and Declaratory Ruling, 32 FCC Rcd 9649 (2018) (
                        <E T="03">Space Norway Order</E>
                        ); 
                        <E T="03">Karousel Satellite LLC, Application for Authority to Launch and Operate a Non-Geostationary Earth Orbit Satellite System in the Fixed Satellite Service,</E>
                         Memorandum Opinion, Order and Authorization, 33 FCC Rcd 8485 (2018) (
                        <E T="03">Karousel Order</E>
                        ), 
                        <E T="03">Space Exploration Holdings, LLC Application For Approval for Orbital Deployment and Operating Authority for the SpaceX NGSO Satellite System,</E>
                         Memorandum Opinion Order and Authorization, 33 FCC Rcd 3391 (2018) (
                        <E T="03">SpaceX Order</E>
                        ), 
                        <E T="03">Kepler Communications Inc. Petition for Declaratory Ruling to Grant Access to the U.S. Market for Kepler's NGSO FSS System,</E>
                         Order, 33 FCC Rcd 11453, (2018) (
                        <E T="03">Kepler Order</E>
                        ), 
                        <E T="03">Theia Holdings A, Inc. Request for Authority to Launch and Operate a Non-Geostationary Satellite Orbit System in the Fixed-Satellite Service, Mobile-Satellite Service, and Earth-Exploration Satellite Service,</E>
                         Memorandum, Opinion and Authorization, 34 FCC Rcd 3526 (2019) (
                        <E T="03">Theia Order</E>
                        ).
                    </P>
                </FTNT>
                <P>
                    4. NGSO FSS systems have continued to deploy. In particular, SpaceX received modified authority for its first generation (Gen 1) system to decrease the altitude from the 1,100-1,300 km to the 540-570 km range for 2,814 satellites as well as approval of its updated orbital debris mitigation plan.
                    <SU>16</SU>
                    <FTREF/>
                     To date, SpaceX has deployed 
                    <PRTPAGE P="43464"/>
                    approximately 4,000 satellites.
                    <SU>17</SU>
                    <FTREF/>
                     The Commission also recently issued a partial grant to SpaceX to begin deploying its second generation (Gen 2) system, with a grant approving up to 7,500 satellites to operate in the Ka- and Ku-frequency bands.
                    <SU>18</SU>
                    <FTREF/>
                     OneWeb also recently received modified authority for its constellation 
                    <SU>19</SU>
                    <FTREF/>
                     and, to date, it has deployed over 580 satellites.
                    <SU>20</SU>
                    <FTREF/>
                     On June 30, 2022, the International Bureau authorized SpaceX and Kepler to serve earth stations in motion (ESIMs) in the 12.2 GHz band on an unprotected, non-harmful interference basis.
                    <SU>21</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         
                        <E T="03">Space Exploration Holdings, LLC, Request for Modification of the Authorization for the SpaceX NGSO Satellite System,</E>
                         Order and Authorization, 36 FCC Rcd 7995 (2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Mike Wall, SpaceX launches 56 Starlink satellites, lands rocket at sea, space.com (“SpaceX has now lofted more than 4,200 Starlink satellites overall, according to astrophysicist and satellite tracker Jonathan McDowell.”) (Mar. 29, 2023), 
                        <E T="03">https://www.space.com/spacex-starlink-group-5-10-launch#:~:text=SpaceX%20launched%20another%20big%20batch,p.m.%20EDT%20(2001%20GMT).</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         
                        <E T="03">Space Exploration Holdings, LLC, Request for Orbital Deployment and Operating Authority for the SpaceX Gen2 NGSO Satellite System,</E>
                         IBFS File No. SAT-LOA-20200526-00055 and SAT-AMD-20210818-00105, Order and Authorization, FCC 22-91, 2022 WL 17413767, at *54, para. 135(ii) (Dec. 1, 2022) (
                        <E T="03">SpaceX Gen2 Order</E>
                        ) (stating that the “authorization is subject to modification to bring it into conformance with any rules or policies adopted by the Commission in the future. [And, that] . . . any investments made toward operations in the bands authorized [by the] Order by SpaceX in the United States assume the risk that operations may be subject to additional conditions or requirements as a result of any future Commission actions . . . [including, but not limited to] . . . any conditions or requirements resulting from any action in the proceedings associated with. . .WTB Docket 20-443. . .”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         
                        <E T="03">WorldVu Satellites Limited, Petition for Declaratory Ruling to Modify the U.S. Market Access Grant for the OneWeb Ku-band and Ka-Band NGSO FSS System,</E>
                         Order and Declaratory Ruling, DA 22-970 (IB, rel. Sept. 16, 2022) (petition to modify grant of U.S. market access granted in part and deferred in part to approve minor adjustments to number of satellites per plane without exceeding previously-approved total of 720 satellites).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Letter from Kimberly M. Baum, Vice President, Spectrum Engineering &amp; Strategy, WorldVu Satellites Limited, to Marlene H. Dortch, Secretary, FCC, WT Docket Nos. 20-443 
                        <E T="03">et al.</E>
                         at 1 (filed Mar. 20, 2023); 
                        <E T="03">https://oneweb.net/resources/oneweb-confirms-successful-deployment-40-satellites-launched-spacex-1</E>
                         (“OneWeb confirms successful deployment of 40 satellites launched with SpaceX. Launch 17 brings the total OneWeb constellation to 582 satellites. Third launch with SpaceX makes penultimate mission to achieving global coverage.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         
                        <E T="03">SpaceX Services, Inc. Application for Blanket Authorization of Next- Generation Ku-Band Earth Stations in Motion et al.; Kepler Communications Inc. Application for Blanket Authorization of Ku-Band Earth Stations on Vessels,</E>
                         Order and Authorization, DA 22-695 (IB June 30, 2022) (
                        <E T="03">ESIMs Authorizations</E>
                        ). DISH and RS Access had argued that granting these applications would constrain the Commission's decision-making in the instant 12.2 GHz band rulemaking proceeding by injecting new ESIM encumbrances into the 12.2 GHz band. 
                        <E T="03">ESIMs Authorizations</E>
                         at 11-12, para. 22. DISH and RS Access also argued that authorizing ESIMs in the band on an unprotected basis would likely result in primary users in the band being required to assume the costs to prevent service interruptions to SpaceX customers. 
                        <E T="03">Id.</E>
                         at 11, para. 18. The International Bureau found that granting the applications served the public interest but also recognized that the introduction of a potentially significant number of additional end users in motion could affect the 12 GHz spectrum environment. Therefore the Bureau imposed conditions to ensure grant of those applications would not materially impact the outcome of the 12 GHz rulemaking proceeding. 
                        <E T="03">ESIMs Authorizations</E>
                         at 12-13, paras. 23-27. The Bureau imposed conditions on the grants related to the 12.2 GHz band including: (1) requiring operations to be on a non-interference basis; (2) subjecting the operations to the outcome of any future rulemaking including the instant 12.2 GHz band GHz proceeding, with the understanding that the presence of ESIMs is not anticipated to materially affect the analysis therein, and subject to modification to conform to any rules or policies adopted, including in the instant 12.2 GHz band proceeding, and assumption of this risk; (3) subjecting the grant to the applicants' representations, including that their NGSO systems have been engineered to achieve a high degree of flexibility to facilitate spectrum sharing with other authorized satellite and terrestrial systems. 
                        <E T="03">Id.</E>
                         In addition, the Bureau explained that its case-by-case analysis was limited to the applications before it and have no broader applicability. 
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <P>
                    5. On January 15, 2021, the Commission released a notice of proposed rulemaking (
                    <E T="03">12.2 NPRM</E>
                    ) to allow interested parties to address whether it could add a mobile allocation and make other changes to expand terrestrial use of the 12.2 GHz band without causing harmful interference to incumbent licensees and, if so, whether such action would promote or hinder the delivery of next-generation services in the 12.2 GHz band given the existing and emergent services offered by incumbent licensees.
                    <SU>22</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         
                        <E T="03">12.2 NPRM,</E>
                         36 FCC Rcd at 614, para. 2.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. 5G Use of the 12.2-12.7 GHz Band</HD>
                <P>
                    6. By this 
                    <E T="03">R&amp;O,</E>
                     the Commission finds that it is not in the public interest to add a mobile allocation to permit a two-way terrestrial 5G service in the 12.2 GHz band based on the current record.
                    <SU>23</SU>
                    <FTREF/>
                     The Commission finds that a new ubiquitous terrestrial 5G service introduced throughout the band would create a significant risk of harmful interference to Direct Broadcast Satellite (DBS) and Fixed Satellite Service (FSS) (space-to-Earth) limited to non-geostationary orbit systems (NGSO FSS) operators. Although the Commission declines to authorize two-way, high-powered terrestrial mobile use, the Commission seeks further comment in its related further notice of proposed rulemaking in WT Docket No. 20-443 (
                    <E T="03">see</E>
                     FCC 23-36, paras. 48-57) (FR 2023-13501), published elsewhere in this issue of the 
                    <E T="04">Federal Register</E>
                    , on how best to maximize use of this 500 megahertz of mid-band spectrum. The Commission takes these actions with respect to the 12.2-12.7 GHz band in conjunction with its related action to issue a notice of proposed rulemaking in GN Docket No. 22-352 (
                    <E T="03">see</E>
                     FCC 23-36, paras. 58-142) (FR 2023-13500), published elsewhere in this issue of the 
                    <E T="04">Federal Register</E>
                    , proposing to expand the use of the 12.7-13.25 GHz band for mobile broadband or other expanded use.
                </P>
                <FTNT>
                    <P>
                        <SU>23</SU>
                         In this 
                        <E T="03">R&amp;O,</E>
                         record references and citations refer to WT Docket No. 20-443, unless otherwise noted.
                    </P>
                </FTNT>
                <P>
                    7. In April 2016, the MVDDS 5G Coalition, which included eleven of the twelve Multi-Channel Video and Data Distribution Service (MVDDS) licensees at that time, filed a Petition for Rulemaking requesting reforms to the 12.2 GHz band rules, including permitting MVDDS licensees to use the band for two-way mobile 5G broadband services.
                    <SU>24</SU>
                    <FTREF/>
                     In support of the Petition, the Coalition also provided two Coexistence Studies that it claimed illustrated that a new 5G service could coexist with DBS operators in the band but would be incompatible with NGSO FSS.
                    <SU>25</SU>
                    <FTREF/>
                     Subsequently, however, some members of the MVDDS 5G Coalition suggested the possibility of 5G terrestrial use and NGSO FSS sharing in the band.
                    <SU>26</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>24</SU>
                         For brevity and convenience, the Commission refers to terrestrial, 2-way, high-power mobile operations herein as “5G.”
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>25</SU>
                         MVDDS 5G Coalition Petition Public Notice Comments, Attach. 1, MVDDS 12.2-12.7 GHz Co-Primary Service Coexistence (Coexistence 1) and MVDDS 5G Coalition Petition Public Notice Reply, Appx. A, MVDDS 12.2-12.7 GHZ Co-Primary Service Coexistence II (Coexistence 2) (collectively, Coexistence Studies).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>26</SU>
                         
                        <E T="03">See e.g.,</E>
                         Letter from Martha Suarez, President, Dynamic Spectrum Alliance (DSA), to Marlene H. Dortch, Secretary, FCC, Docket No. RM-11768, at 2 (filed Aug. 21, 2020) (DSA Aug. 21, 2020 
                        <E T="03">Ex Parte</E>
                        ); Letter from Trey Hanbury, Counsel, RS Access, to Marlene H. Dortch, Secretary, FCC, Docket No. RM-11768, at 2-3 (filed Sept. 21, 2020) (RS Access Sept. 21, 2020 
                        <E T="03">Ex Parte</E>
                        ); Letter from Jeffrey Blum, Executive Vice President, External and Legislative Affairs, DISH, to Marlene H. Dortch, Secretary, FCC, Docket No. RM-11768, at 4 (filed Nov. 12, 2020) (DISH Nov. 12, 2020 
                        <E T="03">Ex Parte</E>
                        ) (stating that “since the 2016 studies, developments in the satellite industry indicate that NGSO FSS constellations possess geostationary-like functions and properties that could prove more compatible with 5G services in the 12 GHz Band than the last-generation NGSO earth stations.”).
                    </P>
                </FTNT>
                <P>
                    8. On January 15, 2021, the Commission released its 
                    <E T="03">12.2 NPRM</E>
                     to allow interested parties to address whether it could add a mobile allocation and make other changes to expand terrestrial use of the 12.2 GHz band without causing harmful interference to incumbent licensees and, if so, whether such action would promote or hinder the delivery of next-generation services in the 12.2 GHz band given the existing and emergent services offered by incumbent licensees.
                    <SU>27</SU>
                    <FTREF/>
                     In the 
                    <E T="03">12.2 NPRM,</E>
                     the Commission stated that it would proceed mindful of the 
                    <PRTPAGE P="43465"/>
                    significant investments made by incumbents and that it valued the public interest benefits that could flow from investments made to provide satellite broadband services, particularly in rural and other underserved communities that might be more expensive to serve through other technologies. The Commission initiated the instant 12.2 GHz band proceeding to allow interested parties to address whether additional operations can be accommodated in the band while protecting incumbent operations from harmful interference and to provide an opportunity for the Commission to assess the public interest considerations associated with adding a new mobile allocation.
                    <SU>28</SU>
                    <FTREF/>
                     In particular, the Commission sought information on the status of technologies that have been developed or are currently in development that would allow for two-way mobile communications in the 12.2 GHz band; whether standards have been set related to such technologies; whether there are any international agreements on a band plan or air interface for the 12.2 GHz band; and the impact (if any) on international rights for U.S.-licensed systems that might be affected as a result of the U.S. providing for expanded shared use of the band.
                    <SU>29</SU>
                    <FTREF/>
                     Comments were due May 7, 2021, reply comments were due July 7, 2021, and interested parties have added many 
                    <E T="03">ex parte</E>
                     filings to the rulemaking dockets since the comment deadlines.
                    <SU>30</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>27</SU>
                         
                        <E T="03">12.2 NPRM,</E>
                         36 FCC Rcd at 614, para. 2.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>28</SU>
                         
                        <E T="03">See, e.g., id.</E>
                         Additionally, the Commission explained that Section 303(y) provides the Commission with authority to provide for flexible use operations only if: “(1) such use is consistent with international agreements to which the United States is a party; and (2) the Commission finds, after notice and opportunity for public comment, that (A) such an allocation would be in the public interest; (B) such use would not deter investment in communications services and systems, or technology development; and (C) such use would not result in harmful interference among users.” Balanced Budget Act of 1997, Public Law 105-33, 111 Stat 251, 268-69 sec. 3005 Flexible Use of Electromagnetic Spectrum (codified at 47 U.S.C. 303(y)). 
                        <E T="03">See also</E>
                         47 CFR 2.106, 27.2, 27.3.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>29</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 616, para. 21, n.67 (citing Letter from David Goldman, Director of Satellite Policy, SpaceX, to Marlene H. Dortch, Secretary, FCC, Docket No. RM-11768, Attach. A, Questions Necessary to Balance the 12 GHz NPRM, at 3-4 (filed Jan. 6, 2021) (SpaceX Jan. 6, 2021 
                        <E T="03">Ex Parte</E>
                        )).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>30</SU>
                         
                        <E T="03">See Expanding Flexible Use of the 12.2-12.7 GHz Band, et al.,</E>
                         WT Docket No. 20-443, et. al., Order, 36 FCC Rcd 6534 (WTB 2021); 
                        <E T="03">Expanding Flexible Use of the 12.2-12.7 GHz Band, et. al.,</E>
                         WT Docket No. 20-443, et. al., Order, 36 FCC Rcd 9531 (WTB 2021); 
                        <E T="03">see generally</E>
                         WT Docket No. 20-443 and GN Docket 17-183.
                    </P>
                </FTNT>
                <P>
                    9. In response to the 
                    <E T="03">12.2 NPRM,</E>
                     several of the MVDDS licensees, and one DBS provider that is also a major MVDDS licensee, contend that 5G terrestrial and incumbent services can coexist in the band, the other DBS provider and the NGSO FSS commenters contend that such coexistence is not yet technically feasible. Multiple technical analyses were submitted into the record that purport to model the potential interference between a new 5G mobile terrestrial service and incumbent satellite services in the band.
                    <SU>31</SU>
                    <FTREF/>
                     These models rely on various technical assumptions about which the parties greatly disagree.
                </P>
                <FTNT>
                    <P>
                        <SU>31</SU>
                         RS Access Comment, Appendix A, Assessment of Feasibility of Coexistence between NGSO FSS Earth Stations and 5G Operations in the 12.2-12.7 GHz Band, at 6 (filed May 7, 2021) (RS Access Comment RKF Study I); Letter from Noah Campbell, CEO, RS Access, to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, Attach. A, The Effect of 5G Deployment on NGSO FSS Downlink Operations in the 12.2-12.7 GHz Band (filed May 19, 2022) (RS Access May 19, 2022 RKF Study II); Letter from David Goldman, Senior Director, Satellite Policy, Space Exploration Technologies Corp., to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, Attach. A, SpaceX Analysis of the Effect of Terrestrial Mobile Deployment on NGSO FSS Earth Stations and 5G Operations in the 12.2-12.7 GHz Band (filed June 21, 2022) (SpaceX June 21, 2022 Analysis); Letter from V. Noah Campbell, CEO, RS Access, to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, Attach. A, Analysis of Starlink Submission Regarding the Effect of 5G Deployment on NGSO FSS (filed July 15, 2022) (RS Access July 15, 2022 RKF Response Study); Letter from Stacy Fuller, Senior Vice President, External Affairs, DIRECTV, to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, Attach. A, 12 GHz Co-Frequency Interference from Terrestrial Mobile into DBS (filed July 18, 2022) (DIRECTV July 18, 2022 DBS Analysis); Letter from Kimberly M. Baum, Vice President, Spectrum Engineering &amp; Strategy, WorldVu Satellites Limited, to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, Annex, Monte Carlo Analyses of the Potential Impact of an Expanded Terrestrial Service on NGSO FSS Systems in the 12 GHz Band (filed July 11, 2022) (OneWeb July 11, 2022 Analyses); Letter from David Goldman, Senior Director, Satellite Policy, Space Exploration Technologies Corp., to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, Exh. A, Evaluation of SpaceX Study Related to 12 GHz Interference from Terrestrial Mobile into Starlink (filed Oct. 4, 2022) (SpaceX Oct. 4, 2022 SAVID Report).
                    </P>
                </FTNT>
                <P>
                    10. Based on the record in this proceeding, the Commission finds that a new ubiquitous 5G terrestrial mobile service cannot coexist with DBS operations in the band without a significant increase in the risk of harmful interference. The Commission is not persuaded by the assurances of one of the two nationwide DBS providers that DBS will be protected,
                    <SU>32</SU>
                    <FTREF/>
                     particularly given that the other nationwide DBS provider raises significant concerns.
                    <SU>33</SU>
                    <FTREF/>
                     The Commission finds that the study submitted by the 5G advocates is based on unsupported assumptions that undermine its reliability. As explained below, the 5G proponents have not demonstrated that a new 5G service will be able to meet the Equivalent Power Flux Density (EPFD) limits required to protect DBS receivers in the 12.2 GHz band. Also, the Commission finds that the 5G proponents have not adequately addressed the issues raised both in the 
                    <E T="03">12.2 NPRM</E>
                     and by commenters regarding the applicability of burden-shifting protection obligations, lower earth-station elevation angles, power limits, EPFD limits and receiver location information.
                </P>
                <FTNT>
                    <P>
                        <SU>32</SU>
                         DISH states that the presence of higher-power two-way mobile and fixed services at 12 GHz are possible and fully consistent with protecting DBS in the band. 
                        <E T="03">See</E>
                         DISH Comment at 1.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>33</SU>
                         AT&amp;T has argued on behalf of DirecTV that RKF has not established that expanded terrestrial mobile operations could be added without causing harmful interference to DBS operations—a service which RKF's Study completely ignores, and a factor which alone, it argues, should nullify the study. 
                        <E T="03">See</E>
                         AT&amp;T Reply at 14. AT&amp;T asserts exclusion and/or coordination zones are neither practical nor feasible in the 12 GHz band as a means of protecting DBS because millions of DBS receivers are spread throughout the U.S. and are constantly being added, moved, or relocated. 
                        <E T="03">See id.</E>
                         at 26. AT&amp;T states its concerns are not lessened just because DISH is not concerned about the possibility of harmful interference posed by terrestrial mobile operations. 
                        <E T="03">See id.</E>
                         at 22.
                    </P>
                </FTNT>
                <P>
                    11. Further, the Commission also finds that ubiquitous two-way mobile broadband 5G service is likely to create a significant risk of harmful interference to ubiquitous NGSO FSS operations. The 5G terrestrial advocates' analysis rests on the speculative assumption that 5G and NGSO FSS operations will not be geographically near each other (
                    <E T="03">i.e.,</E>
                     5G advocates offer studies that assume NGSO FSS will largely serve rural areas, and 5G will serve urban/suburban markets) without pointing to any basis for this assumption. The Commission finds that this unsupported assumption, which is not in line with current deployment practices and plans, renders the technical studies offered by the 5G advocates unpersuasive, and therefore such studies cannot serve as a basis on which to conclude that the public interest would be best served by allowing a new, ubiquitous 5G service into the band at this time. The Commission specifically asked whether geographic sharing could allow higher-power terrestrial operations in certain areas, and if so, how such geographic sharing should be structured.
                    <SU>34</SU>
                    <FTREF/>
                     But apart from studies based on non-binding, hypothetical assumptions, the Commission notes that 5G proponents did not offer any rules to limit their proposed 5G operations to less than all of the geographic areas authorized by their MVDDS licenses.
                </P>
                <FTNT>
                    <P>
                        <SU>34</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 624, para. 43.
                    </P>
                </FTNT>
                <HD SOURCE="HD3">1. 5G Interference to DBS</HD>
                <P>
                    12. As a threshold matter, the Commission finds that a new ubiquitous 
                    <PRTPAGE P="43466"/>
                    5G terrestrial mobile service cannot coexist with DBS operations in the band without a significant increase in the risk of harmful interference. As noted above, pursuant to the Table of Allocations, both terrestrial and NGSO FSS services are obligated to protect DBS from harmful interference.
                    <SU>35</SU>
                    <FTREF/>
                     The Commission has long recognized the public interest benefits that incumbent DBS services provide to millions of subscribers, and has required the other co-primary services in 12.2 GHz band to operate on a non-harmful interference basis with respect to DBS.
                    <SU>36</SU>
                    <FTREF/>
                     Congress, too, sought to ensure that DBS would not be subject to harmful interference from any new terrestrial service by requiring that the Commission “provide for an independent technical demonstration of any terrestrial service technology proposed by any entity that has filed an application to provide terrestrial service in the direct broadcast satellite frequency band to determine whether the terrestrial service technology proposed to be provided by that entity will cause harmful interference to any direct broadcast satellite service.” 
                    <SU>37</SU>
                    <FTREF/>
                     The Commission ultimately adopted rules for MVDDS based on the extensive record of a multi-year rulemaking proceeding,
                    <SU>38</SU>
                    <FTREF/>
                     which included the statutory mandates to avoid harmful interference to DBS 
                    <SU>39</SU>
                    <FTREF/>
                     and an independent analysis 
                    <SU>40</SU>
                    <FTREF/>
                     of potential MVDDS interference to DBS.
                    <SU>41</SU>
                    <FTREF/>
                     These rules include detailed frequency coordination procedures that require an MVDDS licensee to ensure that the EPFD 
                    <SU>42</SU>
                    <FTREF/>
                     from a proposed transmitting antenna does not exceed the applicable EPFD limit 
                    <SU>43</SU>
                    <FTREF/>
                     at any DBS receiving antenna of a “customer of record.” 
                    <SU>44</SU>
                    <FTREF/>
                     The MVDDS rules also include other limitations on signal emissions, transmitter power levels, and transmitter locations.
                    <SU>45</SU>
                    <FTREF/>
                     When an MVDDS licensee proposes a new station, coordination with DBS is necessary to demonstrate that the relevant EPFD limit will not be exceeded at the DBS antenna of any DBS subscriber of record.
                    <SU>46</SU>
                    <FTREF/>
                     Once an MVDDS station has been successfully coordinated, however, the burden to ensure that DBS subscribers do not suffer interference from that MVDDS station shifts to the DBS operator—immediately for new subscribers 
                    <SU>47</SU>
                    <FTREF/>
                     and after one year for customers of record.
                    <SU>48</SU>
                    <FTREF/>
                     The Commission determined that shifting this burden to DBS from MVDDS—only after successful coordination by the MVDDS operator in the first instance—was reasonable in light of the one-way, relatively low-power limit on MVDDS. In doing so, the Commission did not alter its previous finding that allowing two-way MVDDS operations in the band “would unnecessarily complicate the sharing scenario” and “significantly raise the potential for instances of interference among the operations” sharing the band.
                    <SU>49</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>35</SU>
                         
                        <E T="03">See supra</E>
                         para. 1 &amp; n.3.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>36</SU>
                         
                        <E T="03">See generally MVDDS Second Report and Order.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>37</SU>
                         
                        <E T="03">See Prevention of Interference to Direct Broadcast Satellite Services,</E>
                         Public Law 106-553, App. B., Title. X, 1012, 114 Stat. 2762, 2762A-128, 2762A-141 (2000) (
                        <E T="03">LOCAL TV Act</E>
                         1012); 
                        <E T="03">see also Rural Local Broadcast Signal Act,</E>
                         Public Law 106-113, App. I., Title II, sec. 2002, 113 Stat. 1501, 1501A-544 (1999). In December 2018, however, this provision the LOCAL TV Act was stricken. Public Law 106-553, 114 Stat. 2762, 265-66, sec. 1012, Prevention of Interference to Direct Broadcast Satellite Services, stricken by Public Law 115-334, 132 Stat. 4490, 4777-78, sec. 6603, Amendments to Local TV Act.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>38</SU>
                         
                        <E T="03">See</E>
                         ET Docket No. 98-206.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>39</SU>
                         
                        <E T="03">See LOCAL TV Act</E>
                         1012(a).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>40</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>41</SU>
                         
                        <E T="03">See, e.g., MVDDS Second Report and Order,</E>
                         17 FCC Rcd at 9635, para. 56 (citing MITRE Corporation, “Analysis of Potential MVDDS Interference to DBS in the 12.2-12.7 GHz Band” (Apr. 18, 2001) (
                        <E T="03">MITRE Report</E>
                        )).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>42</SU>
                         The EPFD is the power flux density produced at a DBS receive earth station, taking into account shielding effects and the off-axis discrimination of the receiving antenna assumed to be pointing at the appropriate DBS satellite(s) from the transmitting antenna of a MVDDS transmit station. 
                        <E T="03">See</E>
                         47 CFR 101.105(a)(4)(ii)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>43</SU>
                         The Commission established different EPFD limits in four regions of the U.S., 
                        <E T="03">see</E>
                         47 CFR 101.105(a)(4)(ii)(B), mainly due to differences in rainfall in each region. 
                        <E T="03">See, e.g., MVDDS Second Report and Order,</E>
                         17 FCC Rcd at 9691, para. 197.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>44</SU>
                         
                        <E T="03">See</E>
                         47 CFR 101.105(a)(4)(ii) (referencing the procedures listed in 47 CFR 101.1440). Among other things, an MVDDS licensee must conduct a survey of the area around its proposed transmitting antenna site to determine the location of all DBS customers of record that may potentially be affected by the introduction of its MVDDS service and must coordinate with DBS. 
                        <E T="03">See</E>
                         47 CFR 101.1440(a)-(d).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>45</SU>
                         
                        <E T="03">See, e.g., MVDDS Second Report and Order,</E>
                         17 FCC Rcd at 9634-9664, paras. 53-125; 9690-9695, paras. 196-209; 47 CFR 25.139 (NGSO FSS coordination and information sharing between MVDDS licensees in the 12.2 GHz to 12.7 GHz band); 25.208(k); 101.103; 101.105; 101.111; 101.113; 101.129; 101.1409; 101.1440. Notably, the rules limit the EIRP for MVDDS stations to 14 dBm per 24 megahertz. 
                        <E T="03">See</E>
                         47 CFR 101.113(a) note 11; 101.147(p). In the 
                        <E T="03">MVDDS Second Report and Order,</E>
                         the Commission explained that “placing a limit on MVDDS EIRP will ensure that DBS entities are not unduly hindered in their ability to acquire customers in areas in close proximity to MVDDS transmit facilities. Thus, we are not permitting higher powers over areas containing mountain ridges or over presently unpopulated regions because the higher power may cause too great of an exclusion zone for future DBS and NGSO FSS subscribers. The Commission recognizes that a higher power benefit for MVDDS providers would not offset the potential constraints placed on other service subscribers in the 12 GHz band. 
                        <E T="03">MVDDS Second Report and Order,</E>
                         17 FCC Rcd at 9691-92, para. 198.”
                    </P>
                    <P>
                        <E T="03">See also id.</E>
                         at 9653, para. 88 (discussing the EIRP limit as a factor in adopting DBS mitigation obligations because “this power limit will not inhibit the introduction of new DBS customers [near] the MVDDS transmitting system, 
                        <E T="03">i.e.,</E>
                         later-installed DBS receive antennas can be properly sited and shielded from the MVDDS signal”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>46</SU>
                         “DBS customers of record are those who had their DBS receive antennas installed prior to or within the 30 day period after notification to the DBS operator by the MVDDS licensee of the proposed MVDDS transmitting antenna site.” 47 CFR 101.1440(a).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>47</SU>
                         “DBS licensees are responsible for providing information they deem necessary for those entities who install all future DBS receive antennas on its system to take into account the presence of MVDDS operations so that these DBS receive antennas can be located in such a way as to avoid the MVDDS signal. These later installed DBS receive antennas shall have no further rights of complaint against the notified MVDDS transmitting antenna(s).” 47 CFR 101.1440(e).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>48</SU>
                         Once the new MVDDS station is coordinated and begins operating, the MVDDS licensee must satisfy all complaints of interference to DBS customers of record received during a one-year period. 47 CFR 101.1440(g).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>49</SU>
                         
                        <E T="03">MVDDS Second Report and Order,</E>
                         17 FCC Rcd at 9668, para. 137.
                    </P>
                </FTNT>
                <P>
                    13. In its 2016 Petition for Rulemaking, the MVDDS 5G Coalition proposed that a new 5G mobile terrestrial service could also share with existing DBS in the 12.2 GHz band.
                    <SU>50</SU>
                    <FTREF/>
                     The Coalition provided two Coexistence studies that—through careful selection of mobile deployment areas, adjustments to radio frequency design parameters, use of geographic separation, clutter loss, and transmitter power constraints on terrestrial operations—purported to show that sharing with DBS would be possible.
                    <SU>51</SU>
                    <FTREF/>
                     In the first Coexistence Study, which studied three potential 5G use cases including point-to-point communications, mobile broadband, and indoor mobile use, the Coalition asserted that these potential uses could be engineered such that terrestrial users would not exceed the existing EPFD limit for MVDDS.
                    <SU>52</SU>
                    <FTREF/>
                     In its subsequent Coexistence 2 study, the Coalition studied a different building environment to show that even in a “more challenging” sharing environment, a new 5G service could protect DBS up to the level it “enjoys 
                    <PRTPAGE P="43467"/>
                    today from MVDDS licensees.” 
                    <SU>53</SU>
                    <FTREF/>
                     In the 
                    <E T="03">12.2 NPRM,</E>
                     the Commission sought comment on whether the approach proposed by the MVDDS 5G Coalition in the 2016 Coexistence studies was feasible and the costs and benefits of such an approach.
                    <SU>54</SU>
                    <FTREF/>
                     The Commission sought comment on whether, and to what extent, the MVDDS 5G Coalition's proposals to license two-way, mobile operations in the band, and to eliminate the equivalent isotropic radiated power (EIRP) limit, would substantially redefine the scope of DBS operators' obligations and potential burdens under the current regime.
                    <SU>55</SU>
                    <FTREF/>
                     Additionally, the Commission asked how other factors—such as geographic separation, transmitter power constraints on terrestrial operations, and other siting parameters for flexible-use base stations—could minimize the risk of interference to DBS users.
                    <SU>56</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>50</SU>
                         
                        <E T="03">See supra</E>
                         para. 7.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>51</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Letter from Jeffrey H. Blum, Executive Vice President, External and Legislative Affairs, DISH, to Marlene Dortch, Secretary, FCC, Docket No. RM-11768, at 3 (filed Sept. 22, 2020) (DISH Sept. 22, 2020 Letter). 
                        <E T="03">See also</E>
                         Coexistence 1 at 35 (finding that “coexistence between MVDDS 5G operations and DBS receivers is possible with modest adjustments to MVDDS site locations and radiofrequency design parameters”); Coexistence 2 (revalidating the original coexistence study in different topological use-cases); Petition of MVDDS 5G Coalition for Petition to Deny, WT Docket No. 10-112, Exh. 1, MVDDS 12.2-12.7 GHz NGSO Coexistence Study (filed Aug. 15, 2016), 
                        <E T="03">https://www.fcc.gov/ecfs/document/10816077623256/1</E>
                         (Coexistence 3 Aug. 15, 2016 Study).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>52</SU>
                         MVDDS 5G Coalition Petition Public Notice Comments at 4-6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>53</SU>
                         MVDDS 5G Coalition Petition Public Notice Reply at 8-9.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>54</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 616-617, para. 24.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>55</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 616, para. 23.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>56</SU>
                         S
                        <E T="03">ee 12.2 NPRM,</E>
                         36 FCC Rcd at 616, para. 23.
                    </P>
                </FTNT>
                <P>
                    14. The advocates for a new 5G service in the band did not directly address the 
                    <E T="03">12.2 NPRM</E>
                     questions but instead continued to rely on the 2016 Coexistence studies. Specifically, DISH stated that “the feasibility of sharing between DBS and 5G is demonstrated by two studies commissioned by the MVDDS 5G Coalition and prepared by [an] expert satellite engineer.” 
                    <SU>57</SU>
                    <FTREF/>
                     Similarly, RS Access stated that, “the coexistence studies submitted in the petition for rulemaking proceeding demonstrated that coexistence between DBS and terrestrial 5G is possible, even under a worst-case scenario.” 
                    <SU>58</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>57</SU>
                         DISH Comment at 3.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>58</SU>
                         RS Access Comment at 45.
                    </P>
                </FTNT>
                <P>
                    15. Opponents of the Coalition's proposals responded to the 
                    <E T="03">12.2 NPRM</E>
                     by criticizing the Coexistence studies. AT&amp;T, which owned DIRECTV, the only current DBS operator that does not hold MVDDS licenses, argued that the 2016 Coexistence studies, “too narrowly and simplistically defined the areas in which a DBS receiver could establish a direct line-of-sight path with DBS satellite orbital locations.” 
                    <SU>59</SU>
                    <FTREF/>
                     Moreover, AT&amp;T argued that “these studies made inaccurate baseline assumptions regarding the nature of deployments and relied upon cherry-picked use cases that are not representative of real-world deployments.” 
                    <SU>60</SU>
                    <FTREF/>
                     Subsequently, DIRECTV, which AT&amp;T spun off in 2021,
                    <SU>61</SU>
                    <FTREF/>
                     argued that the 2016 Coexistence studies are “outdated or irrelevant, and thus do not accurately reflect the characteristics of either a ubiquitous, modern, high-power terrestrial mobile service or DIRECTV's DBS service.” 
                    <SU>62</SU>
                    <FTREF/>
                     Moreover, SAVID LLC (SAVID), an engineering firm that DIRECTV hired to analyze 5G-DBS coexistence, found that, even if it made favorable assumptions of the terrestrial mobile systems, 5G service in the band would “cause extensive harmful interference to DIRECTV receivers, exceeding the limits currently in place to protect DBS customers by a factor of 100 to 100,000 over areas extending well beyond the intended coverage area of the mobile base stations.” 
                    <SU>63</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>59</SU>
                         AT&amp;T Reply at 11.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>60</SU>
                         AT&amp;T Comment at 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>61</SU>
                         
                        <E T="03">See</E>
                         AT&amp;T, AT&amp;T &amp; TPG Close DIRECTV Transaction (Aug. 2, 2021), 
                        <E T="03">https://about.att.com/story/2021/att_directv.html;</E>
                         AT&amp;T, AT&amp;T Completes Acquisition of DIRECTV (July 24, 2015), 
                        <E T="03">https://about.att.com/story/att_completes_acquisition_of_directv.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>62</SU>
                         DIRECTV July 18, 2022 DBS Analysis at 1.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>63</SU>
                         DIRECTV July 18, 2022 DBS Analysis at 1.
                    </P>
                </FTNT>
                <P>
                    16. Based on the record in this proceeding, the Commission finds that a new ubiquitous 5G terrestrial mobile service cannot coexist with DBS operations in the band without a significant increase in the risk of harmful interference to the DBS operations. In particular, 5G advocates have not shown how such new mobile operations could meet or exceed the metric upon which the Commission based regional EPFD limits (ranging from −172.1 to −168.4 dBW/m
                    <SU>2</SU>
                    /4kHz) that the FCC adopted to protect DBS from a fixed, lower power MVDDS service at every existing DBS subscriber's dish. In addition, because MVDDS is a fixed service, the rules were able to take advantage of the discrimination between southern facing DBS antennas and MVDDS antennas; a mobile service does not provide for such accommodations and results in a much more challenging interference environment than MVDDS. Moreover, to meet the existing EPFD limits, it appears that a mobile terrestrial service would need to be restricted to such low power levels that it is unlikely that any given base station could provide substantial geographic coverage or significant 5G service.
                    <SU>64</SU>
                    <FTREF/>
                     According to the Coexistence 1 study, 5G services could meet these EPFD limits only when using “newly available spectrum planning tools, and careful engineering of MVDDS systems” to isolate them from DBS receivers, either through geographic separation or terrain blocking.
                    <SU>65</SU>
                    <FTREF/>
                     Given the careful and exacting engineering that would be needed to meet these conditions, it is not apparent that terrestrial mobile systems, if installed, could be expanded by adding new base station locations in the future to meet increased consumer demands without significantly impacting DBS service. It is not reasonable to assume that ubiquitous two-way 5G mobile terrestrial service would meet these conditions consistently with respect to ubiquitous DBS which serves millions of customers in all areas of the United States where the location of 5G mobile units could be anywhere in the operator's service area, including right next to the DBS antenna.
                    <SU>66</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>64</SU>
                         
                        <E T="03">See, e.g.,</E>
                         DIRECTV July 18, 2022 DBS Analysis at 6. Largely to protect DBS receivers installed after an MVDDS transmitter is successfully coordinated with DBS, the MVDDS transmit power limit is 14 dBm/24 MHz (or 20 dBm/100 MHz). By comparison, the 2016 MVDDS 5G Coalition coexistence study assumed two-way terrestrial operations at 48 dBm/100 MHz, and the most recent RKF Study assumed a new 5G system would operate at 65 dBm/100 MHz, however, 5G advocates have not proposed any rules regarding power limits that they would deem reasonable to provide 5G service while still protecting incumbent DBS subscribers. The Commission notes that a 28-45dB higher transmit power for the proposed 5G service would make meeting the regional EPFD limits to existing DBS subscribers much more challenging and would significantly increase the burden on DBS operators to protect new or modified DBS subscriber receivers.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>65</SU>
                         MVDDS 5G Coalition Petition Public Notice Comments at 4-6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>66</SU>
                         
                        <E T="03">See</E>
                         DIRECTV July 18, 2022 DBS Analysis at 1 (the assumptions made by the Coexistence Studies “do not accurately reflect the characteristics of either an ubiquitous, modern, high-power terrestrial mobile service or DIRECTV's DBS service.”).
                    </P>
                </FTNT>
                <P>
                    17. When DIRECTV commissioned a study from SAVID using what it deemed more reasonable assumptions than those of the 5G advocates, that study found that at power levels of 69 dBm/100 MHz 
                    <SU>67</SU>
                    <FTREF/>
                     “mobile operations in the band would cause extensive and harmful interference to DIRECTV receivers.” 
                    <SU>68</SU>
                    <FTREF/>
                     DISH raises several criticisms of the SAVID study,
                    <SU>69</SU>
                    <FTREF/>
                     but even the MVDDS 5G Coalition's own study found that at 48 dBm/100 MHz in certain small areas actual harmful interference could occur if a DBS receive antenna were present.
                    <SU>70</SU>
                    <FTREF/>
                     The Commission notes that the power levels used in the Coexistence studies 
                    <PRTPAGE P="43468"/>
                    are substantially lower than the 62 dBm/MHz (82 dBm/100 MHz) generally permitted in most other terrestrial mobile bands which operate at lower frequencies with more favorable propagation characteristics and even less than the maximum 47 dBm/10 MHz (57 dBm/100 MHz) permitted in the Citizens Broadband Radio Service (CBRS) service designed specifically for small cell coverage. While the Coexistence studies and the SAVID study do not reach identical conclusions due to differing assumptions, collectively they illustrate that two-way mobile terrestrial 5G operations could not ubiquitously meet the regional EPFD limits that the FCC adopted to protect DBS. As DBS receivers may be located anywhere (and can be either roof-mounted or installed on the ground), and as the Coalition's own Coexistence studies shows the potential for harmful interference from 5G into DBS in some instances, the Commission finds that a new 5G service cannot adequately protect incumbent DBS operators in the band from a significant risk of harmful interference. Moreover, the Commission notes that DISH and other 5G advocates have not proposed or agreed to rules or limits on 5G operations (such as horizon nulling) that DISH suggests might reduce some risk of harmful interference into DBS. However, even if the 5G advocates agreed to use advanced techniques for interference mitigation, that would not solve the underlying problem that a new ubiquitous 5G terrestrial service poses a significant risk of harmful interference to DBS given the ubiquitous nature of both the existing DBS service and the proposed 5G service.
                </P>
                <FTNT>
                    <P>
                        <SU>67</SU>
                         The base station EIRP is 75 dBm/100 MHz but the base station EIRP density is reduced by the base station TDD activity factor of 75% to 69dBm/100 MHz. 
                        <E T="03">See</E>
                         DIRECTV July 18, 2022 DBS Analysis at 4-5.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>68</SU>
                         DIRECTV July 18, 2022 DBS Analysis at 1.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>69</SU>
                         
                        <E T="03">See</E>
                         Letter from Pantelis Michalopoulos, Counsel, DISH, to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, at 2-3 (filed August 8, 2022) (DISH Aug. 8, 2022 Letter). Among other things, DISH questioned SAVID's assumptions about 5G transmit power and DBS dish location; its decision to “ignore” the potential for horizon nulling and time variability; and its failure to use LIDAR data to accurately account for clutter loss. 
                        <E T="03">Id.</E>
                         at 2-3.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>70</SU>
                         Coexistence 1 at 21.
                    </P>
                </FTNT>
                <P>
                    18. The 5G advocates do not address the increased coordination and DBS interference mitigation burdens that would be placed on DIRECTV and its tens of millions of subscribers if the Commission was to permit mobile 5G operations in the 12.2 GHz band.
                    <SU>71</SU>
                    <FTREF/>
                     The original Coexistence study proposed to eliminate the MVDDS EIRP limit as duplicative of the EPFD limits, suggesting that keeping terrestrial signals below the applicable EPFD limit at all DBS antenna locations generally could avoid harmful interference to existing DBS subscribers regardless of the EIRP or whether the terrestrial operations were fixed or mobile, or one- or two-way.
                    <SU>72</SU>
                    <FTREF/>
                     However, the proposal to eliminate the EIRP limit would substantially redefine the scope of the burden on DBS operators, particularly for the deployment of additional DBS antennas in the future. While the current rules place the burden to ensure that new DBS subscribers do not suffer interference from previously coordinated MVDDS stations on DBS operators, the Commission is not convinced that similarly shifting this burden from 5G to DBS, going forward, would be reasonable because protecting DBS receivers installed in the future from previously coordinated higher-power, two-way, 5G base and mobile stations would be significantly more burdensome—and in some scenarios impossible—than protecting new DBS receivers from previously coordinated, one-way, low-power, fixed MVDDS transmitters. Due to the mobile nature of the proposed 5G service, the location of devices cannot be determined and therefore cannot be avoided through coordination. Also, a two-way service requires the DBS operator to consider both incoming and outgoing signals. Finally, at higher powers, even using advanced techniques, a DBS receiver might not be able to coordinate operation near a 5G base station.
                </P>
                <FTNT>
                    <P>
                        <SU>71</SU>
                         
                        <E T="03">See</E>
                         Letter from Michael P. Goggin, Assistant Vice President—Senior Legal Counsel, AT&amp;T, to Marlene H. Dortch, Secretary, FCC, Docket No. RM-11768, Appx. A, AT&amp;T Response to the MVDDS 5G Coalition Technical Studies, at 4 (filed June 14, 2018) (AT&amp;T June 14, 2018 
                        <E T="03">Ex Parte</E>
                        ) (arguing that eliminating the EIRP limit would render the EPFD analysis impossible to model and have the effect of shifting the burden of interference mitigation from MVDDS licensees to DBS licensees because the EIRP limits were established specifically to mitigate the potential impact of MVDDS operations on future DBS customers).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>72</SU>
                         
                        <E T="03">See</E>
                         MVDDS 5G Coalition Petition at 19; MVDDS 5G Coalition Comments at 6, n.21 (citing Coexistence 1 at 4). AT&amp;T had argued that there may be potential statutory issues including whether proposed two-way, mobile use of the band would require an independent technical analysis showing that DBS would be protected. AT&amp;T Opposition at 2, n.4 (citing section 1012 of the LOCAL TV Act). In December 2018, however, this provision of the LOCAL TV Act was stricken. Public Law 106-553, 114 Stat. 2762, 265-66, sec. 1012, Prevention of Interference to Direct Broadcast Satellite Services, 
                        <E T="03">stricken by</E>
                         Public Law 115-334, 132 Stat. 4490, 4777-78, sec. 6603, Amendments to Local TV Act.
                    </P>
                </FTNT>
                <P>
                    19. Additionally, given that all DBS earth stations look toward the southern sky for communication with geostationary orbit (GSO) space stations orbiting at the equatorial plane, and given that high-gain antennas are necessary for base stations, the 
                    <E T="03">12.2 NPRM</E>
                     sought comment on whether base station location or antenna orientation can be adjusted to provide greater protection to DBS earth stations.
                    <SU>73</SU>
                    <FTREF/>
                     The 5G advocates did not address this issue in their comments, replies, or additional studies, though DIRECTV, in its SAVID study, pointed out that lower earth-station elevation angles generally increase the potential for harmful interference from line-of-sight terrestrial transmitters while higher angles generally result in off-axis attenuation.
                    <SU>74</SU>
                    <FTREF/>
                     5G terrestrial advocates did not address how DBS subscribers in the far northern U.S. could be protected from 5G interference, given the relatively low elevation angles required for subscriber dishes in these regions to point at DBS GSO satellites over the equator. For example, to point a dish in Fairbanks, AK, at a DIRECTV satellite at 95.1° W, an elevation angle of 6.47° is required. Even if the Commission excluded Alaska (as it did in addressing the 3.7 GHz band), an elevation angle of 12.21° is required to point a customer's dish in Bangor, ME, at a DISH satellite at 129° W, and an elevation angle of 17.67° is required in Seattle, WA, to point at a DISH satellite at 72.7° W. That failure of the 5G advocates to acknowledge or address the challenge of adequately protecting DBS customers whose location may render them uniquely susceptible to interference from 5G adds weight to the Commission's conclusion that the record does not support a finding that 5G can coexist with ubiquitous DBS dishes.
                </P>
                <FTNT>
                    <P>
                        <SU>73</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 617, para. 25.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>74</SU>
                         
                        <E T="03">See</E>
                         DIRECTV July 18, 2022 DBS Analysis at 6 (noting SAVID's Study assumed that all DBS antennas were pointed toward DIRECTV's central orbital location at 101° W.L.—an assumption that ensures high elevation angles and does not, like the Peters Studies, seek out the worst possible angle over the full range of DBS orbital locations available); 
                        <E T="03">see also</E>
                         DIRECTV July 18, 2022 DBS Analysis at 3 (noting its deployments were modeled at Orlando, FL, which has high elevation angles to DBS satellites, adding conservatism to the analysis by tending to reduce indicated interference levels).
                    </P>
                </FTNT>
                <P>
                    20. RS Access and DISH contend that concerns about interference to DBS should be given little weight because DISH is one of the country's two DBS providers and one of the advocates of a new 5G terrestrial service in the band. As such, RS Access and DISH state, “DISH would not join a proposal that endangers its own service to about 14 million households.” 
                    <SU>75</SU>
                    <FTREF/>
                     Admittedly, DISH expresses willingness to accept any resultant increase in coordination and DBS interference mitigation burdens in return for new authority to use its 82 MVDDS licenses for two-way mobile broadband.
                    <SU>76</SU>
                    <FTREF/>
                     This is not a case, 
                    <PRTPAGE P="43469"/>
                    however, where the Commission can conclude—as with DISH's position as the sole licensee with respect to both services in connection with Advanced Wireless Services (AWS)-4 service—that the concerns about harmful interference are capable of resolution by one party. Here, as previously noted, DISH is not the only DBS provider in the band.
                    <SU>77</SU>
                    <FTREF/>
                     DISH's support for a new 5G service in the band does not address the potential for harmful interference to DIRECTV's tens of millions of subscribers. For instance, the Commission notes that DISH and DIRECTV dishes may not have an equal susceptibility to harmful interference in any given locale, because their respective subscribers may use different types of dishes (
                    <E T="03">e.g.,</E>
                     varying in size) aimed at one or several satellites at different orbital slots in the GSO arc. In short, DISH's DBS system architecture and structure, not to mention its motivations and business plans, may be very different from DIRECTV's. Thus, DISH's lack of concern about and/or willingness to work around potential harmful interference from 5G service in the band cannot be viewed as probative of the question of likely interference to DBS service.
                    <SU>78</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>75</SU>
                         MVDDS 5G Coalition Reply at 4.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>76</SU>
                         AT&amp;T June 14, 2018 
                        <E T="03">Ex Parte</E>
                         at 5-6 (arguing that because DISH holds MVDDS licenses in most of the major markets and has developed an alternative means of video distribution that does not require DBS capabilities, DISH may have less incentive to protect DBS operations than it once did). “At a minimum, DISH would now balance the impact of the Coalition's proposals on its existing and future DBS subscriber base against the advantages—arguably very profitable ones for existing MVDDS licensees—that would flow to its other services if the request is granted.” 
                        <E T="03">Id.</E>
                         at 6. The Coalition responds that “DISH would have never been member of the Coalition if 5G terrestrial mobile services posed a meaningful risk of harmful 
                        <PRTPAGE/>
                        interference to its DBS operations.” Letter from MVDDS 5G Coalition to Marlene H. Dortch, Secretary, FCC, Docket No. RM-11768, at 3-4 (filed Aug. 29, 2018) (MVDDS 5G Coalition Aug. 29, 2018 
                        <E T="03">Ex Parte</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>77</SU>
                         In the 12.2 GHz band, as one of two DBS providers, DISH is in a different position than in the 2000-2020 and 2180-2200 GHz bands, where in 2011 it became the only Mobile Satellite Service (MSS) authorization holder. 
                        <E T="03">See Service Rules for Advanced Wireless Services in the 2000-2020 MHz and 2180-2200 MHz Bands,</E>
                         WT Docket 12-70, Report and Order and Order of Proposed Modification, 27 FCC Rcd 16102, 16109-16110, para. 14 (2012). In that context, despite concerns that multiple satellite and terrestrial operators could not coexist in the same frequency band without interference, the Commission granted DISH authorization to use the 2 GHz MSS bands for terrestrial mobile operations, reasoning that a single operator could manage potential interference between two different systems in the band. 
                        <E T="03">See id.</E>
                         at 16165-16167, paras. 164-168.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>78</SU>
                         
                        <E T="03">See</E>
                         AT&amp;T Reply at 22 (“the fact that DISH may not worry about harmful interference from terrestrial, mobile, flexible-use operations does not lessen AT&amp;T's concerns.”).
                    </P>
                </FTNT>
                <P>
                    21. Finally, DISH argues that DIRECTV does not use the 12.2 GHz band extensively and mostly relies on other spectrum bands to provide service to its customers. Specifically, DISH claims that “[a] review of DIRECTV's satellites and orbital slots suggests that DIRECTV has more bandwidth outside the 12 GHz band than DISH has in the 12 GHz band.” 
                    <SU>79</SU>
                    <FTREF/>
                     DISH goes on to claim that DIRECTV serves its customers mainly using the Ka-band and Reverse Band working Broadcasting-Satellite Service payloads on its satellites at 99°, 101°, and 103° W.L. slots.
                    <SU>80</SU>
                    <FTREF/>
                     DIRECTV responds to this claim by pointing out that it “continues to rely heavily on the 12 GHz band” for delivery of its video service to a majority of its DBS customers throughout all fifty states, including customers receiving services on aircraft, boats and RVs, as well as through set-top boxes.
                    <SU>81</SU>
                    <FTREF/>
                     The record reflects that DIRECTV continues to use the 12.2 GHz band, having deployed a “12 GHz payload on a relatively new T16 satellite at 101° W.L.” 
                    <SU>82</SU>
                    <FTREF/>
                     Similarly, the Commission finds DISH's arguments about the recent decline of DBS subscribers—both DISH and DIRECTV—unavailing.
                    <SU>83</SU>
                    <FTREF/>
                     Regardless of overall subscription trends, each DBS operator continues to add new subscribers that can be located anywhere in the United States, and there continue to be millions of existing DBS customers whose service is entitled to protection from harmful interference.
                </P>
                <FTNT>
                    <P>
                        <SU>79</SU>
                         Letter from Pantelis Michalopoulos, Counsel, DISH, to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, at 1 (filed Apr. 4, 2022); DISH Aug. 8, 2022 letter at 7.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>80</SU>
                         DISH Aug. 8, 2022 letter at 7.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>81</SU>
                         Letter from Stacy Fuller, Senior Vice President, External Affairs, DIRECTV, to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, at 2 (filed May 3, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>82</SU>
                         DISH Aug. 8, 2022 letter at 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>83</SU>
                         DISH Aug. 8, 2022 letter at 6-7.
                    </P>
                </FTNT>
                <HD SOURCE="HD3">2. 5G Interference to NGSO FSS</HD>
                <P>
                    22. The Commission also finds that ubiquitous two-way mobile broadband 5G service is likely to create a significant risk of harmful interference to ubiquitous and increasing NGSO FSS operations.
                    <SU>84</SU>
                    <FTREF/>
                     While deployment of NGSO FSS service in the 12.2 GHz band is still developing, terrestrial 5G service in the band is hypothetical. For this reason, the 5G advocates supported their arguments by submitting Monte Carlo simulation analyses that attempt to model the coexistence of the two services.
                    <SU>85</SU>
                    <FTREF/>
                     However, 5G advocates did not then use the assumptions underlying their models as a basis for proposing specific rules that would enable coexistence. NGSO FSS operators responded by submitting their own Monte Carlo analyses which sought to correct various assumptions they claim to be erroneous. While the studies provided by the opposing sides contain many contradictory assumptions, ultimately they all agree on the fundamental point that there will be a significant risk of harmful interference to NGSO FSS operations without some geographic separation between a new two-way mobile broadband 5G service and NGSO FSS. The 5G advocates, however, do not propose to limit such new 5G terrestrial service geographically, nor is it clear how such limitations could be consistent with the nature of the 5G service for which they seek authorization. Neither are the authorizations granted to existing NGSO FSS operators limited to specific geographic areas. The Commission therefore finds it would not be in the public interest to allow for a new 5G service in the band as it would cause a significant risk of harmful interference to NGSO FSS where these services are deployed ubiquitously.
                </P>
                <FTNT>
                    <P>
                        <SU>84</SU>
                         
                        <E T="03">See</E>
                         OneWeb July 11, 2022 Analyses at 2 (“Regardless of the assumptions made with respect to NGSO FSS and two-way terrestrial deployments, harmful interference from the proposed terrestrial service will not only exceed the existing interference envelope for MVDDS in the 12 GHz band, but will cause additional harmful interference”); 
                        <E T="03">See also</E>
                         SpaceX June 21, 2022 Analysis at 2 (“Yet even with . . . favorable assumptions, SpaceX customers could expect to experience harmful interference in the 12 GHz band the vast majority of the time, which would essentially preclude a consumer-oriented commercial satellite service in the band”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>85</SU>
                         A Monte Carlo (probabilistic) analysis is a simulation that uses random sampling and statistical modeling to estimate mathematical functions and mimic the operations of complex systems. RS Access Comment RKF Study I at 3, n.8 (citation omitted).
                    </P>
                </FTNT>
                <P>
                    23. Significantly, the Commission notes that initially, the MVDDS 5G Coalition (
                    <E T="03">i.e.,</E>
                     the petitioners for a new 5G service in the 12.2 GHz band) argued that coexistence with NGSO FSS was not possible. Specifically, the Coexistence studies concluded that 5G terrestrial operations and NGSO FSS operations could not co-exist in the 12.2 GHz band and therefore, the MVDDS 5G Coalition Petition proposed to delete or demote the NGSO FSS allocation to a lower regulatory status with respect to 5G.
                    <SU>86</SU>
                    <FTREF/>
                     5G advocates subsequently shifted their argument to claim that co-existence is possible with the new generation of NGSO FSS systems.
                    <SU>87</SU>
                    <FTREF/>
                     When the Commission issued the 12.2 Notice in response to the Petition, it noted the public interest in protecting the significant investments made by NGSO FSS operators in the band. To determine whether NGSO FSS operations could coexist with a new 5G service, the 12.2 Notice sought comment on what technical criteria would be necessary to protect NGSO FSS from harmful interference from high-powered, two-way mobile operations.
                    <FTREF/>
                    <SU>88</SU>
                      
                    <PRTPAGE P="43470"/>
                    Specifically, the 
                    <E T="03">12.2 NPRM</E>
                     asked which maximum power levels could be granted to new terrestrial operations within a framework of service-rule sharing that would still protect incumbents from harmful interference.
                    <SU>89</SU>
                    <FTREF/>
                     The 
                    <E T="03">12.2 NPRM</E>
                     further inquired as to whether applying the existing MVDDS interference criteria 
                    <SU>90</SU>
                    <FTREF/>
                     to new terrestrial systems would be sufficient to protect NGSO FSS operations.
                    <SU>91</SU>
                    <FTREF/>
                     Notably, it specifically inquired about whether subscribers of satellite services were typically located in more rural areas, the propagation characteristics and cell coverage areas that could be expected from 5G base stations in the band, and whether smaller-sized cells could mitigate potential interference from terrestrial services into DBS and NGSO FSS services.
                    <SU>92</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>86</SU>
                         The earlier MVDDS 5G Coalition studies found “MVDDS and NGSO [FSS] cannot effectively share the [12] GHz band, either under the current rules or under any new rules that may be added in response to the Coalition's petition.” 
                        <E T="03">See</E>
                         Coexistence 3 Aug. 15, 2016 Study at 18.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>87</SU>
                         
                        <E T="03">See supra</E>
                         paras. 3-4 for a discussion of NGSO FSS systems authorized by the Commission in recent years.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>88</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 619-620, para. 30.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>89</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 624, para. 42.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>90</SU>
                         
                        <E T="03">See</E>
                         47 CFR 101.113(a) n.11, (f)(1); 101.147(p). 
                        <E T="03">See also</E>
                         47 CFR 101.105(a)(4)(i) (limiting the PFD level beyond 3 km from an MVDDS station to −135 dBW/m
                        <SU>2</SU>
                         in any 4 kHz measured and/or calculated at the surface of the earth), 101.129(b) (prohibiting location of MVDDS transmitting antennas within 10 km of any qualifying NGSO FSS receiver absent mutual agreement of the licensees).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>91</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 619-620, para. 30.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>92</SU>
                         
                        <E T="03">See 12.2 NPRM,</E>
                         36 FCC Rcd at 624, para. 43.
                    </P>
                </FTNT>
                <P>
                    24. In response to the questions raised in the 
                    <E T="03">12.2 NPRM,</E>
                     RS Access commissioned RKF, a systems engineering firm, to conduct a nationwide simulation of how NGSO FSS and terrestrial 5G systems might interact.
                    <SU>93</SU>
                    <FTREF/>
                     Ultimately, RKF provided two studies, both probabilistic Monte Carlo analyses meant to show that terrestrial 5G can coexist with NGSO FSS. In its first study, submitted in May 2021, RKF used the 406 Partial Economic Area (PEA) geographic license areas 
                    <SU>94</SU>
                    <FTREF/>
                     in the contiguous United States (“CONUS”) to define where the 5G network will be deployed, and broke these into urban, suburban, and rural based on their population density thresholds.
                    <SU>95</SU>
                    <FTREF/>
                     Because the May 2021 RKF Monte Carlo analysis assumed the new 12.2 GHz terrestrial 5G service was likely to be deployed in the most densely populated areas with high demand for broadband service, RKF modeled deployment of 5G in census tracts with a population density greater than 7,500 people per square mile in each PEA. It explained, however, that if deployment in these “urban” density census tracts did not result in deployment to areas that encompassed 10% of a market's population, it added the most densely populated census tracts in each PEA until the area of deployment covered 10% of the market population.
                    <SU>96</SU>
                    <FTREF/>
                     RKF's terrestrial model assumed a 5G network of 49,997 terrestrial macro-cell base stations,
                    <SU>97</SU>
                    <FTREF/>
                     89,970 fixed small-cell base stations,
                    <SU>98</SU>
                    <FTREF/>
                     1,949,760 simultaneously active mobile devices 
                    <SU>99</SU>
                    <FTREF/>
                     and 6,999 point-to-point backhaul links across CONUS.
                    <SU>100</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>93</SU>
                         RS Access Comment at 33.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>94</SU>
                         
                        <E T="03">See Wireless Telecommunications Bureau Provides Details About Partial Economic Areas,</E>
                         GN Docket No. 12-268, Public Notice, 29 FCC Rcd 6491 (2014).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>95</SU>
                         Urban has a population more than 7,500, suburban between 7,500 and 600, and rural fewer than 600. RS Access Comment RKF Study I at 6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>96</SU>
                         RS Access Comment RKF Study I at 26-27.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>97</SU>
                         RS Access Comment RKF Study I at i, 13. Macro cells were deployed by multiplying the capped total of almost 50,000 macro cells by the ratio of the high population density area in a given PEA divided by the total such population in 12.2 GHz eligible areas in all PEAS—
                        <E T="03">i.e.,</E>
                         each PEA got a percentage of Macro-cell base stations equal to its proportion of the high population density areas across CONUS. 
                        <E T="03">Id.</E>
                         at 31. The model deployed Macro-cell base stations in three consecutive waves of decreasing inter site distances between them ranging from 500 meters to 200 meters between base stations for urban areas and 1732 meters between base stations for rural areas. 
                        <E T="03">Id.</E>
                         at 32.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>98</SU>
                         RS Access Comment RKF Study I at i, 34. Small cell base stations were deployed in the same manner as the macro cell base stations but with smaller distances between these and other small-cell base stations and or macro-cell base stations. 
                        <E T="03">See id.</E>
                         at 34-35.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>99</SU>
                         RS Access Comment RKF Study I at i, 38. The mobile devices were dropped uniformly but randomly within the base stations' coverage areas, and 80% of the mobile devices were assigned as indoor and 20% as outdoor. 
                        <E T="03">Id.</E>
                         at 37. Outdoor mobile devices were assumed to have a height above ground level (HAGL) of 1.5m. 
                        <E T="03">Id.</E>
                         at 37.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>100</SU>
                         RS Access Comment RKF Study I at i, 39. The Study estimated that there were a total of 2,500 macro-cell base stations and 4,499 small-cell base stations without fiber access and required microwave backhaul via the 12.2 GHz band, for a total of 6,999 links. 
                        <E T="03">See id.</E>
                         at 39. The Study assumed that in 2025, less than 5% of the cell-sites will use microwave backhaul in the 7 GHz to 40 GHz band and hence it distributed such use so that 5% of rural macro-cell base stations, 5% of other macro-cell base stations and 5% of small-cell base stations all use microwave backhaul. 
                        <E T="03">See id.</E>
                         at 38-39.
                    </P>
                </FTNT>
                <P>
                    25. RKF then modeled the distribution of only SpaceX's NGSO FSS satellite terminals, although there are multiple NGSO FSS operators in the band. RKF's satellite model assumed SpaceX would deploy 2,500,000 satellite user terminals in both urban and rural areas,
                    <SU>101</SU>
                    <FTREF/>
                     but for this model, it used a different definition of rural and urban areas than it did for modeling terrestrial 5G operations.
                    <SU>102</SU>
                    <FTREF/>
                     RKF assumed the majority of NGSO FSS systems, or 1.65 million Starlink user terminals, would be dropped in random locations in non-metropolitan Rural Digital Opportunity Fund (RDOF) blocks 
                    <SU>103</SU>
                    <FTREF/>
                     either won by Starlink or won by another bidder,
                    <SU>104</SU>
                    <FTREF/>
                     and that the remaining 850,000 Starlink terminals would be deployed in non-RDOF but also `rural areas.' 
                    <SU>105</SU>
                    <FTREF/>
                     Starlink terminals were allowed to be within 5 meters of 5G base stations, and the possibility technically exists that RKF's modeling could place NGSO FSS user terminals near 5G terrestrial base stations.
                    <SU>106</SU>
                    <FTREF/>
                     However, such proximity appears unlikely because the study endeavored to separate terrestrial 5G and satellite equipment.
                </P>
                <FTNT>
                    <P>
                        <SU>101</SU>
                         RS Access Comment RKF Study I at 16-17.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>102</SU>
                         
                        <E T="03">Compare</E>
                         RS Access Comment RKF Study I at 6 
                        <E T="03">with id.</E>
                         at 8. RKF adopted the Census Bureau's definition of metropolitan areas as “urban areas” which include both cities and surrounding suburbs and it assumed and weighted deployment of satellite terminals to whatever was not metropolitan but instead a “rural” area. RS Access Comment RKF Study I at 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>103</SU>
                         RDOF blocks are census blocks made available by the Commission's Rural Digital Opportunity Fund auction where no provider is offering, or has committed to offer service of at least 25/3 Mbps. 
                        <E T="03">See</E>
                         FCC, Rural Digital Opportunity Fund Auction Information, Fact Sheet, 
                        <E T="03">https://www.fcc.gov/auction/904#:~:text=The%20Rural%20Digital%20Opportunity%20Fund%20will%20ensure%20that%20networks%20stand,applications%20as%20well%20as%20today's.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>104</SU>
                         RS Access Comment RKF Study I at 17. RKF states that for purposes of this analysis, the study assumes that SpaceX would have a penetration rate of 60% in non-metropolitan RDOF areas (or 327,511 terminals) in which they won funding. 
                        <E T="03">Id.</E>
                         Likewise, the study assumes a 30% penetration rate in non-metropolitan RDOF areas (or 1.3 million Starlink terminals) where another auction participant won funding. 
                        <E T="03">Id.</E>
                         For those metropolitan RDOF areas that SpaceX won, the study assumes a penetration rate of 15%, which amounts to an assumed 14,600 total Starlink terminals. 
                        <E T="03">Id.</E>
                         These assumptions, along with metropolitan RDOF areas that SpaceX did not win, resulted in an assumed 1.65 million Starlink terminal deployments. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>105</SU>
                         RS Access Comment RKF Study I at 18. In this case of NGSO FSS terminals dropped over “non-RDOF” rural areas, `rural' is defined for NGSO FSS operations the same as for 5G terrestrial deployments—less than 600 people per square mile. 
                        <E T="03">Id.</E>
                         at 17. NGSO FSS terminals are placed using the Gridded Population of the World (GPW) population density database in proportion to the population density in more populous rural areas, which is similar to how the model sites 12 GHz terrestrial base stations. 
                        <E T="03">Id.</E>
                         In other words, the model's siting methodology for Starlink terminals in non-RDOF regions is more likely to place terminals in the more populous census tracts in rural areas, where they are deployed in proportion to the population therein using a population density database similar to the method used for siting terrestrial 5G equipment. 
                        <E T="03">Id.</E>
                         at 17-18, n.39.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>106</SU>
                         RS Access Comment RKF Study I at 18. 5G terrestrial base stations and NGSO FSS user terminals could be near each other, for example if the latter were placed in `non-urban' areas from a Census Bureau perspective but if these areas still had populations greater than 7,500 persons and were “urban” under RKF's standards and therefore also receiving terrestrial 5G equipment. 
                        <E T="03">Id.</E>
                         at 11.
                    </P>
                </FTNT>
                <P>
                    26. In RKF's study, the potential for harmful interference to NGSO FSS from multiple elements of 5G systems is aggregated.
                    <SU>107</SU>
                    <FTREF/>
                     With respect to each of 
                    <PRTPAGE P="43471"/>
                    the NGSO FSS terminals modeled, RKF computed the aggregate interference power from all 5G emitters within 50 km, and compared the result to the interference-to-noise ratio (I/N) threshold to determine the extent to which the threshold would be exceeded.
                    <SU>108</SU>
                    <FTREF/>
                     RKF asserted the objective of the simulation was to model a large number of statistically significant interference paths to evaluate the risk of interference to the Starlink terminals.
                    <SU>109</SU>
                    <FTREF/>
                     Initially, RKF found that about 0.888% of Starlink user terminals over CONUS could experience an event that exceeded a nominal ITU threshold of −8.5 dB.
                    <SU>110</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>107</SU>
                         RS Access Comment RKF Study I at 13. Each macro-cell base station beamforms a narrow beam toward each mobile device, and 5G transmissions are assumed to operate in time-division-duplex (TDD) mode with all the base stations coordinated such that uplink and downlink transmissions are synchronized. 
                        <E T="03">Id.</E>
                         The study assumes 5G backhaul operates in frequency-division-duplex (FDD) mode, 
                        <PRTPAGE/>
                        and both uplink and downlink paths transmit continuously. 
                        <E T="03">Id.</E>
                         The base station antenna has 256 elements with a peak gain of 27.7 dBi which beamforms toward each mobile device but is constrained by the minimum antenna down tilt levels designed so that the gain directed toward a mobile device at 1.5m HAGL at the edge of coverage of the cell is 10 dB below the peak gain—allowing service at the edge of coverage; smalls cells have a peak gain of 15 dBi. RS Access May 19, 2022 RKF Study II at 11. Starlink terminal selects a random pointing direction from the distribution of simulated pointing directions. RS Access Comment RKF Study I at 13. Then the aggregate interference from all simultaneously active macro base station beams and small-cells on the downlink or all active mobile devices on the uplink, as well as the point-to-point backhaul uplink and downlink transmissions to each of the Starlink terminal receivers within 50 kilometers is computed. 
                        <E T="03">Id.</E>
                         RKF states the model calculates the emissions from macro-cell base stations as they beamform a transmission path toward each mobile device within the coverage area of each base station. Small-cell emissions are also calculated; these emissions are not beamformed to specific mobile devices, but are instead transmitted omnidirectionally with fixed down tilt and nulling. RS Access May 19, 2022 RKF Study II at 9. Then the model performs two separate aggregate interference power calculations: (1) from all simultaneously active macro base station beams, all small cells on the downlink, and all point-to-point backhaul transmissions, which continually transmit in FDD mode in both directions; and (2) from all active mobile devices on the uplink and all point-to-point backhaul transmissions. 
                        <E T="03">Id.</E>
                         at 9-10.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>108</SU>
                         RS Access May 19, 2022 RKF Study II at 9-10.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>109</SU>
                         RS Access Comment RKF Study I at 10.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>110</SU>
                         RS Access Comment RKF Study I at 2.
                    </P>
                </FTNT>
                <P>
                    27. NGSO FSS operators, especially SpaceX, criticized many of the assumptions underlying RKF's 2021 study. As a result, in May 2022, RS Access submitted a revised study from RKF that modified certain parameters and specific assumptions to respond to the criticism.
                    <SU>111</SU>
                    <FTREF/>
                     RKF's revised study still relied heavily on geographic separation to find that a new 5G service could avoid causing harmful interference to incumbent NGSO FSS operations. The study still assumed that new 12.2 GHz 5G deployment and satellite terminals would have limited geographic overlap due to RKF's assessment of their respective use-cases—namely, that 12.2 GHz 5G services will be deployed most heavily in denser population centers, while satellite services are most useful in lower density population centers.
                    <SU>112</SU>
                    <FTREF/>
                     RKF's second study modeled the same number of base stations, mobile devices and point-to-point links,
                    <SU>113</SU>
                    <FTREF/>
                     and reached the conclusion that there would be no impact to 99.85% of NGSO FSS terminals by the terrestrial deployment it modeled. In particular, it asserted its study now found that only 0.15% of Starlink terminals which might hypothetically be deployed in the future throughout CONUS experienced an exceedance of the ITU's I/N threshold of −8.5 dB I/N from 5G operations in the 12.2-12.7 GHz portion of the NGSO FSS downlink band.
                    <SU>114</SU>
                    <FTREF/>
                     RKF asserted that several other factors contributed to the “highly favorable environment” for the coexistence of NGSO FSS and 5G systems, including the large antenna discrimination resulting from NGSO FSS antennas pointing with high elevation angle and the 5G base stations down tilted; interference mitigation achieved through 5G base station sidelobe suppression and antenna nulling toward the horizon; and, relatively localized 5G coverage due to the 12.2 GHz band's propagation characteristics.
                    <SU>115</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>111</SU>
                         RS Access May 19, 2022 RKF Study II at 6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>112</SU>
                         RS Access May 19, 2022 RKF Study II at iii.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>113</SU>
                         RS Access May 19, 2022 RKF Study II at 2-3.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>114</SU>
                         RS Access May 19, 2022 RKF Study II at 25. RKF asserts that the exceedance threshold of −12.2 dB, suggested by some critics, would not materially affect this study's findings. 
                        <E T="03">Id.</E>
                         at 26. Furthermore, it noted that any exceedance event that might occur would also affect no more than two of the up to eight available 250-megahertz Ku-band NGSO FSS channels at 10.7-12.7 GHz. 
                        <E T="03">Id.</E>
                         at 5, 25.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>115</SU>
                         RS Access May 19, 2022 RKF Study II at 7. There are several additional differences from the May 2021 and 2022 RKF Studies, albeit RKF emphasized three. First, whereas in its 2021 Study, RKF assumed Starlink terminals would point at satellites with look angles or elevation angels between 55° and 85°, in response to Starlink criticism, it assumes terminals will more frequently employ a lower elevation angle closer to the minimum authorized angle of 25°. 
                        <E T="03">Id.</E>
                         at 19. Second, RKF has changed the height above ground level for Starlink terminals from 20% sited at 4.5 meters and 80% at 1.5 meters, instead to 55% at 4.5 meters and 45% at 1.5 meters, in response to claims by Starlink that most users install their terminals “as high as possible.” 
                        <E T="03">Id.</E>
                         at 20. Third, in response to a Starlink claim, a maximum off-axis antenna gain pattern from an European Telecommunications Standards Institute (ETSI) standard for user terminals is used even though RKF asserts no party expressly claims that Starlink terminals perform at this standard and ETSI formulas results in a larger assumed off-axis gain, which in turn makes Starlink terminals more prone to exceedance events. 
                        <E T="03">Id.</E>
                         at 21-22. Other differences between the two studies include changes in the macro-cell and small-cell base station antenna patterns used, the peak EIRP of the macro cells decreased from 75 dBm/100 MHz to 65 dBm/100 MHz with gain of 27.7 dBi (small-cell base stations likewise increased their EIRP from 45 to 48 dBm/100 MHz but with an increased gain of 18 dBi and not 15 dBi which is accomplished through including horizon nulling and beamforming technologies), and the application of end-point clutter loss at the user equipment (UEs) with an HAGL of less than 3m and at small-cell base stations (typically deployed on poles in the vicinity of buildings), incorporating horizon nulling into macro cell base stations. 
                        <E T="03">Id.</E>
                         at 2.
                    </P>
                </FTNT>
                <P>
                    28. Both SpaceX and OneWeb submitted Monte Carlo analyses in response to the May 2022 RKF study commissioned by RS Access. SpaceX's Monte Carlo study modified certain key assumptions including basing buildout in an actual SpaceX market area in Las Vegas, Nevada upon its own asserted user data,
                    <SU>116</SU>
                    <FTREF/>
                     and buildout requirement for terrestrial mobile services of 70 percent of population, among other assertions.
                    <SU>117</SU>
                    <FTREF/>
                     SpaceX asserted its study showed an impact from interference from terrestrial mobile service that would degrade service to SpaceX's Starlink broadband terminals operating in the 12.2 GHz band more than 77 percent of the time, resulting in full outages 74 percent of the time.
                    <SU>118</SU>
                    <FTREF/>
                     Furthermore, SpaceX stated its study showed the impact of this harmful interference would extend at least 21 km (more than 13 miles) from the macro base station in unobstructed conditions even for best-case far-sidelobe-to-far-sidelobe coupling.
                    <SU>119</SU>
                    <FTREF/>
                     SpaceX used an antenna receiver pattern based upon the applicable ETSI standard (ETSI_EN_303_981 Class B WBES),
                    <SU>120</SU>
                    <FTREF/>
                     and the SpaceX analysis is based on seven 240 megahertz channels with 250 megahertz spacing from 10.95-12.7 GHz.
                    <SU>121</SU>
                    <FTREF/>
                     OneWeb's study similarly concluded that NGSO FSS user terminals cannot be deployed within the coverage area of a suburban macro-cell base station deployment without suffering from very high probability of harmful interference.
                    <SU>122</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>116</SU>
                         SpaceX June 21, 2022 Analysis at 3.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>117</SU>
                         SpaceX June 21, 2022 Analysis at 4.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>118</SU>
                         SpaceX June 21, 2022 Analysis at 2.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>119</SU>
                         SpaceX June 21, 2022 Analysis at 3.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>120</SU>
                         SpaceX June 21, 2022 Analysis at 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>121</SU>
                         SpaceX June 21, 2022 Analysis at 9.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>122</SU>
                         
                        <E T="03">See</E>
                         OneWeb July 11, 2022 Analyses at 8-9.
                    </P>
                </FTNT>
                <P>
                    29. While the analyses submitted by SpaceX and OneWeb have very little accord with the RKF analyses, all of these analyses agree, on some level, on one point: NGSO FSS user terminals will suffer harmful interference if they are operating in close proximity to 5G transmissions in the 12.2 GHz band. The RKF analyses come to this conclusion tacitly because rather than providing a calculation of the separation distance that would be necessary to protect NGSO FSS terminals from harmful emissions from 5G transmitters, these RKF analyses simply assume that in most situations 5G and NGSO FSS services will not be used by consumers 
                    <PRTPAGE P="43472"/>
                    in the same locations. Specifically, the RKF studies assume that 5G will most likely operate only in denser, more urban markets and NGSO FSS services will most likely serve only more rural subscribers. Satellite operators, and other parties in the record, have provided more express analyses than RKF of the potential for harmful interference to NGSO FSS operations from 5G operations in close proximity. For example, Google noted in its reply comments that although RKF's report did not separately present the potential interfering impact of a single UE (handset) located in the vicinity of a satellite terminal—because it assumed it was unlikely a handset would be near a satellite terminal—Google's calculations showed that when such a situation inevitably occurs, harmful interference can be expected out to a distance of as much as 0.2-1 km under realistic propagation assumptions, and as far as 3 km under worst-case conditions.
                    <SU>123</SU>
                    <FTREF/>
                     For its part, SpaceX asserted that satellite user terminals would be subjected to significant interference whenever located in the line of sight of a 5G base station. Further, SpaceX states that even for best-case far-sidelobe-to-far-sidelobe coupling, the effect of harmful interference (I/N &gt; −12.2dB) between these two operations will extend up to 21.4 km (more than 13 miles) from the macro base station in unobstructed conditions.
                    <SU>124</SU>
                    <FTREF/>
                     According to SpaceX, its satellite user terminal is about 16 dB more sensitive to the interfering signal coming into its far sidelobes than the mobile UE is for its desired signal.
                    <SU>125</SU>
                    <FTREF/>
                     As a result, if a SpaceX user terminal is located in an area where a mobile device can receive a signal from the base station, the interfering signal its terminal receives will be much stronger than the desired signal received by the user device.
                    <SU>126</SU>
                    <FTREF/>
                     Because of their sensitivity, SpaceX states that even if its satellite terminal antennas are pointing only at high elevation angles so that terrestrial mobile signals are only received at large off-axis angles, interference will be overwhelming within the coverage area of a terrestrial base station.
                    <SU>127</SU>
                    <FTREF/>
                     SpaceX asserts that RKF recognized this point when it admitted that “Starlink terminals within the 5G coverage area typically suffered an exceedance.” 
                    <SU>128</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>123</SU>
                         Google Reply at 14.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>124</SU>
                         SpaceX June 21, 2022 Analysis at 11. SpaceX used RKF's assumption that the macro base station has an input power of 41.3 dBW per 100 MHz per user and that the SpaceX user terminal has a −2 dBi far sidelobe gain and 200 K system noise temperature. SpaceX also assumed that the far sidelobe level of the macro base station is −2.3 dBi. RKF assumed a −30 dBi sidelobe performance for macro base stations. And, in its later Monte Carlo simulation, SpaceX used the same −30 dBi sidelobe floor for an individual sector antenna pattern, although SpaceX states this value is highly optimistic. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>125</SU>
                         SpaceX June 21, 2022 Analysis at 13.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>126</SU>
                         SpaceX June 21, 2022 Analysis at 13. SpaceX argues that even for a mobile UE with a very modest signal-to-noise ratio of only 0 dB (
                        <E T="03">i.e.,</E>
                         at the UE noise floor), for the SpaceX user terminal, this mobile signal becomes an interferer that is 16 dB above the noise floor of the user terminal (I/N = 16 dB) and completely wipes out the desired signal. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>127</SU>
                         SpaceX June 21, 2022 Analysis at 13.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>128</SU>
                         SpaceX June 21, 2022 Analysis at 13-14 (citing Letter from V. Noah Campbell, CEO, RS Access, to Marlene H. Dortch, Secretary, FCC, WT Docket No. 20-443, Attach. A, Bringing 5G to the 12 GHz Band, at 11 (filed June 1, 2022)).
                    </P>
                </FTNT>
                <P>
                    30. Although RKF did not provide specific analysis of the separation distances necessary to protect NGSO FSS user terminals from 5G transmissions, it argued that there would be a natural geographic separation between the two services, based on constraints on the number of user terminals an NGSO FSS system can deploy to one area. For example, the RKF study asserted that while an NGSO FSS licensee can deploy terminals in metropolitan areas, such as New York City or Los Angeles, satellite capacity constraints limit the total number of terminals NGSO FSS licensees can support in any one of these densely populated zones.
                    <SU>129</SU>
                    <FTREF/>
                     To illustrate this point, RKF has pointed to statements by Starlink's CEO that its service is not well suited to urban areas.
                    <SU>130</SU>
                    <FTREF/>
                     SpaceX does not directly address RKF's capacity argument but it responds that in the very few areas where RKF does consider terrestrial and NGSO FSS systems operating in close proximity, its model finds I/N ratios of 50 dB or more.
                    <SU>131</SU>
                    <FTREF/>
                     Furthermore, SpaceX argues that, by assuming only 1.07 percent of SpaceX user terminals would be deployed in urban areas, RKF significantly underestimated the effect of the proposed system on the existing Starlink customers.
                    <SU>132</SU>
                    <FTREF/>
                     OneWeb agrees that terrestrial separation of NGSO FSS and 5G terminals is an unrealistic assumption,
                    <SU>133</SU>
                    <FTREF/>
                     and states that it intends to focus its initial service on enterprise, government, and mobile network operator customers, which will require connectivity across metropolitan, suburban, and rural areas.
                    <SU>134</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>129</SU>
                         RS Access Comment RKF Study I at 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>130</SU>
                         RS Access May 19, 2022 RKF Study II at 25, n.65 (citing Jon Brodkin, 
                        <E T="03">Elon Musk: Starlink latency will be good enough for competitive gaming,</E>
                         Ars Technica (Mar. 10, 2020), 
                        <E T="03">https://bit.ly/3dUrbbu</E>
                         (quoting Elon Musk: “The challenge for anything that is space-based is that the size of the cell is gigantic . . . it's not good for high-density situations. We'll have some small number of customers in LA. But we can't do a lot of customers in LA because the bandwidth per cell is simply not high enough.”)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>131</SU>
                         SpaceX June 3, 2022 Response to Revised RKF Report at 3, n.9 (citing RS Access May 19, 2022 RKF Study II at 27 and Fig. 3-3).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>132</SU>
                         SpaceX June 21, 2022 Analysis at 9. SpaceX argues its actual distribution as based on the Las Vegas PEA is places 17% in urban areas, 37% in suburban areas and 46% in rural areas. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>133</SU>
                         OneWeb has argued that suburban macro-cell base station deployments will result in harmful interference to NGSO FSS User Terminals when considering real world deployment scenarios. Letter from Brian D. Weimer, Counsel, OneWeb, to Marlene H. Dortch, WT Docket No. 20-443, Attach. B, 12 GHz NGSO FSS Earth station and Terrestrial Study, at 10 (filed Oct. 7, 2022). 
                        <E T="03">See also</E>
                         OneWeb July 11, 2022 Analyses at 3 (notes omitted) (“The principle defect of the [RKF Study attached to Comments of] RS Access] is the assumption of geographical separation: that NGSO FSS user terminals will be deployed with a heavy bias towards rural areas while mobile base stations and devices will be heavily skewed towards urban areas. There is no real world justification for this bias.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>134</SU>
                         OneWeb July 11, 2022 Analyses at 3, n.8.
                    </P>
                </FTNT>
                <P>
                    31. The Commission finds that the 5G proponents' arguments that a new 5G service could adequately protect NGSO FSS operations from harmful interference rely too heavily on the unsupported assumption that there will be geographic separation between the services. Neither the FCC's rules governing NGSO FSS operations in the band nor the authorizations that the FCC has granted to NGSO FSS operators place any limitations of the sort assumed by 5G proponents on where these NGSO FSS services may operate.
                    <SU>135</SU>
                    <FTREF/>
                     NGSO FSS systems are not restricted to rural areas; indeed, SpaceX is currently authorized to deploy satellites throughout CONUS and for an unlimited number of its second-generation user terminals anywhere within the United States.
                    <SU>136</SU>
                    <FTREF/>
                     At this time, satellite operators' plans for, and rollout of service using, this band are still in the early stages, and operators have stated their intentions to serve urban and suburban areas.
                    <SU>137</SU>
                    <FTREF/>
                     Based on the current record, and the Commission's experience, the Commission concludes that authorizing separate, ubiquitous satellite and terrestrial mobile systems in the same band would be significantly likely to result in harmful interference. Although the technical analyses that 5G advocates submitted made a number of 
                    <PRTPAGE P="43473"/>
                    hypothetical assumptions about how both a new 5G service and NGSO FSS service would be deployed, including 5G operating parameters that could reduce or mitigate interference, 5G proponents did not propose or agree to be bound by any specific rules to codify these assumptions. Given the Commission's conclusion that NGSO FSS terminals will experience harmful interference if placed in close proximity to terrestrial 5G deployment, and the lack of apparent disagreement by 5G advocates, the Commission declines to authorize a new terrestrial 5G service in the 12.2 GHz band based on the current record.
                </P>
                <FTNT>
                    <P>
                        <SU>135</SU>
                         
                        <E T="03">See, e.g., Update to Parts 2 and 25 Concerning Non-Geostationary, Fixed-Satellite Service Systems and Related Matters,</E>
                         Report and Order and Further Notice of Proposed Rulemaking, 32 FCC Rcd 7809 (2017), recon. pending (
                        <E T="03">NGSO FSS Report and Order</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>136</SU>
                         
                        <E T="03">See Space Exploration Holdings, LLC, Application For Approval for Orbital Deployment and Operating Authority for the SpaceX NGSO Satellite System, et al.,</E>
                         Memorandum Opinion and Order and Authorization, 33 FCC Rcd 3391, para. 1 (2018); SpaceX June 21, 2022 Analysis at 14, n.41 (citing Radio Station Authorization, Call Sign E210127 (issued Nov. 10, 2021)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>137</SU>
                         
                        <E T="03">See, e.g., supra</E>
                         para. 30.
                    </P>
                </FTNT>
                <P>32. As noted, the Monte Carlo analyses provided by the 5G advocates incorporate a set of assumed operating parameters intended, in addition to geographic separation, to reduce the possibility of harmful interference to NGSO FSS user terminals. These assumptions have become objects of criticism from NGSO FSS interests who argue that their adjustment can skew the interference picture away from showing the significant risk of harmful interference NGSO FSS systems would suffer. Below, the Commission discusses some of the major disagreements on assumptions the parties have raised in the record. The Commission cautions, however, that these assumptions do not change the Commission's bottom-line decision declining to permit 5G operations in the 12.2 GHz band, due to the risks of harmful interference into NGSO FSS user terminals when the two services are in close proximity. Accordingly, other than in a few instances where the Commission has pointed out that certain debates about assumptions may be missing critical information, the Commission declines to weigh in concerning the relative merits of particular assumptions.</P>
                <P>
                    33. 
                    <E T="03">Ignoring Access to Other Bands and Other NGSO Deployments.</E>
                     The RKF study assumed that Starlink is assigned eight 250 MHz channels from 10.7-12.7 GHz.
                    <SU>138</SU>
                    <FTREF/>
                     SpaceX argues its model did not incorporate use of the 10.7-10.95 GHz portion of the band due to regulatory constraints imposed to protect Radio Astronomy activity in the adjacent 10.6-10.7 GHz band.
                    <SU>139</SU>
                    <FTREF/>
                     Accordingly, the SpaceX analysis is based on seven 240 MHz channels with 250 MHz spacing from 10.95-12.7 GHz, whereas RKF appears to assume access to all bands. RS Access argues SpaceX's failure to incorporate the entire 10.7-12.7 GHz range into its calculations, and its use of only the 12.2-12.7 band for downlink increases the probability of interference exceedance experienced by Starlink terminals by a factor of four. RS Access finds this one of the most critical assumptions causing SpaceX's interference results to differ from its own. Furthermore, SpaceX argues RKF only models SpaceX terminal deployments and omits studies of any interference created by deployment of other NGSO FSS operations.
                    <SU>140</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>138</SU>
                         RS Access May 19, 2022 RKF Study II at 11. Thus, a “fully loaded” 12 GHz sector can serve a maximum of 20 mobile devices simultaneously. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>139</SU>
                         SpaceX June 21, 2022 Analysis at 9.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>140</SU>
                         SpaceX June 21, 2022 Analysis at 4.
                    </P>
                </FTNT>
                <P>
                    34. 
                    <E T="03">Height of Fixed Subscriber Antennas.</E>
                     The height at which users mount their SpaceX user terminals has a dramatic effect on the interference to which they are subject—higher placement also means that they are more likely to receive more direct interference from mobile system base stations and UEs.
                    <SU>141</SU>
                    <FTREF/>
                     The May 2021 RKF Study assumed a distribution of NGSO FSS fixed subscriber terminals more heavily weighted toward ground installations—80% of Starlink terminals would have an HAGL at 1.5m, and 20% would have an HAGL of 4.5m. RKF's May 2022 study modified this assumption and instead assumed that 45% of Starlink terminals would be installed near ground level with an HAGL of 1.5m, and 55% of Starlink terminals would be installed on rooftops with an HAGL of 4.5m.
                    <SU>142</SU>
                    <FTREF/>
                     In response, SpaceX argued this modification still failed to reflect that the majority of SpaceX's customers deployed their antennas on rooftops to avoid obstructions, which significantly increases the likelihood of an unobstructed path for interference from a mobile service base station.
                    <SU>143</SU>
                    <FTREF/>
                     SpaceX argued its own informal customer surveys showed that most consumers mounted their antennas on a roof, and accordingly, SpaceX argued that 10% of its user terminals would be deployed at a height of 1.5m and 90% would be deployed at a height of 4.5m.
                    <SU>144</SU>
                    <FTREF/>
                     OneWeb agrees most NGSO FSS user terminals are expected to be deployed on rooftops and that such installation practices are consistent with decades of satellite infrastructure deployments.
                    <SU>145</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>141</SU>
                         SpaceX June 21, 2022 Analysis at 7.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>142</SU>
                         RS Access May 19, 2022 RKF Study II at 20.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>143</SU>
                         SpaceX June 21, 2022 Analysis at 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>144</SU>
                         SpaceX June 21, 2022 Analysis at 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>145</SU>
                         OneWeb July 11, 2022 Analyses at 5.
                    </P>
                </FTNT>
                <P>
                    35. 
                    <E T="03">Number of Macro Cells Deployed.</E>
                     RKF's May 2022 study models 49,997 5G macro base stations throughout CONUS, distributed in the most densely populated areas of each PEA, comprising at least 10% of the population of the PEA.
                    <SU>146</SU>
                    <FTREF/>
                     SpaceX has criticized RKF's 10% coverage, contending that RKF's 10% minimum buildout assumption falls far below the 70% to 80% population coverage requirement the Commission has routinely applied to other recently allocated flexible use spectrum, and it asserts the lower percentage buildout results in less interference, thus skewing the results of RKF's study.
                    <SU>147</SU>
                    <FTREF/>
                     SpaceX assumed 3,215 macro base stations in the Las Vegas market in its study,
                    <SU>148</SU>
                    <FTREF/>
                     which RKF criticized as being a vast overestimation of typical 5G deployment.
                    <SU>149</SU>
                    <FTREF/>
                     However, SAVID, which SpaceX hired to review the RKF studies, later argued that the number of macro base stations assumed in the SpaceX analysis did not have a material impact on the interference analysis results.
                    <SU>150</SU>
                    <FTREF/>
                     The Commission notes that looking at the Upper Microwave Flexible Use Service (UMFUS) requirements for bands such as 24 GHz and above, licensees may fulfill their performance requirements in various ways, including providing mobile service to 40% of the population of the license area or by demonstrating coverage of at least 25% of their license's geographic area, or by showing the presence of equipment transmitting or receiving on the licensed spectrum in at least 25% of census 
                    <PRTPAGE P="43474"/>
                    tracts within the license area.
                    <SU>151</SU>
                    <FTREF/>
                     Accordingly, the relevant percentage buildout that would be required at 12 GHz may be different than either side's assumptions.
                    <SU>152</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>146</SU>
                         RS Access Comment RKF Study I at 9.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>147</SU>
                         SpaceX June 3, 2022 Response to Revised RKF Report at 2. SpaceX has argued RKF's 10% buildout is also inconsistent with the economic study submitted by terrestrial mobile proponents, which “assume the terrestrial mobile operations in the 12 GHz band will be available ubiquitously”[. . .]and is also inconsistent with the public interests claimed by members of its coalition that mobile services in 12 GHz band be required to serve rural customers, left behind by other 5G deployments.” SpaceX June 21, 2022 Analysis at 11 (notes omitted).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>148</SU>
                         SpaceX June 21, 2022 Analysis at 15.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>149</SU>
                         
                        <E T="03">See</E>
                         RS Access July 15, 2022 RKF Response Study at 9-10 (“If a 5G operator sought to meet Starlink's assumptions and built-out a nationwide 5G network that scaled the 540 POPs per cell Starlink modeled, the operator would have to deploy 610,000 base stations. By contrast, AT&amp;T uses approximately 75,000 towers . . . to support a fully nationwide network . . . .”). However, RKF also modeled 89,970 fixed small-cell base stations. RS Access Comment RKF Study I at 34. OneWeb notes that 12 GHz terrestrial mobile deployments, should they be allowed, would mostly be on small-cell base stations like the C-band and Ka-band flexible-use deployments for in-fill where more capacity is desired, and according to CTIA, up to 800,000 small cells could be deployed within the next 5 years. 
                        <E T="03">See</E>
                         OneWeb Reply at 19-20. OneWeb states that even if half of these projected small cells included the 12 GHz band, it would represent a five-fold increase over the RKF study's small-cell deployment assumptions, and the number of affected Starlink terminals could be 9 times higher than predicted for the small-cell base stations. 
                        <E T="03">Id.</E>
                         at 20-21.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>150</SU>
                         SpaceX Oct. 4, 2022 SAVID Report at 12.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>151</SU>
                         
                        <E T="03">See Use of Spectrum Bands Above 24 GHz For Mobile Radio Services, et al.,</E>
                         Report and Order and Further Notice of Proposed Rulemaking, 31 FCC Rcd 8014, 8088, para. 206 (2016) (stating that a licensee providing mobile service must provide coverage to 40 percent of the population of the license area); 
                        <E T="03">Use of Spectrum Bands Above 24 GHz For Mobile Radio Services, et al.,</E>
                         Third Report and Order, Memorandum Opinion and Order, and Third Further Notice of Proposed Rulemaking, 33 FCC Rcd 5576, 5580, para. 8 (2018) (stating that licensees may fulfill the requirements of [the geographic area performance] metric either by demonstrating mobile or point-to-multipoint coverage of at least 25% of their license's geographic area, or by showing the presence of equipment transmitting or receiving on the licensed spectrum in at least 25% of census tracts within the license area . . . maintain[ing] parity with the 40% population coverage metric.).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>152</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Notice of Proposed Rulemaking at section V.C.6 (Performance Requirements) (seeking comment on the appropriate coverage percentages for the 12.7 GHz band) in associated GN Docket No. 22-352 (FCC 23-36).
                    </P>
                </FTNT>
                <P>
                    36. 
                    <E T="03">Technical Advancements.</E>
                     SpaceX argues that the RKF studies incorporated unreasonable technical advancements into their models of 5G handsets, lowering the estimated interference received. For example, the May 2022 RKF study incorporated horizon nulling into the performance of 5G macro-cell base stations whereby 5G antennas can null the gain pattern at the horizon at all azimuth angles to mitigate ground-based interference to NGSO FSS terminals.
                    <SU>153</SU>
                    <FTREF/>
                     SpaceX argued “[this] is a neat trick when the terrestrial operator does not know where the NGSO FSS antennas are located.” 
                    <SU>154</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>153</SU>
                         RS Access May 19, 2022 RKF Study II at 12.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>154</SU>
                         SpaceX argues RKF assumptions about nulling technology rely on letters from NOKIA, Ericsson, and Samsung, but it states that first none of these materials refer to any specific level of sidelobe suppression capability from nulling and only Samsung mentions nulling at all, and only as a means of avoiding interference to other mobile user equipment. SpaceX June 3, 2022 Response to Revised RKF Report at 5, n.23 (discussing RS Access May 19, 2022 RKF Study II at 12, n.40 (citing Letter from Jeffrey Marks, Vice President, Nokia, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 18-122 (filed Sept. 21, 2021); Letter from Mark Racek, Sr. Director of Spectrum Policy, Ericsson, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 18-122 (filed Sept. 13, 2021); Letter from Robert Kubik, Sr. Director, Samsung, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 18-122 (filed Sept. 20, 2021)). Second, SpaceX argues these letters were filed in the C-band proceeding and that RKF provides no explanation to justify its approach to scaling for the much higher frequencies at 12 GHz. SpaceX June 3, 2022 Response to Revised RKF Report at 5. Furthermore, SpaceX notes there is no 12 GHz equipment and no ITU, 3GPP, or other performance standard for 12 GHz and RKF does not explain how it came up with its assumptions for this band. 
                        <E T="03">Id.</E>
                         Third, SpaceX argues the letters from Ericsson and Samsung mention grating lobes, but RKF does not consider their effects in its model. 
                        <E T="03">Id.</E>
                         Fourth, even if nulling were feasible in the 12 GHz band, SpaceX argues it is expensive technology that operators are unlikely to deploy voluntarily—yet no one has proposed to make such technology a regulatory requirement, making RKF's assumption that it will be deployed facially unreasonable. 
                        <E T="03">Id.</E>
                         And SpaceX argues that, fifth, RKF assumes that the macro base stations use a 256-element antenna, while both Nokia and Ericsson indicate that they contemplated the use of much smaller 96-element antennas, which would result in lower gain, wider beam width, worse sidelobes, and reduced nulling ability. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    37. 
                    <E T="03">Transmitter Power and Path Loss.</E>
                     As noted previously, RKF changed its transmitter power from 75 dBm to 65 dBm in its second study.
                    <SU>155</SU>
                    <FTREF/>
                     SpaceX has supplied its own engineering report arguing that ITU WP 5D which studied terrestrial mobile in the 10-11 GHz bands also assumes 72.6 dBm/100 MHz as a typical base station EIRP value, making 75 dBm the more likely number.
                    <SU>156</SU>
                    <FTREF/>
                     OneWeb agrees that 75 dBm/100 MHz is more realistic.
                    <SU>157</SU>
                    <FTREF/>
                     Furthermore, the OneWeb study uses the probabilistic clutter model found in Recommendation ITU-R P.2108, which provides a clutter assumption that is expected to be greater than predicted in 10% of the cases, and applies clutter only at the user terminals and only for those terminals deployed at ground level (as opposed to those presumed to be clutter-free on rooftops). Tailored in this manner, OneWeb can temper the recommendation's potentially overly aggressive prediction of clutter losses, yet model expected clutter losses at a range of geographic locations.
                    <SU>158</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>155</SU>
                         RS Access May 19, 2022 RKF Study II at 12.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>156</SU>
                         SpaceX Oct. 4, 2022 SAVID Report at 4 (citing Report on the 38th meeting of Working Party 5D (e-Meeting 7-18 June 2021), Annex 4.4 to Document 5D/716-E, 
                        <E T="03">https://www.itu.int/dms_ties/itu-r/md/19/wp5d/c/R19-WP5D-C-0716!H4-N4.04!MSW-E.docx,</E>
                         Table 3-1 entry 4.5 applicable to the 10-11 GHz band refers to Table 10 entry 1.9 which defines the typical values for antenna element input power of 22 dBm. Using the array parameters in Table 10 results in a typical BS EIRP of 72.6 dBm (in 100 MHz) which is comparable to the 75 dBm/100 MHz maximum EIRP density used in this analysis based on the FCC limit defined in 47 CFR 30.202(a)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>157</SU>
                         OneWeb July 11, 2022 Analyses at 6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>158</SU>
                         OneWeb July 11, 2022 Analyses at 5-6.
                    </P>
                </FTNT>
                <P>
                    38. Furthermore, both the RKF and SpaceX analyses model path loss using 3rd Generation Partnership Project (3GPP) Specification 38.901, applying the Urban Macro-Cell model for both urban and suburban macro-cells at 30 meters to 1 km distance, the Rural Macro-Cell model for rural macro-cells at 30 meters to 5 km, and the Micro-Cell (“Umi”) model for small-cells at 30 meter to 1 km distance.
                    <SU>159</SU>
                    <FTREF/>
                     However, SpaceX argues, RKF subtly understates the high interference line of sight cases in the 3GPP 38.901 model by using a single weighted average between NLOS (non-line of sight) and LOS (line of sight) path loss to represent both cases.
                    <SU>160</SU>
                    <FTREF/>
                     SpaceX argues RKF's approach of employing a weighted average to represent two distinctly different cases dramatically understates the line of sight cases that would actually occur under the 3GPP 38.901 model.
                    <SU>161</SU>
                    <FTREF/>
                     SAVID asserts that while the parties debate either −8.5 dBm or −12.2 dBm I/N, an alternative interference protection criterion based on the Power Flux Density (PFD) limit set by 47 CFR 101.105(a)(4)15 should be considered.
                    <SU>162</SU>
                    <FTREF/>
                     In this regard, SAVID points out that the FCC specifically set the maximum PFD limit from an MVDDS service transmitting antenna in NGSO FSS stations at 12.2-12.7 GHz at −135 dBW/m2 in 4 kHz at 3 km, which is the equivalent of an I/N threshold of −10.8 dB.
                    <SU>163</SU>
                    <FTREF/>
                     SAVID asserts this means that even for Starlink terminals in the most favorable location in the BS antenna pattern, there must be at least 25.5 dB of clutter loss to meet the FCC MVDDS PFD limit at 3 km separation.
                    <SU>164</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>159</SU>
                         SpaceX June 21, 2022 Analysis at 9-10.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>160</SU>
                         SpaceX June 21, 2022 Analysis at 10.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>161</SU>
                         SpaceX June 21, 2022 Analysis at 10.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>162</SU>
                         SpaceX Oct. 4, 2022 SAVID Report at 5-6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>163</SU>
                         SpaceX Oct. 4, 2022 SAVID Report at 6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>164</SU>
                         SpaceX Oct. 4, 2022 SAVID Report at 6. OneWeb stated its OneWeb July 11, 2022 Analyses uses the probabilistic clutter model found in Recommendation ITU-R P.2108, which provides a clutter assumption that is expected to be greater than predicted in 10% of the cases, and applies clutter only at the user terminals and only for those terminals deployed at ground level (as opposed to those presumed to be clutter-free on rooftops). OneWeb July 11, 2022 Analyses at 5-6.
                    </P>
                </FTNT>
                <P>
                    39. The parties' disagreements about the above assumptions underlying how two-way 5G mobile broadband and NGSO FSS user terminals should be modeled does not change the Commission's fundamental conclusion that there will be a significant risk of harmful interference to NGSO FSS where these services are deployed without adequate geographic separation. Even if the parties could agree about the values that should be assigned to each of the models' more minor assumptions, it would not change the models' more fundamental flawed assumption that the 5G and NGSO FSS services will be geographically separated. Rather, these disagreements present even more evidence of the difference in opinion between the parties as to the envisioned technical specifications of their respective operations. NGSO FSS continues to evolve and there is not enough data in the record on how these systems are currently configured and how the technical parameters will change over time as NGSO FSS systems add additional subscribers and continue to refine satellite technology. 
                    <PRTPAGE P="43475"/>
                    Furthermore, this band is not internationally harmonized for terrestrial 5G use and there is significant disagreement about what an operable 5G system would look like in this band. 5G terrestrial advocates have not demonstrated that it is in the public interest to restrict or impact NGSO FSS operations in urban/suburban markets—especially given that NGSO FSS systems are already serving customers. At this time, the Commission does not see a path forward for adding a terrestrial mobile allocation to the band that adequately protects the incumbent satellite operators.
                </P>
                <HD SOURCE="HD2">C. MVDDS Construction Filings</HD>
                <P>40. While the Commission declines to adopt service rules to allow 5G terrestrial use of the 12.2 GHz band as originally proposed by the MVDDS coalition, the Commission recognizes that many of the MVDDS licensees in the band have filed the required buildout showings for the licenses they hold under the current framework. In the accompanying further notice of proposed rulemaking (WT Docket No. 20-443) (FR 2023-13501) in FCC 23-36, the Commission seeks comment, among other things, on the possibility of changes to the existing framework. The Commission finds it's appropriate at this juncture to address any uncertainty as to the status of the existing MVDDS licenses under the current rules.</P>
                <P>
                    41. Eight companies (10 legal entities) hold 191 MVDDS licenses: two DISH subsidiaries hold 82 licenses; RS Access, a subsidiary of a Dell investment fund, holds 60 licenses; two Go Long Wireless entities hold a total of 25 licenses; and five smaller companies hold a total of 24 licenses.
                    <SU>165</SU>
                    <FTREF/>
                     As a construction requirement, MVDDS licensees must make a showing of substantial service at the end of five years into the license period and ten years into the license period.
                    <SU>166</SU>
                    <FTREF/>
                     The Commission is aware of only one current commercial MVDDS deployment,
                    <SU>167</SU>
                    <FTREF/>
                     and most MVDDS licensees received two extensions of the MVDDS buildout requirement, which resulted in final deadlines in 2019.
                    <SU>168</SU>
                    <FTREF/>
                     All of the existing licensees have had buildout showings pending since 2019 for each of their licenses, which are available to view in the Commission's Universal Licensing System (ULS).
                    <SU>169</SU>
                    <FTREF/>
                     In the 191 pending filings, each licensee reports that it met the 2019 buildout requirement for each license, mostly by satisfying the safe harbor that the Commission established for MVDDS in 2002 of operating at least four transmitters per one million pops in each license area.
                    <SU>170</SU>
                    <FTREF/>
                     The Wireless Telecommunications Bureau staff's preliminary review of these construction filings is that they likely meet the safe harbor standard. Accordingly, the Commission directs the Wireless Telecommunications Bureau to finalize the determination of whether the construction filings meet the safer harbor standard and if so to accept each of the pending MVDDS construction filings subject to the following condition: the Commission reserves the right to adopt additional buildout requirements for MVDDS if appropriate based on any revisions to the MVDDS rules adopted in response to the further notice of proposed rulemaking.
                </P>
                <FTNT>
                    <P>
                        <SU>165</SU>
                         The remaining 23 licenses automatically terminated for failure to meet the buildout requirement. 
                        <E T="03">See Requests of Three Licensees of 22 Licenses in the Multichannel Video and Data Distribution Service for Extension of Time to Meet the Final Buildout Requirement for Providing Substantial Service under Section 101.1413 of the Commission's Rules, Applications of Three Licensees for Renewal of 22 Licenses in the Multichannel Video and Data Distribution Service,</E>
                         Order, 33 FCC Rcd 10757 (WTB BD 2018), 
                        <E T="03">recons. pending. See also</E>
                         Blumenthal DTV LLC, Call Sign WQAR709 (Terminated July 26, 2014).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>166</SU>
                         47 CFR 101.1413.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>167</SU>
                         The licensee uses one station that transmits towards the relatively distant urban market and surrounding suburbs from a unique site, geographically and topographically, that allowed the Commission to waive certain technical rules without increasing harmful interference to DBS or significantly increasing the area in which future NGSO FSS receivers would be precluded by this MVDDS transmitter. 
                        <E T="03">See MDS Operations Inc., Request for Waiver of Certain Multichannel Video Distribution and Data Service Technical Rules for One Station in Sandia Part, New Mexico,</E>
                         Order, 25 FCC Rcd 7963, 7968-69, paras. 13-14 (WTB 2010). From 2011 to 2013, a former MVDDS licensee offered fixed wireless broadband and voice service in Florida's Broward and Palm Beach counties. 
                        <E T="03">See, e.g., http://www.multichannel.com/news/finance/cablevision-completes-omgfast-shutdown/271409.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>168</SU>
                         
                        <E T="03">See, e.g., Requests of Ten Licensees of 191 Licenses in the Multichannel Video and Data Distribution Service for Waiver of the Five-Year Deadline for Providing Substantial Service,</E>
                         Order, 25 FCC Rcd 10097 (WTB 2010).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>169</SU>
                         
                        <E T="03">See</E>
                          
                        <E T="03">https://wireless2.fcc.gov/UlsApp/ApplicationSearch/searchAppl.jsp</E>
                        . Click on “Advanced Application Search” and select the following: Radio Service Code: “DV,” Status: “2-Pending,” Purpose: “NT.” Scroll to bottom of page, Customize Your Results, and click on “Search.” Ninety-five of the 191 filings were amended in 2020.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>170</SU>
                         
                        <E T="03">See id. See also MVDDS Second Report and Order,</E>
                         17 FCC Rcd at 9684, para. 177.
                    </P>
                </FTNT>
                <P>
                    42. The Commission further directs the Bureau to reconsider its denials of 2016 requests to extend buildout deadlines for 22 MVDDS licenses, and to extend the buildout deadlines for these licenses for 18 months from the effective date of this item, subject to the same condition above.
                    <SU>171</SU>
                    <FTREF/>
                     The Commission believes that the unique circumstances of this proceeding, namely the uncertainty created by the MVDDS 5G Coalition's request for 5G terrestrial use, makes strict application of the buildout deadlines contrary to the public interest.
                    <SU>172</SU>
                    <FTREF/>
                     Eliminating the uncertainty over these 22 MVDDS licenses will best serve the public interest by promoting fuller participation in the record to be developed in response to the Further Notice of Proposed Rulemaking as well as by providing additional certainty regarding the status of these MVDDS licenses.
                </P>
                <FTNT>
                    <P>
                        <SU>171</SU>
                         
                        <E T="03">See Requests of Three Licensees of 22 Licenses in the Multichannel Video and Data Distribution Service for Extension of Time to Meet the Final Buildout Requirement for Providing Substantial Service under Section 101.1413 of the Commission's Rules, Applications of Three Licensees for Renewal of 22 Licenses in the Multichannel Video and Data Distribution Service,</E>
                         Order, 33 FCC Rcd 10757 (WTB BD 2018), 
                        <E T="03">recons. pending.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>172</SU>
                         
                        <E T="03">See</E>
                         47 CFR 1.925(b)(3)(ii).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">II. Ordering Clauses</HD>
                <P>
                    43. 
                    <E T="03">It is ordered</E>
                     that, pursuant to sections 1, 2, 4, 5, 301, 302, 303, 304, 307, 309, 310, and 316 of the Communications Act of 1934, 47 U.S.C. 151, 152, 154, 155, 301, 302a, 303, 304, 307, 309, 310, 316, and § 1.411 of the Commission's rules, 47 CFR 1.411, the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order in the captioned dockets 
                    <E T="03">is adopted</E>
                    .
                </P>
                <P>
                    44. The inquiry in 
                    <E T="03">Expanding Flexible Use in Mid-Band Spectrum Between 3.7-24 GHz,</E>
                     GN Docket No. 17-183, is 
                    <E T="03">terminated</E>
                     as to the mid-band spectrum between 12.2 GHz and 13.25 GHz.
                </P>
                <P>
                    45. 
                    <E T="03">It is further ordered</E>
                     that, pursuant to applicable procedures set forth in §§ 1.415 and 1.419 of the Commission's rules, 47 CFR 1.415, 1.419, interested parties may file comment on the 
                    <E T="03">Further Notice of Proposed Rulemaking</E>
                     in WT Docket No. 20-443 and the 
                    <E T="03">Notice of Proposed Rulemaking</E>
                     in GN Docket No. 22-352 on or before the number of days shown on the first page of this document after publication in the 
                    <E T="04">Federal Register</E>
                    , and reply comment on or before the number of days shown on the first page of this document after publication in the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <PRTPAGE P="43476"/>
                <P>
                    46. 
                    <E T="03">It is further ordered</E>
                     that the Commission's Office of the Secretary, Reference Information Center, 
                    <E T="03">shall send</E>
                     a copy of the Report and Order and 
                    <E T="03">Further Notice of Proposed Rulemaking</E>
                     and 
                    <E T="03">Notice of Proposed Rulemaking</E>
                     and 
                    <E T="03">Order,</E>
                     including the associated Initial Regulatory Flexibility Analyses, to the Chief Counsel for Advocacy of the Small Business Administration.
                </P>
                <SIG>
                    <FP>Federal Communications Commission.</FP>
                    <NAME>Marlene Dortch,</NAME>
                    <TITLE>Secretary, Office of the Secretary.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-13503 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6712-01-P</BILCOD>
        </RULE>
    </RULES>
    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Proposed Rules</UNITNAME>
    <PRORULES>
        <PRORULE>
            <PREAMB>
                <PRTPAGE P="43477"/>
                <AGENCY TYPE="F">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Aviation Administration</SUBAGY>
                <CFR>14 CFR Part 39</CFR>
                <DEPDOC>[Docket No. FAA-2023-1402; Project Identifier MCAI-2023-00324-T]</DEPDOC>
                <RIN>RIN 2120-AA64</RIN>
                <SUBJECT>Airworthiness Directives; Dassault Aviation Airplanes</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Aviation Administration (FAA), DOT.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of proposed rulemaking (NPRM).</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The FAA proposes to adopt a new airworthiness directive (AD) for certain Dassault Aviation Model MYSTERE-FALCON 900, FALCON 900EX, FALCON 2000, and FALCON 2000EX airplanes. This proposed AD was prompted by reports of the wing anti-icing (WAI) system leaking in the wing leading edge. This proposed AD would require a one-time inspection of the WAI system, and corrective actions if necessary, as specified in a European Union Aviation Safety Agency (EASA) AD, which is proposed for incorporation by reference (IBR). The FAA is proposing this AD to address the unsafe condition on these products.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The FAA must receive comments on this proposed AD by August 24, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>You may send comments, using the procedures found in 14 CFR 11.43 and 11.45, by any of the following methods:</P>
                    <P>
                        • 
                        <E T="03">Federal eRulemaking Portal:</E>
                         Go to 
                        <E T="03">regulations.gov</E>
                        . Follow the instructions for submitting comments.
                    </P>
                    <P>
                        • 
                        <E T="03">Fax:</E>
                         202-493-2251.
                    </P>
                    <P>
                        • 
                        <E T="03">Mail:</E>
                         U.S. Department of Transportation, Docket Operations, M-30, West Building Ground Floor, Room W12-140, 1200 New Jersey Avenue SE, Washington, DC 20590.
                    </P>
                    <P>
                        • 
                        <E T="03">Hand Delivery:</E>
                         Deliver to Mail address above between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays.
                    </P>
                    <P>
                        <E T="03">AD Docket:</E>
                         You may examine the AD docket at 
                        <E T="03">regulations.gov</E>
                         under Docket No. FAA-2023-1402; or in person at Docket Operations between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. The AD docket contains this NPRM, the mandatory continuing airworthiness information (MCAI), any comments received, and other information. The street address for Docket Operations is listed above.
                    </P>
                    <P>
                        <E T="03">Material Incorporated by Reference:</E>
                    </P>
                    <P>
                        • For material that is proposed for IBR in this NPRM, contact EASA, Konrad-Adenauer-Ufer 3, 50668 Cologne, Germany; telephone +49 221 8999 000; email: 
                        <E T="03">ADs@easa.europa.eu;</E>
                         website: 
                        <E T="03">easa.europa.eu.</E>
                         You may find this material on the EASA website: 
                        <E T="03">ad.easa.europa.eu.</E>
                         It is also available at 
                        <E T="03">regulations.gov</E>
                         under Docket No. FAA-2023-1402.
                    </P>
                    <P>• You may view this service information at the FAA, Airworthiness Products Section, Operational Safety Branch, 2200 South 216th Street, Des Moines, WA. For information on the availability of this material at the FAA, call 206-231-3195.</P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Tom Rodriguez, Aviation Safety Engineer, FAA, 1600 Stewart Avenue, Suite 410, Westbury, NY 11590; telephone 206-231-3226; email 
                        <E T="03">tom.rodriguez@faa.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Comments Invited</HD>
                <P>
                    The FAA invites you to send any written relevant data, views, or arguments about this proposal. Send your comments to an address listed under 
                    <E T="02">ADDRESSES</E>
                    . Include “Docket No. FAA-2023-1402; Project Identifier MCAI-2023-00324-T” at the beginning of your comments. The most helpful comments reference a specific portion of the proposal, explain the reason for any recommended change, and include supporting data. The FAA will consider all comments received by the closing date and may amend this proposal because of those comments.
                </P>
                <P>
                    Except for Confidential Business Information (CBI) as described in the following paragraph, and other information as described in 14 CFR 11.35, the FAA will post all comments received, without change, to 
                    <E T="03">regulations.gov,</E>
                     including any personal information you provide. The agency will also post a report summarizing each substantive verbal contact received about this NPRM.
                </P>
                <HD SOURCE="HD1">Confidential Business Information</HD>
                <P>
                    CBI is commercial or financial information that is both customarily and actually treated as private by its owner. Under the Freedom of Information Act (FOIA) (5 U.S.C. 552), CBI is exempt from public disclosure. If your comments responsive to this NPRM contain commercial or financial information that is customarily treated as private, that you actually treat as private, and that is relevant or responsive to this NPRM, it is important that you clearly designate the submitted comments as CBI. Please mark each page of your submission containing CBI as “PROPIN.” The FAA will treat such marked submissions as confidential under the FOIA, and they will not be placed in the public docket of this NPRM. Submissions containing CBI should be sent to Tom Rodriguez, Aviation Safety Engineer, FAA, 1600 Stewart Avenue, Suite 410, Westbury, NY 11590; telephone 206-231-3226; email 
                    <E T="03">tom.rodriguez@faa.gov.</E>
                     Any commentary that the FAA receives which is not specifically designated as CBI will be placed in the public docket for this rulemaking.
                </P>
                <HD SOURCE="HD1">Background</HD>
                <P>EASA, which is the Technical Agent for the Member States of the European Union, has issued EASA AD 2023-0041, dated February 21, 2023 (EASA AD 2023-0041) (also referred to as the MCAI), to correct an unsafe condition for certain Dassault Aviation Model MYSTERE-FALCON 900, FALCON 900EX, FALCON 2000, and FALCON 2000EX airplanes. The MCAI states the WAI system was reported leaking in the wing leading edge. The leaks were either from an incorrect installation of the Wiggins coupling on the WAI system, or detachment of the pressure switch line from the WAI pipe (only found on the Falcon 2000 and Falcon 2000EX airplanes). This condition, if not detected and corrected, could lead to a loss of performance of WAI protection system, possibly resulting in reduced control of the airplane.</P>
                <P>
                    The FAA is proposing this AD to address the unsafe condition on these products. You may examine the MCAI in the AD docket at 
                    <E T="03">regulations.gov</E>
                     under Docket No. FAA-2023-1402.
                    <PRTPAGE P="43478"/>
                </P>
                <HD SOURCE="HD1">Related Service Information Under 1 CFR Part 51</HD>
                <P>
                    EASA AD 2023-0041 specifies procedures for a one-time general visual inspection of the WAI system for discrepancies, including incorrect installation, deformation, leakage or signs of overheating, and lack of free rotation of the clamp around the two ferrules, and, depending on findings, corrective actions. Corrective actions include replacement or re-installation of the affected WAI Wiggins coupling with new seals and couplings. For the Falcon 2000 and Falcon 2000EX airplanes, there is an additional one-time general visual inspection of the WAI pipes for traces of abnormal leakage, overheating, or degradation of the thermal lagging, and depending on findings, corrective actions. Corrective actions are for replacement of the affected WAI pipes. This material is reasonably available because the interested parties have access to it through their normal course of business or by the means identified in 
                    <E T="02">ADDRESSES</E>
                     section.
                </P>
                <HD SOURCE="HD1">FAA's Determination</HD>
                <P>This product has been approved by the aviation authority of another country and is approved for operation in the United States. Pursuant to the FAA's bilateral agreement with this State of Design Authority, it has notified the FAA of the unsafe condition described in the MCAI referenced above. The FAA is issuing this NPRM after determining that the unsafe condition described previously is likely to exist or develop in other products of the same type design.</P>
                <HD SOURCE="HD1">Proposed AD Requirements in This NPRM</HD>
                <P>This proposed AD would require accomplishing the actions specified in EASA AD 2023-0041 described previously, except for any differences identified as exceptions in the regulatory text of this proposed AD.</P>
                <HD SOURCE="HD1">Explanation of Required Compliance Information</HD>
                <P>
                    In the FAA's ongoing efforts to improve the efficiency of the AD process, the FAA developed a process to use some civil aviation authority (CAA) ADs as the primary source of information for compliance with requirements for corresponding FAA ADs. The FAA has been coordinating this process with manufacturers and CAAs. As a result, the FAA proposes to incorporate EASA AD 2023-0041 by reference in the FAA final rule. This proposed AD would, therefore, require compliance with EASA AD 2023-0041 in its entirety through that incorporation, except for any differences identified as exceptions in the regulatory text of this proposed AD. Using common terms that are the same as the heading of a particular section in EASA AD 2023-0041 does not mean that operators need comply only with that section. For example, where the AD requirement refers to “all required actions and compliance times,” compliance with this AD requirement is not limited to the section titled “Required Action(s) and Compliance Time(s)” in EASA AD 2023-0041. Service information required by EASA AD 2023-0041 for compliance will be available at 
                    <E T="03">regulations.gov</E>
                     under Docket No. FAA-2023-1402 after the FAA final rule is published.
                </P>
                <HD SOURCE="HD1">Costs of Compliance</HD>
                <P>The FAA estimates that this AD, if adopted as proposed, would affect 820 airplanes of U.S. registry. The FAA estimates the following costs to comply with this proposed AD:</P>
                <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s100,12C,12C,12C">
                    <TTITLE>Estimated Costs for Required Actions</TTITLE>
                    <BOXHD>
                        <CHED H="1">Labor cost</CHED>
                        <CHED H="1">Parts cost</CHED>
                        <CHED H="1">
                            Cost per
                            <LI>product</LI>
                        </CHED>
                        <CHED H="1">Cost on U.S. operators</CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">7 work-hours × $85 per hour = $595</ENT>
                        <ENT>$0</ENT>
                        <ENT>$595</ENT>
                        <ENT>$487,900</ENT>
                    </ROW>
                </GPOTABLE>
                <P>The FAA estimates the following costs to do any necessary on-condition actions that would be required based on the results of any required actions. The FAA has no way of determining the number of aircraft that might need these on-condition actions:</P>
                <GPOTABLE COLS="3" OPTS="L2,i1" CDEF="s100,12,xs54">
                    <TTITLE>Estimated Costs of On-Condition Actions</TTITLE>
                    <BOXHD>
                        <CHED H="1">Labor cost</CHED>
                        <CHED H="1">Parts cost</CHED>
                        <CHED H="1">
                            Cost per
                            <LI>product</LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">Up to 2 work-hours × $85 per hour = $170</ENT>
                        <ENT>$517</ENT>
                        <ENT>Up to $687.</ENT>
                    </ROW>
                </GPOTABLE>
                <P>The FAA has included all known costs in its cost estimate. According to the manufacturer, however, some or all of the costs of this proposed AD may be covered under warranty, thereby reducing the cost impact on affected operators.</P>
                <HD SOURCE="HD1">Authority for This Rulemaking</HD>
                <P>Title 49 of the United States Code specifies the FAA's authority to issue rules on aviation safety. Subtitle I, section 106, describes the authority of the FAA Administrator. Subtitle VII: Aviation Programs, describes in more detail the scope of the Agency's authority.</P>
                <P>The FAA is issuing this rulemaking under the authority described in Subtitle VII, Part A, Subpart III, Section 44701: General requirements. Under that section, Congress charges the FAA with promoting safe flight of civil aircraft in air commerce by prescribing regulations for practices, methods, and procedures the Administrator finds necessary for safety in air commerce. This regulation is within the scope of that authority because it addresses an unsafe condition that is likely to exist or develop on products identified in this rulemaking action.</P>
                <HD SOURCE="HD1">Regulatory Findings</HD>
                <P>The FAA determined that this proposed AD would not have federalism implications under Executive Order 13132. This proposed AD would not have a substantial direct effect on the States, on the relationship between the national Government and the States, or on the distribution of power and responsibilities among the various levels of government.</P>
                <P>
                    For the reasons discussed above, I certify this proposed regulation:
                    <PRTPAGE P="43479"/>
                </P>
                <P>(1) Is not a “significant regulatory action” under Executive Order 12866,</P>
                <P>(2) Would not affect intrastate aviation in Alaska, and</P>
                <P>(3) Would not have a significant economic impact, positive or negative, on a substantial number of small entities under the criteria of the Regulatory Flexibility Act.</P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 14 CFR Part 39</HD>
                    <P>Air transportation, Aircraft, Aviation safety, Incorporation by reference, Safety.</P>
                </LSTSUB>
                <HD SOURCE="HD1">The Proposed Amendment</HD>
                <P>Accordingly, under the authority delegated to me by the Administrator, the FAA proposes to amend 14 CFR part 39 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 39—AIRWORTHINESS DIRECTIVES</HD>
                </PART>
                <AMDPAR>1. The authority citation for part 39 continues to read as follows:</AMDPAR>
                <AUTH>
                    <HD SOURCE="HED">Authority:</HD>
                    <P> 49 U.S.C. 106(g), 40113, 44701.</P>
                </AUTH>
                <SECTION>
                    <SECTNO>§ 39.13</SECTNO>
                    <SUBJECT> [Amended]</SUBJECT>
                </SECTION>
                <AMDPAR>2. The FAA amends § 39.13 by adding the following new airworthiness directive:</AMDPAR>
                <EXTRACT>
                    <FP SOURCE="FP-2">
                        <E T="04">Dassault Aviation:</E>
                         Docket No. FAA-2023-1402; Project Identifier MCAI-2023-00324-T.
                    </FP>
                    <HD SOURCE="HD1">(a) Comments Due Date</HD>
                    <P>The FAA must receive comments on this airworthiness directive (AD) by August 24, 2023.</P>
                    <HD SOURCE="HD1">(b) Affected ADs</HD>
                    <P>None.</P>
                    <HD SOURCE="HD1">(c) Applicability</HD>
                    <P>This AD applies to Dassault Aviation Model MYSTERE-FALCON 900, FALCON 900EX, FALCON 2000, and FALCON 2000EX airplanes, certificated in any category, as identified in European Union Aviation Safety Agency (EASA) AD 2023-0041, dated February 21, 2023 (EASA AD 2023-0041).</P>
                    <HD SOURCE="HD1">(d) Subject</HD>
                    <P>Air Transport Association (ATA) of America Code: 30, Ice and Rain Protection.</P>
                    <HD SOURCE="HD1">(e) Unsafe Condition</HD>
                    <P>This AD was prompted by reports of the wing anti-icing (WAI) system leaking in the wing leading edge. The FAA is issuing this AD to address leaks in the WAI system. The unsafe condition, if not addressed, could lead to a loss of performance of the WAI protection system, possibly resulting in reduced control of the airplane.</P>
                    <HD SOURCE="HD1">(f) Compliance</HD>
                    <P>Comply with this AD within the compliance times specified, unless already done.</P>
                    <HD SOURCE="HD1">(g) Requirements</HD>
                    <P>Except as specified in paragraph (h) of this AD: Comply with all required actions and compliance times specified in, and in accordance with, EASA AD 2023-0041.</P>
                    <HD SOURCE="HD1">(h) Exceptions to EASA AD 2023-0041</HD>
                    <P>(1) Where EASA AD 2023-0041 refers to its effective date, this AD requires using the effective date of this AD.</P>
                    <P>(2) Where paragraph (2) of EASA AD 2023-0041 specifies actions if “any discrepancy [as defined in the applicable inspection SB] is found,” for this AD, discrepancies are defined as incorrect installation, deformation, leakage, signs of overheating, and lack of free rotation of the clamp around the two ferrules.</P>
                    <P>(3) This AD does not adopt the “Remarks” section of EASA AD 2023-0041.</P>
                    <HD SOURCE="HD1">(i) Additional AD Provisions</HD>
                    <P>The following provisions also apply to this AD:</P>
                    <P>
                        (1) 
                        <E T="03">Alternative Methods of Compliance (AMOCs):</E>
                         The Manager, International Validation Branch, FAA, has the authority to approve AMOCs for this AD, if requested using the procedures found in 14 CFR 39.19. In accordance with 14 CFR 39.19, send your request to your principal inspector or responsible Flight Standards Office, as appropriate. If sending information directly to the International Validation Branch, send it to the attention of the person identified in paragraph (j) of this AD. Information may be emailed to: 
                        <E T="03">9-AVS-AIR-730-AMOC@faa.gov.</E>
                         Before using any approved AMOC, notify your appropriate principal inspector, or lacking a principal inspector, the manager of the responsible Flight Standards Office.
                    </P>
                    <P>
                        (2) 
                        <E T="03">Contacting the Manufacturer:</E>
                         For any requirement in this AD to obtain instructions from a manufacturer, the instructions must be accomplished using a method approved by the Manager, International Validation Branch, FAA; or EASA; or Dassault Aviation's EASA Design Organization Approval (DOA). If approved by the DOA, the approval must include the DOA-authorized signature.
                    </P>
                    <HD SOURCE="HD1">(j) Additional Information</HD>
                    <P>
                        For more information about this AD, contact Tom Rodriguez, Aviation Safety Engineer, FAA, 1600 Stewart Avenue, Suite 410, Westbury, NY 11590; telephone 206-231-3226; email 
                        <E T="03">tom.rodriguez@faa.gov.</E>
                    </P>
                    <HD SOURCE="HD1">(k) Material Incorporated by Reference</HD>
                    <P>(1) The Director of the Federal Register approved the incorporation by reference (IBR) of the service information listed in this paragraph under 5 U.S.C. 552(a) and 1 CFR part 51.</P>
                    <P>(2) You must use this service information as applicable to do the actions required by this AD, unless this AD specifies otherwise.</P>
                    <P>(i) European Union Aviation Safety Agency (EASA) AD 2023-0041, dated February 21, 2023.</P>
                    <P>(ii) [Reserved]</P>
                    <P>
                        (3) For EASA AD 2023-0041, contact EASA, Konrad-Adenauer-Ufer 3, 50668 Cologne, Germany; telephone +49 221 8999 000; email: 
                        <E T="03">ADs@easa.europa.eu;</E>
                         website: 
                        <E T="03">easa.europa.eu.</E>
                         You may find this EASA AD on the EASA website: 
                        <E T="03">ad.easa.europa.eu.</E>
                    </P>
                    <P>(4) You may view this service information at the FAA, Airworthiness Products Section, Operational Safety Branch, 2200 South 216th Street, Des Moines, WA. For information on the availability of this material at the FAA, call 206-231-3195.</P>
                    <P>
                        (5) You may view this service information that is incorporated by reference at the National Archives and Records Administration (NARA). For information on the availability of this material at NARA, email 
                        <E T="03">fr.inspection@nara.gov,</E>
                         or go to: 
                        <E T="03">www.archives.gov/federal-register/cfr/ibr-locations.html.</E>
                    </P>
                </EXTRACT>
                <SIG>
                    <DATED>Issued on July 3, 2023.</DATED>
                    <NAME>Michael Linegang,</NAME>
                    <TITLE>Acting Director, Compliance &amp; Airworthiness Division, Aircraft Certification Service.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14367 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-13-P</BILCOD>
        </PRORULE>
        <PRORULE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Aviation Administration</SUBAGY>
                <CFR>14 CFR Part 39</CFR>
                <DEPDOC>[Docket No. FAA-2023-1222; Project Identifier AD-2023-00574-T]</DEPDOC>
                <RIN>RIN 2120-AA64</RIN>
                <SUBJECT>Airworthiness Directives; The Boeing Company Airplanes</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Aviation Administration (FAA), DOT.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of proposed rulemaking (NPRM).</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        The FAA proposes to supersede Airworthiness Directive (AD) 2021-02-15, which applies to certain The Boeing Company Model 747-100, 747-100B, 747-100B SUD, 747-200B, 747-200C, 747-200F, 747-300, 747-400, 747-400D, 747-400F, and 747SR series airplanes. AD 2021-02-15 requires repetitive replacement of certain parts; an inspection to determine production configuration for certain parts; repetitive lubrication of certain parts and a repetitive inspection of certain parts for any exuding grease; repetitive inspections of certain parts for loose or missing attachment bolts, cracks or bushing migration, cracks or gouges, or broken, binding, or missing rollers; repetitive inspections of certain parts for cracks or corrosion; repetitive lubrication; and on-condition actions if necessary. Since the FAA issued AD 2021-02-15, the FAA determined that certain compliance times must be reduced in order to address the unsafe condition. This proposed AD would continue to require the actions specified in AD 2021-02-15 with certain reduced compliance times. The FAA is 
                        <PRTPAGE P="43480"/>
                        proposing this AD to address the unsafe condition on these products.
                    </P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The FAA must receive comments on this proposed AD by August 24, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>You may send comments, using the procedures found in 14 CFR 11.43 and 11.45, by any of the following methods:</P>
                    <P>
                        • 
                        <E T="03">Federal eRulemaking Portal:</E>
                         Go to 
                        <E T="03">regulations.gov.</E>
                         Follow the instructions for submitting comments.
                    </P>
                    <P>
                        • 
                        <E T="03">Fax:</E>
                         202-493-2251.
                    </P>
                    <P>
                        • 
                        <E T="03">Mail:</E>
                         U.S. Department of Transportation, Docket Operations, M-30, West Building Ground Floor, Room W12-140, 1200 New Jersey Avenue SE, Washington, DC 20590.
                    </P>
                    <P>
                        • 
                        <E T="03">Hand Delivery:</E>
                         Deliver to Mail address above between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays.
                    </P>
                    <P>
                        <E T="03">AD Docket:</E>
                         You may examine the AD docket at 
                        <E T="03">regulations.gov</E>
                         under Docket No. FAA-2023-1222; or in person at Docket Operations between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. The AD docket contains this NPRM, any comments received, and other information. The street address for Docket Operations is listed above.
                    </P>
                    <P>
                        <E T="03">Material Incorporated by Reference:</E>
                    </P>
                    <P>
                        • For service information identified in this NPRM, contact Boeing Commercial Airplanes, Attention: Contractual &amp; Data Services (C&amp;DS), 2600 Westminster Blvd., MC 110-SK57, Seal Beach, CA 90740-5600; telephone 562-797-1717; website 
                        <E T="03">myboeingfleet.com.</E>
                    </P>
                    <P>
                        • You may view this service information at the FAA, Airworthiness Products Section, Operational Safety Branch, 2200 South 216th St., Des Moines, WA. For information on the availability of this material at the FAA, call 206-231-3195. It is also available at 
                        <E T="03">regulations.gov</E>
                         by searching for and locating Docket No. FAA-2023-1222.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Stefanie Roesli, Aviation Safety Engineer, FAA, 2200 South 216th St., Des Moines, WA 98198; phone: 206-231-3964; email: 
                        <E T="03">Stefanie.N.Roesli@faa.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Comments Invited</HD>
                <P>
                    The FAA invites you to send any written relevant data, views, or arguments about this proposal. Send your comments to an address listed under 
                    <E T="02">ADDRESSES</E>
                    . Include “Docket No. FAA-2023-1222; Project Identifier AD-2023-00574-T” at the beginning of your comments. The most helpful comments reference a specific portion of the proposal, explain the reason for any recommended change, and include supporting data. The FAA will consider all comments received by the closing date and may amend this proposal because of those comments.
                </P>
                <P>
                    Except for Confidential Business Information (CBI) as described in the following paragraph, and other information as described in 14 CFR 11.35, the FAA will post all comments received, without change, to 
                    <E T="03">regulations.gov,</E>
                     including any personal information you provide. The agency will also post a report summarizing each substantive verbal contact received about this NPRM.
                </P>
                <HD SOURCE="HD1">Confidential Business Information</HD>
                <P>
                    CBI is commercial or financial information that is both customarily and actually treated as private by its owner. Under the Freedom of Information Act (FOIA) (5 U.S.C. 552), CBI is exempt from public disclosure. If your comments responsive to this NPRM contain commercial or financial information that is customarily treated as private, that you actually treat as private, and that is relevant or responsive to this NPRM, it is important that you clearly designate the submitted comments as CBI. Please mark each page of your submission containing CBI as “PROPIN.” The FAA will treat such marked submissions as confidential under the FOIA, and they will not be placed in the public docket of this NPRM. Submissions containing CBI should be sent to Stefanie Roesli, Aviation Safety Engineer, FAA, 2200 South 216th St., Des Moines, WA 98198; phone: 206-231-3964; email: 
                    <E T="03">Stefanie.N.Roesli@faa.gov.</E>
                     Any commentary that the FAA receives that is not specifically designated as CBI will be placed in the public docket for this rulemaking.
                </P>
                <HD SOURCE="HD1">Background</HD>
                <P>The FAA issued AD 2021-02-15, Amendment 39-21398 (86 FR 10750, February 23, 2021) (AD 2021-02-15), for certain The Boeing Company Model 747-100, 747-100B, 747-100B SUD, 747-200B, 747-200C, 747-200F, 747-300, 747-400, 747-400D, 747-400F, and 747SR series airplanes. AD 2021-02-15 was prompted by reports of partial and full inboard foreflap departures from the airplane. Inboard flap departures have been attributed to inadequate lubrication of the outboard fitting assembly, corrosion of the outboard fitting assembly, and corrosion in the inboard link assembly. In addition, broken center toggle rollers at the inboard sequence carriage and binding of inboard foreflap tracks due to defective or seized foreflap track rollers can lead to higher than normal loads on the outboard fitting assembly and the inboard link assembly. AD 2021-02-15 requires repetitive replacement of certain parts; a general visual inspection to determine production configuration for certain parts; a repetitive lubrication of certain parts and a repetitive general visual inspection of certain parts for any exuding grease; repetitive detailed inspections of certain parts for loose or missing attachment bolts, cracks or bushing migration, cracks or gouges, or broken, binding, or missing rollers; repetitive detailed inspections of certain parts for cracks or corrosion; repetitive lubrication; and on-condition actions if necessary. The agency issued AD 2021-02-15 to address departures of the inboard foreflap assembly from the airplane, which could result in damage to the airplane and adversely affect the airplane's continued safe flight and landing.</P>
                <HD SOURCE="HD1">Actions Since AD 2021-02-15 Was Issued</HD>
                <P>Since the FAA issued AD 2021-02-15, the FAA determined that certain compliance times must be reduced in order to address the unsafe condition. Boeing Alert Requirements Bulletin 747-57A2367 RB, dated November 15, 2019, which is the appropriate source of service information for accomplishing the actions required by AD 2021-02-15, includes compliance times in Tables 1 through 4 of the “Compliance” paragraph that specify “whichever occurs later” instead of “whichever occurs first.”</P>
                <P>Boeing issued Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023, to reduce the compliance time by replacing “Within 2 years after the original issue date of Requirements Bulletin 747-57A2367 RB or within 1,960 flight cycles after the original issue date of Requirements Bulletin 747-57A2367 RB, whichever occurs later” with “Within 2 years after the Revision 1 date of Requirements Bulletin 747-57A2367 RB or within 1,960 flight cycles after the original issue date of Requirements Bulletin 747-57A2367 RB, whichever occurs first.”</P>
                <HD SOURCE="HD1">FAA's Determination</HD>
                <P>
                    The FAA is issuing this NPRM after determining that the unsafe condition described previously is likely to exist or develop on other products of the same type design.
                    <PRTPAGE P="43481"/>
                </P>
                <HD SOURCE="HD1">Related Service Information Under 1 CFR Part 51</HD>
                <P>The FAA reviewed Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023. This service information specifies procedures for repetitive replacement of certain parts; a general visual inspection to determine production configuration for certain parts; a repetitive lubrication of certain parts and a repetitive general visual inspection of certain parts for any exuding grease; repetitive detailed inspections of certain parts for loose or missing attachment bolts, cracks or bushing migration, cracks or gouges, or broken, binding, or missing rollers; repetitive detailed inspections of certain parts for cracks or corrosion; repetitive lubrication; and on-condition actions if necessary. On-condition actions include replacements and repair.</P>
                <P>
                    This service information is reasonably available because the interested parties have access to it through their normal course of business or by the means identified in
                    <E T="02"> ADDRESSES</E>
                    .
                </P>
                <HD SOURCE="HD1">Proposed AD Requirements in This NPRM</HD>
                <P>Although this proposed AD does not explicitly restate the requirements of AD 2021-02-15, this proposed AD would retain all the requirements of AD 2021-02-15, with certain reduced compliance times. Those requirements are referenced in the service information identified previously, which, in turn, is referenced in paragraph (g) of this proposed AD.</P>
                <P>
                    This proposed AD would require accomplishing the actions specified in the service information already described and except for any differences identified as exceptions in the regulatory text of this proposed AD. For information on the procedures and compliance times, see this service information at 
                    <E T="03">regulations.gov</E>
                     under Docket No. FAA-2023-1222.
                </P>
                <HD SOURCE="HD1">Costs of Compliance</HD>
                <P>The FAA estimates that this AD, if adopted as proposed, would affect 134 airplanes of U.S. registry. The FAA estimates the following costs to comply with this proposed AD:</P>
                <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s50,r50,12,r50,r50">
                    <TTITLE>Estimated Costs</TTITLE>
                    <BOXHD>
                        <CHED H="1">Action</CHED>
                        <CHED H="1">Labor cost</CHED>
                        <CHED H="1">Parts cost</CHED>
                        <CHED H="1">Cost per product</CHED>
                        <CHED H="1">Cost on U.S. operators</CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">Repetitive replacement (retained actions from AD 2021-02-15)</ENT>
                        <ENT>Up to 10 work-hours × $85 per hour = Up to $850 per replacement cycle</ENT>
                        <ENT>$35,719</ENT>
                        <ENT>Up to $36,569 per replacement cycle</ENT>
                        <ENT>Up to $4,900,246 per replacement cycle.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">General visual inspection for parts production configuration (retained actions from AD 2021-02-15)</ENT>
                        <ENT>1 work-hour × $85 per hour = $85</ENT>
                        <ENT>0</ENT>
                        <ENT>$85</ENT>
                        <ENT>$11,390.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Repetitive detailed inspections (retained actions from AD 2021-02-15)</ENT>
                        <ENT>4 work-hours × $85 per hour = $340 per inspection cycle</ENT>
                        <ENT>0</ENT>
                        <ENT>$340 per inspection cycle</ENT>
                        <ENT>$45,560 per inspection cycle.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Repetitive inspection for lubrication and repetitive lubrication (retained actions from AD 2021-02-15)</ENT>
                        <ENT>1 work-hour × $85 per hour = $85 per lubrication</ENT>
                        <ENT>0</ENT>
                        <ENT>$85 per lubrication</ENT>
                        <ENT>$11,390 per lubrication.</ENT>
                    </ROW>
                </GPOTABLE>
                <P>The FAA estimates the following costs to do any necessary on-condition actions that would be required. The FAA has no way of determining the number of aircraft that might need these on-condition actions:</P>
                <GPOTABLE COLS="3" OPTS="L2,i1" CDEF="s100,r50,r50">
                    <TTITLE>Estimated Costs of On-Condition Replacements</TTITLE>
                    <BOXHD>
                        <CHED H="1">Labor cost</CHED>
                        <CHED H="1">Parts cost</CHED>
                        <CHED H="1">Cost per product</CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">Up to 8 work-hour × $85 per hour = $680</ENT>
                        <ENT>Up to $17,720</ENT>
                        <ENT>Up to $18,400.</ENT>
                    </ROW>
                </GPOTABLE>
                <P>The FAA has received no definitive data that would enable the FAA to provide cost estimates for the on-condition repairs specified in this proposed AD.</P>
                <HD SOURCE="HD1">Authority for This Rulemaking</HD>
                <P>Title 49 of the United States Code specifies the FAA's authority to issue rules on aviation safety. Subtitle I, section 106, describes the authority of the FAA Administrator. Subtitle VII: Aviation Programs, describes in more detail the scope of the Agency's authority.</P>
                <P>The FAA is issuing this rulemaking under the authority described in Subtitle VII, Part A, Subpart III, Section 44701: General requirements. Under that section, Congress charges the FAA with promoting safe flight of civil aircraft in air commerce by prescribing regulations for practices, methods, and procedures the Administrator finds necessary for safety in air commerce. This regulation is within the scope of that authority because it addresses an unsafe condition that is likely to exist or develop on products identified in this rulemaking action.</P>
                <HD SOURCE="HD1">Regulatory Findings</HD>
                <P>The FAA determined that this proposed AD would not have federalism implications under Executive Order 13132. This proposed AD would not have a substantial direct effect on the States, on the relationship between the national Government and the States, or on the distribution of power and responsibilities among the various levels of government.</P>
                <P>For the reasons discussed above, I certify this proposed regulation:</P>
                <P>(1) Is not a “significant regulatory action” under Executive Order 12866,</P>
                <P>(2) Would not affect intrastate aviation in Alaska, and</P>
                <P>(3) Would not have a significant economic impact, positive or negative, on a substantial number of small entities under the criteria of the Regulatory Flexibility Act.</P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 14 CFR Part 39</HD>
                    <P>Air transportation, Aircraft, Aviation safety, Incorporation by reference, Safety.</P>
                </LSTSUB>
                <PRTPAGE P="43482"/>
                <HD SOURCE="HD1">The Proposed Amendment</HD>
                <P>Accordingly, under the authority delegated to me by the Administrator, the FAA proposes to amend 14 CFR part 39 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 39—AIRWORTHINESS DIRECTIVES</HD>
                </PART>
                <AMDPAR>1. The authority citation for part 39 continues to read as follows:</AMDPAR>
                <AUTH>
                    <HD SOURCE="HED">Authority:</HD>
                    <P> 49 U.S.C. 106(g), 40113, 44701.</P>
                </AUTH>
                <SECTION>
                    <SECTNO>§ 39.13</SECTNO>
                    <SUBJECT>[Amended]</SUBJECT>
                </SECTION>
                <AMDPAR>2. The FAA amends § 39.13 by:</AMDPAR>
                <AMDPAR>a. Removing Airworthiness Directive (AD) 2021-02-15, Amendment 39-21398 (86 FR 10750, February 23, 2021), and</AMDPAR>
                <AMDPAR>b. Adding the following new AD:</AMDPAR>
                <EXTRACT>
                    <FP SOURCE="FP-2">
                        <E T="04">The Boeing Company:</E>
                         Docket No. FAA-2023-1222; Project Identifier AD-2023-00574-T.
                    </FP>
                    <HD SOURCE="HD1">(a) Comments Due Date</HD>
                    <P>The FAA must receive comments on this airworthiness directive (AD) by August 24, 2023.</P>
                    <HD SOURCE="HD1">(b) Affected ADs</HD>
                    <P>This AD replaces AD 2021-02-15, Amendment 39-21398 (86 FR 10750, February 23, 2021) (AD 2021-02-15).</P>
                    <HD SOURCE="HD1">(c) Applicability</HD>
                    <P>This AD applies to The Boeing Company Model 747-100, 747-100B, 747-100B SUD, 747-200B, 747-200C, 747-200F, 747-300, 747-400, 747-400D, 747-400F, and 747SR series airplanes, certificated in any category, as identified in Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023.</P>
                    <HD SOURCE="HD1">(d) Subject</HD>
                    <P>Air Transport Association (ATA) of America Code 57, Wings.</P>
                    <HD SOURCE="HD1">(e) Unsafe Condition</HD>
                    <P>This AD was prompted by reports of partial and full inboard foreflap departures from the airplane. The FAA is issuing this AD to address departures of the inboard foreflap assembly from the airplane, which could result in damage to the airplane and adversely affect the airplane's continued safe flight and landing.</P>
                    <HD SOURCE="HD1">(f) Compliance</HD>
                    <P>Comply with this AD within the compliance times specified, unless already done.</P>
                    <HD SOURCE="HD1">(g) Retained Actions, With Revised Compliance Times and Service Information</HD>
                    <P>This paragraph restates the requirements of paragraph (g) of AD 2021-02-15, with revised compliance times and service information. Except as specified by paragraph (h) of this AD: At the applicable times specified in the “Compliance” paragraph of Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023, do all applicable actions identified in, and in accordance with, the Accomplishment Instructions of Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023.</P>
                    <P>
                        <E T="04">Note 1 to paragraph (g):</E>
                         Guidance for accomplishing the actions required by this AD can be found in Boeing Alert Service Bulletin 747-57A2367, Revision 1, dated March 20, 2023, which is referred to in Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023.
                    </P>
                    <HD SOURCE="HD1">(h) Exceptions to Service Information Specifications</HD>
                    <P>(1) Where the Compliance Time columns of the tables in the “Compliance” paragraph of Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023, use the phrase “the original issue date of Requirements Bulletin 747-57A2367 RB,” this AD requires using March 30, 2021 (the effective date of AD 2021-02-15).</P>
                    <P>(2) Where the Compliance Time columns of the tables in the “Compliance” paragraph of Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023, use the phrase “the Revision 1 date of Requirements Bulletin 747-57A2367 RB,” this AD requires using “the effective date of this AD.”</P>
                    <HD SOURCE="HD1">(i) Credit for Previous Actions</HD>
                    <P>This paragraph provides credit for the actions specified in paragraph (g) of this AD, if those actions were performed before the effective date of this AD using Boeing Alert Requirements Bulletin 747-57A2367 RB, dated November 15, 2019.</P>
                    <HD SOURCE="HD1">(j) Alternative Methods of Compliance (AMOCs)</HD>
                    <P>
                        (1) The Manager, AIR-520 Continued Operational Safety Branch, FAA, has the authority to approve AMOCs for this AD, if requested using the procedures found in 14 CFR 39.19. In accordance with 14 CFR 39.19, send your request to your principal inspector or responsible Flight Standards Office, as appropriate. If sending information directly to the manager of the certification office, send it to the attention of the person identified in paragraph (k)(1) of this AD. Information may be emailed to: 
                        <E T="03">9-ANM-Seattle-ACO-AMOC-Requests@faa.gov.</E>
                    </P>
                    <P>(2) Before using any approved AMOC, notify your appropriate principal inspector, or lacking a principal inspector, the manager of the responsible Flight Standards Office.</P>
                    <P>(3) An AMOC that provides an acceptable level of safety may be used for any repair, modification, or alteration required by this AD if it is approved by The Boeing Company Organization Designation Authorization (ODA) that has been authorized by the Manager, AIR-520 Continued Operational Safety Branch, FAA, to make those findings. To be approved, the repair method, modification deviation, or alteration deviation must meet the certification basis of the airplane, and the approval must specifically refer to this AD.</P>
                    <P>(4) AMOCs approved for AD 2021-02-15 are approved as AMOCs for the corresponding provisions of Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023, that are required by paragraph (g) of this AD.</P>
                    <HD SOURCE="HD1">(k) Related Information</HD>
                    <P>
                        (1) For more information about this AD, contact Stefanie Roesli, Aviation Safety Engineer, FAA, 2200 South 216th St., Des Moines, WA 98198; phone: 206-231-3964; email: 
                        <E T="03">Stefanie.N.Roesli@faa.gov.</E>
                    </P>
                    <P>(2) Service information identified in this AD that is not incorporated by reference is available at the addresses specified in paragraphs (l)(3) and (4) of this AD.</P>
                    <HD SOURCE="HD1">(l) Material Incorporated by Reference</HD>
                    <P>(1) The Director of the Federal Register approved the incorporation by reference (IBR) of the service information listed in this paragraph under 5 U.S.C. 552(a) and 1 CFR part 51.</P>
                    <P>(2) You must use this service information as applicable to do the actions required by this AD, unless the AD specifies otherwise.</P>
                    <P>(i) Boeing Alert Requirements Bulletin 747-57A2367 RB, Revision 1, dated March 20, 2023.</P>
                    <P>(ii) [Reserved]</P>
                    <P>
                        (3) For service information identified in this AD, contact Boeing Commercial Airplanes, Attention: Contractual &amp; Data Services (C&amp;DS), 2600 Westminster Blvd., MC 110-SK57, Seal Beach, CA 90740-5600; telephone 562-797-1717; website 
                        <E T="03">myboeingfleet.com.</E>
                    </P>
                    <P>(4) You may view this service information at the FAA, Airworthiness Products Section, Operational Safety Branch, 2200 South 216th St., Des Moines, WA. For information on the availability of this material at the FAA, call 206-231-3195.</P>
                    <P>
                        (5) You may view this service information that is incorporated by reference at the National Archives and Records Administration (NARA). For information on the availability of this material at NARA, 
                        <E T="03">fr.inspection@nara.gov,</E>
                         or go to: 
                        <E T="03">www.archives.gov/federal-register/cfr/ibr-locations.html.</E>
                    </P>
                </EXTRACT>
                <SIG>
                    <DATED>Issued on June 15, 2023.</DATED>
                    <NAME>Michael Linegang,</NAME>
                    <TITLE>Acting Director, Compliance &amp; Airworthiness Division, Aircraft Certification Service.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14330 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-13-P</BILCOD>
        </PRORULE>
        <PRORULE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Bureau of Indian Affairs</SUBAGY>
                <CFR>25 CFR Part 226</CFR>
                <DEPDOC>[Docket No. BIA-2022-0006; 234A2100DD/AAKC001030/A0A501010.999900; OMB Control Number 1076-0180, 1012-0004, 1012-0006]</DEPDOC>
                <RIN>RIN 1076-AF59</RIN>
                <SUBJECT>Mining of the Osage Mineral Estate for Oil and Gas</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Bureau of Indian Affairs, Interior.</P>
                </AGY>
                <ACT>
                    <PRTPAGE P="43483"/>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Proposed rule; reopening of public comment period.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Bureau of Indian Affairs (BIA) is reopening the public comment period for the proposed rule revising the regulations governing leasing of the Osage Nation's mineral estate (“Osage Mineral Estate”) for oil and gas mining. The BIA is also requesting information regarding the transportation costs for oil produced from the Osage Mineral Estate.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The comment period for the proposed rule published on January 13, 2023 (88 FR 2430), is reopened. Comments must be received by 11:59 p.m. EST on August 18, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>You may submit your comments on the proposed rule by any of the methods listed below.</P>
                    <P>
                        • 
                        <E T="03">Federal Rulemaking Portal:</E>
                         Please visit 
                        <E T="03">https://www.regulations.gov/docket/BIA-2022-0006</E>
                         or 
                        <E T="03">https://www.regulations.gov</E>
                         and enter “RIN 1076-AF59” in the search box and click “Search.” Follow the instructions for sending comments.
                    </P>
                    <P>
                        • 
                        <E T="03">Mail:</E>
                         U.S. Department of the Interior, Eastern Oklahoma Region, Bureau of Indian Affairs, Attn: Regional Director, P.O. Box 8002, Muskogee, OK 74402. All submissions must include the words “Bureau of Indian Affairs” or “BIA” and “RIN 1076-AF59.”
                    </P>
                    <P>
                        • 
                        <E T="03">Hand Delivery/Courier:</E>
                         U.S. Department of the Interior, Eastern Oklahoma Region, Bureau of Indian Affairs, Attn: Regional Director, 3100 W Peak Boulevard, Muskogee, OK 74402.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Oliver Whaley, Director, Office of Regulatory Affairs and Collaborative Action, Office of the Assistant Secretary—Indian Affairs, (202) 738-6065, 
                        <E T="03">comments@bia.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    On January 13, 2023, the BIA published a proposed rule in the 
                    <E T="04">Federal Register</E>
                     (88 FR 2430) revised 25 CFR part 226, Leasing of Osage Reservation Lands for Oil and Gas Mining, to strengthen the BIA's management and administration of the Osage Mineral Estate. The proposed rule would allow the BIA to strengthen management of the Osage Mineral Estate by updating bonding, royalty payment and reporting, production valuation and measurement, site security, and operational requirements to address changes in technology and industry standards that have occurred in the 47 years since the regulations were issued.
                </P>
                <P>The proposed rule would also allow the BIA to respond to recommendations made by the Office of Inspector General, U.S. Department of the Interior (OIG). The public comment period for the proposed rule closed on Friday, April 7, 2023. To give the public additional time to review the proposed revisions and provide comments, the BIA is reopening the public comment period until Friday, August 18, 2023. Comments previously submitted on the proposed rule will be fully considered in preparing the final rule and do not need to be resubmitted.</P>
                <P>
                    The BIA also invites comments from anyone who would like to submit information regarding transportation costs for oil produced from the Osage Mineral Estate. The proposed rule states that the value of oil for royalty purposes will be the greater of the NYMEX Calendar Month Average Price of oil at Cushing, Oklahoma, or the actual selling price for the transaction, adjusted for gravity (
                    <E T="03">see</E>
                     the proposed 25 CFR 226.37 replacing the current 25 CFR 226.11(a)(2)). In response to the BIA's first request for public comments on the proposed rule, some commenters states that the NYMEX Calendar Month Average Price exceeds what a lessee may receive from a refinery purchasing oil from the Osage Mineral Estate. Those commenters advocated for the value of oil for royalty purposes to be less than the NYMEX Calendar Month Average Price.
                </P>
                <P>The BIA is interested in information regarding the cost of transporting oil from a lease within the Osage Mineral Estate to: (1) a refinery located in Osage County, Oklahoma; and (2) a refinery located in Cushing, Oklahoma. The BIA may consider the incremental cost of transporting oil from the Osage Mineral Estate to Cushing, Oklahoma in determining the method for valuing oil from the Osage Mineral Estate for royalty purposes under any final rule.</P>
                <SIG>
                    <NAME>Bryan Newland,</NAME>
                    <TITLE>Assistant Secretary—Indian Affairs.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14440 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4337-15-P</BILCOD>
        </PRORULE>
        <PRORULE>
            <PREAMB>
                <AGENCY TYPE="N">ENVIRONMENTAL PROTECTION AGENCY</AGENCY>
                <CFR>40 CFR Part 52</CFR>
                <DEPDOC>[EPA-R01-OAR-2023-0188; FRL-11025-01-R1]</DEPDOC>
                <SUBJECT>Air Plan Approval; New Hampshire; Reasonably Available Control Technology for the 2008 and 2015 Ozone Standards</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Environmental Protection Agency (EPA).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Proposed rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Environmental Protection Agency (EPA) is proposing to approve State Implementation Plan (SIP) revisions submitted by the State of New Hampshire. These revisions provide certifications that the State has adopted regulations meeting the requirements for reasonably available control technology (RACT) for the 2008 and 2015 ozone national ambient air quality standards (NAAQS). We are also proposing approval of amendments to a related regulation that New Hampshire revised as part of its RACT certifications for these two NAAQS, a revision to the State's definition of emergency generator, and removal from the SIP of two previously issued RACT orders. This action is being taken under the Clean Air Act.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Written comments must be received on or before August 9, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Submit your comments, identified by Docket ID No. EPA-R01-OAR-2023-0188 at 
                        <E T="03">https://www.regulations.gov,</E>
                         or via email to: 
                        <E T="03">mcconnell.robert@epa.gov.</E>
                         For comments submitted at 
                        <E T="03">Regulations.gov</E>
                        , follow the online instructions for submitting comments. Once submitted, comments cannot be edited or removed from 
                        <E T="03">Regulations.gov</E>
                        . For either manner of submission, the EPA may publish any comment received to its public docket. Do not submit electronically any information you consider to be Confidential Business Information (CBI) or other information whose disclosure is restricted by statute. Multimedia submissions (audio, video, etc.) must be accompanied by a written comment. The written comment is considered the official comment and should include discussion of all points you wish to make. The EPA will generally not consider comments or comment contents located outside of the primary submission (
                        <E T="03">i.e.,</E>
                         on the web, cloud, or other file sharing system). For additional submission methods, please contact the person identified in the 
                        <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                         section. For the full EPA public comment policy, information about CBI or multimedia submissions, and general guidance on making effective comments, please visit 
                        <E T="03">https://www.epa.gov/dockets/commenting-epa-dockets.</E>
                         Publicly available docket materials are available at 
                        <E T="03">https://www.regulations.gov</E>
                         or at the U.S. Environmental Protection Agency, EPA Region 1 Regional Office, Air and Radiation Division, 5 Post Office Square—Suite 100, Boston, MA. EPA requests that if at all possible, you contact the contact listed in the 
                        <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                         section to schedule your inspection. The Regional 
                        <PRTPAGE P="43484"/>
                        Office's official hours of business are Monday through Friday, 8:30 a.m. to 4:30 p.m., excluding legal holidays and facility closures due to COVID-19.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Bob McConnell, Environmental Engineer, Air and Radiation Division (Mail Code 5-MD), U.S. Environmental Protection Agency, Region 1, 5 Post Office Square, Suite 100, Boston, Massachusetts 02109-3912; (617) 918-1046, email: 
                        <E T="03">mcconnell.robert@epa.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>Throughout this document whenever “we,” “us,” or “our” is used, we mean EPA.</P>
                <HD SOURCE="HD1">Table of Contents</HD>
                <EXTRACT>
                    <FP SOURCE="FP-2">I. Background and Purpose</FP>
                    <FP SOURCE="FP-2">II. Description and Evaluation of New Hampshire's SIP Submittals</FP>
                    <FP SOURCE="FP1-2">1. RACT Certifications for the 2008 and 2015 Ozone NAAQS</FP>
                    <FP SOURCE="FP1-2">a. Description of RACT Certifications for the 2008 and 2015 Ozone Standards</FP>
                    <FP SOURCE="FP1-2">b. Evaluation of RACT Certifications for the 2008 and 2015 Ozone Standards</FP>
                    <FP SOURCE="FP1-2">
                        2. Update to NO
                        <E T="52">X</E>
                         RACT Regulation
                    </FP>
                    <FP SOURCE="FP1-2">3. Update to Definition of Emergency Generator</FP>
                    <FP SOURCE="FP1-2">4. Withdrawal of RACT Orders Issued to Public Service of New Hampshire</FP>
                    <FP SOURCE="FP-2">III. Proposed Action</FP>
                    <FP SOURCE="FP-2">IV. Incorporation by Reference</FP>
                    <FP SOURCE="FP-2">V. Statutory and Executive Order Reviews</FP>
                </EXTRACT>
                <HD SOURCE="HD1">I. Background and Purpose</HD>
                <P>
                    Sections 172(c)(1) and 182(b)(2) of the Clean Air Act (CAA) require States to implement RACT in areas classified as Moderate (and higher) non-attainment for ozone, while section 184(b)(1)(B) of the CAA requires RACT in States located in the Ozone Transport Region (OTR). Specifically, these areas are required to implement RACT for all major emission sources of volatile organic compounds (VOCs) and nitrogen oxides (NO
                    <E T="52">X</E>
                    ) and for all sources covered by a Control Techniques Guideline (CTG). A CTG is a document issued by EPA which provides guidance to States when determining RACT for specific VOC sources. A related set of documents, Alternative Control Techniques (ACT), exists primarily for NO
                    <E T="52">X</E>
                     control requirements. States must submit RACT rules for sources covered by CTGs, or negative declarations when no such sources exist for a CTG, but negative declarations are not required for sources in ACT categories. However, RACT must be imposed on major sources of NO
                    <E T="52">X</E>
                    , and some of those major sources may be within a category covered by an ACT document.
                </P>
                <P>In 2008, EPA revised the health-based National Ambient Air Quality Standards (NAAQS, or standards) for ozone, setting it at 0.075 parts per million (ppm) averaged over an 8-hour time frame. EPA determined that the revised 8-hour standard would be more protective of human health, especially with regard to children and adults who are active outdoors and individuals with a pre-existing respiratory disease such as asthma.</P>
                <P>
                    On March 6, 2015 (80 FR 12264), EPA published a final rule that outlined the obligations that areas found to be in nonattainment of the 2008 ozone standard needed to address. This rule, herein referred to as the “2008 ozone implementation rule,” contained, among other things, a description of EPA's expectations for States with RACT obligations. The 2008 ozone implementation rule indicated that States could meet RACT through the establishment of new or more stringent requirements that meet RACT control levels, through a certification that previously adopted RACT controls in their SIP approved by EPA under a prior ozone NAAQS represent adequate RACT control levels for the 2008 ozone NAAQS, or with a combination of these two approaches. In addition, a State must submit a negative declaration in instances where, for a particular CTG, there are no sources within the State covered by that CTG. On February 3, 2017, EPA issued findings of failure to submit for a number of required SIP submittals for the 2008 ozone NAAQS, including RACT for States within the OTR. 
                    <E T="03">See</E>
                     82 FR 9158. By that action, New Hampshire received a finding of failure to submit a RACT SIP for the 2008 ozone NAAQS, which it subsequently rectified with the submittal we are proposing approval of in this action.
                </P>
                <P>
                    In 2015, the EPA promulgated another revision to the ozone NAAQS (2015 ozone NAAQS), lowering the level of both the primary and secondary standards to 0.070 ppm. 
                    <E T="03">See</E>
                     80 FR 65292; October 26, 2015. Subsequently, on December 6, 2018, EPA published a final rule that outlined the obligations that States in the OTR and areas found to be in nonattainment for the 2015 ozone NAAQS needed to address, including similar requirements for RACT as were contained in the 2008 ozone implementation rule. 
                    <E T="03">See</E>
                     83 FR 62998. We herein refer to this rule as the 2015 ozone implementation rule.
                </P>
                <P>
                    In order to meet the RACT requirements for the 2008 and 2015 ozone NAAQS, the New Hampshire Air Resources Division submitted a RACT certification for the 2008 and 2015 ozone NAAQS on September 6, 2018. Under a separate cover letter, NH also submitted on September 6, 2018, a revision to the State's previously approved NO
                    <E T="52">X</E>
                     RACT regulation, Env-A 1300, and a revision to the term “emergency generator” as contained within the State regulation Env-A 100, Purpose; Definitions. New Hampshire submitted an additional amendment to Env-A 1300 on March 28, 2023. On August 16, 2018, New Hampshire submitted a request to remove from their SIP two RACT orders containing requirements that were superseded by more stringent requirements contained within the State's September 6, 2018, submittal of revised Env-A 1300, NO
                    <E T="52">X</E>
                     RACT.
                </P>
                <HD SOURCE="HD1">II. Description and Evaluation of New Hampshire's SIP Revisions</HD>
                <HD SOURCE="HD2">1. RACT Certifications for the 2008 and 2015 Ozone NAAQS</HD>
                <HD SOURCE="HD3">a. Description of RACT Certifications for the 2008 and 2015 Ozone Standards</HD>
                <P>
                    On September 6, 2018, New Hampshire submitted a demonstration that its set of SIP approved VOC and NO
                    <E T="52">X</E>
                     control regulations and single source RACT orders issued to major stationary sources meets the criteria for RACT for the 2008 and 2015 ozone NAAQS. This submittal rectified the finding of failure to submit that EPA issued on February 3, 2017, described above. New Hampshire's RACT submittal notes that its prior designation as a nonattainment area for the 1979 and 1997 ozone standards resulted in the adoption of stringent controls for major sources of VOC and NO
                    <E T="52">X</E>
                    , including RACT level controls. Therefore, as allowed for within the 2008 and 2015 ozone implementation rules, much of New Hampshire's submittal consists of a review of RACT controls adopted under previous ozone standards and an indication of whether those previously adopted controls still represent RACT for the 2008 and 2015 ozone NAAQS. New Hampshire's RACT certification submittal also notes the substantial declines in NO
                    <E T="52">X</E>
                     and VOC emissions from RACT sources that has occurred due to the implementation of RACT for the prior ozone standards. For additional context, New Hampshire's submittal notes that EPA designated all areas of the State as unclassifiable/attainment for the 2008 and 2015 ozone NAAQS, and that a RACT submittal is only required pursuant to the Ozone Transport Region (OTR) requirements of section 184(b) of the Clean Air Act. New Hampshire's submittal also notes that VOC and NO
                    <E T="52">X</E>
                     emissions from sources subject to RACT have declined substantially in recent years. For example, between 2005 and 2017, NO
                    <E T="52">X</E>
                     emissions from these sources declined 
                    <PRTPAGE P="43485"/>
                    82%, and VOC emission declined 58%, due in part to New Hampshire's RACT requirements for these facilities. More recently, information contained within EPA's National Emissions Inventory (NEI) database for 2020 indicates only 1 stationary point source in New Hampshire emitted more than 50 tons of VOC that year, and only 8 stationary point sources emitted more than 50 tons of NO
                    <E T="52">X</E>
                    .
                </P>
                <P>
                    The State's September 6, 2018 submittal identifies the specific control measures that it previously adopted to control emissions from major sources of VOC emissions, reaffirms negative declarations for some CTG categories, and describes updates New Hampshire made to existing requirements to strengthen them so that they would continue to represent RACT. Table 5-1 of New Hampshire's submittal contains a detailed listing of the State regulations for each of the CTG and ACT categories for which sources exist in the State. The table identifies the specific State rule that is in place, the rule's effective date, and the date that EPA approved the rule into the New Hampshire SIP. New Hampshire notes that major sources of VOC and NO
                    <E T="52">X</E>
                     are defined, for purposes of New Hampshire's RACT regulations, as sources with the potential to emit 50 tons per year or more of these pollutants. For some CTG categories such as surface coating sources, New Hampshire's rules include lower applicability thresholds consistent with the relevant CTGs. New Hampshire's submittal includes the State's response to EPA's issuance of new VOC RACT CTGs in 2006, 2007, and 2008, which included adoption of a number of new regulations. EPA approved the State's SIP revisions addressing the 2006, 2007, and 2008 CTGs on November 8, 2012. 
                    <E T="03">See</E>
                     77 FR 66921. Additionally, on December 17, 2019, New Hampshire submitted a negative declaration for a CTG that EPA issued in 2016 regarding the oil and gas industry. EPA approved that negative declaration on July 13, 2020. 
                    <E T="03">See</E>
                     85 FR 41920.
                </P>
                <P>
                    As required, New Hampshire's submittal addresses NO
                    <E T="52">X</E>
                     emissions as well as VOC emissions. Section 5.2 of the State's submittal identifies the control requirement or single source Order that sets forth RACT for major sources of NO
                    <E T="52">X</E>
                    . Specifically, New Hampshire notes that major sources of NO
                    <E T="52">X</E>
                     are subject to Env-A 1300, Nitrogen Oxides (NO
                    <E T="52">X</E>
                    ) RACT. This regulation includes a NO
                    <E T="52">X</E>
                     RACT emission limit applicable to municipal waste combustors. New Hampshire reviewed Env-A 1300 and determined that certain aspects of that regulation needed to be updated in order to represent RACT for the 2008 and 2015 ozone NAAQS. This determination was informed by comments the State received from EPA within a letter dated April 18, 2014. That EPA comment letter was sent in response to a draft RACT certification SIP for the 2008 ozone NAAQS that New Hampshire had submitted to EPA for review. EPA's comment letter noted that New Hampshire's draft RACT certification lacked adequate justification as to how the State's NO
                    <E T="52">X</E>
                     RACT regulations represented a RACT level of control, and the correspondence also provided information indicating that strengthening some aspects of these regulations, in particular those limiting emissions from coal-fired electric utility boilers and municipal waste combustors, was likely needed in order to satisfy the State's RACT obligation. EPA's comment letter is included in the docket for this action. Accordingly, on September 6, 2018, New Hampshire submitted an updated version of Env-A 1300 as a SIP revision. The updated regulation includes a tightened NO
                    <E T="52">X</E>
                     emission limit for incinerators which is applicable to municipal waste combustors in the State, lower NO
                    <E T="52">X</E>
                     emission limits for older gas and older oil-fired engines, and lower NO
                    <E T="52">X</E>
                     emission limits for coal fired utility boilers. Additionally, New Hampshire submitted updated single source Orders containing NO
                    <E T="52">X</E>
                     RACT requirements for the Anheuser Busch Company and for the Schiller Station electrical generating station.
                </P>
                <P>
                    New Hampshire has adopted State regulations for the CTG categories for which sources exist in the State and has reviewed and strengthened portions of Env-A 1300, NO
                    <E T="52">X</E>
                     RACT. In most cases New Hampshire determined that sources already addressed by RACT determinations for the 1-hour and/or 1997 ozone NAAQS do not need to implement additional controls to meet the 2008 or 2015 ozone NAAQS RACT requirement primarily because RACT for the more recent standards is the same control technology as required by the initial RACT determination made under the 1-hour or 1997 standard because the fundamental control techniques, as described in the CTGs and ACTs, are still what is reasonably available. New Hampshire did not receive any comments during the public hearing process disagreeing with the State's conclusion that it has adopted regulations governing major sources of VOC and NO
                    <E T="52">X</E>
                     that constitute RACT.
                </P>
                <P>
                    New Hampshire's review of its control program for major sources of VOC and NO
                    <E T="52">X</E>
                     thus concludes that upon completion of its intended updates to Env-A 1300 and submittal of the single source NO
                    <E T="52">X</E>
                     RACT Orders mentioned above, all major sources in the State will be meeting the RACT requirements of the 2008 and 2015 ozone standards.
                </P>
                <HD SOURCE="HD3">b. Evaluation of RACT Certifications for the 2008 and 2015 Ozone Standards</HD>
                <P>
                    EPA has reviewed New Hampshire's determination that it has adopted VOC and NO
                    <E T="52">X</E>
                     control regulations for stationary sources that constitute RACT and proposes to determine that the set of regulations cited by the State within its September 6, 2018, certification SIP submittals, along with the strengthening of the requirements contained in Env-A 1300, the State's NO
                    <E T="52">X</E>
                     control regulation, constitute RACT for purposes of the 2008 and 2015 ozone standards. EPA's evaluation is explained in more detail below and is also explained within a Technical Support Document (TSD) that can be found in the docket for this action.
                </P>
                <P>
                    New Hampshire's RACT certification submittal documents the State's VOC and NO
                    <E T="52">X</E>
                     control regulations that have been adopted to ensure that RACT level controls are required in the State. These requirements include regulations within Env-A, Rules Governing the Control of Air Pollution. Specifically, within New Hampshire's VOC RACT regulation, Env-A 1200, the State has adopted regulations limiting VOC emissions from sectors represented by 23 of EPA's CTGs, including the CTGs EPA adopted in 2006, 2007, and 2008. These are the CTGs for which the State has covered sources. EPA's analysis for these CTGs is explained more below and also within the TSD. Further, New Hampshire's submittal includes Table 5-3 listing negative declarations for the other CTGs where the state determined that no covered sources are located within its borders. To evaluate these negative declarations, EPA reviewed facility location data by industry type using information from the North American Industry Classification System. Based on that review, EPA agrees with the State's conclusion regarding which CTGs negative declarations are appropriate for.
                </P>
                <P>
                    Next, New Hampshire's RACT certification notes that the State has adopted numerous single source RACT Orders for major sources of VOC and NO
                    <E T="52">X</E>
                    , and that these Orders have been submitted to EPA and incorporated into the SIP. The sources covered by these orders must submit a detailed evaluation of the economic and technical feasibility of the VOC or NO
                    <E T="52">X</E>
                     control options that were evaluated, the control option selected and the corresponding emissions limit, and the monitoring technique and/or test 
                    <PRTPAGE P="43486"/>
                    method that will be used to demonstrate compliance for the State to review. Prior to issuing a RACT determination for the source, New Hampshire submits a draft RACT Order to the EPA's Region 1 office for review and comment, after which the draft order undergoes a 30-day public comment period. After considering any comments received during the public hearing process, the State issues a final RACT Order to the facility and subsequently submits it to EPA for incorporation into the New Hampshire SIP.
                </P>
                <P>
                    As part of the development of its RACT certifications, New Hampshire evaluated all previously issued VOC and NO
                    <E T="52">X</E>
                     RACT Orders based on the State's review of available control options implemented at other facilities within the State and comparable RACT emissions limits required by other States. The results of this review are chronicled within Tables 5-2 and 5-5 of the State's submittal, and the tables include a column explaining the results of the State's review. Orders that the State determined did not satisfy the RACT requirement, such as the Orders previously issued to Anheuser Busch and Schiller Station, were revised and submitted to EPA for incorporation into the New Hampshire SIP, which EPA accomplished via a final rule published in the 
                    <E T="04">Federal Register</E>
                     on September 12, 2019 (84 FR 48068). EPA reviewed the States documentation of its review of RACT Orders, and also performed its own review of a number of orders that the State did not update, and agree with the State's determination that these orders represent a RACT level of control. For example, the VOC RACT orders for Teleflex Medical and the Textile Tapes Corporation indicate that both companies control VOC emissions to a minimum of 81% control efficiency by operation of a thermal oxidizer, which is the control level recommended in EPA's model VOC RACT rules for non-CTG sources that control emissions by an alternative to what is otherwise required by regulation. Other States, Delaware for example, require this same level of control in such situation.
                    <SU>1</SU>
                    <FTREF/>
                     EPA has reviewed and agrees with New Hampshire's assessment that its RACT Orders sufficiently demonstrate a RACT level of control.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         For example, Appendix A of Delaware's regulation 1124, Control of Volatile Organic Compound Emissions, at section 10.5, Control Devices.
                    </P>
                </FTNT>
                <P>
                    Our most recent prior approval of a RACT certification SIP for New Hampshire occurred on November 5, 2012, (77 FR 66388) for the 1997 ozone standard. Since then, EPA has approved numerous revisions to New Hampshire's RACT requirements that further limited VOC and NO
                    <E T="52">X</E>
                     emissions. These revisions include updates the State made to its VOC RACT regulation to address the CTGs issued by EPA in 2006, 2007, 2008, and 2016 (
                    <E T="03">see</E>
                     77 FR 66922, and 85 FR 41920), and minor updates to the State's NO
                    <E T="52">X</E>
                     RACT requirements (
                    <E T="03">see</E>
                     79 FR 49458).
                    <SU>2</SU>
                    <FTREF/>
                     Additionally, New Hampshire submitted and EPA approved single source Orders for the following facilities subsequent to EPA's last RACT certification approval: Mectrol Corporation (
                    <E T="03">see</E>
                     77 FR 66388); Concord Litho, Sturm-Ruger, Gorham Paper, and Textile Tapes (
                    <E T="03">see</E>
                     79 FR 49458); Parker Hannifin Corporation, Watts Regulator, Textile Tapes, amended Order (
                    <E T="03">see</E>
                     81 FR 59139); Sturm-Ruger, amended Order (
                    <E T="03">see</E>
                     83 FR 13668), and; Diacom Corporation (
                    <E T="03">see</E>
                     83 FR 45356).
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         New Hampshire has made more significant revisions to its NO
                        <E T="52">X</E>
                         RACT regulation that we are proposing to approve as discussed is section II.2 of this document.
                    </P>
                </FTNT>
                <P>
                    To further analyze whether New Hampshire's VOC control regulations for sources covered by CTGs meet the RACT obligation, EPA reviewed those regulations and compared them to other resources. Those resources include control strategies adopted by two similar neighboring States, Maine and Vermont, which are also attainment areas that implement RACT due to their inclusion in the OTR, measures described in the RACT/BACT/LAER Clearinghouse (RBLC), EPA's Menu of Control Measures, and federal regulations found in 40 CFR parts 60 and 63 (New Source Performance Standards and National Emissions Standards for Hazardous Air Pollutants). EPA's RBLC contains case-specific information on air pollution technologies that have been required by State and local permitting agencies to reduce air pollution from stationary sources and was designed to help with the air permitting process. The Menu of Control Measures provides State, local, and Tribal air agencies with information on existing emissions reduction measures, as well as relevant information concerning the efficiency and cost effectiveness of the measures. The results of EPA's analysis are summarized within the TSD prepared for this action and included in the docket. Additionally, for informational purposes and context, a technical supplement New Hampshire provided to its RACT certifications that is included within the docket provides information regarding aspects of the State's VOC regulations that contain requirements more stringent than what is found within EPA's CTGs for wood furniture manufacturing, graphic arts, bulk gasoline plants, and cutback and emulsified asphalt application.
                    <SU>3</SU>
                    <FTREF/>
                     For example, New Hampshire requires a control efficiency of between 75 to 80% for control equipment used to reduce emissions from rotogravure printing operations, whereas the comparable requirement from EPA's CTG is 65 to 70%. Based on EPA's review, we are proposing to find that New Hampshire's VOC requirements for sources covered by CTGs, where such sources exist within the State, adequately establish RACT. Although there are some differences amongst the State regulations, for example, regarding applicability criteria, work practice standards inspection frequency and other matters, these differences did not impact EPA's conclusions regarding New Hampshire's regulations.
                </P>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         See RACT Certification: Follow-up to NH's Submission on September 6, 2018.
                    </P>
                </FTNT>
                <P>Pursuant to Env-A 1222, Miscellaneous and Multicategory Stationary VOC Sources, facilities with the potential to emit 50 tons or more from activities that don't fit into a CTG category but are able to meet the default control options within that regulation are governed by the control options within it, such as, for example, achievement of an 81% overall control efficiency for add-on equipment as recommended within EPA's model VOC RACT rules for non-CTG sources. EPA reviewed the control options within Env-A 1222 and agree that they continue to represent RACT.</P>
                <P>
                    Next, New Hampshire recently re-evaluated its NO
                    <E T="52">X</E>
                     RACT regulation and determined that a number of NO
                    <E T="52">X</E>
                     requirements, as described below, should be updated to be consistent with requirements in other States. The updates New Hampshire made to its NO
                    <E T="52">X</E>
                     RACT regulation resulted in the development of tighter NO
                    <E T="52">X</E>
                     limits for municipal waste combustors (MWCs), lower NO
                    <E T="52">X</E>
                     emissions limits for oil and gas fired engines, and lower NO
                    <E T="52">X</E>
                     limits for coal fired boilers. New Hampshire's SIP submittal further indicates some portions of Env-A 1300 were not revised, and the State provided its rationale for not revising these sections in the technical supplement to the original submittal mentioned above. New Hampshire determined that portions of Env-A 1300 pertaining to asphalt plant rotary dryers, wallboard manufacturing facilities, auxiliary boilers, and miscellaneous sources did not need revision based on its review of various factors as noted within the 
                    <PRTPAGE P="43487"/>
                    supplement. For example, there are no longer any asphalt plant rotary dryers or industrial boilers sized 100 mmBTU/hr or greater in the State, and so requirements for such equipment were not changed. New Hampshire also notes that there are minimal emissions from wallboard manufacturing facilities and auxiliary boilers, with only 34 tons of annual NO
                    <E T="52">X</E>
                     emitted from these two sectors collectively. New Hampshire's conclusion that their current regulations for these facilities constitutes RACT is reasonable when considering their current emissions, the existing requirement for controls, and the anticipated costs of achieving additional reductions. For example, New Hampshire's existing RACT requirements contain a requirement for the use of low-NO
                    <E T="52">X</E>
                     burners by both types of facilities, and EPA's “Menu of Control Measures” indicates that low-NO
                    <E T="52">X</E>
                     burners typically achieve a 50 percent NO
                    <E T="52">X</E>
                     emission reduction. Adding additional combustion controls such as flue gas recirculation or overfire air can nominally increase the control efficiency to 60 to 70%, but those controls can be costly and the added cost to achieve this incremental emission reduction is likely to be economically infeasible. Therefore, we agree with the State's conclusion that additional NO
                    <E T="52">X</E>
                     controls are not needed for RACT for wallboard manufacturing and auxiliary boilers. The State's technical supplement to the RACT certification submittal contains additional information regarding the portions of the State's NO
                    <E T="52">X</E>
                     RACT requirements that were not revised.
                </P>
                <P>
                    We note that New Hampshire's certification also mentions the State's adoption of regulations recommended by the Ozone Transport Commissions OTC that limit VOC emissions from consumer products and architectural and industrial maintenance coatings regulations. Although these rules will assist New Hampshire in its efforts to remain in attainment of the ozone standard by lowering VOC emissions in the State, they are not required for EPA's approval of the RACT certification as they do not apply to major stationary sources or to sources covered by a CTG. The OTC periodically makes recommendations to its member States regarding ozone control strategies that the States should consider adopting. The OTC's Stationary Source committee has focused mostly on VOC area source and NO
                    <E T="52">X</E>
                     point source categories, but they did identify a VOC control strategy that is applicable to both the VOC point and area source sectors, and New Hampshire adopted this requirement. The specific provision is found within New Hampshire's VOC RACT regulation at section Env-A 1221.02, Compliance Standards for Cold Cleaning. It precludes use of solvents with a vapor pressure of 1.0 millimeters of mercury or greater within a cold cleaning machine, which is a restrictive requirement not found within EPA's CTG for this sector.
                    <SU>4</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         Control Techniques Guidelines: Industrial Cleaning Solvents; September, 2006.
                    </P>
                </FTNT>
                <P>
                    We have reviewed the State's submittals and propose to agree that the VOC and NO
                    <E T="52">X</E>
                     stationary source control regulations which New Hampshire has cited as meeting RACT satisfy the RACT obligation for purposes of the 2008 and 2015 ozone standards and we are therefore proposing to approve the State's September 6, 2018, RACT certification SIPs.
                </P>
                <HD SOURCE="HD2">
                    2. Update to NO
                    <E T="54">X</E>
                     RACT Regulation
                </HD>
                <P>
                    As mentioned above, New Hampshire performed an initial review of its VOC and NO
                    <E T="52">X</E>
                     RACT regulations in 2014 and concluded that its VOC RACT regulation, Env-A 1200, and NO
                    <E T="52">X</E>
                     RACT regulation, Env-A 1300, contained sufficient requirements to satisfy RACT and submitted its draft RACT analysis to EPA for comment. EPA's review of New Hampshire's 2014 draft RACT submittal identified portions of the State's NO
                    <E T="52">X</E>
                     RACT requirements which were not likely to meet RACT for purposes of the 2008 ozone NAAQS and transmitted these findings via a letter dated April 18, 2014. Specifically, EPA found that the State's NO
                    <E T="52">X</E>
                     emissions limits for electric utility boilers and municipal waste combustors should be strengthened in order to represent a RACT level of control. Accordingly, on September 6, 2018, New Hampshire submitted a SIP revision that requested that an updated version of the State's NO
                    <E T="52">X</E>
                     RACT regulation, entitled Env-A 1300, Nitrogen Oxides (NO
                    <E T="52">X</E>
                    ) Reasonably Available Control Technology (RACT), be approved into the SIP. Env-A 1300 contains New Hampshire's NO
                    <E T="52">X</E>
                     emissions limits and other requirements for the various types of combustion equipment found in the State as identified within section 1301.02 of the rule. The primary changes New Hampshire made to the NO
                    <E T="52">X</E>
                     RACT rule consist of adoption of stricter NO
                    <E T="52">X</E>
                     emission limits for MWCs and coal fired utility boilers as EPA recommended in its 2014 comment letter, and also additional, strengthened NO
                    <E T="52">X</E>
                     requirements applicable to peak shaving oil and gas fired engines.
                </P>
                <P>On March 28, 2023, New Hampshire submitted amendments to Env-A 1300 to revise a requirement applicable to coal-fired electric utility boilers operating under “low-load” conditions to restrain such operation to testing required under 40 CFR part 75. The revision also included additional recordkeeping requirements for coal-fired electric utility boilers that are applicable during periods of startup and shutdown.</P>
                <P>
                    Regarding MWCs, New Hampshire lowered the existing NO
                    <E T="52">X</E>
                     emission limit for incinerators (MWCs are a type of incinerator) to 150 ppm within Env-A 1309.03. The State's one remaining MWC facility, the Wheelabrator-Concord Company located in Concord, NH, meets this emissions limit by operating a selective non-catalytic reduction (SNCR) system to control NO
                    <E T="52">X</E>
                     emissions. Appendix D of a report produced in February of 2017 by the Ozone Transport Commission 
                    <SU>5</SU>
                    <FTREF/>
                     (OTC) indicates that this NO
                    <E T="52">X</E>
                     emissions limit is amongst the lowest of all of the limits for MWC units in the OTR. For example, the 150 ppm NO
                    <E T="52">X</E>
                     emissions limit is equivalent to or more stringent than similar restrictions adopted by the three other New England States with mass-burn waterwall MWC units similar to the type operated in New Hampshire.
                    <SU>6</SU>
                    <FTREF/>
                     An alternative emission limit of 205 ppm is allowed during periods of startup or shutdown, which are limited in time to no more than 3 hours per event.
                    <SU>7</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         White Paper on Control Technologies and OTC State Regulations for Nitrogen Oxides Emissions from Eight Stationary Source Categories; Ozone Transport Commissions; Final Draft, 02/10/2017.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         For MWC NO
                        <E T="52">X</E>
                         emissions limits for Massachusetts, see 310 of the Code of Massachusetts Regulations, section 7.08: U Incinerators, at 7.08(f), Table 3; for Connecticut, see the Regulations of Connecticut State Agencies at Section 22a-174-38, Municipal Waste Combustors, paragraph (c), Table 38-2; for Maine, see Chapter 138, NO
                        <E T="52">X</E>
                         RACT, of Maine's Air Rules at 138(G).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         EPA evaluated New Hampshire's alternative emission limit of 205 ppm using the seven recommended approvability criteria outlined in EPA's guidance for establishing alternative emission limitations during periods of startup and shutdown and determined the emission limit meets CAA requirements for SIP provisions. 
                        <E T="03">See</E>
                         Section VII.B of 80 FR 33840 (June 12, 2015). EPA's evaluation of the alternative emission limit is included in the docket for this action.
                    </P>
                </FTNT>
                <P>
                    Regarding peak shaving engines, New Hampshire lowered the NO
                    <E T="52">X</E>
                     emission limit for gas-fired rich burn engines from 2.0 to 1.5 grams per brake-horsepower hour (bhp-hr), and lowered the emission limit for lean burn gas-fired engines from 3.0 to 2.5 grams bhp-hr. New Hampshire also lowered the emission limit for oil-fired engines from 9.0 grams per bhp-hr to a range of between 4.0 grams and 6.4 grams per bhp-hr depending on engine size. As can be seen by information within 
                    <PRTPAGE P="43488"/>
                    Appendix C of the OTC White Paper, these limits are consistent with limits adopted by other States within the OTR.
                    <SU>8</SU>
                    <FTREF/>
                     For example, the State's limit for gas-fired rich burn engines is equal to the most stringent limit of other States, and the limits for gas-fired lean burn and for oil-fired engines are within the range of rates adopted by the other OTC States.
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         We note that the emissions limits shown within Appendix C for diesel and for dual-fuel units for NH of 8.0 grams/hp-hr were subsequently lowered by the oil-fired limits noted within this paragraph.
                    </P>
                </FTNT>
                <P>
                    Regarding coal-fired electrical generating units (EGUs), New Hampshire significantly lowered the NO
                    <E T="52">X</E>
                     emission limits for the State's two remaining operating coal-fired EGUs, those being units MK1 and MK2 operated by Granite Shore Power at its facility located in Bow, New Hampshire. New Hampshire's revised NO
                    <E T="52">X</E>
                     RACT regulation lowers the NO
                    <E T="52">X</E>
                     emission rate for unit MK1 from 0.92 lbs per million british thermal units (mmBTU) of heat input to 0.22 lbs per mmBTU, based on a 24-hour averaging time. For MK2, New Hampshire's revised NO
                    <E T="52">X</E>
                     RACT regulation also lowers the NO
                    <E T="52">X</E>
                     emission limit to 0.22 lbs per mmBTU, down from a previous limit of 1.4 lbs per mmBTU, and this limit is also based on a 24-hour averaging time. The emission units subject to these requirements are cyclone boilers, and boilers of this configuration have the highest uncontrolled emission rates of all coal-fired boiler types listed within EPA's emission factor reference document referred to as “AP-42”.
                    <SU>9</SU>
                    <FTREF/>
                     Table 1.1-3 of AP-42 provides an uncontrolled emission rate for cyclone boilers of 33 pounds of NO
                    <E T="52">X</E>
                     per ton of coal burned, which is more than six times higher than the lowest uncontrolled rate shown in the table. To reduce NO
                    <E T="52">X</E>
                     emissions from these high-emitting boilers, each unit is equipped with selective catalytic reduction (SCR) control systems which is a highly effective means of controlling NO
                    <E T="52">X</E>
                     emissions from combustion equipment.
                </P>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         See Volume 1, Section 1.1, Bituminous and Subbituminous Coal Combustion, of AP-42, available at: 
                        <E T="03">https://www.epa.gov/sites/default/files/2020-09/documents/1.1_bituminous_and_subbituminous_coal_combustion.pdf.</E>
                    </P>
                </FTNT>
                <P>
                    Over the past decade, the two emissions units subject to these requirements have been called upon less frequently to produce electricity. For example, in 2010 unit 1 operated on 286 days and emitted 1,071 tons of NO
                    <E T="52">X</E>
                     for the year. The unit recorded 7 start-up events during that year. Unit 2 operated 290 days in calendar year 2010 and emitted 2,342 tons of NO
                    <E T="52">X</E>
                     for the year. The unit recorded 6 startup events that year. By 2020, the facilities' utilization had fallen considerably. In 2020, unit 1 operated on only 25 days, emitting 52 tons for the year, but experienced 10 start-up events, more than it had in 2010. Unit 2 operated on only 21 days, emitting 112 tons. Unit 2 experienced 8 start-up events in 2020, also more start-up events than it had 10 years earlier. Given that operations during start-up and shut-down modes now represent a larger part of the facilities' overall operations, and recognizing that the units cannot effectively run SCR controls to reduce NO
                    <E T="52">X</E>
                     emissions during these period, New Hampshire's revised regulation provides, in addition to an emissions rate of 0.22 lbs per million BTU that must be met on a 24-hour calendar day basis under normal operating conditions, daily NO
                    <E T="52">X</E>
                     mass-based emissions caps which are applicable on days when startup, shutdown, and periodic testing 
                    <SU>10</SU>
                    <FTREF/>
                     occurs. The daily mass emission limits were derived to ensure the daily mass emissions on startup, shutdown, or testing days are no more than 25% higher than the maximum mass emissions otherwise permitted. New Hampshire developed these daily mass emission limits by reviewing unit-specific data on the average time each unit spent in start-up and shut-down modes, as well as NO
                    <E T="52">X</E>
                     emitted in each mode, and set the daily mass-based limits to ensure that the units could not spend inordinate amounts of time starting up or shutting down. This approach avoids the potential of a unit spending excessive amounts of time in SCR-off mode. The units cannot “hover” in start-up or shut-down mode to avoid utilizing their SCR to reduce NO
                    <E T="52">X</E>
                     because they would violate the daily mass limit if they remain in those modes for longer than is truly necessary to transition the unit to normal operations or to shut it down. New Hampshire chose this approach as the preferred alternative to providing a higher emissions rate that would have been needed if emissions during start-up and shut-down were included within one overarching emissions rate covering all modes of operation. Pursuant to Env-A 1303.04(c), the facility must keep a log of each start-up and shut-down event that records the date of each event and time spent in these modes, and the emissions that occur during them.
                    <SU>11</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         Testing performed in accordance with 40 CFR part 75 that require operation at low load levels that do not allow the requisite SCR operational temperature to be met.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         EPA evaluated New Hampshire's alternative emission limits during periods of startup, shutdown, malfunction for cyclone boilers using the seven recommended approvability criteria outlined in EPA's guidance for establishing alternative emission limitations, and determined the emission limit meets CAA requirements for SIP provisions. 
                        <E T="03">See</E>
                         Section VII.B of 80 FR 33840 (June 12, 2015). EPA's evaluation of the alternative emission limits is included in the docket for this action.
                    </P>
                </FTNT>
                <P>
                    We have reviewed the revisions to Env-A 1300 described above, and other less substantive revisions that New Hampshire made to the regulation and determined that the tightening of emissions limits for coal-fired EGUs, gas and oil-fired engines, and municipal waste combustors will significantly reduce NO
                    <E T="52">X</E>
                     emissions from the equipment subject to these requirements and is consistent with RACT limits adopted by other States for similar equipment.
                </P>
                <HD SOURCE="HD2">3. Update to Definition of Emergency Generator</HD>
                <P>
                    New Hampshire's September 6, 2018, submittal of its updated NO
                    <E T="52">X</E>
                     RACT regulation, Env-A 1300, also included a revision to a term within the State's definitions regulation found at Env-A 101, Purpose; Definitions. In that revision, New Hampshire modified the existing definition of “emergency generator” to make it consistent with a 2015 decision by the U.S. Court of Appeals for the District of Columbia 
                    <SU>12</SU>
                    <FTREF/>
                     that vacated provisions for emergency engines to operate for demand-response purposes. Because of the Court's decision, engines used for such purposes are subject to Federal requirements regarding emission controls and other requirements for non-emergency engines. Therefore, New Hampshire modified its definition of “emergency generator” to make it consistent with the Court's decision.
                </P>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">Delaware Department of Natural Resources &amp; Environmental Control</E>
                         v. 
                        <E T="03">EPA,</E>
                         785 F.3d 1 (D.C. Circuit; 2015).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">4. Withdrawal of RACT Orders Issued to Public Service of New Hampshire</HD>
                <P>
                    On August 16, 2018, New Hampshire submitted a request that NO
                    <E T="52">X</E>
                     RACT Order ARD-97-001, issued in 1997, and NO
                    <E T="52">X</E>
                     RACT Order ARD-98-001, issued in 1998, both of which had been issued to the Public Service Corporation of New Hampshire, be withdrawn from the SIP. The State made this request because the NO
                    <E T="52">X</E>
                     emissions limits contained within the orders had been superseded by more stringent limits within the State's revised Env-A 1300, NO
                    <E T="52">X</E>
                     RACT, which the State subsequently submitted to EPA as a SIP revision request on September 6, 2018. We agree that the emissions units covered by these orders are now subject to the more restrictive limits within the revised version of Env-A 1300 that we 
                    <PRTPAGE P="43489"/>
                    are proposing approval of elsewhere in this action, and therefore for regulatory clarity we are proposing to grant the State's request to remove Orders ARD-97-001 and ARD-98-001 from the New Hampshire SIP if EPA finalizes its proposed approval of the associated revision of Env-A 1300.
                </P>
                <HD SOURCE="HD1">III. Proposed Action</HD>
                <P>
                    EPA is proposing to approve the following items into the New Hampshire SIP: a RACT certification for the 2008 and 2015 ozone standards, revisions to New Hampshire's NO
                    <E T="52">X</E>
                     RACT regulation, Env-A 1300, a revision to the term “emergency generator” as used within the State's air pollution control regulations, and withdrawal from the New Hampshire SIP of NO
                    <E T="52">X</E>
                     RACT Orders ARD-97-001 and ARD-98-001. EPA is soliciting public comments on the issues discussed in this proposed rule. These comments will be considered before taking final action. Interested parties may participate in the Federal rulemaking procedure by submitting written comments to this proposed rule by following the instructions listed in the 
                    <E T="02">ADDRESSES</E>
                     section of this document.
                </P>
                <HD SOURCE="HD1">IV. Incorporation by Reference</HD>
                <P>
                    In this rulemaking, the EPA is proposing to include in a final EPA rule regulatory text that includes incorporation by reference. The proposed changes are described in sections I. and III. of this preamble. In accordance with requirements of 1 CFR 51.5, the EPA is proposing to incorporate by reference New Hampshire regulation Env-A 1300, NO
                    <E T="52">X</E>
                     RACT, and the term “emergency generator” as defined within Env-A 100 of the New Hampshire Code of Administrative Rules. The EPA has made, and will continue to make, these documents generally available through 
                    <E T="03">https://www.regulations.gov</E>
                     and at the EPA Region 1 Office. Please contact the person identified in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section of this preamble for more information.
                </P>
                <HD SOURCE="HD1">V. Statutory and Executive Order Reviews</HD>
                <P>
                    Under the Clean Air Act, the Administrator is required to approve a SIP submission that complies with the provisions of the Act and applicable Federal regulations. 
                    <E T="03">See</E>
                     42 U.S.C. 7410(k); 40 CFR 52.02(a). Thus, in reviewing SIP submissions, EPA's role is to approve State choices, provided that they meet the criteria of the Clean Air Act. Accordingly, this proposed action merely approves State law as meeting Federal requirements and does not impose additional requirements beyond those imposed by State law. For that reason, this proposed action:
                </P>
                <P>• Is not a significant regulatory action subject to review by the Office of Management and Budget under Executive Orders 12866 (58 FR 51735, October 4, 1993) and 13563 (76 FR 3821, January 21, 2011);</P>
                <P>
                    • Does not impose an information collection burden under the provisions of the Paperwork Reduction Act (44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    );
                </P>
                <P>
                    • Is certified as not having a significant economic impact on a substantial number of small entities under the Regulatory Flexibility Act (5 U.S.C. 601 
                    <E T="03">et seq.</E>
                    );
                </P>
                <P>• Does not contain any unfunded mandate or significantly or uniquely affect small governments, as described in the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4);</P>
                <P>• Does not have federalism implications as specified in Executive Order 13132 (64 FR 43255, August 10, 1999);</P>
                <P>• Is not an economically significant regulatory action based on health or safety risks subject to Executive Order 13045 (62 FR 19885, April 23, 1997);</P>
                <P>• Is not a significant regulatory action subject to Executive Order 13211 (66 FR 28355, May 22, 2001);</P>
                <P>• Is not subject to requirements of Section 12(d) of the National Technology Transfer and Advancement Act of 1995 (15 U.S.C. 272 note) because application of those requirements would be inconsistent with the Clean Air Act.</P>
                <P>Executive Order 12898 (Federal Actions To Address Environmental Justice in Minority Populations and Low-Income Populations, 59 FR 7629, Feb. 16, 1994) directs Federal agencies to identify and address “disproportionately high and adverse human health or environmental effects” of their actions on minority populations and low-income populations to the greatest extent practicable and permitted by law. EPA defines environmental justice (EJ) as “the fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies.” EPA further defines the term fair treatment to mean that “no group of people should bear a disproportionate burden of environmental harms and risks, including those resulting from the negative environmental consequences of industrial, governmental, and commercial operations or programs and policies.” The air agency did not evaluate environmental justice considerations as part of its SIP submittal; the CAA and applicable implementing regulations neither prohibit nor require such an evaluation. EPA did not perform an EJ analysis and did not consider EJ in this action. Due to the nature of the action being taken here, this action is expected to have a neutral to positive impact on the air quality of the affected area. Consideration of EJ is not required as part of this action, and there is no information in the record inconsistent with the stated goal of E.O. 12898 of achieving environmental justice for people of color, low-income populations, and Indigenous peoples.</P>
                <P>In addition, the SIP is not approved to apply on any Indian reservation land or in any other area where EPA or an Indian tribe has demonstrated that a tribe has jurisdiction. In those areas of Indian country, the proposed rule does not have Tribal implications and will not impose substantial direct costs on Tribal governments or preempt Tribal law as specified by Executive Order 13175 (65 FR 67249, November 9, 2000).</P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 40 CFR Part 52</HD>
                    <P>Environmental protection, Air pollution control, Incorporation by reference, Nitrogen dioxide, Ozone, Reporting and recordkeeping requirements, Volatile organic compounds.</P>
                </LSTSUB>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>David Cash,</NAME>
                    <TITLE>Regional Administrator, EPA Region 1.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14535 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6560-50-P</BILCOD>
        </PRORULE>
        <PRORULE>
            <PREAMB>
                <AGENCY TYPE="N">FEDERAL COMMUNICATIONS COMMISSION</AGENCY>
                <CFR>47 CFR Parts 1 and 64</CFR>
                <DEPDOC>[CG Docket No. 17-59, FCC 23-37; FR ID 146148]</DEPDOC>
                <SUBJECT>Advanced Methods To Target and Eliminate Unlawful Robocalls</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Communications Commission.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Proposed rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        In this document, the Federal Communications Commission (Commission) proposes and seeks comment on a number of actions aimed protecting consumers from illegal calls, restore faith in caller ID, and hold voice service providers responsible for the calls on their networks. Specifically, the notice of proposed rulemaking proposes and seeks comment on several options to combat illegal calls, including: 
                        <PRTPAGE P="43490"/>
                        specific call blocking requirements; the correct way to notify callers when calls are blocked based on reasonable analytics; requiring the display of caller name information in certain instances and; a base forfeiture for failure to adopt affirmative, effective measures to prevent new or renewing customers from originating illegal calls. Additionally, the Notice of Inquiry seeks broad comment on tools used by voice service providers to combat illegal calls, such as honeypots, as well as on the status and use of call labeling.
                    </P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Comments are due on or before August 9, 2023, and reply comments are due on or before September 8, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Pursuant to §§ 1.415 and 1.419 of the Commission's rules, 47 CFR 1.415, 1.419, interested parties may file comments and reply comments on or before the dates indicated in this document. Comments and reply comments may be filed using the Commission's Electronic Comment Filing System (ECFS). See 
                        <E T="03">Electronic Filing of Documents in Rulemaking Proceedings,</E>
                         63 FR 24121 (1998). Interested parties may file comments or reply comments, identified by CG Docket No. 17-59 by any of the following methods:
                    </P>
                    <P>
                        • 
                        <E T="03">Electronic Filers:</E>
                         Comments may be filed electronically using the internet by accessing ECFS: 
                        <E T="03">https://www.fcc.gov/ecfs/.</E>
                    </P>
                    <P>
                        • 
                        <E T="03">Paper Filers:</E>
                         Parties who choose to file by paper must file an original and one copy of each filing.
                    </P>
                    <P>• Filings can be sent by commercial overnight courier, or by first-class or overnight U.S. Postal Service mail. All filings must be addressed to the Commission's Secretary, Office of the Secretary, Federal Communications Commission.</P>
                    <P>• Commercial overnight mail (other than U.S. Postal Service Express Mail and Priority Mail) must be sent to 9050 Junction Drive, Annapolis Junction, MD 20701.</P>
                    <P>• U.S. Postal Service first-class, Express, and Priority mail must be addressed to 45 L Street NE, Washington, DC 20554.</P>
                    <P>
                        • Effective March 19, 2020, and until further notice, the Commission no longer accepts any hand or messenger delivered filings. This is a temporary measure taken to help protect the health and safety of individuals, and to mitigate the transmission of COVID-19. See 
                        <E T="03">FCC Announces Closure of FCC Headquarters Open Window and Change in Hand-Delivery Policy,</E>
                         Public Notice, 35 FCC Rcd 2788 (March 19, 2020), 
                        <E T="03">https://www.fcc.gov/document/fcc-closes-headquarters-open-window-and-changes-hand-delivery-policy.</E>
                    </P>
                    <P>
                        • 
                        <E T="03">People with Disabilities:</E>
                         Contact the FCC to request reasonable accommodations (accessible format documents, sign language interpreters, CART, etc.) by email: 
                        <E T="03">FCC504@fcc.gov</E>
                         or phone: 202-418-0530 or TTY: 202-418-0432.
                    </P>
                    <P>
                        For detailed instructions for submitting comments and additional information on the rulemaking process, see the 
                        <E T="02">SUPPLEMENTARY INFORMATION</E>
                         section of this document.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        For further information, please contact Jerusha Burnett, Attorney Advisor, Consumer Policy Division, Consumer and Governmental Affairs Bureau, at 
                        <E T="03">jerusha.burnett@fcc.gov</E>
                         or at (202) 418-0526. For additional information concerning the Paperwork Reduction Act proposed information collection requirements contained in this document, send an email to 
                        <E T="03">PRA@fcc.gov</E>
                         or contact Cathy Williams at (202) 418-2918.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    This is a summary of the Commission's Eighth Further Notice of Proposed Rulemaking (
                    <E T="03">Eighth FNPRM</E>
                    ) and Third Notice of Inquiry in CG Docket No. 17-59, FCC 23-37, adopted on May 18, 2023, and released on May 19, 2023. The full text of this document is available for public inspection at the following internet address: 
                    <E T="03">https://docs.fcc.gov/public/attachments/FCC-23-37A1.pdf.</E>
                     To request materials in accessible formats for people with disabilities (
                    <E T="03">e.g.</E>
                     braille, large print, electronic files, audio format, etc.), send an email to 
                    <E T="03">fcc504@fcc.gov</E>
                     or call the Consumer &amp; Governmental Affairs Bureau at (202) 418-0530 (voice), or (202) 418-0432 (TTY).
                </P>
                <P>
                    In addition to filing comments with the Secretary, a copy of any comments on the Paperwork Reduction Act proposed information collection requirements contained herein should be submitted to the Federal Communications Commission via email to 
                    <E T="03">PRA@fcc.gov</E>
                     and to Cathy Williams, FCC, via email to 
                    <E T="03">Cathy.Williams@fcc.gov.</E>
                </P>
                <HD SOURCE="HD1">Initial Paperwork Reduction Act of 1995 Analysis</HD>
                <P>This document contains proposed information collection requirements. The Commission, as part of its continuing effort to reduce paperwork burdens, invites the general public to comment on the information collection requirements contained in this document, as required by the Paperwork Reduction Act of 1995, Public Law 104-13. Public and agency comments are due September 8, 2023.</P>
                <P>
                    Comments should address: (a) whether the proposed collection of information is necessary for the proper performance of the functions of the Commission, including whether the information shall have practical utility; (b) the accuracy of the Commission's burden estimates; (c) ways to enhance the quality, utility, and clarity of the information collected; (d) ways to minimize the burden of the collection of information on the respondents, including the use of automated collection techniques or other forms of information technology; and (e) way to further reduce the information collection burden on small business concerns with fewer than 25 employees. In addition, pursuant to the Small Business Paperwork Relief Act of 2002, Public Law 107-198, 
                    <E T="03">see</E>
                     44 U.S.C. 3506(c)(4), the Commission seeks specific comment on how it might further reduce the information collection burden for small business concerns with fewer than 25 employees.
                </P>
                <HD SOURCE="HD1">Synopsis</HD>
                <HD SOURCE="HD1">Eighth Further Notice of Proposed Rulemaking</HD>
                <P>
                    1. In the companion final rule (
                    <E T="03">Report and Order</E>
                    ), published elsewhere in this issue of the 
                    <E T="04">Federal Register</E>
                    , and the 
                    <E T="03">2023 Caller ID Authentication Order,</E>
                     88 FR 40096 (June 21, 2023), the Federal Communications Commission (Commission) made clear that all voice service providers play a key role in stopping illegal calls by extending existing obligations and closing potential loopholes. In this Eighth Further Notice of Proposed Rulemaking (
                    <E T="03">Eighth FNPRM</E>
                    ), the Commission proposes and seeks comment on several additional steps that could ensure that all consumers have access to call blocking solutions, restore trust in caller ID, and hold voice service providers responsible for illegal traffic. First, the Commission proposes to require that all terminating providers offer, at a minimum, analytics-based blocking of calls that are highly likely to be illegal on an opt-out basis, without charge. Second, the Commission proposes to require that all voice service providers, rather than just gateway providers, block calls based on a reasonable DNO list. Third, the Commission seeks comment on the correct SIP Code for providing callers with immediate notification of blocked calls on an ongoing basis. Fourth, the Commission seeks comment on whether, and if so how, to require terminating providers that choose to display an indication as to caller ID authentication status to provide some version of caller name to 
                    <PRTPAGE P="43491"/>
                    call recipients. Finally, the Commission proposes to establish a base forfeiture for any violation of the requirement for voice service providers to take affirmative, effective measures to prevent new and renewing customers from originating illegal calls.
                </P>
                <HD SOURCE="HD2">Mandatory Blocking Programs To Protect Consumers From Illegal Calls</HD>
                <HD SOURCE="HD3">Requiring Opt-Out Analytics-Based Blocking of Calls That Are Highly Likely To Be Illegal</HD>
                <P>2. The Commission proposes to require that terminating providers offer analytics-based blocking of calls that are highly likely to be illegal on an opt-out basis without charge to consumers. The Commission's rules currently permit, but do not require, such blocking. As a result, while many terminating providers offer these services, they may not be available to all consumers. The Commission believes that this requirement will better protect all consumers from illegal calls.</P>
                <P>
                    3. The Commission seeks comment on this proposal. Would the Commission's proposal help protect consumers from calls they do not want to receive? The Commission has previously provided a non-exhaustive list of factors that a voice service provider might consider when blocking based on reasonable analytics rather than specifically defining the categories of “highly likely to be illegal” or “unwanted.” If the Commission were to adopt its proposal, should it provide further guidance, or does its flexible approach remain appropriate? If the Commission should provide further guidance, what should it include? What lessons can the Commission take from existing analytics-based blocking to ensure any requirement is effective? How can the Commission ensure that bad actors cannot use any guidance it provides to more easily circumvent blocking? The Commission proposes to require terminating providers to offer these blocking services 30 days after publication of an Order in the 
                    <E T="04">Federal Register</E>
                    ; it seeks comment on this proposal. Will some providers need more time to implement this requirement because they do not already offer any analytics-based blocking? If so, how long should the Commission allow for implementation?
                </P>
                <P>4. To minimize the burden to terminating providers, the Commission proposes to consider analytics-based blocking of calls that are highly likely to be illegal on an opt-out basis to be a minimum standard. Terminating providers that already do more, or that choose to do more, would therefore be in compliance with this requirement. In particular, the Commission recognizes that many terminating providers already offer opt-out blocking services. The Commission believes that terminating providers that already block calls that are unwanted based on reasonable analytics on an opt-out basis, consistent with its existing safe harbor at § 64.1200(k)(3), would be in compliance because unwanted calls inherently include calls that are highly likely to be illegal. The Commission seeks comment on this belief. Is there any reason that these terminating providers would not already be in compliance? If so, are there any modifications the Commission could make to this safe harbor to address this issue? How should the Commission handle a situation where a terminating provider only offers such blocking on an opt-in basis? The Commission believes that more consumers will benefit from blocking that is offered on an opt-out basis, because many consumers who would benefit from blocking will not opt in. Is this correct? Is there any way the Commission could address this issue without requiring terminating providers that offer opt-in blocking to switch to opt-out blocking? Alternatively, is the benefit of requiring these terminating providers to switch to opt-out blocking enough to justify the cost of doing so?</P>
                <P>5. Some terminating providers already block calls that are highly likely to be illegal without consumer consent, consistent with the Commission's safe harbor under § 64.1200(k)(11). The Commission believes that terminating providers that engage in this blocking would also be in compliance with the mandate it proposes today. The Commission seeks comment on this belief. Is there any reason the Commission should not consider these terminating providers in compliance? If so, are there any modifications that the Commission should make to the safe harbor to address this? Because blocking without consumer consent would mean that more consumers would benefit than blocking on either an opt-in or opt-out basis, the Commission does not believe there is any reason to require terminating providers to offer consumers the opportunity to opt out when blocking targets calls that are highly likely to be illegal, rather than unwanted. Is this correct? Are there any reasons for us to require the terminating provider to allow consumers to opt out? If the Commission does so, would this create any issues for terminating providers that already block under the existing safe harbor? Do any terminating providers that would be impacted by this modification not offer opt-out blocking of unwanted calls? How might the Commission address these issues if it does take this approach?</P>
                <P>6. Terminating providers that block consistent with the Commission's existing safe harbors will be protected by those safe harbors when blocking under this proposed rule. The Commission believes the safe harbors provide sufficient protection. The Commission seeks comment on this belief. Is there any reason to modify or expand the Commission's existing safe harbors to protect terminating providers that block under this rule? If so, what modifications would be appropriate? What impact would these modifications have on lawful calls? If the Commission does adopt certain modifications to its safe harbors, should the Commission modify its rules protecting lawful calls and, if so, how? Finally, the Commission believes that its existing protections for lawful calls are sufficient and propose to extend them to calls blocked under this requirement. The Commission seeks comment on this belief and whether there are any other protections it should adopt. Are there any other issues the Commission should consider in adopting such a requirement?</P>
                <HD SOURCE="HD3">Requiring Blocking Based on a Reasonable Do-Not-Originate List</HD>
                <P>7. The Commission proposes to require all voice service providers to block calls using a reasonable DNO list. A DNO list is a list of numbers that should never be used to originate calls, and therefore any calls that include a listed number in the caller ID field can be blocked. Consistent with the Commission's requirement for gateway providers for voice calling and mobile wireless providers for text messaging, the Commission proposes to allow voice service providers to use any DNO list so long as the list is reasonable and not so limited in scope that it leaves out obvious numbers that could be included with little effort. Specifically, the Commission proposes to limit the numbers that can be included on the list to invalid, unallocated, and unused numbers, as well as numbers for which the subscriber to the number has requested blocking.</P>
                <P>
                    8. The Commission seeks comment on this proposal. Should the list include any additional categories of numbers, or should it exclude any particular categories? The Commission notes that the categories it proposes to include are consistent both with the requirement for gateway providers and the Commission's long-standing authorization of this type of blocking, so 
                    <PRTPAGE P="43492"/>
                    it is reluctant to change this scope unless it provides a clear benefit to consumers. The Commission therefore seek specific comment on the benefits of any change.
                </P>
                <P>
                    9. As noted in the 
                    <E T="03">Gateway Provider Order,</E>
                     87 FR 42916 (July 18, 2022), and 
                    <E T="03">Gateway Provider Further Notice of Proposed Rulemaking (Gateway Provider FNPRM),</E>
                     87 FR 42670 (July 18, 2022), The Commission does not believe every possible number must be included in a DNO list in order for such a list to be reasonable. Consistent with the Commission's rule for gateway providers, the Commission believe that, at a minimum, a reasonable list would need to include any inbound-only government numbers where the government entity has requested the number be included. Additionally, the Commission believes it should include private inbound-only numbers that have been used in imposter scams, when a request is made by the private entity assigned such a number. The Commission seeks comment on this approach. Is there any reason to change the minimum scope of what must be included on a reasonable DNO list?
                </P>
                <P>
                    10. Finally, the Commission seeks comment on whether it is appropriate to require all voice service providers to block based on a reasonable DNO list, rather than limiting the requirement to certain voice service provider types. Because the Commission does not mandate blocking using a specific list, the content of the list may vary from one voice service provider to another. The Commission therefore believes that broad application of the rule will result in more calls that are highly likely to be illegal being blocked before they reach a consumer. Is this belief correct? Are there any other factors the Commission should consider in determining which voice service providers should be required to block? For example, are there technical limitations that would make it difficult or impossible for voice service providers to implement blocking across the network? If the Commission does limit the blocking requirement to only specific types of voice service providers, what categories of providers should be required to block? For example, should the rule only apply to originating providers, along with gateway providers? The Commission further seeks comment on the appropriate implementation timeline for this requirement. Given that this rule will need to be approved through the Paperwork Reduction Act process, does requiring compliance 30 days after publication of a notice of that approval in the 
                    <E T="04">Federal Register</E>
                     suffice, or should the Commission allow additional time? Should the Commission consider a different timeline if not all providers are covered by the final rule? Are there any other issues that the Commission should consider?
                </P>
                <HD SOURCE="HD2">Further Strengthening the Requirements To Block Following Commission Notification</HD>
                <P>
                    11. In the 
                    <E T="03">Report and Order,</E>
                     the Commission requires originating providers to block illegal traffic when notified by the Commission, as gateway providers are already required to do. While the Commission believes that, in the vast majority of cases, responsibility for blocking illegal calls should fall to originating and gateway providers, it is concerned that requiring terminating or non-gateway intermediate providers to merely respond with information regarding where they received the traffic could leave some loopholes that bad actors might attempt to exploit. For this reason, the Commission proposes to require blocking by other voice service providers in certain situations and seek comment on other steps the Commission could take to ensure that bad actors cannot circumvent its rules.
                </P>
                <P>12. First, the Commission proposes to require a terminating or non-gateway intermediate provider to block if that provider, upon receipt of a Notice of Suspected Illegal Traffic, cannot identify the upstream provider from which it received any or all of the calls. The Commission proposes that the terminating or non-gateway intermediate provider be required to block consistent with the original Notice of Suspected illegal traffic, including developing a blocking plan, following the same subsequent steps that originating and gateway providers follow when they are notified of suspected illegal traffic. Second, the Commission proposes to allow the Enforcement Bureau to direct a terminating or non-gateway intermediate provider that has received at least one prior Notice of Suspected Illegal Traffic to both block substantially similar traffic and identify the upstream provider from which it received the traffic. Finally, the Commission seeks comment on any other scenarios that it should address.</P>
                <P>
                    13. 
                    <E T="03">Blocking When Information Regarding the Upstream Provider is Unavailable.</E>
                     The Commission proposes to require terminating and non-gateway intermediate providers to block illegal traffic when notified by the Commission if, for any reason, the provider responds to the Enforcement Bureau that it cannot identify the upstream provider from which it received any or all of the calls identified in the Notice of Suspected Illegal Traffic. As part of this requirement, terminating and non-gateway intermediate providers would be required to block traffic that is substantially similar to the traffic identified in the Notice of Suspected Illegal Traffic. The Commission believes that this requirement is necessary to ensure that 
                    <E T="03">all</E>
                     traffic on the U.S. network is subject to blocking when the Enforcement Bureau has determined that such traffic is illegal, as well as to avoid situations in which a bad-actor provider would otherwise be shielded from consequences under the Commission's existing rules.
                </P>
                <P>14. The Commission seeks comment on this proposal. The Commission believes there are two ways the issue could arise. First, a bad-actor provider might intentionally discard the information necessary to identify the upstream provider so that it cannot provide that information to the Enforcement Bureau. Second, a voice service provider that is trying to be a good actor in the ecosystem might receive a Notice of Suspected Illegal Traffic that includes calls for which it no longer has records. Are there any other instances in which a provider would be unable to identify the upstream provider from which it received traffic? Does extending the requirement to block in these cases present a significant burden to terminating or non-gateway intermediate providers? How might the Commission reduce these burdens? Are there any situations in which the Commission should not require blocking even though the notified provider cannot identify the upstream provider(s)? How might the Commission address these situations? The Commission sees no reason why voice service providers would not be able to develop a blocking plan and start blocking in response to the initial Notice of Suspected Illegal Traffic, without requiring additional action by the Enforcement Bureau. The voice service provider will know that it cannot provide the identity of the upstream provider from its investigation, and can act on this knowledge more quickly than the Enforcement Bureau. The Commission seeks comment on this belief.</P>
                <P>
                    15. The Commission proposes to require blocking of “substantially similar” traffic, consistent with its rules for originating and gateway providers. Is this standard appropriate for use with terminating and non-gateway intermediate providers, or should the Commission adopt a different standard? Should the Commission provide 
                    <PRTPAGE P="43493"/>
                    guidance specific to terminating and non-gateway intermediate providers on meeting this standard, in recognition of the fact that they are further from the source of the call and are not the first point of entry onto the U.S. network? If so, what guidance might the Commission provide? If the Commission adopts a different standard, what standard should it adopt? As the Commission stated in the 
                    <E T="03">Report and Order,</E>
                     “[a] rule that only requires an originating provider to block the traffic specifically identified in the initial notice would arguably block no traffic at all, as the Enforcement Bureau cannot identify specific illegal traffic before it has been originated.” The Commission therefore thinks that some standard is essential to avoid a rule that would allow illegal traffic to continue unimpeded.
                </P>
                <P>16. Are there other approaches the Commission should take instead of, or in addition to, this rule? For example, should the Commission require all U.S.-based providers to retain call detail records for a set amount of time? How long do voice service providers currently retain these records, and what information do they include? Is there an industry best practice the Commission could mandate? If so, is that retention period sufficient to allow the Enforcement Bureau time to investigate before sending a Notice of Suspected Illegal traffic, or is it possible that a Notice would be sent after the records are no longer retained? How much does it cost voice service providers to retain these records? Does the cost to retain records increase substantially the longer the records are required to be held? Should the Commission require a shorter records retention period that would cover most cases, but still require the notified provider to block substantially similar traffic if it receives a notice when it can no longer identify the upstream provider? Is there anything else the Commission should consider in adopting a rule to cover these situations?</P>
                <P>
                    17. 
                    <E T="03">Repeated Notifications of Suspected Illegal Traffic to the Same Terminating or Non-Gateway Intermediate Provider.</E>
                     The Commission proposes to require terminating and non-gateway intermediate providers to block when the Enforcement Bureau determines that it is necessary, so long as the terminating or non-gateway intermediate provider has previously received at least one Notice of Suspected Illegal Traffic. Specifically, if the Enforcement Bureau has previously sent a Notification of Suspected Illegal Traffic to the identified provider, it may require that provider to block substantially similar traffic if it determines, based on the totality of the circumstances, that the terminating or non-gateway intermediate provider is either intentionally or negligently allowing illegal traffic onto its network. In such a case, the Commission proposes to allow the Enforcement Bureau to direct, in a Notification of Suspected Illegal Traffic or Initial Determination Order, a terminating or non-gateway intermediate provider to both identify the upstream provider(s) from which it received the identified traffic and block the traffic.
                </P>
                <P>18. The Commission seeks comment on this proposal. The Commission is concerned that its current rules may not fully address situations in which the terminating or non-gateway intermediate provider may respond with information regarding the upstream provider from which it received identified traffic, but nonetheless is taking steps to shield other bad-actor providers or bad-actor callers. For example, a bad actor might intentionally set up a chain of voice service providers specifically to shield earlier providers in the chain from liability or to allow illegal traffic to continue even if one or more provider in the chain is removed. Does this rule appropriately address this concern? Is requiring at least one Notice of Suspected Illegal Traffic an appropriate threshold before the Enforcement Bureau may take this step? Should the Commission allow the Enforcement Bureau to take this step without having sent a prior Notice of Suspected Illegal Traffic, or should it instead adopt greater restrictions on when it can do so? The Commission proposes to require the Enforcement Bureau to consider both the number of prior Notices of Suspected Illegal Traffic and how recently the prior Notices were sent, but not to set specific thresholds beyond requiring at least one prior Notice. Is this the correct approach? Should the Commission limit the length of time since the prior Notice? If so, how long should the Commission allow? Should this time vary if the voice service provider has previously received multiple Notices of Suspected Illegal Traffic?</P>
                <P>19. Beyond these threshold questions, the Commission expects but does not propose to require the Enforcement Bureau to consider specific criteria in determining whether a provider is either intentionally or negligently allowing illegal traffic onto its network. Such criteria could include how frequently the notified provider appears in traceback requests, how cooperative the notified provider has been previously, what percentage of the notified provider's traffic appears to be illegal, evidence that the notified provider is involved in actively shielding illegal traffic, and any other evidence that indicates the notified provider is a bad actor. Is this the correct approach? Should the Commission adopt specific criteria that the Enforcement Bureau must consider? If so, what should the Commission include in those criteria? The Commission seeks comment on any other issues it should consider.</P>
                <P>
                    20. 
                    <E T="03">Other Loopholes.</E>
                     The Commission seeks comment on any other potential loopholes to its requirements to block following Commission notification. The Commission is concerned about either instances where illegal traffic would still reach consumers even after notification because no provider would be required to block it or any issues that bad-actor providers could exploit to protect themselves or other bad actors. Do the two proposals the Commission discusses above sufficiently cover these concerns? If not, what is the concern and how might the Commission address it? Are there any other issues the Commission should consider?
                </P>
                <HD SOURCE="HD2">SIP Codes for Immediate Notification of Blocked Calls</HD>
                <P>21. The Commission seeks comment on which SIP Code(s) to require terminating providers with IP networks to use to notify callers that calls have been blocked, consistent with the TRACED Act's directive to provide “transparency and effective redress.” Specifically, the Commission seeks comment on whether it should require use of the newly developed SIP Code 603+ for immediate notification, require use of SIP Code 608, or require use of SIP Code 603.</P>
                <P>
                    22. 
                    <E T="03">Background.</E>
                     In response to the TRACED Act, in December 2020, the Commission required that terminating providers blocking calls on an IP network use SIP Code 607, “Unwanted,” or SIP Code 608, “Rejected,” as appropriate, to notify callers or originating providers of a blocked call. Following a petition seeking reconsideration from USTelecom, in 2021, the Commission permitted terminating providers with IP networks to use existing SIP Code 603, “Decline,” to meet the immediate notification requirement. However, the Commission made clear that it viewed this as an “interim measure as industry moves to full implementation of SIP Codes 607 and 608,” and reaffirmed its belief that “[the Commission] should retain the requirement that terminating providers ultimately use only SIP Codes 607 or 608 in IP networks.” At the same time, the Commission sought comment 
                    <PRTPAGE P="43494"/>
                    on the status of the implementation of SIP Codes 607 and 608, as well as whether and how to best transition away from SIP Code 603 for use as a response for call blocking. The Commission also sought comment on whether SIP Code 603 provides adequate information to callers and thus should not be phased out, or whether SIP Code 603 requires modification to make it useful to callers. After the comment period for the rulemaking had ended, industry presented a new potential solution for the immediate notification problem, generally referred to as SIP Code 603+, “Network Blocked,” which builds on the existing SIP Code 603 to provide greater information to callers.
                </P>
                <P>
                    23. 
                    <E T="03">Competing Standards.</E>
                     The Commission believes that either SIP Code 608 or SIP Code 603+ has the best potential to provide callers with meaningful information when calls are blocked based on reasonable analytics, allowing for transparency and effective redress. The Commission seeks comment on this belief. The Commission notes that, because it has not previously sought comment on SIP Code 603+, it is particularly interested in the benefits and disadvantages of that particular code relative to SIP Code 608. Are both standards capable of satisfying the TRACED Act's requirement that the Commission provide transparency and effective redress to callers? What are the advantages or disadvantages of each standard? Are either or both of these SIP Codes more advantageous than requiring use of SIP Code 603, and if so, why? Given that SIP Code 607 is not intended for use when block is based on reasonable analytics, the Commission no longer believes that it would be appropriate to continue to allow use of SIP Code 607 for this purpose, particularly given that there are now two options that specifically address this type of blocking available in SIP Codes 603+ and 608. Is this belief correct?
                </P>
                <P>
                    24. 
                    <E T="03">Implementation Details and Issues.</E>
                     The Commission seeks comment on the implementation process and costs for each code. Voice service providers have argued that SIP Code 603+ is easier to implement. Is this correct? How long will it take voice service providers to implement SIP Codes 603+, 607, or 608, respectively? Would the implementation timeline for SIP Code 608 vary if the Commission requires the jCard or if it does not, and if so, how? Should the Commission require a faster implementation for the code it adopts, considering the Commission's directive in the 
                    <E T="03">December 2020 Call Blocking Order,</E>
                     86 FR 17726? What should the implementation deadline be? How can the Commission ensure it is met? What are the respective costs of implementation? Other than amending the Commission's mapping rule to reflect whatever SIP Code (or possibly SIP Codes) that the Commission requires to be used, does it need to take any additional steps to ensure the SIP Code(s) appropriately map to or from ISUP code 21 when calls transit non-IP networks, or are the Commission's current rule sufficient?
                </P>
                <P>
                    25. 
                    <E T="03">Value to Callers.</E>
                     Which SIP Code is most helpful for callers to receive and use for immediate notification of blocking based on an analytics program, or are the codes comparable for callers? What is the cost to callers to adapt their systems to receive SIP Code 603+, 607, or 608? Is there any information that would be available under SIP Code 608, either with or without the jCard, that is not available under SIP Code 603+? If so, does the benefit of this information outweigh any additional costs that voice service providers might incur to implement SIP Code 608 throughout the network? Should the Commission require voice service providers to use one of these SIP Codes or continue to allow voice service providers to choose from several SIP Codes. and if so, which Codes are most appropriate? Should the Commission continue to allow use of SIP Code 603? What impact would each approach have on callers? What is the timeline for callers to be able to receive SIP Code 603+, 607, and 608? Is there anything else the Commission should consider?
                </P>
                <HD SOURCE="HD2">Increasing Trust in Caller ID by Providing Accurate Caller Name To Call Recipients</HD>
                <P>
                    26. 
                    <E T="03">Caller Name for Voice Calls.</E>
                     The Commission seeks comment on whether and how to provide accurate caller name information to call recipients when the terminating voice service provider displays an indication that the call received A-level attestation. Some terminating providers have chosen to display an indication of caller ID authentication status to the call recipient, such as through a green checkmark. While this may tell an informed consumer that the caller ID is either not spoofed or spoofed with authorization, it does not tell them anything about the identity of the caller. Mobile phones do not routinely display information from caller ID name (CNAM) databases, and an unfamiliar number without a display name is still an unfamiliar number, even if the recipient knows that it was not spoofed.
                </P>
                <P>27. The Commission believes that combining the display of caller name information with the information that the number itself was not spoofed could provide real benefit to consumers, who would then have more data to use when deciding whether or not to answer the phone. The Commission seeks comment on this belief. Does the caller ID attestation information display alone significantly benefit the consumer? If so, how does that benefit compare to the benefit of caller name data alone? Is the combined information more beneficial than either single piece of information? What would the Commission need to do to ensure that these benefits are realized?</P>
                <P>28. Caller name information is only valuable if it is accurate. The Commission therefore seeks comment on the source of caller name information for display. For example, should the Commission rely on existing CNAM databases for this purpose? Is it true that the accuracy of these databases varies and is impacted by whether the caller provides accurate information? How can the Commission ensure that this information is more accurate? The Commission believes that a caller that provides inaccurate information to populate CNAM databases with the intent to defraud, cause harm, or otherwise obtain something of value is in violation of the Truth in Caller ID Act. The Commission seeks comment on this belief. Are there other steps the Commission could take to ensure CNAM accuracy?</P>
                <P>
                    29. Alternatively, are there other sources that would be more accurate for caller name display? The Commission knows that industry has been working on branded calling options, such as Rich Call Data, which makes use of the STIR/SHAKEN framework to provide caller name and other branding for display to the consumer. Unlike the traditional CNAM databases, Rich Call Data is not widely deployed and may not work on some networks; furthermore, the primary use case appears to be for enterprise calling, rather than caller name generally. However, its incorporation into the STIR/SHAKEN caller ID authentication framework should increase the reliability of the information. Is this a correct assumption? Would Rich Call Data, or some other option, be a better choice for caller name display data? If so, what limitations and strengths do those options have, and how might the Commission craft a rule to ensure that the limitations are addressed? How long is it likely to take for these tools to be broadly available in the network? Given that these technologies are generally focused on enterprise callers, how should the Commission handle A-level 
                    <PRTPAGE P="43495"/>
                    attested calls for which there is no caller name information? Should intermediate providers, terminating providers, and/or their analytics partners be required to pass without alteration Rich Call Data or other authenticated caller identification such as caller name, logo, or reason for the call?
                </P>
                <P>30. Instead of requiring use of a specific technology for the caller name display, should the Commission adopt a technology-neutral standard? For example, could the Commission simply require any terminating provider to display caller name information if it displays an indication that the call received A-level attestation? Such a rule would mean that, if the database or technology the terminating provider chooses to use for this information does not include caller name data for a particular caller, the terminating provider would not be permitted to display an indication that the caller ID received A-level attestation. Are there any issues with this approach? Should the Commission set any specific requirements to ensure the accuracy of the data? Are there alternative ways to handle this that would benefit consumers?</P>
                <P>31. The Commission's understanding is that terminating providers that choose to display caller ID authentication information only do so when the call receives A-level attestation. Are there terminating providers that display an indication when there is a different level of attestation? If so, should the Commission also require these terminating providers to display caller name information, even though there is a risk that the caller ID was spoofed? Are there any other issues the Commission should consider, such as the appropriate implementation timeline?</P>
                <HD SOURCE="HD2">Enforcement Against Voice Service Providers That Allow Customers To Originate Illegal Calls</HD>
                <P>32. The Commission proposes to authorize a base forfeiture of $11,000 for any voice service provider that fails to take affirmative, effective measures to prevent new and renewing customers from using its network to originate illegal calls, including knowing its customers and exercising due diligence in ensuring that its services are not used to originate illegal traffic. The Commission further proposes to authorize this forfeiture to be increased up to the maximum forfeiture that its rules allow us to impose on non-common carriers. Additionally, the Commission seeks comment on whether it should adopt a similar forfeiture for failure to comply with its requirement to know the upstream provider.</P>
                <P>33. The Commission seeks comment on these proposals. The Commission believes that establishing a base forfeiture well below the maximum is appropriate, as it will allow us to adjust the total forfeiture upward or downward on a case-by-case basis consistent with section 503 of the Act and § 1.80 of the Commission's rules. The Commission seeks comment on this belief. Is the base forfeiture the Commission proposes sufficient incentive to encourage voice service providers that are not actively trying to prevent callers from placing illegal calls to take steps to ensure that the measures they take are truly effective? Would some other threshold be appropriate? If so, what would be an appropriate base forfeiture? Similarly, is the Commission's proposal to set the maximum forfeiture amount at the maximum its rules permit for non-common carriers appropriate? The Commission does not believe that there is any reason to penalize common carriers more harshly than non-common carriers. The Commission seeks comment on this belief. For this purpose, how should the Commission define an individual violation of this rule? For example, should the Commission consider each customer for which the voice service provider fails to take effective measures a single violation? If so, if a voice service provider allows that customer to originate illegal calls over the course of several days, should the Commission consider this a continuing violation such that it may impose a forfeiture of up to $23,727 per day? In general, The Commission does not believe that this will interact with the forfeiture it adopted earlier this year for failure to block. However, the Commission seeks comment on any potential interactions and whether, and how, it should address them. Is there anything else the Commission should consider in authorizing these forfeitures?</P>
                <P>34. The Commission also seeks comment on whether it would be appropriate to impose specific forfeitures for violations of its rules requiring a voice service provider to know its upstream provider. Should the Commission take the same approach for violations of these rules, or would a different approach be appropriate? For example, since the know-your-upstream-provider requirements apply to a high volume of illegal traffic, rather than the origination of any illegal traffic, should the base forfeiture be higher or lower?</P>
                <P>35. The Commission believes that establishing a new base forfeiture is appropriate in part because bad-actor voice service providers profit from the callers that they protect. The Commission seeks comment on this belief. For example, do bad-actor voice service providers profit from fees paid by downstream providers, such as CNAM database dip fees? Is there some other approach the Commission could take that would better address these economic incentives? Is there anything else the Commission should consider?</P>
                <HD SOURCE="HD2">Legal Authority</HD>
                <P>36. The Commission proposes to find its legal authority for the proposed rules consistent with its authority under sections 201(b), 202(a), and 251(e) of the Communications Act of 1934, as amended (the Act) as well as from the Truth in Caller ID Act and its ancillary authority. In order for the rules addressing voice calls to provide benefit, they must include all voice service providers, including non-Title II providers. The Commission further proposes to rely on its authority under the TRACED Act for establishing a specific SIP Code to be used for immediate notification of call blocking. The Act and the Truth in Caller ID Act have long formed the basis for the Commission's prohibitions on call blocking. The Commission believes that these source of authority grant it sufficient authority to adopt the proposed rules, and it seeks comment on this belief. The Commission proposes that it has authority for some matters it seeks comment on here under section 251(e) of the Act, which provides it “exclusive jurisdiction over those portions of the North American Numbering Plan that pertain to the United States.” Are there any other sources of authority the Commission should rely on? Do any of these sources of authority not apply to the rules the Commission proposes today?</P>
                <HD SOURCE="HD1">Third Notice of Inquiry</HD>
                <P>
                    37. Voice service providers have a wide array of tools they can use to fight the ever-changing landscape of illegal calls. While some of these tools are mandated or otherwise regulated directly by the Commission, some may not be directly subject to its rules. Even where the Commission does not directly regulate, it is important for it to be aware of the options voice service providers have and whether tools are working as intended to benefit and protect consumers. With this 
                    <E T="03">Third Notice of Inquiry,</E>
                     the Commission seeks information regarding the current state of technology for identifying and combating illegal calls, as well as the current state of call labeling.
                    <PRTPAGE P="43496"/>
                </P>
                <HD SOURCE="HD2">Technology for Fighting Illegal Calls</HD>
                <P>38. The Commission seeks comment on the tools voice service providers currently use to identify and combat illegal calls. The Commission also seeks comment on tools that are in development that show particular promise. What tools do voice service providers use, and how do these tools help identify and combat illegal calls? Are there any tools that are particularly valuable? If so, is there anything the Commission can do to improve or promote these tools? Are voice service providers reluctant to use certain tools due to fear of liability?</P>
                <P>
                    39. The Commission is particularly interested in the use of honeypots and whether there is any way for us to leverage or facilitate the use of honeypots more broadly. A honeypot is an unassigned phone number that is used by a voice service provider, researcher, or other third party to receive (and, where permissible, record) calls to those numbers. It allows the voice service provider (or other holder) to “listen in” on such calls. One potential advantage of a honeypot is that it allows “listening in” without violating any actual customer's privacy. The Commission seeks comment on this anticipated benefit, and whether the use of honeypots involves any privacy risk (
                    <E T="03">e.g.,</E>
                     the receipt of inadvertent calls or voicemails in which the caller reveals personally identifiable information (PII)). The Commission additionally seeks comment on whether it should take steps to further the use of honeypots. Are there any barriers to their use the Commission could remove? Can honeypots be utilized lawfully in every state, or are there state laws that might restrict or limit their use? Alternatively, should the Commission consider implementing a Commission-operated honeypot? If so, what benefits would that bring that cannot be realized through private-sector use? Are there any privacy or other concerns the Commission should be aware of? Alternatively, are there other options that fill the same role as honeypots more efficiently, or without those concerns?
                </P>
                <P>40. The Commission recognizes that, in some cases, voice service providers may be reluctant to publicly disclose information regarding the tools they use to combat illegal calls. Where possible, the Commission encourage voice service providers to file public comments. If a voice service provider has particular competitive concerns, however, or is concerned that their filing may allow bad actors to circumvent these tools, the Commission also welcomes confidential filings.</P>
                <HD SOURCE="HD2">Call Labeling</HD>
                <P>41. Call labeling, which comes in several forms, is a popular tool because it gives call recipients information they can use to decide whether to answer a call. Some labels seek to warn the call recipient of the level of risk the call presents; these are generally based on analytics and may include phrases like “scam likely” or “fraud risk.” Other labels seek to provide information as to the content of the call, such as “telemarketing” or “survey.”</P>
                <P>42. The Commission seeks comment on the current state of call labeling. Are there any voice service providers that do not offer call labeling services to their customers? If so, why not? What labels are most commonly used, and how are these labels determined? How is STIR/SHAKEN caller ID authentication information used in determining the correct label? Similarly, what role does crowd feedback play in call labeling? Do consumers report satisfaction with these services? How often do voice service providers receive complaints about inaccurate labels from call recipients? From callers? How often do consumers opt out of these services? How have voice service providers responded to these issues? How do analytics providers weigh the claims of the call originator against crowd feedback indicating a call is unwanted or abusive? Is there data regarding how often call recipients answer calls with negative labels compared to how often they answer calls that display just a number? Do labels ever override a caller name that the call recipient has saved to their phone, or does the saved name take precedence?</P>
                <P>43. Is there anything the Commission can do to improve the availability and accuracy of call labeling, or make it more valuable to consumers and accurate for callers? Should the Commission do so? What is the Commission's legal authority to do so?</P>
                <HD SOURCE="HD2">Digital Equity and Inclusion</HD>
                <P>44. The Commission, as part of its continuing effort to advance digital equity for all, including people of color and others who have been historically underserved, marginalized, and adversely affected by persistent poverty and inequality, invites comment on any equity-related considerations and benefits (if any) that may be associated with the proposals and issues discussed herein. Specifically, the Commission seeks comment on how its proposals may promote or inhibit advances in diversity, equity, inclusion, and accessibility.</P>
                <HD SOURCE="HD1">Initial Regulatory Flexibility Analysis</HD>
                <P>
                    45. As required by the Regulatory Flexibility Act of 1980, as amended (RFA), the Commission has prepared this Initial Regulatory Flexibility Analysis (IRFA) of the possible significant economic impact on small entities by the policies and rules proposed in this 
                    <E T="03">Eighth FNPRM.</E>
                     The Commission requests written public comments on this IRFA. Comments must be identified as responses to the IRFA and must be filed by the deadlines for comments provided on the first page of the 
                    <E T="03">Eighth FNPRM.</E>
                     The Commission will send a copy of the 
                    <E T="03">Eighth FNPRM,</E>
                     including this IRFA, to the Chief Counsel for Advocacy of the Small Business Administration (SBA). In addition, the 
                    <E T="03">Eighth FNPRM</E>
                     and IRFA (or summaries thereof) will be published in the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <HD SOURCE="HD2">Need for, and Objectives of, the Proposed Rules</HD>
                <P>
                    46. In order to continue the Commission's work of protecting American consumers from illegal calls, regardless of their provenance, the 
                    <E T="03">Eighth FNPRM</E>
                     proposes and seeks comment on several options to better protect consumers from illegal calls, restore faith in caller ID, and hold voice service providers responsible for the calls they carry. First, the 
                    <E T="03">Eighth FNPRM</E>
                     proposes to require terminating voice service providers to offer, at a minimum, opt-out blocking services of calls that are highly likely to be illegal to consumers without charge. It also seeks comment on whether the Commission should continue to use a non-exhaustive list of factors that voice service providers might consider when blocking based on reasonable analytics or whether further guidance is needed to define the category “highly likely to be illegal.” Second, the 
                    <E T="03">Eighth FNPRM</E>
                     proposes to require all voice service providers, rather than just gateway providers, to block calls using a reasonable do-not-originate list. Third, it seeks comment on specific instances where the non-gateway intermediate and terminating providers may be required to block following Commission notification of illegal traffic. Fourth, it seeks comment on the correct SIP Code to use for immediate notification of call blocking to callers, so that callers placing lawful calls can seek redress, and seeks comment on the implementation process and costs for each code. Fifth, it seeks comment on whether, and how, to require display of caller name information when a 
                    <PRTPAGE P="43497"/>
                    terminating provider displays an indication that a call received A-level attestation under the STIR/SHAKEN framework. Combining the display of caller name information with the information that the number itself was not spoofed may provide real benefit to consumers. Finally, it proposes to set a minimum forfeiture of $11,000 for failure to comply with one of the existing rules, and would allow that forfeiture to be increased up to the maximum for non-common carriers. The 
                    <E T="03">Eighth FNPRM</E>
                     seeks comment on whether a base forfeiture is appropriate in part because bad-actor voice service providers profit from the callers that they protect.
                </P>
                <HD SOURCE="HD1">Legal Basis</HD>
                <P>47. The proposed action is authorized pursuant to sections 4(i), 201, 202, 227, 227b 251(e), 303(r), and 403 of the Communications Act of 1934, as amended, 47 U.S.C. 154(i), 201, 202, 227, 251(e), 303(r), and 403, and section 7 of the Telephone Robocall Abuse Criminal Enforcement and Deterrence Act, Public Law 116-105, 133 Stat. 3274.</P>
                <HD SOURCE="HD1">Description and Estimate of the Number of Small Entities to Which the Proposed Rules Will Apply</HD>
                <P>48. The RFA directs agencies to provide a description of and, where feasible, an estimate of the number of small entities that may be affected by the proposed rules and by the rule revisions on which the Notice seeks comment, if adopted. The RFA generally defines the term “small entity” as having the same meaning as the terms “small business,” “small organization,” and “small governmental jurisdiction.” In addition, the term “small business” has the same meaning as the term “small-business concern” under the Small Business Act. A “small-business concern” is one which: (1) is independently owned and operated; (2) is not dominant in its field of operation; and (3) satisfies any additional criteria established by the SBA.</P>
                <P>
                    49. 
                    <E T="03">Small Businesses, Small Organizations, Small Governmental Jurisdictions.</E>
                     The Commission's actions, over time, may affect small entities that are not easily categorized at present. The Commission therefore describes here, at the outset, three broad groups of small entities that could be directly affected herein. First, while there are industry specific size standards for small businesses that are used in the regulatory flexibility analysis, according to data from the Small Business Administration's (SBA) Office of Advocacy, in general a small business is an independent business having fewer than 500 employees. These types of small businesses represent 99.9% of all businesses in the United States, which translates to 32.5 million businesses.
                </P>
                <P>50. Next, the type of small entity described as a “small organization” is generally “any not-for-profit enterprise which is independently owned and operated and is not dominant in its field.” The Internal Revenue Service (IRS) uses a revenue benchmark of $50,000 or less to delineate its annual electronic filing requirements for small exempt organizations. Nationwide, for tax year 2020, there were approximately 447,689 small exempt organizations in the U.S. reporting revenues of $50,000 or less according to the registration and tax data for exempt organizations available from the IRS.</P>
                <P>51. Finally, the small entity described as a “small governmental jurisdiction” is defined generally as “governments of cities, counties, towns, townships, villages, school districts, or special districts, with a population of less than fifty thousand.” U.S. Census Bureau data from the 2017 Census of Governments indicate that there were 90,075 local governmental jurisdictions consisting of general purpose governments and special purpose governments in the United States. Of this number there were 36,931 general purpose governments (county, municipal and town or township) with populations of less than 50,000 and 12,040 special purpose governments—independent school districts with enrollment populations of less than 50,000. Accordingly, based on the 2017 U.S. Census of Governments data, the Commission estimates that at least 48,971 entities fall into the category of “small governmental jurisdictions.”</P>
                <HD SOURCE="HD1">Wireline Carriers</HD>
                <P>
                    52. 
                    <E T="03">Wired Telecommunications Carriers.</E>
                     The U.S. Census Bureau defines this industry as establishments primarily engaged in operating and/or providing access to transmission facilities and infrastructure that they own and/or lease for the transmission of voice, data, text, sound, and video using wired communications networks. Transmission facilities may be based on a single technology or a combination of technologies. Establishments in this industry use the wired telecommunications network facilities that they operate to provide a variety of services, such as wired telephony services, including VoIP services, wired (cable) audio and video programming distribution, and wired broadband internet services. By exception, establishments providing satellite television distribution services using facilities and infrastructure that they operate are included in this industry. Wired Telecommunications Carriers are also referred to as wireline carriers or fixed local service providers.
                </P>
                <P>53. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 5,183 providers that reported they were engaged in the provision of fixed local services. Of these providers, the Commission estimates that 4,737 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.</P>
                <P>
                    54. 
                    <E T="03">Local Exchange Carriers (LECs).</E>
                     Neither the Commission nor the SBA has developed a size standard for small businesses specifically applicable to local exchange services. Providers of these services include both incumbent and competitive local exchange service providers. Wired Telecommunications Carriers is the closest industry with an SBA small business size standard. Wired Telecommunications Carriers are also referred to as wireline carriers or fixed local service providers. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 5,183 providers that reported they were fixed local exchange service providers. Of these providers, the Commission estimates that 4,737 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    55. 
                    <E T="03">Incumbent Local Exchange Carriers (Incumbent LECs).</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for incumbent local exchange carriers. Wired Telecommunications Carriers is the 
                    <PRTPAGE P="43498"/>
                    closest industry with an SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms in this industry that operated for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 1,227 providers that reported they were incumbent local exchange service providers. Of these providers, the Commission estimates that 929 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, the Commission estimates that the majority of incumbent local exchange carriers can be considered small entities.
                </P>
                <P>
                    56. 
                    <E T="03">Competitive Local Exchange Carriers (LECs).</E>
                     Neither the Commission nor the SBA has developed a size standard for small businesses specifically applicable to local exchange services. Providers of these services include several types of competitive local exchange service providers. Wired Telecommunications Carriers is the closest industry with a SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 3,956 providers that reported they were competitive local exchange service providers. Of these providers, the Commission estimates that 3,808 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    57. 
                    <E T="03">Interexchange Carriers (IXCs).</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for Interexchange Carriers. Wired Telecommunications Carriers is the closest industry with a SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 151 providers that reported they were engaged in the provision of interexchange services. Of these providers, the Commission estimates that 131 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, the Commission estimates that the majority of providers in this industry can be considered small entities.
                </P>
                <P>
                    58. 
                    <E T="03">Cable System Operators (Telecom Act Standard).</E>
                     The Communications Act of 1934, as amended, contains a size standard for a “small cable operator,” which is “a cable operator that, directly or through an affiliate, serves in the aggregate fewer than one percent of all subscribers in the United States and is not affiliated with any entity or entities whose gross annual revenues in the aggregate exceed $250,000,000.” For purposes of the Telecom Act Standard, the Commission determined that a cable system operator that serves fewer than 677,000 subscribers, either directly or through affiliates, will meet the definition of a small cable operator based on the cable subscriber count established in a 2001 Public Notice. Based on industry data, only six cable system operators have more than 677,000 subscribers. Accordingly, the Commission estimates that the majority of cable system operators are small under this size standard. The Commission notes however, that it neither requests nor collects information on whether cable system operators are affiliated with entities whose gross annual revenues exceed $250 million. Therefore, the Commission is unable at this time to estimate with greater precision the number of cable system operators that would qualify as small cable operators under the definition in the Communications Act.
                </P>
                <P>
                    59. 
                    <E T="03">Other Toll Carriers.</E>
                     Neither the Commission nor the SBA has developed a definition for small businesses specifically applicable to Other Toll Carriers. This category includes toll carriers that do not fall within the categories of interexchange carriers, operator service providers, prepaid calling card providers, satellite service carriers, or toll resellers. Wired Telecommunications Carriers is the closest industry with a SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms in this industry that operated for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 115 providers that reported they were engaged in the provision of other toll services. Of these providers, the Commission estimates that 113 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <HD SOURCE="HD2">Wireless Carriers</HD>
                <P>
                    60. 
                    <E T="03">Wireless Telecommunications Carriers (except Satellite).</E>
                     This industry comprises establishments engaged in operating and maintaining switching and transmission facilities to provide communications via the airwaves. Establishments in this industry have spectrum licenses and provide services using that spectrum, such as cellular services, paging services, wireless internet access, and wireless video services. The SBA size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms in this industry that operated for the entire year. Of that number, 2,837 firms employed fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 797 providers that reported they were engaged in the provision of wireless services. Of these providers, the Commission estimates that 715 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    61. 
                    <E T="03">Satellite Telecommunications.</E>
                     This industry comprises firms “primarily engaged in providing telecommunications services to other establishments in the telecommunications and broadcasting industries by forwarding and receiving communications signals via a system of satellites or reselling satellite telecommunications.” Satellite telecommunications service providers include satellite and earth station operators. The SBA small business size standard for this industry classifies a business with $38.5 million or less in annual receipts as small. U.S. Census Bureau data for 2017 show that 275 firms in this industry operated for the entire year. Of this number, 242 firms 
                    <PRTPAGE P="43499"/>
                    had revenue of less than $25 million. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 71 providers that reported they were engaged in the provision of satellite telecommunications services. Of these providers, the Commission estimates that approximately 48 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, a little more than of these providers can be considered small entities.
                </P>
                <HD SOURCE="HD1">Resellers</HD>
                <P>
                    62. 
                    <E T="03">Local Resellers.</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for Local Resellers. Telecommunications Resellers is the closest industry with a SBA small business size standard. The Telecommunications Resellers industry comprises establishments engaged in purchasing access and network capacity from owners and operators of telecommunications networks and reselling wired and wireless telecommunications services (except satellite) to businesses and households. Establishments in this industry resell telecommunications; they do not operate transmission facilities and infrastructure. Mobile virtual network operators (MVNOs) are included in this industry. The SBA small business size standard for Telecommunications Resellers classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that 1,386 firms in this industry provided resale services for the entire year. Of that number, 1,375 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 293 providers that reported they were engaged in the provision of local resale services. Of these providers, the Commission estimates that 289 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    63. 
                    <E T="03">Toll Resellers.</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for Toll Resellers. Telecommunications Resellers is the closest industry with an SBA small business size standard. The Telecommunications Resellers industry comprises establishments engaged in purchasing access and network capacity from owners and operators of telecommunications networks and reselling wired and wireless telecommunications services (except satellite) to businesses and households. Establishments in this industry resell telecommunications; they do not operate transmission facilities and infrastructure. Mobile virtual network operators (MVNOs) are included in this industry. The SBA small business size standard for Telecommunications Resellers classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that 1,386 firms in this industry provided resale services for the entire year. Of that number, 1,375 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 518 providers that reported they were engaged in the provision of toll services. Of these providers, the Commission estimates that 495 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    64. 
                    <E T="03">Prepaid Calling Card Providers.</E>
                     Neither the Commission nor the SBA has developed a small business size standard specifically for prepaid calling card providers. Telecommunications Resellers is the closest industry with a SBA small business size standard. The Telecommunications Resellers industry comprises establishments engaged in purchasing access and network capacity from owners and operators of telecommunications networks and reselling wired and wireless telecommunications services (except satellite) to businesses and households. Establishments in this industry resell telecommunications; they do not operate transmission facilities and infrastructure. Mobile virtual network operators (MVNOs) are included in this industry. The SBA small business size standard for Telecommunications Resellers classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that 1,386 firms in this industry provided resale services for the entire year. Of that number, 1,375 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 58 providers that reported they were engaged in the provision of payphone services. Of these providers, the Commission estimates that 57 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <HD SOURCE="HD2">Other Entities</HD>
                <P>
                    65. 
                    <E T="03">All Other Telecommunications.</E>
                     This industry is comprised of establishments primarily engaged in providing specialized telecommunications services, such as satellite tracking, communications telemetry, and radar station operation. This industry also includes establishments primarily engaged in providing satellite terminal stations and associated facilities connected with one or more terrestrial systems and capable of transmitting telecommunications to, and receiving telecommunications from, satellite systems. Providers of internet services (
                    <E T="03">e.g.</E>
                     dial-up ISPs) or voice over internet protocol (VoIP) services, via client-supplied telecommunications connections are also included in this industry. The SBA small business size standard for this industry classifies firms with annual receipts of $35 million or less as small. U.S. Census Bureau data for 2017 show that there were 1,079 firms in this industry that operated for the entire year. Of those firms, 1,039 had revenue of less than $25 million. Based on this data, the Commission estimates that the majority of “All Other Telecommunications” firms can be considered small.
                </P>
                <HD SOURCE="HD2">Description of Projected Reporting, Recordkeeping, and Other Compliance Requirements for Small Entities</HD>
                <P>
                    66. The 
                    <E T="03">Eighth FNPRM</E>
                     proposes and seeks comment on imposing several obligations that may include recordkeeping or reporting requirements on small entity providers. Specifically, the 
                    <E T="03">Eighth FNPRM</E>
                     proposes to require all terminating voice service providers to offer, at a minimum, opt-out blocking of calls that are highly likely to be illegal. The 
                    <E T="03">Eighth FNPRM</E>
                     also proposes that small and other voice service providers block calls using a reasonable do-not-originate (DNO) list. This would require voice service providers that do not already engage in this type of blocking, either voluntarily or in order to comply with the Commission's existing rule for gateway providers, to either obtain or create such a list and ensure that the list remains up to date. The 
                    <E T="03">Eighth FNPRM</E>
                     seeks comment on limiting the SIP code for use for immediate notification to callers to a single code, with focus on SIP Code 608 or 603+, and seeks comment on the costs and timeline to implement and comply with the proposed rule. Additionally, a requirement to display caller name information to consumers 
                    <PRTPAGE P="43500"/>
                    when displaying an indication of A-level attestation may include a recordkeeping or reporting requirement. Depending on the exact mechanism chosen, small entity and other terminating providers that wish to display an indication of attestation may need to access a caller name database or other list in order to comply. Finally, the 
                    <E T="03">Eighth FNPRM</E>
                     proposes specific forfeiture costs to small and other providers for failure to comply with call blocking rules. The Commission anticipates the information it receives in comments including where requested, cost and benefit analyses, will help the Commission identify and evaluate relevant compliance matters for small entities, including compliance costs and other burdens that may result from the proposals and inquiries it makes in the 
                    <E T="03">Eighth FNPRM.</E>
                </P>
                <HD SOURCE="HD2">Steps Taken To Minimize the Significant Economic Impact on Small Entities, and Significant Alternatives Considered</HD>
                <P>67. The RFA requires an agency to describe any significant alternatives that it has considered in reaching its proposed approach, which may include the following four alternatives (among others): “(1) the establishment of differing compliance or reporting requirements or timetables that take into account the resources available to small entities; (2) the clarification, consolidation, or simplification of compliance and reporting requirements under the rules for such small entities; (3) the use of performance rather than design standards; and (4) an exemption from coverage of the rule, or any part thereof, for such small entities.”</P>
                <P>
                    68. The 
                    <E T="03">Eighth FNPRM</E>
                     seeks comment on the burdens that would be imposed on small and other voice service providers if the Commission adopts rules in the areas where the Commission seeks comment. The Commission welcomes comments on any of the issues raised in the 
                    <E T="03">Eighth FNPRM</E>
                     that will impact small providers. In particular, the 
                    <E T="03">Eighth FNPRM</E>
                     seeks comment on whether the existing safe harbors for blocking are sufficient, or whether additional safe harbor protection is necessary. Safe harbor protections are likely to be particularly important to smaller providers that may otherwise be concerned about liability if they block calls in error. The 
                    <E T="03">Eighth FNPRM</E>
                     also seeks comment on multiple options for immediate notification of callers and methods for providing caller name information to consumers.
                </P>
                <P>
                    69. Including alternative options to the proposals discussed in the 
                    <E T="03">Eighth FNPRM</E>
                     ensures that the Commission can appropriately balance the burdens to small entity providers, with the benefit to callers placing lawful calls and consumers. Among the alternatives considered in the 
                    <E T="03">Eighth FNPRM</E>
                     is whether there is a benefit to requiring small and other terminating providers that currently offer opt-in blocking to switch to opt-out blocking. It also considers whether to require all voice service providers to block based on a reasonable DNO list, rather than limiting the requirement to certain voice service provider types, because the content of the list may vary depending on the provider. The 
                    <E T="03">Eighth FNPRM</E>
                     seeks comment on alternatives to ways small and other providers can provide an accurate caller name display, such as using Caller ID name (CNAM) databases or other sources for caller information, and requiring specific technology for caller name display or adopting a technology-neutral standard. Allowing for this flexibility may make it easier for small entities that are terminating providers to comply with the proposed rules. The 
                    <E T="03">Eighth FNPRM</E>
                     also seeks alternatives to the proposed base forfeiture amount, such as requiring the voice service provider to repay any profits from fees paid by downstream providers.
                </P>
                <P>
                    70. To assist in the Commission's evaluation of the economic impact on small entities, as a result of actions that have been proposed in the 
                    <E T="03">Eighth FNPRM,</E>
                     and to better explore options and alternatives, the Commission seeks comment on whether any of the burdens associated with the filing, recordkeeping and reporting requirements described above can be minimized for small entities. Additionally, the Commission seeks comment on whether any of the costs associated with any of the proposed requirements to eliminate unlawful robocalls can be alleviated for small entities. The Commission expects to more fully consider the economic impact and alternatives for small entities based on its review of the record and any comments filed in response to the 
                    <E T="03">Eighth FNPRM</E>
                     and this IRFA.
                </P>
                <HD SOURCE="HD2">Federal Rules That May Duplicate, Overlap, or Conflict With the Proposed Rules</HD>
                <P>71. None.</P>
                <HD SOURCE="HD1">Procedural Matters</HD>
                <P>
                    72. 
                    <E T="03">Regulatory Flexibility Act.</E>
                     The Regulatory Flexibility Act of 1980, as amended (RFA), requires that an agency prepare a regulatory flexibility analysis for notice and comment rulemakings, unless the agency certifies that “the rule will not, if promulgated, have a significant economic impact on a substantial number of small entities.” Accordingly, the Commission has prepared an Initial Regulatory Flexibility Analysis (IRFA) concerning the potential impact of the rule and policy changes contained in the 
                    <E T="03">Eighth FNPRM.</E>
                     Written public comments are requested on the IRFA. Comments must be filed by the deadlines for comments on the 
                    <E T="03">Eighth FNPRM</E>
                     indicated on the first page of this document and must have a separate and distinct heading designating them as responses to the IRFA.
                </P>
                <P>
                    73. 
                    <E T="03">Paperwork Reduction Act.</E>
                     This document may contain new or modified information collection requirements subject to the Paperwork Reduction Act of 1995 (PRA), Public Law 104-13. Specifically, the rules adopted in §§ 64.1200(n)(1) and 64.6305(d)(2)(iii) and (f)(2)(iii) require modified information collections. All such new or modified information collection requirements will be submitted to the Office of Management and Budget (OMB) for review under Section 3507(d) of the PRA. OMB, the general public, and other Federal agencies will be invited to comment on any new or modified information collection requirements contained in this proceeding. In addition, the Commission notes that, pursuant to the Small Business Paperwork Relief Act of 2002, Public Law 107-198, 
                    <E T="03">see</E>
                     44 U.S.C. 3506(c)(4), the Commission previously sought specific comment on how the Commission might further reduce the information collection burden for small business concerns with fewer than 25 employees.
                </P>
                <P>74. In this document, the Commission has assessed the effects of requiring all voice service providers to respond to traceback within 24 hours and modifying the certification requirement for the Robocall Mitigation Database accordingly, and find that small voice service providers have had ample time to develop processes to allow them to respond within the appropriate time and that providers for which this presents a significant burden, either due to their size or for some other reason, may request a waiver.</P>
                <P>
                    75. The 
                    <E T="03">Eighth FNPRM</E>
                     also contains a proposed revised information collection requirement. The Commission, as part of its continuing effort to reduce paperwork burdens, invites the general public and OMB to comment on the information collection requirement contained in this document, as required by the Paperwork Reduction Act of 1995, Public Law 104-13. In addition, pursuant to the Small Business Paperwork Relief Act of 2002, 
                    <PRTPAGE P="43501"/>
                    Public Law 107-198, 
                    <E T="03">see</E>
                     44 U.S.C 3506(c)(4), the Commission seeks specific comment on how it might further reduce the information collection burden for small business concerns with fewer than 25 employees.
                </P>
                <P>
                    76. 
                    <E T="03">Ex Parte Presentations—Permit-But-Disclose.</E>
                     The proceeding this 
                    <E T="03">Eighth FNPRM</E>
                     initiates shall be treated as a “permit-but-disclose” proceeding in accordance with the Commission's 
                    <E T="03">ex parte</E>
                     rules. Persons making 
                    <E T="03">ex parte</E>
                     presentations must file a copy of any written presentation or a memorandum summarizing any oral presentation within two business days after the presentation (unless a different deadline applicable to the Sunshine period applies). Persons making oral 
                    <E T="03">ex parte</E>
                     presentations are reminded that memoranda summarizing the presentation must (1) list all persons attending or otherwise participating in the meeting at which the 
                    <E T="03">ex parte</E>
                     presentation was made, and (2) summarize all data presented and arguments made during the presentation. If the presentation consisted in whole or in part of the presentation of data or arguments already reflected in the presenter's written comments, memoranda or other filings in the proceeding, the presenter may provide citations to such data or arguments in his or her prior comments, memoranda, or other filings (specifying the relevant page and/or paragraph numbers where such data or arguments can be found) in lieu of summarizing them in the memorandum. Documents shown or given to Commission staff during 
                    <E T="03">ex parte</E>
                     meetings are deemed to be written 
                    <E T="03">ex parte</E>
                     presentations and must be filed consistent with § 1.1206(b) of the Commission's rules. In proceedings governed by § 1.49(f) of the Commission's rules or for which the Commission has made available a method of electronic filing, written 
                    <E T="03">ex parte</E>
                     presentations and memoranda summarizing oral 
                    <E T="03">ex parte</E>
                     presentations, and all attachments thereto, must be filed through the electronic comment filing system available for that proceeding, and must be filed in their native format (
                    <E T="03">e.g.,</E>
                     .doc, .xml, .ppt, searchable .pdf). Participants in this proceeding should familiarize themselves with the Commission's 
                    <E T="03">ex parte</E>
                     rules.
                </P>
                <HD SOURCE="HD1">Ordering Clauses</HD>
                <P>
                    77. 
                    <E T="03">It is ordered</E>
                     that, pursuant to sections 4(i), 201, 202, 227, 227b 251(e), 303(r), 403, and 503 of the Communications Act of 1934, as amended, 47 U.S.C. 154(i), 201, 202, 227, 251(e), 303(r), 403 and 503, and section 7 of the Telephone Robocall Abuse Criminal Enforcement and Deterrence Act, Public Law 116-105,
                </P>
                <P>
                    78. 
                    <E T="03">It is further ordered</E>
                     that the Commission's Office of the Managing Director, Reference Information Center, 
                    <E T="03">shall send</E>
                     a copy of this 
                    <E T="03">Eighth FNPRM and Third Notice of Inquiry,</E>
                     including the Initial Regulatory Flexibility Analysis, to the Chief Counsel for Advocacy of the Small Business Administration.
                </P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects</HD>
                    <CFR>47 CFR Part 1</CFR>
                    <P>Administrative practice and procedure, Civil rights, Claims, Communications, Communications common carriers, Communications equipment, Cuba, Drug abuse, Environmental impact statements, Equal access to justice, Equal employment opportunity, Federal buildings and facilities, Government employees, Historic preservation, Income taxes, Indemnity payments, Individuals with disabilities, Internet, Investigations, Lawyers, Metric system, Penalties, Radio, Reporting and recordkeeping requirements, Satellites, Security measures, Telecommunications, Telephone, Television, Wages.</P>
                    <CFR>47 CFR Part 64</CFR>
                    <P>Carrier equipment, Communications common carriers, Reporting and recordkeeping requirements, Telecommunications, Telephone.</P>
                </LSTSUB>
                <SIG>
                    <FP>Federal Communications Commission.</FP>
                    <NAME>Marlene Dortch,</NAME>
                    <TITLE>Secretary.</TITLE>
                </SIG>
                <HD SOURCE="HD1">Proposed Rules</HD>
                <P>For the reasons discussed in the preamble, the Federal Communications Commission proposes to amend 47 CFR parts 1 and 64 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 1—PRACTICE AND PROCEDURE</HD>
                </PART>
                <AMDPAR>1. The authority citation for part 1 continues to read as follows:</AMDPAR>
                <AUTH>
                    <HD SOURCE="HED">Authority: </HD>
                    <P>47 U.S.C. chs. 2, 5, 9, 13; 28 U.S.C. 2461 note, unless otherwise noted.</P>
                </AUTH>
                <SUBPART>
                    <HD SOURCE="HED">Subpart A—General Rules of Practice and Procedure</HD>
                </SUBPART>
                <AMDPAR>2. In § 1.80, amend table 1 to paragraph (b)(10) by adding the entry of “Failure to prevent customers from originating illegal calls” at the end of the table to read as follows:</AMDPAR>
                <SECTION>
                    <SECTNO>§ 1.80 </SECTNO>
                    <SUBJECT>Forfeiture proceedings.</SUBJECT>
                    <STARS/>
                    <P>(b) * * *</P>
                    <P>(10) * * *</P>
                    <GPOTABLE COLS="2" OPTS="L1,i1" CDEF="s150,12C">
                        <TTITLE>
                            Table 1 to Paragraph 
                            <E T="01">(b)(10)</E>
                            —Base Amounts for Section 503 Forfeitures
                        </TTITLE>
                        <BOXHD>
                            <CHED H="1">Forfeitures</CHED>
                            <CHED H="1">Violation amount</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="22"> </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="28">*         *         *         *         *         *         *</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Failure to prevent customers from originating illegal calls</ENT>
                            <ENT>11,000</ENT>
                        </ROW>
                    </GPOTABLE>
                    <STARS/>
                </SECTION>
                <PART>
                    <HD SOURCE="HED">PART 64—MISCELLANEOUS RULES RELATING TO COMMON CARRIERS</HD>
                </PART>
                <AMDPAR>3. The authority citation for part 64 continues to read as follows:</AMDPAR>
                <AUTH>
                    <HD SOURCE="HED">Authority: </HD>
                    <P> 47 U.S.C. 151, 152, 154, 201, 202, 217, 218, 220, 222, 225, 226, 227, 227b, 228, 251(a), 251(e), 254(k), 255, 262, 276, 403(b)(2)(B), (c), 616, 617, 620, 1401-1473, unless otherwise noted; Pub. L. 115-141, Div. P, sec. 503, 132 Stat. 348, 1091.</P>
                </AUTH>
                <AMDPAR>4. Amend § 64.1200 by revising paragraph (n)(5)(i)(B), adding paragraph (n)(5)(i)(C), revising paragraph (o), and adding paragraph (s) to read as follows:</AMDPAR>
                <SECTION>
                    <SECTNO>§ 64.1200 </SECTNO>
                    <SUBJECT>Delivery restrictions.</SUBJECT>
                    <STARS/>
                    <P>(n) * * *</P>
                    <P>(5) * * *</P>
                    <P>(i) * * *</P>
                    <P>
                        (B) If the provider's investigation determines that the identified traffic is not illegal, it shall provide an explanation as to why the provider reasonably concluded that the identified traffic is not illegal and what steps it took to reach that conclusion. Absent such a showing, or if the Enforcement Bureau determines based on the evidence that the traffic is illegal despite the provider's assertions, the identified traffic will be deemed illegal. If the notified provider determines during this investigation that it did not serve as the 
                        <PRTPAGE P="43502"/>
                        gateway provider or originating provider for any of the identified traffic, it shall provide an explanation as to how it reached that conclusion, identify the upstream provider(s) from which it received the identified traffic, and, if possible, take lawful steps to mitigate this traffic. If the provider responds to the Enforcement Bureau that it cannot identify any or all of the upstream provider(s) from which it received the traffic, it must block substantially similar traffic consistent with the obligations of gateway and originating providers in paragraph (n)(5)(i)(A) of this section. If the Enforcement Bureau finds that an approved plan is not blocking substantially similar traffic, the identified provider shall modify its plan to block such traffic. If the Enforcement Bureau finds that the identified provider continues to allow suspected illegal traffic onto the U.S. network, it may proceed under paragraph (n)(5)(ii) or (iii) of this section, as appropriate.
                    </P>
                    <P>(C) If the Enforcement Bureau has previously sent a Notification of Suspected Illegal Traffic to the identified provider, it may require that provider to block substantially similar traffic consistent with the obligations of gateway and originating providers in paragraph (n)(5)(i)(A) of this section and to identify the upstream provider(s) from which it received the identified traffic—if it determines, based on the totality of the circumstances, that the terminating or non-gateway intermediate provider is either intentionally or negligently allowing illegal traffic onto its network.</P>
                    <STARS/>
                    <P>(o) A voice service provider must block any calls purporting to originate from a number on a reasonable do-not-originate list. A list so limited in scope that it leaves out obvious numbers that could be included with little effort may be deemed unreasonable. The do-not-originate list may include only:</P>
                    <P>(1) Numbers for which the subscriber to the number has requested that calls purporting to originate from that number be blocked because the number is used for inbound calls only;</P>
                    <P>(2) North American Numbering Plan numbers that are not valid;</P>
                    <P>(3) Valid North American Numbering Plan Numbers that are not allocated to a provider by the North American Numbering Plan Administrator; and</P>
                    <P>(4) Valid North American Numbering Plan numbers that are allocated to a provider by the North American Numbering Plan Administrator, but are unused, so long as the provider blocking the calls is the allocatee of the number and confirms that the number is unused or has obtained verification from the allocatee that the number is unused at the time of blocking.</P>
                    <STARS/>
                    <P>(s) A terminating provider must offer analytics-based blocking of calls that are highly likely to be illegal on an opt-out basis without charge to consumers. A provider that offers blocking services consistent with paragraph (k)(3) or (11) of this section will be deemed to be in compliance with paragraph (p) of this section, so long as those services are offered without charge.</P>
                </SECTION>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-13032 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6712-01-P</BILCOD>
        </PRORULE>
        <PRORULE>
            <PREAMB>
                <AGENCY TYPE="S">FEDERAL COMMUNICATIONS COMMISSION</AGENCY>
                <CFR>47 CFR Parts 2, 15, 25, 27, and 101</CFR>
                <DEPDOC>[WT Docket No. 20-443; FCC 23-36; FR ID 148306]</DEPDOC>
                <SUBJECT>Expanding Flexible Use of the 12.2-12.7 GHz Band</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Communications Commission.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Proposed rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In this document, the Federal Communications Commission (Commission) seeks further comment on how it could facilitate more robust terrestrial operations in the 12.2-12.7 GHz (12.2 GHz) band through additional possible terrestrial uses of the band including one-way, point-to-point or point-to-multipoint fixed links at higher powers than current Multichannel Video Distribution and Data Service (MVDDS) rules permit; two-way, point-to-point fixed links at standard part 101 power limits; two-way, point-to-multipoint links; indoor only underlay on a licensed by rule basis; unlicensed use; and expanded use through technology-based sharing using Automated Frequency Coordination. In their responses to these inquiries, the Commission strongly encourages commenters to provide specific proposals and detailed technical data to support their proposals.</P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Comments are due on or before August 9, 2023; reply comments on or before September 8, 2023.</P>
                    <P>Written comments on the Paperwork Reduction Act proposed information collection requirements must be submitted by the public, Office of Management and Budget (OMB), and other interested parties on or before September 8, 2023.</P>
                    <P>Written comments on the Initial Regulatory Flexibility Analysis (IRFA) of this document must have a separate and distinct heading designating them as responses to the IRFA and must be submitted by the public on or before August 9, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>Pursuant to §§ 1.415 and 1.419 of the Commission's rules, 47 CFR 1.415, 1.419, interested parties may file comments and reply comments on or before the dates indicated on the first page of this document. Comments may be filed using the Commission's Electronic Comment Filing System (ECFS). See Electronic Filing of Documents in Rulemaking Proceedings, 63 FR 24121 (1998). You may submit comments identified by WT Docket No. 20-443 by any of the following methods:</P>
                    <P>
                        • 
                        <E T="03">Electronic Filers:</E>
                         Comments may be filed electronically using the internet by accessing the ECFS: 
                        <E T="03">http://apps.fcc.gov/ecfs/.</E>
                    </P>
                    <P>
                        • 
                        <E T="03">Paper Filers:</E>
                    </P>
                    <P>• Parties who choose to file by paper must file an original and one copy of each filing.</P>
                    <P>• Filings can be sent by commercial overnight courier, or by first-class or overnight U.S. Postal Service mall. All filings must be addressed to the Commission's Secretary, Office of the Secretary, Federal Communications Commission.</P>
                    <P>• Commercial overnight mail (other than U.S. Postal Service Express Mail and Priority Mail) must be sent to 9050 Junction Drive, Annapolis Junction, MD 20701.</P>
                    <P>• U.S. Postal Service first-class, Express, and Priority mail must be addressed to 45 L Street NE, Washington, DC 20554.</P>
                    <P>
                        • Effective March 19, 2020, and until further notice, the Commission no longer accepts any hand or messenger delivered filings. This is a temporary measure taken to help protect the health and safety of individuals, and to mitigate the transmission of COVID-19. 
                        <E T="03">See FCC Announces Closure of FCC Headquarters Open Window and Change in Hand-Delivery Policy,</E>
                         Public Notice, DA 20-304 (March 19, 2020). 
                        <E T="03">https://www.fcc.gov/document/fcc-closes-headquarters-open-window-and-changes-hand-delivery-policy.</E>
                    </P>
                    <P>
                        <E T="03">People with Disabilities:</E>
                         To request materials in accessible formats (braille, large print, computer diskettes, or audio recordings), please send an email to 
                        <E T="03">FCC504@fcc.gov</E>
                         or call the Consumer &amp; Government Affairs Bureau at (202) 418-0530 (VOICE), (202) 418-0432 (TTY).
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Madelaine Maior of the Wireless Telecommunications Bureau, Broadband Division, at 
                        <PRTPAGE P="43503"/>
                        <E T="03">madelaine.maior@fcc.gov</E>
                         or 202-418-1466; Simon Banyai of the Wireless Telecommunications Bureau, at 
                        <E T="03">simon.banyai@fcc.gov</E>
                         or (202) 418-1443; or Nick Oros of the Office of Engineering and Technology, at 
                        <E T="03">nicholas.oros@fcc.gov</E>
                         or (202) 418-2099. For additional information concerning the Paperwork Reduction Act proposed information requirements contained in this document, send an email to 
                        <E T="03">PRA@fcc.gov</E>
                         or contact Kathy Williams at (202) 418-2918.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    This is a summary of the Commission's Further Notice of Proposed Rulemaking (FNPRM) in WT Docket No. 20-443 included in the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order, FCC 23-36, adopted on May 18, 2023 and released on May 19, 2023. The full text of this document is available at 
                    <E T="03">https://docs.fcc.gov/public/attachments/FCC-23-36A1.pdf.</E>
                     The Report and Order and the FNPRM (WT Docket No. 20-443), and the Notice of Proposed Rulemaking and the Order (GN Docket No. 22-352), 
                    <E T="03">i.e.,</E>
                     the four FCC actions in FCC 23-36, are published separately in the Rules and Regulations and the Proposed Rules sections, as applicable, in this issue of the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <P>
                    <E T="03">Regulatory Flexibility Act:</E>
                     The Regulatory Flexibility Act of 1980, as amended (RFA), requires that an agency prepare a regulatory flexibility analysis for notice-and-comment rulemakings, unless the agency certifies that “the rule will not, if promulgated, have a significant economic impact on a substantial number of small entities.” The Commission seeks comment on potential rule and policy changes contained in the FNPRM, and accordingly, has prepared an Initial Regulatory Flexibility Analysis (IRFA). The IRFA for the FNPRM in WT Docket 20-443 is set forth below in this document, and written public comments are requested. Comments must be filed by the deadlines for comments on the FNPRM indicated under the 
                    <E T="02">DATES</E>
                     section of this document and must have a separate and distinct heading designating them as responses to the IRFA. The Commission reminds commenters to file in the appropriate docket: WT Docket No. 20-443 is for the FNPRM.
                </P>
                <P>
                    <E T="03">Paperwork Reduction Act:</E>
                     This document may contain proposed modified information collection requirements. Therefore, the Commission seeks comment on potential new or revised information collections subject to the Paperwork Reduction Act of 1995. If the Commission adopts any new or revised information collection requirements, the Commission will publish a document in the 
                    <E T="04">Federal Register</E>
                     inviting the general public and the Office of Management and Budget to comment on the information collection requirements, as required by the Paperwork Reduction Act of 1995, Public Law 104-13. In addition, pursuant to the Small Business Paperwork Relief Act of 2002, Public Law 107-198, see 44 U.S.C. 3506(c)(4)), the Commission seeks specific comments on how it might further reduce the information collection burden for small business concerns with fewer than 25 employees.
                </P>
                <P>
                    <E T="03">Ex Parte Rules:</E>
                     This proceeding shall be treated as a “permit-but-disclose” proceeding in accordance with the Commission's ex parte rules. Persons making ex parte presentations must file a copy of any written presentation or a memorandum summarizing any oral presentation within two business days after the presentation (unless a different deadline applicable to the Sunshine period applies). Persons making oral ex parte presentations are reminded that memoranda summarizing the presentation must (1) list all persons attending or otherwise participating in the meeting at which the ex parte presentation was made, and (2) summarize all data presented and arguments made during the presentation. If the presentation consisted in whole or in part of the presentation of data or arguments already reflected in the presenter's written comments, memoranda, or other filings in the proceeding, the presenter may provide citations to such data or arguments in his or her prior comments, memoranda, or other filings (specifying the relevant page and/or paragraph numbers where such data or arguments can be found) in lieu of summarizing them in the memorandum. In proceedings governed by § 1.49(f) or for which the Commission has made available a method of electronic filing, written ex parte presentations and memoranda summarizing oral ex parte presentations, and all attachments thereto, must be filed through the electronic comment filing system available for that proceeding, and must be filed in their native format (
                    <E T="03">e.g.,</E>
                     .doc, .xml, .ppt, searchable .pdf). Documents shown or given to Commission staff during ex parte meetings are deemed to be written ex parte presentations and must be filed consistent with § 1.1206(b). Participants in this proceeding should familiarize themselves with the Commission's ex parte rules.
                </P>
                <HD SOURCE="HD1">Synopsis</HD>
                <HD SOURCE="HD1">
                    I. Further Notice of Proposed Rulemaking 
                    <E T="51">1</E>
                    <FTREF/>
                </HD>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         Record references and citations refer to WT Docket No. 20-443, unless otherwise noted.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">A. Background</HD>
                <HD SOURCE="HD3">1. 12.2-12.7 GHz Band—500 megahertz</HD>
                <P>
                    1. The 12.2-12.7 GHz band (12.2 GHz band) band is allocated on a primary basis for non-Federal use for Broadcasting Satellite Service (BSS) (referred to domestically as Direct Broadcast Satellite (DBS)), Fixed Satellite Service (FSS) (space-to-Earth) limited to non-geostationary orbit systems (NGSO FSS), and Fixed Service.
                    <SU>2</SU>
                    <FTREF/>
                     While the three services are co-primary, NGSO FSS and Fixed Service are allocated on a non-harmful interference basis to DBS.
                    <SU>3</SU>
                    <FTREF/>
                     Currently 
                    <PRTPAGE P="43504"/>
                    there are three services operating in the band: DBS providers operating under the primary BSS allocation, NGSO FSS licensees operating under the co-primary NGSO FSS allocation, and Multi-Channel Video and Data Distribution Service (MVDDS) licensees operating under the co-primary Fixed Service allocation.
                    <SU>4</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See</E>
                         47 CFR 2.106, United States Table of Frequency Allocations, non-Federal Table for the band 12.2-12.7 GHz. NGSO FSS (space-to-Earth) operations are authorized pursuant to international footnote 5.487A (revised as 47 CFR 2.106(b)(487)(i), at 88 FR 37318, June 7, 2023, effective July 7, 2023), which provides additional allocations including in Region 2 as follows: “[The 12.2-12.7 GHz is] allocated to the fixed-satellite service (space-to-Earth) on a primary basis, limited to non-geostationary systems and subject to application of the provisions of [International Telecommunication Union (ITU) Radio Regulations] No. 9.12 for coordination with other non-geostationary-satellite systems in the fixed-satellite service. Non-geostationary-satellite systems in the fixed-satellite service shall not claim protection from geostationary-satellite networks in the broadcasting-satellite service operating in accordance with the Radio Regulations, irrespective of the dates of receipt by the [ITU Radiocommunication] Bureau of the complete coordination or notification information, as appropriate, for the non-geostationary-satellite systems in the fixed-satellite service and of the complete coordination or notification information, as appropriate, for the geostationary-satellite networks, and [ITU Radio Regulations] No. 5.43A does not apply. Non-geostationary-satellite systems in the fixed-satellite service in the [12 GHz band] shall be operated in such a way that any unacceptable interference that may occur during their operation shall be rapidly eliminated.” 47 CFR 2.106, n.5.487A (revised as 47 CFR 2.106(b)(487)(i), at 88 FR 37318, June 7, 2023, effective July 7, 2023). When an international footnote is applicable without modification to non-Federal operations, the Commission places the footnote on the non-Federal Table. 
                        <E T="03">See</E>
                         47 CFR 2.105(d)(5).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         47 CFR 2.106, n.5.490 (International Footnote) (revised as 47 CFR 2.106(b)(490), at 88 FR 37318, June 7, 2023, effective July 7, 2023). In Region 2, in the 12.2-12.7 GHz band, existing and future terrestrial radiocommunication services shall not cause harmful interference to the space services operating in conformity with the broadcasting satellite Plan for Region 2 contained in Appendix 30. “Harmful Interference” is defined under the Commission's rules as “[i]nterference which endangers the functioning of a radionavigation service or of other safety services or seriously degrades, obstructs, or repeatedly interrupts a radiocommunication service operating in 
                        <PRTPAGE/>
                        accordance with the ITU Radio Regulations.” 47 CFR 2.1(c). 
                        <E T="03">See</E>
                         also Annex to the Constitution of the ITU, 1003 (defining harmful interference).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         47 CFR 101.147(a) n.31.
                    </P>
                </FTNT>
                <P>
                    2. While DBS service began in 1994, and NGSO FSS systems were authorized in the early 2000s, the Commission permitted MVDDS to operate in the 12.2 GHz band starting in 2004 under technical rules to ensure that MVDDS stations do not cause harmful interference to DBS or earlier-in-time NGSO FSS fixed subscriber receivers.
                    <SU>5</SU>
                    <FTREF/>
                     To that end, MVDDS service was limited to a relatively low power, one-way, digital fixed non-broadcast service, including one-way direct-to-home/office wireless service with each proposed transmitter subject to detailed prior coordination requirements.
                    <SU>6</SU>
                    <FTREF/>
                     In April 2016, a coalition of MVDDS licensees filed a Petition for Rulemaking requesting reforms to the 12.2 GHz band rules, including permitting MVDDS licensees to use the band for two-way mobile broadband services.
                    <SU>7</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See Amendment of Parts 2 and 25 of the Commission's Rules to Permit Operation of NGSO FSS Systems Co-Frequency with GSO and Terrestrial Systems in the Ku-Band Frequency Range, Amendment of the Commission's Rules to Authorize Subsidiary Terrestrial Use of the 12.2-12.7 GHz Band by Direct Broadcast Satellite Licensees and Their Affiliates; and Applications of Broadwave USA, PDC Broadband Corporation, and Satellite Receivers, Ltd. to Provide A Fixed Service in the 12.2-12.7 GHz Band,</E>
                         ET Docket No. 98-206, First Report and Order and Further Notice of Proposed Rule Making, 16 FCC Rcd 4096, 4177, para. 213 (2000) (
                        <E T="03">First Report and Order and FNPRM</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         
                        <E T="03">See</E>
                         47 CFR 101.1407 (two-way services can be provided using spectrum in other bands for the return link). 
                        <E T="03">See also Amendment of Parts 2 and 25 of the Commission's Rules to Permit Operation of NGSO FSS Systems Co-Frequency with GSO and Terrestrial Systems in the Ku-Band Frequency Range,</E>
                         Memorandum Opinion and Order and Second Report and Order, 17 FCC Rcd 9614 (2002) (
                        <E T="03">MVDDS Second Report and Order</E>
                        ) (
                        <E T="03">aff'd Northpoint Technology, LTD et al.</E>
                         v. 
                        <E T="03">FCC,</E>
                         414 F.3d 61 (D.C. Cir. 2005)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         Petition of MVDDS 5G Coalition Petition for Rulemaking, RM-11768, at 17-18 (filed Apr. 26, 2016), 
                        <E T="03">https://www.fcc.gov/ecfs/document/60001658886/1</E>
                         (MVDDS 5G Coalition Petition). 
                        <E T="03">See also Petition for Rulemakings Filed,</E>
                         Public Notice, Report No. 3042, at 8, 17-18 (May 9, 2016) (Petition Public Notice).
                    </P>
                </FTNT>
                <P>
                    3. Later in 2016, the International Bureau opened a processing round to accept NGSO FSS applications and petitions for market access in several frequency bands 
                    <SU>8</SU>
                    <FTREF/>
                     and the Commission reformed its NGSO FSS rules.
                    <SU>9</SU>
                    <FTREF/>
                     In 2017, the Commission granted the first of the new generation NGSO FSS requests—a petition for market access by WorldVu Satellites Limited (OneWeb) for a planned Low Earth Orbit (LEO) NGSO FSS satellite system of 720 satellites authorized by the United Kingdom in the 10.7-12.7 GHz Band (in addition to several other bands).
                    <SU>10</SU>
                    <FTREF/>
                     The Commission concluded that “the pendency of the MVDDS 5G Coalition's Petition for Rulemaking was not a sufficient reason to delay or deny these requests to use the band under the existing NGSO FSS allocation and service rules.” 
                    <SU>11</SU>
                    <FTREF/>
                     In granting this request, however, the Commission conditioned access to the 12 GHz band on the outcome of the MVDDS 5G Coalition's Petition and any other rulemaking initiated on the Commission's own motion.
                    <SU>12</SU>
                    <FTREF/>
                     The Commission also agreed with comments of the MVDDS 5G Coalition that MVDDS should not have to protect any NGSO FSS earth stations in motion operations in the band, if authorized in the future, because such operations had not been contemplated under the longstanding first-in-time MVDDS/NGSO FSS sharing approach.
                    <SU>13</SU>
                    <FTREF/>
                     The NGSO FSS Report and Order adopted, among other things, spectrum sharing rules and a more flexible milestone schedule for NGSO FSS systems.
                    <SU>14</SU>
                    <FTREF/>
                     The Commission subsequently granted five additional NGSO FSS requests to use bands that include the 12.2 GHz band (among others).
                    <SU>15</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         
                        <E T="03">See Satellite Policy Branch Information; OneWeb Petition Accepted for Filing (IBFS File No. SAT-LOI-20160428-00041), Cut-Off Established for Additional NGSO-Like Satellite Applications or Petitions for Operations in the 10.7-12.7 GHz, 14.0-14.5 GHz, 17.8-18.6 GHz, 18.8-19.3 GHz, 27.5-28.35 GHz, 28.35-29.1 GHz, and 29.5-30.0 GHz Bands,</E>
                         Public Notice, 31 FCC Rcd 7666 (IB July 15, 2016).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         In September 2017, the Commission adopted the 
                        <E T="03">NGSO FSS Report and Order,</E>
                         updating several rules and policies governing NGSO FSS systems. 
                        <E T="03">See Update to Parts 2 and 25 Concerning Non-Geostationary, Fixed-Satellite Service Systems and Related Matters,</E>
                         Report and Order (82 FR 59972 (Dec. 18, 2017)) and Further Notice of Proposed Rulemaking (82 FR 52869 (Nov. 15, 20217)), 32 FCC Rcd 7809 (2017) (
                        <E T="03">NGSO FSS Report and Order</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See WorldVu Satellites Limited, Petition for Declaratory Ruling Granting Access to the U.S. Market for the OneWeb NGSO FSS System,</E>
                         Order and Declaratory Ruling, 32 FCC Rcd 5366 (2017) (
                        <E T="03">OneWeb Order</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">Id.</E>
                         at 5369, para. 6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">Id.</E>
                         at 5378, para. 26 (“This grant of U.S. market access and any earth station licenses granted in the future are subject to modification to bring them into conformance with any rules or policies adopted by the Commission in the future.”). 
                        <E T="03">See also id.</E>
                         at 5369, para. 6 (“Accordingly, any investment made toward operations in this band by OneWeb in the United States assume the risk that operations may be subject to additional conditions or requirements as a result of such Commission actions.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         
                        <E T="03">Id.</E>
                         at 5370, para. 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         
                        <E T="03">See NGSO FSS Report and Order,</E>
                         32 FCC Rcd at 7821-31, paras. 37-68.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         
                        <E T="03">Space Norway AS, Petition for a Declaratory Ruling Granting Access to the U.S. Market for the Arctic Satellite Broadband Mission,</E>
                         Order and Declaratory Ruling, 32 FCC Rcd 9649 (2018) (
                        <E T="03">Space Norway Order</E>
                        ); 
                        <E T="03">Karousel Satellite LLC, Application for Authority to Launch and Operate a Non-Geostationary Earth Orbit Satellite System in the Fixed Satellite Service,</E>
                         Memorandum Opinion, Order and Authorization, 33 FCC Rcd 8485 (2018) (
                        <E T="03">Karousel Order</E>
                        ), 
                        <E T="03">Space Exploration Holdings, LLC Application For Approval for Orbital Deployment and Operating Authority for the SpaceX NGSO Satellite System,</E>
                         Memorandum Opinion Order and Authorization, 33 FCC Rcd 3391 (2018) (
                        <E T="03">SpaceX Order</E>
                        ), 
                        <E T="03">Kepler Communications Inc. Petition for Declaratory Ruling to Grant Access to the U.S. Market for Kepler's NGSO FSS System,</E>
                         Order, 33 FCC Rcd 11453, (2018) (
                        <E T="03">Kepler Order</E>
                        ), 
                        <E T="03">Theia Holdings A, Inc. Request for Authority to Launch and Operate a Non-Geostationary Satellite Orbit System in the Fixed-Satellite Service, Mobile-Satellite Service, and Earth-Exploration Satellite Service,</E>
                         Memorandum, Opinion and Authorization, 34 FCC Rcd 3526 (2019) (
                        <E T="03">Theia Order</E>
                        ).
                    </P>
                </FTNT>
                <P>
                    4. NGSO FSS systems have continued to deploy. In particular, SpaceX received modified authority for its first generation (Gen 1) system to decrease the altitude from the 1,100-1,300 km to the 540-570 km range for 2,814 satellites as well as approval of its updated orbital debris mitigation plan.
                    <SU>16</SU>
                    <FTREF/>
                     To date, SpaceX has deployed approximately 4,000 satellites.
                    <SU>17</SU>
                    <FTREF/>
                     We also recently issued a partial grant to SpaceX to begin deploying its second generation (Gen 2) system, with a grant approving up to 7,500 satellites to operate in the Ka- and Ku-frequency bands.
                    <SU>18</SU>
                    <FTREF/>
                     OneWeb also recently received modified authority for its constellation 
                    <SU>19</SU>
                    <FTREF/>
                     and, to date, it has 
                    <PRTPAGE P="43505"/>
                    deployed over 580 satellites.
                    <SU>20</SU>
                    <FTREF/>
                     On June 30, 2022, the International Bureau authorized SpaceX and Kepler to serve earth stations in motion (ESIMs) in the 12.2 GHz band on an unprotected, non-harmful interference basis.
                    <SU>21</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         
                        <E T="03">Space Exploration Holdings, LLC, Request for Modification of the Authorization for the SpaceX NGSO Satellite System,</E>
                         Order and Authorization, 36 FCC Rcd 7995 (2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Mike Wall, SpaceX launches 56 Starlink satellites, lands rocket at sea, space.com (“SpaceX has now lofted more than 4,200 Starlink satellites overall, according to astrophysicist and satellite tracker Jonathan McDowell.”) (Mar. 29, 2023), 
                        <E T="03">https://www.space.com/spacex-starlink-group-5-10-launch#:~:text=SpaceX%20launched%20another%20big%20batch,p.m.%20EDT%20(2001%20GMT).</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         
                        <E T="03">Space Exploration Holdings, LLC, Request for Orbital Deployment and Operating Authority for the SpaceX Gen2 NGSO Satellite System,</E>
                         IBFS File No. SAT-LOA-20200526-00055 and SAT-AMD-20210818-00105, Order and Authorization, FCC 22-91, 2022 WL 17413767, at *54, para. 135(ii) (Dec. 1, 2022) (
                        <E T="03">SpaceX Gen2 Order</E>
                        ) (stating that the “authorization is subject to modification to bring it into conformance with any rules or policies adopted by the Commission in the future. [And, that] . . . any investments made toward operations in the bands authorized [by the] Order by SpaceX in the United States assume the risk that operations may be subject to additional conditions or requirements as a result of any future Commission actions . . . [including, but not limited to] . . . any conditions or requirements resulting from any action in the proceedings associated with . . . WTB Docket 20-443 . . .”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         
                        <E T="03">
                            WorldVu Satellites Limited, Petition for Declaratory Ruling to Modify the U.S. Market Access Grant for the OneWeb Ku-band and Ka-Band 
                            <PRTPAGE/>
                            NGSO FSS System,
                        </E>
                         Order and Declaratory Ruling, DA 22-970 (IB, rel. Sept. 16, 2022) (petition to modify grant of U.S. market access granted in part and deferred in part to approve minor adjustments to number of satellites per plane without exceeding previously-approved total of 720 satellites).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Letter from Kimberly M. Baum, Vice President, Spectrum Engineering &amp; Strategy, WorldVu Satellites Limited, to Marlene H. Dortch, Secretary, FCC, WT Docket Nos. 20-443 
                        <E T="03">et al.</E>
                         at 1 (filed Mar. 20, 2023); 
                        <E T="03">https://oneweb.net/resources/oneweb-confirms-successful-deployment-40-satellites-launched-spacex-1</E>
                         (“OneWeb confirms successful deployment of 40 satellites launched with SpaceX. Launch 17 brings the total OneWeb constellation to 582 satellites. Third launch with SpaceX makes penultimate mission to achieving global coverage.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         
                        <E T="03">SpaceX Services, Inc. Application for Blanket Authorization of Next- Generation Ku-Band Earth Stations in Motion et al.; Kepler Communications Inc. Application for Blanket Authorization of Ku-Band Earth Stations on Vessels,</E>
                         Order and Authorization, DA 22-695 (IB June 30, 2022) (
                        <E T="03">ESIMs Authorizations</E>
                        ). DISH and RS Access had argued that granting these applications would constrain the Commission's decision-making in the instant 12.2 GHz band rulemaking proceeding by injecting new ESIM encumbrances into the 12.2 GHz band. 
                        <E T="03">ESIMs Authorizations</E>
                         at 11-12, para. 22. DISH and RS Access also argued that authorizing ESIMs in the band on an unprotected basis would likely result in primary users in the band being required to assume the costs to prevent service interruptions to SpaceX customers. 
                        <E T="03">Id.</E>
                         at 11, para. 18. The International Bureau found that granting the applications served the public interest but also recognized that the introduction of a potentially significant number of additional end users in motion could affect the 12 GHz spectrum environment. Therefore the Bureau imposed conditions to ensure grant of those applications would not materially impact the outcome of the 12 GHz rulemaking proceeding. 
                        <E T="03">ESIMs Authorizations</E>
                         at 12-13, paras. 23-27. The Bureau imposed conditions on the grants related to the 12.2 GHz band including: (1) requiring operations to be on a non-interference basis; (2) subjecting the operations to the outcome of any future rulemaking including the instant 12.2 GHz band GHz proceeding, with the understanding that the presence of ESIMs is not anticipated to materially affect the analysis therein, and subject to modification to conform to any rules or policies adopted, including in the instant 12.2 GHz band proceeding, and assumption of this risk; (3) subjecting the grant to the applicants' representations, including that their NGSO systems have been engineered to achieve a high degree of flexibility to facilitate spectrum sharing with other authorized satellite and terrestrial systems. 
                        <E T="03">Id.</E>
                         In addition, the Bureau explained that its case-by-case analysis was limited to the applications before it and have no broader applicability. 
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <P>
                    5. On January 15, 2021, the Commission released a notice of proposed rulemaking (
                    <E T="03">12.2 NPRM</E>
                    ) (86 FR 13266 (March 8, 2021)) to allow interested parties to address whether it could add a mobile allocation and make other changes to expand terrestrial use of the 12.2 GHz band without causing harmful interference to incumbent licensees and, if so, whether such action would promote or hinder the delivery of next-generation services in the 12.2 GHz band given the existing and emergent services offered by incumbent licensees.
                    <SU>22</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         
                        <E T="03">See Expanding Flexible Use of the 12.2-12.7 GHz Band,</E>
                         WT Docket Nos. 20-443 et al., Notice of Proposed Rulemaking, 36 FCC Rcd 606 (2021) (
                        <E T="03">12.2 NPRM</E>
                        ).
                    </P>
                </FTNT>
                <P>
                    6. In the Report and Order in WT Docket No. 20-443 (FR 2023-13503), published elsewhere in this issue of the 
                    <E T="04">Federal Register</E>
                    , the Commission declines to add a mobile allocation or adopt service rules for expanded terrestrial, high-powered, two-way mobile operations in the 12.2-12.7 GHz band. However, the Commission remains interested in potential expanded terrestrial use of the band. Although the 
                    <E T="03">12.2 NPRM</E>
                     focused on 5G service coexistence with the incumbents in the band, the Commission also asked how it could facilitate more robust terrestrial operations if it chose to maintain the existing regulatory framework, rather than permitting 5G in the band.
                    <SU>23</SU>
                    <FTREF/>
                     Based on comments in response to this question, below the Commission seeks further comment on several potential approaches the Commission could take to facilitate such robust use. In their responses to these inquiries, the Commission strongly encourages commenters to provide specific proposals and detailed technical data to support their proposals. The Commission notes that several commenters suggest providing priority access to spectrum over Tribal lands to Tribal entities.
                    <SU>24</SU>
                    <FTREF/>
                     For each of the possible scenarios below that could involve assigning new, initial licenses, the Commission seeks comment on such a suggestion.
                </P>
                <FTNT>
                    <P>
                        <SU>23</SU>
                         
                        <E T="03">See Expanding Flexible Use of the 12.2-12.7 GHz Band, et al.,</E>
                         WT Docket No. 20-443, 
                        <E T="03">Notice of Proposed Rulemaking, FCC 21-13,</E>
                         36 FCC Rcd 606, 629 Para. 60 (Jan. 15, 2021) (
                        <E T="03">12.2 NPRM</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>24</SU>
                         
                        <E T="03">See</E>
                         Letter from Joe Valandra, President &amp; CEO, Tribal Ready, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 22-352 
                        <E T="03">et al.</E>
                         (filed May 10, 2023) (Tribal Ready May 10, 2023 
                        <E T="03">Ex Parte</E>
                        ) (“Tribal Ready respectfully requests that the 12 GHz band FNPRM, as well as any final rules for the band, provide for a set aside for Tribal entities to accelerate [fixed wireless broadband] on Tribal lands. The Commission has previously recognized the value of Tribal set asides in promoting deployment as recently as the 2.5 GHz band. The 12 GHz band can and should also be an option to help Native Americans close the digital divide.”). 
                        <E T="03">See also</E>
                         Letter from Michael Calabrese, Director, Wireless Future Program, New America's Open Technology Institute, and Harold Feld, Senior Vice President, Public Knowledge, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 22-352 
                        <E T="03">et al.</E>
                         at 3 (filed May 10, 2023) (Open Technology Institute and Public Knowledge May 10, 2023 
                        <E T="03">Ex Parte</E>
                        ) (“our groups suggested that the Commission explicitly notice the possibility of opening a rural Tribal window in both the FNPRM and the NPRM. The Commission should ask whether to permit point-to-point or point-to-multipoint operations on tribal lands in 12.2 GHz on terms similar to those authorized to MVDDS licensees. This would require modification of the existing MVDDS licenses, but such modification would be a reasonable tradeoff for the expanded spectrum rights provided to the MVDDS licensees.”).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Expanded Licensed and Unlicensed Fixed Terrestrial Use of the 12.2-12.7 GHz Band</HD>
                <P>
                    7. Expanded Licensed Use. The Commission seeks comment on the potential to expand terrestrial fixed use of the 12.2 GHz band. For example, should the Commission consider permitting one-way, point-to-point or point-to-multipoint fixed links at a higher power than the current MVDDS rules allow? The Commission seeks comment on the following issues related to an updated one-way point-to-point or point-to-multipoint fixed link service. Is sharing between point-to-point or point-to-multipoint fixed links possible with NGSO systems whose receivers, unlike those in the DBS service, are not pointed exclusively at the geostationary satellite arc? 
                    <SU>25</SU>
                    <FTREF/>
                     What power limit would be appropriate to allow for better expanded terrestrial use of this band while still protecting incumbent licensees? Should such expanded terrestrial rights be conferred on the existing incumbent MVDDS licensees, or are there alternative approaches for expanding terrestrial use opportunities in this band, such as site-based, individually coordinated operations relative to existing MVDDS operations? How should these operations be licensed, what technical data should be collected, and what type of technical limits and coordination requirements should be considered to allow necessary protections and coexistence with incumbent services in the band? Are there use cases or technologies that could be provided in a one-way point-to-multipoint type configuration, subject to higher power limits than MVDDS? To what extent would potential deployments of this type provide substantial benefits to the public? What would be the benefits to consumers and businesses of expanded one-way use, as compared to the benefits of other types or potential expanded terrestrial use cases or architectures?
                </P>
                <FTNT>
                    <P>
                        <SU>25</SU>
                         
                        <E T="03">See</E>
                         Letter from Daniel C.H. Mah, SES Americom, Inc., W. Ray Rutngamlug, Associate General Counsel, Intelsat US, LLC, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 22-352, at B-1 (filed May 12, 2023) (citing MVDDS 5G Coalition, Comments, RM-11768, Attach. 1, MVDDS 12.2-12.7 GHz Co-Primary Service Coexistence (rec. June 8, 2016) (Coexistence 1) and MVDDS 5G Coalition, Reply, Appx. A, MVDDS 12.2-12.7 GHZ Co-Primary Service Coexistence II (June 24, 2016) (Coexistence 2) (collectively, Coexistence Studies)).
                    </P>
                </FTNT>
                <P>
                    8. The Commission also seeks comment on the possibility of allowing 
                    <PRTPAGE P="43506"/>
                    for two-way, point-to-point fixed links at a standard part 101 higher power limit.
                    <SU>26</SU>
                    <FTREF/>
                     Allowing this type of use could expand backhaul to support advanced broadband capacity. Should higher power two-way point-to-point type terrestrial rights be conferred on the existing incumbent geographic service area licensees? Or should the Commission consider alternative approaches, such as site-based, individually coordinated operations relative to existing MVDDS operations? The Commission notes that several other similar bands are shared between NGSO FSS and two-way point-to-point operations, based on successful coordination of later-in-time operations.
                    <SU>27</SU>
                    <FTREF/>
                     Given the nature of highly directional point-to-point two-way operations, the Commission asks whether terrestrial operations may be able to successfully co-exist with new and incumbent DBS and NGSO FSS operations? What would the interference protection status of NGSO FSS ESIMs be vis-à-vis these newly proposed services? Would it be manageable if rights were conferred on a first-in-time basis, since under the current authorization NGSO FSS ESIMs are not afforded protection? As a baseline, would consideration of the current technical standards in similar part 101 bands (11 GHz, 13 GHz) provide a basis for technical rules for two-way point-to-point operations in the 12.2 GHz band? If not, to what degree should they be limited or modified? How should two-way, point-to-point operations be licensed, what technical data should be collected, and what type of technical limits and coordination requirements should be considered to allow necessary protections and coexistence with incumbent services in the band? In particular, how should the burden of protecting new or modified DBS subscribers be assigned after a point-to-point link is successfully coordinated with existing DBS customers of record? How would new or modified NGSO FSS earth stations be protected? Additionally, should the Commission consider the possibility of relocating point-to-point operations from the 12.7-13.25 GHz band (the 12.7 GHz band) to the 12.2 GHz band and, if so, how would this best be accomplished? Alternatively, would allowing expanded opportunities for disaggregation and partitioning promote more intensive use of the spectrum? Currently, the MVDDS rules do not allow disaggregation and limit partitioning to counties.
                    <SU>28</SU>
                    <FTREF/>
                     Should the Commission revisit those rules to allow the option for 12.7 GHz point-to-point operators to lease spectrum larger in the 12.2 GHz band through partitioning and disaggregation?
                </P>
                <FTNT>
                    <P>
                        <SU>26</SU>
                         
                        <E T="03">See, e.g., Expanding Flexible Use of the 12.2-12.7 GHz Band,</E>
                         WT Docket Nos. 20-443 et al., Notice of Proposed Rulemaking, 36 FCC Rcd 606, 629, para. 60 (2021) (12.2 Notice) (citing 
                        <E T="03">Wireless Telecommunications Bureau Seeks Comment on Petitions of Seven Licensees for Waiver of Multichannel Video Distribution and Data Service Technical Rules,</E>
                         WT Docket No. 15-218, Public Notice, 30 FCC Rcd 9953 (WTB 2015) (petitioners seek waivers of 47 CFR 101.113 note 11, 101.147(p), 101.1407, and 101.1411(a), to use the 12 GHz band for two-way, point-to-point operation at an EIRP up to 55 dBm)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>27</SU>
                         
                        <E T="03">See, e.g., Amendment of Parts 2 and 25 of the Commission's Rules to Enable GSO Fixed-Satellite Service (Space-to-Earth) Operations in the 17.3-17.8 GHz Band, to Modernize Certain Rules Applicable to 17/24 GHz BSS Space Stations, and to Establish Off-Axis Uplink Power Limits for Extended Ka-Band FSS Operations,</E>
                         IB Docket Nos. 20-330 and 22-273, Report and Order and Notice of Proposed Rulemaking, FCC 22-63, 2022 WL 3138555 (Aug. 3, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>28</SU>
                         47 CFR 101.1415.
                    </P>
                </FTNT>
                <P>
                    9. Further, the Commission also seeks comment on the possibility of allowing two-way point-to-multipoint links. Specifically, the Commission seeks comment on the following issues related to an updated two-way point-to-multipoint fixed link service in the 12.2 GHz band. What power limit would be appropriate to allow for better expanded terrestrial use of this band while still protecting incumbent licensees? Should such expanded terrestrial rights be conferred on the existing incumbent MVDDS licensees, or are there alternative approaches for expanding terrestrial use opportunities in this band, such as site-based, individually coordinated operations relative to existing MVDDS operations? How should these operations be licensed, what technical data should be collected, and what type of technical limits and coordination requirements should be considered to allow necessary protections and coexistence with incumbent services in the band? Is there any adjustment necessary for the interference protection criteria of power flux density (PFD) and equivalent power flux density (EPFD)? If so, how should these metrics be calculated for an updated two-way point-to-point or point-to-multipoint fixed link service? Given that EPFD was originally conceived to promote sharing between NGSO FSS and GSO BSS and FSS systems,
                    <SU>29</SU>
                    <FTREF/>
                     is this the right metric for the present application? Is it appropriate to reconsider the underlying free space propagation assumption regarding the interference protection criteria? The Commission has previously determined that a combination of different propagation models is most appropriate for the determination of sharing metrics between fixed microwave links and unlicensed devices.
                    <SU>30</SU>
                    <FTREF/>
                     Given the terrestrial nature of both interferer and victim, is a combination of different propagation models more suitable than relying only on a free space model? If so, what are the appropriate combinations of propagation models and their respective ranges of applicability? Please provide the necessary justification for use of the models. How is the definition of PFD and EPFD changed for the path-loss model other than the free space? 
                    <SU>31</SU>
                    <FTREF/>
                     Are there any other impacts to consider as a result of using models other than the free space propagation model? For example, should the Commission also consider changing the maximum equivalent isotropic radiated power (EIRP) allowed? If so, what is the maximum EIRP? Please provide the necessary justification for use of higher EIRP. Should there be multiple categories for the maximum EIRP? For example, should there be a maximum EIRP for the urban environment and another maximum EIRP for the rural environment? Are there use cases or technologies that could be provided in a two-way point-to-multipoint type configuration, subject to higher power limits than MVDDS? To what extent would potential deployments of this type provide substantial benefits to the public? What would be the benefits to consumers and businesses of expanded two-way use, as compared to the benefits of other types or potential expanded terrestrial use cases or architectures?
                </P>
                <FTNT>
                    <P>
                        <SU>29</SU>
                         
                        <E T="03">See Amendment of Parts 2 and 25 of the Commission's Rules to Permit Operation of NGSO FSS Systems Co-Frequency with GSO and Terrestrial Systems in the Ku-Band Frequency Range, Amendment of the Commission's Rules to Authorize Subsidiary Terrestrial Use of the 12.2-12.7 GHz Band by Direct Broadcast Satellite Licensees and Their Affiliates; and Applications of Broadwave USA, PDC Broadband Corporation, and Satellite Receivers, Ltd. to Provide A Fixed Service in the 12.2-12.7 GHz Band,</E>
                         ET Docket No. 98-206, First Report and Order and Further Notice of Proposed Rulemaking, 16 FCC Rcd 4096, 4106, paras. 12-14 (2000).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>30</SU>
                         
                        <E T="03">See Unlicensed Use of the 6 GHz Band,</E>
                         ET Docket No. 18-295, Report and Order and Further Notice of Proposed Rulemaking, 35 FCC Rcd 3852, 3874., Para. 63 (2020), 
                        <E T="03">aff'd in part, remanded in part sub nom. AT&amp;T Services, Inc.</E>
                         v. 
                        <E T="03">FCC,</E>
                         21 F.4th 841 (D.C. Cir. 2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>31</SU>
                         PFD for general path-loss can be defined as 
                        <E T="03">PFD</E>
                         = 
                        <E T="03">EIRP</E>
                        −
                        <E T="03">PL</E>
                         + 10 * 
                        <E T="03">log</E>
                        <E T="52">10</E>
                        (4 * π;)−20 * 
                        <E T="03">log</E>
                        <E T="52">10</E>
                        (λ). Also EPFD can be expressed in terms of PFD as 
                        <E T="03">EPFD</E>
                         = 
                        <E T="03">PFD</E>
                         * 
                        <E T="03">G</E>
                        <E T="54">e</E>
                        (
                        <E T="8153">u</E>
                        <E T="54">e</E>
                        ,
                        <E T="8153">q</E>
                        <E T="54">e</E>
                        ) 
                        <E T="03">I/G</E>
                        <E T="54">e,max</E>
                        , where PFD is defined in the previous sentence.
                    </P>
                </FTNT>
                <P>
                    10. Alternatively, adding indoor-only underlay use of the band could allow for greater control and access assurances that could help stimulate Internet of Things (IoT), private Long Term Evolution (LTE) or New Radio (NR) 
                    <PRTPAGE P="43507"/>
                    market in the band.
                    <SU>32</SU>
                    <FTREF/>
                     If the Commission was to consider such expanded terrestrial authorization in the band, should that authorization be awarded to the existing incumbent MVDDS licensees, or should this type of authorization be available to businessowners/landowners for the operation of private networks/IoT such as on physical campuses or industrial complexes? If such authorizations were conveyed to businessowners/landowners, how would they intersect with the authorizations held by existing MVDDS incumbent licensees, and should the MVDDS authorizations also be expanded? If such rights for a different type of terrestrial use were afforded to businessowners/landowners, should they be licensed-by-rule? What type of coordination mechanism might allow for such use, 
                    <E T="03">e.g.</E>
                     standard coordination notifying incumbent services within a specific distance of the proposed facilities of the planned technical parameters of the proposed operation? What interference thresholds or limitations would such indoor-only unlicensed operations need to observe to adequately protect MVDDS, DBS, and NGSO FSS operations from harmful interference? Should rights be conveyed to terrestrial licensees on a first-in-time basis, similar to those that currently exist in the Commission's rules, or with proposed modifications, in order to provide certainty for licensees that invest in and operate these systems?
                </P>
                <FTNT>
                    <P>
                        <SU>32</SU>
                         
                        <E T="03">See 12.2 Notice,</E>
                         36 FCC Rcd at 622, para. 39 (stating that in an underlay approach any additional terrestrial operations likely would need to be authorized at low power and would need to operate on an opportunistic basis, not causing harmful interference to—nor seeking protection from harmful interference by—the incumbent primary services in the band.).
                    </P>
                </FTNT>
                <P>
                    11. Unlicensed Use. The Commission seeks comment on whether, and, if so, how, to permit unlicensed use of the 12.2 GHz band, a step that multiple parties advocate.
                    <SU>33</SU>
                    <FTREF/>
                     The unlicensed advocates claim that a low-power, indoor-only unlicensed underlay in the 12.2 GHz band would create additional capacity for IoT uses.
                    <SU>34</SU>
                    <FTREF/>
                     Part 15 sets out the regulations under which an intentional, unintentional, or incidental radiator may be operated without an individual license.
                    <SU>35</SU>
                    <FTREF/>
                     Under the rules for unlicensed intentional radiators,
                    <SU>36</SU>
                    <FTREF/>
                     the 10.6-12.7 GHz band is designated as “restricted.” 
                    <SU>37</SU>
                    <FTREF/>
                     Unless expressly permitted by rule or waiver, unlicensed devices are not allowed to intentionally radiate energy into a restricted band, in order to protect sensitive radio services from harmful interference.
                    <SU>38</SU>
                    <FTREF/>
                     The Commission seeks comment on the benefits and costs of removing the 12.2 GHz band from the list of restricted bands. What type of applications (
                    <E T="03">e.g.</E>
                     IoT, local networking, etc.) and from what types of devices (
                    <E T="03">e.g.</E>
                     indoor access points, mobile client devices, etc.) would unlicensed operations most benefit in the 12.2 GHz band?
                </P>
                <FTNT>
                    <P>
                        <SU>33</SU>
                         Boeing Reply at 10; NCTA Reply at 2; Letter from Chip Pickering, CEO, Incompas, and Joe Lockhart, Partner, Rational 360, to Acting Chairwoman Rosenworcel and Commissioners, FCC, Docket No. 20-443, Attach. A, Ensuring U.S. Leadership in 5G, at 4 (filed Apr. 28, 2021); Dynamic Spectrum Alliance Comment at 6-7; Federated Wireless Comment at 3.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>34</SU>
                         Comments of Public Interest Organizations (New America's Open Technology Institute, et al.), at 2, 17.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>35</SU>
                         
                        <E T="03">See</E>
                         47 CFR 15.1(a).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>36</SU>
                         
                        <E T="03">See</E>
                         47 CFR part 15, subpart C.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>37</SU>
                         47 CFR 15.205(a) (designates bands of operation in which only spurious emissions are permitted under part 15).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>38</SU>
                         
                        <E T="03">See, e.g., Amendment of Part 15 of the Commission's Rules to Establish Regulations for Tank Level Probing Radars in the Frequency Band 77-81 GHz;</E>
                          
                        <E T="03">Amendment of Part 15 of the Commission's Rules To Establish Regulations for Level Probing Radars and Tank Level Probing Radars in the Frequency Bands 5.925 7.250 GHz, 24.05 29.00 GHz and 75 85 GHz,</E>
                         ET Docket No. 10-23, Report and Order, (FCC 14-2) 29 FCC Rcd 761, 773 para. 26, n.73 (2014) (citing Revision of the Rules Regarding Operation of Radio Frequency Devices Without an Individual License, First Report and Order, GEN Docket 87-389, 4 FCC Rcd 3493 (1989), 47 CFR 15.205(a)).
                    </P>
                </FTNT>
                <P>
                    12. The Commission invites commenters to discuss whether unlicensed use may be permitted within the 12.2-12.7 GHz band under provisions that could be implemented under the Commission's part 15 rules. Those rules require that unlicensed devices protect the licensed incumbent services 
                    <SU>39</SU>
                    <FTREF/>
                     which, in this case, includes DBS, NGSO FSS, and MVDDS. The Commission notes that it has rules for unlicensed low power indoor devices in the 6 GHz band that could serve as a model for unlicensed use in this band. Under those rules, the Commission found that low-power indoor devices could take advantage of building entry loss to protect incumbent fixed service users.
                    <SU>40</SU>
                    <FTREF/>
                     Would these rules provide an appropriate model for indoor devices in the 12.2 GHz band? 
                    <SU>41</SU>
                    <FTREF/>
                     Under the 6 GHz low power indoor rules, unlicensed access points may operate at 5 dBm/MHz EIRP while client devices are limited to -1 dBm/MHz. The unlicensed access points must be supplied power from a wired connection, may not be weatherized, must use an integrated antenna, and must have a label indicating that use is restricted to indoors. The client devices must operate only under the control of an access point. If the Commission allowed indoor unlicensed use in the 12.2 GHz band, what rules should be adopted to mitigate the risk of harmful interference from indoor unlicensed devices to incumbent services? For example, would the same rules that the Commission relies on to keep 6 GHz low-power indoor devices inside be replicated here to provide signal attenuation between indoor unlicensed devices and outdoor DBS, NGSO FSS, and MVDDS receive antennas? Noting that the incumbent services are generally trying to receive a weak signal from a satellite, would the expected building entry loss be adequate to protect those services? What technical limitations such as power levels, bandwidth restrictions, or out-of-band emission limits would be appropriate in conjunction with an indoor-only requirement to protect the incumbent services? Could the Commission permit less restrictive unlicensed use (
                    <E T="03">e.g.,</E>
                     higher indoor power levels, outdoor use, etc.) with a label warning to alert consumers that use near a DBS, NGSO FSS, or MVDDS receive site could result in harmful interference to the consumer device? For example, this would allow DBS subscribers to decide about whether to use such a device in their homes knowing there is a potential interference risk. Are there other potential interference mitigation techniques or system design requirements the Commission should 
                    <PRTPAGE P="43508"/>
                    consider to protect incumbent services, such as geofencing capability? 
                    <SU>42</SU>
                    <FTREF/>
                     The Commission invites commenters to submit engineering analysis or measurement data addressing the potential for such indoor unlicensed devices to cause harmful interference to DBS, NGSO FSS, and MVDDS receivers.
                </P>
                <FTNT>
                    <P>
                        <SU>39</SU>
                         47 CFR 15.5(b).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>40</SU>
                         
                        <E T="03">See Unlicensed Use of the 6 GHz Band and Expanding Flexible Use in Mid-Band Spectrum Between 3.7 and 24 GHz,</E>
                         ET Docket No. 18-295; GN Docket No. 17-183, Report and Order and Further Notice of Proposed Rulemaking, 35 FCC Rcd 3852, 3888, para. 96, 
                        <E T="03">et seq.</E>
                         (2020), 
                        <E T="03">aff'd in part, remanded in part sub nom. AT&amp;T Services, Inc.</E>
                         v. 
                        <E T="03">FCC,</E>
                         21 F.4th 841 (D.C. Cir. 2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>41</SU>
                         The Commission notes that in advocating for 5G authorization in the 12.2 GHz band, the MVDDS Coalition's first Coexistence study argued that losses as signals in the 12.2-12.7 GHz band travel through one or more building walls generally provide sufficient attenuation to ensure EPFD limits remain below current limits. Coexistence 1 at 27. Where building attenuation alone might prove insufficient, the Coexistence study stated that “careful placement and power control can prevent the maximum EPFD levels from being exceeded outside of the building envelope to ensure protection of DBS receive antennas.” Coexistence 1 at 27. Specifically, the Coexistence study asserted that signals from base stations placed inside one interior wall would have 50 dB attenuation resulting from passing through an interior and exterior wall, while mobile units more likely to travel toward building edges would experience 30 dB. Coexistence 1 at 26. Furthermore, the study noted that 5G network operators could manage interference through controlling the transmission location of 5G mobile devices through “geofencing,” which involves the use of location information from the device to assign unit geographical boundaries to the permitted area of operation. Coexistence 1 at 26-27. These mitigation techniques would allow the broadband operator to prevent 5G MVDDS mobile devices from venturing into areas that might offer insufficient attenuation to one or more DBS receivers outside of the building exterior.” Coexistence 1 at 27.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>42</SU>
                         Coexistence 1 at 26-27.
                    </P>
                </FTNT>
                <P>
                    13. Other Technology-based Sharing. In addition, the Commission seeks comment on whether there may be opportunities to take advantage of technological advancements to accommodate expanded terrestrial capabilities in the 12.2 GHz band. For example, could dynamic, database-driven coordination capabilities such as have been implemented in other frequency bands (
                    <E T="03">e.g.,</E>
                     6 GHz unlicensed and 3.5 GHz Citizens Broadband Radio Service) be implemented in the 12.2 GHz band? Would another type of frequency management system allow for a greater opportunity for expanded terrestrial services to develop within the band while affording protection to incumbent satellite and terrestrial services? What technical data would need to be collected to support such a system? DBS operators are currently required to maintain data on current subscriber locations; NGSO FSS operators have no similar requirement to track consumer terminal location data, and deployments in the band continue to increase. Would additional technical data need to be collected or shared among the licensees so that an advanced frequency management system could effectively manage shared use and prevent interference exceedance to the different services in the band? What parameters should the Commission put in place to ensure that any obligations for a new managed sharing regime in the band would not be overly cumbersome, particularly to the DBS and NGSO FSS incumbents? The Commission seeks comment on what type of frequency management system might be used to control access to, and manage potential interference in, the 12.2 GHz band. Who should have ownership or oversight of such systems? How should frequency management system or database operators be selected, and what should be the requirements for such roles? Would there be any interest in operating such systems or databases? What type of testing requirements should there be on these types of systems? How might the associated costs be addressed, and who should bear the burden of those costs? For instance, should new terrestrial fixed services bear all the costs, or should part of this cost be shared by the NGSO FSS and DBS incumbents in the band?
                </P>
                <P>
                    14. The Commission specifically seeks comment on the use of Automated Frequency Coordination (AFC) systems, which were adopted for unlicensed outdoor deployments in the 6 GHz band based on several considerations that were specific to that band. Accordingly, the Commission seeks comment on whether similar, or otherwise compelling, considerations would support use of an AFC system in the 12.2 GHz band, and also seeks comment about the extent to which these considerations may also be applicable to other frequency coordination management and database system concepts. Among the most relevant considerations are what types of propagation models are the most appropriate, considering the incumbents in this band, including DBS and NGSO FSS satellite systems? What protection criteria would be required specific to each service, 
                    <E T="03">i.e.,</E>
                     DBS, NGSO FSS, and MVDDS? How can modelling of the incumbent services be adequately accomplished, particularly considering the potential complexity of NGSO FSS systems, and their associated Earth stations that track satellites that are in motion? What device location information might be required, and what method would be appropriate to obtain such information? For instance, should the Commission consider requiring automated entry of some or all of the information, or permit manually entered information by a certified installer of the device? How would AFC systems be able to periodically verify frequency availability considering the incumbent DBS and NGSO FSS satellite operators and the lack of information as discussed above? Moreover, is a periodic re-check interval an appropriate method to determine changes in frequency availability information and, if so, what should be the maximum permissible interval for verifying frequency availability? If not, the Commission seeks comment on other alternatives that could identify frequency availability. Should aggregate interference be calculated by an AFC system or is it sufficient to just consider individual devices? How should devices be registered, and what collected information should be required? Should an AFC system be able to give commands to shut down devices when changes in spectrum use occur? What system security concerns would need to be addressed? If this concept were to be considered sufficient, technical information would need to be available to such frequency management systems—specifically the technical information that is not currently sufficiently collected, or collected at all, from DBS and NGSO FSS respectively. If this concept was to be considered at what future date should DBS and NGSO FSS be required to provide the required data? The Commission seeks comment on these possible alternatives.
                </P>
                <HD SOURCE="HD2">C. Promoting Digital Equity and Inclusion</HD>
                <P>
                    15. The Commission, as part of its continuing effort to advance digital equity for all,
                    <SU>43</SU>
                    <FTREF/>
                     including people of color, persons with disabilities, persons who live in rural or Tribal areas, and others who are or have been historically underserved, marginalized, or adversely affected by persistent poverty or inequality, invites comments on any equity-related considerations 
                    <SU>44</SU>
                    <FTREF/>
                     and benefits (if any) that may be associated with the proposals and issues discussed herein. Specifically, the Commission seeks comment on how its proposals may promote or inhibit advances in diversity, equity, inclusion, and accessibility, as well the scope of the Commission's relevant legal authority.
                </P>
                <FTNT>
                    <P>
                        <SU>43</SU>
                         Section 1 of the Communications Act of 1934 as amended provides that the FCC “regulat[es] interstate and foreign commerce in communication by wire and radio so as to make [such service] available, so far as possible, to all the people of the United States, without discrimination on the basis of race, color, religion, national origin, or sex.” 47 U.S.C. 151.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>44</SU>
                         The term “equity” is used here consistent with Executive Order 13985 as the consistent and systematic fair, just, and impartial treatment of all individuals, including individuals who belong to underserved communities that have been denied such treatment, such as Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons; persons with disabilities; persons who live in rural areas; and persons otherwise adversely affected by persistent poverty or inequality. 
                        <E T="03">See</E>
                         Exec. Order No. 13985, 86 FR 7009, Executive Order on Advancing Racial Equity and Support for Underserved Communities Through the Federal Government (Jan. 20, 2021).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">II. Initial Regulatory Flexibility Analysis</HD>
                <P>
                    16. As required by the Regulatory Flexibility Act of 1980, as amended (RFA) 
                    <SU>45</SU>
                    <FTREF/>
                     the Commission has prepared an Initial Regulatory Flexibility Analysis (IRFA) of the possible significant economic impact on a substantial number of small entities by the policies and rules proposed in the FNPRM. Written public comments are requested on this IRFA. Comments must be identified as responses to the IRFA 
                    <PRTPAGE P="43509"/>
                    and must be filed by the deadlines for comments on the FNPRM. The Commission will send a copy of the FNPRM, including this IRFA, to the Chief Counsel for Advocacy of the Small Business Administration (SBA).
                    <SU>46</SU>
                    <FTREF/>
                     In addition, the FNPRM and IRFA (or summaries thereof) will be published in the 
                    <E T="04">Federal Register</E>
                    .
                    <SU>47</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>45</SU>
                         
                        <E T="03">See</E>
                         5 U.S.C. 603. The RFA, 5 U.S.C. 601-612, has been amended by the Small Business Regulatory Enforcement Fairness Act of 1996, (SBREFA) Public Law 104-121, Title II, 110 Stat. 857 (1996).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>46</SU>
                         5 U.S.C. 603(a).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>47</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">A. Need for, and Objectives of, the Proposed Rules</HD>
                <P>17. Although the Commission declines to add a mobile allocation or adopt service rules for expanded terrestrial, high-powered, two-way mobile operations in the 12.2-12.7 GHz band (12.2 GHz band) the FNPRM seeks additional comment on other possible fixed terrestrial uses of the band. The FNPRM explores expanded licensed fixed uses as well as unlicensed opportunities in the band. The potential rule changes seek to facilitate more robust terrestrial fixed or unlicensed use while protecting incumbent operations in the bands. The FNPRM pursues the Commission's joint goals of maximizing the use of these 500 MHz of spectrum, while balancing desired speed to the market, efficiency of use, and effectively accommodating incumbent operations in the band.</P>
                <P>
                    18. In the United States, the 12.2 GHz band is allocated on a primary basis for non-Federal use for the Broadcasting Satellite Service (BSS) (referred to domestically in the band as Direct Broadcast Satellite (DBS); the Fixed Satellite Service (space-to-Earth) limited to non-geostationary orbit systems (NGSO FSS); and the Fixed Service.
                    <SU>48</SU>
                    <FTREF/>
                     While these three services are co-primary, the NGSO FSS and Fixed Service are allocated on a non-harmful interference basis with respect to BSS.
                    <SU>49</SU>
                    <FTREF/>
                     Currently there are three services authorized and operating in the band: DBS providers operating under the primary BSS allocation, Multi-Channel Video and Data Distribution Service (MVDDS) licensees operating on a non-harmful interference basis to DBS under the co-primary Fixed Service allocation, and NGSO FSS licensees operating on a non-harmful interference basis to DBS under the co-primary NGSO FSS allocation. This proceeding is predicated in part on the MVDDS 5G Coalition petition for rulemaking,
                    <SU>50</SU>
                    <FTREF/>
                     however alternative uses for the band were raised by various commenters. Incumbent NGSO and some DBS interests seek to continue to use the band without ceding rights to MVDDS licensees. To facilitate further consideration of the various proposals in the FNPRM the Commission seeks comment on how to weigh public interest considerations associated with allowing, prohibiting and prioritizing uses and on the costs and benefits of allowing new uses of the 12 GHz bands.
                </P>
                <FTNT>
                    <P>
                        <SU>48</SU>
                         
                        <E T="03">See</E>
                         47 CFR 2.106, United States Table of Frequency Allocations, non-Federal Table for the band 12.2-12.7 GHz. NGSO FSS (space-to-Earth) operations are authorized pursuant to international footnote 5.487A (revised as 47 CFR 2.106(b)(487)(i), at 88 FR 37318, June 7, 2023, effective July 7, 2023), which provides additional allocations including in Region 2 as follows: “[The 12.2-12.7 GHz is] allocated to the fixed-satellite service (space-to-Earth) on a primary basis, limited to non-geostationary systems and subject to application of the provisions of [ITU Radio Regulations] No. 9.12 for coordination with other non-geostationary-satellite systems in the fixed-satellite service. Non-geostationary-satellite systems in the fixed-satellite service shall not claim protection from geostationary-satellite networks in the broadcasting-satellite service operating in accordance with the Radio Regulations, irrespective of the dates of receipt by the [ITU Radiocommunication] Bureau of the complete coordination or notification information, as appropriate, for the non-geostationary-satellite systems in the fixed-satellite service and of the complete coordination or notification information, as appropriate, for the geostationary-satellite networks, and [ITU Radio Regulations] No. 5.43A does not apply. Non-geostationary-satellite systems in the fixed-satellite service in the [12 GHz band] shall be operated in such a way that any unacceptable interference that may occur during their operation shall be rapidly eliminated.”
                    </P>
                    <P>
                        47 CFR 2.106, footnote 5.487A (revised as 47 CFR 2.106(b)(487)(i), at 88 FR 37318, June 7, 2023, effective July 7, 2023). When an international footnote is applicable without modification to non-Federal operations, the Commission places the footnote on the non-Federal Table. 
                        <E T="03">See</E>
                         47 CFR 2.105(d)(5).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>49</SU>
                         
                        <E T="03">See</E>
                         47 CFR 2.106, n.5.490 (International Footnote) (revised as 47 CFR 2.106(b)(490), at 88 FR 37318, June 7, 2023, effective July 7, 2023). In Region 2, in the band 12.2-12.7 GHz, existing and future terrestrial radiocommunication services shall not cause harmful interference to the space services operating in conformity with the broadcasting satellite Plan for Region 2 contained in Appendix 30.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>50</SU>
                         MVDDS 5G Coalition Petition. 
                        <E T="03">See also</E>
                         Petition Public Notice. In its most recent filing, the Coalition's members were reported to be: Cass Cable TV, Inc., DISH Network L.L.C., Go Long Wireless LTD., MDS Operations, Inc., MVD Number 53 Partners, Satellite Receivers, Ltd., SOUTH.COM LLC, Story Communications, LLC, and Vision Broadband, LLC. 
                        <E T="03">See</E>
                         Letter from MVDDS 5G Coalition, to Marlene H. Dortch, Secretary, FCC, Docket No. RM-11768, at 1 (filed May 28, 2019). The Commission notes that MDS Operations subsequently assigned its remaining 60 MVDDS licenses to RS Access.
                    </P>
                </FTNT>
                <P>
                    19. The Commission's rules currently enable sharing between co-primary NGSO FSS and MVDDS using a combination of technical limitations, information sharing, and first-in-time procedures.
                    <SU>51</SU>
                    <FTREF/>
                     While the Commission declines to add a mobile allocation or adopt service rules for expanded terrestrial, high-powered, two-way mobile operations in the 12.2-12.7 GHz band, the Commission remains interested in potential expanded terrestrial use of the band. The Commission therefore seeks comment on additional possible terrestrial uses of the 12.2-12.7 GHz band including one-way, point-to-point or point-to-multipoint fixed links at higher powers than current MVDDS rules; two-way, point-to-point fixed links at standard part 101 power limits; two-way, point-to-multipoint links; indoor only underlay on a licensed by rule basis; unlicensed use; and expanded use through technology-based share using Automated Frequency Coordination (AFC).
                </P>
                <FTNT>
                    <P>
                        <SU>51</SU>
                         
                        <E T="03">See</E>
                         47 CFR 101.113(a) n.11; 101.147(p).
                    </P>
                </FTNT>
                <P>20. By modifying the Commission's rules and implementing policies designed to provide for more robust use of the 12 GHz band, the Commission hopes to ensure that this spectrum is efficiently utilized and will foster the development of new and innovative technologies and services, as well as encourage the growth and development of a wide variety of services, ultimately leading to greater benefits to consumers.</P>
                <HD SOURCE="HD2">B. Legal Basis</HD>
                <P>21. The proposed action is authorized pursuant to sections 1, 2, 4, 5, 301, 302, 303, 304, 307, 309, 310, and 316 of the Communications Act of 1934, 47 U.S.C. 151, 152, 154, 155, 301, 302a, 303, 304, 307, 309, 310, 316, and § 1.411 of the Commission's rules, 47 CFR 1.411.</P>
                <HD SOURCE="HD2">C. Description and Estimate of the Number of Small Entities to Which the Proposed Rules Will Apply</HD>
                <P>
                    22. The RFA directs agencies to provide a description of and, where feasible, an estimate of the number of small entities that may be affected by the proposed rules, if adopted.
                    <SU>52</SU>
                    <FTREF/>
                     The RFA generally defines the term “small entity” as having the same meaning as the terms “small business,” “small organization,” and “small governmental jurisdiction.” 
                    <SU>53</SU>
                    <FTREF/>
                     In addition, the term “small business” has the same meaning as the term “small business concern” under the Small Business Act.” 
                    <SU>54</SU>
                    <FTREF/>
                     A “small business concern” is one which: (1) is independently owned and operated; (2) is not dominant in its field of operation; and (3) satisfies any 
                    <PRTPAGE P="43510"/>
                    additional criteria established by the SBA.
                    <SU>55</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>52</SU>
                         5 U.S.C. 603(b)(3).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>53</SU>
                         5 U.S.C. 601(6).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>54</SU>
                         
                        <E T="03">Id.</E>
                         Section 601(3) (incorporating the definition of “small-business concern” in the Small Business Act, 15 U.S.C. 632). Pursuant to 5 U.S.C. 601(3), the statutory definition of a small business applies “unless an agency, after consultation with the Office of Advocacy of the Small Business Administration and after opportunity for public comment, establishes one or more definitions of such term which are appropriate to the activities of the agency and publishes such definition(s) in the 
                        <E T="04">Federal Register</E>
                        .”
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>55</SU>
                         15 U.S.C. 632.
                    </P>
                </FTNT>
                <P>
                    23. Small Businesses, Small Organizations, Small Governmental Jurisdictions. The Commission's actions, over time, may affect small entities that are not easily categorized at present. The Commission therefore describes, at the outset, three broad groups of small entities that could be directly affected herein.
                    <SU>56</SU>
                    <FTREF/>
                     First, while there are industry specific size standards for small businesses that are used in the regulatory flexibility analysis, according to data from the Small Business Administration's (SBA) Office of Advocacy, in general a small business is an independent business having fewer than 500 employees.
                    <SU>57</SU>
                    <FTREF/>
                     These types of small businesses represent 99.9% of all businesses in the United States, which translates to 32.5 million businesses.
                    <SU>58</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>56</SU>
                         5 U.S.C. 601(3)-(6).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>57</SU>
                         
                        <E T="03">See</E>
                         SBA, Office of Advocacy, Frequently Asked Questions, “What is a small business?,” 
                        <E T="03">https://cdn.advocacy.sba.gov/wp-content/uploads/2021/11/03093005/Small-Business-FAQ-2021.pdf.</E>
                         Nov 2021.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>58</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    24. Next, the type of small entity described as a “small organization” is generally “any not-for-profit enterprise which is independently owned and operated and is not dominant in its field.” 
                    <SU>59</SU>
                    <FTREF/>
                     The Internal Revenue Service (IRS) uses a revenue benchmark of $50,000 or less to delineate its annual electronic filing requirements for small exempt organizations.
                    <SU>60</SU>
                    <FTREF/>
                     Nationwide, for tax year 2020, there were approximately 447,689 small exempt organizations in the U.S. reporting revenues of $50,000 or less according to the registration and tax data for exempt organizations available from the IRS.
                    <SU>61</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>59</SU>
                         5 U.S.C. 601(4).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>60</SU>
                         The IRS benchmark is similar to the population of less than 50,000 benchmark in 5 U.S.C. 601(5) that is used to define a small governmental jurisdiction. Therefore, the IRS benchmark has been used to estimate the number of small organizations in this small entity description. 
                        <E T="03">See</E>
                         Annual Electronic Filing Requirement for Small Exempt Organizations—Form 990-N (e-Postcard), “Who must file,” 
                        <E T="03">https://www.irs.gov/charities-non-profits/annual-electronic-filing-requirement-for-small-exempt-organizations-form-990-n-e-postcard.</E>
                         The Commission notes that the IRS data does not provide information on whether a small exempt organization is independently owned and operated or dominant in its field.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>61</SU>
                         
                        <E T="03">See</E>
                         Exempt Organizations Business Master File Extract (E.O. BMF), “CSV Files by Region,” 
                        <E T="03">https://www.irs.gov/charities-non-profits/exempt-organizations-business-master-file-extract-eo-bmf.</E>
                         The IRS Exempt Organization Business Master File (E.O. BMF) Extract provides information on all registered tax-exempt/non-profit organizations. The data utilized for purposes of this description was extracted from the IRS E.O. BMF data for businesses for the tax year 2020 with revenue less than or equal to $50,000 for Region 1—Northeast Area (58,577), Region 2—Mid-Atlantic and Great Lakes Areas (175,272), and Region 3—Gulf Coast and Pacific Coast Areas (213,840) that includes the continental U.S., Alaska, and Hawaii. This data does not include information for Puerto Rico.
                    </P>
                </FTNT>
                <P>
                    25. Finally, the small entity described as a “small governmental jurisdiction” is defined generally as “governments of cities, counties, towns, townships, villages, school districts, or special districts, with a population of less than fifty thousand.” 
                    <SU>62</SU>
                    <FTREF/>
                     U.S. Census Bureau data from the 2017 Census of Governments 
                    <SU>63</SU>
                    <FTREF/>
                     indicate there were 90,075 local governmental jurisdictions consisting of general purpose governments and special purpose governments in the United States.
                    <SU>64</SU>
                    <FTREF/>
                     Of this number, there were 36,931 general purpose governments (county,
                    <SU>65</SU>
                    <FTREF/>
                     municipal, and town or township 
                    <SU>66</SU>
                    <FTREF/>
                    ) with populations of less than 50,000 and 12,040 special purpose governments—independent school districts 
                    <SU>67</SU>
                    <FTREF/>
                     with enrollment populations of less than 50,000.
                    <SU>68</SU>
                    <FTREF/>
                     Accordingly, based on the 2017 U.S. Census of Governments data, the Commission estimates that at least 48,971 entities fall into the category of “small governmental jurisdictions.” 
                    <SU>69</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>62</SU>
                         5 U.S.C. 601(5).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>63</SU>
                         
                        <E T="03">See</E>
                         13 U.S.C. 161. The Census of Governments survey is conducted every five (5) years compiling data for years ending with “2” and “7”. 
                        <E T="03">See also</E>
                         Census of Governments, 
                        <E T="03">https://www.census.gov/programs-surveys/cog/about.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>64</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 2017 Census of Governments—Organization Table 2. Local Governments by Type and State: 2017 [CG1700ORG02], 
                        <E T="03">https://www.census.gov/data/tables/2017/econ/gus/2017-governments.html.</E>
                         Local governmental jurisdictions are made up of general purpose governments (county, municipal and town or township) and special purpose governments (special districts and independent school districts). 
                        <E T="03">See also</E>
                         tbl.2. CG1700ORG02 Table Notes_Local Governments by Type and State_2017.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>65</SU>
                         
                        <E T="03">See id.</E>
                         at tbl.5. County Governments by Population-Size Group and State: 2017 [CG1700ORG05], 
                        <E T="03">https://www.census.gov/data/tables/2017/econ/gus/2017-governments.html.</E>
                         There were 2,105 county governments with populations less than 50,000. This category does not include subcounty (municipal and township) governments.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>66</SU>
                         
                        <E T="03">See id.</E>
                         at tbl.6. Subcounty General-Purpose Governments by Population-Size Group and State: 2017 [CG1700ORG06], 
                        <E T="03">https://www.census.gov/data/tables/2017/econ/gus/2017-governments.html.</E>
                         There were 18,729 municipal and 16,097 town and township governments with populations less than 50,000.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>67</SU>
                         
                        <E T="03">See id.</E>
                         at tbl.10. Elementary and Secondary School Systems by Enrollment-Size Group and State: 2017 [CG1700ORG10], 
                        <E T="03">https://www.census.gov/data/tables/2017/econ/gus/2017-governments.html.</E>
                         There were 12,040 independent school districts with enrollment populations less than 50,000. 
                        <E T="03">See also</E>
                         tbl.4. Special-Purpose Local Governments by State Census Years 1942 to 2017 [CG1700ORG04], CG1700ORG04 Table Notes_Special Purpose Local Governments by State_Census Years 1942 to 2017.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>68</SU>
                         While the special purpose governments category also includes local special district governments, the 2017 Census of Governments data does not provide data aggregated based on population size for the special purpose governments category. Therefore, only data from independent school districts is included in the special purpose governments category.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>69</SU>
                         This total is derived from the sum of the number of general purpose governments (county, municipal and town or township) with populations of less than 50,000 (36,931) and the number of special purpose governments—independent school districts with enrollment populations of less than 50,000 (12,040), from the 2017 Census of Governments—Organizations tbls.5, 6 &amp; 10.
                    </P>
                </FTNT>
                <P>26. Radio Frequency Equipment Manufacturers (RF Manufacturers). There are several analogous industries with an SBA small business size standard that are applicable to RF Manufacturers. These industries are Fixed Microwave Services, Other Communications Equipment Manufacturing, Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing. A description of these industries and the SBA small business size standards are detailed below.</P>
                <P>
                    27. Fixed Microwave Services. Fixed microwave services include common carrier,
                    <SU>70</SU>
                    <FTREF/>
                     private-operational fixed,
                    <SU>71</SU>
                    <FTREF/>
                     and broadcast auxiliary radio services.
                    <SU>72</SU>
                    <FTREF/>
                     They also include the Upper Microwave Flexible Use Service (UMFUS),
                    <SU>73</SU>
                    <FTREF/>
                     Millimeter Wave Service (70/80/90 GHz),
                    <SU>74</SU>
                    <FTREF/>
                     Local Multipoint Distribution Service (LMDS),
                    <SU>75</SU>
                    <FTREF/>
                     the Digital Electronic Message Service (DEMS),
                    <SU>76</SU>
                    <FTREF/>
                     24 GHz Service,
                    <SU>77</SU>
                    <FTREF/>
                     Multiple Address Systems (MAS),
                    <SU>78</SU>
                    <FTREF/>
                     and Multichannel Video Distribution and Data Service (MVDDS),
                    <SU>79</SU>
                    <FTREF/>
                     where in some bands licensees can choose between common carrier and non-common carrier status.
                    <SU>80</SU>
                    <FTREF/>
                     Wireless Telecommunications Carriers (except Satellite) 
                    <SU>81</SU>
                    <FTREF/>
                     is the closest industry with an SBA small business size standard applicable to 
                    <PRTPAGE P="43511"/>
                    these services. The SBA small size standard for this industry classifies a business as small if it has 1,500 or fewer employees.
                    <SU>82</SU>
                    <FTREF/>
                     U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year.
                    <SU>83</SU>
                    <FTREF/>
                     Of this number, 2,837 firms employed fewer than 250 employees.
                    <SU>84</SU>
                    <FTREF/>
                     Thus, under the SBA size standard, the Commission estimates that a majority of fixed microwave service licensees can be considered small.
                </P>
                <FTNT>
                    <P>
                        <SU>70</SU>
                         
                        <E T="03">See</E>
                         47 CFR part 101, subparts C and I.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>71</SU>
                         
                        <E T="03">See id.</E>
                         subparts C and H.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>72</SU>
                         Auxiliary Microwave Service is governed by part 74 of title 47 of the Commission's Rules. 
                        <E T="03">See</E>
                         47 CFR part 74. Available to licensees of broadcast stations and to broadcast and cable network entities, broadcast auxiliary microwave stations are used for relaying broadcast television signals from the studio to the transmitter, or between two points such as a main studio and an auxiliary studio. The service also includes mobile TV pickups, which relay signals from a remote location back to the studio.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>73</SU>
                         
                        <E T="03">See</E>
                         47 CFR part 30.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>74</SU>
                         
                        <E T="03">See</E>
                         47 CFR part 101, subpart Q.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>75</SU>
                         
                        <E T="03">See id.</E>
                         subpart L.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>76</SU>
                         
                        <E T="03">See id.</E>
                         subpart G.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>77</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>78</SU>
                         
                        <E T="03">See id.</E>
                         subpart O.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>79</SU>
                         
                        <E T="03">See id.</E>
                         subpart P.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>80</SU>
                         
                        <E T="03">See</E>
                         47 CFR 101.533, 101.1017.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>81</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 NAICS Definition, “517312 Wireless Telecommunications Carriers</E>
                         (
                        <E T="03">except Satellite</E>
                        ),” 
                        <E T="03">https://www.census.gov/naics/?input=517312&amp;year=2017&amp;details=517312.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>82</SU>
                         
                        <E T="03">See</E>
                         13 CFR 121.201, NAICS Code 517312 (as of 10/1/22, NAICS Code 517112).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>83</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 Economic Census of the United States, Employment Size of Firms for the U.S.: 2017,</E>
                         Table ID: EC1700SIZEEMPFIRM, NAICS Code 517312, 
                        <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=517312&amp;tid=ECNSIZE2017.EC1700SIZEEMPFIRM&amp;hidePreview=false.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>84</SU>
                         
                        <E T="03">Id.</E>
                         The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard.
                    </P>
                </FTNT>
                <P>28. The Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these services, at this time the Commission is not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                <P>
                    29. Wired Telecommunications Carriers. The U.S. Census Bureau defines this industry as establishments primarily engaged in operating and/or providing access to transmission facilities and infrastructure that they own and/or lease for the transmission of voice, data, text, sound, and video using wired communications networks.
                    <SU>85</SU>
                    <FTREF/>
                     Transmission facilities may be based on a single technology or a combination of technologies. Establishments in this industry use the wired telecommunications network facilities that they operate to provide a variety of services, such as wired telephony services, including Voice over Internet Protocol (VoIP) services, wired (cable) audio and video programming distribution, and wired broadband internet services.
                    <SU>86</SU>
                    <FTREF/>
                     By exception, establishments providing satellite television distribution services using facilities and infrastructure that they operate are included in this industry.
                    <SU>87</SU>
                    <FTREF/>
                     Wired Telecommunications Carriers are also referred to as wireline carriers or fixed local service providers.
                    <SU>88</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>85</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 NAICS Definition, “517311 Wired Telecommunications Carriers,” https://www.census.gov/naics/?input=517311&amp;year=2017&amp;details=517311.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>86</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>87</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>88</SU>
                         Fixed Local Service Providers include the following types of providers: Incumbent Local Exchange Carriers (ILECs), Competitive Access Providers (CAPs) and Competitive Local Exchange Carriers (CLECs), Cable/Coax CLECs, Interconnected VOIP Providers, Non-Interconnected VOIP Providers, Shared-Tenant Service Providers, Audio Bridge Service Providers, and Other Local Service Providers. Local Resellers fall into another U.S. Census Bureau industry group and therefore data for these providers is not included in this industry.
                    </P>
                </FTNT>
                <P>
                    30. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small.
                    <SU>89</SU>
                    <FTREF/>
                     U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year.
                    <SU>90</SU>
                    <FTREF/>
                     Of this number, 2,964 firms operated with fewer than 250 employees.
                    <SU>91</SU>
                    <FTREF/>
                     Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 4,590 providers that reported they were engaged in the provision of fixed local services.
                    <SU>92</SU>
                    <FTREF/>
                     Of these providers, the Commission estimates that 4,146 providers have 1,500 or fewer employees.
                    <SU>93</SU>
                    <FTREF/>
                     Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <FTNT>
                    <P>
                        <SU>89</SU>
                         
                        <E T="03">See</E>
                         13 CFR 121.201, NAICS Code 517311 (as of 10/1/22, NAICS Code 517111).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>90</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 Economic Census of the United States, Selected Sectors: Employment Size of Firms for the U.S.: 2017,</E>
                         Table ID: EC1700SIZEEMPFIRM, NAICS Code 517311, 
                        <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=517311&amp;tid=ECNSIZE2017.EC1700SIZEEMPFIRM&amp;hidePreview=false.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>91</SU>
                         
                        <E T="03">Id.</E>
                         The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>92</SU>
                         Federal-State Joint Board on Universal Service, Universal Service Monitoring Report at 26, Table 1.12 (2022), 
                        <E T="03">https://docs.fcc.gov/public/attachments/DOC-391070A1.pdf. https://docs.fcc.gov/public/attachments/DOC-379181A1.pdf</E>
                        .
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>93</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    31. Wireless Telecommunications Carriers (except Satellite). This industry comprises establishments engaged in operating and maintaining switching and transmission facilities to provide communications via the airwaves.
                    <SU>94</SU>
                    <FTREF/>
                     Establishments in this industry have spectrum licenses and provide services using that spectrum, such as cellular services, paging services, wireless internet access, and wireless video services.
                    <SU>95</SU>
                    <FTREF/>
                     The SBA size standard for this industry classifies a business as small if it has 1,500 or fewer employees.
                    <SU>96</SU>
                    <FTREF/>
                     U.S. Census Bureau data for 2017 show that there were 2,893 firms in this industry that operated for the entire year.
                    <SU>97</SU>
                    <FTREF/>
                     Of that number, 2,837 firms employed fewer than 250 employees.
                    <SU>98</SU>
                    <FTREF/>
                     Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 594 providers that reported they were engaged in the provision of wireless services.
                    <SU>99</SU>
                    <FTREF/>
                     Of these providers, the Commission estimates that 511 providers have 1,500 or fewer employees.
                    <SU>100</SU>
                    <FTREF/>
                     Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <FTNT>
                    <P>
                        <SU>94</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 NAICS Definition, “517312 Wireless Telecommunications Carriers (except Satellite),” https://www.census.gov/naics/?input=517312&amp;year=2017&amp;details=517312.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>95</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>96</SU>
                         
                        <E T="03">See</E>
                         13 CFR 121.201, NAICS Code 517312 (as of 10/1/22, NAICS Code 517112).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>97</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 Economic Census of the United States, Employment Size of Firms for the U.S.: 2017,</E>
                         Table ID: EC1700SIZEEMPFIRM, NAICS Code 517312, 
                        <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=517312&amp;tid=ECNSIZE2017.EC1700SIZEEMPFIRM&amp;hidePreview=false.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>98</SU>
                         
                        <E T="03">Id.</E>
                         The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>99</SU>
                         Federal-State Joint Board on Universal Service, Universal Service Monitoring Report at 26, Table 1.12 (2022), 
                        <E T="03">https://docs.fcc.gov/public/attachments/DOC-391070A1.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>100</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    32. Satellite Telecommunications. This industry comprises firms “primarily engaged in providing telecommunications services to other establishments in the telecommunications and broadcasting industries by forwarding and receiving communications signals via a system of satellites or reselling satellite telecommunications.” 
                    <SU>101</SU>
                    <FTREF/>
                     Satellite telecommunications service providers include satellite and earth station operators. The SBA small business size standard for this industry classifies a business with $38.5 million or less in annual receipts as small.
                    <SU>102</SU>
                    <FTREF/>
                     U.S. Census Bureau data for 2017 show that 275 firms in this industry operated for the entire year.
                    <SU>103</SU>
                    <FTREF/>
                     Of this number, 242 firms had revenue of less than $25 million.
                    <FTREF/>
                    <SU>104</SU>
                      
                    <PRTPAGE P="43512"/>
                    Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 71 providers that reported they were engaged in the provision of satellite telecommunications services.
                    <SU>105</SU>
                    <FTREF/>
                     Of these providers, the Commission estimates that approximately 48 providers have 1,500 or fewer employees.
                    <SU>106</SU>
                    <FTREF/>
                     Consequently, using the SBA's small business size standard, a little more than half of these providers can be considered small entities.
                </P>
                <FTNT>
                    <P>
                        <SU>101</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 NAICS Definition, “517410 Satellite Telecommunications,” https://www.census.gov/naics/?input=517410&amp;year=2017&amp;details=517410.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>102</SU>
                         
                        <E T="03">See</E>
                         13 CFR 121.201, NAICS Code 517410.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>103</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 Economic Census of the United States, Selected Sectors: Sales, Value of Shipments, or Revenue Size of Firms for the U.S.: 2017,</E>
                         Table ID: EC1700SIZEREVFIRM, NAICS Code 517410, 
                        <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=517410&amp;tid=ECNSIZE2017.EC1700SIZEREVFIRM&amp;hidePreview=false.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>104</SU>
                         
                        <E T="03">Id.</E>
                         The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard. The Commission also notes that according to the 
                        <PRTPAGE/>
                        U.S. Census Bureau glossary, the terms receipts and revenues are used interchangeably, 
                        <E T="03">see https://www.census.gov/glossary/#term_ReceiptsRevenueServices.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>105</SU>
                         Federal-State Joint Board on Universal Service, Universal Service Monitoring Report at 26, Table 1.12 (2021), 
                        <E T="03">https://docs.fcc.gov/public/attachments/DOC-379181A1.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>106</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    33. All Other Telecommunications. This industry is comprised of establishments primarily engaged in providing specialized telecommunications services, such as satellite tracking, communications telemetry, and radar station operation.
                    <SU>107</SU>
                    <FTREF/>
                     This industry also includes establishments primarily engaged in providing satellite terminal stations and associated facilities connected with one or more terrestrial systems and capable of transmitting telecommunications to, and receiving telecommunications from, satellite systems.
                    <SU>108</SU>
                    <FTREF/>
                     Providers of internet services (
                    <E T="03">e.g.</E>
                     dial-up ISPs) or Voice over Internet Protocol (VoIP) services, via client-supplied telecommunications connections are also included in this industry.
                    <SU>109</SU>
                    <FTREF/>
                     The SBA small business size standard for this industry classifies firms with annual receipts of $35 million or less as small.
                    <SU>110</SU>
                    <FTREF/>
                     U.S. Census Bureau data for 2017 show that there were 1,079 firms in this industry that operated for the entire year.
                    <SU>111</SU>
                    <FTREF/>
                     Of those firms, 1,039 had revenue of less than $25 million.
                    <SU>112</SU>
                    <FTREF/>
                     Based on this data, the Commission estimates that the majority of “All Other Telecommunications” firms can be considered small.
                </P>
                <FTNT>
                    <P>
                        <SU>107</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 NAICS Definition,</E>
                         “
                        <E T="03">517919 All Other Telecommunications,” https://www.census.gov/naics/?input=517919&amp;year=2017&amp;details=517919.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>108</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>109</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>110</SU>
                         
                        <E T="03">See</E>
                         13 CFR 121.201, NAICS Code 517919 (as of 10/1/22, NAICS Code 517810).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>111</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 Economic Census of the United States, Selected Sectors: Sales, Value of Shipments, or Revenue Size of Firms for the U.S.: 2017,</E>
                         Table ID: EC1700SIZEREVFIRM, NAICS Code 517919, 
                        <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=517919&amp;tid=ECNSIZE2017.EC1700SIZEREVFIRM&amp;hidePreview=false.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>112</SU>
                         
                        <E T="03">Id.</E>
                         The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard. The Commission also notes that according to the U.S. Census Bureau glossary, the terms receipts and revenues are used interchangeably, 
                        <E T="03">see https://www.census.gov/glossary/#term_ReceiptsRevenueServices.</E>
                    </P>
                </FTNT>
                <P>
                    34. Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing. This industry comprises establishments primarily engaged in manufacturing radio and television broadcast and wireless communications equipment.
                    <SU>113</SU>
                    <FTREF/>
                     Examples of products made by these establishments are: transmitting and receiving antennas, cable television equipment, GPS equipment, pagers, cellular phones, mobile communications equipment, and radio and television studio and broadcasting equipment.
                    <SU>114</SU>
                    <FTREF/>
                     The SBA small business size standard for this industry classifies businesses having 1,250 employees or less as small.
                    <SU>115</SU>
                    <FTREF/>
                     U.S. Census Bureau data for 2017 show that there were 656 firms in this industry that operated for the entire year.
                    <SU>116</SU>
                    <FTREF/>
                     Of this number, 624 firms had fewer than 250 employees.
                    <SU>117</SU>
                    <FTREF/>
                     Thus, under the SBA size standard, the majority of firms in this industry can be considered small.
                </P>
                <FTNT>
                    <P>
                        <SU>113</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 NAICS Definition, “334220 Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing,” https://www.census.gov/naics/?input=334220&amp;year=2017&amp;details=334220.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>114</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>115</SU>
                         
                        <E T="03">See</E>
                         13 CFR 121.201, NAICS Code 334220.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>116</SU>
                         
                        <E T="03">See</E>
                         U.S. Census Bureau, 
                        <E T="03">2017 Economic Census of the United States, Employment Size of Firms for the U.S.: 2017,</E>
                         Table ID: EC1700SIZEEMPFIRM, NAICS Code 334220, 
                        <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=334220&amp;tid=ECNSIZE2017.EC1700SIZEEMPFIRM&amp;hidePreview=false. https://factfinder.census.gov/bkmk/table/1.0/en/ECN/2012_US/31SG2//naics~334220</E>
                        .
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>117</SU>
                         
                        <E T="03">Id.</E>
                         The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">D. Description of Projected Reporting, Recordkeeping, and Other Compliance Requirements for Small Entities</HD>
                <P>35. The Commission expects the various proposals seeking to change rules to permit expanded fixed use of the 12.2 GHz band considered in the FNPRM may impose new or additional reporting or recordkeeping and/or other compliance obligations on small entities, as well as on other licensees and applicants if adopted. In particular, potential rule changes involving licensing, registration, and coordination could increase recordkeeping, reporting, or other operational obligations for small entities and for other licensees and applicants. There may also be new compliance obligations created by required equipment upgrades. As a result of these potential additional obligations, small entities may need to hire outside consulting or other professional services for compliance purposes and therefore, the Commission has requested cost-benefit analyses in the FNPRM. The Commission expects to make a determination as to whether small entities will incur additional costs for complying with the rules upon its review of any comments filed.</P>
                <P>36. The Commission is also considering adopting rules that will promote shared access to the 12.2 GHz band that may lead to additional compliance requirements. For example, should expanded terrestrial use be authorized in the band, the Commission has requested comment on whether the burden of avoiding or correcting for interference to existing or future DBS subscribers should be revised, or whether new terrestrial operations should be subject to the same requirements for protecting DBS subscribers that currently apply to other services in the band. Another proposed approach for comment aimed at protecting incumbents raised in the FNPRM is whether new terrestrial operations should be required to disclose certain technical data to facilitate coordination, which would impact small entities providing new service within the band.</P>
                <P>37. The Commission's assigning of new terrestrial service rights could also result in new or modified compliance obligations. For example, the Commission seeks comment as to whether it should modify existing licenses using the Commission's section 316 authority to conform to new service rules designed to allow increased operational flexibility when considering any new fixed service in the band. The Commission is also considering alternative approaches, such as site-based, individually coordinated operations relative to existing MVDDS operations, or whether to allow expanded opportunities for disaggregation and partitioning to promote more intensive use of the spectrum.</P>
                <P>
                    38. Additionally, potential approaches to facilitate sharing in the 12.2 GHz band upon which the Commission seeks comment in the FNPRM—both expanded unlicensed use and technology-based sharing approaches such as Automated Frequency Coordination—could also impact compliance obligations if adopted. For example, the Commission invites small entity and other commenters to discuss whether unlicensed use may be permitted within 
                    <PRTPAGE P="43513"/>
                    the 12.2-12.7 GHz band under provisions that could be implemented under the Commission's part 15 rules (47 CFR part 15). The Commission also seeks comment as to whether the Commission could permit less restrictive unlicensed use (
                    <E T="03">e.g.,</E>
                     higher indoor power levels, outdoor use, etc.) with a label warning to alert consumers that use near a DBS, NGSO FSS, or MVDDS receive site could result in harmful interference to the consumer device. Alternatively, the Commission asks for comment as to whether dynamic, database-driven coordination capabilities such as have been implemented in other frequency bands (
                    <E T="03">e.g.,</E>
                     6 GHz unlicensed and 3.5 GHz Citizens Broadband Radio Service) should be implemented in the 12.2 GHz band or if another type of frequency management system would allow for a greater opportunity for expanded terrestrial services to develop within the band.
                </P>
                <P>39. Other potential impacts to compliance obligations center around the maintenance of technical data as a means of supporting such a system. For example, DBS operators are currently required to maintain data on current subscriber locations; NGSO FSS operators have no similar requirement to track consumer terminal location data, and deployments in the band continue to increase. If this system were to be implemented, the Commission seeks comment as to whether additional technical data would need to be collected or shared among the licensees so that an advanced frequency management system could effectively manage shared use and prevent interference exceedance to the different services in the band. In the Commission's discussion of these proposals in the FNPRM, the Commission has requested comments from the parties in the proceeding and requested cost-benefit analyses, which may help the Commission identify and evaluate relevant matters for small entities, including any compliance costs and burdens that may result in the proceeding.</P>
                <HD SOURCE="HD2">E. Steps Taken To Minimize the Significant Economic Impact on Small Entities, and Significant Alternatives Considered</HD>
                <P>
                    40. The RFA requires an agency to describe any significant, specifically small business, alternatives for small businesses that it has considered in reaching its proposed approach, which may include the following four alternatives (among others): “(1) the establishment of differing compliance or reporting requirements or timetables that take into account the resources available to small entities; (2) the clarification, consolidation, or simplification of compliance and reporting requirements under the rule for such small entities; (3) the use of performance rather than design standards; and (4) an exemption from coverage of the rule, or any part thereof, for such small entities.” 
                    <SU>118</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>118</SU>
                         5 U.S.C. 603(c)(1)-(4).
                    </P>
                </FTNT>
                <P>41. In the FNPRM, the Commission continues to explore how to best protect current usage of the 12.2 GHz band, while simultaneously seeking ways to increase innovation in the band by expanding further terrestrial uses that could benefit millions of people across the country, as well as small and other entities utilizing those services. While doing so, the Commission is also mindful that small and other entities may incur costs should the proposals the Commission makes, and the alternatives upon which the Commission seeks comment in the FNPRM, be adopted. Below, the Commission discusses some specific actions taken and alternatives considered by the Commission in the FNPRM.</P>
                <P>
                    42. In the FNPRM, the Commission considers different ways in which to potentially expand licensed use of terrestrial fixed services in the 12.2 GHz band. For example, expansion of licensed use for incumbent MVDDS licensees could include increasing power limits or expanding terrestrial rights for incumbent MVDDS licensees. Incumbent MVDDS licensees that are small entities may benefit from the expansion of licensed use. At present, eight companies (10 legal entities) hold 191 MVDDS licenses: two DISH subsidiaries hold 82 licenses; RS Access, a subsidiary of a Dell investment fund, holds 60 licenses; two Go Long Wireless entities hold a total of 25 licenses; and five smaller companies hold a total of 24 licenses.
                    <SU>119</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>119</SU>
                         The remaining 23 licenses automatically terminated for failure to meet the buildout requirement. 
                        <E T="03">See Requests of Three Licensees of 22 Licenses in the Multichannel Video and Data Distribution Service for Extension of Time to Meet the Final Buildout Requirement for Providing Substantial Service under § 101.1413 of the Commission's Rules, Applications of Three Licensees for Renewal of 22 Licenses in the Multichannel Video and Data Distribution Service,</E>
                         Order, 33 FCC Rcd 10757 (WTB BD 2018), 
                        <E T="03">recons. pending. See also</E>
                         Blumenthal DTV LLC, Call Sign WQAR709 (Terminated July 26, 2014).
                    </P>
                </FTNT>
                <P>
                    43. Additionally, in the FNPRM among other things, the Commission considers what types of technical data reporting requirements should be considered. More specifically, different technical data reporting requirements or timetables that take into account their limited resources; simplification or consolidation of reporting requirements for small entities; or an exemption from any reporting requirements considered as potential steps the Commission could take to the benefit of small entities. The Commission also considers the expansion of unlicensed use of the band, as a means of potentially creating additional capacity for Internet of Things (IoT) use,
                    <SU>120</SU>
                    <FTREF/>
                     or alternatively, other types of applications. As a means of accommodating this expansion, the Commission considers whether its rules for unlicensed low power indoor devices in the 6 GHz band could serve as a model for unlicensed use in the 12.2 GHz band. The use of existing rules as a model could make the compliance obligations the Commission adopts for the 12.2 GHZ band easier to meet for those small entities already complying with similar requirements in the 6 GHz band. In the FNPRM the Commission seeks comment on this matter.
                </P>
                <FTNT>
                    <P>
                        <SU>120</SU>
                         Comments of Public Interest Organizations (New America's Open Technology Institute, et al.), at 2, 17.
                    </P>
                </FTNT>
                <P>
                    44. Lastly, the Commission considers whether there may be opportunities to take advantage of technological advancements to accommodate expanded terrestrial capabilities in the 12.2 GHz band. For example, services providing potentially dynamic, database-driven coordination capabilities, such as those that have been implemented in other frequency bands (
                    <E T="03">e.g.,</E>
                     6 GHz unlicensed and 3.5 GHz Citizens Broadband Radio Service) could be implemented in the 12.2 GHz band. Alternatively, the Commission considers whether perhaps another type of frequency management system would allow for a greater opportunity for expanded terrestrial services to develop within the band while affording protection to incumbent satellite and terrestrial services. The type of frequency management system adopted could make compliance easier to meet for small entities providing those services. Accordingly, in the FNPRM the Commission seeks additional comment on this issue.
                </P>
                <P>
                    45. The Commission expects to more fully consider the economic impact and alternatives for small entities following the review of comments, including cost-benefit analyses, filed in response to the FNPRM. The Commission's evaluation of this information will shape the final alternatives it considers to minimize any significant economic impact that may occur on small entities, the final conclusions it reaches, and any final rules it promulgates in this proceeding.
                    <PRTPAGE P="43514"/>
                </P>
                <HD SOURCE="HD2">F. Federal Rules That May Duplicate, Overlap, or Conflict With the Proposed Rules</HD>
                <P>46. None.</P>
                <HD SOURCE="HD1">III. Ordering Clauses</HD>
                <P>
                    47. 
                    <E T="03">It is ordered</E>
                     that, pursuant to sections 1, 2, 4, 5, 301, 302, 303, 304, 307, 309, 310, and 316 of the Communications Act of 1934, 47 U.S.C. 151, 152, 154, 155, 301, 302a, 303, 304, 307, 309, 310, 316, and § 1.411 of the Commission's rules, 47 CFR 1.411, the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order in the captioned dockets 
                    <E T="03">is adopted.</E>
                </P>
                <P>
                    48. The inquiry in Expanding Flexible Use in Mid-Band Spectrum Between 3.7-24 GHz, GN Docket No. 17-183, is 
                    <E T="03">terminated</E>
                     as to the mid-band spectrum between 12.2 GHz and 13.25 GHz.
                </P>
                <P>
                    49. 
                    <E T="03">It is further ordered</E>
                     that, pursuant to applicable procedures set forth in §§ 1.415 and 1.419 of the Commission's rules, 47 CFR 1.415, 1.419, interested parties may file comments on the FNPRM in WT Docket No. 20-443 and the Notice of Proposed Rulemaking in GN Docket No. 22-352 on or before the number of days shown on the first page of this document after publication in the 
                    <E T="04">Federal Register</E>
                    <E T="03">,</E>
                     and reply comment on or before the number of days shown on the first page of this document after publication in the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <P>
                    50. 
                    <E T="03">It is further ordered</E>
                     that the Commission's Office of the Secretary, Reference Information Center, 
                    <E T="03">shall send</E>
                     a copy of the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order, including the associated Initial Regulatory Flexibility Analyses, to the Chief Counsel for Advocacy of the Small Business Administration.
                </P>
                <SIG>
                    <FP>Federal Communications Commission.</FP>
                    <NAME>Marlene Dortch,</NAME>
                    <TITLE>Secretary, Office of the Secretary.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-13501 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6712-01-P</BILCOD>
        </PRORULE>
        <PRORULE>
            <PREAMB>
                <AGENCY TYPE="S">FEDERAL COMMUNICATIONS COMMISSION</AGENCY>
                <CFR>47 CFR Part 9</CFR>
                <DEPDOC>[PS Docket No. 21-479; FCC 23-47; FR ID 151653]</DEPDOC>
                <SUBJECT>Facilitating Implementation of Next Generation 911 Services (NG911)</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Communications Commission.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Proposed rule.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        In this document, the Federal Communications Commission (the FCC or Commission) proposes rules that will advance the nationwide transition to Next Generation 911 (NG911). Some states report that they are experiencing delays in providers connecting to NG911 networks. As a result of these delays, state and local 911 authorities incur prolonged costs because of the need to maintain both legacy and NG911 networks during the transition. The Notice of Proposed Rulemaking (
                        <E T="03">NPRM</E>
                        ) proposes requiring wireline, interconnected Voice over Internet Protocol (VoIP), and internet-based Telecommunications Relay Service (TRS) providers to complete all translation and routing to deliver 911 calls in the requested Internet Protocol (IP)-based format to an Emergency Services IP network (ESInet) or other designated point(s) that allow emergency calls to be answered upon request of 911 authorities who have certified the capability to accept IP-based 911 communications. In addition, the 
                        <E T="03">NPRM</E>
                         proposes to require wireline, interconnected VoIP, Commercial Mobile Radio Service (CMRS), and internet-based TRS providers to transmit all 911 calls to destination point(s) in those networks designated by a 911 authority upon request of 911 authorities who have certified the capability to accept IP-based 911 communications. Finally, the 
                        <E T="03">NPRM</E>
                         proposes that in the absence of agreements by states or localities on alternative cost recovery mechanisms, wireline, interconnected VoIP, CMRS, and internet-based TRS providers must cover the costs of transmitting 911 calls to the point(s) designated by a 911 authority.
                    </P>
                </SUM>
                <EFFDATE>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Comments are due on or before August 9, 2023, and reply comments are due on or before September 8, 2023.</P>
                </EFFDATE>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Pursuant to §§ 1.415 and 1.419 of the Commission's rules, 47 CFR 1.415, 1.419, interested parties may file comments and reply comments on or before the dates indicated on the first page of this document. Comments may be filed using the Commission's Electronic Comment Filing System (ECFS). 
                        <E T="03">See Electronic Filing of Documents in Rulemaking Proceedings,</E>
                         63 FR 24121 (1998). You may submit comments, identified by PS Docket No. 21-479, by any of the following methods:
                    </P>
                    <P>
                        • 
                        <E T="03">Electronic Filers:</E>
                         Comments may be filed electronically using the internet by accessing the ECFS: 
                        <E T="03">http://apps.fcc.gov/ecfs/.</E>
                    </P>
                    <P>
                        • 
                        <E T="03">Paper Filers:</E>
                         Parties who choose to file by paper must file an original and one copy of each filing.
                    </P>
                    <P>Filings can be sent by commercial overnight courier, or by first-class or overnight U.S. Postal Service mail. All filings must be addressed to the Commission's Secretary, Office of the Secretary, Federal Communications Commission.</P>
                    <P>• Commercial overnight mail (other than U.S. Postal Service Express Mail and Priority Mail) must be sent to 9050 Junction Drive, Annapolis Junction, MD 20701.</P>
                    <P>• U.S. Postal Service first-class, Express, and Priority mail must be addressed to 45 L Street NE, Washington, DC 20554.</P>
                    <P>
                        • Effective March 19, 2020, and until further notice, the Commission no longer accepts any hand or messenger delivered filings. This is a temporary measure taken to help protect the health and safety of individuals, and to mitigate the transmission of COVID-19. 
                        <E T="03">See FCC Announces Closure of FCC Headquarters Open Window and Change in Hand-Delivery Policy,</E>
                         public notice, DA 20-304 (March 19, 2020), 
                        <E T="03">https://www.fcc.gov/document/fcc-closes-headquarters-open-window-and-changes-hand-delivery-policy.</E>
                    </P>
                    <P>
                        <E T="03">People with Disabilities:</E>
                         To request materials in accessible formats for people with disabilities (Braille, large print, electronic files, audio format), send an email to 
                        <E T="03">fcc504@fcc.gov</E>
                         or call the Consumer &amp; Governmental Affairs Bureau at 202-418-0530 (voice).
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Rachel Wehr, Attorney Advisor, Policy and Licensing Division, Public Safety and Homeland Security Bureau, (202) 418-1138, 
                        <E T="03">Rachel.Wehr@fcc.gov,</E>
                         or Brenda Boykin, Deputy Division Chief, Policy and Licensing Division, Public Safety and Homeland Security Bureau, (202) 418-2062, 
                        <E T="03">Brenda.Boykin@fcc.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    This is a summary of the Commission's Notice of Proposed Rulemaking (
                    <E T="03">NPRM</E>
                    ), FCC 23-47, in PS Docket No. 21-479, adopted on June 8, 2023, and released on June 9, 2023. The full text of this document is available at 
                    <E T="03">https://www.fcc.gov/document/fcc-proposes-action-expedite-transition-next-generation-911-0.</E>
                </P>
                <HD SOURCE="HD1">Initial Paperwork Reduction Act of 1995 Analysis</HD>
                <P>
                    This 
                    <E T="03">NPRM</E>
                     may contain proposed new or modified information collection(s) subject to the Paperwork Reduction Act of 1995 (PRA). The Commission, as part of its continuing effort to reduce paperwork burdens, invites the general public and the Office of Management and Budget (OMB) to comment on any information collection requirements contained in this 
                    <PRTPAGE P="43515"/>
                    document, as required by the PRA. If the Commission adopts any new or modified information collection requirements, they will be submitted to OMB for review under section 3507(d) of the PRA. OMB, the general public, and other Federal agencies will be invited to comment on the new or modified information collection requirements contained in this proceeding. In addition, pursuant to the Small Business Paperwork Relief Act of 2002, we seek specific comment on how we might further reduce the information collection burden for small business concerns with fewer than 25 employees.
                </P>
                <P>
                    The Commission will treat this proceeding as a “permit-but-disclose” proceeding in accordance with the Commission's 
                    <E T="03">ex parte</E>
                     rules. Persons making 
                    <E T="03">ex parte</E>
                     presentations must file a copy of any written presentation or a memorandum summarizing any oral presentation within two business days after the presentation (unless a different deadline applicable to the Sunshine period applies). Persons making oral 
                    <E T="03">ex parte</E>
                     presentations are reminded that memoranda summarizing the presentation must (1) list all persons attending or otherwise participating in the meeting at which the 
                    <E T="03">ex parte</E>
                     presentation was made, and (2) summarize all data presented and arguments made during the presentation. If the presentation consisted in whole or in part of the presentation of data or arguments already reflected in the presenter's written comments, memoranda, or other filings in the proceeding, the presenter may provide citations to such data or arguments in his or her prior comments, memoranda, or other filings (specifying the relevant page and/or paragraph numbers where such data or arguments can be found) in lieu of summarizing them in the memorandum. Documents shown or given to Commission staff during 
                    <E T="03">ex parte</E>
                     meetings are deemed to be written 
                    <E T="03">ex parte</E>
                     presentations and must be filed consistent with rule § 1.1206(b). In proceedings governed by rule § 1.49(f) or for which the Commission has made available a method of electronic filing, written 
                    <E T="03">ex parte</E>
                     presentations and memoranda summarizing oral 
                    <E T="03">ex parte</E>
                     presentations, and all attachments thereto, must be filed through the electronic comment filing system available for that proceeding, and must be filed in their native format (
                    <E T="03">e.g.,</E>
                     .doc, .xml, .ppt, searchable .pdf). Participants in this proceeding should familiarize themselves with the Commission's 
                    <E T="03">ex parte</E>
                     rules.
                </P>
                <HD SOURCE="HD1">Synopsis</HD>
                <HD SOURCE="HD1">Background</HD>
                <P>
                    In this 
                    <E T="03">NPRM,</E>
                     we propose to take steps that will advance the nationwide transition to Next Generation 911 (NG911).
                    <SU>1</SU>
                    <FTREF/>
                     Like communications networks generally, dedicated 911 networks are evolving from Time Division Multiplexing (TDM)-based architectures to Internet Protocol (IP)-based architectures. With the transition to NG911, 911 authorities will replace the circuit-switched architecture of legacy 911 networks with IP-based technologies and applications, which provide new capabilities and improved interoperability and system resilience. Most states have invested significantly in NG911, but some report that they are experiencing delays in providers connecting to these IP-based networks. As a result of these delays, state and local 911 authorities incur prolonged costs because of the need to maintain both legacy and IP networks during the transition. Managing 911 traffic on both legacy and IP networks may also result in increased vulnerability and risk of 911 outages.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         For purposes of this 
                        <E T="03">NPRM,</E>
                         we use the term Next Generation 911 (NG911) to refer generally to the digital Internet Protocol (IP)-based 911 systems that are replacing analog time division multiplexing (TDM) 911 infrastructure. We also seek comment on defining NG911 for purposes of our proposed rules.
                    </P>
                </FTNT>
                <P>In this proceeding, we propose to expedite the NG911 transition by adopting certain requirements that would apply to wireline, Commercial Mobile Radio Service (CMRS), interconnected Voice over Internet Protocol (VoIP), and internet-based Telecommunications Relay Service (TRS) providers as state and local 911 authorities transition to IP-based networks and develop the capability to support NG911 elements and functions.</P>
                <P>
                    • First, we propose to require wireline, interconnected VoIP, and internet-based TRS providers to complete all translation and routing to deliver 911 calls, including associated location information, in the requested IP-based format to an Emergency Services IP network (ESInet) or other designated point(s) that allow emergency calls to be answered upon request of 911 authorities who have certified the capability to accept IP-based 911 communications. Wireline and interconnected VoIP providers would be subject to this requirement six months from the effective date of the IP service delivery requirement, or six months after a valid request for IP-based service by a state or local 911 authority, whichever is later. Internet-based TRS providers would be subject to this requirement twelve months from the effective date of the IP service delivery requirement, or twelve months after a valid request for IP-based service by a state or local 911 authority, whichever is later. This proposal is similar to that proposed for CMRS and covered text providers in our recent proceeding on wireless location-based routing.
                    <SU>2</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See Location-Based Routing for Wireless 911 Calls,</E>
                         Notice of Proposed Rulemaking, PS Docket No. 18-64, FCC 22-96, 2022 WL 17958801, at *2, para. 4 (Dec. 22, 2022) (
                        <E T="03">Location-Based Routing NPRM</E>
                        ). The Commission defines the term “covered text provider” as including “all CMRS providers as well as all providers of interconnected text messaging services that enable consumers to send text messages to and receive text messages from all or substantially all text-capable U.S. telephone numbers, including through the use of applications downloaded or otherwise installed on mobile phones.” 47 CFR 9.10(q)(1).
                    </P>
                </FTNT>
                <P>• Second, as state and local 911 authorities transition to IP-based networks, we propose to require wireline, interconnected VoIP, CMRS, and internet-based TRS providers to transmit all 911 calls to destination point(s) in those networks designated by a 911 authority, including to a public safety answering point (PSAP), designated statewide default answering point, local emergency authority, ESInet, or other point(s) designated by 911 authorities that allow emergency calls to be answered, upon request of 911 authorities who have certified the capability to accept IP-based 911 communications.</P>
                <P>• Third, we propose that in the absence of agreements by states or localities on alternative cost recovery mechanisms, wireline, interconnected VoIP, CMRS, and internet-based TRS providers must cover the costs of transmitting 911 calls to the point(s) designated by a 911 authority, including any costs associated with completing the translation and routing necessary to deliver such calls and associated location information to the designated destination point(s) in the requested IP-based format. Under this proposal, states and localities would remain free to establish alternative cost allocation arrangements with providers. However, in the absence of such arrangements, providers would be presumptively responsible for the costs associated with delivering traffic to the destination point(s) identified by the appropriate 911 authority.</P>
                <P>
                    Together, these proposals are intended to expedite the NG911 transition and help ensure that the nation's 911 system functions effectively and with the most advanced capabilities available. In addition, they respond to the petition filed in 2021 by the National Association of State 911 
                    <PRTPAGE P="43516"/>
                    Administrators (NASNA) 
                    <SU>3</SU>
                    <FTREF/>
                     urging the Commission to take actions to resolve uncertainty and disputes between originating service providers (OSPs) 
                    <SU>4</SU>
                    <FTREF/>
                     and state 911 authorities regarding the NG911 transition. We seek to create a consistent framework for ensuring that providers (including wireline, CMRS, interconnected VoIP, and internet-based TRS providers) take the necessary steps to implement the transition to NG911 capability in coordination with state and local 911 authorities. We also seek to align the NG911 transition rules for wireline, interconnected VoIP, and internet-based TRS providers with similar requirements we have proposed for CMRS and covered text providers in the 
                    <E T="03">Location-Based Routing NPRM,</E>
                     thereby promoting consistency across service platforms. Finally, our demarcation point and cost allocation proposals seek to address what NASNA described in its Petition as “the critical component, and biggest regulatory roadblock, to transitioning to NG911 services.” We seek comment on the tentative conclusions, proposals, and analyses set forth in this 
                    <E T="03">NPRM,</E>
                     as well as on any alternative approaches.
                </P>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         Petition for Rulemaking; Alternatively, Petition for Notice of Inquiry, CC Docket No. 94-102, PS Docket Nos. 18-64, 18-261, 11-153, and 10-255 (filed Oct. 19, 2021), 
                        <E T="03">https://www.fcc.gov/ecfs/document/1019188969473/1</E>
                         (NASNA Petition).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         NASNA and other commenters on NASNA's Petition use the term “originating service providers” to refer to all service providers that originate 911 calls and are subject to part 9 of our rules, including wireline, wireless, and interconnected Voice over Internet Protocol (VoIP) providers. 
                        <E T="03">See, e.g.,</E>
                         NASNA Petition at 2. For purposes of this 
                        <E T="03">NPRM,</E>
                         we use the term “originating service providers” (OSPs) to refer collectively to wireline, wireless, and interconnected VoIP providers, but not to other service providers covered by part 9 (
                        <E T="03">e.g.,</E>
                         telecommunications relay and mobile satellite services).
                    </P>
                </FTNT>
                <P>
                    911 service is a vital part of our nation's emergency response and disaster preparedness system. Since the first 911 call was placed in 1968, the American public increasingly has come to depend on 911 service. The National Emergency Number Association (NENA) estimates that some form of 911 service is available to over 98 percent of the population and to over 97 percent of the counties in the United States, and data collected in our annual 911 fee report indicate that over 220 million calls are made to 911 in the United States each year.
                    <SU>5</SU>
                    <FTREF/>
                     The availability of this critical service is due largely to the dedicated efforts of state, local, and Tribal authorities and providers, who have used the 911 abbreviated dialing code to provide access to increasingly advanced and effective emergency service capabilities.
                    <SU>6</SU>
                    <FTREF/>
                     Indeed, absent funding for and appropriate action by states, Tribes, and local jurisdictions, there can be no effective 911 service.
                </P>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         FCC, Fourteenth Annual Report to Congress on State Collection and Distribution of 911 and Enhanced 911 Fees and Charges at 15, tbl. 3 (2022), 
                        <E T="03">https://www.fcc.gov/file/24628/download</E>
                         (Fourteenth Annual 911 Fee Report).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         
                        <E T="03">See Implementation of 911 Act; The Use of N11 Codes and Other Abbreviated Dialing Arrangements,</E>
                         WT Docket No. 00-110, CC Docket No. 92-105, Fourth Report and Order and Third Notice of Proposed Rulemaking, and Notice of Proposed Rulemaking, 15 FCC Rcd 17079, 17084, para. 9 (2000) (
                        <E T="03">911 Implementation Notice</E>
                        ).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">911 Implementation</HD>
                <P>
                    <E T="03">The Universal Emergency Number.</E>
                     In 1999, Congress amended section 251(e) of the Communications Act of 1934, as amended (the Act), and directed the Commission to designate “911” as the nationwide abbreviated dialing code for contacting wireline and wireless voice services for public safety and emergency services.
                    <SU>7</SU>
                    <FTREF/>
                     In 2000, the Commission designated 911 as the national emergency telephone number to be used for reporting emergencies and requesting emergency assistance. In 2001, the Commission established a period for wireline and wireless carriers to transition to routing 911 calls to a PSAP in areas where one had been designated or, in areas where a PSAP had not yet been designated, either to an existing statewide default point or to an appropriate local emergency authority.
                    <SU>8</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         Wireless Communications and Public Safety Act of 1999, Public Law 106-81,  3(a), 113 Stat. 1286, 1287 (911 Act) (codified at 47 U.S.C. 251(e)(3)). The purpose of the 911 Act is to enhance public safety by encouraging and facilitating the prompt deployment of a nationwide, seamless communications infrastructure for emergency services that includes wireless communications. 
                        <E T="03">911 Implementation Notice,</E>
                         15 FCC Rcd at 17081, para. 1 (citing 911 Act § 2(b)). The 911 Act further directs the Commission to encourage and support the states in developing comprehensive emergency communications throughout the United States so that all jurisdictions offer seamless networks for prompt emergency service. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         
                        <E T="03">See Implementation of 911 Act; The Use of N11 Codes and Other Abbreviated Dialing Arrangements,</E>
                         WT Docket No. 00-110, CC Docket No. 92-105, Fifth Report and Order, First Report and Order, and Memorandum Opinion and Order on Reconsideration, 16 FCC Rcd 22264, 22293-95, App. B (2001). The Commission codified in former section 64.3001 the obligation of telecommunications carriers to transmit all 911 calls to a PSAP, to a designated statewide default answering point, or to an appropriate local emergency authority. 
                        <E T="03">Id.</E>
                         In addition, the Commission codified in former section 64.3002 the periods for transition to 911 as the universal emergency telephone number. 
                        <E T="03">Id.</E>
                         The Commission subsequently renumbered sections 64.3001 and 64.3002 as current sections 9.4 and 9.5, respectively. 
                        <E T="03">Implementing Kari's Law and Section 506 of RAY BAUM'S Act; Inquiry Concerning 911 Access, Routing, and Location in Enterprise Communications Systems; Amending the Definition of Interconnected VoIP Service in Section 9.3 of the Commission's Rules,</E>
                         PS Docket Nos. 18-261 and 17-239, GN Docket No. 11-117, Report and Order, 34 FCC Rcd 6607, 6742, App. B (2019) (
                        <E T="03">Kari's Law/RAY BAUM'S Act Order</E>
                        ), 
                        <E T="03">corrected by</E>
                         Erratum, DA 19-1217 (PSHSB Dec. 2, 2019), 
                        <E T="03">also corrected by</E>
                         Second Erratum, 87 FR 60104 (Oct. 4, 2022); 
                        <E T="03">see</E>
                         47 CFR 9.4 and 9.5.
                    </P>
                </FTNT>
                <P>
                    <E T="03">Legacy 911 Call Routing.</E>
                     For legacy E911 systems, 911 calls are routed through the use of a wireline network element—called a selective router—to a geographically appropriate PSAP based on the caller's location.
                    <SU>9</SU>
                    <FTREF/>
                     The selective router serves as the entry point for 911 calls from competitive and incumbent LEC central offices over dedicated trunks, as well as 911 calls from wireless and interconnected VoIP providers. In legacy architecture, PSAPs are connected to telephone switches in the selective router by dedicated trunk lines. Historically, the selective router and connecting trunk lines have been implemented, operated, and maintained by a subset of incumbent Local Exchange Carriers (LECs) and largely paid for by state or local 911 authorities through state tariffs or contracts. Network implementation has varied from carrier to carrier and jurisdiction to jurisdiction, but legacy E911 has typically been based on traditional circuit-switched architecture and implemented with legacy components that place significant limitations on the functions that can be performed over the network.
                </P>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         
                        <E T="03">See IP-Enabled Services; E911 Requirements for IP-Enabled Service Providers,</E>
                         WC Docket Nos. 04-36 and 05-196, First Report and Order and Notice of Proposed Rulemaking, 20 FCC Rcd 10245, 10251, 10252, paras. 13, 15 (2005) (
                        <E T="03">VoIP 911 Order</E>
                        ), 
                        <E T="03">aff'd sub nom. Nuvio Corp.</E>
                         v. 
                        <E T="03">FCC,</E>
                         473 F.3d 302 (D.C. Cir. 2006).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Legacy Demarcation Point.</E>
                     Although the Commission has not previously set a cost demarcation point for wireline, interconnected VoIP, and internet-based TRS providers in the E911 environment, the Commission has set a demarcation point for purposes of the wireless transition to E911. Early in the implementation of E911 Phase I by wireless carriers, King County, Washington sought clarification of the demarcation point for costs in Phase I implementation. In 2001, the Wireless Telecommunications Bureau (WTB) issued a decision (
                    <E T="03">King County Letter</E>
                    ) identifying the input to the 911 selective router maintained by the incumbent LEC as the “proper demarcation point” for allocating wireless E911 Phase I information delivery responsibilities and costs in instances when CMRS providers and 911 authorities could not agree on an appropriate demarcation point.
                    <SU>10</SU>
                    <FTREF/>
                     In 2002, the Commission issued 
                    <PRTPAGE P="43517"/>
                    an Order on Reconsideration (
                    <E T="03">King County Order on Reconsideration</E>
                    ) affirming WTB's decision and extending the demarcation point to include the delivery of wireless E911 Phase II information.
                    <SU>11</SU>
                    <FTREF/>
                     The Commission affirmed that for a wireless carrier to satisfy its obligation to provide Phase I information to the PSAP under § 20.18(d) (now § 9.10(d)), the wireless carrier must deliver and bear the costs to deliver E911 Phase I information to the equipment in the existing 911 system that “analyzes and distributes it,” 
                    <E T="03">i.e.,</E>
                     the 911 selective router. The Commission also affirmed that PSAPs were required to bear Phase I costs for delivery beyond the 911 selective router. Together, these decisions provided guidance to facilitate implementation of E911 in TDM networks. However, the Commission has not previously sought to address demarcation in the NG911 environment.
                </P>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         Letter from Thomas J. Sugrue, Chief, Wireless Telecommunications Bureau, FCC, to Marlys R. Davis, E911 Program Manager, King County E-911 Program Office, Department of Information and Administrative Services, King County, Washington, 2001 WL 491934, at *1 (WTB May 7, 2001) (
                        <E T="03">
                            King 
                            <PRTPAGE/>
                            County Letter
                        </E>
                        ) (clarifying that “wireless carriers are responsible for the costs of all hardware and software components and functionalities that precede the 911 Selective Router” and that “PSAPs . . . must bear the costs of maintaining and/or upgrading the E911 components and functionalities beyond the input to the 911 Selective Router”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">Revision of the Commission's Rules to Ensure Compatibility with Enhanced 911 Emergency Calling Systems; Request of King County, Washington,</E>
                         CC Docket No. 94-102, Order on Reconsideration, 17 FCC Rcd 14789, 14789, 14793, paras. 1, 9-10 (2002) (
                        <E T="03">King County Order on Reconsideration</E>
                        ) (affirming the 
                        <E T="03">King County Letter</E>
                         on reconsideration and extending WTB's analysis to Phase II service).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Voice Over Internet Protocol.</E>
                     With regard to interconnected VoIP, the Commission has recognized that consumers expected certain types of emerging voice technology to have the same ability to reach emergency services when dialing 911 as their traditional wireline and wireless services. This recognition resulted in the 2005 
                    <E T="03">VoIP 911 Order,</E>
                     in which the Commission imposed 911 service obligations on providers of interconnected VoIP.
                    <SU>12</SU>
                    <FTREF/>
                     The Commission declined to establish an E911 demarcation point for interconnected VoIP service, but it stated that “[t]o the extent that it becomes a concern, we believe that the demarcation point that the Commission established for wireless E911 cost allocation would be equally appropriate for VoIP.”
                </P>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">VoIP 911 Order,</E>
                         20 FCC Rcd at 10246, 10256, paras. 1, 22; 
                        <E T="03">see also</E>
                         47 CFR 9.3 (defining 
                        <E T="03">interconnected VoIP service</E>
                        ), 9.11-.12 (giving interconnected VoIP providers duties and rights with respect to provision of 911 service). The Commission later clarified that the 911 VoIP requirements extended to “outbound only” interconnected VoIP providers, that is, VoIP providers that permit users to initiate calls that terminate to the PSTN even if they do not also allow users to receive calls from the PSTN. 
                        <E T="03">Kari's Law/RAY BAUM'S Act Order,</E>
                         34 FCC Rcd at 6670-71, 6675, paras. 174, 183. While section 615b uses the term “IP-enabled voice service,” it defines this term as having the same meaning as “interconnected VoIP” in section 9.3 of the Commission's rules. 47 U.S.C. 615b(8). We refer to both of these terms in this 
                        <E T="03">NPRM</E>
                         as “interconnected VoIP service” (and to providers of such a service as “interconnected VoIP providers”) and in doing so intend to encompass all VoIP services subject to 911 obligations under part 9 of our rules, including providers of Internet Protocol Captioned Telephone Service (IP CTS), who are also the providers of the associated interconnected VoIP service. IP CTS is a form of Telecommunications Relay Service (TRS) “that permits an individual with a hearing or a speech disability to communicate in text using an internet Protocol-enabled device via the internet, rather than using a text telephone (TTY) and the public switched telephone network.” 47 CFR 64.601(a)(24). We also include other providers of internet-based TRS, video relay service (VRS), and Internet Protocol Relay Service (IP Relay).
                    </P>
                </FTNT>
                <P>
                    <E T="03">911 Parity.</E>
                     By 2008, Congress recognized that the nation's 911 system was “evolving from its origins in a circuit-switched world to an IP-based network” 
                    <SU>13</SU>
                    <FTREF/>
                     and that for VoIP providers to fulfill their 911 service obligations to subscribers, they must have access to the same emergency services capabilities and infrastructure as other voice providers.
                    <SU>14</SU>
                    <FTREF/>
                     Congress passed the New and Emerging Technologies Improvement Act of 2008 (NET 911 Act) to facilitate the rapid deployment of VoIP 911 services and to, among other things, encourage the transition to a national IP-enabled emergency network. The NET 911 Act extended critical 911 service-related rights, protections, and obligations to VoIP service providers, and mandated parity for VoIP providers vis-à-vis other voice providers subject to 911 obligations with respect to the rates, terms, and conditions applicable to exercising their rights and obligations to provision VoIP 911 service.
                </P>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         
                        <E T="03">Implementation of the NET 911 Improvement Act of 2008,</E>
                         Report and Order, WC Docket No. 08-171, 23 FCC Rcd 15884, 15893, para. 22 (
                        <E T="03">citing</E>
                         New and Emerging Technologies 911 Improvement Act of 2008, Pub. L. 110-283, Preamble, § 102, 122 Stat. 2620 (2008) (NET 911 Act).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         
                        <E T="03">See</E>
                         H.R. Rep. No. 110-442, at 6-7 (2007).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">Transition to Next Generation 911</HD>
                <P>
                    Like communications networks generally, 911 networks are evolving from TDM-based architectures to IP-based architectures. With the transition to NG911, the circuit-switched architecture of legacy 911 will eventually be entirely replaced by IP-based technologies and applications that provide all of the same functions as the legacy 911 system, as well as new capabilities. In its end state, NG911 will facilitate interoperability and system resilience, improve connections between 911 call centers, and support the transmission of text, photos, videos, and data.
                    <SU>15</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         
                        <E T="03">See, e.g.,</E>
                         City of New York Office of Technology &amp; Innovation, 2022 Annual Report on Implementation of Next Generation 9-1-1 in NYC at 4 (2022), 
                        <E T="03">https://www.nyc.gov/assets/oti/downloads/pdf/reports/annual-report-next-generation-911-2022.pdf</E>
                         (listing the primary technical benefits of NG911); 
                        <E T="03">see also</E>
                         NENA, Why NG9-1-1 at 1-2 (2009), 
                        <E T="03">https://cdn.ymaws.com/www.nena.org/resource/resmgr/ng9-1-1_project/whyng911.pdf</E>
                         (identifying the purposes of NG911).
                    </P>
                </FTNT>
                <P>
                    Congress has recognized the Commission's role in facilitating the transition to NG911. As part of the 2010 National Broadband Plan, the Commission recommended that Congress consider developing a new “legal and regulatory framework for development of NG911 and the transition from legacy 911 to NG911 networks.” 
                    <SU>16</SU>
                    <FTREF/>
                     Also in 2010, Congress enacted the Twenty-First Century Communications and Video Accessibility Act (CVAA), which authorized the Commission to implement regulations necessary to achieve reliable and interoperable communication that ensures access to an internet Protocol-enabled emergency network by individuals with disabilities, where achievable and technically feasible.
                    <SU>17</SU>
                    <FTREF/>
                     In 2012, Congress enacted the Next Generation 9-1-1 Advancement Act of 2012 as part of the Middle Class Tax Relief and Job Creation Act of 2012 (NG911 Act), asking the Commission to prepare and submit a report to Congress on recommendations for the legal and statutory framework for NG911 services.
                    <SU>18</SU>
                    <FTREF/>
                     In 2013, the Commission submitted that report, recommending among other things that Congress (1) facilitate the exercise of existing authority over NG911 by certain federal agencies (including the Commission), and (2) consider enacting legislation that would ensure there is no gap between federal and state authority over NG911.
                    <SU>19</SU>
                    <FTREF/>
                     The Commission stated that “[t]he Commission already has sufficient authority to regulate the 911 and NG911 activity of, inter alia, 
                    <PRTPAGE P="43518"/>
                    wireline and wireless carriers, interconnected VoIP providers, and other IP-based service providers.”
                </P>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         FCC, Connecting America: The National Broadband Plan, Recommendation 16.14 at 326 (2010), 
                        <E T="03">http://hraunfoss.fcc.gov/edocs_public/attachmatch/DOC-296935A1.pdf</E>
                         (last visited May 16, 2023) (National Broadband Plan).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         Twenty-First Century Communications and Video Accessibility Act of 2010, Public Law 111-260, 124 Stat 2751 § 106(g) (2010) (CVAA) (codified at 47 U.S.C. 615c(g)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         Middle Class Tax Relief and Job Creation Act of 2012, Public Law 112-96 (2012), Title VI, Subtitle E, Next Generation 9-1-1 Advancement Act (NG911 Act) § 6509.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         FCC, Legal and Regulatory Framework for Next Generation 911 Services, Section 4.1.2.2 at 28-29 (2013), 
                        <E T="03">https://transition.fcc.gov/Daily_Releases/Daily_Business/2013/db0227/DOC-319165A1.pdf</E>
                         (last visited May 16, 2023) (2013 NG911 Framework Report).
                    </P>
                </FTNT>
                <P>
                    The technological and regulatory landscape underlying 911 has evolved significantly since 2013. The Commission has adopted requirements for text-to-911, real-time text, wireless indoor location accuracy, and dispatchable location.
                    <SU>20</SU>
                    <FTREF/>
                     In addition, the Commission has updated 911 outage and reliability rules, including recognizing the role of covered 911 entities.
                    <SU>21</SU>
                    <FTREF/>
                     With respect to technology, E911 Phase II is now widely implemented, and many state and local jurisdictions have deployed ESInets and taken other transitional steps towards NG911.
                    <SU>22</SU>
                    <FTREF/>
                     Although the NG911 transition remains ongoing and there are no fully enabled NG911 systems yet operating,
                    <SU>23</SU>
                    <FTREF/>
                     the technical architecture of NG911 systems has been developed in detail and is well-established.
                    <SU>24</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         
                        <E T="03">E.g., Facilitating the Deployment of Text-to-911 and Other Next Generation 911 Applications; Framework for Next Generation 911 Deployment,</E>
                         PS Docket Nos. 11-153 and 10-255, Second Report and Order and Third Further Notice of Proposed Rulemaking, 29 FCC Rcd 9846 (2014); 
                        <E T="03">Transition from TTY to Real-Time Text Technology; Petition for Rulemaking to Update the Commission's Rules for Access to Support the Transition from TTY to Real-Time Text Technology, and Petition for Waiver of Rules Requiring Support of TTY Technology,</E>
                         CG Docket No. 16-145, GN Docket No. 15-178, Report and Order and Further Notice of Proposed Rulemaking, 31 FCC Rcd 13568 (2016); 
                        <E T="03">Wireless E911 Location Accuracy Requirements,</E>
                         PS Docket No. 07-114, Fourth Report and Order, 30 FCC Rcd 1259 (2015); 
                        <E T="03">Wireless E911 Location Accuracy Requirements,</E>
                         PS Docket No. 07-114, Fifth Report and Order and Fifth Further Notice of Proposed Rulemaking, 34 FCC Rcd 11592 (2019); 
                        <E T="03">Wireless E911 Location Accuracy Requirements,</E>
                         PS Docket No. 07-114, Sixth Report and Order and Order on Reconsideration, 35 FCC Rcd 7752 (2020); 
                        <E T="03">Kari's Law/RAY BAUM'S Act Order,</E>
                         34 FCC Rcd 6607.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         
                        <E T="03">E.g., Amendments to Part 4 of the Commission's Rules Concerning Disruptions to Communications; Improving 911 Reliability; New Part 4 of the Commission's Rules Concerning Disruptions to Communications,</E>
                         PS Docket Nos. 15-80, 13-75 and 04-35, Second Report and Order, FCC 22-88, 2022 WL 17100963 (Nov. 18, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         According to the most recent National 911 Annual Report, 2,287 PSAPs reported using an ESInet across 47 states in 2021, nearly a 5% increase from the 2020 data. National 911 Program, National 911 Annual Report, 2021 Data at 8, 60, 64 (2023), 
                        <E T="03">https://www.911.gov/assets/2021-911-Profile-Database-Report_FINAL.pdf</E>
                         (National 911 Annual Report).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>23</SU>
                         Association of Public-Safety Communications Officials-International, Inc. (APCO) Comments at 1-2 (rec. Jan. 19, 2022) (APCO Comments) (“ECCs should be able to receive, process, and share appropriate information with responders in the field and with other ECCs in a secure and fully interoperable fashion [but] no part of the country can be described as having achieved this vision of NG9-1-1 with end-to-end broadband communications for ECCs.”); 
                        <E T="03">see also</E>
                         APCO, APCO International's Definitive Guide to Next Generation 9-1-1 at 9 (2022), 
                        <E T="03">https://www.apcointl.org/ext/pages/APCOng911Guide/APCO_NG911_Report_Final.pdf</E>
                         (noting that comprehensive, end-to-end NG911 “does not yet exist anywhere in the country”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>24</SU>
                         
                        <E T="03">See</E>
                         Task Force on Optimal PSAP Architecture (TFOPA), Adopted Final Report (2016), 
                        <E T="03">https://transition.fcc.gov/pshs/911/TFOPA/TFOPA_FINALReport_012916.pdf</E>
                         (TFOPA Final Report).
                    </P>
                </FTNT>
                <P>
                    <E T="03">NASNA Petition.</E>
                     On October 19, 2021, NASNA filed a petition asking the Commission to initiate a rulemaking or notice of inquiry to facilitate the transition to NG911 (NASNA Petition). Specifically, NASNA asked the Commission to assert authority over the delivery of 911 communications by OSPs to ESInets and to amend the rules as needed to advance the transition to NG911. As part of its petition, NASNA urged the Commission to set a default demarcation point in the NG911 environment analogous to its 
                    <E T="03">King County</E>
                     ruling in the E911 environment. NASNA also asked the Commission to set deadlines for OSPs to begin delivering 911 traffic in NG911 format when the relevant state or local 911 authority achieves NG911 readiness, and to establish a registry through which 911 authorities would notify OSPs of their NG911 readiness status. The Public Safety and Homeland Security Bureau (PSHSB or Bureau) placed the Petition on public notice on December 17, 2021, and received twenty-two comments, eight replies, and seven 
                    <E T="03">ex partes.</E>
                    <SU>25</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>25</SU>
                         
                        <E T="03">Public Safety and Homeland Security Bureau Seeks Comment on Petition for Rulemaking Filed by the National Association of State 911 Administrators,</E>
                         CC Docket No. 94-102 and PS Docket Nos. 21-479, 18-261, 18-64, 11-153, and 10-255, public notice, 36 FCC Rcd 17805 (PSHSB 2021), 
                        <E T="03">https://www.fcc.gov/document/pshsb-seeks-comment-nasna-petition-rulemaking</E>
                         (
                        <E T="03">public notice</E>
                        ). Comments, replies, and 
                        <E T="03">ex partes</E>
                         in this proceeding may be viewed in the Commission's Electronic Comment Filing System (ECFS): 
                        <E T="03">https://www.fcc.gov/ecfs/search/search-filings/results?q=(proceedings.name:(%2221-479%22)).</E>
                    </P>
                </FTNT>
                <P>
                    <E T="03">Wireless Location-Based Routing.</E>
                     In December 2022, we issued the 
                    <E T="03">Location-Based Routing NPRM</E>
                     proposing to require CMRS and covered text providers to implement location-based routing for 911 calls and texts nationwide. As part of that proceeding, we proposed to require CMRS and covered text providers to deliver 911 calls, texts, and associated routing information in IP format upon request of 911 authorities who have established the capability to accept NG911-compatible IP-based 911 communications. In addition, we proposed rules to establish time frames for CMRS and covered text providers to deliver IP-based traffic. Further, we sought comment on whether to make available a registry or database that would allow state and local 911 authorities to notify CMRS and covered text providers of the 911 authorities' readiness to accept IP-based communications. These proposals, if adopted, would effectively implement a key element of NASNA's petition with respect to transition to NG911 for wireless 911 calls and texts, which represent an estimated 80 percent of 911 traffic in many areas.
                    <SU>26</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>26</SU>
                         The 
                        <E T="03">Location-Based Routing NPRM</E>
                         did not propose rules for wireline, interconnected VoIP, and internet-based TRS providers. In the instant 
                        <E T="03">NPRM,</E>
                         we reference some comments received in response to the 
                        <E T="03">Location-Based Routing NPRM</E>
                         with respect to CMRS providers that could be relevant to our proposals for wireline, interconnected VoIP, and internet-based TRS providers here. However, we intend to address the specific proposals made in the 
                        <E T="03">Location-Based Routing NPRM,</E>
                         including IP delivery of 911 calls and texts for CMRS and covered text providers, as part of that proceeding.
                    </P>
                </FTNT>
                <P>
                    To achieve the transition to NG911, state and local 911 authorities must implement IP-based technologies and applications that will provide all of the same functions as the legacy E911 system as well as new capabilities. NG911 relies on IP-based architecture to provide an expanded array of emergency communications services that encompass both the core functionalities of legacy E911 and additional functionalities that take advantage of the enhanced capabilities of IP-based devices and networks.
                    <SU>27</SU>
                    <FTREF/>
                     In addition to handling 911 calls from wireline, CMRS, interconnected VoIP, and internet-based TRS providers, NG911 networks can receive text, data, and video communications from any communications device via IP-based networks. They can also be configured to receive machine-generated data from telematics applications (
                    <E T="03">e.g.,</E>
                     automatic collision notification systems in vehicles), medical alert systems, and sensors and alarms of various types. NG911 architecture also supports enhanced flexibility and resiliency in network design, because it does not require system components to be in close geographic proximity to each PSAP and because it provides multiple alternatives for rerouting emergency communications to avoid congestion or outages.
                </P>
                <FTNT>
                    <P>
                        <SU>27</SU>
                         
                        <E T="03">Framework for Next Generation 911 Deployment,</E>
                         PS Docket No. 10-255, Notice of Inquiry, 25 FCC Rcd 17869, 17877, para. 18 (2010) (
                        <E T="03">NG911 NOI</E>
                        ).
                    </P>
                </FTNT>
                <P>
                    The transition to NG911 involves fundamental changes in the technology that 911 authorities use to receive and process 911 calls, and calls for equally fundamental changes in the way that wireline, CMRS, interconnected VoIP, and internet-based TRS providers deliver such calls to PSAPs. First, in NG911 architecture, PSAPs receive incoming calls by means of ESInets, which are IP-based networks that replace the selective routers and 
                    <PRTPAGE P="43519"/>
                    telephone trunk lines used in legacy 911.
                    <SU>28</SU>
                    <FTREF/>
                     Second, NG911 is configured to receive and process 911 calls in a specific IP-based format, with all information needed to route the call and locate the caller embedded in IP data packets that control call initiation and set-up.
                    <SU>29</SU>
                    <FTREF/>
                     This means that as part of the transition to NG911, wireline, CMRS, interconnected VoIP, and internet-based TRS providers will need to configure 911 calls in IP format that is compatible with NG911 call processing specifications and deliver the calls to new destination points in the IP-based networks established by 911 authorities.
                </P>
                <FTNT>
                    <P>
                        <SU>28</SU>
                         
                        <E T="03">NG911 NOI,</E>
                         25 FCC Rcd at 17878, para. 20. ESInets may be established at the statewide or regional level to serve multiple PSAPs. 
                        <E T="03">Id.</E>
                         at 17878, para. 20 n.52.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>29</SU>
                         Task Force on Optimal PSAP Architecture (TFOPA), Adopted Final Report at 38, fig. 4-1 (2016), 
                        <E T="03">https://www.fcc.gov/document/fcc-releases-tfopa-final-report</E>
                         (TFOPA Final Report); NENA, NENA i3 Standard for Next Generation 9-1-1 at 37-41 (Oct. 7, 2021), 
                        <E T="03">https://cdn.ymaws.com/www.nena.org/resource/resmgr/standards/nena-sta-010.3b-2021_i3_stan.pdf</E>
                         (NENA i3 Standard for NG911) (describing the SIP methods required for an NG911 call); Verizon Comments at 2.
                    </P>
                </FTNT>
                <P>
                    Because these changes to 911 call formatting and delivery will take time and may not be implemented uniformly by all service providers, NG911 architecture provides for transitional network components to enable delivery of legacy 911 calls to ESInets during the transition. These include legacy network gateways,
                    <SU>30</SU>
                    <FTREF/>
                     which convert TDM 911 calls to IP, and ESInet entry points that accept IP-based 911 calls that do not include all of the call processing information required for end-state NG911. These transitional components are important to ensuring continued delivery of legacy 911 calls until the NG911 transition is complete, at which point the transitional components can and will be decommissioned. However, maintaining legacy gateways and other transitional components adds to the cost of the NG911 transition, and these costs may be compounded significantly when the transition is impeded or delayed.
                </P>
                <FTNT>
                    <P>
                        <SU>30</SU>
                         TFOPA defines a “legacy network gateway” as “[a]n NG9-1-1 Functional Element that provides an interface between an un-upgraded legacy origination network and the [Next Generation 9-1-1 Core Services].” TFOPA, Working Group 2 Phase II Supplemental Report: NG9-1-1 Readiness Scorecard at 100 (2016), 
                        <E T="03">https://transition.fcc.gov/pshs/911/TFOPA/TFOPA_WG2_Supplemental_Report-120216.pdf</E>
                         (TFOPA NG9-1-1 Readiness Scorecard).
                    </P>
                </FTNT>
                <P>
                    Most states have already made significant commitments to implementing NG911.
                    <SU>31</SU>
                    <FTREF/>
                     Forty-one states and jurisdictions reported to the FCC in 2022 that they had ESInets operating in 2021.
                    <SU>32</SU>
                    <FTREF/>
                     Despite investments in these new capabilities, commenters allege that some providers are delaying or refusing to connect to new NG911 networks.
                    <SU>33</SU>
                    <FTREF/>
                     Disputes with providers include issues of both cost allocation and the points to which carriers must deliver 911 traffic.
                    <SU>34</SU>
                    <FTREF/>
                     The general availability of state-level cost recovery for legacy wireline traffic appears to be an additional complicating factor.
                    <SU>35</SU>
                    <FTREF/>
                     These disputes are widespread and impact 911 networks in several states across the nation.
                    <SU>36</SU>
                    <FTREF/>
                     As a result, commenters allege that 911 authorities have incurred substantial costs to support legacy networks—including state-provided cost recovery for legacy 911 services and the maintenance of legacy gateways and selective routers—simultaneously with bearing the costs to deploy and support new NG911 networks.
                    <SU>37</SU>
                    <FTREF/>
                     These ongoing costs impact the ability of states and localities to implement the transition to NG911 in a timely and cost efficient manner.
                    <SU>38</SU>
                    <FTREF/>
                     Commenters on the NASNA Petition indicate that, as part of the transition to NG911, it is important to decommission legacy routers and transition to IP-based infrastructure.
                    <SU>39</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>31</SU>
                         Forty-three states, the District of Columbia, Guam, and Puerto Rico reported expenditures on NG911 programs in calendar year 2021. Fourteenth Annual Fee Report at 3. The total amount of reported NG911 expenditures in 2021 was $419,801,018.67. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>32</SU>
                         Fourteenth Annual 911 Fee Report at 3. For calendar year 2021, twenty-four states and jurisdictions reported having statewide ESInets; nineteen reported having regional ESInets within the state; and eleven reported local-level ESInets. Fourteenth Annual 911 Fee Report at 3. It is possible that these numbers increased since states and jurisdictions submitted information to the Bureau. 
                        <E T="03">See</E>
                         National 911 Annual Report at 8 (noting that in 2021, 47 states reported deployment of an ESInet).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>33</SU>
                         Minnesota Department of Public Safety Comments at 1 (rec. Jan. 19, 2022) (Minnesota Dept. of Public Safety Comments); Pennsylvania Emergency Management Agency Comments at 4-5 (rec. Jan. 19, 2022) (Pennsylvania Emergency Mgmt. Agency Comments).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>34</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Pennsylvania Emergency Mgmt. Agency Comments at 4 (“One ILEC is requesting that Pennsylvania build the network all the way out to their switch(es) and that [Pennsylvania Emergency Mgmt. Agency], or Pennsylvania's NG911 system service provider assume all costs associated with this effort.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>35</SU>
                         
                        <E T="03">See, e.g.,</E>
                         Minnesota Dept. of Public Safety Comments at 1 (noting that OSPs who receive cost recovery have been unwilling to interconnect to the 911 ingress points identified by the state).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>36</SU>
                         Comtech Telecommunications Corp. (Comtech) Comments at 7 (rec. Jan. 19, 2022) (Comtech Comments) (“Comtech has been pulled into nearly identical POI disputes with OSPs in every state and region in which it has participated in NG911 deployments, which consistently result in deployment delays and increased costs for 911 Authorities to carry disputing OSPs' customers 911 traffic to the NG911 system.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>37</SU>
                         Travis Jensen Reply at 1 (rec. Jan. 21, 2022) (filed on behalf of Arizona Department of Administration 9-1-1 Program Office) (Arizona Dept. of Administration Reply) (The Arizona Dept. of Administration is “currently facing challenges with the legacy 9-1-1 services and originating service providers (OSPs) that will cause additional unforeseen costs.”); Letter from A. Keith Godwin, 9-1-1/Communications Section Chief, Alachua County (FL) 911/Communications (Alachua County) to FCC, PS Docket No. 21-479, at 1 (filed Feb. 9, 2022) (Alachua County 
                        <E T="03">Ex Parte</E>
                        ) (“Florida has twenty-nine rural counties and some may never fully transition to NG-911 services if a county must continue to pay a LEC for legacy services while simultaneously paying for NG-911 services.”); Pennsylvania Emergency Mgmt. Agency Comments at 4 (“[Pennsylvania Emergency Mgmt. Agency] is currently experiencing difficulties in this process that may impact Pennsylvania's transition to NG911 service and extend the period of time 911 authorities are paying for both legacy and NG911 services at the same time.”); Comtech Reply at 5-6 (rec. Feb. 3, 2022) (Comtech Reply) (“PSAPs and 911 Authorities are forced to continue paying for existing Legacy 911 services . . . until all OSPs have migrated callers off the Legacy 911 Network.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>38</SU>
                         Pennsylvania Emergency Mgmt. Agency Comments at 4; Arizona Dept. of Administration Reply at 1 (stating that migrating OSPs is “becoming a significant impediment to the NG911 transition in Arizona”); Alachua County 
                        <E T="03">Ex Parte</E>
                         at 1.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>39</SU>
                         Iowa Department of Homeland Security and Emergency Management Comments at 2 (rec. Jan. 18, 2022) (Iowa Dept. of Homeland Security and Emergency Mgmt. Comments); Minnesota Dept. of Public Safety Comments at 1.
                    </P>
                </FTNT>
                <P>
                    In this 
                    <E T="03">NPRM,</E>
                     we propose to add a new subpart J to our part 9 rules that would define the requirements that apply to wireline, CMRS, interconnected VoIP, and internet-based TRS providers as state and local 911 authorities transition to NG911. We discuss the specific elements of these proposals below.
                </P>
                <HD SOURCE="HD1">1. Delivery in IP-Based Format</HD>
                <P>
                    <E T="03">IP Service Delivery.</E>
                     In its Petition, NASNA urges us to assist with the transition to NG911 by, among other things, amending the Commission's rules to “specifically address NG911, including the standardized requirements associated with NG911 (
                    <E T="03">e.g.,</E>
                     Session Initiation Protocol [SIP] format and provide location information attached to the SIP header of the call using Presence Information Data Format Location Object [PIDF-LO]).” Comments in response to the NASNA Petition show broad support for the Commission to take action to assist with the transition to NG911.
                    <SU>40</SU>
                    <FTREF/>
                     Some 
                    <PRTPAGE P="43520"/>
                    commenters contend that without a clear regulatory framework, 911 authorities in various stages of NG911 deployment will incur increased costs related to legacy cost recovery and the maintenance of legacy gateways and selective routers. Commenters also note that continued delay in transitioning to NG911 means that public safety entities may not fully realize the benefit of their investments in NG911 and that consumers may be unable to access the improved capabilities of NG911 services.
                </P>
                <FTNT>
                    <P>
                        <SU>40</SU>
                         NENA: The 9-1-1 Association Comments at 1 (rec. Jan. 19, 2022) (NENA Comments); NTCA—The Rural Broadband Association Comments at 2 (rec. Jan. 19, 2022) (NTCA Comments); South Carolina Telephone Coalition Comments at 5 (rec. Jan. 19, 2022) (South Carolina Telephone Coalition Comments); Boulder Regional Emergency Telephone Service Authority Comments at 1 (rec. Jan. 19, 2022) (BRETSA Comments); Nebraska Public Service Commission Comments at 2 (rec. Jan. 19, 2022) (Nebraska Public Service Comm. Comments); APCO Comments at 1; Arizona Dept. of Administration Reply at 1-2; Pennsylvania Emergency Mgmt. Agency Comments at 2; Colorado Public Utilities Commission Comments at 3 (rec. Jan. 14, 2022) (Colorado Public Utilities Comm. Comments); Comtech Comments at 2, 4, 6-7.
                    </P>
                </FTNT>
                <P>
                    Today, we propose to require wireline, interconnected VoIP, and internet-based TRS providers to deliver IP-based 911 traffic under a similar framework to that proposed for CMRS and covered text providers in the 
                    <E T="03">Location-Based Routing NPRM.</E>
                     Specifically, we propose to require wireline, interconnected VoIP, and internet-based TRS providers to complete all translation necessary to deliver 911 calls, including associated location information, in the requested IP-based format to an ESInet or other designated point(s) that allow emergency calls to be answered upon request of 911 authorities who have established the capability to accept NG911-compatible, IP-based 911 communications. We seek comment on this proposal.
                </P>
                <P>
                    We believe that this proposal would help jurisdictions that are seeking to implement NG911 because requiring wireline, interconnected VoIP, and internet-based TRS providers to deliver IP-formatted calls and accompanying call set-up and location information would alleviate the burden on state and local 911 authorities of maintaining transitional gateways and other network elements to process and convert legacy calls.
                    <SU>41</SU>
                    <FTREF/>
                     The Task Force on Optimal PSAP Architecture (TFOPA), a federal advisory committee, concluded in 2016 that a significant impediment to NG911 service was that originating service providers were not prepared to deliver 911 calls via IP technology with location information to NG911 service providers. Some 911 authorities contend that the use of legacy technology by carriers continues to impede state and local jurisdictions as they attempt to transition to NG911.
                    <SU>42</SU>
                    <FTREF/>
                     Although some carriers are already delivering IP-based traffic voluntarily to NG911-capable PSAPs, so long as any providers continue to deliver 911 calls and routing information in legacy format, 911 authorities must fund and operate transitional technology to receive, translate, and process such calls within the NG911 system. We seek comment on the degree to which funding and operating transitional facilities extend the timeline and add to the cost incurred by state and local 911 authorities to transition to NG911. In addition, we seek comment and specific data on the benefits that the public would derive from our proposal, as well as on the costs to wireline, interconnected VoIP, and internet-based TRS providers to deliver calls in IP-based format when a state or local 911 authority has requested it. In particular, with respect to these costs to wireline, interconnected VoIP, and internet-based TRS providers, we seek comment on the kinds of costs that would be associated with transport and transit of these calls in IP format from originating providers to an ESInet or other designated point(s) that allow emergency calls to be answered upon request of 911 authorities.
                    <SU>43</SU>
                    <FTREF/>
                     We also seek comment on whether and to what degree these costs differ depending on where and how the call is routed and delivered. To the extent that commenters identify cost differences, we invite commenters to discuss options to mitigate such cost variations and to identify steps the Commission should take to optimize the delivery and processing of 911 calls via IP upon request of 911 authorities.
                </P>
                <FTNT>
                    <P>
                        <SU>41</SU>
                         Pennsylvania Emergency Mgmt. Agency Comments at 4-5 (“[Pennsylvania Emergency Mgmt. Agency] is currently experiencing difficulties in this process that may impact Pennsylvania's transition to NG911 service and extend the period of time 911 authorities are paying for both legacy and NG911 services at the same time.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>42</SU>
                         
                        <E T="03">E.g.,</E>
                         Arizona Dept. of Administration Reply at 1 (“[Arizona Dept. of Administration] is currently facing challenges with the legacy 9-1-1 services and originating service providers (OSPs) that will cause additional unforeseen costs, becoming a significant impediment to the migration of NG9-1-1 for the 9-1-1 callers in Arizona.”); Pennsylvania Emergency Mgmt. Agency Comments at 4-5.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>43</SU>
                         
                        <E T="03">See</E>
                         Letter from Michael R. Romano, Executive Vice President, NTCA, to Marlene H. Dortch, Secretary, FCC, PS Docket No 21-479, at 3 (filed May 30, 2023) (NTCA 
                        <E T="03">Ex Parte</E>
                        ) (requesting that the Commission seek comment on the types of costs that providers could incur). For further discussion of estimated costs under the proposed rules, see below.
                    </P>
                </FTNT>
                <P>
                    We also believe this proposal would complement our pending proposal in the 
                    <E T="03">Location-Based Routing NPRM</E>
                     to require CMRS and covered text providers to deliver 911 calls, texts, and associated routing information in IP-based format upon request of 911 authorities who have established the capability to accept NG911-compatible IP-based 911 communications. Although CMRS providers originate 75 to 80 percent of 911 calls in the U.S., successful implementation of NG911 for all 911 calls cannot occur without similar steps being taken by wireline, interconnected VoIP, and internet-based TRS providers. Therefore, we propose that wireline, interconnected VoIP, and internet-based TRS providers should be subject to similar requirements to deliver 911 communications in IP-based format to those we have proposed for CMRS and covered text providers. We seek comment on this approach. Should we seek to achieve regulatory parity in our requirements for delivery of IP-based 911 calls by CMRS, wireline, interconnected VoIP, and internet-based TRS providers, or are there reasons to apply different requirements to calls from different platforms?
                </P>
                <P>
                    We seek comment on how to ensure that our proposal to require delivery of 911 calls in IP-based format would support interoperability in the NG911 environment, 
                    <E T="03">i.e.,</E>
                     the ability to transfer 911 calls and related data from one PSAP to another or from one ESInet to another. Are there other elements of interoperability we should consider in the NG911 environment? 
                    <SU>44</SU>
                    <FTREF/>
                     What are the current roles of originating service providers and PSAPs in ensuring interoperability? What interoperability issues occur at the demarcation point and how would commenters define the roles and responsibilities of originating service providers, PSAPs and 911 authorities, and NG911 service providers with respect to interoperability? Are there potential interoperability risks for PSAPs or 911 authorities associated with a requirement to deliver information in an IP-based format? 
                    <SU>45</SU>
                    <FTREF/>
                     If so, what are those risks and what steps should we take to address them? Should we specify that the IP-based format requested by 911 authorities and delivered by originating providers must meet specified criteria to support interoperability, 
                    <E T="03">e.g.,</E>
                     by including a requirement that the format conform to commonly accepted standards? We seek comment on the various costs for testing connections and resolving compatibility issues with IP-based interfaces and the parties 
                    <PRTPAGE P="43521"/>
                    currently responsible for those costs.
                    <SU>46</SU>
                    <FTREF/>
                     Are there standards for testing equipment and system functions and interactions to ensure compatibility and interoperability? Are there other requirements or conditions we should apply to eliminate impediments to interoperability and support seamless transfer of 911 calls and data? Should we specify that originating service providers' obligations to deliver calls in an IP-based format extend to the new communication formats expected for NG911, such as photos and video? 
                    <SU>47</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>44</SU>
                         
                        <E T="03">See</E>
                         Letter from Jeffery S. Cohen, Chief Counsel, APCO, Mark S. Reddish, Senior Counsel, APCO, and Alison P. Venable, Government Relations Counsel, APCO, to Marlene H. Dortch, Secretary, FCC, PS Docket No. 21-479, at 1 (filed June 1, 2023) (APCO 
                        <E T="03">Ex Parte</E>
                        ) (requesting that the Commission seek comment on how interoperability should be defined and relative responsibilities for ensuring interoperability).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>45</SU>
                         
                        <E T="03">See</E>
                         APCO Comments at 7 (“The Commission must fully consider whether requiring originating service providers to deliver in an IP-based format will be helpful for solving interoperability problems among ECCs or whether, given the current environment of proprietary solutions and substantial interoperability challenges, this risks making the situation worse by further entrenching the problems.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>46</SU>
                         
                        <E T="03">See</E>
                         APCO 
                        <E T="03">Ex Parte</E>
                         at 1 (requesting that the Commission seek comment on responsibilities for ensuring interoperability).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>47</SU>
                         
                        <E T="03">See</E>
                         APCO 
                        <E T="03">Ex Parte</E>
                         at 2 (requesting that the Commission seek comment on whether the proposed NG911 obligations extend to requests for emergency assistance that are not voice calls, 
                        <E T="03">e.g.,</E>
                         photos and video, and responsibilities for ensuring interoperability).
                    </P>
                </FTNT>
                <P>
                    We also seek comment on how our proposal should extend to 911 calls that originate on non-IP wireline networks. While the Commission has, for the last decade, encouraged providers to transition to all-IP networks,
                    <SU>48</SU>
                    <FTREF/>
                     some wireline carriers continue to use TDM switching facilities for voice traffic within portions of their networks. We note that our proposed rule would not require TDM-based carriers to originate 911 calls in IP-based format on their own networks. However, it would require such calls to be converted to IP-based format for delivery to the ESInet or other designated point(s) once a 911 authority has made a valid request to receive IP-formatted calls. We seek comment on this proposal. Should we instead take steps to require that wireline, interconnected VoIP, and internet-based TRS providers originate all 911 traffic in IP format? What would be the costs and benefits associated with this proposal? Alternatively, should we limit our requirement for wireline, interconnected VoIP, and internet-based TRS providers to deliver 911 traffic in IP format to providers that originate 911 calls in IP? How would such a limitation impact the costs and benefits of our proposal? If providers fail to include appropriately formatted routing information, should those providers be responsible for additional costs beyond the points discussed below? We also seek comment on the costs specifically associated with originating providers' conversion of 911 voice traffic from TDM to IP.
                    <SU>49</SU>
                    <FTREF/>
                     In that connection, we invite commenters to recommend approaches for addressing cost issues associated with conversion of 911 voice traffic from TDM to IP as those costs are more precisely identified.
                </P>
                <FTNT>
                    <P>
                        <SU>48</SU>
                         
                        <E T="03">Call Authentication Trust Anchor,</E>
                         Notice of Inquiry, WC Docket No. 17-97, FCC 22-81, 2022 WL 16634852, at *15 (citing 
                        <E T="03">Modernizing Unbundling and Resale Requirements in an Era of Next-Generation Networks and Services,</E>
                         WC Docket No. 19-308, Report and Order, 35 FCC Rcd 12425 (2020) (relieving incumbent local exchange carriers of various unbundled network and avoided-cost resale requirements); 
                        <E T="03">Accelerating Wireline Broadband Deployment by Removing Barriers to Infrastructure Investment,</E>
                         WC Docket No. 17-84, Second Report and Order, 33 FCC Rcd 5660 (2018) (streamlining the discontinuance process for technology transitions); 
                        <E T="03">Accelerating Wireline Broadband Deployment by Removing Barriers to Infrastructure Investment,</E>
                         WC Docket No. 17-84, Report and Order, Declaratory Ruling, and Further Notice of Proposed Rulemaking, 32 FCC Rcd 11128, 11142, para. 33 (2017) (streamlining the copper retirement process); 
                        <E T="03">Technology Transitions et al.,</E>
                         GN Docket No. 13-5, WC Docket No. 13-3, Declaratory Ruling, Second Report and Order, and Order on Reconsideration, 31 FCC Rcd 8283, 8304-8305, paras. 64-65 (2016) (adopting the adequate replacement test); 
                        <E T="03">Technology Transitions et al.,</E>
                         GN Docket No. 13-5 et al., Order, Report and Order and Further Notice of Proposed Rulemaking, Report and Order, Order and Further Notice of Proposed Rulemaking, Proposal for Ongoing Data Initiative, 29 FCC Rcd 1433, 1435, para. 1 (2014) (seeking proposals for service-based experiments in connection with technology transitions)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>49</SU>
                         
                        <E T="03">See</E>
                         NTCA 
                        <E T="03">Ex Parte</E>
                         at 4 (requesting that the Commission seek comment on the types of costs that providers could incur). For further discussion of estimated costs under the proposed rules, see below.
                    </P>
                </FTNT>
                <P>
                    We also seek comment on how we should extend our proposed requirement to internet-based TRS, which includes IP CTS, VRS, and IP Relay.
                    <SU>50</SU>
                    <FTREF/>
                     How would internet-based TRS services implement our proposal if adopted? We note that we do not propose similar requirements for TTY-based TRS providers. Should we exclude from the proposed requirements internet-based TRS providers who rely completely on their customers' underlying voice service providers to handle emergency call set-up and routing? 
                    <SU>51</SU>
                    <FTREF/>
                     In such cases, it may not be necessary to impose requirements on the internet-based TRS provider if the underlying service provider is subject to the relevant NG911 requirements. Should covered IP CTS be subject to separate rules, as under the current part 9 rules? Does extending our proposed requirement to internet-based TRS raise any issues not considered above? What are the benefits and costs associated with the application of our proposal to internet-based TRS? Are there any other providers that we should require to deliver IP-based 911 services?
                </P>
                <FTNT>
                    <P>
                        <SU>50</SU>
                         IP CTS is a form of Telecommunications Relay Service (TRS) “that permits an individual with a hearing or a speech disability to communicate in text using an internet Protocol-enabled device via the internet, rather than using a text telephone (TTY) and the public switched telephone network.” 47 CFR 64.601(a)(24). VRS allows people who use sign language to communicate with voice telephone users with video equipment. A VRS user signs to a communications assistant (CA) who voices the information to the hearing party. 
                        <E T="03">See</E>
                         47 CFR 64.601(a)((51) (definition of VRS). IP Relay allows people with hearing and speech disabilities to communicate with text using an IP-enabled device over the internet rather than a TTY and the PSTN. 
                        <E T="03">See</E>
                         47 CFR 64.601(a)(24) (definition of IP Relay). Current E911 requirements for VRS and IP Relay are set forth in section 9.14(d) and for covered IP CTS in section 9.14(e). 47 CFR 9.14(d), (e).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>51</SU>
                         
                        <E T="03">See Kari's Law/RAY BAUM'S Act Order,</E>
                         34 FCC Rcd at 6688-89, para. 213 (clarifying that “these requirements do not apply to TTY-based TRS providers, or to internet-based TRS providers who completely rely on their customers' underlying voice service providers to handle emergency call set-up, routing, and provision of location information”).
                    </P>
                </FTNT>
                <HD SOURCE="HD3">2. Delivery Points and Cost Allocation for IP-Based 911 Calls</HD>
                <P>
                    Next, we turn to the location(s) to which wireline, CMRS, interconnected VoIP, and internet-based TRS providers should deliver 911 traffic in an NG911 environment, as well as whether to establish a default mechanism for allocating the costs associated with delivering NG911 traffic to such delivery points. Comments received in response to the 
                    <E T="03">public notice</E>
                     indicate significant disputes have arisen regarding the obligations for delivery of 911 calls in some states and localities that have implemented components of NG911.
                    <SU>52</SU>
                    <FTREF/>
                     These disputes concern the points to which providers should deliver 911 calls,
                    <SU>53</SU>
                    <FTREF/>
                     as well as which parties should bear the responsibility for the cost to deliver 911 traffic to those points.
                    <SU>54</SU>
                    <FTREF/>
                     Public safety commenters 
                    <PRTPAGE P="43522"/>
                    assert that these disputes have resulted in delays and costs to public safety that impact the transition to NG911 in states across the country.
                    <SU>55</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>52</SU>
                         
                        <E T="03">E.g.,</E>
                         NENA Comments at 2 (“The record already reflects the widespread occurrence and substantial impact from demarcation-caused delays in deployment and provision of NG9-1-1.”); Comtech Comments at 7 (discussing “nearly identical POI disputes with OSPs in every state and region in which it has participated in NG911 deployments, which consistently result in deployment delays and increased costs for 911 Authorities to carry disputing OSPs' customers 911 traffic to the NG911 system”); Arizona Dept. of Administration Reply at 1 (“[Arizona Dept. of Administration] is currently facing challenges with the legacy 9-1-1 services and originating service providers (OSPs) that will cause additional unforeseen costs, becoming a significant impediment to the migration of NG9-1-1 for the 9-1-1 callers in Arizona.”); Pennsylvania Emergency Mgmt. Agency Comments at 4-5 (“Based on Pennsylvania's experiences to date, the lack of a defined cost demarcation point and regulatory framework will delay or even threaten the full end state implementation of NG911.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>53</SU>
                         
                        <E T="03">E.g.,</E>
                         Arizona Dept. of Administration Reply at 1 (“Several Independent Local Exchange Carriers (ILECs) have indicated that they do not have an obligation to terminate their 9-1-1 traffic to the points of interconnection (POIs) as designated by [Arizona Dept. of Administration].”); South Carolina Telephone Coalition Comments at 2 (stating that NG911 service providers should be responsible for providing points of interconnection within the ILEC service areas).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>54</SU>
                         
                        <E T="03">E.g.,</E>
                         Pennsylvania Emergency Mgmt. Agency Comments at 4 (“One ILEC is requesting that Pennsylvania build the network all the way out to their switch(es) and that [Pennsylvania Emergency Mgmt. Agency], or Pennsylvania's NG911 system service provider assume all costs associated with this effort.”); South Carolina Telephone Coalition Comments at 2.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>55</SU>
                         Arizona Dept. of Administration Reply at 1; Pennsylvania Emergency Mgmt. Agency Comments at 4-5; Alachua County 
                        <E T="03">Ex Parte</E>
                         at 1 (“Florida has twenty-nine rural counties and some may never fully transition to NG-911 services if a county must continue to pay a LEC for legacy services while simultaneously paying for NG-911 services.”).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Delivery Points for IP-Based 911 Traffic.</E>
                     To address concerns about the points to which 911 traffic should be delivered as 911 authorities transition to NG911, we propose to require wireline, CMRS, and interconnected VoIP providers to transmit all 911 calls to the point(s) designated by the 911 authority that allow emergency calls to be answered six months from the effective date of the IP service delivery requirement, or six months after a valid request for IP-based service by a state or local 911 authority,
                    <SU>56</SU>
                    <FTREF/>
                     whichever is later. We also propose to require internet-based TRS providers to transmit all 911 calls to the point(s) designated by the 911 authority that allow emergency calls to be answered twelve months from the effective date of the IP service delivery requirement, or twelve months after a valid request for IP-based service by a state or local 911 authority, whichever is later. Under this proposal, the delivery point(s) that could be designated by the 911 authority would include a PSAP, designated statewide default answering point, appropriate local emergency authority, ESInet, or other designated point(s) that allow emergency calls to be answered. This would make clear that the 911 authority may select an ESInet or other designated points on its IP-based network as the point(s) to which wireline, CMRS, interconnected VoIP, and internet-based TRS providers must deliver 911 traffic. It would also clarify that 911 authorities determine and designate the point(s) to which 911 calls should be transmitted.
                </P>
                <FTNT>
                    <P>
                        <SU>56</SU>
                         For discussion of what constitutes a valid request, see below.
                    </P>
                </FTNT>
                <P>
                    We believe our proposal would help to resolve disputes regarding the point(s) to which wireline, CMRS, interconnected VoIP, and internet-based TRS providers must deliver 911 traffic in order to meet their obligations in an NG911 environment. Despite the progress many states have achieved towards implementing NG911,
                    <SU>57</SU>
                    <FTREF/>
                     public safety commenters indicate that it can be difficult to reach agreement with providers on connections to new NG911 networks.
                    <SU>58</SU>
                    <FTREF/>
                     Public safety commenters report lengthy negotiations for providers to connect to ESInets and contend that issues related to delivery of 911 calls have been a significant contributing factor.
                    <SU>59</SU>
                    <FTREF/>
                     Comtech asserts that delivery of 911 traffic to NG911 networks has been an issue “in every state and region in which it has participated in NG911 deployments.” Some small and rural wireline carriers argue that 911 delivery points should be within service providers' local service areas, and oppose rules that would require them to deliver 911 calls outside their service areas. On the other hand, 911 authorities and Comtech argue that that providers should deliver 911 traffic to NG911 ESInet ingress points, either to legacy network gateways for TDM traffic or designated points of interconnection for IP traffic.
                </P>
                <FTNT>
                    <P>
                        <SU>57</SU>
                         Forty-three states, the District of Columbia, Guam, and Puerto Rico reported expenditures on NG911 programs in calendar year 2021. Fourteenth Annual 911 Fee Report at 3. The total amount of reported NG911 expenditures in 2021 was $419,801,018.67. 
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>58</SU>
                         Pennsylvania Emergency Mgmt. Agency Comments at 4 (“In some cases, the current environment promotes a contentious, uncoordinated transition to NG911 service rather than the cooperative, coordinated transition desired by [Pennsylvania Emergency Mgmt. Agency.”); Minnesota Dept. of Public Safety Comments at 1 (“To date, not a single OSP who receives cost recovery today has submitted an interconnect plan to our ingress vendor identifying their intent to rehome their 9-1-1 ingress network. They have indicated that until they understand how the rehoming will affect their cost recovery, they are unwilling to do so.”); Comtech Comments at 7.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>59</SU>
                         Comtech Comments at 4 (describing such disputes as “protracted”); Pennsylvania Emergency Mgmt. Agency Comments at 4 (“Some ILECs are embracing the transition to NG911 while others are looking to negotiate their role and cost responsibilities for NG911 service.”); Arizona Dept. of Administration Reply at 1.
                    </P>
                </FTNT>
                <P>
                    Our proposed rule would confirm 911 authorities' role in designating points for delivery of 911 calls in the NG911 environment, whether such delivery points are at the ESInet boundary, at individual PSAPs, or at other points in the network that allow emergency calls to be answered.
                    <SU>60</SU>
                    <FTREF/>
                     We believe this approach would provide states with a uniform framework to manage NG911 transition costs and minimize time-consuming negotiations with providers. We seek comment on this proposal. Would it help to resolve state-level controversies regarding the delivery of 911 traffic in an NG911 environment? Should we take into consideration the number, location, or type of points of interconnection provided by the state? For example, should we require delivery of 911 traffic to point(s) designated by the 911 authority only if the points of interconnection meet certain criteria, 
                    <E T="03">e.g.,</E>
                     the points of interconnection are located within the state to which 911 service is being provided, there are a specific number of points of interconnection per LATA, or the points of interconnection are able to receive traffic in specific formats (such as TDM or IP)? What would the benefits and costs be to wireline, CMRS, interconnected VoIP, and internet-based TRS providers and 911 authorities of setting the demarcation point as proposed?
                </P>
                <FTNT>
                    <P>
                        <SU>60</SU>
                         Most public safety commenters support setting a point for delivery of NG911 traffic at the ESInet. 
                        <E T="03">See, e.g.,</E>
                         BRETSA Comments at 7-8; Texas 9-1-1 Alliance, the Texas Commission on State Emergency Communications, and the Municipal Emergency Communication Districts Association Comments at 8 (rec. Jan. 19, 2022) (Texas 9-1-1 Entities Comments). We note that the rules we propose in this 
                        <E T="03">NPRM</E>
                         would not affect the 911 resiliency, redundancy, and reliability rules at part 9, subpart H of the Commission's rules. We also note that the proposed rules would not affect the extent of the Commission's jurisdiction over providers that supply services before and after the point(s) designated by 911 authorities, 
                        <E T="03">e.g.,</E>
                         covered 911 service providers. 
                        <E T="03">See, e.g.,</E>
                         47 CFR 9.19(a)(4)(i).
                    </P>
                </FTNT>
                <P>
                    Section 9.4 of the Commission's rules currently requires all telecommunications carriers to “transmit all 911 calls to a PSAP, to a designated statewide default answering point, or to an appropriate local emergency authority as set forth in § 9.5.” Section 9.10(b) of the Commission's rules refers to this provision to set the point to which CMRS providers must transmit all wireless calls.
                    <SU>61</SU>
                    <FTREF/>
                     Similarly, section 9.11(b)(2)(ii) of the Commission's rules refers to § 9.4 to set the point to which fixed and non-fixed interconnected VoIP service providers must deliver all 911 calls, ANI, and location information.
                    <SU>62</SU>
                    <FTREF/>
                     For VRS and IP Relay providers, § 9.14(d)(2)(iii) also refers to § 9.4 to set the point for delivery of any communication initiated by an VRS or IP Relay user dialing 911.
                    <SU>63</SU>
                    <FTREF/>
                     For IP CTS providers, § 9.14(e)(2)(ii) refers to § 9.4 to set the point for delivery of any communication initiated by an IP CTS user dialing 911.
                    <SU>64</SU>
                    <FTREF/>
                     Other internet-based 
                    <PRTPAGE P="43523"/>
                    TRS providers, per § 9.14(b)(2)(i), must determine an appropriate point for call delivery that corresponds to the caller's location and relay the call to that entity.
                    <SU>65</SU>
                    <FTREF/>
                     The subpart J we propose in this 
                    <E T="03">NPRM</E>
                     would implement a uniform framework for 911 call-routing in the NG911 environment by requiring wireline, CMRS, interconnected VoIP, and internet-based TRS providers (including VRS, IP Relay, and IP CTS) to transmit all 911 calls to the point(s) designated by the 911 authority within specific timeframes from the effective date of the IP service delivery requirement or after a valid request for IP-based service by a state or local 911 authority, whichever is later. The effect of these proposed rules would be that upon a valid request for IP-based service, wireline, CMRS, interconnected VoIP, and internet-based TRS providers would be required to deliver 911 traffic to the point(s) that allow emergency calls to be answered that are designated by the local or state entity that has the authority and responsibility to designate the point(s) to receive 911 calls. In the absence of a valid request for IP-based service by the relevant 911 authority, the existing provisions of § 9.4 and by reference 9.10(b), 9.11(b)(2)(ii), 9.14(d)(2)(iii), 9.14(e)(2)(ii), and 9.14(b)(2)(i) would continue to apply for providers covered by those provisions. We seek comment on this approach.
                </P>
                <FTNT>
                    <P>
                        <SU>61</SU>
                         47 CFR 9.10(b) (requiring CMRS providers to “transmit all wireless 911 calls . . . to a designated statewide default answering point or appropriate local emergency authority pursuant to § 9.4”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>62</SU>
                         47 CFR 9.11(b)(2)(ii) (requiring interconnected VoIP service providers to transmit 911 calls, ANI, and certain location information to the PSAP, designated statewide default answering point, or appropriate local emergency authority that serves the caller's dispatchable location and that has been designated for telecommunications carriers pursuant to § 9.4).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>63</SU>
                         47 CFR 9.14(d)(2)(iii) (requiring VRS and IP Relay providers to transmit all 911 calls (provided that “all 911 calls” is defined as “any communication initiated by an VRS or IP Relay user dialing 911”), ANI, the name of the VRS or IP Relay provider, and the communications assistant's (CA's) identification number, and certain location information to the PSAP, designated statewide default answering point, or appropriate local emergency authority that serves the caller's dispatchable location and that has been designated for telecommunications carriers pursuant to § 9.4).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>64</SU>
                         47 CFR 9.14(e)(2)(ii) (requiring IP CTS providers to transmit all 911 calls (provided that 
                        <PRTPAGE/>
                        “all 911 calls” is defined as “any communication initiated by an IP CTS user dialing 911”), the telephone number that is assigned to the caller and that enables direct callback with captions, and certain location information to the PSAP, designated statewide default answering point, or appropriate local emergency authority that serves the caller's dispatchable location and that has been designated for telecommunications carriers pursuant to § 9.4).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>65</SU>
                         47 CFR 9.14(b)(2)(i) (requiring certain internet-based TRS providers to determine the appropriate PSAP, designated statewide default answering point, or appropriate local emergency authority that corresponds to the caller's location, and to relay the call to that entity).
                    </P>
                </FTNT>
                <P>
                    In their comments, the Texas 9-1-1 Entities suggest an approach that would distinguish between delivery of IP and legacy services. Under their proposal, within six months of a “bona fide request” by a 911 authority or its designated NG911 service provider, non-IP providers (which the Texas 9-1-1 Entities define as a “non-IP capable un-upgraded originating service provider”) would be required to “directly or indirectly connect, in accordance with industry standards,” to the Legacy Network Gateway provided by the 911 authority or its NG911 service provider, while IP-capable providers would be required to fully support delivery of 911 traffic in NG911 format, 
                    <E T="03">i.e.,</E>
                     “(i) directly or indirectly connect, in accordance with industry standards, via Session Initiation Protocol; (ii) deliver [Presence Information Data Format—Location Object (PIDF-LO)]; and (iii) use a Location Validation Function provided by the 9-1-1 authority (or its designated NG9-1-1 System Service Provider agent).” We seek comment on this alternative approach. What are the benefits and costs associated with this proposal? Would it be beneficial to treat IP-based providers differently from providers that are not IP-based? What threshold legacy issues would we need to determine before adopting this proposal either in full or in part? Should we establish a minimum number of legacy network gateway points of interconnection within each state? Or should there be a minimum number of legacy network gateway points of interconnection per LATA? It appears that several states provide two legacy network gateway points of interconnection per LATA.
                    <SU>66</SU>
                    <FTREF/>
                     Would this be a reasonable approach? Alternatively, would it be preferable to require no minimum number of legacy network gateway points of interconnection before a “bona fide request” is made? Are there any other factors we should consider in connection with this proposal?
                </P>
                <FTNT>
                    <P>
                        <SU>66</SU>
                         
                        <E T="03">See</E>
                         Texas 9-1-1 Entities Reply at 6 &amp; n.20 (rec. Feb. 3, 2022) (Texas 9-1-1 Entities Reply).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Cost Allocation.</E>
                     In addition to issues regarding the designation of 911 delivery points in the NG911 environment, disagreements over cost allocation appear to have contributed to delays in transitioning to NG911.
                    <SU>67</SU>
                    <FTREF/>
                     To address this concern, we propose to establish a default demarcation point for purposes of cost allocation in the NG911 environment. Under this proposed approach, states and localities would remain free to establish cost recovery mechanisms as they deem necessary for the costs of delivering 911 traffic to required destination point(s), but, in the absence of such mechanisms, the cost of compliance from call origination to the demarcation point would presumptively be the responsibility of the wireline, CMRS, interconnected VoIP, or internet-based TRS provider. As a default mechanism, this proposal would allocate costs only when the parties are unable to agree on cost recovery measures. It thus would not preempt state or local authority over 911, including existing 911 cost recovery mechanisms. There is strong support for this default approach among public safety commenters, and it is consistent with the request in NASNA's Petition.
                    <SU>68</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>67</SU>
                         The Minnesota Department of Public Safety notes that it has contracted with a vendor to “rehome” the statewide ingress points for 911 traffic in Minnesota but that, to date, the providers that receive cost recovery have not submitted interconnection plans to the vendor and will not do so until they understand how rehoming will affect their cost recovery. Minnesota Dept. of Public Safety Comments at 1. Comtech also cites examples of legacy 911 providers that it contends have refused to interconnect to designated NG911 points of interconnection to preserve the payments they receive for legacy 911 services. Comtech Comments at 4-5, 7. Comtech asserts that these delays can result in ongoing costs for 911 authorities because they must continue to maintain legacy 911 networks until all providers have migrated to the NG911 network. Comtech Reply at 5-6.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>68</SU>
                         NASNA Petition at 2-3 (urging the Commission to “establish a NG911 cost demarcation point or points, for allocating costs when the parties cannot agree on the appropriate demarcation point(s)”). 
                        <E T="03">E.g.,</E>
                         Colorado Public Utilities Comm. Comments at 4; BRETSA Reply at 1-2; Letter from George Kelemen, Executive Director, iCERT, to Marlene Dortch, Secretary, FCC, PS Docket No. 21-479, at 3 (filed by Oct. 16, 2022) (iCERT 
                        <E T="03">Ex Parte</E>
                        ) (“iCERT agrees with NASNA that any FCC review of OSP responsibilities should focus on the applicability of 47 CFR 9.4 and 9.5, as well as the allocation of costs and the appropriate demarcation points between OSPs and 911 Authorities.”).
                    </P>
                </FTNT>
                <P>
                    Our cost allocation proposal is also consistent with the Commission's approach to similar cost allocation issues in the 
                    <E T="03">King County</E>
                     proceeding two decades ago. In 
                    <E T="03">King County,</E>
                     the Commission responded to complaints from state and local 911 authorities that wireless service providers were delaying implementation of wireless E911 due to disagreements regarding the appropriate demarcation point for responsibility and cost. The Wireless Telecommunications Bureau found, and the Commission later affirmed, that for a wireless carrier to satisfy its obligation to provide Phase I information to the PSAP, the carrier must bear the costs to deliver the information to the 911 selective router.
                    <SU>69</SU>
                    <FTREF/>
                     The Bureau found that it was reasonable “to make the carriers responsible for those expenditures necessary to deliver location information in a usable form to the E911 Network so as to ensure that their customers have access to enhanced 911 services.” However, the 
                    <E T="03">King County</E>
                     decisions also affirmed that 911 authorities and wireless providers could agree on a different point for cost allocation and call delivery.
                </P>
                <FTNT>
                    <P>
                        <SU>69</SU>
                         
                        <E T="03">King County Letter</E>
                         at *3. On reconsideration, the Commission affirmed the Wireless Telecommunications Bureau's interpretation of the Commission's rules and extended that interpretation to require wireless carriers to bring Phase II data to “that point at which the system identifies the appropriate PSAP and distributes the voice call and location data to that PSAP,” 
                        <E T="03">i.e.,</E>
                         the selective router in legacy E911 environments. 
                        <E T="03">King County Order on Reconsideration,</E>
                         17 FCC Rcd at 14789, para. 1; 
                        <E T="03">see id.</E>
                         at 14793, paras. 9-10.
                    </P>
                </FTNT>
                <PRTPAGE P="43524"/>
                <P>
                    Today, as 911 authorities seek to retire legacy selective routers 
                    <SU>70</SU>
                    <FTREF/>
                     and migrate to NG911 networks, legacy selective routers will no longer be the network element that “analyzes and distributes” information to the NG911 network, and therefore will not be relevant points for determining appropriate cost allocation where state or local 911 authorities have implemented ESInets and other IP-based network elements. These IP-based network elements perform similar functional roles to legacy selective routers, while also providing new capabilities that can support flexible re-routing of 911 calls in response to on-the-ground conditions.
                </P>
                <FTNT>
                    <P>
                        <SU>70</SU>
                         Minnesota Dept. of Public Safety Comments at 1 (“[T]he [legacy selective routers] are end-of-service, end-of-life and starting to fail[.]”); Texas 9-1-1 Entities Reply at 4 (rec. Feb. 3, 2022) (Texas 9-1-1 Entities Reply) (“[T]ransitioning may involve removing the single point of failure for a legacy selective router by [ ] having legacy OSPs connect to two Legacy Network Gateways (`LNGs') within the LATA.”).
                    </P>
                </FTNT>
                <P>
                    As with the 
                    <E T="03">King County</E>
                     decisions, we note that the costs of installing, maintaining, and upgrading components necessary to continue to deliver 911 traffic to 911 networks are required costs for wireline, CMRS, interconnected VoIP, and internet-based TRS providers to continue to provide 911 service, a significant reason why consumers subscribe to telecommunications services. Several public safety entities specifically argue that the Commission should either extend the precedent set for wireless E911 service in the 
                    <E T="03">King County</E>
                     decisions to NG911 or apply a similar regulatory approach. We tentatively agree that a regulatory approach similar to 
                    <E T="03">King County</E>
                     is appropriate here, with appropriate modification as needed to reflect the differences between legacy and NG911 networks. We seek comment on this analysis.
                </P>
                <P>
                    Our proposed approach would clarify that cost obligations for wireline, CMRS, interconnected VoIP, and internet-based TRS providers in the NG911 environment presumptively extend to the demarcation point(s) designated by state or local 911 authorities in the NG911 environment. We believe that by clarifying responsibility for costs to connect to NG911 networks, the proposed rules would resolve uncertainty regarding cost allocation between 911 authorities and wireline, CMRS, interconnected VoIP, and internet-based TRS providers and thus would accelerate the transition to NG911. We also believe that establishing a common cost allocation framework for wireline, CMRS, interconnected VoIP, and internet-based TRS providers would promote regulatory parity across service platforms. We seek comment on this approach. NASNA and public safety commenters contend that the cost of compliance with the requirement to deliver 911 traffic to the point of delivery should be the responsibility of the provider.
                    <SU>71</SU>
                    <FTREF/>
                     However, rural LECs and Minnesota entities argue that costs for delivery of 911 traffic should not extend outside of the provider's service area.
                    <SU>72</SU>
                    <FTREF/>
                     Pennsylvania and Arizona incumbent LECs argue that the state must cover the costs to deliver traffic from the edge of the incumbent LECs' networks to the ESInet, if the state does not build out connections to the provider's switches. We also seek comment on these alternatives proposed by commenters to the 
                    <E T="03">public notice.</E>
                     Should we provide additional limits on these costs, such as only requiring wireline, CMRS, and interconnected VoIP providers to bear the cost of delivering traffic when interconnection points are available within the telecommunication carrier's LATA or service area? Are there other considerations for extending this approach to internet-based TRS (IP CTS, VRS, and IP Relay)?
                </P>
                <FTNT>
                    <P>
                        <SU>71</SU>
                         NASNA Petition at 2-3; Colorado Public Utilities Comm. Comments at 4 (“While the Commission's current regulation already 
                        <E T="03">implies</E>
                         this relationship through extrapolation, it would be better for the statute to declare explicitly that OSPs are responsible for the cost of 911 call delivery to the point of demarcation with the 911 system service provider.”); BRETSA Reply at 2 (“As with any other call, originating service providers should be responsible for delivery of the call, and the cost of call delivery, to the called party (
                        <E T="03">i.e.,</E>
                         the PSAP).”); iCERT 
                        <E T="03">Ex Parte</E>
                         at 3 (“As was the case with E911, OSPs should not charge the NG911 service provider for delivering NG911 calls to the appropriate point of demarcation.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>72</SU>
                         South Carolina Telephone Coalition Comments at 2 (stating that NG911 service providers should be responsible for “covering the costs of transport of traffic from the edge of the ILEC service area to the NG911 interconnection point”); Minnesota Telecom Alliance Comments at 3 (rec. Jan. 19, 2022) (stating that because NG911 routing changes are beyond existing meet points, they are “wholly within the financial responsibility and operational control of the state and local agencies”); Minnesota Dept. of Public Safety at 1 (“For the default, it seems most appropriate the edge of the OSP's network be defined as the cost demarcation point.”); 
                        <E T="03">see also</E>
                         NTCA 
                        <E T="03">Ex Parte</E>
                         at 4 (requesting that the Commission seek comment on setting an originating provider's network edge as the default cost demarcation point).
                    </P>
                </FTNT>
                <P>
                    We seek estimates from rural providers and 911 authorities on specific costs for rural providers to comply with our proposed rules. What minimum costs would be required, from an implementation standpoint, for a given wireline, CMRS, interconnected VoIP, or internet-based TRS provider to connect from current service areas to (1) legacy network gateways in the same LATA, or (2) an IP point of interconnection? How would this affect monthly or annual charges to subscribers, 
                    <E T="03">i.e.,</E>
                     is there a range or specific dollar amount that would be newly reflected on customers' monthly bills?
                </P>
                <P>
                    We emphasize that under our proposed cost allocation approach, states and localities would retain the flexibility to develop alternative cost allocation mechanisms, including providing cost recovery for wireline, CMRS, interconnected VoIP, and internet-based TRS providers to delivering 911 traffic to designated connection points. This approach conforms with the requests of NASNA commenters to preserve state and local authority over 911, especially with regard to 911 cost recovery mechanisms.
                    <SU>73</SU>
                    <FTREF/>
                     In the 
                    <E T="03">King County Order on Reconsideration,</E>
                     the Commission affirmed that 911 authorities and wireless providers could agree on a different point for cost allocation and call delivery. Under our proposed rules, states would similarly be able to implement alternative points to which wireline, CMRS, interconnected VoIP, and internet-based TRS providers should bear the cost to deliver 911 traffic in the NG911 environment. We seek comment on this aspect of our proposal. Specifically, we seek comment on whether and how the proposed cost allocation approach would impact negotiations between providers and 911 authorities on potential cost allocation mechanisms.
                    <SU>74</SU>
                    <FTREF/>
                     We invite commenters to identify steps that the Commission should take to promote cooperative efforts by 911 authorities and originating service providers that will lead to creative technological solutions for accelerating NG911 deployment, and ultimately improved 911 service for the public.
                </P>
                <FTNT>
                    <P>
                        <SU>73</SU>
                         NASNA Petition at 6; BRETSA Comments at 8 (stating that Commission oversight is helpful, but that it “must be subject to state determination of call-routing, allocation of responsibility for costs of service, and similar matters”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>74</SU>
                         
                        <E T="03">See</E>
                         NTCA 
                        <E T="03">Ex Parte</E>
                         at 4 (requesting that the Commission seek comment on whether and how the proposed rules would impact negotiations).
                    </P>
                </FTNT>
                <HD SOURCE="HD3">3. Valid Request for IP-Based Service, Timing, and Registry</HD>
                <P>
                    <E T="03">Valid Request for IP-based Service.</E>
                     Consistent with our existing rules for text-to-911 
                    <SU>75</SU>
                    <FTREF/>
                     and our proposal in the 
                    <E T="03">Location-Based Routing NPRM,</E>
                     we propose to define a valid request as one made by a local or state entity that certifies that it (1) is technically ready to receive 911 calls in the IP-based 
                    <PRTPAGE P="43525"/>
                    format requested, (2) is specifically authorized to accept calls in the IP-based format requested, and (3) has provided notification to the provider via either a registry made available by the Commission or by written notification reasonably acceptable to the provider. We believe that this approach would minimize miscommunication between providers and 911 authorities and facilitate the timely delivery of 911 calls once state and local 911 authorities indicate their readiness to receive calls in IP format at the destination point(s) they designate. We additionally agree with commenters who indicate that this approach would provide predictability and clarity to the 911 community. We seek comment on this approach.
                </P>
                <FTNT>
                    <P>
                        <SU>75</SU>
                         47 CFR 9.10(q)(10)(iii) (defining a valid request for text-to-911 service).
                    </P>
                </FTNT>
                <P>
                    We also seek comment on what level of NG911 readiness PSAPs should achieve to trigger the requirements for (1) wireline, CMRS, interconnected VoIP, and internet-based TRS providers to transmit 911 calls to the point(s) designated by the 911 authority, and (2) wireline, interconnected VoIP, and internet-based TRS providers to begin delivering calls, including routing and location information, in IP-based format. Our proposed approach would establish one level of readiness to trigger these obligations. We seek comment on whether specific NG911-related network components or capabilities would need to be in place to establish readiness. Another approach, as suggested by NASNA, would be to define three readiness phases based on the TFOPA “NG9-1-1 Readiness Scorecard.” 
                    <SU>76</SU>
                    <FTREF/>
                     What are the costs and benefits associated with NASNA's suggestion? If we were to adopt NASNA's suggestion, what level of readiness would trigger the requirement for service from wireline, CMRS, interconnected VoIP, and internet-based TRS providers? Are there generally accepted standards for PSAP readiness to accept IP traffic? How have 911 authorities that accept some IP traffic navigated readiness with providers? Should we consider different or additional phases? Should individual PSAPs be able to trigger the requirement or should readiness be established at a more aggregated level, 
                    <E T="03">e.g.,</E>
                     on an ESInet-by-ESInet or state-by-state basis? As part of a valid request, should a 911 authority be required to certify or demonstrate the capability of its IP-based network to support 911 interoperability? Have there been additional lessons learned from NG911 implementations since the release of the 2016 TFOPA Final Report? 
                    <SU>77</SU>
                    <FTREF/>
                     Regarding NG911 implementation, we ask commenters to identify best practices that have been developed based on lessons learned.
                </P>
                <FTNT>
                    <P>
                        <SU>76</SU>
                         NASNA Petition at 7-8. NASNA suggests that in Phase I, the ESInet would be ready to receive 911 calls from OSPs via a Legacy Network Gateway. 
                        <E T="03">Id.</E>
                         at 7. In Phase II, the ESInet would be ready to receive 911 calls in SIP format. 
                        <E T="03">Id.</E>
                         at 8. In Phase III, the ESInet would be ready to receive 911 calls in NG911 format. 
                        <E T="03">Id.</E>
                         at 8. “The 911 authority/ESInet administrator may request all three phases simultaneously if the implementation of the ESInet allows for this.” 
                        <E T="03">Id.</E>
                         at 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>77</SU>
                         
                        <E T="03">See</E>
                         APCO 
                        <E T="03">Ex Parte</E>
                         at 2 (indicating that the TFOPA Final Report makes “assumptions about the implementation of NG911 that are no longer valid”).
                    </P>
                </FTNT>
                <P>
                    For purposes of determining whether a state or local 911 authority could be technically ready to receive calls in IP-based format, we seek comment on the elements that a state or local 911 authority would need to have in place before making a valid request.
                    <SU>78</SU>
                    <FTREF/>
                     In the 
                    <E T="03">Location-Based Routing NPRM</E>
                     proceeding, Verizon argues for a “robust PSAP readiness standard, that reflects the substantial completion of a PSAP's NG911 provider's i3 based solution” as the basis for considering a request “valid” and triggering an implementation period. Verizon asserts that relevant factors for PSAP readiness to accept IP interconnection would be, at a minimum: (1) “PSAP connectivity with a NG911 provider who has fully deployed a standards-based i3 IP infrastructure”; (2) “completion of SIP connectivity onboarding and testing with Wireless Originating Service Providers”; (3) “completion of HTTP-Enabled Location Delivery (HELD) certification”; and (4) “PSAP i3-ready call handling equipment.” We seek comment on whether some or all of these factors should be considered in determining readiness before a valid request may be made. What are the benefits and costs associated with such a proposal? Would adopting a specific set of factors to establish readiness limit the flexibility of state and local 911 authorities as they continue their NG911 deployments? What efficiencies would be gained from adopting a specific set of factors? Should we consider additional factors to determine the level of readiness needed before a valid request may be made? 
                    <SU>79</SU>
                    <FTREF/>
                     For example, T-Mobile, in its comments on the 
                    <E T="03">Location-Based Routing NPRM,</E>
                     indicates that comprehensive testing would be required to determine PSAP readiness. Should we require testing as a precondition to a valid request? Should we have a separate request process for triggering IP-based service from internet-based TRS providers from the valid request process for wireline, CMRS, and interconnected VoIP providers? If so, are there additional or different readiness criteria that should be included for IP-based service from internet-based TRS providers? Are there lessons learned from implementation of real-time text (RTT) as direct IP traffic from service providers that could be applied here? 
                    <SU>80</SU>
                    <FTREF/>
                     Were there implementation issues that could have been prevented?
                </P>
                <FTNT>
                    <P>
                        <SU>78</SU>
                         As an example of possible readiness elements, we note that TFOPA created a “NG9-1-1 Readiness Scorecard” that categorizes components of NG911 implementation. TFOPA NG9-1-1 Readiness Scorecard at 17-21.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>79</SU>
                         Other commenters in the 
                        <E T="03">Location-Based Routing NPRM</E>
                         proceeding provided additional examples of factors we could consider to determine readiness. 
                        <E T="03">E.g.,</E>
                         CTIA Comments, PS Docket No. 18-64, at 9 (rec. Feb. 16, 2023) (CTIA LBR NPRM Comments) (noting that the TFOPA Readiness Scorecard identifies hardware, software, data, operational policies and procedures, security, and governance elements that are necessary for a PSAP to make the full-scale transition to NG911); Alliance for Telecommunications Industry Solutions Comments, PS Docket No. 18-64, at 5 (rec. Feb. 16, 2023) (ATIS LBR NPRM Comments) (The Commission “should not employ a `registry' approach to trigger implementation deadlines; it is necessary for state and local governments to engage directly with individual wireless providers in order to become technically ready and capable to receive and process 911 calls in IP format in the first instance.”); Intrado LBR NPRM Comments at 6 (noting that completion of IP-based delivery requires several steps and time, such as establishing new connectivity into the ESInet, cutting traffic over from the old TDM path to IP, nationwide scaling, and significant testing/validation, and recommending “further discussion with the CMRS providers and PSAPs regarding a standardized definition of PSAP readiness and a flexible implementation timeframe to account for CMRS/PSAP discussions and varying implementation steps/timelines”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>80</SU>
                         
                        <E T="03">See</E>
                         APCO 
                        <E T="03">Ex Parte</E>
                         at 3 (requesting that the Commission seek comment on whether there are any lessons learned from the implementation of Real-Time Text as direct IP traffic).
                    </P>
                </FTNT>
                <P>
                    In addition, we seek comment as to whether we should define “IP-capable” as part of the readiness determination. Would such a definition be useful to wireline, interconnected VoIP, and internet-based TRS providers and state and local 911 authorities? If so, what level of specificity should be required in the definition? For example, in the 
                    <E T="03">Location-Based Routing NPRM</E>
                     proceeding, T-Mobile indicates that the Commission should delineate between SIP and NG911 connectivity. What are the benefits associated with making this distinction in a potential definition of “IP-capable” ? Should IP-capable mean SIP? Should IP-capable mean one or more specific implementations of SIP? What are the impacts if the Commission does not specify a particular implementation of SIP in a definition of IP-capable? We also seek comment on any existing technological solutions to address challenges with different SIP implementations. What are the costs of those solutions to facilitate 
                    <PRTPAGE P="43526"/>
                    interoperability? NENA argues for using a more specific term in the rules “such as `i3 compatible' or some other mutually-agreed terminology to describe standards-based” NG911.
                    <SU>81</SU>
                    <FTREF/>
                     Would it be preferable to tie readiness to i3 compatibility? Are there other specific terms we should consider instead of or in addition to “IP-capable,” such as “NG911-capable” ?
                </P>
                <FTNT>
                    <P>
                        <SU>81</SU>
                         NENA Comments, PS Docket No. 18-64, at 11 (rec. Feb. 15, 2023) (NENA LBR NPRM Comments).
                    </P>
                </FTNT>
                <P>
                    We also seek comment on whether 911 authorities should be required to submit requests to all wireline, interconnected VoIP and internet-based TRS providers in the serving area as a precondition to considering the request “valid” ? In its comments to the 
                    <E T="03">Location-Based Routing NPRM</E>
                     proceeding, Verizon argues that unless a request is submitted to all wireless providers in the serving area, the rules would impose disparate burdens on competing service providers. We seek comment as to whether that concern would also apply to wireline, interconnected VoIP, and internet-based TRS providers. What are the benefits and disadvantages of such an approach? Are there any technical barriers associated with this approach? Would delaying a valid request to one provider in a service area until it can be sent to all providers in the service area slow the NG911 transition?
                </P>
                <P>
                    <E T="03">Timing of IP-based Delivery and Delivery to Point(s) Designated by 911 Authorities.</E>
                     For wireline and interconnected VoIP providers to deliver 911 calls in IP format, we propose an implementation timeline of six months from the effective date of the IP service delivery requirement, or six months after a valid request for IP-based service by a state or local 911 authority, whichever is later. For internet-based TRS providers to deliver calls in IP format, we propose an implementation timeline of twelve months from the effective date of the IP service delivery requirement, or twelve months after a valid request for IP-based service by a state or local 911 authority, whichever is later. Our proposals also would allow 911 authorities and wireline, interconnected VoIP, or internet-based TRS providers to enter into agreements setting an alternate time frame. In the event of 911 authorities and providers agreeing to an alternate time frame, we propose that the provider notify the Commission within 30 days of the parties' agreement. For wireline, CMRS, and interconnected VoIP providers to deliver 911 traffic to point(s) designated by 911 authorities, we similarly propose an implementation timeline of six months from the effective date of the IP service delivery requirement, or six months after a valid request for IP-based service by a state or local 911 authority, whichever is later. For internet-based TRS, we propose a twelve-month implementation timeline to deliver 911 traffic to point(s) designated by 911 authorities from the effective date of the IP service delivery, or twelve months after a valid request for IP-based service from a state or local 911 authority, whichever is later.
                </P>
                <P>
                    We seek comment on the proposed six-month time frame for delivery of IP-based services for wireline, CMRS, and interconnected VoIP providers. Would six months be an adequate amount of time for wireline and interconnected VoIP providers to deliver 911 calls in IP-based format, and for wireline, CMRS, and interconnected VoIP providers to deliver 911 traffic to point(s) designated by 911 authorities? The record indicates support for a mandatory time frame by which providers would be required to deliver NG911 services once the PSAP is NG911-capable, and that six months would be a reasonable time period.
                    <SU>82</SU>
                    <FTREF/>
                     NASNA notes that while it did not propose a specific time in its Petition, “six months is an ample time frame for OSPs to make necessary preparations for transition.” However, in response to our proposed six-month time frame for CMRS providers in the 
                    <E T="03">Location-Based Routing NPRM,</E>
                     some industry commenters contend that six months is not uniformly feasible, and propose time frames longer than six months or flexible time frames.
                    <SU>83</SU>
                    <FTREF/>
                     Would the same concerns apply to wireline and interconnected VoIP providers? Is a longer time frame, 
                    <E T="03">e.g.,</E>
                     18-24 months, needed to provide sufficient time for most wireline and interconnected VoIP providers to deliver traffic via IP to most NG911 networks? Should we adopt a tolling mechanism for wireline and interconnected VoIP providers similar to that proposed by T-Mobile in response to the 
                    <E T="03">Location-Based Routing NPRM</E>
                    ? 
                    <SU>84</SU>
                    <FTREF/>
                     We also seek comment on the proposed twelve-month time frame for delivery of IP-based services for internet-based TRS providers. We propose a longer timeframe for internet-based TRS consistent with previous Commission action regarding these services.
                    <SU>85</SU>
                    <FTREF/>
                     Because of operational differences between internet-based TRS and other providers, we believe that an additional six months is an appropriate amount of time for internet-based TRS providers to make necessary network changes once other providers have come into compliance with the proposed rules.
                </P>
                <FTNT>
                    <P>
                        <SU>82</SU>
                         NASNA Reply at 3 (rec. Feb. 3, 2022) (NASNA Reply); 
                        <E T="03">see also</E>
                         Comtech Comments at 5; Texas 9-1-1 Entities Comments at 9 (supporting a six-month time period for compliance with a valid request).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>83</SU>
                         Verizon Comments, PS Docket No. 18-64, at 6 (rec. Feb 16, 2023) (Verizon LBR NPRM Comments) (stating that six months for CMRS providers may be feasible in some circumstances, “but only if the PSAP has fully implemented i3 in its network through a NG911 provider that has deployed its service in coordination with Verizon”); AT&amp;T Services Inc. (AT&amp;T) Comments, PS Docket No. 18-64, at 7 (rec. Feb. 16, 2023) (AT&amp;T LBR NPRM Comments) (proposing 18-24 months for CMRS providers to deliver IP-based traffic to NG911 networks); 
                        <E T="03">see also</E>
                         The Industry Council for Emergency Response Technologies (iCERT) Comments, PS Docket No. 18-64, at 4 (rec. Feb. 14, 2023) (iCERT LBR NPRM Comments) (noting that the adequacy of six months for CMRS providers is dependent on how NG911 capability is determined and the process used by the Commission for facilitating PSAP requests); Intrado Life &amp; Safety, Inc. (Intrado) Comments, PS Docket No. 18-64, at 6 (rec. Feb. 16, 2023) (Intrado LBR NPRM Comments) (recommending further discussion on PSAP readiness and flexible implementation time frames).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>84</SU>
                         T-Mobile USA, Inc. (T-Mobile) Comments, PS Docket No. 18-64, at 13 (rec. Feb. 16, 2023) (T-Mobile LBR NPRM Comments) (“Tolling mechanisms will be critical to allow carriers and PSAPs to collaboratively guarantee PSAP readiness, and timeframes must acknowledge the varying burdens on PSAPs and their vendors at each step of readiness.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>85</SU>
                         
                        <E T="03">See Kari's Law/RAY BAUM'S Act Order,</E>
                         34 FCC Rcd at 6688, para. 210.
                    </P>
                </FTNT>
                <P>Under our proposal, wireline, interconnected VoIP, and internet-based TRS providers would be able to enter into agreements with local and state entities to establish an alternate time frame (other than six months for wireline and interconnected VoIP providers or other than twelve months for internet-based TRS providers) for delivery of IP-based traffic. NASNA recommends that “as with E911 Phase I and II and text-to-911, mutually agreed upon extensions can be granted by the 911 authority to the OSPs when warranted by circumstances.” Would this approach be sufficient to address circumstances where more time is needed? Should we similarly enable local and state entities to enter into agreements with wireline, CMRS, interconnected VoIP, and internet-based TRS providers to establish an alternate time frame for delivering 911 calls to the point(s) in the IP-based network designated by the 911 authority? We seek comment on the length of time required by wireline, interconnected VoIP, and internet-based TRS providers to complete IP connectivity onboarding and testing with 911 authorities that have requested IP-based service.</P>
                <P>
                    <E T="03">NG911 Readiness Registry.</E>
                     To facilitate notification, we seek comment on whether the Commission should require or make available a registry or database that would allow state and 
                    <PRTPAGE P="43527"/>
                    local 911 authorities to notify wireline, interconnected VoIP, or internet-based TRS providers of readiness to receive calls in IP-based format, including associated location information. In the 
                    <E T="03">Location-Based Routing NPRM,</E>
                     we proposed making available a registry or database for CMRS providers and covered text providers. If this proposal were adopted, we believe that establishing a common registry to notify all providers (wireline, CMRS, interconnected VoIP, and internet-based TRS) would be beneficial to public safety entities and providers alike. It would provide state and local 911 authorities with one notification platform rather than requiring 911 authorities to use multiple to determine which providers would receive notice via multiple registries. We seek comment on this proposal. We also seek comment on the granularity of such a registry, including whether to organize it by PSAP, state, ESInet, or other level of specificity. Should it be combined with our existing Master PSAP Registry and Text-to-911 Registry? If so, what features would be required in such a combined registry?
                </P>
                <P>
                    We note that in the 
                    <E T="03">Location-Based Routing NPRM</E>
                     proceeding, commenters expressed differing views on whether a PSAP registry would be useful for triggering delivery of IP-based service.
                    <SU>86</SU>
                    <FTREF/>
                     We believe that the need for providers to communicate with state and local 911 authorities does not necessarily obviate the need for a registry. Nevertheless, we seek comment on whether a registry might hamper NG911 transition efforts. Are there any ways in which a registry might prevent providers and state and local 911 authorities from coordinating requests for IP-delivery service?
                </P>
                <FTNT>
                    <P>
                        <SU>86</SU>
                         For example, ATIS argues that the we should not employ a registry approach, as state and local governments need to engage directly with wireless providers to become technically ready and capable to receive IP format calls in the first instance. ATIS LBR NPRM Comments at 5. Verizon asserts that for wireless providers and PSAPs, the delivery of 911 calls in IP format will be less like the implementation of text-to-911 and “more analogous to—and in most respects more complex than—the early years of wireless E911 implementation.” Verizon LBR NPRM Comments at 7-8. Accordingly, Verizon states, the registry mechanism is “inappropriate” in this context and will create confusion among PSAPs. 
                        <E T="03">Id.</E>
                         at 7. On the other hand, NENA proposes establishment of an “authoritative database” where a jurisdiction could certify that it is ready to receive IP calls and provide ESInet boundary information. NENA LBR NPRM Comments at 8.
                    </P>
                </FTNT>
                <P>
                    <E T="03">Appropriate Requesting Entities.</E>
                     Under our proposed rule, the local or state entity with authority and responsibility to designate the point(s) that allow emergency calls to be answered would be the appropriate authority to request IP-based service from wireline, interconnected VoIP, and internet-based TRS providers. However, statewide, regional, or county governmental entities transitioning to NG911 may deploy shared resources such as a common ESInet or other network elements, which may provide services for multiple PSAPs or public safety entities. There are also still many PSAPs serving a single jurisdiction managed by a city, county, or police or fire department. We seek comment on the appropriate requesting entity or entities we should include in our rule given the varied governance of NG911 deployments. Should the proposed rule include PSAPs, appropriate local emergency authorities, state or local 911 authorities, and/or other specified authorities as entities that may initiate a valid request for IP-based service?
                </P>
                <HD SOURCE="HD3">4. Definitions</HD>
                <P>
                    <E T="03">Next Generation 911 (NG911).</E>
                     We seek comment on defining the term “Next Generation 911.” There are multiple definitions of “NG911” in both pending federal legislation and federal law. Most recently, the Spectrum Auction Reauthorization Act of 2023 (H.R. 3565) introduced in May 2023 includes a definition of “Next Generation 9-1-1”: 
                </P>
                <EXTRACT>
                    <P>
                        [A]n internet Protocol-based system that—(A) ensures interoperability; (B) is secure; (C) employs commonly accepted standards; (D) enables emergency communications centers to receive, process, and analyze all types of 9-1-1 requests for emergency assistance; (E) acquires and integrates additional information useful to handling 9-1-1 requests for emergency assistance; and (F) supports sharing information related to 9-1-1 requests for emergency assistance among emergency communications centers and emergency response providers.
                        <SU>87</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>87</SU>
                             Spectrum Auction Reauthorization Act of 2023, H.R. 3565, 118th Cong. § 159 (2023); Press Release, U.S. House of Representatives Energy and Commerce Committee, Chair Rodgers Announces Full Committee Markup of 19 Bills (May 22, 2023), 
                            <E T="03">https://energycommerce.house.gov/posts/chair-rodgers-announces-full-committee-markup-of-19-bills</E>
                             (linking to text of H.R. 3565).
                        </P>
                    </FTNT>
                </EXTRACT>
                <P>
                    In the Next Generation 9-1-1 Advancement Act of 2012, Congress enacted a definition of “Next Generation 9-1-1 services” for purposes of administration of federal 911 implementation grants.
                    <SU>88</SU>
                    <FTREF/>
                     We note that in response to the 
                    <E T="03">Location-Based Routing NPRM,</E>
                     commenters discussed whether the Commission should adopt a definition of NG911. For example, APCO urges the Commission to adopt the definition of NG911 “as defined by the public safety community with support from a variety of stakeholders” that appeared in legislation passed by the House of Representatives in 2022 but was not enacted into law.
                    <SU>89</SU>
                    <FTREF/>
                     However, NENA urges the Commission to “be cautious in adopting formal definitions [of terms such as NG911] . . . without full industry-wide support and without considering all potential consequences of such definitions.” 
                    <SU>90</SU>
                    <FTREF/>
                     NENA also asks the Commission to consider using the term “i3 compatible” or some other mutually-agreed upon terminology rather than “IP-enabled” to describe standards-based NG911. We seek comment on whether we should adopt one of these definitions or incorporate elements of these or other definitions of NG911 into our rules. Is a definition of NG911 necessary for compliance with the Commission's proposed NG911 rules? If so, we seek input on crafting a definition that would be technologically neutral. We note that recent legislative definitions include qualitative descriptors of NG911 systems, such as security, interoperability, and use of commonly accepted standards, as well as specific technical capabilities. Should we include any or all of these elements in a definition of NG911 adopted by the Commission? Do the definitions discussed above encompass current NG911 networks and technologies, as 
                    <PRTPAGE P="43528"/>
                    well as possible future NG911 technologies?
                </P>
                <FTNT>
                    <P>
                        <SU>88</SU>
                         The statute provides that “Next Generation 9-1-1 services” means “an IP-based system comprised of hardware, software, data, and operational policies and procedures that—(A) provides standardized interfaces from emergency call and message services to support emergency communications; (B) processes all types of emergency calls, including voice, data, and multimedia information; (C) acquires and integrates additional emergency call data useful to call routing and handling; (D) delivers the emergency calls, messages, and data to the appropriate public safety answering point and other appropriate emergency entities; (E) supports data or video communications needs for coordinated incident response and management; and (F) provides broadband service to public safety answering points or other first responder entities.” 47 U.S.C. 942(e)(5).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>89</SU>
                         APCO Comments, PS Docket No. 18-64, at 5 (rec. Feb. 16, 2023). APCO urges the Commission to define NG911 as “an IP-based system that: (A) ensures interoperability; (B) is secure; (C) employs commonly accepted standards; (D) enables emergency communications centers to receive, process, and analyze all types of 9-1-1 requests for emergency assistance; (E) acquires and integrates additional information useful to handling 9-1-1 requests for emergency assistance; and (F) supports sharing information related to 9-1-1 requests for emergency assistance among emergency communications centers and emergency response providers.” 
                        <E T="03">Id. (</E>
                        citing Spectrum Innovation Act of 2022, H.R. 7624, 117th Cong. § 301 (2022)). The language proposed by APCO is identical to that included in the Next Generation 9-1-1 Act of 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>90</SU>
                         NENA Reply at 7-8, PS Docket No. 18-64 (rec. Mar. 20, 2023) (NENA LBR NPRM Reply) (noting that such definitions may have “substantial impacts” on state statutes, federal and state regulatory bodies, future grant programs, and future case law).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Emergency Services Internet Protocol Network (ESInet).</E>
                     We propose to adopt a definition of “Emergency Services Internet Protocol Network (ESInet)” that defines the term in reference to the protocol used on the network, the entities that manage the network, and the use of the network for purposes of emergency services communications. We therefore propose to define “Emergency Services Internet Protocol Network (ESInet)” as “[a]n Internet Protocol (IP)-based network used for emergency services communications, including Next Generation 911.” We seek comment on this proposed definition.
                </P>
                <P>
                    <E T="03">911 Authority.</E>
                     We propose to adopt a definition of “911 Authority” that would define the term for purposes of our rules relating to the NG911 transition. We propose to define “911 Authority” as “[t]he state, territorial, regional, Tribal, or local agency or entity with the authority and responsibility under applicable law to designate the point(s) to receive emergency calls.” Does this definition encompass the diverse set of authorities in the United States that have the authority and responsibility to designate the point(s) to receive emergency calls? We seek comment on this proposed definition.
                </P>
                <P>In addition to the proposed definitions of “Next Generation 911 (NG911),” “Emergency Services Internet Protocol Network (ESInet),” and “911 Authority,” are there any other terms that we should define for purposes of the cost allocation and IP-delivery rules that we propose for wireline, CMRS, and interconnected VoIP providers? For example, should we include definitions of potential entry points for call delivery in an NG911 environment, such as Legacy Network Gateway or IP Point of Interconnection?</P>
                <HD SOURCE="HD3">5. Applicability of Interconnection Statutes to 911</HD>
                <P>Although the NASNA Petition did not explicitly raise this issue, the record indicates that disagreement over the applicability of interconnection requirements to 911 has contributed to disputes regarding NG911 deployments in several states. Some rural LECs argue that the interconnection provisions in sections 251 and 252 of the Act require 911 authorities and their contracted NG911 service providers to provide points of interconnection for receipt of 911 traffic within LEC local service areas. Some of these commenters also argue that requiring carriers to build out to distant points for purposes of 911 interconnection could impose high costs on small rural customer bases that this would undermine the universal service mandates of section 254 of the Act. NTCA also argues that requiring carriers to interconnect outside of their networks would be contrary to the Commission's historical approach to interconnection under the Act, under which rural telephone companies are not required to agree to interconnect outside of their network unless a state commission determines that doing so meets requirements in section 251(f)(1)(A) of the Act. Conversely, some public safety entities argue that sections 251 and 252 in fact require LECs to connect to a 911 authority's ESInet.</P>
                <P>
                    We propose to clarify that the interconnection requirements of sections 251 and 252 do not require 911 authorities or their contracted NG911 service providers to provide points of interconnection for 911 traffic within existing LEC service areas. Sections 251 and 252 were intended to impose interconnection and negotiation duties on commercial telecommunications carriers (including both incumbent and competitive LECs) to promote a competitive telecommunications marketplace.
                    <SU>91</SU>
                    <FTREF/>
                     State and local 911 authorities are not commercial “telecommunications carriers” to which the interconnection requirements of sections 251 and 252 would apply, because they do not offer telecommunications for a fee directly to the public.
                    <SU>92</SU>
                    <FTREF/>
                     In the context of wireless cost allocation for E911 service, the U.S. Court of Appeals for the District of Columbia Circuit stated that PSAPs are not “private businesses . . . providing for-profit services to the public . . . PSAPs are governmental entities playing a critical role in the provision of public safety services.” 
                    <SU>93</SU>
                    <FTREF/>
                     Similarly, we propose to clarify that section 251(f)(1)(A) of the Act, which provides that a rural ILEC is not required to interconnect under section 251(c) until certain conditions are met, does not apply because 911 authorities are not telecommunications carriers requesting interconnection. We seek comment on this analysis.
                </P>
                <FTNT>
                    <P>
                        <SU>91</SU>
                         The Telecommunications Act of 1996 was intended to “promote competition and reduce regulation in order to secure lower prices and higher quality services for American telecommunications consumers and encourage the rapid deployment of new telecommunications technologies.” Telecommunications Act of 1996, Public Law 104-104, Preamble, 110 Stat 56, 56 (1996 Act). The Senate conference report on the 1996 Act stated that Section 251(a) “imposes a duty on local exchange carriers possessing market power in the provision of telephone exchange service or exchange access service in a particular local area to negotiate in good faith and to provide interconnection with other telecommunications carriers that have requested interconnection for the purpose of providing telephone exchange service or exchange access service.” S. Rep. No. 104-230, at 117 (1996) (Conf. Rep.) (1996 Act Conf. Rep.). The same report indicates that Section 252 imposes “separate subsidiary and other safeguards on certain activities of the [Bell Operating Companies].” 1996 Act Conf. Rep. at 150.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>92</SU>
                         A “telecommunications carrier” is a provider of a “telecommunications service,” which is “the offering of telecommunications for a fee directly to the public, or to such classes of users as to be effectively available directly to the public, regardless of the facilities used.” 47 U.S.C. 153(51), (53).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>93</SU>
                         
                        <E T="03">U.S. Cellular Corp.</E>
                         v. 
                        <E T="03">FCC,</E>
                         254 F.3d 78, 84 (D.C. Cir. 2001). The court held, in part, that the Commission's action to remove a rule that conditioned wireless carriers' obligation to deliver E911 services on guaranteed state or local government funding did not violate the cost causation principle, assuming that this principle applies outside of rate regulation. (Under the cost causation principle, when the Commission sets rates, it must specifically justify any rate differential that does not reflect cost.) In addition, the court held that governmental entities responsible for coordinating emergency response were not cost-causers within this principle.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">Monitoring and Compliance</HD>
                <P>
                    We seek comment on whether the Commission should implement any new data collections to assist in monitoring compliance with our proposed rules for NG911. If reporting would be helpful, what specific information should providers include and how frequently should we require them to report? For example, should the Commission require originating service providers to submit implementation plans for delivering 911 voice traffic in IP format, including converting TDM to IP, and periodic progress reports for implementing such plans? We also seek comment on measures the Commission could take to limit the burden of reporting on the provision of IP-based service. To what extent could the Commission limit the burden of any reporting requirements by providing increased flexibility for providers or businesses identified as small by the Small Business Administration? 
                    <SU>94</SU>
                    <FTREF/>
                     As an alternative to reporting, should the Commission require wireline, interconnected VoIP, and internet-based TRS providers to certify that they are in compliance with requirements for delivery of calls in IP format? Should the proposed rules include requirements for disclosures to PSAPs or other state or local 911 authorities in connection with the proposed NG911 rules?
                </P>
                <FTNT>
                    <P>
                        <SU>94</SU>
                         For example, the Commission's requirements for live call data reporting provide a reduced reporting schedule for non-nationwide CMRS providers. 47 CFR 9.10(i)(3)(ii)(D).
                    </P>
                </FTNT>
                <P>
                    Public safety entities and members of the public seeking to report non-compliance with the proposed rules would be able to file complaints via the 
                    <PRTPAGE P="43529"/>
                    Public Safety and Homeland Security Bureau's Public Safety Support Center or through the Commission's Consumer Complaint Center.
                    <SU>95</SU>
                    <FTREF/>
                     We tentatively conclude that these existing mechanisms should be sufficient for addressing potential violations of the NG911 rules. We seek comment on this tentative conclusion.
                </P>
                <FTNT>
                    <P>
                        <SU>95</SU>
                         The Public Safety Support Center is a web-based portal that enables PSAPs and other public safety entities to request support or information from the Public Safety and Homeland Security Bureau and to notify it of problems or issues impacting the provision of emergency services. 
                        <E T="03">Public Safety and Homeland Security Bureau Announces Opening of Public Safety Support Center,</E>
                         public notice, 30 FCC Rcd 10639 (PSHSB 2015); FCC, 
                        <E T="03">Public Safety Support Center, https://www.fcc.gov/general/public-safety-support-center</E>
                         (last visited May 16, 2023). The Consumer Complaint Center handles consumer inquiries and complaints, including consumer complaints about access to 911 emergency services. 
                        <E T="03">See</E>
                         FCC, Consumer Complaint Center, 
                        <E T="03">https://consumercomplaints.fcc.gov/hc/en-us</E>
                         (last visited May 16, 2023).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">Additional Proposals</HD>
                <P>
                    Several commenters responding to the NASNA Petition urge us to expand the scope of the rulemaking beyond the specific issues raised in the petition. For example, BRETSA urges us to address how NG911 can assist non-English speakers and the deaf and hard of hearing, standards and cost allocation for transferring 911 calls between PSAPs in different states, and the delivery of text-to-911. NTCA and Nebraska RLECs advocate looking more broadly at IP interconnection and the proper allocation of transport costs. The Alarm Industry Communications Committee urges the Commission to restrict the use of “device-initiated emergency service calls to protect the integrity of the NG911 network.” We decline to address these additional issues in this 
                    <E T="03">NPRM.</E>
                </P>
                <HD SOURCE="HD2">Legal Authority</HD>
                <P>
                    The Communications Act of 1934, as amended (the Act) established the FCC, in part, “for the purpose of promoting safety of life and property through the use of wire and radio communication.” Beyond that general mandate, Congress has repeatedly and specifically endorsed a role for the Commission in the nationwide implementation of advanced 911 capabilities. Section 251(e)(3) of the Act, which directs the FCC to “designate 911 as the universal emergency telephone number,” and other federal 911-related statutes demonstrate that the Commission's general jurisdictional grant includes the responsibility to set up and maintain a comprehensive and effective 911 system, encompassing a variety of communication services in addition to wireless and IP-enabled voice services.
                    <SU>96</SU>
                    <FTREF/>
                     The NET 911 Act indicated the congressional goal to “promote and enhance public safety by facilitating the rapid deployment of IP-enabled 911 and E-911 services, encourage the Nation's transition to a national IP-enabled emergency network, and improve the 911 and E-911 access to those with disabilities.” The Twenty-First Century Communications and Video Accessibility Act of 2010 (CVAA) advanced the Commission's implementation of technologies such as text-to-911 by granting authority to promulgate “regulations, technical standards, protocols, and procedures . . . necessary to achieve reliable, interoperable communication that ensures access by individuals with disabilities to an internet protocol-enabled emergency network, where achievable and technically feasible.” RAY BAUM'S Act directed the Commission to consider adopting rules to ensure that dispatchable location is conveyed with 911 calls “regardless of the technological platform used” and defined the term “9-1-1 call” to include a voice call “or a message that is sent by other means of communication.”
                </P>
                <FTNT>
                    <P>
                        <SU>96</SU>
                         
                        <E T="03">911 Fee Diversion; New and Emerging Technologies 911 Improvement Act of 2008,</E>
                         PS Docket Nos. 20-291, 09-14, Report and Order, 36 FCC Rcd 10804, 10811-12, para. 16 (2021) (
                        <E T="03">911 Fee Diversion R&amp;O</E>
                        ) (noting that, taken together, federal 911-related statutes and Communications Act provisions “establish an overarching federal interest in ensuring the effectiveness of the 911 system”).
                    </P>
                </FTNT>
                <P>
                    Together, these statutes indicate that Congress has given the Commission broad authority to ensure that the 911 system, including 911, E911, and NG911 calls and texts from all providers, is available and functions effectively. The Commission has previously concluded that “[i]n light of these express statutory responsibilities, regulation of additional capabilities related to reliable 911 service, both today and in an NG911 environment, would be well within Commission's . . . statutory authority.” 
                    <SU>97</SU>
                    <FTREF/>
                     The Commission also has stated that “[t]he Commission already has sufficient authority to regulate the 911 and NG911 activity of, inter alia, wireline and wireless carriers, interconnected VoIP providers, and other IP-based service providers,” and also that its jurisdiction to regulate 911 extends to the regulation of NG911 across different technologies.
                    <SU>98</SU>
                    <FTREF/>
                     We seek comment on this analysis.
                </P>
                <FTNT>
                    <P>
                        <SU>97</SU>
                         
                        <E T="03">Reliability and Continuity of Communications Networks, Including Broadband Technologies,</E>
                         PS Docket Nos. 13-75, 11-60, Report and Order, 28 FCC Rcd 17476, 17529-30, para. 150 (2013).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>98</SU>
                         2013 NG911 Framework Report, Section 4.1.2.2 at 28 (noting that the Commission “already has sufficient authority to regulate the 911 and NG911 activity of, 
                        <E T="03">inter alia,</E>
                         wireline and wireless carriers, interconnected VoIP providers, and other IP-based service providers”); 
                        <E T="03">911 Governance and Accountability, Improving 911 Reliability,</E>
                         PS Docket Nos. 14-193, 13-75, Policy Statement and Notice of Proposed Rulemaking, 29 FCC Rcd 14208, 14209-10, 14223, paras. 3, 34 (2014) (
                        <E T="03">NG911 Policy Statement</E>
                        ) (stating that while the Commission had “previously undertaken to monitor the transition to Next Generation 911 (NG911) technologies to determine whether our rules should be revised or expanded to cover new best practices or additional entities, recent events have demonstrated that the pace of change already requires prompt action to review these vulnerabilities” (footnotes omitted) and that “the Commission has the public safety imperative to oversee each of the increasingly complex component pieces of the nation's 911 infrastructure”).
                    </P>
                </FTNT>
                <P>
                    Commenters responding to the 
                    <E T="03">public notice</E>
                     support the view that the Commission has authority over NG911 as an extension of its jurisdiction over 911 generally. No commenter argues that the Commission does not have authority to regulate NG911 as a general matter. We agree with commenters who indicate that power to regulate 911 is shared between the Commission and the states, and our proposals in the 
                    <E T="03">NPRM</E>
                     are premised on that assumption. These proposals are not intended to alter state jurisdiction over 911 or to limit state and local authorities' ability to take action in their jurisdictions to advance NG911. The nationwide framework we propose expressly empowers state and local authorities and affords them flexibility to make decisions regarding the configuration, timing, and cost responsibility for NG911 implementation in their jurisdictions. Consistent with past practice, we intend to carry out our proposals in partnership with state and local authorities and in light of their unique interest in the delivery of 911 service to their communities. We seek comment on additional considerations for striking the most effective balance between state and federal authority to implement the transition to NG911.
                </P>
                <HD SOURCE="HD2">Promoting Digital Equity and Inclusion</HD>
                <P>
                    The Commission, as part of its continuing effort to advance digital equity for all,
                    <SU>99</SU>
                    <FTREF/>
                     including people of color, persons with disabilities, persons who live in rural or Tribal areas, and others who are or have been historically underserved, marginalized, or adversely affected by persistent poverty or inequality, invites comment on any 
                    <PRTPAGE P="43530"/>
                    equity-related considerations 
                    <SU>100</SU>
                    <FTREF/>
                     and benefits, if any, that may be associated with the proposals and issues discussed herein. Specifically, we seek comment on how our proposals may promote or inhibit advances in diversity, equity, inclusion, and accessibility.
                </P>
                <FTNT>
                    <P>
                        <SU>99</SU>
                         Section 1 of the Communications Act of 1934 as amended provides that the FCC “regulat[es] interstate and foreign commerce in communication by wire and radio so as to make [such service] available, so far as possible, to all the people of the United States, without discrimination on the basis of race, color, religion, national origin, or sex.” 47 U.S.C. 151.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>100</SU>
                         The term “equity” is used here consistent with Executive Order 13985 as the consistent and systematic fair, just, and impartial treatment of all individuals, including individuals who belong to underserved communities that have been denied such treatment, such as Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons; persons with disabilities; persons who live in rural areas; and persons otherwise adversely affected by persistent poverty or inequality. 
                        <E T="03">See</E>
                         Exec. Order No. 13985, 86 FR 7009, Executive Order on Advancing Racial Equity and Support for Underserved Communities Through the Federal Government (Jan. 20, 2021).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">Summary of Benefits and Costs</HD>
                <P>
                    <E T="03">Summary of Benefits of Proposed Actions.</E>
                     As discussed above, the actions we propose in the 
                    <E T="03">NPRM</E>
                     have several potential benefits. First, removing an impediment to the transition to NG911 will speed up the arrival of NG911's public safety benefits to those who have yet to receive them. Second, allowing 911 authorities to retire aging legacy 911 systems will save 911 authority funds. Third, retiring legacy 911 systems will improve public safety by moving 911 calls to the more reliable NG911 system. Fourth, the proposed actions will reduce the need for negotiations between providers and 911 authorities, resulting in savings to both parties. We seek detailed comment on the scope and size of all of these benefits, as well as any additional benefits that our proposed actions may convey.
                </P>
                <P>
                    <E T="03">Speeding up the NG911 Transition.</E>
                     The proposed action will facilitate the rapid and effective transition to NG911 by requiring delivery of 911 calls from wireline, interconnected VoIP, and internet-based TRS providers in IP-based format and establishing a point for the delivery of NG911 traffic. We seek comment on whether and how our proposed rules would benefit state and local 911 authorities by reducing NG911 transition costs and improve public safety by increasing the availability of NG911 services. While difficult to quantify numerically, the benefits of NG911 to the public appear to be extensive and to affect multiple aspects of 911 systems and response. Commenters note that these benefits include real-time call routing flexibility, faster call delivery, additional data for improved situational awareness, improved service reliability, improved call transfer capabilities, and better service to disabled and non-English speaking communities.
                    <SU>101</SU>
                    <FTREF/>
                     Including internet-based TRS providers in this transition will also benefit individuals with hearing and speech disabilities who rely on TRS. We seek comment on the magnitude of these and other benefits that would accrue as a result of our proposed actions.
                </P>
                <FTNT>
                    <P>
                        <SU>101</SU>
                         Comtech Reply at 4 (indicating that benefits of NG911 systems include “real-time call routing flexibility, faster call delivery, additional data for improved situational awareness, capabilities such as integrated text messages (and other multi-media messages soon), and significantly improved service reliability”); BRETSA Reply at 4-7 (detailing benefits including “[c]onferencing in telephone or video relay and language interpretation services during 9-1-1 call setup,” “interstate 9-1-1 call transfer and CAD incident data transfer,” “geospatial routing,” and “transfer of CAD data with call transfer”); NTCA Comments at 2 (indicating that NG911 will provide increased situational awareness to first responders, which will benefit rural consumers).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Saving 911 Authority Funds.</E>
                     The proposed action will end the need to maintain legacy 911 systems by requiring wireline, CMRS, interconnected VoIP, and internet-based TRS providers to connect to the point(s) designated by the 911 authority, requiring those providers to cover the costs of transmitting 911 calls to those points and requiring wireline, interconnected VoIP, and internet-based TRS providers to deliver 911 traffic in IP-based format. Although ESInets are available in a large majority of jurisdictions, some providers resist connecting to them at the requested delivery points or transitioning from providing 911 calls in legacy format to providing 911 calls in IP-based format compatible with NG911. Our proposed action will allow 911 authorities to discontinue support of legacy networks—including the maintenance of legacy network gateways and selective routers. Legacy 911 systems include Centralized Automated Message Accounting (CAMA) trunks, legacy selective routers, and Automatic Location Information (ALI) databases. We seek comment and specific information on the costs to 911 authorities to maintain legacy 911 networks while also operating an NG911 network. In addition, the requirement for wireline, interconnected VoIP, and internet-based TRS providers to deliver IP-based 911 traffic would eliminate costs for 911 authorities to maintain transitional gateways to process and convert legacy calls. For states that deliver calls to PSAPs in IP-based format, our proposal would require any calls arriving in legacy TDM format to be converted into an IP-based protocol, such as SIP.
                    <SU>102</SU>
                    <FTREF/>
                     Several states report maintaining several legacy network gateways to convert legacy-format 911 calls at the ratio of two legacy network gateways per LATA.
                    <SU>103</SU>
                    <FTREF/>
                     This introduces an extra step that is inconsistent with the end-state NG911 system described in NENA's i3 standard. Under the proposed rules, states would no longer need to maintain these gateways once all providers begin delivering IP-based traffic to the ESInet. We seek comment on these and other 911 authority costs that would be avoided if we adopt our proposed rules.
                </P>
                <FTNT>
                    <P>
                        <SU>102</SU>
                         Colorado Public Utilities Comm. Comments at 3 (discussing that because Colorado's ESInet must convert calls from TDM to SIP format, “the state's ESInet is that much further from representing a true NG911 system as described in the NENA i3 standard.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>103</SU>
                         Texas 9-1-1 Entities Reply at 4 (stating that transitioning to NG911 “may involve removing the single point of failure for a legacy selective router by the having legacy OSPs connect to two Legacy Network Gateways (`LNGs') within the LATA.”); Minnesota Dept. of Public Safety Comments at 1 (indicating that the state offers “two diverse TDM [points of interconnection] within each of Minnesota's five LATA boundaries.”); Pennsylvania Emergency Mgmt. Agency Comments at 3 (detailing the state's NG911 efforts, which “includes establishing two time-division multiplexing OSP points of interconnection (POI) in each local access and transport area, as well as two SIP POIs for the state, to ingress calls into the NG911 system.”); Comtech Comments at 7 (stating that South Carolina's network design includes two points of interconnection per LATA).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Improving Reliability.</E>
                     The proposed actions will move 911 calls off of the aging legacy 911 system that commenters indicate is increasingly unreliable,
                    <SU>104</SU>
                    <FTREF/>
                     thus improving public safety. This will also accelerate consumer access to NG911 services.
                    <SU>105</SU>
                    <FTREF/>
                     NASNA argues that legacy 911 call routing and legacy network infrastructure is “beyond end-of-life and has an increasing failure rate.” For instance, in California, the 911 authority has been tracking the reliability and availability of the legacy 911 system for over 10 years and has seen an increase in outage minutes for the legacy 911 system. In 2017 the average number of minutes of outage was 17,000 minutes per month, but in 2022 the average increased to over 59,000 outage minutes per month. Moving from legacy systems to IP-based systems will reduce system outages and strengthen our 911 networks to improve public safety. We seek comment on the likely magnitude 
                    <PRTPAGE P="43531"/>
                    of the public safety benefits resulting from improved reliability and resiliency of the networks transitioning from legacy systems to NG911 systems.
                </P>
                <FTNT>
                    <P>
                        <SU>104</SU>
                         Minnesota Dept. of Public Safety Comments at 1 (stating that “the LSRs [legacy selective routers] are end-of-service, end-of-life and starting to fail”); Texas 9-1-1 Entities Reply at 4; NASNA Comments, PS Docket No. 18-64, at 7 (rec. Feb. 16, 2023) (NASNA LBR NPRM Comments).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>105</SU>
                         Comtech Reply at 5 (“[D]elays due to unnecessary disputes with ILEC/RLEC OSPs and Legacy 911 Providers . . . inhibit consumers' access to NG911 services.”).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Reducing the Need for Negotiations.</E>
                     Requirements for wireline, CMRS, interconnected VoIP, and internet-based TRS providers to deliver 911 traffic to points designated by a 911 authority would minimize uncertainty, delays, and costs for 911 authorities to repeatedly negotiate for call delivery and cost responsibility with wireline, CMRS, interconnected VoIP, and internet-based TRS providers. State and local 911 authorities and their contracted 911 service providers currently must work with each provider in their locality to negotiate costs and delivery to new designated delivery points.
                    <SU>106</SU>
                    <FTREF/>
                     Public safety entities report that there is ambiguity about providers' obligations to deliver 911 traffic to new NG911 networks and that this can lengthen negotiation time.
                    <SU>107</SU>
                    <FTREF/>
                     The proposed rules and database would permit states to notify wireline, CMRS, interconnected VoIP, and internet-based TRS providers via a centralized database of readiness to accept IP-based 911 traffic, eliminating the need for individualized and extensive negotiations with providers. This would eliminate transactional costs for both 911 authorities and wireline, CMRS, interconnected VoIP, and internet-based TRS providers and minimize the uncertainty and attendant delays currently associated with allocating costs for connecting to NG911 networks. We seek comment on the length of time that 911 authorities currently spend to negotiate connections, as well as the costs associated with doing so. Reducing the need to negotiate may also accelerate the NG911 transition. Comtech states that delays resulting from disputes between 911 authorities and providers inhibit consumers' access to NG911 services. We seek comment on these and other benefits that would result from the proposed actions in this proceeding, and to the extent possible, the estimated monetary or other value of such benefits.
                </P>
                <FTNT>
                    <P>
                        <SU>106</SU>
                         The Pennsylvania Emergency Mgmt. Agency, for example, notes that it must work with each incumbent LEC operating in the state of Pennsylvania to determine costs and delivery to the NG911 system. Pennsylvania Emergency Mgmt. Agency Comments at 4. Comtech similarly notes that it must repeatedly negotiate “the same points of contention with Legacy 911 Providers and OSPs for each and every NG911 deployment location.” Comtech Comments at 2. Iowa notes that it would have to work with 150 carriers, with 150 different cost methods to transition to direct SIP. Iowa Dept. of Homeland Security and Emergency Mgmt. Comments at 2.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>107</SU>
                         For example, the Pennsylvania Emergency Mgmt. Agency states that it is “currently experiencing difficulties in this process that may impact Pennsylvania's transition to NG911 service and extend the period of time 911 authorities are paying for both legacy and NG911 services at the same time. Pennsylvania Emergency Mgmt. Agency Comments at 4.
                    </P>
                </FTNT>
                <P>
                    <E T="03">Feasibility and Costs of Implementation.</E>
                     To determine whether the proposed requirements are reasonable, we must determine whether they are technically feasible and do not impose costs that exceed their benefits. Because commenters note issues only with specific providers, we assume that some wireline, CMRS, interconnected VoIP, and internet-based TRS providers have connected to states' NG911 networks. We also assume that some wireline, interconnected VoIP, and internet-based TRS providers have connected via IP to state's NG911 networks. We therefore tentatively conclude that the actions we propose are technically feasible and seek comment on this conclusion. The record does not currently contain detailed information on costs required for wireline, CMRS, and interconnected VoIP providers to connect to NG911 networks six months from the effective date of the IP service delivery requirement, or six months after a valid request for IP-based service by a state or local 911 authority, whichever is later. The record also does not contain detailed information on costs required for wireline and interconnected VoIP providers to provide IP-based service six months from the effective date of the IP service delivery requirement, or six months after a valid request for IP-based service by a state or local 911 authority, whichever is later. In addition, the record does not contain detailed information on the costs required for internet-based TRS providers to connect to NG911 networks or provide IP-based service twelve months from the effective date of the IP service delivery requirement, or twelve months after a valid request for IP-based service by a state or local 911 authority, whichever is later. Accordingly, we seek comment on the level and types of costs that would be imposed by the implementation of our proposed rules, including costs for hardware, software, services, or transport, or other costs to wireline, CMRS, interconnected VoIP, and internet-based TRS providers or for state and local 911 authorities. We seek comment on the amount of those costs and ask commenters to provide sufficiently detailed information to allow accurate cost calculations.
                </P>
                <P>
                    <E T="03">Cost Estimates.</E>
                     Although the proposed rulemaking may incur additional costs to wireline, CMRS, interconnected VoIP, and internet-based TRS providers through (1) the requirement for wireline, interconnected VoIP, and internet-based TRS providers to deliver 911 calls in IP-based format to 911 facilities and (2) the requirement for wireline, CMRS, interconnected VoIP, and internet-based TRS providers to deliver 911 traffic to the point(s) designated by the 911 authority, we believe these costs are relatively small. Our initial estimate of the upper bound of these costs is approximately $103,000 in one-time costs and $11.6 million in recurring annual costs. We outline those costs below and seek comment on our cost estimates.
                </P>
                <P>
                    The cost of moving the point for delivery of 911 traffic for wireline, CMRS, interconnected VoIP, and internet-based TRS providers to a point designated by the 911 authority, such as an ESInet, occurs only once. The cost of changing connecting points should be insignificant for transporters. To estimate the maximum of this one-time cost, we assume that all of the 2,327 wireline, CMRS, interconnected VoIP, and internet-based TRS providers' 911 calls must be reconfigured to connect to ESInets.
                    <SU>108</SU>
                    <FTREF/>
                     This is an overestimate because some providers already are connected to ESInets. We assume that each provider needs at most one hour of work by a technician to change connection points.
                    <SU>109</SU>
                    <FTREF/>
                     We use $30 per hour as the wage for workers who move the connection points.
                    <SU>110</SU>
                    <FTREF/>
                     Marking up this wage by 45% to account for benefits, we arrive at a total of $44 per hour.
                    <SU>111</SU>
                    <FTREF/>
                     We therefore estimate that the 
                    <PRTPAGE P="43532"/>
                    upper bound of one-time costs is $103,000.
                    <SU>112</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>108</SU>
                         
                        <E T="03">See</E>
                         FCC, Office of Economics and Analytics, Industry Analysis Division, Voice Telephone Services: Status as of June 30, 2021 at 10, Table 2 (August 2022), 
                        <E T="03">https://docs.fcc.gov/public/attachments/DOC-385814A1.pdf%20</E>
                         (OEA Voice Telephone Service Status) (finding that as of June 2021, there were 2,256 wireline end-user switched access lines and interconnected VoIP subscriptions providers and 61 mobile telephony providers). There are 10 certified internet-based TRS providers. FCC, 
                        <E T="03">Internet-Based TRS Providers, https://www.fcc.gov/general/internet-based-trs-providers</E>
                         (last visited May 16, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>109</SU>
                         Based on the FCC internal engineering staff's estimate, changing an IP-based demarcation point requires system reconfiguration that will take no more than 30 minutes to complete. We double the amount of time to allow for variation in the time it may require across service providers.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>110</SU>
                         We use the Bureau of Labor Statistics average wage for telecommunications equipment installers and repairers, except line installers for the telecommunications industry, which they estimate at $30.37, which we round to $30 to avoid false precision. 
                        <E T="03">See</E>
                         Bureau of Labor Statistics, 
                        <E T="03">Occupational Employment Statistics, https://www.bls.gov/oes/current/oes492022.htm</E>
                         (last visited May 16, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>111</SU>
                         According to the Bureau of Labor Statistics, as of September, 2022, civilian wages and salaries averaged $28.88/hour and benefits averaged $12.98/hour. Total compensation therefore averaged $28.88 + $12.98 = $41.86. 
                        <E T="03">See</E>
                         Press Release, Bureaus of 
                        <PRTPAGE/>
                        Labor Statistics, Employer Costs for Employee Compensation—September 2022 (Dec. 15, 2022), 
                        <E T="03">https://www.bls.gov/news.release/pdf/ecec.pdf.</E>
                         Total compensation therefore averaged $28.88 + $12.98 = $41.86. 
                        <E T="03">Id.</E>
                         Using these figures, benefits constitute a markup of $12.98/$28.88 = 45%. We therefore markup wages by 45% to account for benefits. $30 × 1.45 = $43.50, which we round to $44.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>112</SU>
                         One hour per provider × $44/hour × 2,327 providers = $102,388, which we round to $103,000.
                    </P>
                </FTNT>
                <P>
                    Ongoing costs will be incurred by the small percentage of providers that do not yet have IP switching facilities for voice traffic.
                    <SU>113</SU>
                    <FTREF/>
                     According to NTCA, 91.5% of respondents to the NTCA Broadband/internet Availability Survey Report, which we assume are rural wireline providers, indicate that they already have IP switching facilities for voice traffic in their networks, and therefore 8.5% do not. As a result, the cost of converting 911 calls from TDM format to IP format would only be imposed on 8.5% of rural wireline providers. We assume the percentage of non-rural telecommunications wireline providers without IP-switching capability to be similar or smaller. Among the 947 local exchange telephone service providers,
                    <SU>114</SU>
                    <FTREF/>
                     we therefore estimate that at most 81 providers (8.5% of 947) may need to hire a third-party to transport their TDM calls in IP format to the ESInets.
                    <SU>115</SU>
                    <FTREF/>
                     The cost of adding these 81 providers to existing available transport services would not be particularly burdensome. To estimate the cost of additional transport service, we make several assumptions. First, we assume that the 81 providers are evenly spread across 56 U.S. states, commonwealths, and territories.
                    <SU>116</SU>
                    <FTREF/>
                     This would yield an additional 1.45 providers (81/56) per state. That is, we assume it would require adding 1.45 providers and 28,281 calls per year into existing transport services available in each state or territory.
                    <SU>117</SU>
                    <FTREF/>
                     Hiring an additional full-time telecommunications technician in one transport service provider per state should be more than sufficient to handle the increase in calls.
                    <SU>118</SU>
                    <FTREF/>
                     The annual wage, including benefits of a telecommunication technician would be $44 per hour, as above, multiplied by 2080 hours, for a total of $91,520 for each state. Given an estimated average of 55.53% gross margin for the communications service industry,
                    <SU>119</SU>
                    <FTREF/>
                     the annual cost to providers would be $205,802 for each state.
                    <SU>120</SU>
                    <FTREF/>
                     Multiplying the annual cost per state by 56 states and territories, we estimate a total annual recurring cost of $11,524,912, which we round to $11.6 million per year. We note that small providers could trim costs by leveraging transport procurement through small provider consortia or entering into interconnectivity agreements with larger providers. We also note that these annual costs will fall over time due to ongoing modernization of legacy 911 systems. We seek comment on all these estimates.
                </P>
                <FTNT>
                    <P>
                        <SU>113</SU>
                         Since VoIP and internet-based TRS providers are already transmitting calls via IP, we assume that they incur no additional cost to comply with the requirement of transmitting 911 calls in IP format.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>114</SU>
                         
                        <E T="03">See</E>
                         OEA Voice Telephone Service Status, at 10, Table 2 (as of June 2021, there were 947 providers providing local exchange telephone service (Switched Access Lines)).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>115</SU>
                         We multiply 947 providers by 8.5% (the percent of providers that may not have IP switching facilities) to arrive at 81 providers that may need to hire a third-party to transport their 911 calls [947 × 8.5% = 80.495, rounded up to 81].
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>116</SU>
                         This includes 50 states, Washington DC, American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and U.S. Virgin Islands.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>117</SU>
                         Per the Fourteenth Annual 911 Fee Report, forty-seven states, the District of Columbia, American Samoa, Guam, Puerto Rico, and the U.S. Virgin Islands reported a cumulative total of 220,107,525 voice calls of all types during the 2021 annual period. Fourteenth Annual Fee Report at 12, para. 14. According to NENA, more than 80% of 911 calls in the U.S. each year are from wireless devices. Therefore 20% of 220,107,525 calls, or 44,034,105 calls are generated via wireline or interconnected VoIP [220,107,525 × 20% = 44,034,105]. Divide 44,034,105 calls by a total of 2,256 wireline and interconnected VoIP providers, each provider passes an average of approximately 19,504 call per year [44,034,105/2256 = 19,503.6, rounded up to 19,504]. Multiply 19,504 by 1.45 providers, the transport service providers in each state or territory may see an increase of 28,281 calls [19,504 × 1.45 = 28,280.8, rounded up to 28,281].
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>118</SU>
                         Assuming that, on an annual basis, a full-time, full-year technician works 2,080 hours to handle the additional 28,281 calls, each technician would have to support only 14 calls per hour on average [28,281/2,080 = 13.6, rounded up to 14]. We believe that our assumption of hiring a technician per state to handle these additional 911 calls is an overestimate given that converting and transporting these calls are largely automated with little need of personnel involvement once the providers' calls are routed to the transport service providers' site.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>119</SU>
                         According to Dr. Aswath Damodarn at NYU Stern School of Business, the gross margin for the telecommunication services sector is 55.53%. 
                        <E T="03">See</E>
                         New York University, 
                        <E T="03">Margins by Sector</E>
                         (
                        <E T="03">US</E>
                        ), 
                        <E T="03">https://pages.stern.nyu.edu/~adamodar/New_Home_Page/datafile/margin.html</E>
                         (last visited May 16, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>120</SU>
                         We assume that these wireline service providers need to hire a third-party to provide this transport service, and we further assume that these third-party transport service providers mark up their service, so the gross profit margin is 55.53% according to the estimated industry average. If the cost is $91,520, the after mark-up price of transport service would be $205,802 [= $91,520/(1−55.53%) = 205,802]. In other words, if a third-party transport provider charges $205,802 to provide the additional services, it retains $114,282 [= $205,802 * 55.53%] as its gross profit after paying $91,520 in wages and benefits to the additional technician it has to hire.
                    </P>
                </FTNT>
                <P>
                    <E T="03">Costs Imposed on Rural Local Exchange Carriers.</E>
                     Some rural LEC commenters oppose NASNA's proposal to define the ESInet gateway as the demarcation point for delivery of the NG911 services, arguing that this framework would impose substantial and unrecoverable costs on rural service providers. For example, the South Carolina Telephone Coalition notes that imposing additional costs for 911 transport would create an unfair burden on rural providers and their customers. In addition, the South Carolina Telephone Coalition notes that the costs to connect to IP points of interconnection would involve “hiring third-party transport providers to deliver . . . traffic to two diverse points.” NTCA calls these “significant new transport costs.”
                </P>
                <P>
                    We seek comment on specifics of these anticipated costs under our proposed rules. What are the estimated initial and ongoing costs for a wireline provider to connect to an NG911 network via IP? For wireline, interconnected VoIP, and internet-based TRS providers that have already transitioned to providing 911 traffic to the ESInet via IP or via legacy network gateway, what are the costs to provide such service? What variables impact the costs to different providers? Are costs to connect to NG911 significantly different for different providers? If so, how? We seek cost information associated with different use cases. In addition, we note that many rural incumbent LECs offer broadband in addition to telephony, and these providers likely have already established IP peering relationships with other providers.
                    <SU>121</SU>
                    <FTREF/>
                     NASNA asserts that small providers' transition to IP “diminishes the argument that the distance to ESInet point of interconnection [POI] is cost prohibitive.” 
                    <SU>122</SU>
                    <FTREF/>
                     We seek comment on 
                    <PRTPAGE P="43533"/>
                    this assertion. We tentatively conclude that the costs for rural LECs providing broadband to transmit 911 traffic via IP to a state's NG911 point of interconnection would be small, and we seek comment on this tentative conclusion. We also seek comment on costs for IP transport to points of interconnection located in adjacent states.
                    <SU>123</SU>
                    <FTREF/>
                     In addition, we seek comment and specific data on wireline, interconnected VoIP, and internet-based TRS provider costs to implement NG911 in rural areas, including any costs that could be avoided or reduced. Further, we seek comment on any additional costs to transition to NG911 for a rural LEC that already provides broadband service.
                </P>
                <FTNT>
                    <P>
                        <SU>121</SU>
                         
                        <E T="03">See, e.g.,</E>
                         NTCA, Entry Into Telecommunications: Rural ILEC Perspective at slide 4 (June 25, 2015) 
                        <E T="03">https://www.justice.gov/atr/entry-telecommunications-rural-ilec-perspective</E>
                         (92% of Independent Rural Carriers offer internet); NTCA 2022 Broadband Survey Report at 4 (The “vast majority” of respondents (91.5%) to the NTCA's annual survey “indicate that they have IP switching facilities for voice traffic in their networks. Just over one-half of respondents (53.4%) still use TDM switching facilities for voice traffic within some portion of their ILEC networks.” The response rate to this survey was 38.3%.); 
                        <E T="03">see Connect America Fund; ETC Annual Reports and Certifications; Establishing Just and Reasonable Rates for Local Exchange Carriers; Developing a Unified Intercarrier Compensation Regime,</E>
                         Report and Order, Further Notice of Proposed Rulemaking, and Order on Reconsideration, 33 FCC Rcd 11893, 11925-27, paras. 101-12 (2018) (applying the requirement to provide broadband to those carriers that have not adopted one of the Alternative Connect America Cost Model support programs or the Alaska Plan).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>122</SU>
                         NASNA Reply at 3-4. 
                        <E T="03">But see</E>
                         NTCA 
                        <E T="03">Ex Parte</E>
                         at 4 (questioning the relationship between a provider's ability to originate traffic in IP format or provide broadband services and the costs for that provider to transmit 911 traffic in IP format outside the boundaries of its network).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>123</SU>
                         South Carolina Telephone Coalition Reply at 5 (indicating that the two diverse points for Comtech's ESInet implementation in South Carolina are in adjacent states).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Impact of Proposed Approach on Universal Service.</E>
                     Some commenters argue that requiring the delivery of IP 911 traffic to specific points would place universal service in jeopardy through increased costs. With respect to section 254 of the Act, we do not believe that our proposed rules would cause injury to the principles of universal service, given that states would remain free to implement cost recovery mechanisms as they deem necessary. As NASNA points out, costs to small providers may also be addressed by other means, including “collaborative consortiums of smaller providers to leverage transport procurement, interconnectivity agreements with larger providers, and the providers' transition to IP.” We seek comment on the feasibility of these measures and their capability to defray costs for small providers. In addition, we seek comment on the impacts of our proposed rules on the availability of universal service and universal service support under section 254 of the Act.
                </P>
                <P>
                    <E T="03">Benefits Expected to Exceed Costs.</E>
                     The proposed actions would have important benefits outlined above, as well as impose some costs. We tentatively conclude that the Commission's proposals would produce benefits far exceeding the costs imposed on wireline, CMRS, interconnected VoIP, and internet-based TRS providers, and we seek comment on this tentative conclusion.
                </P>
                <HD SOURCE="HD1">Procedural Matters</HD>
                <HD SOURCE="HD1">Initial Regulatory Flexibility Analysis</HD>
                <P>
                    As required by the Regulatory Flexibility Act of 1980, as amended (RFA), the Commission has prepared this Initial Regulatory Flexibility Analysis (IRFA) of the possible significant economic impact on a substantial number of small entities by the policies and rules proposed in the 
                    <E T="03">Notice of Proposed Rule Making</E>
                     (
                    <E T="03">NPRM</E>
                    ). Written public comments are requested on this IRFA. Comments must be identified as responses to the IRFA and must be filed by the deadlines in the 
                    <E T="03">NPRM.</E>
                </P>
                <HD SOURCE="HD2">A. Need for, and Objectives of, the Proposed Rules</HD>
                <P>
                    In the 
                    <E T="03">NPRM,</E>
                     we propose to take steps that will advance the nationwide transition to Next Generation 911 (NG911). Like communications networks generally, dedicated 911 networks are evolving from Time Division Multiplexing (TDM)-based architectures to internet Protocol (IP)-based architectures. With the transition to NG911, 911 authorities will replace the circuit-switched architecture of legacy 911 networks with IP-based technologies and applications, which provide new capabilities and improved interoperability and system resilience. Most states have invested significantly in NG911, but some report that they are experiencing delays in providers connecting to these IP-based networks. As a result of these delays, state and local 911 authorities incur prolonged costs because of the need to maintain both legacy and IP networks during the transition. Managing 911 traffic on both legacy and IP networks may also result in increased vulnerability and risk of 911 outages.
                </P>
                <P>
                    In the 
                    <E T="03">NPRM,</E>
                     we propose to expedite the NG911 transition by adopting certain requirements that would apply to wireline, Commercial Mobile Radio Service (CMRS), interconnected Voice over internet Protocol (VoIP), and internet-based Telecommunications Relay Service (TRS) providers as state and local 911 authorities transition to IP-based networks and develop the capability to support NG911 elements and functions.
                </P>
                <P>• First, we propose to require wireline, interconnected VoIP, and internet-based TRS providers to complete all translation and routing to deliver 911 calls, including associated location information, in the requested IP-based format to an Emergency Services IP network (ESInet) or other designated point(s) that allow emergency calls to be answered upon request of 911 authorities who have certified the capability to accept IP-based 911 communications. Wireline and interconnected VoIP providers would be subject to this requirement six months from the effective date of the IP service delivery requirement, or six months after a valid request for IP-based service by a state or local 911 authority, whichever is later. Internet-based TRS providers would be subject to this requirement twelve months from the effective date of the IP service delivery requirement, or twelve months after a valid request for IP-based service by a state or local 911 authority, whichever is later. This proposal is similar to what was proposed for CMRS and covered text providers in our recent proceeding on wireless location-based routing.</P>
                <P>• Second, as state and local 911 authorities transition to IP-based networks, we propose to require wireline, interconnected VoIP, CMRS, and internet-based TRS providers to transmit all 911 calls to destination point(s) in those networks designated by a 911 authority, including to a public safety answering point (PSAP), designated statewide default answering point, local emergency authority, ESInet, or other point(s) designated to receive 911 calls that allow emergency calls to be answered, upon request of 911 authorities who have certified the capability to accept IP-based 911 communications.</P>
                <P>• Third, we propose that in the absence of agreements by states or localities on alternative cost recovery mechanisms, wireline, interconnected VoIP, CMRS, and internet-based TRS providers must cover the costs of transmitting 911 calls to the point(s) designated by a 911 authority, including any costs associated with completing the translation and routing necessary to deliver such calls and associated location information to the designated destination point(s) in the requested IP-based format. Under this proposal, states and localities would remain free to establish alternative cost allocation arrangements with providers. However, in the absence of such arrangements, providers would be presumptively responsible for the costs associated with delivering traffic to the destination point(s) identified by the appropriate 911 authority.</P>
                <P>
                    Together, these proposals are intended to expedite the NG911 transition and help ensure that the nation's 911 system functions effectively and with the most advanced capabilities available. In addition, they respond to the petition filed in 2021 by the National Association of State 911 Administrators (NASNA) urging the Commission to take actions to resolve uncertainty and disputes between originating service providers (OSPs) and state 911 authorities regarding the NG911 transition. We seek to create a consistent framework for ensuring that providers (including wireline, CMRS, 
                    <PRTPAGE P="43534"/>
                    interconnected VoIP, and internet-based TRS providers) take the necessary steps to implement the transition to NG911 capability in coordination with state and local 911 authorities. We also seek to align the NG911 transition rules for wireline, interconnected VoIP, and internet-based TRS providers with similar requirements we have proposed for CMRS and covered text providers in the 
                    <E T="03">Location-Based Routing NPRM,</E>
                     thereby promoting consistency across service platforms. Finally, our demarcation point and cost allocation proposals seek to address what NASNA described in its Petition as “the critical component, and biggest regulatory roadblock, to transitioning to NG911 services.”
                </P>
                <HD SOURCE="HD2">B. Legal Basis</HD>
                <P>The proposed action is authorized pursuant to sections 1, 2, 4(i), 201, 214, 222, 225, 251(e), 301, 303, 316, and 332 of the Communications Act of 1934, as amended, 47 U.S.C. 151, 152, 154(i), 201, 214, 222, 225, 251(e), 301, 303, 316, 332; the Wireless Communications and Public Safety Act of 1999, Public Law 106-81, 47 U.S.C. 615 note, 615, 615a, 615b; and section 106 of the Twenty-First Century Communications and Video Accessibility Act of 2010, Public Law 111-260, 47 U.S.C. 615c.</P>
                <HD SOURCE="HD2">C. Description and Estimate of the Number of Small Entities to Which the Proposed Rules Will Apply</HD>
                <P>The RFA directs agencies to provide a description of and, where feasible, an estimate of the number of small entities that may be affected by the proposed rules, if adopted. The RFA generally defines the term “small entity” as having the same meaning as the terms “small business,” “small organization,” and “small governmental jurisdiction.” In addition, the term “small business” has the same meaning as the term “small business concern” under the Small Business Act. A small business concern is one which: (1) is independently owned and operated; (2) is not dominant in its field of operation; and (3) satisfies any additional criteria established by the SBA.</P>
                <P>
                    <E T="03">Small Businesses, Small Organizations, Small Governmental Jurisdictions.</E>
                     Our actions, over time, may affect small entities that are not easily categorized at present. We therefore describe, at the outset, three broad groups of small entities that could be directly affected herein. First, while there are industry specific size standards for small businesses that are used in the regulatory flexibility analysis, according to data from the Small Business Administration's (SBA) Office of Advocacy, in general a small business is an independent business having fewer than 500 employees. These types of small businesses represent 99.9% of all businesses in the United States, which translates to 32.5 million businesses.
                </P>
                <P>Next, the type of small entity described as a “small organization” is generally “any not-for-profit enterprise which is independently owned and operated and is not dominant in its field.” The Internal Revenue Service (IRS) uses a revenue benchmark of $50,000 or less to delineate its annual electronic filing requirements for small exempt organizations. Nationwide, for tax year 2020, there were approximately 447,689 small exempt organizations in the U.S. reporting revenues of $50,000 or less according to the registration and tax data for exempt organizations available from the IRS.</P>
                <P>Finally, the small entity described as a “small governmental jurisdiction” is defined generally as “governments of cities, counties, towns, townships, villages, school districts, or special districts, with a population of less than fifty thousand.” U.S. Census Bureau data from the 2017 Census of Governments indicate there were 90,075 local governmental jurisdictions consisting of general purpose governments and special purpose governments in the United States. Of this number, there were 36,931 general purpose governments (county, municipal, and town or township) with populations of less than 50,000 and 12,040 special purpose governments—independent school districts with enrollment populations of less than 50,000. Accordingly, based on the 2017 U.S. Census of Governments data, we estimate that at least 48,971 entities fall into the category of “small governmental jurisdictions.”</P>
                <P>Below, for those services subject to auctions, we note that, as a general matter, the number of winning bidders that qualify as small businesses at the close of an auction does not necessarily represent the number of small businesses currently in service. Also, the Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated.</P>
                <P>
                    <E T="03">All Other Telecommunications.</E>
                     This industry is comprised of establishments primarily engaged in providing specialized telecommunications services, such as satellite tracking, communications telemetry, and radar station operation. This industry also includes establishments primarily engaged in providing satellite terminal stations and associated facilities connected with one or more terrestrial systems and capable of transmitting telecommunications to, and receiving telecommunications from, satellite systems. Providers of internet services (
                    <E T="03">e.g.,</E>
                     dial-up ISPs) or Voice over internet Protocol (VoIP) services, via client-supplied telecommunications connections are also included in this industry. The SBA small business size standard for this industry classifies firms with annual receipts of $35 million or less as small. U.S. Census Bureau data for 2017 show that there were 1,079 firms in this industry that operated for the entire year. Of those firms, 1,039 had revenue of less than $25 million. Based on this data, the Commission estimates that the majority of “All Other Telecommunications” firms can be considered small.
                </P>
                <P>
                    <E T="03">Advanced Wireless Services (AWS)—(1710-1755 MHz and 2110-2155 MHz bands (AWS-1); 1915-1920 MHz, 1995-2000 MHz, 2020-2025 MHz and 2175-2180 MHz bands (AWS-2); 2155-2175 MHz band (AWS-3); 2000-2020 MHz and 2180-2200 MHz (AWS-4)).</E>
                     Spectrum is made available and licensed in these bands for the provision of various wireless communications services. Wireless Telecommunications Carriers (except Satellite) is the closest industry with a SBA small business size standard applicable to these services. The SBA small business size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year. Of this number, 2,837 firms employed fewer than 250 employees. Thus, under the SBA size standard, the Commission estimates that a majority of licensees in this industry can be considered small.
                </P>
                <P>
                    According to Commission data as December 2021, there were approximately 4,472 active AWS licenses. The Commission's small business size standards with respect to AWS involve eligibility for bidding credits and installment payments in the auction of licenses for these services. For the auction of AWS licenses, the Commission defined a “small business” as an entity with average annual gross revenues for the preceding three years not exceeding $40 million, and a “very small business” as an entity with average annual gross revenues for the preceding three years not exceeding $15 million. Pursuant to these definitions, 57 winning bidders claiming status as small or very small businesses won 215 of 1,087 licenses. In the most recent auction of AWS licenses 15 of 37 bidders qualifying for status as small or very small businesses won licenses.
                    <PRTPAGE P="43535"/>
                </P>
                <P>In frequency bands where licenses were subject to auction, the Commission notes that as a general matter, the number of winning bidders that qualify as small businesses at the close of an auction does not necessarily represent the number of small businesses currently in service. Further, the Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these services, at this time we are not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                <P>
                    <E T="03">Wired Telecommunications Carriers.</E>
                     The U.S. Census Bureau defines this industry as establishments primarily engaged in operating and/or providing access to transmission facilities and infrastructure that they own and/or lease for the transmission of voice, data, text, sound, and video using wired communications networks. Transmission facilities may be based on a single technology or a combination of technologies. Establishments in this industry use the wired telecommunications network facilities that they operate to provide a variety of services, such as wired telephony services, including VoIP services, wired (cable) audio and video programming distribution, and wired broadband internet services. By exception, establishments providing satellite television distribution services using facilities and infrastructure that they operate are included in this industry. Wired Telecommunications Carriers are also referred to as wireline carriers or fixed local service providers.
                </P>
                <P>The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 4,590 providers that reported they were engaged in the provision of fixed local services. Of these providers, the Commission estimates that 4,146 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.</P>
                <P>
                    <E T="03">Local Exchange Carriers (LECs).</E>
                     Neither the Commission nor the SBA has developed a size standard for small businesses specifically applicable to local exchange services. Providers of these services include both incumbent and competitive local exchange service providers. Wired Telecommunications Carriers is the closest industry with an SBA small business size standard. Wired Telecommunications Carriers are also referred to as wireline carriers or fixed local service providers. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 4,590 providers that reported they were fixed local exchange service providers. Of these providers, the Commission estimates that 4,146 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    <E T="03">Competitive Local Exchange Carriers (LECs).</E>
                     Neither the Commission nor the SBA has developed a size standard for small businesses specifically applicable to local exchange services. Providers of these services include several types of competitive local exchange service providers. Wired Telecommunications Carriers is the closest industry with a SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 3,378 providers that reported they were competitive local exchange service providers. Of these providers, the Commission estimates that 3,230 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    <E T="03">Incumbent Local Exchange Carriers (Incumbent LECs).</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for incumbent local exchange carriers. Wired Telecommunications Carriers is the closest industry with an SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms in this industry that operated for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 1,212 providers that reported they were incumbent local exchange service providers. Of these providers, the Commission estimates that 916 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, the Commission estimates that the majority of incumbent local exchange carriers can be considered small entities.
                </P>
                <P>
                    <E T="03">Interexchange Carriers (IXCs).</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for Interexchange Carriers. Wired Telecommunications Carriers is the closest industry with a SBA small business size standard. The SBA small business size standard for Wired Telecommunications Carriers classifies firms having 1,500 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 3,054 firms that operated in this industry for the entire year. Of this number, 2,964 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 127 providers that reported they were engaged in the provision of interexchange services. Of these providers, the Commission estimates that 109 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, the Commission estimates that the majority of providers in this industry can be considered small entities.
                </P>
                <P>
                    <E T="03">Local Resellers.</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for Local Resellers. Telecommunications Resellers is the closest industry with a SBA small business size standard. The Telecommunications Resellers industry comprises establishments engaged in purchasing access and network capacity from owners and operators of telecommunications networks and reselling wired and wireless 
                    <PRTPAGE P="43536"/>
                    telecommunications services (except satellite) to businesses and households. Establishments in this industry resell telecommunications; they do not operate transmission facilities and infrastructure. Mobile virtual network operators (MVNOs) are included in this industry. The SBA small business size standard for Telecommunications Resellers classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that 1,386 firms in this industry provided resale services for the entire year. Of that number, 1,375 firms operated with fewer than 250 employees. Additionally, based on Commission data in the 2021 Universal Service Monitoring Report, as of December 31, 2020, there were 293 providers that reported they were engaged in the provision of local resale services. Of these providers, the Commission estimates that 289 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    <E T="03">Broadband Personal Communications Service.</E>
                     The broadband personal communications services (PCS) spectrum encompasses services in the 1850-1910 and 1930-1990 MHz bands. The closest industry with a SBA small business size standard applicable to these services is Wireless Telecommunications Carriers (except Satellite). The SBA small business size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year. Of this number, 2,837 firms employed fewer than 250 employees. Thus under the SBA size standard, the Commission estimates that a majority of licensees in this industry can be considered small.
                </P>
                <P>Based on Commission data as of November 2021, there were approximately 5,060 active licenses in the Broadband PCS service. The Commission's small business size standards with respect to Broadband PCS involve eligibility for bidding credits and installment payments in the auction of licenses for these services. In auctions for these licenses, the Commission defined “small business” as an entity that, together with its affiliates and controlling interests, has average gross revenues not exceeding $40 million for the preceding three years, and a “very small business” as an entity that, together with its affiliates and controlling interests, has had average annual gross revenues not exceeding $15 million for the preceding three years. Winning bidders claiming small business credits won Broadband PCS licenses in C, D, E, and F Blocks.</P>
                <P>In frequency bands where licenses were subject to auction, the Commission notes that as a general matter, the number of winning bidders that qualify as small businesses at the close of an auction does not necessarily represent the number of small businesses currently in service. Further, the Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these, at this time we are not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                <P>
                    <E T="03">Narrowband Personal Communications Services.</E>
                     Narrowband Personal Communications Services 
                    <E T="03">(Narrowband PCS)</E>
                     are PCS services operating in the 901-902 MHz, 930-931 MHz, and 940-941 MHz bands. PCS services are radio communications that encompass mobile and ancillary fixed communication that provide services to individuals and businesses and can be integrated with a variety of competing networks. Wireless Telecommunications Carriers (
                    <E T="03">except</E>
                     Satellite) is the closest industry with a SBA small business size standard applicable to these services. The SBA small business size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year. Of this number, 2,837 firms employed fewer than 250 employees. Thus under the SBA size standard, the Commission estimates that a majority of licensees in this industry can be considered small.
                </P>
                <P>
                    According to Commission data as of December 2021, there were approximately 4,211 active 
                    <E T="03">Narrowband PCS</E>
                     licenses. The Commission's small business size standards with respect to 
                    <E T="03">Narrowband PCS</E>
                     involve eligibility for bidding credits and installment payments in the auction of licenses for these services. For the auction of these licenses, the Commission defined a “small business” as an entity that, together with affiliates and controlling interests, has average gross revenues for the three preceding years of not more than $40 million. A “very small business” is defined as an entity that, together with affiliates and controlling interests, has average gross revenues for the three preceding years of not more than $15 million. Pursuant to these definitions, 7 winning bidders claiming small and very small bidding credits won approximately 359 licenses. One of the winning bidders claiming a small business status classification in these 
                    <E T="03">Narrowband PCS</E>
                     license auctions had an active license as of December 2021.
                </P>
                <P>In frequency bands where licenses were subject to auction, the Commission notes that as a general matter, the number of winning bidders that qualify as small businesses at the close of an auction does not necessarily represent the number of small businesses currently in service. Further, the Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these services, at this time we are not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                <P>
                    <E T="03">Offshore Radiotelephone Service.</E>
                     This service operates on several UHF television broadcast channels that are not used for television broadcasting in the coastal areas of states bordering the Gulf of Mexico. Wireless Telecommunications Carriers (
                    <E T="03">except</E>
                     Satellite) is the closest industry with a SBA small business size standard applicable to this service. The SBA small business size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year. Of this number, 2,837 firms employed fewer than 250 employees. Thus under the SBA size standard, the Commission estimates that a majority of licensees in this industry can be considered small. Additionally, based on Commission data, as of December 2021, there was one licensee with an active license in this service. However, since the Commission does not collect data on the number of employees for this service, at this time we are not able to estimate the number of licensees that would qualify as small under the SBA's small business size standard.
                </P>
                <P>
                    <E T="03">Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing.</E>
                     This industry comprises establishments primarily engaged in manufacturing radio and television broadcast and wireless communications equipment. Examples of products made by these establishments are: transmitting and receiving antennas, cable television equipment, GPS equipment, pagers, 
                    <PRTPAGE P="43537"/>
                    cellular phones, mobile communications equipment, and radio and television studio and broadcasting equipment. The SBA small business size standard for this industry classifies businesses having 1,250 employees or less as small. U.S. Census Bureau data for 2017 show that there were 656 firms in this industry that operated for the entire year. Of this number, 624 firms had fewer than 250 employees. Thus, under the SBA size standard, the majority of firms in this industry can be considered small.
                </P>
                <P>
                    <E T="03">Rural Radiotelephone Service.</E>
                     Neither the Commission nor the SBA have developed a small business size standard specifically for small businesses providing Rural Radiotelephone Service. Rural Radiotelephone Service is radio service in which licensees are authorized to offer and provide radio telecommunication services for hire to subscribers in areas where it is not feasible to provide communication services by wire or other means. A significant subset of the Rural Radiotelephone Service is the Basic Exchange Telephone Radio System (BETRS). Wireless Telecommunications Carriers (
                    <E T="03">except</E>
                     Satellite), is the closest applicable industry with a SBA small business size standard. The SBA small business size standard for Wireless Telecommunications Carriers (
                    <E T="03">except</E>
                     Satellite) classifies firms having 1,500 or fewer employees as small. For this industry, U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated for the entire year. Of this total, 2,837 firms employed fewer than 250 employees. Thus under the SBA size standard, the Commission estimates that the majority of Rural Radiotelephone Services firm are small entities. Based on Commission data as of December 27, 2021, there were approximately 119 active licenses in the Rural Radiotelephone Service. The Commission does not collect employment data from these entities holding these licenses and therefore we cannot estimate how many of these entities meet the SBA small business size standard.
                </P>
                <P>
                    <E T="03">Wireless Communications Services.</E>
                     Wireless Communications Services (WCS) can be used for a variety of fixed, mobile, radiolocation, and digital audio broadcasting satellite services. Wireless spectrum is made available and licensed for the provision of wireless communications services in several frequency bands subject to Part 27 of the Commission's rules. Wireless Telecommunications Carriers (
                    <E T="03">except</E>
                     Satellite) is the closest industry with an SBA small business size standard applicable to these services. The SBA small business size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year. Of this number, 2,837 firms employed fewer than 250 employees. Thus under the SBA size standard, the Commission estimates that a majority of licensees in this industry can be considered small.
                </P>
                <P>The Commission's small business size standards with respect to WCS involve eligibility for bidding credits and installment payments in the auction of licenses for the various frequency bands included in WCS. When bidding credits are adopted for the auction of licenses in WCS frequency bands, such credits may be available to several types of small businesses based average gross revenues (small, very small and entrepreneur) pursuant to the competitive bidding rules adopted in conjunction with the requirements for the auction and/or as identified in the designated entities section in Part 27 of the Commission's rules for the specific WCS frequency bands.</P>
                <P>In frequency bands where licenses were subject to auction, the Commission notes that as a general matter, the number of winning bidders that qualify as small businesses at the close of an auction does not necessarily represent the number of small businesses currently in service. Further, the Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these services, at this time we are not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                <P>
                    <E T="03">Wireless Telecommunications Carriers (except Satellite).</E>
                     This industry comprises establishments engaged in operating and maintaining switching and transmission facilities to provide communications via the airwaves. Establishments in this industry have spectrum licenses and provide services using that spectrum, such as cellular services, paging services, wireless internet access, and wireless video services. The SBA size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms in this industry that operated for the entire year. Of that number, 2,837 firms employed fewer than 250 employees. Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 594 providers that reported they were engaged in the provision of wireless services. Of these providers, the Commission estimates that 511 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    <E T="03">Wireless Telephony.</E>
                     Wireless telephony includes cellular, personal communications services, and specialized mobile radio telephony carriers. The closest applicable industry with an SBA small business size standard is Wireless Telecommunications Carriers (except Satellite). The size standard for this industry under SBA rules is that a business is small if it has 1,500 or fewer employees. For this industry, U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated for the entire year. Of this number, 2,837 firms employed fewer than 250 employees. Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 331 providers that reported they were engaged in the provision of cellular, personal communications services, and specialized mobile radio services. Of these providers, the Commission estimates that 255 providers have 1,500 or fewer employees. Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                </P>
                <P>
                    <E T="03">700 MHz Guard Band Licensees.</E>
                     The 700 MHz Guard Band encompasses spectrum in 746-747/776-777 MHz and 762-764/792-794 MHz frequency bands. Wireless Telecommunications Carriers (
                    <E T="03">except</E>
                     Satellite) is the closest industry with a SBA small business size standard applicable to licenses providing services in these bands. The SBA small business size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year. Of this number, 2,837 firms employed fewer than 250 employees. Thus under the SBA size standard, the Commission estimates that a majority of licensees in this industry can be considered small.
                </P>
                <P>
                    According to Commission data as of December 2021, there were approximately 224 active 700 MHz Guard Band licenses. The Commission's small business size standards with respect to 700 MHz Guard Band licensees involve eligibility for bidding 
                    <PRTPAGE P="43538"/>
                    credits and installment payments in the auction of licenses. For the auction of these licenses, the Commission defined a “small business” as an entity that, together with its affiliates and controlling principals, has average gross revenues not exceeding $40 million for the preceding three years, and a “very small business” an entity that, together with its affiliates and controlling principals, has average gross revenues that are not more than $15 million for the preceding three years. Pursuant to these definitions, five winning bidders claiming one of the small business status classifications won 26 licenses, and one winning bidder claiming small business won two licenses. None of the winning bidders claiming a small business status classification in these 700 MHz Guard Band license auctions had an active license as of December 2021.
                </P>
                <P>In frequency bands where licenses were subject to auction, the Commission notes that as a general matter, the number of winning bidders that qualify as small businesses at the close of an auction does not necessarily represent the number of small businesses currently in service. Further, the Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these services, at this time we are not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                <P>
                    <E T="03">Lower 700 MHz Band Licenses.</E>
                     The lower 700 MHz band encompasses spectrum in the 698-746 MHz frequency bands. Permissible operations in these bands include flexible fixed, mobile, and broadcast uses, including mobile and other digital new broadcast operation; fixed and mobile wireless commercial services (including FDD- and TDD-based services); as well as fixed and mobile wireless uses for private, internal radio needs, two-way interactive, cellular, and mobile television broadcasting services. Wireless Telecommunications Carriers (
                    <E T="03">except</E>
                     Satellite) is the closest industry with a SBA small business size standard applicable to licenses providing services in these bands. The SBA small business size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year. Of this number, 2,837 firms employed fewer than 250 employees. Thus under the SBA size standard, the Commission estimates that a majority of licensees in this industry can be considered small.
                </P>
                <P>According to Commission data as of December 2021, there were approximately 2,824 active Lower 700 MHz Band licenses. The Commission's small business size standards with respect to Lower 700 MHz Band licensees involve eligibility for bidding credits and installment payments in the auction of licenses. For auctions of Lower 700 MHz Band licenses the Commission adopted criteria for three groups of small businesses. A very small business was defined as an entity that, together with its affiliates and controlling interests, has average annual gross revenues not exceeding $15 million for the preceding three years, a small business was defined as an entity that, together with its affiliates and controlling interests, has average gross revenues not exceeding $40 million for the preceding three years, and an entrepreneur was defined as an entity that, together with its affiliates and controlling interests, has average gross revenues not exceeding $3 million for the preceding three years. In auctions for Lower 700 MHz Band licenses seventy-two winning bidders claiming a small business classification won 329 licenses, twenty-six winning bidders claiming a small business classification won 214 licenses, and three winning bidders claiming a small business classification won all five auctioned licenses.</P>
                <P>In frequency bands where licenses were subject to auction, the Commission notes that as a general matter, the number of winning bidders that qualify as small businesses at the close of an auction does not necessarily represent the number of small businesses currently in service. Further, the Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these services, at this time we are not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                <P>
                    <E T="03">Upper 700 MHz Band Licenses.</E>
                     The upper 700 MHz band encompasses spectrum in the 746-806 MHz bands. Upper 700 MHz D Block licenses are nationwide licenses associated with the 758-763 MHz and 788-793 MHz bands. Permissible operations in these bands include flexible fixed, mobile, and broadcast uses, including mobile and other digital new broadcast operation; fixed and mobile wireless commercial services (including FDD- and TDD-based services); as well as fixed and mobile wireless uses for private, internal radio needs, two-way interactive, cellular, and mobile television broadcasting services. Wireless Telecommunications Carriers (
                    <E T="03">except</E>
                     Satellite) is the closest industry with a SBA small business size standard applicable to licenses providing services in these bands. The SBA small business size standard for this industry classifies a business as small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year. Of that number, 2,837 firms employed fewer than 250 employees. Thus, under the SBA size standard, the Commission estimates that a majority of licensees in this industry can be considered small.
                </P>
                <P>According to Commission data as of December 2021, there were approximately 152 active Upper 700 MHz Band licenses. The Commission's small business size standards with respect to Upper 700 MHz Band licensees involve eligibility for bidding credits and installment payments in the auction of licenses. For the auction of these licenses, the Commission defined a “small business” as an entity that, together with its affiliates and controlling principals, has average gross revenues not exceeding $40 million for the preceding three years, and a “very small business” an entity that, together with its affiliates and controlling principals, has average gross revenues that are not more than $15 million for the preceding three years. Pursuant to these definitions, three winning bidders claiming very small business status won five of the twelve available licenses.</P>
                <P>In frequency bands where licenses were subject to auction, the Commission notes that as a general matter, the number of winning bidders that qualify as small businesses at the close of an auction does not necessarily represent the number of small businesses currently in service. Further, the Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these services, at this time we are not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                <P>
                    <E T="03">Wireless Resellers.</E>
                     Neither the Commission nor the SBA have 
                    <PRTPAGE P="43539"/>
                    developed a small business size standard specifically for Wireless Resellers. The closest industry with a SBA small business size standard is Telecommunications Resellers. The Telecommunications Resellers industry comprises establishments engaged in purchasing access and network capacity from owners and operators of telecommunications networks and reselling wired and wireless telecommunications services (except satellite) to businesses and households. Establishments in this industry resell telecommunications and they do not operate transmission facilities and infrastructure. Mobile virtual network operators (MVNOs) are included in this industry. Under the SBA size standard for this industry, a business is small if it has 1,500 or fewer employees. U.S. Census Bureau data for 2017 show that 1,386 firms in this industry provided resale services during that year. Of that number, 1,375 firms operated with fewer than 250 employees. Thus, for this industry under the SBA small business size standard, the majority of providers can be considered small entities.
                </P>
                <P>
                    <E T="03">Semiconductor and Related Device Manufacturing.</E>
                     This industry comprises establishments primarily engaged in manufacturing semiconductors and related solid state devices. Examples of products made by these establishments are integrated circuits, memory chips, microprocessors, diodes, transistors, solar cells and other optoelectronic devices. The SBA small business size standard for this industry classifies entities having 1,250 or fewer employees as small. U.S. Census Bureau data for 2017 show that there were 729 firms in this industry that operated for the entire year. Of this total, 673 firms operated with fewer than 250 employees. Thus, under the SBA size standard, the majority of firms in this industry can be considered small.
                </P>
                <P>
                    <E T="03">Telecommunications Relay Service (TRS) Providers.</E>
                     Telecommunications relay services enable individuals who are deaf, hard of hearing, deaf-blind, or who have a speech disability to communicate by telephone in a manner that is functionally equivalent to using voice communication services. Internet-based TRS (
                    <E T="03">iTRS</E>
                    ) connects an individual with a hearing or a speech disability to a TRS communications assistant using an Internet Protocol-enabled device via the internet, rather than the public switched telephone network. Video Relay Service (VRS) one form of 
                    <E T="03">iTRS,</E>
                     enables people with hearing or speech disabilities who use sign language to communicate with voice telephone users over a broadband connection using a video communication device. Internet Protocol Captioned Telephone Service (IP CTS) another form of 
                    <E T="03">iTRS,</E>
                     permits a person with hearing loss to have a telephone conversation while reading captions of what the other party is saying on an internet-connected device. Providers must be certified by the Commission to provide VRS and IP CTS and to receive compensation from the TRS Fund for TRS provided in accordance with applicable rules.
                </P>
                <P>
                    Neither the Commission nor the SBA have developed a small business size standard specifically for TRS Providers. All Other Telecommunications is the closest industry with a SBA small business size standard. Internet Service Providers (ISPs) and Voice over Internet Protocol (VoIP) services, via client-supplied telecommunications connections are included in this industry. The SBA small business size standard for this industry classifies firms with annual receipts of $35 million or less as small. U.S. Census Bureau data for 2017 show that there were 1,079 firms in this industry that operated for the entire year. Of those firms, 1,039 had revenue of less than $25 million. Based on Commission data there are ten certified 
                    <E T="03">iTRS</E>
                     providers. The Commission however does not compile financial information for these providers. Nevertheless, based on available information, the Commission estimates that most providers in this industry are small entities.
                </P>
                <HD SOURCE="HD2">D. Description of Projected Reporting, Recordkeeping, and Other Compliance Requirements for Small Entities</HD>
                <P>
                    The 
                    <E T="03">NPRM</E>
                     proposes and seeks comment on implementing new NG911 requirements for 911 voice calls, that if adopted, may impose new or modified reporting or recordkeeping, and other compliance obligations on small entities. Some of our proposed requirements contain written notification and certification requirements that will be applicable to small entities. For example, in the 
                    <E T="03">NPRM</E>
                     we propose to require wireline, interconnected VoIP, and internet-based TRS providers to complete all translation and routing to deliver 911 calls, including associated location information, in the requested IP-based format to an ESInet or other designated point(s) that allow emergency calls to be answered upon request of 911 authorities who have certified the capability to accept IP-based 911 communications. Wireline and interconnected VoIP providers would be subject to this requirement six months from the effective date of the IP service delivery requirement, or six months after a valid request for IP-based service by a state or local 911 authority, whichever is later. Internet-based TRS providers would subject to this requirement twelve months from the effective date of the IP service delivery requirement, or twelve months after a valid request for IP-based service by a state or local 911 authority, whichever is later. Wireline, interconnected VoIP, and internet-based TRS providers and state or local 911 authorities would be allowed to agree to alternate time frames for delivery of IP-formatted calls and associated routing information as long as the wireline, interconnected VoIP, or internet-based TRS provider notifies the Commission of the alternate time frame within 30 days of the parties' agreement.
                </P>
                <P>To determine whether wireline, interconnected VoIP, and internet-based TRS providers' have received a “valid request,” the criteria we proposed to constitute a valid request includes certification from a requesting local or state entity that it meets the following conditions, (1) it is technically ready to receive calls and/or texts in the IP-based format requested, (2) it is specifically authorized to accept calls and/or texts in the IP-based format requested, and (3) it has provided notification to the wireline, interconnected VoIP, or internet-based TRS providers via either a registry made available by the Commission or any other written notification reasonably acceptable to the wireline, interconnected VoIP, or internet-based TRS provider.</P>
                <P>
                    In the 
                    <E T="03">NPRM,</E>
                     we seek comment on whether to implement any new data collections to assist in monitoring performance and compliance with the proposed NG911 rules. For example, we ask: (1) whether to require wireline, interconnected VoIP, and internet-based TRS providers to provide a certification of compliance with the proposed rules, and (2) if reporting would be helpful, what specific information should providers include and at what frequency we should require them to report it. We also seek information on whether the proposed rules should include requirements for disclosures to the PSAP or other state or local 911 authority in connection with compliance with the NG911 rules.
                </P>
                <P>
                    Our inquiry into the potential reporting obligations that may be necessary to complement our proposed NG911 rules includes requesting comment on measures the Commission could take to limit the burden of reporting on the transition to NG911. In particular, in the 
                    <E T="03">NPRM</E>
                     we seek information on the extent that the Commission could limit the burden of 
                    <PRTPAGE P="43540"/>
                    any reporting requirements on businesses identified as small by the SBA. We also assess whether we need to adopt requirements and systems for reporting non-compliance with the proposed NG911 rules. While we tentatively conclude that our existing mechanisms (which would allow public safety entities and members of the public seeking to report non-compliance with the proposed rules to file complaints via the Public Safety and Homeland Security Bureau's Public Safety Support Center or the Commission's Consumer Complaint Center) should be sufficient to address any potential violations, we seek comment on this tentative conclusion.
                </P>
                <P>
                    Although the proposed rulemaking may impose additional costs to wireline, CMRS, interconnected VoIP, and internet-based TRS providers as a result of (1) the requirement for wireline, interconnected VoIP, and internet-based TRS providers to deliver 911 calls in IP-based format to 911 facilities, and (2) the requirement for wireline, CMRS, interconnected VoIP, and internet-based TRS providers to deliver 911 traffic to the point(s) designated by the 911 authority, we believe these costs are relatively small. Our initial estimate of the upper bound of these costs for all such providers in total is approximately $103,000 in one-time costs and $11.6 million recurring annual costs. We outline the details of those costs below and seek comment on our cost estimates in the 
                    <E T="03">NPRM.</E>
                </P>
                <P>The cost of moving the point for delivery of 911 traffic for wireline, CMRS, interconnected VoIP, and internet-based TRS providers to a point designated by the 911 authority, such as an ESInet, occurs only once. Further, we believe the cost of changing connecting points should be insignificant for transporters. To estimate the maximum of this one-time cost, we assume that all of the 2,327 wireline, CMRS, interconnected VoIP, and internet-based TRS providers' 911 calls must be reconfigured to connect to ESInets. This is likely an overestimate because some providers already are connected to ESInets. We assume that each provider needs at most one hour of work by a technician to change connection points. We use $30 per hour as the wage for workers who move the connection points. Marking up this wage by 45% to account for benefits, we arrive at a total of $44 per hour. We therefore estimate that the upper bound of one-time costs is $103,000.</P>
                <P>Ongoing costs will be incurred by the small percentage of providers that do not yet have IP switching facilities for voice traffic. According to NTCA, 91.5% of respondents to the NTCA Broadband/internet Availability Survey Report, which we assume are rural wireline providers, indicate that they already have IP switching facilities for voice traffic in their networks, and therefore 8.5% do not. As a result, the cost of converting 911 calls from TDM format to IP format would only be imposed on 8.5% of rural wireline providers. We assume the percentage of non-rural telecommunications wireline providers without IP-switching capability to be similar or smaller. Among the 947 local exchange telephone service providers, we therefore estimate that at most 81 providers (8.5% of 947) may need to hire a third-party to transport their TDM calls in IP format to the ESInets. The cost of adding these 81 providers to existing available transport services would not be particularly burdensome. To estimate the cost of additional transport service, we make several assumptions. First, we assume that the 81 providers are evenly spread across 56 U.S. states, commonwealths, and territories. This would yield an additional 1.45 providers (81/56) per state. That is, we assume it would require adding 1.45 providers and 28,281 calls per year into existing transport services available in each state or territory. Hiring an additional full-time telecommunications technician in one transport service provider per state should be more than sufficient to handle the increase in calls. The annual wage, including benefits of a telecommunication technician would be $44 per hour, as above, multiplied by 2080 hours, for a total of $91,520 for each state. Given an estimated average of 55.53% gross margin for the communications service industry, the annual cost to providers would be $205,802 for each state. Multiplying the annual cost per state by 56 states and territories, we estimate a total annual recurring cost of $11,524,912, which we round to $11.6 million per year. We note that small providers could trim costs by leveraging transport procurement through small provider consortia or entering into interconnectivity agreements with larger providers. We also note that these annual costs will fall over time due to ongoing modernization of legacy 911 systems. We seek comment on all of these estimates.</P>
                <P>
                    The record in this proceeding does not currently contain detailed information on the costs required for the implementation of wireline, interconnected VoIP, and internet-based TRS IP-based 911 service delivery. Therefore, at this time, the Commission is not in a position to determine whether implementation of IP-based service delivery would result in significant costs for small wireline, interconnected VoIP, and internet-based TRS providers, NG911 services providers, or state and local 911 authorities, or require small entities to hire professionals to comply, if our proposals are adopted. To help the Commission more fully evaluate the cost of compliance, we seek additional detailed information on the various cost issues implicated by our proposed rules. In the 
                    <E T="03">NPRM,</E>
                     we specifically request information on the costs of compliance for wireline, interconnected VoIP, and internet-based TRS providers to implement the required hardware, software, services, or transport, or other significant costs to telecommunications carriers or to state and local 911 authorities. We also request information on planned or expended costs from providers that have already transitioned to providing 911 traffic to the ESInet via IP or via legacy network gateway. Further, we ask whether costs to connect to NG911 are significantly different for different types of providers.
                </P>
                <HD SOURCE="HD2">E. Steps Taken To Minimize the Significant Economic Impact on Small Entities, and Significant Alternatives Considered</HD>
                <P>The RFA requires an agency to describe any significant, specifically small business, alternatives that it has considered in reaching its proposed approach, which may include the following four alternatives (among others): “(1) the establishment of differing compliance or reporting requirements or timetables that take into account the resources available to small entities; (2) the clarification, consolidation, or simplification of compliance or reporting requirements under the rule for such small entities; (3) the use of performance, rather than design, standards; and (4) an exemption from coverage of the rule, or any part thereof, for such small entities.”</P>
                <P>
                    <E T="03">Delivery in IP-Based Format.</E>
                     We believe our proposal to require wireline, interconnected VoIP, and internet-based TRS providers to complete all translation and routing to deliver 911 calls, including associated location information, in the requested IP-based format to an ESInet or other designated point(s) that allow emergency calls to be answered upon request of 911 authorities who have certified the capability to accept IP-based 911 communications would help to advance NG911 and benefit small entities in several ways. Specifically our proposal would, (1) help address operational and 
                    <PRTPAGE P="43541"/>
                    routing issues for small and other jurisdictions that have implemented NG911; (2) help alleviate the burden on small state and local 911 authorities of maintaining transitional gateways and other network elements to process and convert legacy calls; and (3) help small and other jurisdictions realize additional public safety benefits available on NG911 networks. In assessing NG911 requirements, we considered whether there any other providers that we should require to deliver IP-based 911 services. In the 
                    <E T="03">NPRM,</E>
                     we seek comment on these matters.
                </P>
                <P>
                    <E T="03">Delivery Points and Cost Allocation for IP-Based 911 Calls.</E>
                     We propose to require wireline, interconnected VoIP, CMRS, and internet-based TRS providers to transmit all 911 calls to destination point(s) in those networks designated by a 911 authority. In addition, we propose that in the absence of agreements by states or localities on alternative cost recovery mechanisms, wireline, interconnected VoIP, CMRS, and internet-based TRS providers must cover the costs of transmitting 911 calls to the point(s) designated by a 911 authority, including any costs associated with completing the translation and routing necessary to deliver such calls and associated location information to the designated destination point(s) in the requested IP-based format. Under this proposal, states and localities would remain free to establish alternative cost allocation arrangements with providers. As a 
                    <E T="03">default</E>
                     mechanism, this proposal would allocate costs only when the parties are unable to agree on cost recovery measures. The proposal also provides flexibility to small entities to negotiate for state-level cost recovery when and if needed, which could minimize the economic impact for small entities.
                </P>
                <P>Commenters representing rural and other telecommunications carriers generally oppose the establishment of a point for delivery of 911 traffic, arguing that it is unnecessary or would slow the rollout of NG911. These commenters maintain that any demarcation point should be within service providers' local service areas. NTCA cautions that to do otherwise would place a significant cost burden on rural customers and place universal service at risk. As part of our consideration of these comments, we seek estimates from rural providers (usually small entities) and 911 authorities on specific costs for rural providers to comply with our proposed rules.</P>
                <P>We also reviewed and considered an alternate proposal from the Texas 9-1-1 Entities which could impact small entities. In our consideration of this proposal, we inquire and seek comment on whether we should adopt all or any parts of the Texas 9-1-1 Entities proposal; whether it would be beneficial to treat “IP-based providers” differently than “non-IP-based providers”; whether there are “threshold legacy issues” would we need to determine before adopting the Texas 9-1-1 Entities proposal either in full or in part, and whether there any other factors we should consider in connection with the proposal.</P>
                <P>
                    <E T="03">Universal Service Impact.</E>
                     Small entities could potentially incur an economic impact if requiring the delivery of IP 911 traffic to specific points were to increase universal costs. However, given that under our proposal there are measures available for small carriers to lower their costs such as participation in “collaborative consortiums of smaller carriers to leverage transport procurement, interconnectivity agreements with larger carriers, and the carriers' transition to IP,” and states would remain free to implement cost recovery mechanisms as they deem necessary, we do not believe that our proposed rules would adversely impact universal service. To gain a better understanding of the implications for small entities, in the 
                    <E T="03">NPRM</E>
                     we seek comment on the feasibility of these measures and their capability to defray costs for small carriers. In addition, we seek comment on the impacts of our proposed rules on the availability of universal service and universal service support under section 254 of the Act.
                </P>
                <P>
                    <E T="03">Compliance Timelines.</E>
                     We provide flexibility in the proposed compliance timelines for implementation of the requirements which should reduce the economic burden for small entities. For the requirements we propose to help ensure that jurisdictions transitioning to NG911 networks can access IP connections from wireline, interconnected VoIP, and internet-based TRS providers, we propose to allow local and state entities to enter into agreements with wireline, interconnected VoIP, and internet-based TRS providers that establish an alternate time frame for meeting those requirements. The flexibility to negotiate an alternative time frame which meets providers' business and financial needs is a significant step by the Commission that could minimize the economic impact for small entities.
                </P>
                <P>Further, we provide a longer time frame for internet-based TRS providers which are primarily small entities, to complete all translation and routing to deliver 911 calls, including associated location information, in the requested IP-based format to an Emergency Services IP network (ESInet) or other designated point(s) that allow emergency calls to be answered upon request of 911 authorities who have certified the capability to accept IP-based 911 communications. The compliance obligation we propose for internet-based TRS providers is twelve months from the effective date of the IP service delivery requirement, or twelve months after a valid request for IP-based service by a state or local 911 authority, whichever is later, rather than the six months applicable to wireline and interconnected VoIP providers.</P>
                <P>
                    <E T="03">Costs of Implementation.</E>
                     In the previous section, we discussed the absence of detailed information in the record on the costs for wireline, interconnected VoIP, and internet-based TRS providers to implement the required software, hardware, and service upgrades necessary to comply with our proposed rules. Having data on the costs and economic impact of the proposals and other matters discussed in the 
                    <E T="03">NPRM</E>
                     will allow the Commission to better evaluate options and alternatives to minimize the impact on small entities. Based on our request for specific and detailed cost implementation information, and for information on the extent that the Commission could limit the burden of any reporting requirements, we expect to more fully consider the economic impact on small entities following our review of comments filed in response to the 
                    <E T="03">NPRM,</E>
                     and to this IRFA. The Commission's evaluation of this information will shape the final alternatives it considers to minimize any significant economic impact that may occur on small entities, the final conclusions it reaches, and any final rules it promulgates in this proceeding.
                </P>
                <HD SOURCE="HD2">F. Federal Rules That May Duplicate, Overlap, or Conflict With the Proposed Rules</HD>
                <P>None.</P>
                <HD SOURCE="HD1">Ordering Clauses</HD>
                <P>
                    Accordingly, 
                    <E T="03">it is ordered,</E>
                     pursuant to sections 1, 2, 4(i), 201, 214, 222, 225, 251(e), 301, 303, 316, and 332 of the Communications Act of 1934, as amended, 47 U.S.C. 151, 152, 154(i), 201, 214, 222, 225, 251(e), 301, 303, 316, 332; the Wireless Communications and Public Safety Act of 1999, Public Law 106-81, 47 U.S.C. 615 note, 615, 615a, 615b; and section 106 of the Twenty-First Century Communications and Video Accessibility Act of 2010, Public Law 111-260, 47 U.S.C. 615c, that this notice of proposed rulemaking 
                    <E T="03">is adopted.</E>
                    <PRTPAGE P="43542"/>
                </P>
                <P>
                    <E T="03">It is further ordered</E>
                     that, pursuant to applicable procedures set forth in §§ 1.415 and 1.419 of the Commission's rules, 47 CFR 1.415, 1.419, interested parties may file comments on the notice of proposed rulemaking on or before 30 days after publication in the 
                    <E T="04">Federal Register</E>
                    , and reply comments on or before 60 days after publication in the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <P>
                    <E T="03">It is further ordered</E>
                     that the Commission's Consumer and Governmental Affairs Bureau, Reference Information Center, 
                    <E T="03">shall send</E>
                     a copy of this notice of proposed rulemaking, including the Initial Regulatory Flexibility Analysis, to the Chief Counsel for Advocacy of the Small Business Administration.
                </P>
                <LSTSUB>
                    <HD SOURCE="HED">List of Subjects in 47 CFR Part 9</HD>
                    <P>Communications, Communications common carriers, Communications equipment, Internet, Radio, Telecommunications, Telephone.</P>
                </LSTSUB>
                <SIG>
                    <FP>Federal Communications Commission.</FP>
                    <NAME>Marlene Dortch,</NAME>
                    <TITLE>Secretary, Office of the Secretary.</TITLE>
                </SIG>
                <HD SOURCE="HD1">Proposed Rules</HD>
                <P>For the reasons discussed in the preamble, the Federal Communications Commission proposes to amend 47 CFR part 9 as follows:</P>
                <PART>
                    <HD SOURCE="HED">PART 9—911 REQUIREMENTS</HD>
                </PART>
                <AMDPAR>1. The authority citation for part 9 continues to read as follows:</AMDPAR>
                <AUTH>
                    <HD SOURCE="HED">Authority:</HD>
                    <P> 47 U.S.C. 151-154, 152(a), 155(c), 157, 160, 201, 202, 208, 210, 214, 218, 219, 222, 225, 251(e), 255, 301, 302, 303, 307, 308, 309, 310, 316, 319, 332, 403, 405, 605, 610, 615, 615 note, 615a, 615b, 615c, 615a-1, 616, 620, 621, 623, 623 note, 721, and 1471, and Section 902 of Title IX, Division FF, Pub. L. 116-260, 134 Stat. 1182, unless otherwise noted.</P>
                </AUTH>
                <AMDPAR>2. Revise § 9.1 to read as follows:</AMDPAR>
                <SECTION>
                    <SECTNO>§ 9.1 </SECTNO>
                    <SUBJECT>Purpose.</SUBJECT>
                    <P>The purpose of this part is to set forth the 911, E911, and Next Generation 911 service requirements and conditions applicable to telecommunications carriers (subpart B); commercial mobile radio service (CMRS) providers (subpart C); interconnected Voice over Internet Protocol (VoIP) providers (subpart D); providers of telecommunications relay services (TRS) for persons with disabilities (subpart E); multi-line telephone systems (MLTS) (subpart F); and Mobile-Satellite Service (MSS) providers (subpart G). The rules in this part also include requirements to help ensure the resiliency, redundancy, and reliability of communications systems, particularly 911 and E911 networks and/or systems (subpart H), acceptable obligations and expenditures of 911 fees (subpart I), and Next Generation 911 obligations (subpart J).</P>
                </SECTION>
                <AMDPAR>3. Revise § 9.4 to read as follows:</AMDPAR>
                <SECTION>
                    <SECTNO>§ 9.4 </SECTNO>
                    <SUBJECT>Obligation to transmit 911 calls.</SUBJECT>
                    <P>Except as otherwise provided in subpart J, all telecommunications carriers shall transmit all 911 calls to a PSAP, to a designated statewide default answering point, or to an appropriate local emergency authority as set forth in § 9.5.</P>
                </SECTION>
                <AMDPAR>4. Add Subpart J to read as follows:</AMDPAR>
                <SUBPART>
                    <HD SOURCE="HED">Subpart J—Next Generation 911 Obligations</HD>
                </SUBPART>
                <CONTENTS>
                    <SECHD>Sec.</SECHD>
                    <SECTNO>9.27 </SECTNO>
                    <SUBJECT>Applicability.</SUBJECT>
                    <SECTNO>9.28 </SECTNO>
                    <SUBJECT>Definitions.</SUBJECT>
                    <SECTNO>9.29 </SECTNO>
                    <SUBJECT>Next Generation 911 Transition Requirements and Cost Allocation.</SUBJECT>
                    <SECTNO>9.30 </SECTNO>
                    <SUBJECT>Valid Request.</SUBJECT>
                </CONTENTS>
                <SECTION>
                    <SECTNO>§ 9.27 </SECTNO>
                    <SUBJECT>Applicability.</SUBJECT>
                    <P>The rules in this subpart apply to wireline, commercial mobile radio service, interconnected Voice over Internet Protocol service providers, and internet-based Telecommunications Relay Service providers.</P>
                </SECTION>
                <SECTION>
                    <SECTNO>§ 9.28 </SECTNO>
                    <SUBJECT>Definitions.</SUBJECT>
                    <P>
                        <E T="03">911 Authority.</E>
                         The state, territorial, regional, Tribal, or local agency or entity with the authority and responsibility under applicable law to designate the point(s) to receive emergency calls.
                    </P>
                    <P>
                        <E T="03">Emergency Services Internet Protocol Network (ESInet).</E>
                         An Internet Protocol (IP)-based network managed by public safety authorities and used for emergency services communications, including Next Generation 911.
                    </P>
                </SECTION>
                <SECTION>
                    <SECTNO>§ 9.29 </SECTNO>
                    <SUBJECT>Next Generation 911 Transition Requirements and Cost Allocation.</SUBJECT>
                    <P>
                        (a) 
                        <E T="03">Wireline Providers.</E>
                    </P>
                    <P>(1) By [six months from the effective date of paragraph (a) of this section], or within 6 months of a valid request as defined in § 9.30 for Internet Protocol-based service by the 911 Authority, whichever is later:</P>
                    <P>(i) Wireline providers shall transmit all 911 calls to the point(s) designated by the 911 Authority, including to a PSAP, to a designated statewide default answering point, to an appropriate local emergency authority, or to an ESInet or other designated point(s) that allow emergency calls to be answered.</P>
                    <P>(ii) Wireline providers shall complete all translation and routing to deliver all 911 calls, including associated location information, in the requested Internet Protocol-based format, to an ESInet or other designated point(s) that allow emergency calls to be answered.</P>
                    <P>(2) 911 Authorities may enter into agreements with wireline providers that establish an alternate time frame for meeting the requirements of paragraph (a)(1)(ii) of this section. The wireline providers must notify the Commission of the dates and terms of the alternate time frame within 30 days of the parties' agreement.</P>
                    <P>
                        (b) 
                        <E T="03">Commercial Mobile Radio Service Providers.</E>
                         By [six months from the effective date of this paragraph (b)], or within 6 months of a valid request as defined in § 9.30 for Internet Protocol-based service by the 911 Authority, whichever is later, commercial mobile radio service (CMRS) providers shall transmit all 911 calls to the point(s) designated by the 911 Authority, including to a PSAP, to a designated statewide default answering point, to an appropriate local emergency authority, or to an ESInet or other designated point(s) that allow emergency calls to be answered.
                    </P>
                    <P>
                        (c) 
                        <E T="03">Interconnected Voice over Internet Protocol Providers.</E>
                    </P>
                    <P>(1) By [six months from the effective date of paragraph (c) of this section], or within 6 months of a valid request as defined in § 9.30 for Internet Protocol-based service by the 911 Authority, whichever is later:</P>
                    <P>(i) Interconnected Voice over Internet Protocol (VoIP) providers shall transmit all 911 calls to the point(s) designated by the 911 Authority, including to a PSAP, to a designated statewide default answering point, to an appropriate local emergency authority, or to an ESInet or other designated point(s) that allow emergency calls to be answered.</P>
                    <P>(ii) Interconnected VoIP providers shall complete all translation and routing to deliver all 911 calls, including associated location information, in the requested Internet Protocol-based format, to an ESInet or other designated point(s) that allow emergency calls to be answered.</P>
                    <P>(2) 911 Authorities may enter into agreements with interconnected VoIP providers that establish an alternate time frame for meeting the requirements of paragraph (c)(1)(ii) of this section. The interconnected VoIP providers must notify the Commission of the dates and terms of the alternate time frame within 30 days of the parties' agreement.</P>
                    <P>
                        (d) 
                        <E T="03">Internet-based Telecommunications Relay Service Providers.</E>
                    </P>
                    <P>
                        (1) By [twelve months from the effective date of paragraph (d) of this section], or within twelve months of a valid request as defined in § 9.30 for Internet Protocol-based service by the 911 Authority, whichever is later:
                        <PRTPAGE P="43543"/>
                    </P>
                    <P>(i) Internet-based Telecommunications Relay Service (TRS) providers shall transmit all 911 calls to the point(s) designated by the 911 Authority, including to a PSAP, to a designated statewide default answering point, to an appropriate local emergency authority, or to an ESInet or other designated point(s) that allow emergency calls to be answered.</P>
                    <P>(ii) Internet-based TRS providers shall complete all translation and routing to deliver all 911 calls, including associated location information, in the requested Internet Protocol-based format, to an ESInet or other designated point(s) that allow emergency calls to be answered.</P>
                    <P>(2) 911 Authorities may enter into agreements with Internet-based TRS providers that establish an alternate time frame for meeting the requirements of paragraph (d)(1)(ii) of this section. The Internet-based TRS providers must notify the Commission of the dates and terms of the alternate time frame within 30 days of the parties' agreement.</P>
                    <P>
                        (e) 
                        <E T="03">Cost allocation.</E>
                         In the absence of agreement by states or localities on alternative cost recovery mechanisms, wireline providers, interconnected VoIP providers, Internet-based TRS providers, and CMRS providers are responsible for the costs of transmitting 911 calls to the point(s) designated by a 911 Authority, including any costs associated with completing the translation and routing necessary to deliver such calls and associated location information in the requested Internet Protocol-based format.
                    </P>
                    <P>
                        (f) This § 9.29 contains information collection and recordkeeping requirements. Compliance will not be required until after review by the Office of Management and Budget. The Commission will publish a document in the 
                        <E T="04">Federal Register</E>
                         announcing the compliance date and revising this section accordingly.
                    </P>
                </SECTION>
                <SECTION>
                    <SECTNO>§ 9.30 </SECTNO>
                    <SUBJECT>Valid Request.</SUBJECT>
                    <P>Valid request means that:</P>
                    <P>(a) The requesting 911 Authority is, and certifies that it is, technically ready to receive 911 calls in the Internet Protocol-based format requested;</P>
                    <P>(b) The requesting 911 Authority has been specifically authorized to accept 911 calls in the Internet Protocol-based format requested; and</P>
                    <P>(c) The requesting 911 Authority has provided notification to the provider that it meets the requirements in paragraphs (a) and (b) of this section. Registration by the requesting 911 Authority in a database made available by the Commission in accordance with requirements established in connection therewith, or any other written notification reasonably acceptable to the provider, shall constitute sufficient notification for purposes of § 9.29.</P>
                    <P>
                        (d) This § 9.30 contains information collection and recordkeeping requirements. Compliance will not be required until after review by the Office of Management and Budget. The Commission will publish a document in the 
                        <E T="04">Federal Register</E>
                         announcing the compliance date and revising this section accordingly.
                    </P>
                </SECTION>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14402 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6712-01-P</BILCOD>
        </PRORULE>
    </PRORULES>
    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Notices</UNITNAME>
    <NOTICES>
        <NOTICE>
            <PREAMB>
                <PRTPAGE P="43544"/>
                <AGENCY TYPE="F">DEPARTMENT OF AGRICULTURE</AGENCY>
                <SUBAGY>Foreign Agricultural Service</SUBAGY>
                <SUBJECT>Fiscal Year 2023 Raw Cane Sugar Tariff-Rate Quota Increase</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Foreign Agricultural Service, U.S. Department of Agriculture.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Foreign Agricultural Service is providing notice of an increase in the fiscal year (FY) 2023 raw cane sugar tariff-rate quota (TRQ) of 125,000 metric tons raw value (MTRV).</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>This notice is applicable on July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Souleymane Diaby, Multilateral Affairs Division, Trade Policy and Geographic Affairs, Foreign Agricultural Service, U.S. Department of Agriculture, Stop 1070, 1400 Independence Avenue SW, Washington, DC 20250-1070; by telephone (202) 720-2916; or by email 
                        <E T="03">Souleymane.Diaby@usda.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>On July 11, 2022, the Foreign Agricultural Service established the FY 2023 TRQ for raw cane sugar at 1,117,195 MTRV, the minimum to which the United States is committed under the World Trade Organization (WTO) Uruguay Round Agreements. Pursuant to Additional U.S. Note 5 to Chapter 17 of the U.S. Harmonized Tariff Schedule (HTS) and section 359k of the Agricultural Adjustment Act of 1938, as amended, the Secretary has authority to modify the raw and refined sugar WTO TRQs. The Secretary's authority under Additional U.S. Note 5 and section 359(k) has been delegated to the Under Secretary for Trade and Foreign Agricultural Affairs (7 CFR 2.26). The Under Secretary has subsequently delegated this authority to the Administrator, Foreign Agricultural Service (7 CFR 2.601). The Foreign Agricultural Service gives notice today of an increase in the quantity of raw cane sugar eligible to enter at the lower rate of duty during FY 2023 by 125,000 MTRV. The conversion factor is 1 metric ton raw value equals 1.10231125 short tons raw value. With this increase, the overall FY 2023 raw sugar TRQ is now 1,242,195 MTRV. Raw cane sugar under this quota must be accompanied by a certificate for quota eligibility. The Office of the U.S. Trade Representative (USTR) will allocate this increase among supplying countries and customs areas.</P>
                <P>These actions are being taken after a determination that additional supplies of raw cane sugar are required in the U.S. market. USDA will closely monitor stocks, consumption, imports and all sugar market and program variables on an ongoing basis and may make further program adjustments during FY 2023 if needed.</P>
                <SIG>
                    <NAME>Daniel Whitley,</NAME>
                    <TITLE>Administrator, Foreign Agricultural Service.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14458 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF AGRICULTURE</AGENCY>
                <SUBAGY>Rural Housing Service</SUBAGY>
                <DEPDOC>[Docket No. RHS-23-SFH-0004]</DEPDOC>
                <SUBJECT>Notice of Funding Availability for the Native Community Development Financial Institution (NCDFI) Relending Demonstration Program FY 2023; Correction</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Rural Housing Service, USDA.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice and updates to previous notice; correction.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        The Rural Housing Service (RHS or Agency), a Rural Development (RD) agency of the United States Department of Agriculture (USDA), is correcting a notice that published in the 
                        <E T="04">Federal Register</E>
                         on May 18, 2023, entitled, “Notice of Funding Availability for Native Community Development Financial Institution (NCDFI) Relending Demonstration Program FY 2023.” The purpose of the notice was to announce the opening and closing dates for receipt of applications for the NCDFI Relending Demonstration Program from eligible applicants, as well as submission requirements. The purpose of this notice is to correct inadvertent errors and omissions that were previously published in the Notice on May 18, 2023, in the 
                        <E T="04">Federal Register</E>
                        .
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The applicable date of the correction is July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Brian Hudson, Finance and Loan Analyst, Single Family Housing Direct Division, Special Programs and New Initiatives Branch at (608) 697-7725 (voice) (this is not a toll-free number) or 
                        <E T="03">brian.hudson@usda.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Correction</HD>
                <P>
                    In the 
                    <E T="04">Federal Register</E>
                     of May 18, 2023, in FR Doc. 2023-10605 (88 FR 31669), make the following corrections:
                </P>
                <P>(1) On page 31670, under the “C. Eligibility Information” section, in the third column, under item 3. Cost Sharing or Matching, make the following corrections:</P>
                <P>(i) On the third line remove the language “shall be required to” and in its place add the language: “should provide a”;</P>
                <P>(ii) on the fifth line which runs over to the sixth line, remove the sentence: “The NCDFI must demonstrate ability to meet the required match, or the application will be deemed ineligible;”</P>
                <P>(iii) add a new paragraph (d) “(d) The NCDFI without matching funds will not receive points under Section E., Item 3. e.”</P>
                <P>(2) On page 31673, in the third column, under item number (i), under the title “e. Matching funding:”, remove the language “Not Eligible” and add the language: “0 points” in its place.</P>
                <SIG>
                    <NAME>Joaquin Altoro,</NAME>
                    <TITLE>Administrator, Rural Housing Service.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14470 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">COMMISSION ON CIVIL RIGHTS</AGENCY>
                <SUBJECT>Notice of Public Meeting of the Puerto Rico Advisory Committee to the U.S. Commission on Civil Rights</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Commission on Civil Rights.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Announcement of meeting.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        Notice is hereby given, pursuant to the provisions of the rules and regulations of the U.S. Commission on Civil Rights (Commission), and the Federal Advisory Committee Act (FACA), that a meeting of the Puerto 
                        <PRTPAGE P="43545"/>
                        Rico Advisory Committee to the Commission will convene by virtual web conference on Thursday, July 20, 2023, at 3:30 p.m. Atlantic Time/Eastern Time. The purpose is to continue discussion on their project on the civil rights impacts of the Insular Cases in Puerto Rico.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>July 20, 2023, Thursday, at 3:30 p.m. (AT and ET):</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>Meeting will be held via Zoom.</P>
                    <FP SOURCE="FP-1">
                        <E T="03">Registration Link (Audio/Visual): https://tinyurl.com/3m735abx</E>
                    </FP>
                    <FP SOURCE="FP-1">
                        <E T="03">Join by Phone (Audio Only):</E>
                         1-833 435 1820 USA Toll Free; Meeting ID: 161 290 7542#
                    </FP>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Email Victoria Moreno, Designated Federal Officer at 
                        <E T="03">vmoreno@usccr.gov,</E>
                         or by phone at 434-515-0204.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    This meeting will take place in Spanish with English interpretation. This committee meeting is available to the public through the registration link above. Any interested member of the public may listen to the meeting. An open comment period will be provided to allow members of the public to make a statement as time allows. Per the Federal Advisory Committee Act, public minutes of the meeting will include a list of persons who are present at the meeting. If joining via phone, callers can expect to incur regular charges for calls they initiate over wireless lines, according to their wireless plan. The Commission will not refund any incurred charges. Callers will incur no charge for calls they initiate over land-line connections to the toll-free telephone number. Closed captioning will be available for individuals who are deaf, hard of hearing, or who have certain cognitive or learning impairments. To request additional accommodations, please email 
                    <E T="03">ebohor@usccr.gov</E>
                     at least 10 business days prior to the meeting.
                </P>
                <P>
                    Members of the public are entitled to submit written comments; the comments must be received in the regional office within 30 days following the meeting. Written comments may be emailed to Victoria Moreno at 
                    <E T="03">vmoreno@usccr.gov.</E>
                     Persons who desire additional information may contact the Regional Programs Coordination Unit at 1-312-353-8311.
                </P>
                <P>
                    Records generated from this meeting may be inspected and reproduced at the Regional Programs Coordination Unit Office, as they become available, both before and after the meeting. Records of the meetings will be available via 
                    <E T="03">www.facadatabase.gov</E>
                     under the Commission on Civil Rights, Puerto Rico Advisory Committee link. Persons interested in the work of this Committee are directed to the Commission's website, 
                    <E T="03">http://www.usccr.gov,</E>
                     or may contact the Regional Programs Coordination Unit at 
                    <E T="03">ebohor@usccr.gov.</E>
                </P>
                <HD SOURCE="HD1">Agenda</HD>
                <FP SOURCE="FP-2">1. Welcome &amp; Roll Call</FP>
                <FP SOURCE="FP-2">2. Committee Discussion on Project Regarding the Civil Rights Impacts of the Insular Cases in Puerto Rico</FP>
                <FP SOURCE="FP-2">3. Next Steps</FP>
                <FP SOURCE="FP-2">4. Public Comment</FP>
                <FP SOURCE="FP-2">5. Other Business</FP>
                <FP SOURCE="FP-2">6. Adjourn</FP>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>David Mussatt,</NAME>
                    <TITLE>Supervisory Chief, Regional Programs Unit.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14452 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">COMMISSION ON CIVIL RIGHTS</AGENCY>
                <SUBJECT>Notice of Public Meeting of the Texas Advisory Committee</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>U.S. Commission on Civil Rights.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Announcement of virtual business meeting.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>Notice is hereby given, pursuant to the provisions of the rules and regulations of the U.S. Commission on Civil Rights (Commission) and the Federal Advisory Committee Act (FACA) that the Texas Advisory Committee (Committee) will hold a virtual business meeting via ZoomGov on Tuesday, July 25, 2023, from 12:00 p.m.-1:00 p.m. Central Time, for the purpose of discussing their next steps in their project on mental health care in the Texas Juvenile Justice System.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The meeting will take place on:</P>
                </DATES>
                <FP SOURCE="FP-1">• Tuesday, July 25, 2023, from 12:00 p.m.-1:00 p.m. CT</FP>
                <FP SOURCE="FP-1">
                    Zoom Link to Join 
                    <E T="03">(Audio/Visual):</E>
                </FP>
                <FP SOURCE="FP-1">
                    • Tuesday, July 25th: 
                    <E T="03">https://www.zoomgov.com/meeting/register/vJIsfuusqj4uG73PqivNU0_BGr8nSSHofX8</E>
                </FP>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Brooke Peery, Designated Federal Officer (DFO) at 
                        <E T="03">bpeery@usccr.gov</E>
                         or by phone at (202) 701-1376.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    Committee meetings are available to the public through the videoconference link above. Any interested member of the public may listen to the meeting. An open comment period will be provided to allow members of the public to make a statement as time allows. Per the Federal Advisory Committee Act, public minutes of the meeting will include a list of persons who are present at the meeting. If joining via phone, callers can expect to incur regular charges for calls they initiate over wireless lines, according to their wireless plan. The Commission will not refund any incurred charges. Closed captioning will be available for individuals who are deaf, hard of hearing, or who have certain cognitive or learning impairments. To request additional accommodations, please email 
                    <E T="03">bpeery@usccr.gov</E>
                     at least 10 business days prior to the meeting.
                </P>
                <P>
                    Members of the public are entitled to make comments during the open period at the end of the meeting. Members of the public may also submit written comments; the comments must be received in the Regional Programs Unit within 30 days following the meeting. Written comments may be emailed to Brooke Peery (DFO) at 
                    <E T="03">bpeery@usccr.gov</E>
                    .
                </P>
                <P>
                    Records and documents discussed during the meeting will be available for public viewing prior to and after the meeting at 
                    <E T="03">https://www.facadatabase.gov/FACA/FACAPublicViewCommitteeDetails?id=a10t0000001gzkoAAA.</E>
                </P>
                <P>
                    Please click on the “Meeting Details” and “Documents” links. Records generated from this meeting may also be inspected and reproduced at the Regional Programs Unit, as they become available, both before and after the meeting. Persons interested in the work of this Committee are directed to the Commission's website, 
                    <E T="03">https://www.usccr.gov,</E>
                     or may contact the Regional Programs Unit at the above email or street address.
                </P>
                <HD SOURCE="HD1">Agenda</HD>
                <FP SOURCE="FP-2">I. Welcome &amp; Roll Call</FP>
                <FP SOURCE="FP-2">II. Approval of Minutes</FP>
                <FP SOURCE="FP-2">III. Committee Discussion</FP>
                <FP SOURCE="FP-2">IV. Public Comment</FP>
                <FP SOURCE="FP-2">V. Adjournment</FP>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>David Mussatt,</NAME>
                    <TITLE>Supervisory Chief, Regional Programs Unit.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14451 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6335-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">COMMISSION ON CIVIL RIGHTS</AGENCY>
                <SUBJECT>Notice of Public Meeting of the Washington Advisory Committee</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>U.S. Commission on Civil Rights.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Announcement of virtual business meeting.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        Notice is hereby given, pursuant to the provisions of the rules and regulations of the U.S. Commission 
                        <PRTPAGE P="43546"/>
                        on Civil Rights (Commission) and the Federal Advisory Committee Act that the Washington Advisory Committee (Committee) will hold a virtual business meeting via ZoomGov on Tuesday, July 18, 2023, from 2:00 p.m.-3:00 p.m. Pacific, for the purpose of debriefing their panels on physical accessibility in Washington.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The meeting will take place on:</P>
                </DATES>
                <FP SOURCE="FP-1">• Tuesday, July 18, 2023, from 2:00 p.m.-3:00 p.m. PT</FP>
                <FP SOURCE="FP-1">
                    Zoom Link to Join 
                    <E T="03">(Audio/Visual): https://www.zoomgov.com/meeting/register/vJIsf-6opj0iHUnQ1NePds4S9XaNsnQm8uM</E>
                </FP>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Brooke Peery, DFO, at 
                        <E T="03">bpeery@usccr.gov</E>
                         or (202) 701-1376.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    Committee meetings are available to the public through the videoconference link above. Any interested member of the public may listen to the meeting. An open comment period will be provided to allow members of the public to make a statement as time allows. Per the Federal Advisory Committee Act, public minutes of the meeting will include a list of persons who are present at the meeting. If joining via phone, callers can expect to incur regular charges for calls they initiate over wireless lines, according to their wireless plan. The Commission will not refund any incurred charges. Closed captioning will be available for individuals who are deaf, hard of hearing, or who have certain cognitive or learning impairments. To request additional accommodations, please email 
                    <E T="03">bpeery@usccr.gov</E>
                     at least 10 business days prior to the meeting.
                </P>
                <P>
                    Members of the public are also entitled to submit written comments; the comments must be received in the Regional Programs Unit within 30 days following the meeting. Written comments may be emailed to Brooke Peery at 
                    <E T="03">bpeery@usccr.gov.</E>
                     Persons who desire additional information may contact the Regional Programs Unit Office/Advisory Committee Management Unit at (202) 701-1376.
                </P>
                <P>
                    Records generated from this meeting may be inspected and reproduced at the Regional Programs Unit Office, as they become available, both before and after the meeting. Records of the meeting will be available at: 
                    <E T="03">https://www.facadatabase.gov/FACA/FACAPublicViewCommitteeDetails?id=a10t0000001gzkZAAQ</E>
                    .
                </P>
                <P>
                    Please click on the “Meeting Details” and “Documents” links. Persons interested in the work of this Committee are also directed to the Commission's website, 
                    <E T="03">http://www.usccr.gov,</E>
                     or you may contact the Regional Programs Unit office at the above email address.
                </P>
                <HD SOURCE="HD1">Agenda</HD>
                <FP SOURCE="FP-2">I. Welcome &amp; Roll Call</FP>
                <FP SOURCE="FP-2">II. Approval of Minutes</FP>
                <FP SOURCE="FP-2">III. Committee Discussion</FP>
                <FP SOURCE="FP-2">IV. Public Comment</FP>
                <FP SOURCE="FP-2">V. Adjournment</FP>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>David Mussatt,</NAME>
                    <TITLE>Supervisory Chief, Regional Programs Unit.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14450 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6335-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">COMMISSION ON CIVIL RIGHTS</AGENCY>
                <SUBJECT>Notice of Public Meeting of the U.S. Virgin Islands Advisory Committee to the U.S. Commission on Civil Rights; Correction</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Commission on Civil Rights.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice; correction to meeting information.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        The Commission on Civil Rights published a notice in the 
                        <E T="04">Federal Register</E>
                         on Friday, June 16, 2023, concerning a meeting of the U.S. Virgin Islands Advisory Committee. The meeting information has changed since to accommodate the availability of the two invited experts who will assist with the Committee's review. The meeting will now take place on Tuesday, July 18, 2023, from 11:00 a.m. to 1:00 p.m. Atlantic Time. The purpose of the meeting is to hear testimony on the political status and civil rights implications in the U.S. Virgin Islands.
                    </P>
                </SUM>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        David Barreras, Designated Federal Officer, at 
                        <E T="03">dbarreras@usccr.gov</E>
                         or 1-202-656-8937.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P/>
                <P>
                    <E T="03">Correction:</E>
                     In the 
                    <E T="04">Federal Register</E>
                     on Friday, June 16, 2023, in FR Document 2023-12879, from the second column of page 39397 to the first column of page 39398, correct the meeting information to the following:
                </P>
                <FP>
                    <E T="02">DATES:</E>
                     Tuesday, July 18, 2023, from 11:00 a.m. to 1:00 p.m. Atlantic Time.
                </FP>
                <FP SOURCE="FP-1">
                    <E T="03">Meeting Link (Audio/Visual): https://www.zoomgov.com/j/1611555258</E>
                </FP>
                <FP SOURCE="FP-1">
                    <E T="03">Join by Phone (Audio Only):</E>
                     1-833-435-1820 USA Toll-Free; Meeting ID: 161 155 5258#
                </FP>
                <P>
                    <E T="03">Exceptional Circumstance:</E>
                     Pursuant to 41 CFR 102-3.150, the notice for this meeting is given fewer than 15 calendar days prior to the meeting because of the exceptional circumstances of the speaking availability of the panelists.
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>David Mussatt,</NAME>
                    <TITLE>Supervisory Chief, Regional Programs Unit.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14449 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF COMMERCE</AGENCY>
                <SUBAGY>Foreign-Trade Zones Board</SUBAGY>
                <DEPDOC>[B-20-2023]</DEPDOC>
                <SUBJECT>Foreign-Trade Zone (FTZ) 155; Authorization of Production Activity; Caterpillar Inc.; (Construction and Earth Moving Machines); Victoria, Texas</SUBJECT>
                <P>On March 6, 2023, Caterpillar Inc. submitted a notification of proposed production activity to the FTZ Board for its facility within FTZ 155 in Victoria, Texas.</P>
                <P>
                    The notification was processed in accordance with the regulations of the FTZ Board (15 CFR part 400), including notice in the 
                    <E T="04">Federal Register</E>
                     inviting public comment (88 FR 15641, March 14, 2023). On July 5, 2023, the applicant was notified of the FTZ Board's decision that no further review of the activity is warranted at this time. The production activity described in the notification was authorized, subject to the FTZ Act and the FTZ Board's regulations, including section 400.14.
                </P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Camille R. Evans,</NAME>
                    <TITLE>Acting Executive Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14495 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 3510-DS-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF COMMERCE</AGENCY>
                <SUBAGY>International Trade Administration</SUBAGY>
                <DEPDOC>[A-201-845]</DEPDOC>
                <SUBJECT>Agreement Suspending the Antidumping Duty Investigation on Sugar From Mexico: Final Results of the 2020-2021 Administrative Review</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Enforcement and Compliance, International Trade Administration, Department of Commerce.</P>
                </AGY>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        The U.S. Department of Commerce (Commerce) determines that the Agreement Suspending the Antidumping Duty Investigation on Sugar from Mexico, as amended (AD Agreement) met the statutory requirements during the period of review (POR) from December 1, 2020, through November 30, 2021. Commerce also determines that the respondents selected for individual examination, Ingenio Tala S.A. de C.V. and its 
                        <PRTPAGE P="43547"/>
                        affiliates (collectively, GAM Group) and Ingenio Tamazula S.A. de C.V. and its affiliates (Tamazula) (collectively, respondents) were in compliance with the terms of the AD Agreement during the POR. However, we determine that the respondents did not comply with the requirement to eliminate at least 85 percent of the dumping found in the investigation during the POR. Furthermore, we consider the respondents' noncompliant behavior to be serious and in need of remediation, and we will implement certain steps to address their noncompliance.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Applicable July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Sally C. Gannon or Jill Buckles, Enforcement and Compliance, International Trade Administration, U.S. Department of Commerce, 1401 Constitution Avenue NW, Washington, DC 20230; telephone: (202) 482-0162 or (202) 482-6230, respectively.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Background</HD>
                <P>
                    On January 4, 2023, Commerce published the preliminary results of this administrative review.
                    <SU>1</SU>
                    <FTREF/>
                     Subsequent to the 
                    <E T="03">Preliminary Results,</E>
                     Tamazula submitted its response to Commerce's third supplemental questionnaire on January 11, 2023.
                    <SU>2</SU>
                    <FTREF/>
                     On January 18, 2023, the GAM Group submitted its third supplemental questionnaire response.
                    <SU>3</SU>
                    <FTREF/>
                     On March 29, 2023, Commerce issued post-preliminary results.
                    <SU>4</SU>
                    <FTREF/>
                     Commerce conducted verification from May 8 through 11, 2023.
                    <SU>5</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         
                        <E T="03">See Agreement Suspending the Antidumping Duty Investigation on Sugar from Mexico; Preliminary Results of the 2020-2021 Administrative Review,</E>
                         88 FR 339 (January 4, 2023) (
                        <E T="03">Preliminary Results</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See</E>
                         Tamazula's Letter, “Third Supplemental Questionnaire Response,” dated January 11, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         GAM Group's Letter, “Third Supplemental Questionnaire Response,” dated January 18, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         Memorandum, “Decision Memorandum for the Post-Preliminary Results of the 2020-2021 Administrative Review: Sugar from Mexico,” dated March 29, 2023 (Post-Preliminary Results).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         Memorandum, “Verification of the Responses of Ingenio Tala S.A. de C.V. and its Affiliates in the Administrative Review of Sugar from Mexico,” dated May 31, 2023; 
                        <E T="03">see also</E>
                         Memorandum, “Verification of the Responses of Ingenio Tamazula S.A. de C.V. and its Affiliates in the Administrative Review of Sugar from Mexico,” dated May 31, 2023.
                    </P>
                </FTNT>
                <P>
                    On June 13, 2023, respondents and Cámara Nacional de Las Industrias Azucarera y Alcoholera (Cámara) filed a case brief,
                    <SU>6</SU>
                    <FTREF/>
                     and the American Sugar Coalition and its members (petitioners) 
                    <SU>7</SU>
                    <FTREF/>
                     filed a case brief.
                    <SU>8</SU>
                    <FTREF/>
                     On June 20, 2023, petitioners filed a rebuttal brief,
                    <SU>9</SU>
                    <FTREF/>
                     and respondents filed a letter in lieu of rebuttal brief.
                    <SU>10</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         
                        <E T="03">See</E>
                         Respondents' Letter, “Case Brief,” dated June 13, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         The members of the American Sugar Coalition are as follows: American Sugar Cane League; American Sugarbeet Growers Association; American Sugar Refining, Inc.; Florida Sugar Cane League; Rio Grande Valley Sugar Growers, Inc.; Sugar Cane Growers Cooperative of Florida; and the United States Beet Sugar Association.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         
                        <E T="03">See</E>
                         Petitioners' Letter, “Case Brief on Behalf of the American Sugar Coalition,” dated June 13, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         
                        <E T="03">See</E>
                         Petitioners' Letter, “Rebuttal Brief on Behalf of the American Sugar Coalition,” dated June 20, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See</E>
                         Respondents' Letter, “Letter in Lieu of Rebuttal Brief,” dated June 20, 2023.
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Scope of the AD Agreement</HD>
                <P>
                    The product covered by this AD Agreement is raw and refined sugar of all polarimeter readings derived from sugar cane or sugar beets. Merchandise covered by this AD Agreement is typically imported under the following headings of the HTSUS: 1701.12.1000, 1701.12.5000, 1701.13.1000, 1701.13.5000, 1701.14.1020, 1701.14.1040, 1701.14.5000, 1701.91.1000, 1701.91.3000, 1701.99.1015, 1701.99.1017, 1701.99.1025, 1701.99.1050, 1701.99.5015, 1701.99.5017, 1701.99.5025, 1701.99.5050, and 1702.90.4000.
                    <SU>11</SU>
                    <FTREF/>
                     The tariff classification is provided for convenience and customs purposes; however, the written description of the scope of this AD Agreement is dispositive.
                </P>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         Prior to July 1, 2016, merchandise covered by the AD Agreement was classified in the HTSUS under subheading 1701.99.1010. Prior to January 1, 2020, merchandise covered by the AD Agreement was classified in the HTSUS under subheadings 1701.14.1000 and 1701.99.5010.
                    </P>
                </FTNT>
                <P>
                    A full description of the scope of the AD Agreement is contained in the Issues and Decision Memorandum.
                    <SU>12</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         S
                        <E T="03">ee</E>
                         Memorandum, “Issues and Decision Memorandum for the Final Results of the 2020-2021 Administrative Review of the Agreement Suspending the Antidumping Duty Investigation on Sugar from Mexico, as Amended,” dated concurrently with, and hereby adopted by, this notice (Issues and Decision Memorandum).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Analysis</HD>
                <P>Commerce continues to find, based on record evidence, that respondents, the GAM Group and Tamazula, were generally in compliance with the terms of the AD Agreement during the POR. However, we continue to find that respondents did not comply with the requirement to eliminate at least 85 percent of the dumping during the POR. We also determine that the AD Agreement met the statutory requirements under sections 734(c) and (d) of the Tariff Act of 1930, as amended (the Act), during the POR.</P>
                <P>We intend to address what we have found to be serious noncompliance by respondents with an “action plan” first outlined in the Post-Preliminary Results, with the exception of verification of the respondents' questionnaire responses which has been completed. Commerce's next steps will include: formal consultations with the Signatories to the AD Agreement under Section VII.E.2 (Operations Consultations); additional monitoring of the respondents; and consideration of the selection of the respondents in a future administrative review. These measures are necessary to ensure compliance with the AD Agreement and that any potential administrative challenges to effective monitoring are diminished.</P>
                <P>
                    The issues raised in the case and rebuttal briefs are addressed in the accompanying Issues and Decision Memorandum and business proprietary memoranda.
                    <SU>13</SU>
                    <FTREF/>
                     The issues are identified in the appendix to this notice. The Issues and Decision Memorandum is a public document and is on file electronically via Enforcement and Compliance's Antidumping and Countervailing Duty Centralized Electronic Service System (ACCESS). ACCESS is available to registered users at 
                    <E T="03">https://access.trade.gov.</E>
                     In addition, a complete version of the Issues and Decision Memorandum can be accessed directly at 
                    <E T="03">https://access.trade.gov/public/FRNoticesListLayout.aspx.</E>
                </P>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         
                        <E T="03">Id.; see also</E>
                         Memorandum, “Proprietary Analysis Memorandum for the Final Results: Ingenio Tala S.A. de C.V. and its affiliates,” dated concurrently with, and hereby adopted by, this notice; and Memorandum, “Proprietary Analysis Memorandum for the Final Results: Ingenio Tamazula S.A. de C.V. and its affiliates,” dated concurrently with, and hereby adopted by, this notice.
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Administrative Protective Order</HD>
                <P>This notice also serves as a reminder to parties subject to an administrative protective order (APO) of their responsibility concerning the return or destruction of proprietary information disclosed under APO in accordance with 19 CFR 351.305(a)(3). Timely written notification of the return or destruction of APO materials or conversion to judicial protective order is hereby requested. Failure to comply with the regulations and terms of an APO is a sanctionable violation.</P>
                <HD SOURCE="HD1">Notification to Interested Parties</HD>
                <P>We are issuing and publishing these results of review in accordance with sections 751(a)(l) and 777(i)(l) of the Act and 19 CFR 351.213 and 19 CFR 351.221(b)(5).</P>
                <SIG>
                    <PRTPAGE P="43548"/>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Lisa W. Wang,</NAME>
                    <TITLE>Assistant Secretary for Enforcement and Compliance.</TITLE>
                </SIG>
                <HD SOURCE="HD1">Appendix</HD>
                <EXTRACT>
                    <HD SOURCE="HD1">List of Topics Discussed in the Issues and Decision Memorandum</HD>
                    <FP SOURCE="FP-2">I. Summary</FP>
                    <FP SOURCE="FP-2">II. Background</FP>
                    <FP SOURCE="FP-2">III. Scope of the Agreement</FP>
                    <FP SOURCE="FP-2">IV. Discussion of the Issues</FP>
                    <FP SOURCE="FP1-2">Comment 1: Whether Commerce Should Use Average-to-Average Methodology for Analysis of Elimination of 85 Percent of Dumping</FP>
                    <FP SOURCE="FP1-2">Comment 2: Whether Commerce Should Apply the Sales-Below-Cost Test</FP>
                    <FP SOURCE="FP1-2">Comment 3: Whether Commerce Should Use Market-Based Costs for Sugar Cane</FP>
                    <FP SOURCE="FP1-2">Comment 4: Whether Commerce Should Use Third-Country Sales as the Basis for Normal Value for the GAM Group</FP>
                    <FP SOURCE="FP1-2">Comment 5: Whether the GAM Group's Noncompliance Was Unintentional</FP>
                    <FP SOURCE="FP1-2">Comment 6: Whether Swap Transactions Present Monitoring and Record-Keeping Challenges</FP>
                    <FP SOURCE="FP1-2">Comment 7: Whether Commerce Incorrectly Applied the Knowledge Test to Certain of the GAM Group's U.S. Sales</FP>
                    <FP SOURCE="FP-2">V. Recommendation</FP>
                </EXTRACT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14503 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 3510-DS-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF COMMERCE</AGENCY>
                <SUBAGY>International Trade Administration</SUBAGY>
                <DEPDOC>[C-570-017]</DEPDOC>
                <SUBJECT>Certain Passenger Vehicles and Light Truck Tires From the People's Republic of China: Final Results of Countervailing Duty Administrative Review and Rescission, in Part; 2021</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Enforcement and Compliance, International Trade Administration, Department of Commerce.</P>
                </AGY>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The U.S. Department of Commerce (Commerce) determines that countervailable subsides are being provided to producers and exporters of certain passenger vehicle and light truck tires (PVLT tires) from the People's Republic of China (China) during the period of review (POR) of January 1, 2021, through December 31, 2021.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Applicable July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Richard Roberts, AD/CVD Operations, Office I, Enforcement and Compliance, International Trade Administration, U.S. Department of Commerce, 1401 Constitution Avenue NW, Washington, DC 20230; telephone: (202) 482-3464.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P/>
                <HD SOURCE="HD1">Background</HD>
                <P>
                    On May 1, 2023, Commerce published the 
                    <E T="03">Preliminary Results</E>
                     of this administrative review in the 
                    <E T="04">Federal Register</E>
                     and invited interested parties to comment.
                    <SU>1</SU>
                    <FTREF/>
                     We received no comments from interested parties on the 
                    <E T="03">Preliminary Results,</E>
                     and we have otherwise made no changes from the 
                    <E T="03">Preliminary Results.</E>
                     Accordingly, no decision memorandum accompanies this 
                    <E T="04">Federal Register</E>
                     notice; the 
                    <E T="03">Preliminary Results</E>
                     and accompanying PDM are hereby adopted in these final results. Commerce conducted this administrative review in accordance with section 751(a)(1)(A) of the Tariff Act of 1930, as amended (the Act).
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         
                        <E T="03">See Certain Passenger Vehicle and Light Truck Tires from the People's Republic of China: Preliminary Results of Countervailing Duty Administrative Review, Rescission of Administrative Review in Part; and Intent To Rescind in Part; 2021,</E>
                         88 FR 29095 (May 5, 2023) (
                        <E T="03">Preliminary Results</E>
                        ), and accompanying Preliminary Decision Memorandum (PDM).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">
                    Scope of the Order 
                    <E T="01">
                        <SU>2</SU>
                    </E>
                    <FTREF/>
                </HD>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See Certain Passenger Vehicle and Light Truck Tires from the People's Republic of China: Amended Final Affirmative Antidumping Duty Determination and Antidumping Duty Order; and Amended Final Affirmative Countervailing Duty Determination and Countervailing Duty Order,</E>
                         80 FR 47902 (August 10, 2015) 
                        <E T="03">(Order).</E>
                    </P>
                </FTNT>
                <P>
                    The product covered by the 
                    <E T="03">Order</E>
                     is PVLT tires from China. For a complete description of the scope of the 
                    <E T="03">Order, see</E>
                     the appendix to this notice.
                </P>
                <HD SOURCE="HD1">Rescission of Administrative Review, in Part</HD>
                <P>
                    It is Commerce's practice to rescind an administrative review of a countervailing duty order, pursuant to 19 CFR 351.213(d)(3), when there are no reviewable entries of subject merchandise during the POR for which liquidation is suspended.
                    <SU>3</SU>
                    <FTREF/>
                     Normally, upon completion of an administrative review, the suspended entries are liquidated at the countervailing duty assessment rate calculated for the review period.
                    <SU>4</SU>
                    <FTREF/>
                     Therefore, for an administrative review of a company to be conducted, there must be a reviewable, suspended entry that Commerce can instruct U.S. Customs and Border Protection (CBP) to liquidate at the countervailing duty assessment rate calculated for the review period.
                    <SU>5</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See, e.g., Lightweight Thermal Paper from the People's Republic of China: Notice of Rescission of Countervailing Duty Administrative Review; 2015,</E>
                         82 FR 14349 (March 20, 2017); 
                        <E T="03">and Circular Welded Carbon Quality Steel Pipe from the People's Republic of China: Rescission of Countervailing Duty Administrative Review;</E>
                         2017, 84 FR 14650 (April 11, 2019).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         19 CFR 351.212(b)(2).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         19 CFR 351.213(d)(3).
                    </P>
                </FTNT>
                <P>
                    According to the CBP import data, except for the two mandatory respondents, the remaining four companies subject to this review did not have reviewable entries of subject merchandise.
                    <SU>6</SU>
                    <FTREF/>
                     There is no evidence on the record of this segment of the proceeding to indicate that these companies had entries, exports, or sales of subject merchandise to the United States during the POR. Further, in response to the 
                    <E T="03">Preliminary Results,</E>
                     no party submitted information to contradict the information on the record. Therefore, in accordance with 19 CFR 351.213(d)(3), we are rescinding the administrative review with respect to these four companies.
                </P>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         Companies with no reviewable entries are Qingdao Fullrun Tyre Corp., Ltd., Shandong Changfeng Tyres Co., Ltd., Shandong Duratti Rubber Corporation Co., Ltd. and Shandong Transtone Tyre Co., Ltd.
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Final Results of Review</HD>
                <P>For the period January 1, 2021, through December 31, 2021, we determine that the following net countervailable subsidy rates exist:</P>
                <GPOTABLE COLS="2" OPTS="L2,tp0,i1" CDEF="s25,11">
                    <TTITLE> </TTITLE>
                    <BOXHD>
                        <CHED H="1">Company</CHED>
                        <CHED H="1">
                            Subsidy
                            <LI>rate</LI>
                            <LI>(percent</LI>
                            <LI>
                                <E T="03">ad valorem</E>
                                )
                            </LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">Shandong Province Sanli Tire Manufactured Co., Ltd</ENT>
                        <ENT>125.50</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Zhongce Rubber Group Co., Ltd</ENT>
                        <ENT>125.50</ENT>
                    </ROW>
                </GPOTABLE>
                <HD SOURCE="HD1">Disclosure</HD>
                <P>
                    Normally, Commerce discloses to interested parties the calculations of the final results of an administrative review within five days of a public announcement or, if there is no public announcement, within five days of the date of publication of the notice of final results in the 
                    <E T="04">Federal Register</E>
                    <E T="03">,</E>
                     in accordance with 19 CFR 351.224(b). However, because we have made no changes from the 
                    <E T="03">Preliminary Results,</E>
                     there are no calculations to disclose.
                </P>
                <HD SOURCE="HD1">Cash Deposit Instructions</HD>
                <P>
                    Pursuant to section 751(a)(2)(C) of the Act, Commerce intends to instruct CBP to collect cash deposits of estimated countervailing duties in the amounts shown for the companies listed above for shipments of subject merchandise entered, or withdrawn from warehouse, for consumption on or after the date of publication of the final results of this administrative review. These cash deposit instructions, when imposed, shall remain in effect until further notice.
                    <PRTPAGE P="43549"/>
                </P>
                <HD SOURCE="HD1">Assessment Rates</HD>
                <P>
                    Pursuant to section 751(a)(2)(C) of the Act and 19 CFR 351.212(b), Commerce has determined, and CBP shall assess, countervailing duties on all appropriate entries of subject merchandise in accordance with the final results of this review, for the above-listed companies at the applicable 
                    <E T="03">ad valorem</E>
                     assessment rates listed. Commerce intends to issue assessment instructions to CBP no earlier than 35 days after the date of publication of the final results of this review in the 
                    <E T="04">Federal Register</E>
                    . If a timely summons is filed at the U.S. Court of International Trade, the assessment instructions will direct CBP not to liquidate relevant entries until the time for parties to file a request for a statutory injunction has expired (
                    <E T="03">i.e.,</E>
                     within 90 days of publication).
                </P>
                <HD SOURCE="HD1">Administrative Protective Order</HD>
                <P>This notice also serves as a reminder to parties subject to an administrative protective order (APO) of their responsibility concerning the return or destruction of proprietary information disclosed under APO in accordance with 19 CFR 351.305(a)(3). Timely written notification of the return or destruction of APO materials or conversion to judicial protective order is hereby requested. Failure to comply with the regulations and terms of an APO is a sanctionable violation.</P>
                <HD SOURCE="HD1">Notification to Interested Parties</HD>
                <P>Commerce is issuing and publishing these results in accordance with sections 751(a)(1) and 777(i)(1) of the Act, 19 CFR 351.213(d)(3) and 19 CFR 351.221(b)(5).</P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Lisa W. Wang,</NAME>
                    <TITLE>Assistant Secretary for Enforcement and Compliance.</TITLE>
                </SIG>
                <HD SOURCE="HD1">Appendix</HD>
                <EXTRACT>
                    <HD SOURCE="HD1">Scope of the Order</HD>
                    <P>
                        The scope of this 
                        <E T="03">Order</E>
                         is passenger vehicle and light truck tires. Passenger vehicle and light truck tires are new pneumatic tires, of rubber, with a passenger vehicle or light truck size designation. Tires covered by this Order may be tube-type, tubeless, radial, or non-radial, and they may be intended for sale to original equipment manufacturers or the replacement market.
                    </P>
                    <P>Subject tires have, at the time of importation, the symbol “DOT” on the sidewall, certifying that the tire conforms to applicable motor vehicle safety standards. Subject tires may also have the following prefixes or suffix in their tire size designation, which also appears on the sidewall of the tire:</P>
                    <P>Prefix designations:</P>
                    <FP SOURCE="FP-1">P—Identifies a tire intended primarily for service on passenger cars</FP>
                    <FP SOURCE="FP-1">LT—Identifies a tire intended primarily for service on light trucks</FP>
                    <P>Suffix letter designations:</P>
                    <P>LT—Identifies light truck tires for service on trucks, buses, trailers, and multipurpose passenger vehicles used in nominal highway service.</P>
                    <P>All tires with a “P” or “LT” prefix, and all tires with an “LT” suffix in their sidewall markings are covered by this investigation regardless of their intended use.</P>
                    <P>In addition, all tires that lack a “P” or “LT” prefix or suffix in their sidewall markings, as well as all tires that include any other prefix or suffix in their sidewall markings, are included in the scope, regardless of their intended use, as long as the tire is of a size that is among the numerical size designations listed in the passenger car section or light truck section of the Tire and Rim Association Year Book, as updated annually, unless the tire falls within one of the specific exclusions set out below.</P>
                    <P>Passenger vehicle and light truck tires, whether or not attached to wheels or rims, are included in the scope. However, if a subject tire is imported attached to a wheel or rim, only the tire is covered by the scope.</P>
                    <P>Specifically excluded from the scope are the following types of tires:</P>
                    <P>(1) racing car tires; such tires do not bear the symbol “DOT” on the sidewall and may be marked with “ZR” in size designation;</P>
                    <P>(2) new pneumatic tires, of rubber, of a size that is not listed in the passenger car section or light truck section of the Tire and Rim Association Year Book;</P>
                    <P>(3) pneumatic tires, of rubber, that are not new, including recycled and retreaded tires;</P>
                    <P>(4) non-pneumatic tires, such as solid rubber tires;</P>
                    <P>(5) tires designed and marketed exclusively as temporary use spare tires for passenger vehicles which, in addition, exhibit each of the following physical characteristics:</P>
                    <P>(a) the size designation and load index combination molded on the tire's sidewall are listed in Table PCT-1B (“T” Type Spare Tires for Temporary Use on Passenger Vehicles) of the Tire and Rim Association Year Book,</P>
                    <P>(b) the designation “T” is molded into the tire's sidewall as part of the size designation, and,</P>
                    <P>(c) the tire's speed rating is molded on the sidewall, indicating the rated speed in MPH or a letter rating as listed by Tire and Rim Association Year Book, and the rated speed is 81 MPH or a “M” rating;</P>
                    <P>(6) tires designed and marketed exclusively for specialty tire (ST) use which, in addition, exhibit each of the following conditions:</P>
                    <P>(a) the size designation molded on the tire's sidewall is listed in the ST sections of the Tire and Rim Association Year Book,</P>
                    <P>(b) the designation “ST” is molded into the tire's sidewall as part of the size designation,</P>
                    <P>(c) the tire incorporates a warning, prominently molded on the sidewall, that the tire is “For Trailer Service Only” or “For Trailer Use Only,”</P>
                    <P>(d) the load index molded on the tire's sidewall meets or exceeds those load indexes listed in the Tire and Rim Association Year Book for the relevant ST tire size, and</P>
                    <P>(e) either</P>
                    <P>(i) the tire's speed rating is molded on the sidewall, indicating the rated speed in MPH or a letter rating as listed by Tire and Rim Association Year Book, and the rated speed does not exceed 81 MPH or an “M” rating; or</P>
                    <P>(ii) the tire's speed rating molded on the sidewall is 87 MPH or an “N” rating, and in either case the tire's maximum pressure and maximum load limit are molded on the sidewall and either</P>
                    <P>(1) both exceed the maximum pressure and maximum load limit for any tire of the same size designation in either the passenger car or light truck section of the Tire and Rim Association Year Book; or</P>
                    <P>(2) if the maximum cold inflation pressure molded on the tire is less than any cold inflation pressure listed for that size designation in either the passenger car or light truck section of the Tire and Rim Association Year Book, the maximum load limit molded on the tire is higher than the maximum load limit listed at that cold inflation pressure for that size designation in either the passenger car or light truck section of the Tire and Rim Association Year Book;</P>
                    <P>(7) tires designed and marketed exclusively for off-road use and which, in addition, exhibit each of the following physical characteristics:</P>
                    <P>(a) the size designation and load index combination molded on the tire's sidewall are listed in the off-the-road, agricultural, industrial or ATV section of the Tire and Rim Association Year Book,</P>
                    <P>(b) in addition to any size designation markings, the tire incorporates a warning, prominently molded on the sidewall, that the tire is “Not For Highway Service” or “Not for Highway Use,”</P>
                    <P>(c) the tire's speed rating is molded on the sidewall, indicating the rated speed in MPH or a letter rating as listed by the Tire and Rim Association Year Book, and the rated speed does not exceed 55 MPH or a “G” rating, and</P>
                    <P>(d) the tire features a recognizable off-road tread design.</P>
                    <P>The products covered by this Order are currently classified under the following Harmonized Tariff Schedule of the United States (HTSUS) subheadings: 4011.10.10.10, 4011.10.10.20, 4011.10.10.30, 4011.10.10.40, 4011.10.10.50, 4011.10.10.60, 4011.10.10.70, 4011.10.50.00, 4011.20.10.05, and 4011.20.50.10. Tires meeting the scope description may also enter under the following HTSUS subheadings: 4011.99.45.10, 4011.99.45.50, 4011.99.85.10, 4011.99.85.50, 8708.70.45.30, 8708.70.45.45, 8708.70.45.46, 8708.70.45.48, 8708.70.45.60, 8708.70.60.30, 8708.70.60.45, and 8708.70.60.60. While HTSUS subheadings are provided for convenience and for customs purposes, the written description of the subject merchandise is dispositive.</P>
                </EXTRACT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14496 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 3510-DS-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <PRTPAGE P="43550"/>
                <AGENCY TYPE="S">DEPARTMENT OF COMMERCE</AGENCY>
                <SUBAGY>International Trade Administration</SUBAGY>
                <DEPDOC>[C-552-813]</DEPDOC>
                <SUBJECT>Steel Wire Garment Hangers From the Socialist Republic of Vietnam: Final Results of the Expedited Sunset Review of the Countervailing Duty Order</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Enforcement and Compliance, International Trade Administration, Department of Commerce.</P>
                </AGY>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The U.S. Department of Commerce (Commerce) finds that revocation of the countervailing duty (CVD) order on steel wire garment hangers from the Socialist Republic of Vietnam would be likely to lead to continuation or recurrence of countervailable subsidies at the levels indicated in the “Final Results of the Sunset Review” section of this notice.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Applicable July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Peter Zukowski, AD/CVD Operations, Office III, Enforcement and Compliance, International Trade Administration, U.S. Department of Commerce, 1401 Constitution Avenue NW, Washington, DC 20230; telephone: (202) 482-0189.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Background</HD>
                <P>
                    On February 3, 2013, Commerce published the order.
                    <SU>1</SU>
                    <FTREF/>
                     On April 3, 2023, Commerce published the notice of initiation of the second sunset review of the 
                    <E T="03">Order,</E>
                     pursuant to section 751(c) of the Tariff Act of 1930, as amended (the Act).
                    <SU>2</SU>
                    <FTREF/>
                     On April 11, 2023, Commerce received a notice of intent to participate from M&amp;B Metal Products Company, Inc. (the domestic interested party), within the deadline specified in 19 CFR 351.218(d)(1)(i).
                    <SU>3</SU>
                    <FTREF/>
                     The domestic interested party claimed interested party status under section 771(9)(C) of the Act as a U.S. producer of the domestic like product.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         
                        <E T="03">See Certain Steel Wire Garment Hangers from the Socialist Republic of Vietnam: Countervailing Duty Order,</E>
                         78 FR 8107 (February 5, 2013) (
                        <E T="03">Order</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See Initiation of Five-Year (Sunset) Reviews,</E>
                         88 FR 19616 (April 3, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         Domestic Interested Party's Letter, “Notice of Intent to Participate,” dated April 11, 2023.
                    </P>
                </FTNT>
                <P>
                    On April 13, 2023, Commerce received an adequate substantive response from the domestic interested party within the 30-day deadline specified in 19 CFR 351.218(d)(3)(i).
                    <SU>4</SU>
                    <FTREF/>
                     Commerce did not receive a substantive response from any government or respondent interested party to this proceeding. On May 26, 2023, Commerce notified the U.S. International Trade Commission that it did not receive an adequate substantive response from respondent interested parties.
                    <SU>5</SU>
                    <FTREF/>
                     As a result, Commerce conducted an expedited (120-day) sunset review of the 
                    <E T="03">Order,</E>
                     pursuant to section 751(c)(3)(B) of the Act and 19 CFR 351.218(e)(1)(ii)(B)(2) and (C)(2).
                </P>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         Domestic Interested Party's Letter, “Substantive Response of Domestic Producer to Notice of Initiation,” dated April 13, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         Commerce's Letter, “Sunset Reviews for April 2023,” dated May 26, 2023.
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Scope of the Order</HD>
                <P>
                    The merchandise covered by this order is steel wire garment hangers. For a complete description of the scope of the 
                    <E T="03">Order, see</E>
                     the Issues and Decision Memorandum.
                    <SU>6</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         
                        <E T="03">See</E>
                         Memorandum, “Issues and Decision Memorandum for the Final Results of the Expedited Sunset Review of the Countervailing Duty Order on Steel Wire Garment Hangers from the Socialist Republic of Vietnam,” dated concurrently with, and adopted by, this notice (Issues and Decision Memorandum).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Analysis of Comments Received</HD>
                <P>
                    A complete discussion of all issues raised in this sunset review, including the likelihood of continuation or recurrence of subsidization in the event of revocation of the 
                    <E T="03">Order</E>
                     and the countervailable subsidy rates likely to prevail if the 
                    <E T="03">Order</E>
                     were to be revoked, is provided in the Issues and Decision Memorandum. A list of the topics discussed in the Issues and Decision Memorandum is attached as an appendix to this notice. The Issues and Decision Memorandum is a public document and is on file electronically via Enforcement and Compliance's Antidumping and Countervailing Duty Centralized Electronic Service System (ACCESS), which is available to registered users at 
                    <E T="03">https://access.trade.gov.</E>
                     In addition, a complete version of the Issues and Decision Memorandum can be accessed directly at 
                    <E T="03">https://access.trade.gov/public/FRNoticesListLayout.aspx.</E>
                </P>
                <HD SOURCE="HD1">Final Results of Sunset Review</HD>
                <P>
                    Pursuant to sections 751(c) and 752(b) of the Act, we determine that revocation of the 
                    <E T="03">Order</E>
                     would be likely to lead to continuation or recurrence of a countervailable subsidies at the following net countervailable subsidy rates:
                </P>
                <GPOTABLE COLS="2" OPTS="L2,nj,tp0,i1" CDEF="s150,16">
                    <TTITLE> </TTITLE>
                    <BOXHD>
                        <CHED H="1">Producers/exporters</CHED>
                        <CHED H="1">
                            Net countervailable
                            <LI>subsidy rate</LI>
                            <LI>(percent)</LI>
                            <LI>
                                <E T="03">ad valorem</E>
                            </LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">South East Asia Hamico Export Joint Stock Company (SEA Hamico), Nam A Hamico Export Joint Stock Company (Nam A), and Linh Sa Hamico Company Limited (Linh Sa) (collectively, the Hamico Companies)</ENT>
                        <ENT>31.58</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Infinite Industrial Hanger Limited (Infinite) and Supreme Hanger Company Limited (Supreme) (collectively, the Infinite Companies)</ENT>
                        <ENT>90.42</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">All Others</ENT>
                        <ENT>31.58</ENT>
                    </ROW>
                </GPOTABLE>
                <HD SOURCE="HD1">Administrative Protective Order</HD>
                <P>This notice serves as the only reminder to parties subject to an administrative protective order (APO) of their responsibility concerning the disposition of proprietary information disclosed under APO in accordance with 19 CFR 351.305, which continues to govern business proprietary information in this segment of the proceeding. Timely notification of the return or destruction of APO materials or conversion to judicial protective order is hereby requested. Failure to comply with the regulations and the terms of an APO is a sanctionable violation.</P>
                <HD SOURCE="HD1">Notification to Interested Parties</HD>
                <P>Commerce is issuing and publishing these final results and this notice in accordance with sections 751(c), 752(b), and 777(i)(1) of the Act and 19 CFR 351.218.</P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Lisa W. Wang,</NAME>
                    <TITLE>Assistant Secretary for Enforcement and Compliance.</TITLE>
                </SIG>
                <HD SOURCE="HD1">Appendix</HD>
                <EXTRACT>
                    <HD SOURCE="HD1">List of Topics Discussed in the Issues and Decision Memorandum</HD>
                    <FP SOURCE="FP-2">I. Summary</FP>
                    <FP SOURCE="FP-2">II. Background</FP>
                    <FP SOURCE="FP-2">
                        III. Scope of the 
                        <E T="03">Order</E>
                    </FP>
                    <FP SOURCE="FP-2">
                        IV. History of the 
                        <E T="03">Order</E>
                        <PRTPAGE P="43551"/>
                    </FP>
                    <FP SOURCE="FP-2">V. Legal Framework</FP>
                    <FP SOURCE="FP-2">VI. Discussion of the Issues</FP>
                    <FP SOURCE="FP1-2">1. Likelihood of Continuation or Recurrence of a Countervailable Subsidy</FP>
                    <FP SOURCE="FP1-2">2. Net Countervailable Subsidy Rates Likely To Prevail</FP>
                    <FP SOURCE="FP1-2">3. Nature of the Subsidies</FP>
                    <FP SOURCE="FP-2">VII. Final Results of Sunset Review</FP>
                    <FP SOURCE="FP-2">VIII. Recommendation</FP>
                </EXTRACT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14494 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 3510-DS-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF COMMERCE</AGENCY>
                <SUBAGY>International Trade Administration</SUBAGY>
                <DEPDOC>[A-570-937]</DEPDOC>
                <SUBJECT>Citric Acid and Certain Citrate Salts From the People's Republic of China: Preliminary Results and Partial Rescission of the Antidumping Duty Administrative Review; 2021-2022</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Enforcement and Compliance, International Trade Administration, Department of Commerce.</P>
                </AGY>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The U.S. Department of Commerce (Commerce) preliminarily determines that RZBC Group Co., Ltd., RZBC Co., Ltd., RZBC Import &amp; Export Co., Ltd., and RZBC (Juxian) Co., Ltd. (collectively, RZBC) did not make sales of citric acid and certain citrate salts (citric acid) from the People's Republic of China (China) at less than normal value during the period of review (POR) May 1, 2021, through April 30, 2022.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Applicable July 11, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Maisha Cryor, AD/CVD Operations, Office IV, Enforcement and Compliance, International Trade Administration, U.S. Department of Commerce, 1401 Constitution Avenue NW, Washington, DC 20230; telephone: (202) 482-5831.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Background</HD>
                <P>
                    On May 29, 2009, Commerce published in the 
                    <E T="04">Federal Register</E>
                     the antidumping duty order on citric acid from China.
                    <SU>1</SU>
                    <FTREF/>
                     On May 2, 2022, Commerce published in the 
                    <E T="04">Federal Register</E>
                     a notice of opportunity to request an administrative review of the 
                    <E T="03">Order.</E>
                    <SU>2</SU>
                    <FTREF/>
                     On July 14, 2022, based on a timely request for an administrative review, Commerce initiated the administrative review of the 
                    <E T="03">Order.</E>
                    <SU>3</SU>
                    <FTREF/>
                     The administrative review covers a sole mandatory respondent, RZBC.
                    <SU>4</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         
                        <E T="03">See Citric Acid and Certain Citrate Salts from Canada and the People's Republic of China: Antidumping Duty Orders,</E>
                         74 FR 25703 (May 29, 2009) (
                        <E T="03">Order</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See Antidumping or Countervailing Duty Order, Finding, or Suspended Investigation: Opportunity to Request Administrative Review and Join Annual Inquiry Service List,</E>
                         87 FR 25619 (May 2, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See Initiation of Antidumping and Countervailing Duty Administrative Reviews,</E>
                         87 FR 42144 (July 14, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         Memorandum, “Respondent Selection,” dated August 26, 2022.
                    </P>
                </FTNT>
                <P>
                    On January 6, 2023, Commerce extended the deadline for these preliminary results to May 31, 2023.
                    <SU>5</SU>
                    <FTREF/>
                     For a complete description of the events that followed the initiation of this administrative review, 
                    <E T="03">see</E>
                     the Preliminary Decision Memorandum.
                    <SU>6</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         Memorandum, “Extension of Deadline for Preliminary Results of Antidumping Duty Administrative Review,” dated January 6, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         
                        <E T="03">See</E>
                         Memorandum, “Decision Memorandum for the Preliminary Results of the Antidumping Duty Administrative Review: Citric Acid and Certain Citrate Salts from the People's Republic of China; 2021-2022,” dated concurrently with, and hereby adopted by, this notice (Preliminary Decision Memorandum).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Scope of the Order</HD>
                <P>
                    The products covered by this 
                    <E T="03">Order</E>
                     are citric acid from China. A full description of the scope of the 
                    <E T="03">Order</E>
                     is contained in the Preliminary Decision Memorandum.
                    <SU>7</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">China-Wide Entity</HD>
                <P>
                    Commerce's policy regarding the conditional review of the China-wide entity applies to this administrative review.
                    <SU>8</SU>
                    <FTREF/>
                     Under this policy, the China-wide entity will not be under review unless a party specifically requests, or Commerce self-initiates, a review of the entity. Because no party requested a review of the China-wide entity in this review, the entity is not under review, and the entity's assessment rate (
                    <E T="03">i.e.,</E>
                     156.87) is not subject to change.
                    <SU>9</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         
                        <E T="03">See Antidumping Proceedings: Announcement of Change in Department Practice for Respondent Selection in Antidumping Duty Proceedings and Conditional Review of the Nonmarket Economy Entity in NME Antidumping Duty Proceedings,</E>
                         78 FR 65963 (November 4, 2013).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         
                        <E T="03">See Order.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Methodology</HD>
                <P>
                    Commerce is conducting this review in accordance with section 751(a)(1)(B) of the Tariff Act of 1930, as amended (the Act). For a full description of the methodology underlying our conclusions, 
                    <E T="03">see</E>
                     the Preliminary Decision Memorandum. The Preliminary Decision Memorandum is a public document and is on file electronically via Enforcement and Compliance's Antidumping and Countervailing Duty Centralized Electronic Service System (ACCESS). ACCESS is available to registered users at 
                    <E T="03">https://access.trade.gov.</E>
                     A list of topics discussed in the Preliminary Decision Memorandum is included as an appendix to this notice. In addition, a complete version of the Preliminary Decision Memorandum can be found at 
                    <E T="03">https://access.trade.gov/public/FRNoticesListLayout.aspx.</E>
                </P>
                <HD SOURCE="HD1">Preliminary Results of the Administrative Review</HD>
                <P>Commerce preliminarily determines that the following weighted-average dumping margins exist for the administrative review covering the period May 1, 2021, through April 30, 2022:</P>
                <GPOTABLE COLS="2" OPTS="L2,tp0,i1" CDEF="s50,15C">
                    <TTITLE> </TTITLE>
                    <BOXHD>
                        <CHED H="1">Producer/exporter</CHED>
                        <CHED H="1">
                            Weighted-average
                            <LI>dumping margin</LI>
                            <LI>(percent)</LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">RZBC</ENT>
                        <ENT>0.00</ENT>
                    </ROW>
                </GPOTABLE>
                <HD SOURCE="HD1">Disclosure</HD>
                <P>
                    Commerce intends to disclose to parties to the proceeding the calculations performed for these preliminary results of review within five days of the date of publication of this notice in the 
                    <E T="04">Federal Register</E>
                    , in accordance with 19 CFR 351.224(b).
                </P>
                <HD SOURCE="HD1">Public Comment</HD>
                <P>
                    Pursuant to 19 CFR 351.309(c), interested parties may submit case briefs no later than 30 days after the date of publication of this notice. Rebuttal briefs, limited to issues raised in the case briefs, may be filed not later than seven days after the date for filing case briefs.
                    <SU>10</SU>
                    <FTREF/>
                     Pursuant to 19 CFR 351.309(d)(2), rebuttal briefs must be limited to issues raised in the case briefs.
                    <SU>11</SU>
                    <FTREF/>
                     Parties who submit case briefs or rebuttal briefs in this proceeding are encouraged to submit with each argument: (1) a statement of the issue; (2) a brief summary of the argument; and (3) a table of authorities.
                    <SU>12</SU>
                    <FTREF/>
                     Commerce modified certain of its requirements for serving documents containing business proprietary information until further notice.
                    <SU>13</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See</E>
                         19 CFR 351.309(d); 
                        <E T="03">see also Temporary Rule Modifying AD/CVD Service Requirements Due to COVID-19,</E>
                         85 FR 17006, 17007 (March 26, 2020) (“To provide adequate time for release of case briefs via ACCESS, E&amp;C intends to schedule the due date for all rebuttal briefs to be 7 days after case briefs are filed (while these modifications remain in effect).”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">See</E>
                         19 CFR 351.309; 
                        <E T="03">see also</E>
                         19 CFR 351.303 (for general filing requirements).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">See</E>
                         19 CFR 351.309(c)(2) and (d)(2); 
                        <E T="03">see also</E>
                         19 CFR 351.303 (for general filing requirements).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         
                        <E T="03">See Temporary Rule Modifying AD/CVD Service Requirements Due to COVID-19; Extension of Effective Period,</E>
                         85 FR 41363 (July 10, 2020).
                    </P>
                </FTNT>
                <P>
                    Pursuant to 19 CFR 351.310(c), interested parties who wish to request a hearing, limited to issues raised in the case and rebuttal briefs, must submit a 
                    <PRTPAGE P="43552"/>
                    written request to the Assistant Secretary for Enforcement and Compliance, U.S. Department of Commerce, within 30 days after the publication of this notice. Requests should contain (1) the party's name, address, telephone number; (2) the number of participants and whether any participant is a foreign national; and (3) a list of the issues to be discussed. If a request for a hearing is made, Commerce will announce the date and time of the hearing.
                </P>
                <P>Unless the deadline is extended, Commerce intends to issue the final results of this review, including the results of its analysis of the issues raised in any written briefs, no later than 120 days after the date of publication of this notice, pursuant to section 751(a)(3)(A) of the Act and 19 CFR 351.213(h).</P>
                <HD SOURCE="HD1">Assessment Rates</HD>
                <P>
                    Upon issuing the final results, Commerce will determine, and U.S. Customs and Border Protection (CBP) shall assess, antidumping duties on all appropriate entries covered by this review.
                    <SU>14</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         
                        <E T="03">See</E>
                         19 CFR 351.212(b)(1).
                    </P>
                </FTNT>
                <P>
                    Commerce intends to issue assessment instructions to CBP no earlier than 35 days after the date of publication of the final results of this review in the 
                    <E T="04">Federal Register</E>
                    . If a timely summons is filed at the U.S. Court of International Trade, the assessment instructions will direct CBP not to liquidate relevant entries until the time for parties to file a request for a statutory injunction has expired (
                    <E T="03">i.e.,</E>
                     within 90 days of publication).
                </P>
                <P>
                    For each individually examined respondent in this review whose weighted-average dumping margin in the final results of review is not zero or 
                    <E T="03">de minimis</E>
                     (
                    <E T="03">i.e.,</E>
                     less than 0.5 percent), Commerce intends to calculate importer/customer-specific assessment rates.
                    <SU>15</SU>
                    <FTREF/>
                     Where the respondent reported reliable entered values, Commerce intends to calculate importer/customer-specific 
                    <E T="03">ad valorem</E>
                     assessment rates by aggregating the amount of dumping calculated for all U.S. sales to the importer/customer and dividing this amount by the total entered value of the merchandise sold to the importer/customer.
                    <SU>16</SU>
                    <FTREF/>
                     Where the respondent did not report entered values, Commerce will calculate importer/customer-specific assessment rates by dividing the amount of dumping for reviewed sales to the importer/customer by the total quantity of those sales. Commerce will calculate an estimated 
                    <E T="03">ad valorem</E>
                     importer/customer-specific assessment rate to determine whether the per-unit assessment rate is 
                    <E T="03">de minimis;</E>
                     however, Commerce will use the per-unit assessment rate where entered values were not reported.
                    <SU>17</SU>
                    <FTREF/>
                     Where an importer/customer-specific 
                    <E T="03">ad valorem</E>
                     assessment rate is not zero or 
                    <E T="03">de minimis,</E>
                     Commerce will instruct CBP to collect the appropriate duties at the time of liquidation. Where either the respondent's weighted average dumping margin is zero or 
                    <E T="03">de minimis,</E>
                     or an importer/customer-specific 
                    <E T="03">ad valorem</E>
                     assessment rate is zero or 
                    <E T="03">de minimis,</E>
                     Commerce will instruct CBP to liquidate appropriate entries without regard to antidumping duties.
                    <SU>18</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         
                        <E T="03">See Antidumping Proceedings: Calculation of the Weighted Average Dumping Margin and Assessment Rate in Certain Antidumping Proceedings: Final Modification,</E>
                         77 8101 (February 14, 2012) (
                        <E T="03">Final Modification</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         
                        <E T="03">See</E>
                         19 CFR 351.212(b)(1).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         
                        <E T="03">See Final Modification,</E>
                         77 FR at 8103.
                    </P>
                </FTNT>
                <P>In accordance with section 751(a)(2)(C) of the Act, the final results of this review shall be the basis for the assessment of antidumping duties on entries of merchandise covered by the final results of this review and for future deposits of estimated antidumping duties, where applicable.</P>
                <HD SOURCE="HD1">Cash Deposit Requirements</HD>
                <P>
                    The following cash deposit requirements will be effective upon publication of the final results of this review for shipments of the subject merchandise from China entered, or withdrawn from warehouse, for consumption on or after the publication date, as provided by section 751(a)(2)(C) of the Act: (1) for the subject merchandise exported by the company listed above that has a separate rate, the cash deposit rate will be equal to the weighted-average dumping margin established in the final results of this administrative review (except, if the rate is zero or 
                    <E T="03">de minimis,</E>
                     then zero cash deposit will be required); (2) for previously investigated or reviewed Chinese and non-Chinese exporters not listed above that received a separate rate in a prior segment of this proceeding, the cash deposit rate will continue to be the existing exporter-specific rate; (3) for all Chinese exporters of subject merchandise that have not been found to be entitled to a separate rate, the cash deposit rate will be that for the China-wide entity; and (4) for all non-Chinese exporters of subject merchandise which have not received their own rate, the cash deposit rate will be the rate applicable to the Chinese exporter that supplied that non-Chinese exporter. These deposit requirements, when imposed, shall remain in effect until further notice.
                </P>
                <HD SOURCE="HD1">Notification to Importers</HD>
                <P>This notice serves as a preliminary reminder to importers of their responsibility under 19 CFR 351.402(f)(2) to file a certificate regarding the reimbursement of antidumping duties prior to liquidation of the relevant entries during this POR. Failure to comply with this requirement could result in Commerce's presumption that reimbursement of antidumping duties occurred and the subsequent assessment of double antidumping duties.</P>
                <HD SOURCE="HD1">Notification to Interested Parties</HD>
                <P>Commerce is issuing and publishing the preliminary results of this review in accordance with sections 751(a)(1)(B) and 777(i) of the Act, and 19 CFR 351.221(b)(4).</P>
                <SIG>
                    <DATED>Dated: May 30, 2023.</DATED>
                    <NAME>Lisa W. Wang,</NAME>
                    <TITLE>Assistant Secretary for Enforcement and Compliance.</TITLE>
                </SIG>
                <HD SOURCE="HD1">Appendix</HD>
                <EXTRACT>
                    <HD SOURCE="HD1">List of Topics Discussed in the Preliminary Decision Memorandum</HD>
                    <FP SOURCE="FP-2">I. Summary</FP>
                    <FP SOURCE="FP-2">II. Background</FP>
                    <FP SOURCE="FP-2">III. Period of Review</FP>
                    <FP SOURCE="FP-2">
                        IV. Scope of the 
                        <E T="03">Order</E>
                    </FP>
                    <FP SOURCE="FP-2">V. Discussions of the Methodology</FP>
                    <FP SOURCE="FP-2">VI. Adjustment Under Section 777A(f) of the Act</FP>
                    <FP SOURCE="FP-2">VII. Currency Conversion</FP>
                    <FP SOURCE="FP-2">VIII. Recommendation</FP>
                </EXTRACT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14621 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 3510-DS-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF COMMERCE</AGENCY>
                <SUBAGY>International Trade Administration</SUBAGY>
                <DEPDOC>[C-201-846]</DEPDOC>
                <SUBJECT>Agreement Suspending the Countervailing Duty Investigation on Sugar From Mexico: Final Results of the 2021 Administrative Review</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Enforcement and Compliance, International Trade Administration, Department of Commerce.</P>
                </AGY>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        The U.S. Department of Commerce (Commerce) determines that the Government of Mexico (GOM) and the respondent companies selected for individual examination, Ingenio Tala S.A. de C.V. and its affiliates (collectively, GAM Group) and Ingenio Tamazula S.A. de C.V. (Tamazula) (collectively, respondents), were in compliance with the terms of the Agreement Suspending the 
                        <PRTPAGE P="43553"/>
                        Countervailing Duty Investigation on Sugar from Mexico, as amended (CVD Agreement), during the period of review (POR) from January 1, 2021, through December 31, 2021. Commerce also determines that the CVD Agreement met the statutory requirements during the POR.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Applicable July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Sally C. Gannon or David Cordell, Enforcement and Compliance, International Trade Administration, U.S. Department of Commerce, 1401 Constitution Avenue NW, Washington, DC 20230; telephone: (202) 482-0162 or (202) 482-0408, respectively.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Background</HD>
                <P>
                    On January 4, 2023, Commerce published the 
                    <E T="03">Preliminary Results</E>
                     of this administrative review.
                    <SU>1</SU>
                    <FTREF/>
                     Commerce conducted verification from May 9 to 12, 2023.
                    <SU>2</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         
                        <E T="03">See Agreement Suspending the Countervailing Duty Investigation on Sugar from Mexico; Preliminary Results of the 2021 Administrative Review,</E>
                         88 FR 341 (January 4, 2023) (
                        <E T="03">Preliminary Results</E>
                        ).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See</E>
                         Memorandum, “Verification of the Responses of Ingenio Tala S.A. de C.V. and its Affiliates in the Administrative Review of Sugar from Mexico,” dated June 5, 2023; Memorandum, “Verification of the Responses of Ingenio Tamazula S.A. de C.V. and its Affiliates in the Administrative Review of Sugar from Mexico,” dated June 5, 2023; and Memorandum, “Verification of the Responses of the Government of Mexico in the Administrative Review of Sugar from Mexico,” dated June 7, 2023.
                    </P>
                </FTNT>
                <P>
                    On June 15, 2023, the American Sugar Coalition and its members (collectively, petitioners) filed a case brief,
                    <SU>3</SU>
                    <FTREF/>
                     and the GOM filed a letter in lieu of a case brief.
                    <SU>4</SU>
                    <FTREF/>
                     On June 22, 2023, respondents,
                    <SU>5</SU>
                    <FTREF/>
                     petitioners,
                    <SU>6</SU>
                    <FTREF/>
                     and the GOM 
                    <SU>7</SU>
                    <FTREF/>
                     each filed letters in lieu of rebuttal briefs.
                </P>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         Petitioners' Letter, “Case Brief on Behalf of the American Sugar Coalition,” dated June 15, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         GOM's Letter, “Letter in Lieu of Case Brief,” dated June 15, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         Respondents' Letter, “Letter in Lieu of Rebuttal Brief,” dated June 22, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         
                        <E T="03">See</E>
                         Petitioners' Letter, “Letter in Lieu of Rebuttal Brief,” dated June 22, 2023.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         
                        <E T="03">See</E>
                         GOM's Letter, “Letter in Lieu of Rebuttal Brief,” dated June 22, 2023.
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Scope of the CVD Agreement</HD>
                <P>
                    The product covered by this CVD Agreement is raw and refined sugar of all polarimeter readings derived from sugar cane or sugar beets. Merchandise covered by this CVD Agreement is typically imported under the following headings of the HTSUS: 1701.12.1000, 1701.12.5000, 1701.13.1000, 1701.13.5000, 1701.14.1020, 1701.14.1040, 1701.14.5000, 1701.91.1000, 1701.91.3000, 1701.99.1015, 1701.99.1017, 1701.99.1025, 1701.99.1050, 1701.99.5015, 1701.99.5017, 1701.99.5025, 1701.99.5050, and 1702.90.4000.
                    <SU>8</SU>
                    <FTREF/>
                     The tariff classification is provided for convenience and customs purposes; however, the written description of the scope of this CVD Agreement is dispositive.
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         Prior to July 1, 2016, merchandise covered by the CVD Agreement was classified in the HTSUS under subheading 1701.99.1010. Prior to January 1, 2020, merchandise covered by the CVD Agreement was classified in the HTSUS under subheadings 1701.14.1000 and 1701.99.5010.
                    </P>
                </FTNT>
                <P>
                    A full description of the scope of the CVD Agreement is contained in the Issues and Decision Memorandum.
                    <SU>9</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         
                        <E T="03">See</E>
                         Memorandum, “Issues and Decision Memorandum for the Final Results of the 2021 Administrative Review of the Agreement Suspending the Countervailing Duty Investigation on Sugar from Mexico, as Amended,” dated concurrently with, and hereby adopted by, this notice (Issues and Decision Memorandum).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Analysis</HD>
                <P>Commerce continues to determine that the CVD Agreement met the statutory requirements under sections 704(c) and (d) of the Act, during the POR. We also continue to find, based on record evidence, that the GOM and respondents, the GAM Group and Tamazula, were in compliance with the terms of the CVD Agreement during the POR. However, we intend to consult with the GOM under Section VIII.D.4 of the CVD Agreement (“Operations Consultations”) to discuss issues raised in this review. Such consultations are necessary to ensure adherence to the statutory requirements of the CVD Agreement and that any potential administrative challenges to effective monitoring are diminished.</P>
                <P>
                    The issues raised in the case and rebuttal briefs are addressed in the accompanying Issues and Decision Memorandum.
                    <SU>10</SU>
                    <FTREF/>
                     The issues are identified in the appendix to this notice. The Issues and Decision Memorandum is a public document and is on file electronically via Enforcement and Compliance's Antidumping and Countervailing Duty Centralized Electronic Service System (ACCESS). ACCESS is available to registered users at 
                    <E T="03">https://access.trade.gov.</E>
                     In addition, a complete version of the Issues and Decision Memorandum can be accessed directly at 
                    <E T="03">https://access.trade.gov/public/FRNoticesListLayout.aspx.</E>
                </P>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">Notification Regarding Administrative Protective Order</HD>
                <P>This notice also serves as a final reminder to parties subject to administrative protective order (APO) of their responsibility concerning the return or destruction of proprietary information disclosed under APO in accordance with 19 CFR 351.305(a)(3). Timely written notification of the return or destruction of APO materials or conversion to judicial protective order is hereby requested. Failure to comply with the regulations and terms of an APO is a sanctionable violation.</P>
                <HD SOURCE="HD1">Notification to Interested Parties</HD>
                <P>We are issuing and publishing these results of review in accordance with sections 751(a)(l) and 777(i)(l) of the Act and 19 CFR 351.213 and 19 CFR 351.221(b)(5).</P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Lisa W. Wang,</NAME>
                    <TITLE>Assistant Secretary for Enforcement and Compliance.</TITLE>
                </SIG>
                <HD SOURCE="HD1">Appendix</HD>
                <EXTRACT>
                    <HD SOURCE="HD1">List of Topics Discussed in the Issues and Decision Memorandum</HD>
                    <FP SOURCE="FP-2">I. Summary</FP>
                    <FP SOURCE="FP-2">II. Background</FP>
                    <FP SOURCE="FP-2">III. Scope of the Agreement</FP>
                    <FP SOURCE="FP-2">IV. Discussion of the Issues</FP>
                    <FP SOURCE="FP1-2">Comment 1: Presentation of Export Licenses at the Time of Entry</FP>
                    <FP SOURCE="FP1-2">Comment 2: Informal Swap Transactions and the Potential for Circumvention</FP>
                    <FP SOURCE="FP-2">V. Recommendation</FP>
                </EXTRACT>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14501 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 3510-DS-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF COMMERCE</AGENCY>
                <SUBAGY>National Oceanic and Atmospheric Administration</SUBAGY>
                <DEPDOC>[RTID 0648-XD132]</DEPDOC>
                <SUBJECT>Pacific Fishery Management Council; Public Meeting</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of public meeting.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Pacific Fishery Management Council's (Pacific Council) Ad Hoc Marine Planning Committee (MPC) will hold an online public meeting.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The online meeting will be held Thursday, July 27, 2023, from 1 p.m. to 4:30 p.m. Pacific Daylight Time or until business for the day has been completed.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        This meeting will be held online. Specific meeting information, including a proposed agenda and directions on how to attend the meeting and system requirements, will be provided in the meeting announcement on the Pacific Council's website (see 
                        <PRTPAGE P="43554"/>
                        <E T="03">www.pcouncil.org</E>
                        ). You may send an email to Mr. Kris Kleinschmidt (
                        <E T="03">kris.kleinschmidt@noaa.gov</E>
                        ) or contact him at (503) 820-2412 for technical assistance.
                    </P>
                    <P>
                        <E T="03">Council address:</E>
                         Pacific Fishery Management Council, 7700 NE Ambassador Place, Suite 101, Portland, OR 97220-1384.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Kerry Griffin, Staff Officer, Pacific Council; telephone: (503) 820-2409.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>The purpose of this online meeting is for the MPC to consider current offshore wind (OSW) energy issues and to provide information and advice to the Pacific Council for consideration at its September 2023 meeting. Meeting topics may include Fisheries Communications Plans for the five California OSW leases and anticipated draft Oregon Wind Energy Areas. Other OSW or aquaculture topics may be considered, as appropriate.</P>
                <P>Although non-emergency issues not contained in the meeting agenda may be discussed, those issues may not be the subject of formal action during this meeting. Action will be restricted to those issues specifically listed in this document and any issues arising after publication of this document that require emergency action under section 305(c) of the Magnuson-Stevens Fishery Conservation and Management Act, provided the public has been notified of the intent to take final action to address the emergency.</P>
                <HD SOURCE="HD1">Special Accommodations</HD>
                <P>
                    Requests for sign language interpretation or other auxiliary aids should be directed to Mr. Kris Kleinschmidt (
                    <E T="03">kris.kleinschmidt@noaa.gov;</E>
                     (503) 820-2412) at least 10 days prior to the meeting date.
                </P>
                <P>
                    <E T="03">Authority:</E>
                     16 U.S.C. 1801 
                    <E T="03">et seq.</E>
                </P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Rey Israel Marquez,</NAME>
                    <TITLE>Acting Deputy Director, Office of Sustainable Fisheries, National Marine Fisheries Service.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14482 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 3510-22-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF COMMERCE</AGENCY>
                <SUBAGY>National Oceanic and Atmospheric Administration</SUBAGY>
                <DEPDOC>[RTID 0648-XD124]</DEPDOC>
                <SUBJECT>South Atlantic Fishery Management Council; Public Hearings</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of public hearings.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The South Atlantic Fishery Management Council (Council) will hold three webinar public hearings pertaining to the Comprehensive Amendment Addressing Electronic Reporting for Commercial Vessels. The amendment is being developed jointly with the Gulf of Mexico Fishery Management Council to modify reporting for commercial fishing vessels issued South Atlantic or Gulf of Mexico permits and currently reporting through the Southeast Coastal Logbook program (Gulf Reef Fish, South Atlantic Snapper Grouper, Atlantic Dolphin and Wahoo, and Coastal Migratory Pelagic Resources of the Gulf and Atlantic), to require that the reports be submitted electronically. It is anticipated that this change will improve the timeliness and efficiency of the commercial logbook data collection and management program, which will improve monitoring and compliance of federally permitted commercial vessels participating in the Southeast Coastal Logbook program.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The webinar public hearings will be held July 25, 26, and 27, 2023, beginning at 6 p.m., EST.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Kim Iverson, Public Information Officer, SAFMC; phone: (843) 571-4366 or toll free: (866) SAFMC-10; fax: (843) 769-4520; email: 
                        <E T="03">kim.iverson@safmc.net.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    Public hearing documents, an online public comment form, and other materials will be posted to the Council's website at 
                    <E T="03">https://safmc.net/public-hearings-and-scoping/</E>
                     as they become available. Written comments should be addressed to John Carmichael, Executive Director, SAFMC, 4055 Faber Place Drive, Suite 201, N Charleston, SC 29405. Written comments must be received by July 28, 2023, by 5 p.m. During the hearings, Council staff will provide an overview of actions being considered in the amendment. Staff will answer clarifying questions on the presented information and the proposed actions. Staff from the NMFS Southeast Fisheries Science Centre and the Atlantic States Cooperative Statistics Program will also be available to answer questions about the transition to electronic reporting. Following the presentation and questions, the public will have the opportunity to provide comments on the amendment.
                </P>
                <HD SOURCE="HD1">Special Accommodations</HD>
                <P>
                    The hearings are physically accessible to people with disabilities. Requests for auxiliary aids should be directed to the Council office (see 
                    <E T="02">ADDRESSES</E>
                    ) 5 days prior to the hearing.
                </P>
                <NOTE>
                    <HD SOURCE="HED">Note: </HD>
                    <P>The times and sequence specified in this agenda are subject to change.</P>
                </NOTE>
                <P>
                    <E T="03">Authority:</E>
                     16 U.S.C. 1801 
                    <E T="03">et seq.</E>
                </P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Rey Israel Marquez,</NAME>
                    <TITLE>Acting Deputy Director, Office of Sustainable Fisheries, National Marine Fisheries Service.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14483 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 3510-22-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF DEFENSE</AGENCY>
                <SUBAGY>Department of the Army</SUBAGY>
                <SUBJECT>Board of Visitors, United States Military Academy (USMA)</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Department of the Army, DoD.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of committee meeting.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>Under the provisions of the Federal Advisory Committee Act of 1972, the Government in the Sunshine Act of 1976, the Department of Defense announces that the following Federal advisory committee meeting will take place.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The meeting will be held on Monday, July 24, 2023, Time 9:00 a.m.-11:00 a.m. Members of the public wishing to attend the meeting will be required to show a DoD government photo ID or submit to and pass a background check prior to entering West Point in order to gain access to the meeting location.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>The meeting will be held in the Haig Room, Jefferson Hall, 758 Cullum Road, West Point, New York 10996.</P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Mr. Tony Espinal, the Designated Federal Officer for the committee, in writing at: Secretary of the General Staff, ATTN: Tony Espinal, 646 Swift Road, West Point, NY 10996; by email at: 
                        <E T="03">anthony.espinal@westpoint.edu</E>
                         or 
                        <E T="03">BoV@westpoint.edu;</E>
                         or by telephone at (845) 938-3384.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>The committee meeting is being held under the provisions of the Federal Advisory Committee Act of 1972 (5 U.S.C., appendix, as amended), the Government in the Sunshine Act of 1976 (5 U.S.C. 552b, as amended), and 41 CFR 102-3.150. The USMA BoV provides independent advice and recommendations to the President of the United States on matters related to morale, discipline, curriculum, instruction, physical equipment, fiscal affairs, academic methods, and any other matters relating to the Academy that the Board decides to consider.</P>
                <P>
                    <E T="03">Purpose of the Meeting:</E>
                     This is the 2023 Summer Meeting of the USMA 
                    <PRTPAGE P="43555"/>
                    BoV. Members of the Board will be provided updates on Academy issues. Agenda: Introduction; Board Business: Approve Minutes from the March BoV Meeting, select Fall meeting date, Open Discussion; Superintendent Remarks; Strategy Update: Developing Leaders of Character; Legislative Proposals, and Keller Army Community Hospital Update.
                </P>
                <P>
                    <E T="03">Public's Accessibility to the Meeting:</E>
                     Pursuant to 5 U.S.C. 552b and 41 CFR 102-3.140 through 102-3.165 and subject to the availability of space, this meeting is open to the public. Seating is on a first to arrive basis. Attendees are requested to submit their name, affiliation, and daytime phone number seven business days prior to the meeting to Mr. Espinal, via electronic mail, the preferred mode of submission, at the address listed in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section. Pursuant to 41 CFR 102-3.140d, the committee is not obligated to allow a member of the public to speak or otherwise address the committee during the meeting, and members of the public attending the committee meeting will not be permitted to present questions from the floor or speak to any issue under consideration by the committee. Because the committee meeting will be held in a Federal Government facility on a military post, security screening is required. A DoD government photo ID is required to enter post. Without a DoD ID, members of the public must first go to the Visitor Control Center in the Visitor Center and undergo a background check before being allowed access to the installation. Members of the public then need to park in Buffalo Soldier Field parking lot and ride the north-bound Central Post Area (CPA) shuttle bus to Thayer Road, get off at the Thayer Road Extension and walk up the road to the Guard Station; a member of the USMA staff will meet members of the public wishing to attend the meeting at 8:30 a.m. and escort them to the meeting location. Please note that all vehicles and persons entering the installation are subject to search and/or an identification check. Any person or vehicle refusing to be searched will be denied access to the installation. Members of the public should allow at least an hour for security checks and the shuttle ride. The United States Military Academy, Jefferson Hall, is fully handicap accessible. Wheelchair access is available at the south entrance of the building. For additional information about public access procedures, contact Mr. Espinal, the committee's Designated Federal Officer, at the email address or telephone number listed in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section.
                </P>
                <P>
                    <E T="03">Written Comments or Statements:</E>
                     Pursuant to 41 CFR 102-3.105(j) and 102-3.140 and section 10(a)(3) of the Federal Advisory Committee Act, the public or interested organizations may submit written comments or statements to the committee, in response to the stated agenda of the open meeting or in regard to the committee's mission in general. Written comments or statements should be submitted to Mr. Espinal, the committee Designated Federal Officer, via electronic mail, the preferred mode of submission, at the address listed in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section. Each page of the comment or statement must include the author's name, title or affiliation, address, and daytime phone number. Written comments or statements should be submitted to Mr. Espinal, the committee Designated Federal Officer, via electronic mail, the preferred mode of submission, at the address listed in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section. Written comments or statements being submitted in response to the agenda set forth in this notice must be received by the Designated Federal Official at least seven business days prior to the meeting to be considered by the committee. The Designated Federal Official will review all timely submitted written comments or statements with the committee Chairperson and ensure the comments are provided to all members of the committee before the meeting. Written comments or statements received after this date may not be provided to the committee until its next meeting.
                </P>
                <P>Pursuant to 41 CFR 102-3.140d, the committee is not obligated to allow a member of the public to speak or otherwise address the committee during the meeting. However, the committee Designated Federal Official and Chairperson may choose to invite certain submitters to present their comments verbally during the open portion of this meeting or at a future meeting. The Designated Federal Officer, in consultation with the committee Chairperson, may allot a specific amount of time for submitters to present their comments verbally.</P>
                <SIG>
                    <NAME>James W. Satterwhite Jr.,</NAME>
                    <TITLE>Army Federal Register Liaison Officer.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14497 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 5001-03-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF EDUCATION</AGENCY>
                <DEPDOC>[Docket No.: ED-2023-SCC-0126]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Comment Request; Gaining Early Awareness and Readiness for Undergraduate Programs Final Performance Report</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Office of Postsecondary Education (OPE), Department of Education (ED).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Paperwork Reduction Act (PRA) of 1995, the Department is proposing a revision of a currently approved information collection request (ICR).</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Interested persons are invited to submit comments on or before September 8, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        To access and review all the documents related to the information collection listed in this notice, please use 
                        <E T="03">http://www.regulations.gov</E>
                         by searching the Docket ID number ED-2023-SCC-0126. Comments submitted in response to this notice should be submitted electronically through the Federal eRulemaking Portal at 
                        <E T="03">http://www.regulations.gov</E>
                         by selecting the Docket ID number or via postal mail, commercial delivery, or hand delivery. If the 
                        <E T="03">regulations.gov</E>
                         site is not available to the public for any reason, the Department will temporarily accept comments at 
                        <E T="03">ICDocketMgr@ed.gov.</E>
                         Please include the docket ID number and the title of the information collection request when requesting documents or submitting comments. Please note that comments submitted after the comment period will not be accepted. Written requests for information or comments submitted by postal mail or delivery should be addressed to the Manager of the Strategic Collections and Clearance Governance and Strategy Division, U.S. Department of Education, 400 Maryland Ave. SW, LBJ, Room 6W203, Washington, DC 20202-8240.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>For specific questions related to collection activities, please contact Caroline Chung, 202-987-1434.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    The Department, in accordance with the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3506(c)(2)(A)), provides the general public and Federal agencies with an opportunity to comment on proposed, revised, and continuing collections of information. This helps the Department assess the impact of its information collection requirements and minimize the public's reporting burden. 
                    <PRTPAGE P="43556"/>
                    It also helps the public understand the Department's information collection requirements and provide the requested data in the desired format. The Department is soliciting comments on the proposed information collection request (ICR) that is described below. The Department is especially interested in public comment addressing the following issues: (1) is this collection necessary to the proper functions of the Department; (2) will this information be processed and used in a timely manner; (3) is the estimate of burden accurate; (4) how might the Department enhance the quality, utility, and clarity of the information to be collected; and (5) how might the Department minimize the burden of this collection on the respondents, including through the use of information technology. Please note that written comments received in response to this notice will be considered public records.
                </P>
                <P>
                    <E T="03">Title of Collection:</E>
                     Gaining Early Awareness and Readiness for Undergraduate Programs Final Performance Report.
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1840-0782.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     A revision of a currently approved ICR.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     State, local, and Tribal governments.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     172.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     11,180.
                </P>
                <P>
                    <E T="03">Abstract:</E>
                     The purpose of this information collection is to determine whether recipients of Gaining Early Awareness and Readiness for Undergraduate Programs (GEAR UP) have made substantial progress towards meeting the objectives of their respective projects, as outlined in their grant applications and/or subsequent work plans. In addition, the final report will enable the Department to evaluate each grant project's fiscal operations for the entire grant performance period, and compare total expenditures relative to federal funds awarded, and actual cost-share/matching relative to the total amount in the approved grant application. This report is a means for grantees to share the overall experience of their projects and document achievements and concerns, and describe effects of their projects on participants being served; project barriers and major accomplishments; and evidence of sustainability. The report will be GEAR UP's primary method to collect/analyze data on students' high school graduation and immediate college enrollment rates.
                </P>
                <P>The form has been revised to include additional questions collecting data on the scholarship component that is required by statute.</P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Kun Mullan,</NAME>
                    <TITLE>PRA Coordinator, Strategic Collections and Clearance, Governance and Strategy Division, Office of Chief Data Officer, Office of Planning, Evaluation and Policy Development.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14507 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4000-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF EDUCATION</AGENCY>
                <DEPDOC>[Docket No.: ED-2023-SCC-0120]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Comment Request; Direct Loan, FFEL, Perkins and TEACH Grant Total and Permanent Disability Discharge Application and Related Forms</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Student Aid, Department of Education (ED).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Paperwork Reduction Act of 1995, ED is requesting the Office of Management and Budget (OMB) to conduct an emergency review of a revision of a currently approved information collection.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The Department requested emergency processing from OMB for this information collection request on June 28th, 2023. As a result, the Department is providing the public with the opportunity to comment under the full comment period. Interested persons are invited to submit comments on or before September 8, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        To access and review all the documents related to the information collection listed in this notice, please use 
                        <E T="03">http://www.regulations.gov</E>
                         by searching the Docket ID number ED-2023-SCC-0120. Comments submitted in response to this notice should be submitted electronically through the Federal eRulemaking Portal at 
                        <E T="03">http://www.regulations.gov</E>
                         by selecting the Docket ID number or via postal mail, commercial delivery, or hand delivery. If the regulations.gov site is not available to the public for any reason, the Department will temporarily accept comments at 
                        <E T="03">ICDocketMgr@ed.gov.</E>
                         Please include the docket ID number and the title of the information collection request when requesting documents or submitting comments. Please note that comments submitted after the comment period will not be accepted. Written requests for information or comments submitted by postal mail or delivery should be addressed to the Manager of the Strategic Collections and Clearance Governance and Strategy Division, U.S. Department of Education, 400 Maryland Ave. SW, LBJ, Room 6W203, Washington, DC 20202-8240.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>For specific questions related to collection activities, please contact Beth Grebeldinger, 202-377-4018.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>The Department, in accordance with the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3506(c)(2)(A)), provides the general public and Federal agencies with an opportunity to comment on proposed, revised, and continuing collections of information. This helps the Department assess the impact of its information collection requirements and minimize the public's reporting burden. It also helps the public understand the Department's information collection requirements and provide the requested data in the desired format. The Department is soliciting comments on the proposed information collection request (ICR) that is described below. The Department is especially interested in public comment addressing the following issues: (1) is this collection necessary to the proper functions of the Department; (2) will this information be processed and used in a timely manner; (3) is the estimate of burden accurate; (4) how might the Department enhance the quality, utility, and clarity of the information to be collected; and (5) how might the Department minimize the burden of this collection on the respondents, including through the use of information technology. Please note that written comments received in response to this notice will be considered public records.</P>
                <P>
                    <E T="03">Title of Collection:</E>
                     Direct Loan, FFEL, Perkins and TEACH Grant Total and Permanent Disability Discharge Application and Related Forms.
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1845-0065.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     A revision of a currently approved ICR.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     Individuals and Households.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     61,629.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     30,814.
                </P>
                <P>
                    <E T="03">Abstract:</E>
                     The Department of Education (Department) requested emergency processing for this revision of the information collection, 1845-0065, Total and Permanent Disability (TPD) Discharge Application and Related Forms; and therefore, is requesting the 60-day public comment period for the full ICR. The regulations governing TPD discharges of Federal 
                    <PRTPAGE P="43557"/>
                    student loans and TEACH Grant service obligations are contained in 34 CFR 685.213 for the Direct Loan Program, 34 CFR 682.402(c) for the FFEL Program, 34 CFR 674.61(b) for the Perkins Loan Program, and 34 CFR 686.42(b) for the TEACH Grant Program. A final rule published on November 1, 2022 (87 FR 65904) made changes to the TPD discharge regulations, including an expansion of the types of SSA disability determinations that qualify a borrower or TEACH Grant recipient for TPD discharge; elimination of the requirement for borrowers who receive TPD discharges based on SSA determinations or a physician's certification to provide documentation of their annual earnings from employment during the 3-year post-discharge monitoring period; and expansion of the categories of medical professionals who may certify an individual's TPD discharge application which necessitate the revision of this information collection.
                </P>
                <P>The Department received emergency clearance on June 28, 2023 since normal processing would not enable the Department to implement the required regulatory changes by July 1, 2023, resulting in several months of delays in providing eligible borrowers with the benefits of the amended TPD discharge regulations and not meeting the requirements of the Master Calendar. Any delay in discharging loans for eligible borrowers would increase the potential for public harm through delayed financial relief to borrowers who would qualify for discharge of their loans under the terms of the amended regulations. As a result, in order to meet the July 1, 2023, implementation date as required by the Master Calendar, the Department requested that OMB approve the collection associated with the implementation of the TPD discharge forms using the emergency clearance procedures. This notice allows the public to comment on the full ICR under the 60-day comment period.</P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Kun Mullan,</NAME>
                    <TITLE>PRA Coordinator, Strategic Collections and Clearance, Governance and Strategy Division, Office of Chief Data Officer, Office of Planning, Evaluation and Policy Development.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14504 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4000-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF EDUCATION</AGENCY>
                <DEPDOC>[Docket No.: ED-2023-SCC-0074]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Submission to the Office of Management and Budget for Review and Approval; Comment Request; HEERF No Cost Extension Request Form</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Office of Postsecondary Education (OPE), Department of Education (ED).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Paperwork Reduction Act (PRA) of 1995, the Department is proposing an extension without change of a currently approved information collection request (ICR).</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Interested persons are invited to submit comments on or before August 9, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Written comments and recommendations for proposed information collection requests should be submitted within 30 days of publication of this notice. Click on this link 
                        <E T="03">www.reginfo.gov/public/do/PRAMain</E>
                         to access the site. Find this information collection request (ICR) by selecting “Department of Education” under “Currently Under Review,” then check the “Only Show ICR for Public Comment” checkbox. 
                        <E T="03">Reginfo.gov</E>
                         provides two links to view documents related to this information collection request. Information collection forms and instructions may be found by clicking on the “View Information Collection (IC) List” link. Supporting statements and other supporting documentation may be found by clicking on the “View Supporting Statement and Other Documents” link.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>For specific questions related to collection activities, please contact Karen Epps, 202-453-6337.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>The Department is especially interested in public comment addressing the following issues: (1) is this collection necessary to the proper functions of the Department; (2) will this information be processed and used in a timely manner; (3) is the estimate of burden accurate; (4) how might the Department enhance the quality, utility, and clarity of the information to be collected; and (5) how might the Department minimize the burden of this collection on the respondents, including through the use of information technology. Please note that written comments received in response to this notice will be considered public records.</P>
                <P>
                    <E T="03">Title of Collection:</E>
                     HEERF No Cost Extension Request Form.
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1840-0864.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     An extension without change of a currently approved ICR.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     State, local, and Tribal governments; private sector.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     720.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     360.
                </P>
                <P>
                    <E T="03">Abstract:</E>
                     The Higher Education Emergency Relief Fund (HEERF) authorizes the Secretary of Education to allocate formula grant funds to participating institutions of higher education (IHEs) to address impacts of COVID-19. To date, the Department has made over 18,000 awards to over 5,100 IHEs totaling $76.3 billion. In both volume of grants and amount of funding, HEERF is one of the largest grant programs in agency history.
                </P>
                <P>On June 30, 2023, the project period for most HEERF grants will end and any remaining unliquidated grant funds will be returned to Treasury. Pursuant to 2 CFR 200.308(e)(2) and 34 CFR 75.261(a), grantees have the option to receive up to a twelve-month No-Cost Extension (NCE) of their grant project periods. The Department is requesting approval of an information collection to allow for HEERF grantees to request an extension beyond June 30, 2023, and ensure that grantees have a thought-out plan for using their remaining HEERF grant funds to address the lingering effects and impacts related to COVID-19.</P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Kun Mullan,</NAME>
                    <TITLE>PRA Coordinator, Strategic Collections and Clearance, Governance and Strategy Division, Office of Chief Data Officer, Office of Planning, Evaluation and Policy Development.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14505 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4000-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF EDUCATION</AGENCY>
                <DEPDOC>[Docket No.: ED-2023-SCC-0119]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Comment Request; Loan Discharge Applications (DL/FFEL/Perkins)</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Student Aid (FSA), Department of Education (ED).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        In accordance with the Paperwork Reduction Act of 1995, ED is requesting the Office of Management and Budget (OMB) to conduct an emergency review of a revision of a 
                        <PRTPAGE P="43558"/>
                        currently approved information collection.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The Department requested emergency processing from OMB for this information collection request on June 28, 2023. As a result, the Department is providing the public with the opportunity to comment under the full comment period. Interested persons are invited to submit comments on or before September 8, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        To access and review all the documents related to the information collection listed in this notice, please use 
                        <E T="03">http://www.regulations.gov</E>
                         by searching the Docket ID number ED-2023-SCC-0119. Comments submitted in response to this notice should be submitted electronically through the Federal eRulemaking Portal at 
                        <E T="03">http://www.regulations.gov</E>
                         by selecting the Docket ID number or via postal mail, commercial delivery, or hand delivery. If the 
                        <E T="03">regulations.gov</E>
                         site is not available to the public for any reason, the Department will temporarily accept comments at 
                        <E T="03">ICDocketMgr@ed.gov.</E>
                         Please include the docket ID number and the title of the information collection request when requesting documents or submitting comments. Please note that comments submitted after the comment period will not be accepted. Written requests for information or comments submitted by postal mail or delivery should be addressed to the Manager of the Strategic Collections and Clearance Governance and Strategy Division, U.S. Department of Education, 400 Maryland Ave. SW, LBJ, Room 6W203, Washington, DC 20202-8240.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>For specific questions related to collection activities, please contact Beth Grebeldinger, 202-377-4018.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>The Department, in accordance with the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3506(c)(2)(A)), provides the general public and Federal agencies with an opportunity to comment on proposed, revised, and continuing collections of information. This helps the Department assess the impact of its information collection requirements and minimize the public's reporting burden. It also helps the public understand the Department's information collection requirements and provide the requested data in the desired format. The Department is soliciting comments on the proposed information collection request (ICR) that is described below. The Department is especially interested in public comment addressing the following issues: (1) is this collection necessary to the proper functions of the Department; (2) will this information be processed and used in a timely manner; (3) is the estimate of burden accurate; (4) how might the Department enhance the quality, utility, and clarity of the information to be collected; and (5) how might the Department minimize the burden of this collection on the respondents, including through the use of information technology. Please note that written comments received in response to this notice will be considered public records.</P>
                <P>
                    <E T="03">Title of Collection:</E>
                     Loan Discharge Applications (DL/FFEL/Perkins).
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1845-0058.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     A revision of a currently approved ICR.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     Individuals and households; State, local, and Tribal governments; private sector.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     32,761.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     21,376.
                </P>
                <P>
                    <E T="03">Abstract:</E>
                     The Department of Education (Department) requested emergency processing for this revised information collection, 1845-0058; and therefore, is requesting the 60-day public comment period for the full ICR. The Higher Education Act of 1965, as amended (HEA), established the Federal Family Education Loan (FFEL) Program, the William D. Ford Federal Direct Loan (Direct Loan) Program, and the Federal Perkins (Perkins) Loan programs under title IV, parts B, D, and E, respectively. Section 437(c)(1) of the HEA authorizes the discharge of a FFEL or Direct Loan program loan borrower's obligation to repay their loan(s) based on school closure or false certification of student eligibility. Section 464(g)(1) of the HEA authorizes the discharge of a Perkins Loan Program loan based on school closure. The Department published a final rule on November 1, 2022 (87 FR 65904) that made significant changes to the regulations governing loan discharge based on school closure and false certification.
                </P>
                <P>The Department received emergency clearance on June 28, 2023 since normal processing would not enable the Department to implement the required regulatory changes by July 1, 2023, resulting in several months of delays in providing eligible borrowers with the benefits of the amended loan discharge regulations and not meeting the requirements of the Master Calendar. Any delay in discharging loans for eligible borrowers would increase the potential for public harm through delayed financial relief to borrowers who would qualify for discharge of their loans under the terms of the amended regulations. As a result, in order to meet the July 1, 2023 implementation date as required by the Master Calendar, the Department requested that OMB approve the collection associated with the implementation of the closed school and false certification loan discharge forms using the emergency clearance procedures. Although the Final Rule did not amend the unpaid refund discharge regulations, the unpaid refund discharge application is included with the other forms approved under OMB No. 1845-0058 and therefore is also covered by this request. This notice allows the public to comment on the full ICR under the 60-day comment period.</P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Kun Mullan,</NAME>
                    <TITLE>PRA Coordinator, Strategic Collections and Clearance, Governance and Strategy Division, Office of Chief Data Officer, Office of Planning, Evaluation and Policy Development.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14506 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4000-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF EDUCATION</AGENCY>
                <DEPDOC>[Docket No.: ED-2023-SCC-0125]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Comment Request; National Implementation Study of Student Support and Academic Enrichment Grants (Title IV, Part A)</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Institute of Education Sciences (IES), Department of Education (ED).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Paperwork Reduction Act (PRA) of 1995, the Department is proposing a revision of a currently approved information collection request (ICR).</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Interested persons are invited to submit comments on or before September 8, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        To access and review all the documents related to the information collection listed in this notice, please use 
                        <E T="03">http://www.regulations.gov</E>
                         by searching the Docket ID number ED-2023-SCC-0125. Comments submitted in response to this notice should be submitted electronically through the Federal eRulemaking Portal at 
                        <E T="03">http://www.regulations.gov</E>
                         by selecting the Docket ID number or via postal mail, commercial delivery, or hand delivery. If the 
                        <E T="03">regulations.gov</E>
                         site is not available to the public for any reason, the Department will temporarily accept comments at 
                        <E T="03">ICDocketMgr@ed.gov.</E>
                         Please include the docket ID number and the title of the information collection request when requesting 
                        <PRTPAGE P="43559"/>
                        documents or submitting comments. Please note that comments submitted after the comment period will not be accepted. Written requests for information or comments submitted by postal mail or delivery should be addressed to the Manager of the Strategic Collections and Clearance Governance and Strategy Division, U.S. Department of Education, 400 Maryland Ave. SW, LBJ, Room 6W203, Washington, DC 20202-8240.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>For specific questions related to collection activities, please contact Claire Allen-Platt, 202-987-1090.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>The Department, in accordance with the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3506(c)(2)(A)), provides the general public and Federal agencies with an opportunity to comment on proposed, revised, and continuing collections of information. This helps the Department assess the impact of its information collection requirements and minimize the public's reporting burden. It also helps the public understand the Department's information collection requirements and provide the requested data in the desired format. The Department is soliciting comments on the proposed information collection request (ICR) that is described below. The Department is especially interested in public comment addressing the following issues: (1) is this collection necessary to the proper functions of the Department; (2) will this information be processed and used in a timely manner; (3) is the estimate of burden accurate; (4) how might the Department enhance the quality, utility, and clarity of the information to be collected; and (5) how might the Department minimize the burden of this collection on the respondents, including through the use of information technology. Please note that written comments received in response to this notice will be considered public records.</P>
                <P>
                    <E T="03">Title of Collection:</E>
                     National Implementation Study of Student Support and Academic Enrichment Grants (Title IV, Part A).
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1850-0968.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     A revision of a currently approved ICR.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     State, Local, and Tribal Governments. 
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     358.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     176. 
                </P>
                <P>
                    <E T="03">Abstract:</E>
                     This study will collect information about policy and program implementation of the grants administered under Title IV, Part A of the Elementary and Secondary Education Act of 1965, as amended by the Every Student Succeeds Act (ESSA), to describe and report on districts' decision-making process for use of Title IV, Part A funds, how states help inform districts' decisions, and what topic areas and activities are funded with Title IV, Part A funds. The revision will amend the study to eliminate an optional survey planned for 2024 and add a new information collection. The new collection will obtain information about a new grant administered through Title IV-A, the Bipartisan Safer Communities Act (BSCA) Stronger Connections (SC) grant program, which awards funds to states and districts to promote safer, more inclusive learning environments and support the social, emotional, physical, and mental health of students.
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Juliana Pearson,</NAME>
                    <TITLE>PRA Coordinator, Strategic Collections and Clearance, Governance and Strategy Division, Office of Chief Data Officer, Office of Planning, Evaluation and Policy Development.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14436 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4000-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">ELECTION ASSISTANCE COMMISSION</AGENCY>
                <SUBJECT>Sunshine Act Meetings</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>U.S. Election Assistance Commission.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice; correction.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        The U.S. Election Assistance Commission published a document in the 
                        <E T="04">Federal Register</E>
                         on June 27, 2023 regarding the U.S. Election Assistance Commission Local Leadership Council meeting. The notice contained an incomplete address.
                    </P>
                </SUM>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Kristen Muthig, Telephone: (202) 897-9285, Email: 
                        <E T="03">kmuthig@eac.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATON: </HD>
                <P/>
                <HD SOURCE="HD1">Correction</HD>
                <P>
                    In the 
                    <E T="04">Federal Register</E>
                     of June 27, 2023 in FR 2023-13710, on page 41602 in the second column, correct the 
                    <E T="02">ADDRESSES</E>
                     caption to read:
                </P>
                <SUPLHD>
                    <HD SOURCE="HED">ADDRESSES: </HD>
                    <P>
                        Fairmont Washington, DC Georgetown, 2401 M Street NW, Washington, DC 20037. Public comments may be submitted, in advance to 
                        <E T="03">Clearinghouse@eac.gov.</E>
                    </P>
                </SUPLHD>
                <SIG>
                    <NAME>Camden Kelliher,</NAME>
                    <TITLE>Associate Counsel, U.S. Election Assistance Commission.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14646 Filed 7-6-23; 4:15 pm]</FRDOC>
            <BILCOD>BILLING CODE 4810-71-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF ENERGY</AGENCY>
                <SUBAGY>Federal Energy Regulatory Commission</SUBAGY>
                <DEPDOC>[Docket No. ER23-2279-000]</DEPDOC>
                <SUBJECT>Clearwater Wind East, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket Section 204 Authorization</SUBJECT>
                <P>This is a supplemental notice in the above-referenced proceeding of Clearwater Wind East, LLC's application for market-based rate authority, with an accompanying rate tariff, noting that such application includes a request for blanket authorization, under 18 CFR part 34, of future issuances of securities and assumptions of liability.</P>
                <P>Any person desiring to intervene or to protest should file with the Federal Energy Regulatory Commission, 888 First Street NE, Washington, DC 20426, in accordance with Rules 211 and 214 of the Commission's Rules of Practice and Procedure (18 CFR 385.211 and 385.214). Anyone filing a motion to intervene or protest must serve a copy of that document on the Applicant.</P>
                <P>Notice is hereby given that the deadline for filing protests with regard to the applicant's request for blanket authorization, under 18 CFR part 34, of future issuances of securities and assumptions of liability, is July 24, 2023.</P>
                <P>
                    The Commission encourages electronic submission of protests and interventions in lieu of paper, using the FERC Online links at 
                    <E T="03">http://www.ferc.gov.</E>
                     To facilitate electronic service, persons with internet access who will eFile a document and/or be listed as a contact for an intervenor must create and validate an eRegistration account using the eRegistration link. Select the eFiling link to log on and submit the intervention or protests.
                </P>
                <P>Persons unable to file electronically may mail similar pleadings to the Federal Energy Regulatory Commission, 888 First Street NE, Washington, DC 20426. Hand delivered submissions in docketed proceedings should be delivered to Health and Human Services, 12225 Wilkins Avenue, Rockville, Maryland 20852.</P>
                <P>
                    In addition to publishing the full text of this document in the 
                    <E T="04">Federal Register</E>
                    , the Commission provides all interested persons an opportunity to view and/or print the contents of this document via the internet through the Commission's Home Page (
                    <E T="03">http://www.ferc.gov</E>
                    ) using the “eLibrary” link. Enter the docket number excluding the 
                    <PRTPAGE P="43560"/>
                    last three digits in the docket number field to access the document. At this time, the Commission has suspended access to the Commission's Public Reference Room, due to the proclamation declaring a National Emergency concerning the Novel Coronavirus Disease (COVID-19), issued by the President on March 13, 2020. For assistance, contact the Federal Energy Regulatory Commission at 
                    <E T="03">FERCOnlineSupport@ferc.gov</E>
                     or call toll-free, (886) 208-3676 or TYY, (202) 502-8659.
                </P>
                <P>
                    The Commission's Office of Public Participation (OPP) supports meaningful public engagement and participation in Commission proceedings. OPP can help members of the public, including landowners, environmental justice communities, Tribal members and others, access publicly available information and navigate Commission processes. For public inquiries and assistance with making filings such as interventions, comments, or requests for rehearing, the public is encouraged to contact OPP at (202)502-6595 or 
                    <E T="03">OPP@ferc.gov.</E>
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Debbie-Anne A. Reese,</NAME>
                    <TITLE>Deputy Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14490 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6717-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF ENERGY</AGENCY>
                <SUBAGY>Federal Energy Regulatory Commission</SUBAGY>
                <SUBJECT>Combined Notice of Filings</SUBJECT>
                <P>Take notice that the Commission has received the following Natural Gas &amp; Oil Pipeline Rate and Refund Report filings:</P>
                <HD SOURCE="HD1">Filings Instituting Proceedings</HD>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-874-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Columbia Gulf Transmission, LLC.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 4(d) Rate Filing: Total Negotiated Rate Amendment to be effective 7/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/30/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230630-5160.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/12/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-875-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Texas Eastern Transmission, LP.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 4(d) Rate Filing: Negotiated Rates—BU to Enhanced Energy 8984043 eff 7-1-23 to be effective 7/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/30/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230630-5169.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/12/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-876-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Tres Palacios Gas Storage LLC.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 4(d) Rate Filing: Tres Palacios Gas Storage LLC Filing of Tariff Modifications to be effective 10/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/30/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230630-5220.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/12/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-877-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     LA Storage, LLC.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 4(d) Rate Filing: Filing of Negotiated Rate, Conforming IW Agreements 6.30.23 to be effective 7/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/30/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230630-5224.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/12/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-878-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     NEXUS Gas Transmission, LLC.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 4(d) Rate Filing: Negotiated Rates—Various Releases eff 7-1-2023 to be effective 7/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     7/3/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230703-5000.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/17/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-879-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Equitrans, L.P.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 4(d) Rate Filing: Negotiated Rate Capacity Release Agreements—7/1/2023 to be effective 7/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     7/3/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230703-5036.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/17/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-880-000. 
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     NEXUS Gas Transmission, LLC.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 4(d) Rate Filing: Negotiated Rates—Columbia to Symmetry 963304 eff 7-4-23 to be effective 7/4/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     7/3/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230703-5081.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/17/23.
                </P>
                <P>Any person desiring to intervene or protest in any of the above proceedings must file in accordance with Rules 211 and 214 of the Commission's Regulations (18 CFR 385.211 and 385.214) on or before 5:00 p.m. Eastern time on the specified comment date. Protests may be considered, but intervention is necessary to become a party to the proceeding.</P>
                <HD SOURCE="HD1">Filings in Existing Proceedings</HD>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-847-001.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Texas Eastern Transmission, LP
                </P>
                <P>
                    <E T="03">Description:</E>
                     Tariff Amendment: Amendment Filing—NegRate DTE 911749 to be effective 7/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/30/23.
                </P>
                <P>Accession Number: 5119</P>
                <P>Comment Date: 5 p.m. ET 7/12/23</P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     RP23-863-001.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Tennessee Gas Pipeline Company, L.L.C.
                </P>
                <P>
                    <E T="03">Description:</E>
                     Tariff Amendment: Amendment TGP Powerserve to be effective 10/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/30/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230630-5243.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/12/23.
                </P>
                <P>Any person desiring to protest in any the above proceedings must file in accordance with Rule 211 of the Commission's Regulations (18 CFR 385.211) on or before 5:00 p.m. Eastern time on the specified comment date.</P>
                <P>
                    The filings are accessible in the Commission's eLibrary system (
                    <E T="03">https://elibrary.ferc.gov/idmws/search/fercgensearch.asp</E>
                    ) by querying the docket number.
                </P>
                <P>
                    eFiling is encouraged. More detailed information relating to filing requirements, interventions, protests, service, and qualifying facilities filings can be found at: 
                    <E T="03">http://www.ferc.gov/docs-filing/efiling/filing-req.pdf.</E>
                     For other information, call (866) 208-3676 (toll free). For TTY, call (202) 502-8659.
                </P>
                <P>
                    For other information, call (866) 208-3676 (toll free). For TTY, call (202) 502-8659. The Commission's Office of Public Participation (OPP) supports meaningful public engagement and participation in Commission proceedings. OPP can help members of the public, including landowners, environmental justice communities, Tribal members and others, access publicly available information and navigate Commission processes. For public inquiries and assistance with making filings such as interventions, comments, or requests for rehearing, the public is encouraged to contact OPP at (202)502-6595 or 
                    <E T="03">OPP@ferc.gov.</E>
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Debbie-Anne A. Reese,</NAME>
                    <TITLE>Deputy Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14489 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6717-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF ENERGY</AGENCY>
                <SUBAGY>Federal Energy Regulatory Commission</SUBAGY>
                <SUBJECT>Combined Notice of Filings #1</SUBJECT>
                <P>Take notice that the Commission received the following Complaints and Compliance filings in EL Dockets:</P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     EL23-53-000.
                </P>
                <P>
                    <E T="03">Applicants: Essential Power OPP, LLC, et al.</E>
                     v. 
                    <E T="03">PJM Interconnection, L.L.C.</E>
                </P>
                <P>
                    <E T="03">Description:</E>
                     Supplement to the Complaint filed March 31, 2023 of 
                    <E T="03">Essential Power OPP, LLC, et al.</E>
                     v. 
                    <E T="03">PJM Interconnection, L.L.C.</E>
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/23/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230623-5194.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/24/23.
                </P>
                <PRTPAGE P="43561"/>
                <P>Take notice that the Commission received the following electric rate filings:</P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     ER10-2354-012.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Midway-Sunset Cogeneration Company.
                </P>
                <P>
                    <E T="03">Description:</E>
                     Supplement to May 2, 2023, Notice of Non-Material Change in Status of Midway-Sunset Cogeneration Company.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/28/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230628-5193.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/19/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     ER23-1894-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Pome BESS LLC.
                </P>
                <P>
                    <E T="03">Description:</E>
                     Supplement to May 16, 2023 Pome BESS LLC tariff filing.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/30/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230630-5416.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/21/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     ER23-2326-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     PJM Interconnection, L.L.C.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 205(d) Rate Filing: Amendment to ISA, Service Agreement No. 6705; Queue No. AE1-056 to be effective 8/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     7/3/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230703-5060.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/24/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     ER23-2327-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     PJM Interconnection, L.L.C.
                </P>
                <P>
                    <E T="03">Description:</E>
                     PJM Interconnection, L.L.C. Request for Approval to Recover Penalty Charges Assessed by the North American Electric Reliability Corporation.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     6/30/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230630-5413.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/21/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     ER23-2328-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Southwest Power Pool, Inc.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 205(d) Rate Filing: 3125R14 Basin Electric Power Cooperative NITSA and NOA to be effective 6/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     7/3/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230703-5091.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/24/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     ER23-2329-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Southwest Power Pool, Inc.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 205(d) Rate Filing: 1628R23 Western Farmers Electric Cooperative NITSA NOAs to be effective 6/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     7/3/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230703-5099.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/24/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     ER23-2330-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     Upper Missouri G. &amp; T. Electric Cooperative, Inc.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 205(d) Rate Filing: Administrative Filing to Correct eTariff Records 07.03.23 to be effective 7/31/2022.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     7/3/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230703-5148.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/24/23.
                </P>
                <P>
                    <E T="03">Docket Numbers:</E>
                     ER23-2331-000.
                </P>
                <P>
                    <E T="03">Applicants:</E>
                     PJM Interconnection, L.L.C.
                </P>
                <P>
                    <E T="03">Description:</E>
                     § 205(d) Rate Filing: First Revised ISA, Service Agreement No. 5808; Queue No. AD1-039 to be effective 6/1/2023.
                </P>
                <P>
                    <E T="03">Filed Date:</E>
                     7/3/23.
                </P>
                <P>
                    <E T="03">Accession Number:</E>
                     20230703-5177.
                </P>
                <P>
                    <E T="03">Comment Date:</E>
                     5 p.m. ET 7/24/23.
                </P>
                <P>
                    The filings are accessible in the Commission's eLibrary system (
                    <E T="03">https://elibrary.ferc.gov/idmws/search/fercgensearch.asp</E>
                    ) by querying the docket number.
                </P>
                <P>Any person desiring to intervene or protest in any of the above proceedings must file in accordance with Rules 211 and 214 of the Commission's Regulations (18 CFR 385.211 and 385.214) on or before 5:00 p.m. Eastern time on the specified comment date. Protests may be considered, but intervention is necessary to become a party to the proceeding.</P>
                <P>
                    eFiling is encouraged. More detailed information relating to filing requirements, interventions, protests, service, and qualifying facilities filings can be found at: 
                    <E T="03">http://www.ferc.gov/docs-filing/efiling/filing-req.pdf.</E>
                     For other information, call (866) 208-3676 (toll free). For TTY, call (202) 502-8659.
                </P>
                <P>
                    The Commission's Office of Public Participation (OPP) supports meaningful public engagement and participation in Commission proceedings. OPP can help members of the public, including landowners, environmental justice communities, Tribal members and others, access publicly available information and navigate Commission processes. For public inquiries and assistance with making filings such as interventions, comments, or requests for rehearing, the public is encouraged to contact OPP at (202)502-6595 or 
                    <E T="03">OPP@ferc.gov.</E>
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Debbie-Anne A. Reese,</NAME>
                    <TITLE>Deputy Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14492 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6717-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF ENERGY</AGENCY>
                <SUBAGY>Federal Energy Regulatory Commission</SUBAGY>
                <DEPDOC>[Docket No. ER23-2294-000]</DEPDOC>
                <SUBJECT>Vikings Energy Farm LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket Section 204 Authorization</SUBJECT>
                <P>This is a supplemental notice in the above-referenced proceeding of Vikings Energy Farm LLC's application for market-based rate authority, with an accompanying rate tariff, noting that such application includes a request for blanket authorization, under 18 CFR part 34, of future issuances of securities and assumptions of liability.</P>
                <P>Any person desiring to intervene or to protest should file with the Federal Energy Regulatory Commission, 888 First Street NE, Washington, DC 20426, in accordance with Rules 211 and 214 of the Commission's Rules of Practice and Procedure (18 CFR 385.211 and 385.214). Anyone filing a motion to intervene or protest must serve a copy of that document on the Applicant.</P>
                <P>Notice is hereby given that the deadline for filing protests with regard to the applicant's request for blanket authorization, under 18 CFR part 34, of future issuances of securities and assumptions of liability, is July 24, 2023.</P>
                <P>
                    The Commission encourages electronic submission of protests and interventions in lieu of paper, using the FERC Online links at 
                    <E T="03">http://www.ferc.gov.</E>
                     To facilitate electronic service, persons with internet access who will eFile a document and/or be listed as a contact for an intervenor must create and validate an eRegistration account using the eRegistration link. Select the eFiling link to log on and submit the intervention or protests.
                </P>
                <P>Persons unable to file electronically may mail similar pleadings to the Federal Energy Regulatory Commission, 888 First Street NE, Washington, DC 20426. Hand delivered submissions in docketed proceedings should be delivered to Health and Human Services, 12225 Wilkins Avenue, Rockville, Maryland 20852.</P>
                <P>
                    In addition to publishing the full text of this document in the 
                    <E T="04">Federal Register</E>
                    , the Commission provides all interested persons an opportunity to view and/or print the contents of this document via the internet through the Commission's Home Page (
                    <E T="03">http://www.ferc.gov</E>
                    ) using the “eLibrary” link. Enter the docket number excluding the 
                    <PRTPAGE P="43562"/>
                    last three digits in the docket number field to access the document. At this time, the Commission has suspended access to the Commission's Public Reference Room, due to the proclamation declaring a National Emergency concerning the Novel Coronavirus Disease (COVID-19), issued by the President on March 13, 2020. For assistance, contact the Federal Energy Regulatory Commission at 
                    <E T="03">FERCOnlineSupport@ferc.gov</E>
                     or call toll-free, (886) 208-3676 or TYY, (202) 502-8659.
                </P>
                <P>
                    The Commission's Office of Public Participation (OPP) supports meaningful public engagement and participation in Commission proceedings. OPP can help members of the public, including landowners, environmental justice communities, Tribal members and others, access publicly available information and navigate Commission processes. For public inquiries and assistance with making filings such as interventions, comments, or requests for rehearing, the public is encouraged to contact OPP at (202) 502-6595 or 
                    <E T="03">OPP@ferc.gov.</E>
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Debbie-Anne A. Reese,</NAME>
                    <TITLE>Deputy Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14491 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6717-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">ENVIRONMENTAL PROTECTION AGENCY</AGENCY>
                <DEPDOC>[FRL-10164-03-R4]</DEPDOC>
                <SUBJECT>Draft National Pollutant Discharge Elimination System (NPDES) General Permit for the Eastern Portion of the Outer Continental Shelf (OCS) of the Gulf of Mexico (GEG460000); Availability of Draft National Environmental Policy (NEPA) Categorial Exclusion (CatX); Extension of Comment Period</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Environmental Protection Agency (EPA).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of proposed reissuance of NPDES general permit; extension of public comment period.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Environmental Protection Agency (EPA) is extending the comment period for the proposed Draft National Pollutant Discharge Elimination System (NPDES) General Permit for the Eastern Portion of the Outer Continental Shelf (OCS) of the Gulf of Mexico (GEG460000); Availability of Draft National Environmental Policy (NEPA) Categorial Exclusion (CatX). EPA is extending the comment period for 30 days, from July 10, 2023 to August 9, 2023, in response to a stakeholder requests.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>
                        The comment period for the proposed draft permit and supporting documents published in the 
                        <E T="04">Federal Register</E>
                         on June 9, 2023 (88 FR 37878) is being extended for thirty days. Comments must be received on or before August 9, 2023.
                    </P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        The draft NPDES general permit, permit fact sheet, draft CatX and other relevant documents are on file and may be inspected any time between 8:15 a.m. and 4:30 p.m., Monday through Friday at the address shown below. Copies of the draft NPDES general permit, permit fact sheet, draft CatX and other relevant documents may be obtained by writing the U.S. EPA-Region 4, Water Division (WD), NPDES Section, Sam Nunn Atlanta Federal Center, 61 Forsyth Street SW, Atlanta, Georgia 30303-8960, Attention: Ms. Bridget Staples, or by calling (404) 562-9783. Alternatively, copies of the draft NPDES general permit, permit fact sheet, draft CatX, Essential Fish Habitat Determination and preliminary Ocean Discharge Criteria Evaluation may be downloaded at: 
                        <E T="03">www.epa.gov/npdes-permits/eastern-gulf-mexico-offshore-oil-gas-npdes-permits.</E>
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Ms. Bridget Staples, EPA Region 4, WD, NPDES Section, by mail at the Atlanta address given above, by telephone at (404) 562-9783 or by email at 
                        <E T="03">Staples.Bridget@epa.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>On June 9, 2023, EPA published a Proposed draft permit and supporting documents (88 FR 37878) entitled Notice of Draft National Pollutant Discharge Elimination System (NPDES) General Permit for the Eastern Portion of the Outer Continental Shelf (OCS) of the Gulf of Mexico (GEG460000); Availability of Draft National Environmental Policy (NEPA) Categorial Exclusion (CatX) and requested public comment. The original deadline to submit comments was July 10, 2023. This extension would move the deadline to submit comments to August 9, 2023. Please see 88 FR 37878 for more information.</P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Cesar Zapata,</NAME>
                    <TITLE>Acting Director, Water Division.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14484 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6560-50-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">ENVIRONMENTAL PROTECTION AGENCY</AGENCY>
                <DEPDOC>[EPA-HQ-OPPT-2022-0905; FRL-10798-02-OCSPP]</DEPDOC>
                <SUBJECT>1,4-Dioxane; Draft Supplement to the TSCA Risk Evaluation; Science Advisory Committee on Chemicals (SACC) Meeting; Notice of Meeting and Request for Comment</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Environmental Protection Agency (EPA).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        The Environmental Protection Agency (EPA or “Agency”) is announcing the availability of and soliciting public comment on the “2023 Draft Supplement to the 1,4-Dioxane Risk Evaluation” prepared under the Toxic Substances Control Act (TSCA) that is being submitted to the Science Advisory Committee on Chemicals (SACC) for peer review. The draft supplement is available for public review and comment and is submitted to the SACC for peer review. The SACC will consider and review the draft supplement at a 4-day virtual public meeting that was previously announced in the 
                        <E T="04">Federal Register</E>
                         of March 23, 2023. The virtual public meeting will be held on September 12-15, 2023, via a webcast platform such as “Zoomgov.com” and audio teleconference.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>
                        The following is a chronological listing of the dates for the specific activities that are described in more detail under 
                        <E T="02">SUPPLEMENTARY INFORMATION</E>
                        .
                    </P>
                    <P>September 1, 2023—Deadline for submitting a request for special accommodations to allow EPA time to process the request before the meeting.</P>
                    <P>September 8, 2023—Deadline for providing written comments on the draft supplement.</P>
                    <P>September 8, 2023—Deadline for registering to be listed on the meeting agenda to make oral comments during the virtual meeting.</P>
                    <P>September 15, 2023—Deadline for those not making oral comments to register to receive the links to observe the meeting.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P/>
                    <P>
                        <E T="03">To comment:</E>
                         Submit written comments, identified by docket identification (ID) number EPA-HQ-OPPT-2022-0905, through the Federal eRulemaking Portal at 
                        <E T="03">https://www.regulations.gov.</E>
                         Follow the online instructions for submitting comments. Do not electronically submit any information you consider to be Confidential Business Information (CBI) 
                        <PRTPAGE P="43563"/>
                        or other information whose disclosure is restricted by statute. Copyrighted material will not be posted without explicit permission from the copyright holder. Members of the public should also be aware that personal information included in any written comments may be posted on the internet at 
                        <E T="03">https://www.regulations.gov.</E>
                         Additional information on commenting or visiting the docket, along with more information about dockets generally, is available at 
                        <E T="03">https://www.epa.gov/dockets.</E>
                    </P>
                    <P>
                        <E T="03">To register for the meeting:</E>
                         For information on how to register and access the virtual public meeting, please refer to the SACC website at 
                        <E T="03">https://www.epa.gov/tsca-peer-review.</E>
                         EPA intends to announce registration instructions on the SACC website by mid-August of 2023. You may also subscribe to the following listserv for alerts regarding this and other SACC-related activities at 
                        <E T="03">https://public.govdelivery.com/accounts/USAEPAOPPT/subscriber/new?topic_id=USAEPAOPPT_101.</E>
                    </P>
                    <P>
                        <E T="03">To request special accommodations:</E>
                         For information on access or services for individuals with disabilities, and to request accommodation for a disability, please contact the Designated Federal Official (DFO) listed under 
                        <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                        .
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        The DFO, Dr. Alaa Kamel, Mission Support Division (7602M), Office of Program Support, Office of Chemical Safety and Pollution Prevention, Environmental Protection Agency; telephone number: (202) 564-5336 or SACC main office number: (202) 564-8450; email address: 
                        <E T="03">kamel.alaa@epa.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. General Information</HD>
                <HD SOURCE="HD2">A. What action is the Agency taking?</HD>
                <P>
                    EPA is announcing the availability of and soliciting public comment on the “2023 Draft Supplement to the 1,4-Dioxane Risk Evaluation.” EPA is also announcing a 4-day virtual public meeting on September 12-15, 2023, for the SACC to consider and review the draft supplement. This September 2023 meeting was previously announced in the 
                    <E T="04">Federal Register</E>
                     of March 23, 2023 (88 FR 17566 (FRL-10798-01-OCSPP)). EPA will be soliciting comments from the SACC on the methodologies utilized in the 2023 Draft Supplement to the 1,4-Dioxane Risk Evaluation that have not been previously peer reviewed. EPA is also releasing for public comment an updated risk determination for 1,4-dioxane (see docket ID No. EPA-HQ-OPPT-2016-0723). EPA is not soliciting comments from the SACC on the risk determination for 1,4-dioxane.
                </P>
                <P>This document provides instructions for accessing the materials provided to the SACC, submitting written comments, and registering to provide oral comments and attend the virtual meeting.</P>
                <HD SOURCE="HD2">B. What is the Agency's authority for taking this action?</HD>
                <P>
                    The SACC was established by EPA in 2016 in accordance with the Toxic Substances Control Act (TSCA), 15 U.S.C. 2625(o), to provide independent advice and expert consultation, at the request of the Administrator, with respect to the scientific and technical aspects of issues relating to the implementation of TSCA. The SACC operates in accordance with the Federal Advisory Committee Act (FACA), 5 U.S.C. 10, and supports activities under the TSCA, 15 U.S.C. 2601 
                    <E T="03">et seq.,</E>
                     the Pollution Prevention Act (PPA), 42 U.S.C. 13101 
                    <E T="03">et seq.,</E>
                     and other applicable statutes.
                </P>
                <HD SOURCE="HD2">C. Does this action apply to me?</HD>
                <P>This action is directed to the public in general. This action may, however, be of interest to those involved in the manufacture, processing, distribution, and disposal of chemical substances and mixtures, and/or those interested in the assessment of risks involving chemical substances and mixtures regulated under TSCA. Since other entities may also be interested, the Agency has not attempted to describe all the specific entities that may be affected by this action.</P>
                <HD SOURCE="HD2">D. What should I consider as I submit my comments to EPA?</HD>
                <HD SOURCE="HD3">1. Submitting CBI</HD>
                <P>
                    Contact the DFO listed under 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     for instructions before submitted CBI or other sensitive information. Do not submit this information to EPA electronically (
                    <E T="03">e.g.,</E>
                     through 
                    <E T="03">https://www.regulations.gov</E>
                     or email). Clearly mark the part or all of the information that you claim to be CBI. For confidential information in a disk or CD-ROM that you mail to EPA, mark the outside of the disk or CD-ROM as CBI and then identify electronically within the disk or CD-ROM the specific information that is claimed as CBI. In addition to one complete version of the comment that includes information claimed as CBI, a copy of the comment that does not contain the information claimed as CBI must be submitted for inclusion in the public docket. Information so marked will not be disclosed except in accordance with procedures set forth in 40 CFR part 2.
                </P>
                <HD SOURCE="HD3">2. Tips for Preparing Your Comments</HD>
                <P>
                    When preparing and submitting your comments, see the commenting tips at 
                    <E T="03">https://www.epa.gov/dockets/commenting-epa-dockets.</E>
                     See also the instructions in Unit III.C.
                </P>
                <HD SOURCE="HD1">II. Background</HD>
                <HD SOURCE="HD2">A. What is the purpose of the SACC?</HD>
                <P>
                    The SACC provides independent scientific advice and recommendations to the EPA on the scientific and technical aspects of risk assessments, methodologies, and pollution prevention measures and approaches for chemicals regulated under TSCA. The SACC is comprised of experts in toxicology; environmental risk assessment; exposure assessment; and related sciences (
                    <E T="03">e.g.,</E>
                     synthetic biology, pharmacology, biotechnology, nanotechnology, biochemistry, biostatistics, physiologically based pharmacokinetic modeling (PBPK), computational toxicology, epidemiology, environmental fate, and environmental engineering and sustainability). The SACC currently consists of 19 members. When needed, the committee will be assisted by 
                    <E T="03">ad hoc</E>
                     reviewers with specific expertise in the topics under consideration.
                </P>
                <HD SOURCE="HD2">B. Why did EPA develop these documents?</HD>
                <P>TSCA requires EPA to conduct risk evaluations on prioritized chemical substances and identifies the minimum components EPA must include in all chemical substance risk evaluations. The purpose of conducting risk evaluations is to determine whether a chemical substance presents an unreasonable risk to human health or the environment under the conditions of use. These evaluations include assessing unreasonable risks to relevant potentially exposed or susceptible subpopulations. As part of this process, EPA: (1) integrates hazard and exposure assessments using the best available science that is reasonably available to assure decisions are based on the weight of the scientific evidence; and (2) conducts peer review for risk evaluation approaches that have not been previously peer reviewed.</P>
                <P>
                    1,4-Dioxane was one of the first 10 chemical substances undergoing the TSCA risk evaluation process after passage of the Frank R. Lautenberg Chemical Safety for the 21st Century Act, which amended TSCA in 2016. 1,4-Dioxane is primarily used as a solvent in a variety of commercial and 
                    <PRTPAGE P="43564"/>
                    industrial applications such as the manufacture of other chemicals (
                    <E T="03">e.g.,</E>
                     adhesives, sealants) or as a processing aid or laboratory chemical. Although there are no direct consumer uses of 1,4-dioxane, it is present as a byproduct in commercial and consumer products from several manufacturing processes, including ethoxylation, sulfonation, sulfation, and esterification.
                </P>
                <P>
                    In the 2019 Draft Risk Evaluation for 1,4-Dioxane (see 
                    <E T="03">https://www.regulations.gov/document/EPA-HQ-OPPT-2019-0238-0011</E>
                    ), EPA reviewed the exposures and hazards of 1,4-dioxane direct industrial and commercial uses assessing risk from occupational exposures and surface water exposures to environmental organisms. This assessment, which included the physical and chemical properties, lifecycle information, environmental fate and transport information, and hazard identification and dose-response analysis was reviewed by the SACC. The Agency considered the SACC feedback and is not seeking additional review at this time as this information has not changed.
                </P>
                <P>
                    In November of 2020, EPA released for public comment a Draft Supplement to the 2019 Draft Risk Evaluation (see 
                    <E T="03">https://www.regulations.gov/document/EPA-HQ-OPPT-2019-0238-0067</E>
                    ). The November 2020 Draft Supplement assessed eight conditions of use (COUs) of 1,4-dioxane as a byproduct in consumer products and general population exposure from incidental contact with surface water. The Agency determined that the additional analysis did not warrant SACC review.
                </P>
                <P>
                    The 2019 Draft Risk Evaluation and 2020 Draft Supplement were both incorporated into the final Risk Evaluation for 1,4-Dioxane released in December 2020 (see 
                    <E T="03">https://www.epa.gov/sites/default/files/2020-12/documents/1._risk_evaluation_for_14-dioxane_casrn_123-91-1.pdf</E>
                    ). After its release, EPA determined an additional supplement to the final Risk Evaluation for 1,4-Dioxane was needed to consider critical exposure pathways not previously assessed. Specifically, the 2023 Draft Supplement includes evaluation of additional conditions of use in which 1,4-dioxane is present as a byproduct in industrial processes and commercial products and evaluates risks from general population exposures to 1,4-dioxane released to ambient surface water and groundwater, ambient air, and land. To evaluate these additional exposure pathways, the Agency used new methods and novel applications of existing methods. These new methods described below have not been the subject of public comment or peer review for applications in TSCA risk evaluations.
                </P>
                <P>In this 2023 Draft Supplement, EPA is relying on the physical and chemical properties, lifecycle information, environmental fate and transport information, and hazard identification and dose-response analysis presented in the December 2020 final Risk Evaluation for 1,4-Dioxane, thus, EPA is not seeking feedback on these topics. However, EPA is seeking review of the methodologies listed below that have not been previously peer reviewed and are utilized in this 2023 Draft Supplement to the 1,4-Dioxane Risk Evaluation.</P>
                <HD SOURCE="HD3">1. EPA Applied Monte Carlo Modeling in the Assessment of 1,4-Dioxane Occupational Exposures and Environmental Releases</HD>
                <P>The Agency has utilized Monte Carlo approaches in TSCA risk evaluations previously for specific conditions of use; however, the application of Monte Carlo methods in the “2023 Draft Supplement to the 1,4-Dioxane Risk Evaluation” was expanded to capture additional exposure and release models for additional conditions of use. The expanded application of these methods incorporates randomness and variability to improve the representativeness of the resulting model outputs. This was done to further improve exposure and release estimates and is in response to previous SACC review comments received on the first 10 chemical risk evaluations conducted under amended TSCA.</P>
                <HD SOURCE="HD3">2. EPA Assessed Hydraulic Fracturing as a Condition of Use</HD>
                <P>This evaluation required consideration of new field operations data that have not yet been considered in TSCA risk evaluations to estimate occupational exposures and environmental releases from these operations. EPA has developed a new generic exposure scenario for hydraulic fracturing and applied it in the 2023 Draft Supplement along with the Monte Carlo modeling to estimate a range of potential releases.</P>
                <HD SOURCE="HD3">3. EPA Assessed the Ambient Air Pathway To Determine Exposures and Associated Risks to Fenceline Communities (a Subset of the General Population)</HD>
                <P>
                    The Agency assessed general population exposures via the inhalation route through both single- and multi-year analyses. The single-year analysis utilized the Fenceline 1.0 methodology described in the “EPA Toxic Substances Control Act (TSCA) Screening Level Approach for Assessing Ambient Air and Water Exposures to Fenceline Communities,” previously peer reviewed by the SACC (see, EPA (2022). Peer Review of the EPA TSCA Screening Level approach for Assessing Ambient Air and Water Exposures to Fenceline Communities March 15-17, 2022. 
                    <E T="03">https://www.regulations.gov/docket/EPA-HQ-OPPT-2021-0415/document</E>
                    .) EPA quantitatively characterized exposures and risks to communities in proximity to multiple facilities releasing 1,4-dioxane to air.
                </P>
                <HD SOURCE="HD3">4. EPA Assessed General Population Exposures via Drinking Water Sourced From Groundwater and Surface Water</HD>
                <P>Although the 2020 1,4-dioxane risk evaluation considered incidental oral and dermal exposures to surface water, the 2020 analysis did not consider drinking water exposures through sourcing of 1,4-dioxane contained in surface water or groundwater.</P>
                <HD SOURCE="HD3">a. Surface Water</HD>
                <P>• 1,4-Dioxane concentrations in surface water reported in the 2023 draft supplemental risk evaluation were modeled based on known facility and publicly owned treatment works releases directly to surface water. This methodology is generally consistent with what was previously done to aquatic exposures and presented in the draft Fenceline 1.0 methodology previously reviewed by the SACC. However, this analysis was modified to include consideration of multiple years of release data, as recommended by SACC, and integrated NHDPlus flow networks and flows to modernize approaches previously utilized in TSCA risk evaluations. This assessment is the first time the modified approach has been employed in a TSCA risk evaluation</P>
                <P>
                    • 1,4-Dioxane concentrations resulting from consumer and commercial down-the-drain releases of 1,4-dioxane through publicly owned treatment works to surface water were estimated. EPA used the Stochastic Human Exposure and Dose Simulation Model (SHEDS) for high-throughput (HT) (SHEDS-HT) model (see Environ. Sci. Technol. 2014, 48, 21, 12750-12759) predictions to estimate down-the-drain disposals (Isaacs, 2014). SHEDS-HT was developed by EPA under the ExpoCast program for evaluating chemicals based on the potential for biologically relevant human exposure. This is the first TSCA risk evaluation incorporating down-the-drain estimates based on SHEDS-HT model predictions and is the first time the down-the-drain model has been 
                    <PRTPAGE P="43565"/>
                    used for one of the first 10 chemical risk evaluations conducted under amended TSCA.
                </P>
                <P>• 1,4-Dioxane concentrations in surface water were modeled based on multiple upstream sources, including releases from facilities and publicly owned treatment works and down-the-drain releases. In addition, EPA compared the modeled concentrations to drinking water monitoring data for community water systems. This approach to considering the contribution of multiple sources to drinking water exposures is novel. EPA has not previously considered multiple sources of releases when estimating exposure concentrations in surface water for a chemical risk evaluation under TSCA.</P>
                <HD SOURCE="HD3">b. Groundwater</HD>
                <P>
                    • 1,4-Dioxane concentrations in groundwater were modeled for two disposal pathways by applying the Delisting Risk Assessment Software (DRAS) model in a novel way. DRAS is a multi-pathways model developed by the EPA that calculates the potential human health risks associated with disposing of a specific facility's given waste stream in a landfill or surface impoundment. (See U.S. EPA. (2020). Hazardous Waste Delisting Risk Assessment Software Version 4. Lenexa, KS: EPA Region 6. 
                    <E T="03">https://www.epa.gov/hw/hazardous-waste-delisting-risk-assessment-software-dras.</E>
                    ) DRAS was specifically designed to address the Criteria for Listing Hazardous Waste. The 2023 Draft Supplement to the 1,4-Dioxane Risk Evaluation presents a novel application of this model and the first application in a TSCA chemical risk evaluation. Specifically, EPA compared the modeled concentrations to monitoring data from groundwater contaminations around the nation to consider if they are within a reasonable range.
                </P>
                <P>EPA is also seeking review of the overall synthesis of the results of these novel methodologies and the integration of the results into the 1,4-Dioxane Risk Evaluation. Feedback from this review will be considered in the development of the final supplement to the 1,4-dioxane risk evaluation. In addition, SACC reviewer feedback may help refine EPA's methods for conducting release assessments and evaluating general population exposures in risk evaluations of other chemicals under TSCA.</P>
                <HD SOURCE="HD1">III. Virtual Public Meeting of the SACC</HD>
                <HD SOURCE="HD2">A. What is the purpose of this public meeting?</HD>
                <P>The purpose of the 4-day virtual public meeting is the SACC peer review of the methodologies that have not been previously peer reviewed and are utilized in the 2023 Draft Supplement. Feedback from this review will be considered in the development of the final Supplement to the Risk Evaluation for 1,4-Dioxane. In addition, SACC reviewer feedback may help refine EPA's methods for conducting release assessments and evaluating general population exposures in risk evaluations of other chemicals under TSCA.</P>
                <P>EPA intends to provide a meeting agenda for each day of the meeting, and as needed, may provide updated times for each day in the meeting agenda that will be posted in the docket and on the SACC website.</P>
                <HD SOURCE="HD2">B. How can I access the documents submitted for review to the SACC?</HD>
                <P>
                    The 2023 Draft Supplement and related documents, including background documents, related supporting materials, and draft charge questions provided to the SACC, are available in the docket. As additional background materials become available and are provided to the SACC, EPA will include those additional background documents (
                    <E T="03">e.g.,</E>
                     SACC members and consultants participating in this meeting and the meeting agenda) in the docket. All of these documents will be available through 
                    <E T="03">https://www.regulations.gov</E>
                     (docket ID No. EPA-HQ-OPPT-2022-0905) and through links on the SACC website at 
                    <E T="03">https://www.epa.gov/tsca-peer-review.</E>
                </P>
                <P>After the public meeting, the SACC will prepare meeting minutes and a final report document summarizing its recommendations to the EPA. This document will also be available in the docket and the SACC website.</P>
                <HD SOURCE="HD2">C. How can I provide comments for the SACC's consideration?</HD>
                <P>To ensure proper receipt of comments it is imperative that you identify docket ID No. EPA-HQ-OPPT-2022-0905 in the subject line on the first page of your comments and follow the instructions in Unit I.D. and in this unit.</P>
                <HD SOURCE="HD3">1. Written Comments</HD>
                <P>
                    The Agency encourages written comments for this meeting be submitted by the deadlines set in the 
                    <E T="02">DATES</E>
                     section of this document and following the instructions in this document.
                </P>
                <HD SOURCE="HD3">2. Oral Comments</HD>
                <P>
                    The Agency encourages each individual or group wishing to make brief oral comments to the SACC during the peer review virtual public meeting to follow the registration instructions that will be announced on the SACC website by mid-August of 2023. Oral comments before the SACC during the peer review virtual public meeting are limited to 5 minutes. In addition, each speaker should submit a written copy of their oral comments and any supporting materials (
                    <E T="03">e.g.,</E>
                     presentation slides) to the DFO prior to the meeting for distribution to the SACC by the DFO.
                </P>
                <HD SOURCE="HD2">D. How can I participate in the virtual public meeting?</HD>
                <P>
                    The virtual public meeting will be held via a webcast platform such as “
                    <E T="03">Zoomgov.com</E>
                    ” and audio teleconference. You must register online to receive the webcast meeting link and audio teleconference information. Please follow the registration instructions that will be announced on the SACC website.
                </P>
                <P>
                    <E T="03">Authority:</E>
                     15 U.S.C. 2625(o); 5 U.S.C 10.
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Michal Freedhoff,</NAME>
                    <TITLE>Assistant Administrator, Office of Chemical Safety and Pollution Prevention.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14445 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 6560-50-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">EXPORT-IMPORT BANK</AGENCY>
                <SUBJECT>Sunshine Act Meetings; Notice of an Open Meeting of the Board of Directors of the Export-Import Bank of the United States</SUBJECT>
                <PREAMHD>
                    <HD SOURCE="HED">TIME AND DATE: </HD>
                    <P>Thursday, July 13, 2023 at 10:30 a.m.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">PLACE: </HD>
                    <P>The meeting will be held via teleconference.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">STATUS: </HD>
                    <P>The meeting will be open to public observation for Item Numbers 1 and 2.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">MATTERS TO BE CONSIDERED:</HD>
                    <P/>
                </PREAMHD>
                <FP SOURCE="FP-2">1. Appointment of EXIM Advisory Committee for 2023-24</FP>
                <FP SOURCE="FP-2">2. Appointment of EXIM Sub-Saharan Africa Advisory Committee for 2023-24</FP>
                <PREAMHD>
                    <HD SOURCE="HED">CONTACT PERSON FOR MORE INFORMATION: </HD>
                    <P>
                        Joyce B. Stone (202-257-4086). Members of the public who wish to attend the meeting via teleconference should register via using the link below: 
                        <E T="03">
                            https://teams.microsoft.com/registration/PAFTuZHHMk2Zb1GDkIVFJw,pHLqbjVTrkuy_9KepKN6dQ,MFtnLzltSEGI6EQECd
                            <PRTPAGE P="43566"/>
                            I5iQ,pMjjXbySokyRw_wqUulAEg,WdIf0e96Hkiy0Gzjkwhq_Q,P3wA84Pgo0WSW3bvGotKOA?mode=read&amp;tenantId=b953013c-c791-4d32-996f-518390854527
                        </E>
                         by noon Wednesday, July 12, 2023. Individuals will be directed to a Webinar registration page and provided call-in information.
                    </P>
                </PREAMHD>
                <SIG>
                    <NAME>Joyce B. Stone,</NAME>
                    <TITLE>Assistant Corporate Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14588 Filed 7-6-23; 11:15 am]</FRDOC>
            <BILCOD>BILLING CODE 6690-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF HEALTH AND HUMAN SERVICES</AGENCY>
                <SUBAGY>Food and Drug Administration</SUBAGY>
                <DEPDOC>[Docket No. FDA-2023-N-2438]</DEPDOC>
                <SUBJECT>Medical Imaging Drugs Advisory Committee; Notice of Meeting; Establishment of a Public Docket; Request for Comments</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Food and Drug Administration, HHS.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice; establishment of a public docket; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Food and Drug Administration (FDA) announces a forthcoming public advisory committee meeting of the Medical Imaging Drugs Advisory Committee. The general function of the committee is to provide advice and recommendations to FDA on regulatory issues. The meeting will be open to the public. FDA is establishing a docket for public comment on this document.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The meeting will be held on August 1, 2023, from 12 p.m. to 5 p.m. Eastern Time.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        All meeting participants will be heard, viewed, captioned, and recorded for this advisory committee meeting via an online teleconferencing and/or video conferencing platform. Answers to commonly asked questions about FDA advisory committee meetings may be accessed at: 
                        <E T="03">https://www.fda.gov/AdvisoryCommittees/AboutAdvisoryCommittees/ucm408555.htm.</E>
                    </P>
                    <P>
                        FDA is establishing a docket for public comment on this meeting. The docket number is FDA-2023-N-2438. Please note that late, untimely filed comments will not be considered. The docket will close on July 31, 2023. The 
                        <E T="03">https://www.regulations.gov</E>
                         electronic filing system will accept comments until 11:59 p.m. Eastern Time at the end of July 31, 2023. Comments received by mail/hand delivery/courier (for written/paper submissions) will be considered timely if they are received on or before that date.
                    </P>
                    <P>Comments received on or before July 25, 2023, will be provided to the committee. Comments received after that date will be taken into consideration by FDA. In the event that the meeting is canceled, FDA will continue to evaluate any relevant applications or information, and consider any comments submitted to the docket, as appropriate.</P>
                    <P>You may submit comments as follows:</P>
                </ADD>
                <HD SOURCE="HD2">Electronic Submissions</HD>
                <P>Submit electronic comments in the following way:</P>
                <P>
                    • 
                    <E T="03">Federal eRulemaking Portal: https://www.regulations.gov.</E>
                     Follow the instructions for submitting comments. Comments submitted electronically, including attachments, to 
                    <E T="03">https://www.regulations.gov</E>
                     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 
                    <E T="03">https://www.regulations.gov.</E>
                </P>
                <P>• 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”).</P>
                <HD SOURCE="HD2">Written/Paper Submissions</HD>
                <P>Submit written/paper submissions as follows:</P>
                <P>
                    • 
                    <E T="03">Mail/Hand Delivery/Courier (for written/paper submissions):</E>
                     Dockets Management Staff (HFA-305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
                </P>
                <P>• For written/paper comments submitted to the Dockets Management Staff, 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.”</P>
                <P>
                    <E T="03">Instructions:</E>
                     All submissions received must include the Docket No. FDA-2023-N-2438 for “Medical Imaging Drugs Advisory Committee; Notice of Meeting; Establishment of a Public Docket; Request for Comments.” Received comments, those filed in a timely manner (see 
                    <E T="02">ADDRESSES</E>
                    ), will be placed in the docket and, except for those submitted as “Confidential Submissions,” publicly viewable at 
                    <E T="03">https://www.regulations.gov</E>
                     or at the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through Friday, 240-402-7500.
                </P>
                <P>
                    • 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.” FDA 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 
                    <E T="03">https://www.regulations.gov.</E>
                     Submit both copies to the Dockets Management Staff. If you do not wish your name and contact information 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 the 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: 
                    <E T="03">https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf.</E>
                </P>
                <P>
                    <E T="03">Docket:</E>
                     For access to the docket to read background documents or the electronic and written/paper comments received, go to 
                    <E T="03">https://www.regulations.gov</E>
                     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 Dockets Management Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852, 240-402-7500.
                </P>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Rhea Bhatt, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 31, Rm. 2417, Silver Spring, MD 20993-0002, 301-796-2894, email: 
                        <E T="03">MIDAC@fda.hhs.gov,</E>
                         or FDA Advisory Committee Information Line, 1-800-741-8138 (301-443-0572 in the Washington, DC area). A notice in the 
                        <E T="04">Federal Register</E>
                         about last-minute modifications that impact a previously 
                        <PRTPAGE P="43567"/>
                        announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Therefore, you should always check FDA's website at 
                        <E T="03">https://www.fda.gov/AdvisoryCommittees/default.htm</E>
                         and scroll down to the appropriate advisory committee meeting link or call the advisory committee information line to learn about possible modifications before the meeting.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P/>
                <P>
                    <E T="03">Agenda:</E>
                     The meeting presentations will be heard, viewed, captioned, and recorded through an online teleconferencing and/or video conferencing platform. The committee will discuss dosimetry data needed to support the initial clinical study in an original investigational new drug (IND) application for certain new positron emission tomography (PET) drugs. FDA would like to obtain the committee's input on the following: (1) the sufficiency of available data from animal or human studies involving certain positron emitting radionuclides (
                    <E T="03">e.g.,</E>
                     C11, F18) to allow a reasonable calculation of radiation-absorbed dose to the whole body and critical organs upon administration of a new PET drug containing certain radionuclides to a human subject in first-in-human studies; and (2) the reasonableness of a proposed list of numerical radioactivity thresholds for new PET drugs containing these radionuclides, such that Phase 1 studies that will both (a) administer sub-threshold activities and (b) obtain sufficient human data for dosimetry calculations may be found safe-to-proceed in the absence of dosimetry data based on prior animal administration of the new PET drug under investigation.
                </P>
                <P>
                    FDA intends to make background material available to the public no later than 2 business days before the meeting. If FDA is unable to post the background material on its website prior to the meeting, the background material will be made publicly available on FDA's website at the time of the advisory committee meeting. Background material and the link to the online teleconference and/or video conference meeting will be available at 
                    <E T="03">https://www.fda.gov/AdvisoryCommittees/Calendar/default.htm.</E>
                     Scroll down to the appropriate advisory committee meeting link. The meeting will include slide presentations with audio and video components to allow the presentation of materials in a manner that most closely resembles an in-person advisory committee meeting.
                </P>
                <P>
                    <E T="03">Procedure:</E>
                     Interested persons may present data, information, or views, orally or in writing, on issues pending before the committee. All electronic and written submissions submitted to the Docket (see 
                    <E T="02">ADDRESSES</E>
                    ) on or before July 25, 2023, will be provided to the committee. Oral presentations from the public will be scheduled between approximately 3 p.m. and 4 p.m. Eastern Time. Those individuals interested in making formal oral presentations should notify the contact person and submit a brief statement of the general nature of the evidence or arguments they wish to present, the names and addresses of proposed participants, and an indication of the approximate time requested to make their presentation on or before July 17, 2023. Time allotted for each presentation may be limited. If the number of registrants requesting to speak is greater than can be reasonably accommodated during the scheduled open public hearing session, FDA may conduct a lottery to determine the speakers for the scheduled open public hearing session. The contact person will notify interested persons regarding their request to speak by July 18, 2023.
                </P>
                <P>
                    For press inquiries, please contact the Office of Media Affairs at 
                    <E T="03">fdaoma@fda.hhs.gov</E>
                     or 301-796-4540.
                </P>
                <P>
                    FDA welcomes the attendance of the public at its advisory committee meetings and will make every effort to accommodate persons with disabilities. If you require accommodations due to a disability, please contact Rhea Bhatt (see 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                    ) at least 7 days in advance of the meeting.
                </P>
                <P>
                    FDA is committed to the orderly conduct of its advisory committee meetings. Please visit our website at 
                    <E T="03">https://www.fda.gov/AdvisoryCommittees/AboutAdvisoryCommittees/ucm111462.htm</E>
                     for procedures on public conduct during advisory committee meetings.
                </P>
                <P>
                    Notice of this meeting is given under the Federal Advisory Committee Act (5 U.S.C. 1001 
                    <E T="03">et seq.</E>
                    ). This meeting notice also serves as notice that, pursuant to 21 CFR 10.19, the requirements in 21 CFR 14.22(b), (f), and (g) relating to the location of advisory committee meetings are hereby waived to allow for this meeting to take place using an online meeting platform. This waiver is in the interest of allowing greater transparency and opportunities for public participation, in addition to convenience for advisory committee members, speakers, and guest speakers. No participant will be prejudiced by this waiver, and the ends of justice will be served by allowing for this modification to FDA's advisory committee meeting procedures.
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Lauren K. Roth,</NAME>
                    <TITLE>Associate Commissioner for Policy.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14460 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4164-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF HEALTH AND HUMAN SERVICES</AGENCY>
                <SUBAGY>Food and Drug Administration</SUBAGY>
                <DEPDOC>[Docket No. FDA-2023-N-1168]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Human Cells, Tissues, and Cellular and Tissue-Based Products</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Food and Drug Administration, HHS.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Food and Drug Administration (FDA, Agency, or we) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Submit written comments (including recommendations) on the collection of information by August 9, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        To ensure that comments on the information collection are received, OMB recommends that written comments be submitted to 
                        <E T="03">https://www.reginfo.gov/public/do/PRAMain.</E>
                         Find this particular information collection by selecting “Currently under Review—Open for Public Comments” or by using the search function. The OMB control number for this information collection is 0910-0543. Also include the FDA docket number found in brackets in the heading of this document.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Rachel Showalter, Office of Operations, Food and Drug Administration, Three White Flint North, 10A-12M, 11601 Landsdown St., North Bethesda, MD 20852, 240-994-7399, 
                        <E T="03">PRAStaff@fda.hhs.gov.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    In compliance with 44 U.S.C. 3507, FDA has submitted the following proposed collection of information to OMB for review and clearance.
                    <PRTPAGE P="43568"/>
                </P>
                <HD SOURCE="HD1">Human Cells, Tissues, and Cellular and Tissue-Based Products—21 CFR Part 1271</HD>
                <HD SOURCE="HD2">OMB Control Number 0910-0543—Extension</HD>
                <P>This information collection helps support the implementation of statutory and regulatory requirements that govern certain human cells, tissues, and cellular and tissue-based products (HCT/Ps). Manufacturers of HCT/Ps regulated solely under the authority of section 361 of the Public Health Service Act (the PHS Act) (42 U.S.C. 264) are required to register and list HCT/Ps pursuant to part 1271 (21 CFR part 1271) whether or not the HCT/P enters into interstate commerce. Manufacturers of HCT/Ps regulated as drugs, devices and/or biological products under section 351 of the PHS Act (42 U.S.C. 262) and/or section 201 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321), are required to register and list HCT/Ps following the procedures in part 207 (21 CFR part 207) (if a drug and/or biological product) or part 807 (21 CFR part 807) (if a device). Information collection associated with the registration and listing requirements in parts 207 and 807 are currently approved in OMB control numbers 0910-0045 and 0910-0625, respectively.</P>
                <P>Agency regulations in part 1271 set forth general provisions applicable to HCT/Ps in subpart A (§§ 1271.1 through 1271.20). Those HCT/Ps that are regulated solely under the authority of section 361 of the PHS Act are described in § 1271.10. Provisions in part 1271, subpart B (§§ 1271.21 through 1271.37), establish procedures for registration and listing including format and content elements along with scheduled timeframes for the submission of certain information and action by FDA. The regulations also provide for waivers from the electronic format requirement, amendments to establishment registration, and requesting information on registration and listing from FDA.</P>
                <P>
                    Registrants use Form FDA 3356, Establishment Registration and Listing for HCT/Ps, to submit HCT/P establishment registration and listing information to the Electronic Human Cell and Tissue Establishment Registration System (eHCTERS). Electronic submission of HCT/P establishment and product listing information is required under § 1271.22. However, a request for waiver of the electronic submission requirement may be submitted pursuant to § 1271.23. If the waiver request is granted, Form FDA 3356 (and accompanying instructions) may be downloaded to complete and submit by mail. The Tissue Establishment Registration page (
                    <E T="03">https://www.fda.gov/vaccines-blood-biologics/biologics-establishment-registration/tissue-establishment-registration</E>
                    ) provides access to eHCTERS, instructions for using eHCTERS, and other resource information that may be helpful to respondents.
                </P>
                <P>Provisions in part 1271, subpart C (§§ 1271.45 through 1271.90), establish requirements for determining donor eligibility, including donor screening and testing, explaining these requirements are a component of current good tissue practice (CGTP) requirements set forth in part 1271, subpart D (§§ 1271.145 through 1271.320). The provisions in part 1271, subparts C and D, govern the methods used in, and the facilities and controls used for, the manufacture of HCT/Ps, including, but not limited to all steps in recovery, donor screening, donor testing, processing, storage, labeling, packaging, and distribution.</P>
                <P>The regulations in part 1271, subpart E and subpart F (§§ 1271.330 through 1271.440), establish additional requirements for establishments described in § 1271.10, including inspection and enforcement provisions, and recordkeeping requirements providing for the retention, notification to third parties, and disclosure of such records to FDA.</P>
                <P>
                    In the 
                    <E T="04">Federal Register</E>
                     of April 19, 2023 (88 FR 24193), FDA published a 60-day notice requesting public comment on the proposed collection of information. FDA received one comment in response to the notice. The comment was outside the scope of the four collection of information topics on which the notice solicited comments.
                </P>
                <P>
                    <E T="03">Description of Respondents:</E>
                     Respondents to this information collection are establishments that recover, process, store, label, package, or distribute any HCT/P that is regulated solely under section 361 of the PHS Act and regulations in part 1271 or perform donor screening or testing.
                </P>
                <P>FDA estimates the burden of this collection of information as follows:</P>
                <GPOTABLE COLS="6" OPTS="L2,i1" CDEF="s100,12,12,12,xs72,12">
                    <TTITLE>
                        Table 1—Estimated Annual Reporting Burden 
                        <SU>1</SU>
                    </TTITLE>
                    <BOXHD>
                        <CHED H="1">21 CFR section; reporting activities</CHED>
                        <CHED H="1">
                            Number of
                            <LI>respondents</LI>
                        </CHED>
                        <CHED H="1">
                            Number of
                            <LI>responses per</LI>
                            <LI>respondent</LI>
                        </CHED>
                        <CHED H="1">
                            Total annual
                            <LI>responses</LI>
                        </CHED>
                        <CHED H="1">
                            Average burden
                            <LI>per response</LI>
                        </CHED>
                        <CHED H="1">
                            Total hours 
                            <SU>2</SU>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">1271.10(b)(1) and 1271.21(b); register and submit list of each HCT/P manufactured by existing establishments</ENT>
                        <ENT>2,374</ENT>
                        <ENT>1</ENT>
                        <ENT>2,374</ENT>
                        <ENT>0.5 (30 minutes)</ENT>
                        <ENT>1,187</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">1271.10(b)(1) and (2), 1271.21(a), and 1271.25(a) and (b); register and submit list of each HCT/P manufactured by new establishments</ENT>
                        <ENT>157</ENT>
                        <ENT>1</ENT>
                        <ENT>157</ENT>
                        <ENT>0.75 (45 minutes)</ENT>
                        <ENT>118</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">1271.10(b)(2), 1271.21(c)(ii), and 1271.25(c); update list</ENT>
                        <ENT>566</ENT>
                        <ENT>1</ENT>
                        <ENT>566</ENT>
                        <ENT>0.5 (30 minutes)</ENT>
                        <ENT>283</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">1271.23; request electronic format waiver</ENT>
                        <ENT>1</ENT>
                        <ENT>1</ENT>
                        <ENT>1</ENT>
                        <ENT>1</ENT>
                        <ENT>1</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">1271.26; location/ownership amendments</ENT>
                        <ENT>346</ENT>
                        <ENT>1</ENT>
                        <ENT>346</ENT>
                        <ENT>0.25 (15 minutes)</ENT>
                        <ENT>87</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">1271.155(a); request exemption or alternative to any requirement</ENT>
                        <ENT>18</ENT>
                        <ENT>1.333</ENT>
                        <ENT>24</ENT>
                        <ENT>3</ENT>
                        <ENT>72</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">1271.350(a)(1) and (3); investigate and report adverse actions</ENT>
                        <ENT>15</ENT>
                        <ENT>14.266</ENT>
                        <ENT>214</ENT>
                        <ENT>1</ENT>
                        <ENT>214</ENT>
                    </ROW>
                    <ROW RUL="n,s">
                        <ENT I="01">1271.420(a); notify FDA (imports)</ENT>
                        <ENT>200</ENT>
                        <ENT>2.8</ENT>
                        <ENT>560</ENT>
                        <ENT>0.25 (15 minutes)</ENT>
                        <ENT>140</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="03">Total</ENT>
                        <ENT/>
                        <ENT>23.399</ENT>
                        <ENT>4,242</ENT>
                        <ENT/>
                        <ENT>2,102</ENT>
                    </ROW>
                    <TNOTE>
                        <SU>1</SU>
                         There are no capital costs or operating and maintenance costs associated with this collection of information.
                    </TNOTE>
                    <TNOTE>
                        <SU>2</SU>
                         Rounded to the nearest whole number.
                    </TNOTE>
                </GPOTABLE>
                <PRTPAGE P="43569"/>
                <P>Based on current data from eHCTERS, we estimate there are 2,374 HCT/P current registrants and 157 new registrants, for a total of 2,531 respondents annually. Information collection provisions that include reporting activities are identified in table 1. The estimated burden for each of the individual reporting activities was calculated based on the annual number of submissions, averaged among respondents, and based on informal communications with industry.</P>
                <GPOTABLE COLS="6" OPTS="L2,i1" CDEF="s100,12,12,12,xs72,12">
                    <TTITLE>
                        Table 2—Estimated Annual Recordkeeping Burden 
                        <SU>1</SU>
                    </TTITLE>
                    <BOXHD>
                        <CHED H="1">21 CFR part 1271; establish and maintain records</CHED>
                        <CHED H="1">
                            Number of
                            <LI>recordkeepers</LI>
                        </CHED>
                        <CHED H="1">
                            Number of
                            <LI>records per</LI>
                            <LI>
                                recordkeeper 
                                <SU>2</SU>
                            </LI>
                        </CHED>
                        <CHED H="1">Total annual records</CHED>
                        <CHED H="1">
                            Average
                            <LI>burden per</LI>
                            <LI>
                                recordkeeping 
                                <SU>2</SU>
                            </LI>
                        </CHED>
                        <CHED H="1">
                            Total hours 
                            <SU>3</SU>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">1271.47; Establishing SOPs</ENT>
                        <ENT>157</ENT>
                        <ENT>1</ENT>
                        <ENT>157</ENT>
                        <ENT>48</ENT>
                        <ENT>7,536</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">1271.47; Updating SOPs</ENT>
                        <ENT>2,374</ENT>
                        <ENT>1</ENT>
                        <ENT>2,374</ENT>
                        <ENT>24</ENT>
                        <ENT>56,976</ENT>
                    </ROW>
                    <ROW RUL="n,s">
                        <ENT I="01">1271 Subparts C &amp; D: Establishing and maintaining records documenting methods used in, and the facilities and controls used for, the manufacture of HCT/Ps, including but not limited to all steps in recovery, donor screening, donor testing, processing, storage, labeling, packaging, and distribution</ENT>
                        <ENT>2,531</ENT>
                        <ENT>3,311.36</ENT>
                        <ENT>8,381,049</ENT>
                        <ENT>0.26 (~15 minutes)</ENT>
                        <ENT>2,170,493</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="03">Total</ENT>
                        <ENT/>
                        <ENT/>
                        <ENT>8,383,580</ENT>
                        <ENT/>
                        <ENT>2,235,005</ENT>
                    </ROW>
                    <TNOTE>
                        <SU>1</SU>
                         There are no capital costs or operating and maintenance costs associated with this collection of information.
                    </TNOTE>
                    <TNOTE>
                        <SU>2</SU>
                         Decimals rounded to the nearest hundredth.
                    </TNOTE>
                    <TNOTE>
                        <SU>3</SU>
                         Rounded to the nearest whole number.
                    </TNOTE>
                </GPOTABLE>
                <P>To calculate burden associated with the establishment and maintenance of operating procedures in accordance with applicable CGTP requirements, we assume twice the time is necessary for new establishments. Burden we attribute to recordkeeping activities associated with the remaining provisions in part 1271 is assumed to be distributed among the individual elements and averaged among respondents.</P>
                <GPOTABLE COLS="6" OPTS="L2,i1" CDEF="s100,12,12,12,xs72,12">
                    <TTITLE>
                        Table 3—Estimated Annual Third-Party Disclosure Burden 
                        <SU>1</SU>
                    </TTITLE>
                    <BOXHD>
                        <CHED H="1">21 CFR part 1271—human cells, tissues, and cellular and tissue-based products; activity</CHED>
                        <CHED H="1">
                            Number of
                            <LI>respondents</LI>
                        </CHED>
                        <CHED H="1">
                            Number of
                            <LI>disclosures</LI>
                            <LI>per</LI>
                            <LI>
                                respondent 
                                <SU>2</SU>
                            </LI>
                        </CHED>
                        <CHED H="1">
                            Total annual
                            <LI>disclosures</LI>
                        </CHED>
                        <CHED H="1">
                            Average
                            <LI>burden per</LI>
                            <LI>
                                disclosure 
                                <SU>2</SU>
                            </LI>
                        </CHED>
                        <CHED H="1">Total hours</CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">Disclosing information as required under applicable good manufacturing practices/CGTP provisions</ENT>
                        <ENT>1,611</ENT>
                        <ENT>4,984.75</ENT>
                        <ENT>8,030,435</ENT>
                        <ENT>0.30 (~18 minutes)</ENT>
                        <ENT>2,389,226</ENT>
                    </ROW>
                    <TNOTE>
                        <SU>1</SU>
                         There are no capital costs or operating and maintenance costs associated with this collection of information.
                    </TNOTE>
                    <TNOTE>
                        <SU>2</SU>
                         Decimals rounded to the nearest hundredth.
                    </TNOTE>
                </GPOTABLE>
                <P>As part of the recordkeeping requirements, certain provisions in part 1271 require the disclosure of information to third parties, particularly as it pertains to the distribution of HCT/Ps. We estimate a proportion of the respondents to the information collection (1,611) will incur burden resulting from these disclosures and have therefore accounted for burden that may be attributable to these distinct activities.</P>
                <P>Our estimated burden for the information collection reflects an overall reduction of 150,137 hours and 347,843 responses annually, which corresponds to a decrease in the number HCT/P establishments and a decrease in the number HCT/Ps distributed since our last evaluation.</P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Lauren K. Roth,</NAME>
                    <TITLE>Associate Commissioner for Policy.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14467 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4164-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF HEALTH AND HUMAN SERVICES</AGENCY>
                <SUBAGY>Health Resources and Services Administration</SUBAGY>
                <SUBJECT>Solicitation of Nominations for Membership To Serve on the Advisory Committee on Organ Transplantation</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Request for nominations.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>HRSA is seeking nominations of qualified candidates to be considered for appointment as members of the Advisory Committee on Organ Transplantation (ACOT or Committee). ACOT provides advice and recommendations to the Secretary of HHS (Secretary) on proposed Organ Procurement and Transplantation Network policies and such other matters as the Secretary determines. The Secretary also may seek the advice of the Committee on other proposed policies.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Written nominations for membership on the ACOT will be received on a continuous basis.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Nomination packages must be submitted to the Executive Secretary, ACOT, Healthcare Systems Bureau, HRSA, Room 08W67, 5600 Fishers Lane, Rockville, Maryland 20857, or via email to: 
                        <E T="03">ACOTHRSA@hrsa.gov.</E>
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Shelley Grant, Executive Secretary, ACOT, at (301) 443-8036 or email 
                        <E T="03">sgrant@hrsa.gov.</E>
                         A copy of the ACOT charter and list of current members may be obtained by accessing the ACOT website at 
                        <E T="03">https://www.organdonor.gov/about-dot/acot.html.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>In accordance with the Amended Final Rule of the Organ Procurement and Transplantation Network (42 CFR part </P>
                <PRTPAGE P="43570"/>
                <FP>121), ACOT was established pursuant to 42 U.S.C. 217a and, in accordance with Public Law 92-463, was first chartered on September 1, 2000. ACOT meets up to three times during the fiscal year.</FP>
                <P>
                    <E T="03">Nominations:</E>
                     HRSA is requesting nominations for voting members to serve as Special Government Employees (SGEs) on ACOT. The Secretary appoints ACOT members with the expertise needed to fulfill the duties of the Advisory Committee. Nominees sought are individuals involved in organ procurement, organ transplantation (including, but not limited to, transplant candidates, recipients, living organ donors, and families of deceased organ donors), bioethics, and other medical specialties involved in organ transplantation and in the identification and referral of donors. Interested applicants may self-nominate or be nominated by another individual or organization.
                </P>
                <P>Individuals selected for appointment to the Committee will be invited to serve for a term up to 3 years. Members appointed as SGEs receive a stipend and reimbursement for per diem and travel expenses incurred for attending ACOT meetings and/or conducting other business on behalf of ACOT, as authorized by 5 U.S.C. 5703 of the Federal Advisory Committee Act for persons employed intermittently in government service.</P>
                <P>
                    The following information must be included in the package of materials submitted for each individual being nominated for consideration: (1) A letter of nomination stating the name, affiliation, and contact information for the nominee, the basis for the nomination (
                    <E T="03">e.g.,</E>
                     what specific attributes, perspectives, and/or skills does the individual possess that would benefit the workings of ACOT), and the nominee's field(s) of expertise; (2) a biographical sketch of the nominee; (3) the name, address, daytime telephone number, and email address at which the nominator can be contacted; and (4) a current copy of the nominee's curriculum vitae. Nomination packages may be submitted directly by the individual being nominated or by the person/organization recommending the candidate. HRSA requests that applicants who submitted a nomination or a self-nomination in the past please resubmit the required candidate forms.
                </P>
                <P>HHS endeavors to ensure that the membership of ACOT is fairly balanced in terms of points of view represented and that individuals from a broad representation of geographic areas, gender, and ethnic and minority groups, as well as individuals with disabilities, are considered for membership. Appointments shall be made without discrimination on the basis of age, ethnicity, gender, sexual orientation, or cultural, religious, or socioeconomic status.</P>
                <P>Individuals who are selected to be considered for appointment will be required to provide detailed information regarding their financial holdings, consultancies, and research grants or contracts. Disclosure of this information is required for HRSA ethics officials to determine whether there is a conflict between the SGE's public duties as a member of ACOT and their private interests, including an appearance of a loss of impartiality as defined by federal laws and regulations, and to identify any required remedial action needed to address the potential conflict.</P>
                <P>
                    <E T="03">Authority:</E>
                     In accordance with 42 CFR 121.12, the Secretary established ACOT pursuant to 42 U.S.C. 217a. The Committee is governed by the Federal Advisory Committee Act (5 U.S.C. appendix 2), which sets forth standards for the formation and use of advisory committees.
                </P>
                <SIG>
                    <NAME>Maria G. Button,</NAME>
                    <TITLE>Director, Executive Secretariat.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14502 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4165-15-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF HEALTH AND HUMAN SERVICES</AGENCY>
                <SUBAGY>Centers for Disease Control and Prevention</SUBAGY>
                <SUBJECT>Extension of Temporary Suspension of Dogs Entering the United States From Countries With a High Risk of Rabies</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In order to protect the United States against the potential reintroduction of the dog-maintained rabies virus variant (DMRVV) into the United States, the Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services (HHS), announces an extension of the current temporary suspension of the importation into the United States of dogs from countries at high-risk for enzootic rabies (DMRVV high-risk countries). This suspension includes dogs that have been in any DMRVV high-risk countries during the previous six months.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The extension of the temporary suspension of the importation of dogs into the United States from DMRVV high-risk countries will be implemented on August 1, 2023, when the current suspension expires, and will remain in effect through July 31, 2024.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Ashley C. Altenburger, J.D., Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H16-4, Atlanta, GA 30329. Telephone: 1-800-232-4636. For information regarding CDC regulations for the importation of dogs: Dr. Emily Pieracci, D.V.M., Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H16-4, Atlanta, GA 30329. Telephone: 1-800-232-4636.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    CDC is extending, but not modifying, the terms of the current temporary suspension of the importation into the United States of dogs from countries at high-risk for enzootic rabies (DMRVV high-risk countries), including dogs that have been in any DMRVV high-risk countries during the previous six months. A suspension remains necessary to protect the public's health against the reintroduction of the dog-maintained rabies virus variant (DMRVV) into the United States. There is a continued threat posed by dogs from DMRVV high-risk countries which are unvaccinated or inadequately vaccinated against rabies. This continued threat is due to various factors, including: a high volume of dogs being imported into the United States contemporaneous with insufficient veterinary controls in DMRVV high-risk countries to prevent the export of inadequately vaccinated dogs, inadequate global veterinary supply chains for vaccines and related materials, and persistent workforce capacity shortages, particularly in DMRVV high-risk countries that export dogs to the United States. CDC anticipates that these factors are likely to continue over the course of the next 12 months. Considering these factors, CDC has determined that it is necessary to extend the temporary suspension through July 31, 2024, to ensure dogs imported into the United States do not pose a public health threat of reintroducing DMRVV into the United States.
                    <SU>1</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         In consideration of both the anticipated needs for global rabies vaccine campaigns to return to pre-pandemic levels and to avoid disruption to importers' and the travel industry's operations, CDC has determined that a one-year extension of the temporary suspension is required to protect the public's health and is therefore in the public's interest. In the absence of a further extension of the temporary suspension or the adoption of an alternate framework to mitigate the importation of dogs infected with rabies, dog importation requirements would return to procedures that 
                        <PRTPAGE/>
                        proved inadequate to prevent the import of rabid dogs into the United States.
                    </P>
                </FTNT>
                <PRTPAGE P="43571"/>
                <P>
                    Additionally, CDC is publishing a proposed rule as a companion document, published elsewhere in this issue of the 
                    <E T="04">Federal Register</E>
                    , that outlines requirements regarding an importation system to reduce fraud and improve the U.S. government's ability to verify U.S. entry requirements and mitigate the introduction of dogs infected with rabies. If adopted, this proposed rule would mitigate the need for further extensions of the temporary suspension.
                </P>
                <HD SOURCE="HD1">I. Background and Authority</HD>
                <P>
                    Rabies is one of the deadliest zoonotic diseases and accounts for an estimated 59,000 human deaths globally each year.
                    <SU>2</SU>
                    <FTREF/>
                     This equates to one human death every nine minutes.
                    <SU>3</SU>
                    <FTREF/>
                     DMRVV is responsible for 98 percent of these deaths.
                    <SU>4</SU>
                    <FTREF/>
                     The rabies virus can infect any mammal and, once clinical signs appear, the disease is almost always fatal.
                    <SU>5</SU>
                    <FTREF/>
                     In September 2007, at the Inaugural World Rabies Day Symposium, CDC declared the United States to be free of DMRVV.
                    <SU>6</SU>
                    <FTREF/>
                     However, DMRVV is still a serious public health threat in the more than 100 countries where it remains enzootic. Preventing the entry of animals infected with DMRVV into the United States is a public health priority.
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         World Health Organization (2018). 
                        <E T="03">WHO Expert Consultation on Rabies</E>
                         (WHO Technical Report Series 1012). Retrieved from 
                        <E T="03">https://www.who.int/publications/i/item/WHO-TRS-1012.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         Hampson K, Coudeville L, Lembo T, et al.; Global Alliance for Rabies Control Partners for Rabies Prevention. Estimating the global burden of endemic canine rabies. 
                        <E T="03">PLoS Negl Trop Dis</E>
                         2015;9:e0003709. 
                        <E T="03">https://doi.org/10.1371/journal.pntd.0003709.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         Fooks, A.R., Banyard, A.C., Horton, D.L., Johnson, N., McElhinney, L.M., and Jackson, A.C. (2014) Current status of rabies and prospects for elimination. 
                        <E T="03">Lancet, 384(9951),</E>
                         1389-1399. doi: 10.1016/S0140-6736(13)62707-5.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         Velasco-Villa, A., Mauldin, M., Shi, M., Escobar, L., Gallardo-Romero, N., Damon, I., Emerson, G. (2017) The history of rabies in the Western Hemisphere. 
                        <E T="03">Antiviral Res,</E>
                         146, 221-232. doi:10.1016/j.antiviral.2017.03.013.
                    </P>
                </FTNT>
                <P>
                    Under section 361 of the Public Health Service Act (PHS Act) (42 U.S.C. 264), the Secretary of Health and Human Services may make and enforce such regulations as in the Secretary's judgment are necessary to prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the United States and from one state or possession into any other state or possession.
                    <SU>7</SU>
                    <FTREF/>
                     Such regulations may provide for inspection, fumigation, disinfection, sanitation, pest extermination, destruction of animals or articles found to be sources of dangerous infection to human beings, and other measures. Under section 362 of the PHS Act (42 U.S.C. 265), the Secretary, and by delegation the Director of CDC (CDC Director),
                    <SU>8</SU>
                    <FTREF/>
                     may prohibit entries and imports from foreign countries into the United States “in whole or in part” if there is a serious risk of introducing communicable disease and when required in the interest of public health.
                </P>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         Although the statute assigns authority to the Surgeon General, all statutory powers and functions of the Surgeon General were transferred to the Secretary of HHS in 1966, 31 FR 8855, 80 Stat. 1610 (June 25, 1966), 
                        <E T="03">see also</E>
                         Public Law 96-88,  509(b), October 17, 1979, 93 Stat. 695 (codified at 20 U.S.C. 3508(b)). The Secretary has retained these authorities despite the reestablishment of the Office of the Surgeon General in 1987.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         
                        <E T="03">See</E>
                         42 CFR 71.51(e), 71.63.
                    </P>
                </FTNT>
                <P>
                    Under 42 CFR 71.51, all dogs admitted into the United States must be accompanied by a valid rabies vaccination certificate,
                    <SU>9</SU>
                    <FTREF/>
                     unless the dogs' owners or importers submit satisfactory evidence that dogs under six months of age have not been in a DMRVV high-risk country or dogs older than six months have not been in a DMRVV high-risk country during the six months prior to arrival.
                    <SU>10</SU>
                    <FTREF/>
                     CDC maintains a publicly available list of DMRVV high-risk countries 
                    <SU>11</SU>
                    <FTREF/>
                     and provides guidance for dog entry requirements based on the dog's country of origin.
                </P>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         Centers for Disease Control and Prevention (2022). What is a valid rabies vaccination certificate? Retrieved from 
                        <E T="03">https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/vaccine-certificate.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         Centers for Disease Control and Prevention (2019). Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 
                        <E T="04">Federal Register</E>
                        , Vol. 84,724-730. Retrieved from 
                        <E T="03">https://www.federalregister.gov/documents/2019/01/31/2019-00506/guidance-regarding-agency-interpretation-of-rabies-free-as-it-relates-to-the-importation-of-dogs.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         Centers for Disease Control and Prevention (2022). What is a valid rabies vaccination certificate? Retrieved from 
                        <E T="03">https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/rabies-vaccine.html.</E>
                    </P>
                </FTNT>
                <P>
                    CDC subject matter experts review publicly available data and conduct an annual assessment to determine which countries have high risk of DMRVV.
                    <SU>12</SU>
                    <FTREF/>
                     This assessment considers the following factors: presence or prevalence of domestically acquired cases of DMRVV in humans and animals; efforts towards control of DMRVV in dogs (such as dog vaccination coverage, dog population management, and existence and enforcement of legal codes to limit rabies transmission in dogs); and the quality of rabies surveillance systems, rate of testing, and laboratory capacity. If data are not available, the country is not considered to have a robust rabies control program. If a country has provided additional substantial data to support a DMRVV-free or DMRVV low-risk status, CDC can review that information and reassess the country's status.
                </P>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         Henry RE, Blanton JD, Angelo KM, Pieracci EG, Stauffer K, Jentes ES, Allen J, Glynn M, Brown CM, Friedman CR, Wallace R. A country classification system to inform rabies prevention guidelines and regulations. 
                        <E T="03">J Travel Med.</E>
                         2022 Jul 14;29(4):taac046. doi: 10.1093/jtm/taac046. PMID: 35348741.
                    </P>
                </FTNT>
                <P>
                    Under 42 CFR 71.51(e), dogs may be subject to “additional requirements as may be deemed necessary” or “exclusion if coming from areas which the [CDC] Director has determined to have high rates of rabies.” Based on the previously described criteria, CDC determined that DMRVV high-risk countries constitute areas that have high rates of DMRVV, and dogs imported from these countries are thus subject to additional requirements and/or exclusion.
                    <SU>13</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>Under 42 CFR 71.63, CDC may also temporarily suspend the entry of animals, articles, or things from designated foreign countries and places into the United States when it determines there exists in a foreign country a communicable disease that threatens the public health of the United States and the entry of imports from that country increases the risk that the communicable disease may be introduced. When such a suspension is issued, CDC designates the period of time or conditions under which imports into the United States are suspended. CDC likewise determined that DMRVV exists in countries designated as DMRVV high-risk countries and that, if reintroduced into the United States, DMRVV would threaten the public health of the United States.</P>
                <P>
                    Pursuant to these legal authorities and determinations made thereunder, on June 16, 2021, CDC announced a temporary suspension of the importation of dogs from DMRVV high-risk countries into the United States to protect the public health against the reintroduction of DMRVV into the United States (the temporary suspension).
                    <SU>14</SU>
                    <FTREF/>
                     The temporary suspension went into effect on July 14, 2021.
                </P>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         Temporary Suspension of Dogs Entering the United States from High-Risk Rabies Countries. 
                        <E T="04">Federal Register</E>
                        , 86 FR 32041, June 16, 2021.
                    </P>
                </FTNT>
                <P>
                    CDC found that the temporary suspension prohibiting the importation of dogs from DMRVV high-risk countries for rabies was especially necessary due to the diversion of public health resources to respond to the COVID-19 pandemic. The limited 
                    <PRTPAGE P="43572"/>
                    availability of public health resources due to the unprecedented global response to the COVID-19 pandemic resulted in reduced capacity at the Federal, state, and local levels to address the increased risk of the reintroduction of DMRVV. Despite a decrease in international travel volumes due to the global COVID-19 pandemic, CDC noted an increase in importers circumventing dog import regulations—there was a 52 percent increase in dogs ineligible for entry in 2020 as compared to 2018 and 2019. Additionally, four rabid dogs were imported into the United States between 2015 and 2021. For these reasons, CDC implemented the temporary suspension in July 2021. In addition, CDC implemented a 
                    <E T="03">CDC Dog Import Permit</E>
                     
                    <SU>15</SU>
                    <FTREF/>
                     during the temporary suspension to verify the documentation of imported dogs before they are flown to the United States.
                </P>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         Approved under OMB Control Number 0920-1383 Importation Regulations (42 CFR 71 Subpart F) (exp. 1/31/2026, or as revised).
                    </P>
                </FTNT>
                <P>
                    Since the temporary suspension first went into effect in July 2021, CDC has modified the terms of the suspension to allow for more dog imports as the public health situation has gradually improved and as more public health resources have become available globally. On June 1, 2022, CDC announced a modified and extended temporary suspension, effective June 10, 2022 through January 31, 2023.
                    <SU>16</SU>
                    <FTREF/>
                     The extension and modification of the temporary suspension permitted all categories of importers to import dogs from DMRVV high-risk countries, while requiring commercially imported dogs to enter the United States at a port of entry with a CDC-approved animal care facility with a Facilities Information and Resource Management System (FIRMS) code issued by U.S. Customs and Border Protection (CBP).
                    <SU>17</SU>
                    <FTREF/>
                     CDC also expanded the list of the approved ports of entry to include 18 airports 
                    <SU>18</SU>
                    <FTREF/>
                     with a CDC quarantine station for importers with a valid U.S.-issued rabies vaccination certificate or a 
                    <E T="03">CDC Dog Import Permit.</E>
                     On January 27, 2023, CDC announced an extension of the temporary suspension through July 31, 2023, without modifications.
                    <SU>19</SU>
                    <FTREF/>
                     The extension took effect February 1, 2023, and continues to allow dogs from DMRVV high-risk countries to enter the United States under one of the options outlined in the June 10, 2022, extension.
                </P>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         Centers for Disease Control and Prevention (2023). CDC Approved Animal Care Facilities. Retrieved from 
                        <E T="03">https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/approved-care-facilities.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         The 18 approved ports of entry are: Anchorage (ANC), Atlanta (ATL), Boston (BOS), Chicago (ORD), Dallas (DFW), Detroit (DTW), Honolulu (HNL), Houston (IAH), Los Angeles (LAX), Miami (MIA), Minneapolis (MSP), New York (JFK), Newark (EWR), Philadelphia (PHL), San Francisco (SFO), San Juan (SJU), Seattle (SEA), and Washington DC (IAD).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         88 FR 5348 (Jan. 27, 2023).
                    </P>
                </FTNT>
                <P>
                    At this time, CDC is extending the temporary suspension through July 31, 2024, because of the continued risk for the reintroduction of DMRVV into the United States. This extension is based on the increasing number of dogs being purchased internationally,
                    <E T="51">20 21 22 23</E>
                    <FTREF/>
                     often from DMRVV high-risk countries, and imported into the United States and other rabies-free countries. This increase in international purchases of dogs is occurring contemporaneous with a high volume of dogs being imported into the United States and continued disruptions to rabies vaccination campaigns globally as a lingering effect of the diversion of public health resources during the COVID-19 pandemic. The rate of rabies in imported dogs is higher than the rate of domestically acquired rabies in dogs. Disruptions to rabies vaccination campaigns globally further elevate that risk, and CDC anticipates it will take at least two years, and possibly longer, for global vaccination campaigns to recover to pre-pandemic levels. This timeframe is based on modeling data which suggest that when rabies vaccination coverage is disrupted in rabies-free countries and cases begin occurring, countries can prevent reestablishment of the disease in as little as 2 years if 38-56% of the dog population is vaccinated annually.
                    <SU>24</SU>
                    <FTREF/>
                     Additionally, constraints on the global veterinary workforce capacity and global veterinary supply chain shortages have led to delayed or disrupted care for dogs, which also increases the likelihood dogs imported into the United States may pose a public health risk.
                    <E T="51">25 26 27 28 29 30</E>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                        <E T="03">PLoS ONE,</E>
                        16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                    </P>
                    <P>
                        <SU>21</SU>
                         Wynne E. Dog lovers find prices rise steeply amid COVID-fueled demand. 
                        <E T="03">Australian Broadcasting Corporation News.</E>
                         20 May 2021.
                    </P>
                    <P>
                        <SU>22</SU>
                         Morgan L, Protopopova A, Birkler RID, Itin-Shwatz B, Sutton G, Gamliel A, et al. Human-dog relationships during the COVID-19 pandemic: booming dog adoption during social isolation. 
                        <E T="03">Humanities and Social Science Communications.</E>
                         2021; 7(150): 1-11.
                    </P>
                    <P>
                        <SU>23</SU>
                         British Broadcasting Corporation. Illegal puppy trade warning as sales boom during the COVID pandemic. 18 NOV 2020. 
                        <E T="03">British Broadcasting Corporation News.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>24</SU>
                         Jeon, S., Cleaton, J., Meltzer, M., Kahn, E., Pieracci, E., Blanton, J., Wallace, R. (2019). Determining the post-elimination level of vaccination needed to prevent re-establishment of dog rabies. 
                        <E T="03">PLoS Neglected Tropical Diseases,</E>
                         13(12). 
                        <E T="03">https://doi.org/10.1371/journal.pntd.0007869.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>25</SU>
                         Zhang S. The great veterinary shortage. The Atlantic. July 6, 2022. 
                        <E T="03">https://www.theatlantic.com/health/archive/2022/07/not-enough-veterinarians-animals/661497/.</E>
                    </P>
                    <P>
                        <SU>26</SU>
                         Martin D. Is the veterinarian shortage real or regional? AGCanada.com July 16, 2021. 
                        <E T="03">https://www.agcanada.com/2021/07/is-the-veterinarian-shortage-real-or-regional.</E>
                    </P>
                    <P>
                        <SU>27</SU>
                         The Business Research Company. Companion animal veterinary vaccines global market report 2023 (. . .). 
                        <E T="03">https://www.thebusinessresearchcompany.com/report/companion-animal-veterinary-vaccines-global-market-report.</E>
                    </P>
                    <P>
                        <SU>28</SU>
                         Lewin R. Aussie dog owners warned of national vaccine shortage as deadly bacterial disease spreads. 7 News.com.au. October 17, 2022. 
                        <E T="03">https://7news.com.au/lifestyle/pets/aussie-dog-owners-warned-of-national-vaccine-shortage-as-deadly-bacterial-disease-spreads-c-8568550.</E>
                    </P>
                    <P>
                        <SU>29</SU>
                         Mathew R. Vaccine Shortage, Excess Workload of Vets Hamper Anti-rabies Vaccination Programme. Manorama. September 24, 2022. 
                        <E T="03">https://www.onmanorama.com/news/kerala/2022/09/24/kerala-anti-rabbies-vaccination-programme.html.</E>
                    </P>
                    <P>
                        <SU>30</SU>
                         Rabies is Likely to Spread in Sri Lanka in 2023 due to Vaccine Shortages. Business Standard. January 4, 2023. 
                        <E T="03">https://www.business-standard.com/article/international/rabies-is-likely-to-spread-in-sri-lanka-in-2023-due-to-vaccine-shortages-123010400640_1.html.</E>
                    </P>
                </FTNT>
                <P>
                    CDC will continue to review and reassess its list of DMRVV high-risk countries annually and as additional substantial data become available.
                    <SU>31</SU>
                    <FTREF/>
                     Such reviews are consistent with CDC practices. In conducting this review, CDC will consider DMRVV high-risk countries' rabies control programs, the latest scientific data, and international recommendations for rabies control. For example, in January 2023, CDC reviewed the list of DMRVV high-risk rabies countries and determined that Brunei and Bhutan had documented sufficient levels of canine rabies surveillance, canine vaccination, and laboratory testing over a multi-year timespan and demonstrated success in controlling DMRVV within their respective countries; as a result of this review Brunei and Bhutan were removed from the CDC list of DMRVV high-risk countries.
                </P>
                <FTNT>
                    <P>
                        <SU>31</SU>
                         The web page that describes how CDC conducts the annual assessment of individual countries' rabies status worldwide is available at 
                        <E T="03">https://www.cdc.gov/rabies/resources/countries-risk.html.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">II. Public Health Rationale</HD>
                <HD SOURCE="HD2">A. Dog Importation Into the United States</HD>
                <P>
                    The United States was declared DMRVV-free in 2007. Importing dogs from countries at high-risk for rabies involves a significant public health risk. The importation of just one dog infected with DMRVV risks re-introduction of the virus into the United States; such a public health threat could result in loss of human and animal life and 
                    <PRTPAGE P="43573"/>
                    consequential economic impact.
                    <E T="51">32 33 34</E>
                    <FTREF/>
                     Of additional concern is the fact that DMRVV has been highly successful at adapting to new host species, particularly wildlife. One imported DMRVV-infected dog could result in a new variant with potential to become established within new host species in the United States.
                    <SU>35</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>32</SU>
                         World Bank (2012). People, Pathogens and Our Planet: The Economics of One Health. Retrieved from 
                        <E T="03">https://openknowledge.worldbank.org/handle/10986/11892.</E>
                    </P>
                    <P>
                        <SU>33</SU>
                         Raybern, C., Zaldivar, A., Tubach, S., Ahmed, F., Moore, S., Kintner, C., Garrison, I. (2020) Rabies in a dog imported from Egypt-Kansas, 2019. 
                        <E T="03">Morbidity and Mortality Weekly Report,</E>
                         69(38), 1374-1377. Retrieved from 
                        <E T="03">https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6938a5-H.pdf.</E>
                    </P>
                    <P>
                        <SU>34</SU>
                         Jeon, S., Cleaton, J., Meltzer, M., Kahn, E., Pieracci, E., Blanton, J., Wallace, R. (2019). Determining the post-elimination level of vaccination needed to prevent re-establishment of dog rabies. 
                        <E T="03">PLoS Neglected Tropical Diseases,</E>
                         13(12). 
                        <E T="03">https://doi.org/10.1371/journal.pntd.0007869.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>35</SU>
                         Velasco-Villa, A., Mauldin, M., Shi, M., Escobar, L., Gallardo-Romero, N., Damon, I., Emerson, G. (2017) The history of rabies in the Western Hemisphere. 
                        <E T="03">Antiviral Res,</E>
                         146, 221-232. doi:10.1016/j.antiviral.2017.03.013.
                    </P>
                </FTNT>
                <P>
                    Although the U.S. Government does not track the total number of dogs imported each year, it is estimated that approximately 1 million dogs are imported into the United States annually, of which 100,000 dogs are from DMRVV high-risk countries.
                    <SU>36</SU>
                    <FTREF/>
                     This estimate was based on information provided by airlines, CBP staff, and a study conducted at a U.S.-Mexico land border crossing.
                    <SU>37</SU>
                    <FTREF/>
                     Combined import data from CDC, CBP, and the U.S. Department of Agriculture (USDA) suggest that adoptions, rescues, purchases, and international movement of dogs from overseas have remained high since 2018.
                    <E T="51">38 39 40</E>
                    <FTREF/>
                     Demand for puppies and dogs imported for rescue, adoption, or resale has remained high since 2021.
                    <E T="51">41 42 43 44</E>
                    <FTREF/>
                     In light of the higher rate of rabies among imported dogs compared to dogs in the United States, the continued high volume of importations of dogs to the United States, and the contemporaneous insufficient veterinary controls, inadequate veterinary supply chains, and persistent workforce capacity shortages in DMRVV high-risk countries, the risk of rabies importation into the United States and re-introduction of DMRVV remains heightened.
                </P>
                <FTNT>
                    <P>
                        <SU>36</SU>
                         Centers for Disease Control and Prevention (2019). Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 
                        <E T="04">Federal Register</E>
                        , Vol. 84,724-730. Retrieved from 
                        <E T="03">https://www.federalregister.gov/documents/2019/01/31/2019-00506/guidance-regarding-agency-interpretation-of-rabies-free-as-it-relates-to-the-importation-of-dogs.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>37</SU>
                         McQuiston, J.H., Wilson, T., Harris, S., Bacon, R.M., Shapiro, S., Trevino, J., Marano, N. (2008.) Importation of dogs into the United States: risks from rabies and other zoonotic diseases. 
                        <E T="03">Zoonoses Public Health,</E>
                         55(8-10),421-6. doi:10.1111/j.1863-2378.2008.01117.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>38</SU>
                         Better Business Bureau. Online puppy scams rising sharply in 2020, BBB warns. 2020 December 2. Available from: 
                        <E T="03">https://www.bbb.org/article/news-releases/23354-bbb-studyupdate-puppy-scams-rising-in-2020.</E>
                    </P>
                    <P>
                        <SU>39</SU>
                         Centers for Disease Control and Prevention. Internal dog import data. August 2021-May 2023.
                    </P>
                    <P>
                        <SU>40</SU>
                         U.S. Customs and Border Protection. Live animal imports FY 2022 report to congress. Nov 4, 2022.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>41</SU>
                         Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                        <E T="03">PLoS ONE,</E>
                        16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                    </P>
                    <P>
                        <SU>42</SU>
                         Wynne E. Dog lovers find prices rise steeply amid COVID-fueled demand. 
                        <E T="03">Australian Broadcasting Corporation News.</E>
                         20 May 2021.
                    </P>
                    <P>
                        <SU>43</SU>
                         Morgan L, Protopopova A, Birkler RID, Itin-Shwatz B, Sutton G, Gamliel A, et al. Human-dog relationships during the COVID-19 pandemic: booming dog adoption during social isolation. 
                        <E T="03">Humanities and Social Science Communications.</E>
                         2021; 7(150): 1-11.
                    </P>
                    <P>
                        <SU>44</SU>
                         British Broadcasting Corporation. Illegal puppy trade warning as sales boom during the COVID pandemic. 18 NOV 2020. 
                        <E T="03">British Broadcasting Corporation News.</E>
                    </P>
                </FTNT>
                <P>
                    The rate of rabies is 14 times higher in imported dogs when compared to the rate of rabies acquired domestically by dogs in the United States.
                    <E T="51">45 46 47 48 49 50 51 52</E>
                    <FTREF/>
                     During 2015-2021 there were approximately 700,000 dogs imported from DMRVV high-risk countries of which four were found to have rabies upon entry into the United States—an annual incidence rate of 5.7 per 1 million dogs imported. In comparison, there were an estimated cumulative 616 million dogs in the United States during that same time period,
                    <SU>53</SU>
                    <FTREF/>
                     of which approximately 240 were found infected with an endemic wildlife variant of rabies during the same time—an annual incidence rate of 0.4 per 1 million.
                </P>
                <FTNT>
                    <P>
                        <SU>45</SU>
                         Centers for Disease Control and Prevention. Guidance regarding agency interpretation of “rabies-free” as it relates to the importation of dogs into the United States. 
                        <E T="04">Federal Register</E>
                         Notice; 84 FR 724: 724-30. January 31, 2019. Available at: 
                        <E T="03">http://www.federalregister.gov/documents/2019/01/31/2019-00506/guidance-regarding-agency-interpretation-of-rabies-free-as-it-relates-to-the-importation-of-dogs.</E>
                    </P>
                    <P>
                        <SU>46</SU>
                         Ma X, Bonaparte S, Toro M, Orciari L, Gigante C, et al. Rabies surveillance in the United States during 2020. Journal of the American Veterinary Medical Association. 2022; 260 (10).
                    </P>
                    <P>
                        <SU>47</SU>
                         Birhane M, Cleaton J, Monroe BP, Wadhwa A, et al. Rabies surveillance in the United States during 2015. Journal of the American Veterinary Medical Association. 2017; 250 (10).
                    </P>
                    <P>
                        <SU>48</SU>
                         Ma X, Monroe BP, Cleaton J, Orciari L, Yager P, et al. Rabies surveillance in the United States during 2016. Journal of the American Veterinary Medical Association. 2018; 252 (8).
                    </P>
                    <P>
                        <SU>49</SU>
                         Ma X, Monroe BP, Cleaton J, Orciari L, Yu L, et al. Rabies surveillance in the United States during 2017. Journal of the American Veterinary Medical Association. 2018; 253 (12).
                    </P>
                    <P>
                        <SU>50</SU>
                         Ma X, Monroe BP, Wallace R, Orciari L, Gigante C, et al. Rabies surveillance in the United States during 2019. Journal of the American Veterinary Medical Association. 2021; 258 (11).
                    </P>
                    <P>
                        <SU>51</SU>
                         Ma X, Bonaparte S, Corbett P, Orciari L, Gigante C, et al. Rabies surveillance in the United States during 2021. Journal of the American Veterinary Medical Association. 2023. DOI: 
                        <E T="03">https://doi.org/10.2460/javma.23.02.0081</E>
                        .
                    </P>
                    <P>
                        <SU>52</SU>
                         Ma X, Monroe BP, Cleaton J, Orciari L, Gigante C, et al. Public veterinary medicine: Public health: Rabies surveillance in the United States during 2018. Journal of the American Veterinary Medical Association. 2020; 256 (2).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>53</SU>
                         American Veterinary Medical Association. U.S. pet statistics. Available at: 
                        <E T="03">ebusiness.avma.org/files/ProductDownloads/eco-pet-demographic-report-22-low-res.pdf.</E>
                    </P>
                </FTNT>
                <P>All four rabid dogs imported into the United States during the 2015-2021 period were imported by rescue organizations for the purposes of adoption. These four cases, discussed below, highlight the immense public health resources required to investigate, respond to, and mitigate the public health threat posed by the importation of a rabid dog.</P>
                <P>
                    In 2015, a rabid dog was part of a group of eight dogs and 27 cats imported from Egypt by a rescue group. The dog had an unhealed leg fracture and began showing signs of rabies four days after arrival. Following the rabies diagnosis, the rescue workers in Egypt admitted that the dog's rabies vaccination certificate had been intentionally falsified to evade CDC entry requirements.
                    <SU>54</SU>
                    <FTREF/>
                     Eighteen people were recommended to receive rabies post-exposure prophylaxis (PEP), seven dogs underwent a six-month quarantine, and eight additional dogs housed in the same home as the rabid dog had to receive rabies booster vaccinations and undergo a 45-day monitoring period.
                </P>
                <FTNT>
                    <P>
                        <SU>54</SU>
                         Sinclair J., Wallace, R., Gruszynski K., Bibbs Freeman, M., Campbell, C., Semple, S., Murphy, J. (2015). Rabies in a dog imported from Egypt with a falsified rabies vaccination certificate—Virginia. 
                        <E T="03">Morbidity and Mortality Weekly Report,</E>
                         64, 1359-62. doi:10.15585/mmwr.mm6449a2.
                    </P>
                </FTNT>
                <P>
                    In 2017, a “flight parent” (a person typically solicited through social media, often not affiliated with the rescue organization, and usually compensated with an airline ticket) imported four dogs on behalf of a rescue organization. One of the dogs appeared agitated at the airport and bit the flight parent prior to the flight. A U.S. veterinarian examined the dog one day after its arrival and then euthanized and tested the dog for rabies. A post-mortem rabies test showed that the dog was positive for the virus. Public health officials recommended that at least four people receive rabies PEP, and the remaining three dogs underwent quarantine periods ranging from 30 days to six months. An investigation revealed the possibility of 
                    <PRTPAGE P="43574"/>
                    falsified rabies vaccination documentation presented on entry to the United States.
                    <SU>55</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>55</SU>
                         Hercules, Y., Bryant, N., Wallace, R., Nelson, R., Palumbo, G., Williams, J., Brown, C. (2018). Rabies in a dog imported from Egypt—Connecticut, 2017. 
                        <E T="03">Morbidity and Mortality Weekly Report</E>
                         67, 1388-91. doi:10.15585/mmwr.mm6750a3.
                    </P>
                </FTNT>
                <P>
                    In 2019, a rescue group imported 26 dogs, all of which had rabies vaccination certificates and serologic documentation indicating the development of rabies antibodies in response to immunization, based on results from an Egyptian Government-affiliated rabies laboratory. However, one dog developed signs of rabies three weeks after arrival and had to be euthanized. The dog tested positive for rabies. As a result, forty-four people received rabies PEP and the 25 dogs imported on the same flight underwent re-vaccination and quarantines of four to six months. An additional 12 dogs had contact with the rabid dog and had to be re-vaccinated and undergo quarantine periods ranging from 45 days to six months based on their previous vaccination status.
                    <SU>56</SU>
                    <FTREF/>
                     The public health investigations and rabies PEP of exposed persons in this case cost more than $400,000 in state resources.
                    <E T="51">57 58</E>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>56</SU>
                         Raybern, C., Zaldivar, A., Tubach, S., Ahmed, F., Moore, S., Kintner, C., Garrison, I. (2020) Rabies in a dog imported from Egypt-Kansas, 2019. 
                        <E T="03">Morbidity and Mortality Weekly Report,</E>
                         69(38), 1374-1377. Retrieved from 
                        <E T="03">https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6938a5-H.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>57</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                    <P>
                        <SU>58</SU>
                         Centers for Disease Control and Prevention (2022). Rabies Postexposure Prophylaxis. Retrieved from 
                        <E T="03">https://www.cdc.gov/rabies/medical_care/index.html.</E>
                    </P>
                </FTNT>
                <P>
                    On June 10, 2021, shortly before CDC published the temporary suspension, 33 dogs were imported into the United States from Azerbaijan by a rescue organization. All dogs had rabies vaccination certificates that appeared valid upon arrival in the United States. One dog developed signs of rabies three days after arrival and was euthanized. CDC confirmed the dog was infected with a variant of DMRVV known to circulate in the Caucus Mountain region of Azerbaijan. The remaining rescue animals exposed to the rabid dog during travel were dispersed across nine states, leading to what is believed to be the largest, multi-state investigation of imported rabid dogs in U.S. history.
                    <SU>59</SU>
                    <FTREF/>
                     Eighteen people received PEP to prevent rabies as a result of exposure to this one rabid dog. Post-vaccination serologic monitoring of the remaining dogs and the public health investigation revealed that improper vaccination practices by the veterinarian in Azerbaijan likely contributed to the inadequate vaccination response documented in 48 percent of the imported animals, including the rabid dog.
                    <SU>60</SU>
                    <FTREF/>
                     The 33 exposed animals were placed in quarantine periods ranging from 45 days to six months based on individual serologic titer test results and local jurisdictional requirements.
                    <SU>61</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>59</SU>
                         Whitehill F, Bonaparte S, Hartloge C, et al. Rabies in a Dog Imported from Azerbaijan- Pennsylvania, 2021. 
                        <E T="03">MMWR Morb Mortal Wkly Rep</E>
                         2022; 71: 686-689.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>60</SU>
                         Centers for Disease Control and Prevention (2021). CDC responds to a case of rabies in an imported dog. Retrieved from 
                        <E T="03">https://www.cdc.gov/worldrabiesday/disease-detectives/rabies-imported-dog.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>61</SU>
                         Whitehill F, Bonaparte S, Hartloge C, et al. Rabies in a Dog Imported from Azerbaijan- Pennsylvania, 2021. 
                        <E T="03">MMWR Morb Mortal Wkly Rep</E>
                         2022; 71: 686-689.
                    </P>
                </FTNT>
                <P>
                    CDC estimates that costs for public health investigations and subsequent cost of care for people exposed to rabid dogs range from $220,897 to $521,828 per importation event, as summarized in an economic analysis found on CDC's website.
                    <E T="51">62 63 64</E>
                    <FTREF/>
                     This cost estimate does not account for the worst-case outcomes, which include: (1) transmission of rabies to a person who dies from the disease; and (2) ongoing transmission to other domestic animals and wildlife species in the United States. The U.S. National Rabies Control Program was started in 1944 and required decades of consistent dog vaccination and animal control programs to eliminate DMRVV from the United States. While the cost has never been published it is estimated to approach 1 billion USD in direct rabies control costs.
                    <SU>65</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>62</SU>
                         Raybern, C., Zaldivar, A., Tubach, S., Ahmed, F., Moore, S., Kintner, C., Garrison, I. (2020) Rabies in a dog imported from Egypt-Kansas, 2019. 
                        <E T="03">MMWR Morb Mort Wkly Rep,</E>
                         69(38), 1374-1377. Retrieved from 
                        <E T="03">https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6938a5-H.pdf.</E>
                    </P>
                    <P>
                        <SU>63</SU>
                         Centers for Disease Control and Prevention (2019). Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 
                        <E T="04">Federal Register</E>
                        <E T="03">,</E>
                         Vol. 84,724-730. Retrieved from 
                        <E T="03">https://www.federalregister.gov/documents/2019/01/31/2019-00506/guidance-regarding-agency-interpretation-of-rabies-free-as-it-relates-to-the-importation-of-dogs.</E>
                    </P>
                    <P>
                        <SU>64</SU>
                         Centers for Disease Control and Prevention (2023). What is a Valid Rabies Vaccination Certificate? Retrieved from 
                        <E T="03">https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/vaccine-certificate.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>65</SU>
                         Based on assessments made by CDC Rabies Subject Matter Experts from annual operating costs to fund the U.S. national rabies control program including dog vaccination and post exposure prophylaxis costs.
                    </P>
                </FTNT>
                <P>
                    Re-establishment of DMRVV in the United States would result in costly, years' long efforts to eliminate the virus again. The extraordinary cost of re-introduction of DMRVV is demonstrated by an instance of reintroduction that occurred in Texas, where DMRVV had been previously eliminated. The reintroduction lasted from 1995-2003 and resulted in several human deaths; the subsequent re-elimination of DMRVV cost $60 million (in 2022 USD) and required over 10 years of effort.
                    <E T="51">66 67</E>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>66</SU>
                         Thomas, S., Wilson, P., Moore, G., Oertli, E., Hicks, B., Rohde, R., Johnston, D. (2005). Evaluation of oral rabies vaccination programs for control of rabies epizootics in coyotes and gray foxes: 1995-2003. 
                        <E T="03">Journal of the American Veterinary Medicine Association,</E>
                         227(5),785-92. doi: 10.2460/javma.2005.227.785.
                    </P>
                    <P>
                        <SU>67</SU>
                         Sterner, R., Meltzer, M., Shwiff, S., Slate, D. (2009). Tactics and Economics of Wildlife Oral Rabies Vaccination, Canada and the United States. 
                        <E T="03">Emerging Infectious Diseases,</E>
                         1
                        <E T="03">5</E>
                        (8), 1176-1184. doi: 10.3201/eid1508.081061.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Insufficient Canine Vaccination Rates and Veterinary Controls in DMRVV High-Risk Countries To Prevent the Export of Inadequately Vaccinated Dogs</HD>
                <P>
                    Historically, approximately 60 to 70 percent of CDC's dog entry denials (or about 200 cases annually) have been based on fraudulent, incomplete, or inaccurate paperwork.
                    <SU>68</SU>
                    <FTREF/>
                     This number is less than one percent of dog importations. However, between January 2020 and July 2021 (
                    <E T="03">i.e.,</E>
                     during the COVID-19 pandemic, prior to the temporary suspension taking effect), CDC documented more than 1000 instances of incomplete, inadequate, or fraudulent rabies vaccination certificates for dogs arriving from DMRVV high-risk countries.
                    <SU>69</SU>
                    <FTREF/>
                     These cases resulted in dogs being denied entry into the United States and ultimately returned to their country of origin.
                </P>
                <FTNT>
                    <P>
                        <SU>68</SU>
                         Centers for Disease Control and Prevention (2021). Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog Importation data, 2010-2019. Accessed 1 October 2022.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>69</SU>
                         Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                        <E T="03">PLoS ONE,</E>
                        16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                    </P>
                </FTNT>
                <P>
                    The significant increase in the number of dogs from DMRVV high-risk countries arriving with incomplete, inadequate, or fraudulent rabies vaccination certificates observed in 2020 and 2021 coincided with increased interest in purchasing dogs from the international rescues and breeders during the COVID-19
                    <FTREF/>
                     pandemic.
                    <E T="51">70 71 72</E>
                     One study noted a global increase in 
                    <PRTPAGE P="43575"/>
                    internet searches on Google regarding dog adoption during the pandemic.
                    <SU>73</SU>
                    <FTREF/>
                     Since 2021, the demand for puppies and rescue dogs has remained high. The trend in purchasing and rescuing dogs from abroad has been noted in many countries, including the United States.
                    <E T="51">74 75 76 77</E>
                    <FTREF/>
                     Internationally, there has been significant growth within the companion animal breeding industry with increasing international trade.
                    <SU>78</SU>
                    <FTREF/>
                     Multiple international and U.S. investigations have identified importations of puppies that were too young to meet rabies vaccination requirements.
                    <E T="51">79 80 81 82</E>
                    <FTREF/>
                     There is growing evidence that criminal networks are becoming involved in the lucrative dog trade, and illegal puppy trade was reported to have increased during the pandemic.
                    <E T="51">83 84 85</E>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>70</SU>
                         Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                        <E T="03">PLoS ONE,</E>
                        16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                    </P>
                    <P>
                        <SU>71</SU>
                         Wynne E. Dog lovers find prices rise steeply amid COVID-fueled demand. 
                        <E T="03">Australian Broadcasting Corporation News.</E>
                         20 May 2021.
                    </P>
                    <P>
                        <SU>72</SU>
                         Morgan L, Protopopova A, Birkler RID, Itin-Shwatz B, Sutton G, Gamliel A, et al. Human-dog relationships during the COVID-19 pandemic: booming dog adoption during social isolation. 
                        <E T="03">Humanities and Social Science Communications.</E>
                         2021; 7(150): 1-11.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>73</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>74</SU>
                         Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                        <E T="03">PLoS ONE,</E>
                        16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                    </P>
                    <P>
                        <SU>75</SU>
                         Wynne E. Dog lovers find prices rise steeply amid COVID-fueled demand. 
                        <E T="03">Australian Broadcasting Corporation News.</E>
                         20 May 2021.
                    </P>
                    <P>
                        <SU>76</SU>
                         Morgan L, Protopopova A, Birkler RID, Itin-Shwatz B, Sutton G, Gamliel A, et al. Human-dog relationships during the COVID-19 pandemic: booming dog adoption during social isolation. 
                        <E T="03">Humanities and Social Science Communications.</E>
                         2021; 7(150): 1-11.
                    </P>
                    <P>
                        <SU>77</SU>
                         Velez M. I adopted my dog Cannoli from overseas. It's easier than you think. 9/20/2020. Available at: 
                        <E T="03">https://www.thedailybeast.com/i-adopted-my-dog-cannoli-from-overseas-its-easier-than-you-think.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>78</SU>
                         Maher J, Wyatt T. European illegal puppy trade and organized crime. 
                        <E T="03">Trends in Organized Crime.</E>
                         2021; 24(4) 506-525.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>79</SU>
                         Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                        <E T="03">PLoS ONE,</E>
                        16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                    </P>
                    <P>
                        <SU>80</SU>
                         Zucca P, Rossman MC, Osorio JE, Karem K, De Benedictis P, Haifsl J, et al. The `bio-crime model' of cross-border cooperation among veterinary public health, justice, law enforcements, and customs to tackle the illegal animal trade/bio-terrorism and to prevent the spread of zoonotic diseases among human population. 
                        <E T="03">Frontiers in Veterinary Science.</E>
                         2020; 7: 1-13.
                    </P>
                    <P>
                        <SU>81</SU>
                         Cocchi M, Danesi P, DeZan G, Leati M, Gagliazzo L, et al. A three-year biocrime sanitary surveillance on illegally imported companion animals. 
                        <E T="03">Pathogens.</E>
                         2021; 10(80):1-12.
                    </P>
                    <P>
                        <SU>82</SU>
                         Houle MK. Perspective from the field: Illegal puppy imports uncovered at JFK airport. 2017. Available at: 
                        <E T="03">www.cdc.gov/ncezid/dgmq/feature-stories/operation-dog-catcher.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>83</SU>
                         Maher J, Wyatt T. Rural-urban dynamics in the UK illegal puppy trade: trafficking and trade in man's best friend. 
                        <E T="03">International Journal of Rural Law and Policy.</E>
                         2019; 9 (2): 1-20.
                    </P>
                    <P>
                        <SU>84</SU>
                         Zucca P, Rossman MC, Osorio JE, Karem K, De Benedictis P, Haifsl J, et al. The `bio-crime model' of cross-border cooperation among veterinary public health, justice, law enforcements, and customs to tackle the illegal animal trade/bio-terrorism and to prevent the spread of zoonotic diseases among human population. 
                        <E T="03">Frontiers in Veterinary Science.</E>
                         2020; 7: 1-13.
                    </P>
                    <P>
                        <SU>85</SU>
                         British Broadcasting Corporation. Illegal puppy trade warning as sales boom during the COVID pandemic. 18 NOV 2020. 
                        <E T="03">British Broadcasting Corporation News.</E>
                    </P>
                </FTNT>
                <P>
                    Additionally, reports of international movement of animals with missing microchips, no proof of rabies vaccination, or underage dogs with fraudulent vaccination records have been documented in the United States and abroad.
                    <E T="51">86 87</E>
                    <FTREF/>
                     The increases in international dog movement and fraudulent or questionable paperwork have raised concerns among state and local animal and health departments, breeders and dog organizations, and veterinary associations. A rabies serological (antibody) titer is an estimation of an immune response against rabies virus (either through exposure or vaccination). While there is no “protective” titer against rabies virus, survival against rabies virus infection is often more likely to occur the higher the animal's titer at the time of infection.
                    <SU>88</SU>
                    <FTREF/>
                     The World Organisation for Animal Health considers a level of 0.5 IU/mL a “passing” antibody titer level.
                </P>
                <FTNT>
                    <P>
                        <SU>86</SU>
                         Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                        <E T="03">PLoS ONE,</E>
                        16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                    </P>
                    <P>
                        <SU>87</SU>
                         Zucca P, Rossman MC, Osorio JE, Karem K, De Benedictis P, Haifsl J, et al. The `bio-crime model' of cross-border cooperation among veterinary public health, justice, law enforcements, and customs to tackle the illegal animal trade/bio-terrorism and to prevent the spread of zoonotic diseases among human population. 
                        <E T="03">Frontiers in Veterinary Science.</E>
                         2020; 7: 1-13.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>88</SU>
                         CDC. Rabies Serology. Available at: 
                        <E T="03">www.cdc.gov/rabies/specific_groups/hcp/serology.html#What%20Does%20A%20Rabies%20Virus%20Titer%20Mean</E>
                        ?
                    </P>
                </FTNT>
                <P>
                    A 2015 study found that 53% of imported rescue dogs arriving in Norway with rabies vaccinations administered at least 21 days before arrival had titers less than 0.5 IU/mL.
                    <SU>89</SU>
                    <FTREF/>
                     Nineteen percent of dogs in the study had titers less than 0.1 IU/mL, “raising concerns as to whether they had been vaccinated against rabies at all.” 
                    <SU>90</SU>
                    <FTREF/>
                     Two rabid dog importation events in the United States were also extensively evaluated, including serological evaluation of all dogs that were transported together. In these two events, one in 2019 and one in 2021, 44% (25 of 57) of dogs failed to mount an anamnestic response to booster vaccination; an indication that they were unvaccinated or inappropriately vaccinated prior to arrival in the US.
                    <E T="51">91 92</E>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>89</SU>
                         Klevar S, Hogasen HR, Davidson RK, Hammes IS, Treiberg Berndtsson L, LundA. Cross-border transport of rescue dogs may spread rabies in Europe. 
                        <E T="03">The Veterinary Record.</E>
                         2015; 176 (26): 672.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>90</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>91</SU>
                         Raybern, C., Zaldivar, A., Tubach, S., Ahmed, F., Moore, S., Kintner, C., Garrison, I. (2020) Rabies in a dog imported from Egypt-Kansas, 2019. 
                        <E T="03">Morbidity and Mortality Weekly Report,</E>
                         69(38), 1374-1377. Retrieved from 
                        <E T="03">https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6938a5-H.pdf.</E>
                    </P>
                    <P>
                        <SU>92</SU>
                         Whitehill F, Bonaparte S, Hartloge C, et al. Rabies in a Dog Imported from Azerbaijan- Pennsylvania, 2021. 
                        <E T="03">MMWR Morb Mortal Wkly Rep</E>
                         2022; 71: 686-689.
                    </P>
                </FTNT>
                <P>
                    During the COVID-19 pandemic, canine rabies vaccination campaigns were suspended in many DMRVV high-risk countries, which resulted in an increase in canine and human rabies cases.
                    <E T="51">93 94</E>
                    <FTREF/>
                     The pause in canine vaccination campaigns and the delay in re-establishing pre-COVID rabies vaccination rates in dogs in many DMRVV high-risk countries, combined with insufficient veterinary controls to prevent or eliminate DMRVV within a country,
                    <SU>95</SU>
                    <FTREF/>
                     as well as prevent the exportation of inadequately vaccinated dogs with fraudulent paperwork, presents an ongoing and significant public health risk.
                </P>
                <FTNT>
                    <P>
                        <SU>93</SU>
                         Kunkel, A., Jeon, S., Joseph, H., Dilius, P., Crowdis, K., Meltzer, M., Wallace, R. (2021). The urgency of resuming disrupted dog rabies vaccination campaigns: a modeling and cost-effectiveness analysis. 
                        <E T="03">Scientific Reports,</E>
                         11, 12476. doi:10.1038/s41598-021-92067-5.
                    </P>
                    <P>
                        <SU>94</SU>
                         Raynor, B., Díaz, E,, Shinnick, J., Zegarra, E., Monroy, Y., Mena. C., . . . Castillo-Neyra, R.(2021). The impact of the COVID-19 pandemic on rabies reemergence in Latin America: The case of Arequipa, Peru. 
                        <E T="03">PLoS Neglected Tropical Diseases,</E>
                         15(5), e0009414. doi:10.1371/journal.pntd.0009414.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>95</SU>
                         WHO Expert Consultation on Rabies, third report. Geneva: World Health Organization; 2018 (WHO Technical Report Series, No. 1012). License: CC BY-NC-SA 3.0 IGO.
                    </P>
                </FTNT>
                <P>
                    A survey of global, regional, national, and local partners from the network of the United Against Rabies Forum 
                    <SU>96</SU>
                    <FTREF/>
                     and rabies practitioners found that the global COVID-19 pandemic impacted rabies control efforts in many DMRVV high-risk countries during 2020. The study authors reported that dog vaccinations were administered as planned in just four percent of the countries for which data were available. Around half of respondents reported that funds for rabies control were diverted to COVID-19 activities. Among respondents who reported diversion of rabies control funds to COVID-19 responses, they reported that animal rabies vaccines and dog vaccination campaigns were often the first rabies control activities to be cut.
                    <SU>97</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>96</SU>
                         A forum supported by the Food and Agriculture Organization of the United Nations, the World Organisation for Animal Health, and the World Health Organization (the Tripartite), which takes a multi-sectoral, One Health approach bringing together governments, vaccine producers, researchers, non-governmental organizations and development partners to end human deaths from dog-mediated rabies.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>97</SU>
                         Nadal D, Abela-Ridder B, Beeching S, Cleaveland S, Cronin K, Steenson R and Hampson K (2022). The Impact of the First Year of the 
                        <PRTPAGE/>
                        COVID-19 Pandemic on Canine Rabies Control Efforts: A Mixed-Methods Study of Observations About the Present and Lessons for the Future. 
                        <E T="03">Front Trop Dis</E>
                         3:866811.doi: 10.3389/fitd.2022.866811.
                    </P>
                </FTNT>
                <PRTPAGE P="43576"/>
                <P>
                    Additionally, global veterinary workforce capacity and global veterinary supply chain shortages that have led to delayed or disrupted care for dogs (and other pets) have been exacerbated by the COVID-19 pandemic. The lack of veterinarians, veterinary technicians, and other animal care staff who are available to provide care for dogs prior to travel, combined with a lack of veterinary supplies such as drugs and vaccines, increase the likelihood dogs imported into the United States may pose a public health threat. 
                    <E T="51">98 99 100 101</E>
                    <FTREF/>
                     Challenges with rabies vaccine administration, distribution, potency, quality, and storage in many countries also contributed to inadequate protection against rabies prior to the pandemic; these challenges continue as public health infrastructure recovers post-pandemic.
                    <E T="51">102 103 104 105</E>
                    <FTREF/>
                     The extension of the temporary suspension is intended to provide time for CDC and its partners to build a robust dog importation system that better protects U.S. public health from these challenges.
                </P>
                <FTNT>
                    <P>
                        <SU>98</SU>
                         Zhang S. The great veterinary shortage. The Atlantic. July 6,2022. 
                        <E T="03">https://www.theatlantic.com/health/archive/2022/07/not-enough-veterinarians-animals/661497/.</E>
                    </P>
                    <P>
                        <SU>99</SU>
                         Martin D. Is the veterinarian shortage real or regional? AGCanada.com July 16, 2021. 
                        <E T="03">https://www.agcanada.com/2021/07/is-the-veterinarian-shortage-real-or-regional.</E>
                    </P>
                    <P>
                        <SU>100</SU>
                         The Business Research Company. Companion animal veterinary vaccines global market report 2023 (. . .). 
                        <E T="03">https://www.thebusinessresearchcompany.com/report/companion-animal-veterinary-vaccines-global-market-report.</E>
                    </P>
                    <P>
                        <SU>101</SU>
                         Lewin R. Aussie dog owners warned of national vaccine shortage as deadly bacterial disease spreads. 7 News.com.au. October 17,2022. 
                        <E T="03">https://7news.com.au/lifestyle/pets/aussie-dog-owners-warned-of-national-vaccine-shortage-as-deadly-bacterial-disease-spreads-c-8568550.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>102</SU>
                         Hu RL, Fooks AR, Zhang SF, Liu Y, Zhang F. Inferior rabies vaccine quality and low immunization coverage in dogs in China. 
                        <E T="03">Epidemiol Infect.</E>
                         2008; 136: 1556-63.
                    </P>
                    <P>
                        <SU>103</SU>
                         Yale G, Sudarshan S, Taj S, Patchimuthu GI, Mangalanathan BV, et al. Investigation of protective level of rabies antibodies in vaccinated dogs in Chennai, India. 
                        <E T="03">VetRecord.</E>
                         2021; 8: e8.
                    </P>
                    <P>
                        <SU>104</SU>
                         Whitehill F, Bonaparte S, Hartloge C, et al. Rabies in a Dog Imported from Azerbaijan- Pennsylvania, 2021. 
                        <E T="03">MMWR Morb Mortal Wkly Rep</E>
                         2022; 71: 686-689.
                    </P>
                    <P>
                        <SU>105</SU>
                         Rota Modari E, Alonso S, Mancin M, De Nardi M, Hudson-Cooke S, Veggiato C, et al. Rabies vaccination: higher failure rates in imported dogs than those vaccinated in Italy. 
                        <E T="03">Zoonoses and Public Health</E>
                         2022; 64 (2): 146-55.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">C. Potentially Unsafe Conditions for Dogs Arriving From DMRVV High-Risk Countries Without Appropriate Rabies Vaccination Certificates</HD>
                <P>
                    Prior to the implementation of the temporary suspension of the importation of dogs from countries at high-risk for rabies in July 2021, dogs arriving from DMRVV high-risk countries without appropriate rabies vaccination certificates were denied entry to the United States and returned to the country of origin on the next available flight.
                    <SU>106</SU>
                    <FTREF/>
                     Airlines were required to house dogs awaiting return to their country of origin at a facility meeting the USDA's Animal Welfare Act standards, preferably a live animal care facility with an active custodial bond and a FIRMS code issued by CBP. If a live animal care facility with a CBP-issued FIRMS code was not available, the airline was required to, at a minimum, provide accommodation meeting the USDA's Animal Welfare Act standards.
                    <SU>107</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>106</SU>
                         Centers for Disease Control and Prevention (2019). Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 
                        <E T="04">Federal Register</E>
                        <E T="03">,</E>
                         Vol. 84,724-730. Retrieved from 
                        <E T="03">https://www.federalregister.gov/documents/2019/01/31/2019-00506/guidance-regarding-agency-interpretation-of-rabies-free-as-it-relates-to-the-importation-of-dogs.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>107</SU>
                         U.S. Department of Agriculture (2020). Animal Welfare Regulations; Part 3, Subpart A: Transportation Standards. Sections 3.14-3.20. Retrieved from 
                        <E T="03">https://www.aphis.usda.gov/animal_welfare/downloads/AC_BlueBook_AWA_508_comp_version.pdf.</E>
                    </P>
                </FTNT>
                <P>However, due to the prolonged periods of time between flights, some airlines housed dogs in cargo warehouses. These accommodations created an unsafe environment for dogs because of inadequate cooling and heating, poor cleaning and sanitization of crates, and inability to physically separate the animals from areas of the warehouse where other equipment, machinery, and goods are used and stored. Cargo warehouse staff who are not trained to house, clean, and care for live animals with appropriate personal protective equipment were at risk of bites, scratches, and exposures to potentially infectious bodily fluids from dogs left in cargo warehouses.</P>
                <P>
                    Because of the COVID-19 pandemic, there were fewer international flights worldwide in 2020,
                    <E T="51">108 109</E>
                    <FTREF/>
                     resulting in delayed returns for dogs denied entry. In August 2020, a dog denied entry based on falsified rabies vaccination certificates later died while in the custody of an airline at Chicago O'Hare International Airport. Despite CDC's request to find appropriate housing at a local kennel or veterinary clinic, the airline left the dog, along with 17 other dogs, in a cargo warehouse without food and water for more than 48 hours.
                    <SU>110</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>108</SU>
                         Josephs, L. (2020). American Airlines cutting international summer schedule by 60% as coronavirus drives down demand. 
                        <E T="03">CNBC.</E>
                         Retrieved from 
                        <E T="03">https://www.cnbc.com/2020/04/02/coronavirus-update-american-airlines-cuts-summer-international-flights-by-60percent-as-demand-suffers.html.</E>
                    </P>
                    <P>
                        <SU>109</SU>
                         American Airlines (2020). American Airlines announces additional schedule changes in response to customer demand related to COVID-19. 
                        <E T="03">American Airlines Newsroom.</E>
                         Retrieved from 
                        <E T="03">https://news.aa.com/news/news-details/2020/American-Airlines-Announces-Additional-Schedule-Changes-in-Response-to-Customer-Demand-Related-to-COVID-19-031420-OPS-DIS-03/default.aspx.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>110</SU>
                         CBS Broadcasting (2020). Dog dies at O'Hare Airport warehouse, 17 others saved after being left without food or water for 3 days. 
                        <E T="03">CBS Chicago.</E>
                         Retrieved from 
                        <E T="03">https://www.cbsnews.com/chicago/news/dog-dies-at-ohare-airport-warehouse-17-others-saved-after-being-left-without-food-or-water-for-3-days.</E>
                    </P>
                </FTNT>
                <P>While costs associated with housing, caring for, and returning dogs are the responsibility of the importer (or airline if the importer abandons the dog), some importers and airlines are reluctant to pay these costs, requiring the U.S. Government to find appropriate interim housing facilities and veterinary care. The cost for housing, care, and returning improperly vaccinated dogs ranges between $1,000 and $4,000 per dog, depending on the location and time required until the next available return flight. Because there is no reimbursement system in place, and seeking reimbursement is administratively challenging, the U.S. Government is left to bear these costs when airlines and importers do not. From May through December 2020, CDC spent more than 3,000 personnel-hours at an estimated cost of $270,000 to respond to the attempted importation of unvaccinated or inadequately vaccinated dogs from DMRVV high-risk countries. The time spent represented a substantial increase from previous years due to (1) the increase in dogs with inadequate documentation; and (2) the additional time spent identifying interim accommodations for the dogs because of the reduced outbound international flight schedules due to the pandemic.</P>
                <P>
                    During 2020, CDC observed a 52 percent increase (from an average of 300 to 450) in the number of dogs found to be ineligible for entry compared to 2018 and 2019.
                    <SU>111</SU>
                    <FTREF/>
                     The trend continued in the first half of 2021 when there was a 24 percent increase (from 450 to 560) in the number of dogs ineligible for entry 
                    <PRTPAGE P="43577"/>
                    compared to the whole of 2020.
                    <SU>112</SU>
                    <FTREF/>
                     From January 1, 2021, to July 13, 2021, prior to CDC's temporary suspension taking effect, there were 16 sick dogs and 18 dead dogs reported to CDC upon arrival in the United States. From July 14, 2021, when the temporary suspension was initially implemented, to March 1, 2023, CDC has denied entry to 185 dogs, and 12 sick dogs and 34 deaths have been reported to CDC. This substantial decrease in the number of dogs denied entry (average of 93 dogs/month pre-suspension compared to 8 dogs/month during the suspension) since the implementation of the temporary suspension and reduced number of sick and dead dogs (average of 3 sick dogs/month pre-suspension compared to 0.6 sick dogs/month during the suspension; 3 dead dogs/month compared to 1.6 dead dogs/month during the suspension) arriving in the United States has resulted in an estimated $46,000 to $154,000 in cost savings to importers and $2,400 to $120,000 in cost savings to Federal, state, and local public health and animal health agencies when comparing the two periods. The risk of dogs dying while being held in unsafe conditions continues however and, in the absence of a return to pre-pandemic global vaccination campaigns and public health resources, would likely be exacerbated if the temporary suspension were to be lifted at this time. For example, in March 2023, a dog arrived at a port of entry without a CDC-approved animal care facility and was housed by the airline in a cargo warehouse where it was later found dead.
                </P>
                <FTNT>
                    <P>
                        <SU>111</SU>
                         Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                        <E T="03">PLoS ONE,</E>
                        16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>112</SU>
                         Centers for Disease Control and Prevention. Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog Importation data, January 1, 2021-July 14, 2021. Accessed: 04 January 2022.
                    </P>
                </FTNT>
                <P>
                    Since the temporary suspension initially took effect in mid-July 2021, the number of dogs denied entry and the number of sick and dead dogs has decreased substantially despite the increased communicable disease risk due to pandemic-related disruptions to vaccination programs in DMRVV high-risk countries and veterinary supply chain and staffing shortages worldwide. These data constitute strong evidence that the suspension has been effective at preventing the importation of dogs that present a communicable disease risk that would otherwise require significant U.S. resources to address. Prior to the temporary suspension, an increasing number of dogs were denied entry into the United States in 2020 and 2021, and there were fewer international flights in 2020 and 2021 compared to 2022.
                    <SU>113</SU>
                    <FTREF/>
                     If the increased number of international flights in 2023 corresponds with numbers of dogs denied entry per flight in 2020 and 2021, then lifting the temporary suspension at this time, absent other public health measures, could result in a number of dogs denied entry equal to or greater than pre-suspension numbers. A concomitant increase in the number of sick, dead, or inadequately vaccinated dogs arriving in the United States could quickly overwhelm local public health and veterinary healthcare systems which do not have resources to provide long-term care or quarantine for imported dogs.
                </P>
                <FTNT>
                    <P>
                        <SU>113</SU>
                         U.S. Bureau of Transportation Statistics. (2022) August 2022 U.S. Airline Traffic Data. 
                        <E T="03">https://www.bts.gov/newsroom/august-2022-us-airline-traffic-data.</E>
                    </P>
                </FTNT>
                <P>Because there remains an elevated level of risk of a rabid dog being imported into the United States and responding to imports of potentially rabid dogs or dogs with other communicable illnesses of public health concern requires significant veterinary and public health resources, lifting the temporary suspension would be unwarranted at this time.</P>
                <P>
                    Instead, CDC is extending the temporary suspension for dogs arriving into the United States from DMRVV high-risk countries. Given that temporary suspension has proven successful in preventing the reintroduction of DMRVV into the United States and has resulted in a decrease in the number of issues with imported dogs (
                    <E T="03">i.e.,</E>
                     suspected fraudulent documentation, dogs abandoned by importers, sick and dead dogs arriving in the United States) compared to the period prior to the temporary suspension, maintaining the current requirements for dog importation should not result in an increased need for veterinary and public health resources to address dog importation issues. As noted above, in a companion document published elsewhere in this 
                    <E T="04">Federal Register</E>
                    <E T="03">,</E>
                     CDC is proposing a rule revising entry requirements that outlines a framework and set of operations that would mitigate the need for further extensions of the temporary suspension, should these procedures be adopted.
                </P>
                <HD SOURCE="HD1">III. Conditions for Entry of U.S.-Vaccinated Dogs During the Extension</HD>
                <P>
                    CDC is extending without modification the terms of the current temporary suspension, which was effective February 1, 2023. Dogs returning to the United States from DMRVV high-risk countries with a valid U.S.-issued rabies vaccination certificate will be allowed to enter the United States without a 
                    <E T="03">CDC Dog Import Permit,</E>
                     if the dog:
                </P>
                <P>• Is six-months of age or older;</P>
                <P>• Has an International Standards Organization (ISO)-compatible microchip;</P>
                <P>• Arrives at one of 18 CDC-approved ports of entry with CDC-staffed quarantine stations; and</P>
                <P>• Has a valid U.S. rabies vaccination certificate documenting that the dog was vaccinated against rabies by a U.S.-licensed veterinarian in the United States on or after the date the dog was 12 weeks (84 days) of age and at least four weeks (28 days) before the date of arrival in the United States if it was the dog's first rabies vaccine. The rabies vaccination certificate must include:</P>
                <P>○ Name and address of owner;</P>
                <P>○ Breed, sex, date of birth (approximate age if date of birth unknown), color, markings, and other identifying information for the dog;</P>
                <P>○ Microchip number;</P>
                <P>
                    ○ Date of rabies vaccination and date next vaccine is due (
                    <E T="03">i.e.,</E>
                     date the vaccination expires);
                </P>
                <P>○ Vaccine manufacturer, product name, lot number, and product expiration date; and</P>
                <P>○ Name, license number, address, and signature of veterinarian who administered the vaccination.</P>
                <P>
                    U.S. veterinarians, at their option, may choose to include the above information on the 
                    <E T="03">CDC Rabies Vaccination and Microchip Record</E>
                     
                    <SU>114</SU>
                    <FTREF/>
                     for U.S.-vaccinated dogs prior to traveling outside the United States, but completion of the form is not required for a U.S.-vaccinated dog's re-entry into the United States if all other necessary information has been provided.
                </P>
                <FTNT>
                    <P>
                        <SU>114</SU>
                         (OMB No. 0920-1383); the form is available for download online at: 
                        <E T="03">www.cdc.gov/dogpermit.</E>
                    </P>
                </FTNT>
                <P>U.S.-vaccinated dogs with expired U.S. rabies vaccination certificates must meet the requirements for foreign-vaccinated dogs after being revaccinated prior to U.S. entry.</P>
                <P>There is no limit on the number of U.S.-vaccinated dogs with valid U.S.-issued rabies vaccination certificates that an importer can import.</P>
                <P>
                    These requirements are consistent with CDC's practices as of December 1, 2021 and are a continuation of the terms of the extended temporary suspension announced in the January 27, 2023 
                    <E T="04">Federal Register</E>
                     notice.
                    <SU>115</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>115</SU>
                         88 FR 5348 (Jan. 27, 2023), effective February 1, 2023.
                    </P>
                </FTNT>
                <PRTPAGE P="43578"/>
                <HD SOURCE="HD1">IV. Conditions for Entry of Foreign-Vaccinated Dogs With a CDC Dog Import Permit During the Extension</HD>
                <P>
                    CDC is continuing to require foreign-vaccinated dogs to meet the terms of the temporary suspension published in the January 27, 2023 
                    <E T="04">Federal Register</E>
                     notice.
                    <SU>116</SU>
                    <FTREF/>
                     Importers of personal pet dogs may receive up to two 
                    <E T="03">CDC Dog Import Permits</E>
                     (
                    <E T="03">i.e.,</E>
                     permits for two dogs) during the temporary suspension period.
                    <SU>117</SU>
                    <FTREF/>
                     Commercial importers and personal pet owners who do not have serologic titer results or 
                    <E T="03">CDC Dog Import Permits</E>
                     for their dogs will also continue to have an alternate pathway for importation as outlined in Section V.
                </P>
                <FTNT>
                    <P>
                        <SU>116</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>117</SU>
                         The two-permit limit is for the effective date of this notice from August 1, 2023-July 31,2024.
                    </P>
                </FTNT>
                <P>
                    All importers of personal pet dogs (defined for the purpose of this notice as owners or importers who are not importing for the purpose of resale, rescue, or adoption and who are attempting to import fewer than three dogs total between August 1, 2023-July 31, 2024) from DMRVV high-risk countries are eligible to apply for a 
                    <E T="03">CDC Dog Import Permit.</E>
                     Commercial dog importers (defined for the purpose of this notice as importing three or more dogs during the suspension or those being imported for resale, rescue, or adoption) are not eligible to apply for a 
                    <E T="03">CDC Dog Import Permit</E>
                     and their dogs must meet the alternate pathway requirements for entry outlined in Section V below.
                </P>
                <P>
                    Foreign-vaccinated dogs arriving from DMRVV high-risk countries with a valid 
                    <E T="03">CDC Dog Import Permit</E>
                     will be allowed to enter the United States if the dogs:
                </P>
                <P>• Are six-months of age or older (photographs of the dog's teeth are required for age verification);</P>
                <P>• Have an ISO-compatible microchip;</P>
                <P>
                    • Have a 
                    <E T="03">CDC Rabies Vaccination and Microchip Record</E>
                     
                    <SU>118</SU>
                    <FTREF/>
                     completed by the veterinarian who administered the rabies vaccine. The record must state that the vaccine was administered on or after the date the dog was 12 weeks (84 days) of age. The record must be in English;
                </P>
                <FTNT>
                    <P>
                        <SU>118</SU>
                         Approved under OMB Control Number 0920-1383 Importation Regulations (42 CFR 71 subpart F) (exp. 1/31/2026, or as revised).
                    </P>
                </FTNT>
                <P>
                    • Have serologic evidence of rabies vaccination (titer) from an approved rabies serology laboratory 
                    <SU>119</SU>
                    <FTREF/>
                     (serologic titer results ≥0.5 IU/mL are required) with the sample collected at least 45 days prior to entry and no greater than 365 days before entry; and
                </P>
                <FTNT>
                    <P>
                        <SU>119</SU>
                         Centers for Disease Control and Prevention (2022). Approved Rabies Serology Laboratories for Testing Dogs. Retrieved from 
                        <E T="03">https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/approved-labs.html.</E>
                    </P>
                </FTNT>
                <P>• Arrive at one of the 18 CDC-approved ports of entry with CDC-staffed quarantine stations.</P>
                <P>
                    To apply for a 
                    <E T="03">CDC Dog Import Permit,</E>
                     importers whose dogs meet the entry requirements listed above must submit the 
                    <E T="03">Application for Special Exemption for a Permitted Dog Import.</E>
                    <SU>120</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>120</SU>
                         Approved under OMB Control Number 0920-1383 Importation Regulations (42 CFR 71 Subpart F) (exp. 1/31/2026, or as revised). The permit application is available online at 
                        <E T="03">www.cdc.gov/dogpermit.</E>
                    </P>
                </FTNT>
                <P>
                    The importer's application, with all supporting documentation, must be submitted at least 30 business days (
                    <E T="03">i.e.,</E>
                     excluding weekends and U.S. Federal holidays) before the date on which the dog will enter the United States. Importers may submit an application electronically at 
                    <E T="03">www.cdc.gov/dogpermit.</E>
                     An application cannot be made at the port of entry upon the dogs' arrival in the United States. Dogs that arrive without a 
                    <E T="03">CDC Dog Import Permit</E>
                     will be returned to their country of departure on the next available flight or if the dog meets the requirements outlined in Section V, the dog may be quarantined at the importer's expense at a CDC-approved animal care facility (if one is located at the port of entry where the dog arrived) pending availability and payment of all associated examination, revaccination, and quarantine fees upfront.
                </P>
                <P>
                    Within 10 days of arrival, foreign-vaccinated dogs with a 
                    <E T="03">CDC Dog Import Permit</E>
                     must receive a USDA-licensed rabies booster vaccination administered by a U.S. veterinarian.
                </P>
                <HD SOURCE="HD1">V. Conditions for Entry of Foreign-Vaccinated Dogs Without a CDC Dog Import Permit During the Extension</HD>
                <P>
                    CDC is continuing the requirements of the temporary suspension published in the January 27, 2023, 
                    <E T="04">Federal Register</E>
                     notice 
                    <SU>121</SU>
                    <FTREF/>
                     that provide an alternate pathway for importers of personally owned pets who do not have a 
                    <E T="03">CDC Dog Import Permit</E>
                     and for commercial dog importers to import dogs. While importers of commercial shipments of dogs cannot apply for a 
                    <E T="03">CDC Dog Import Permit,</E>
                     a separate entry process, as outlined below, has been established. All commercial dog importers from DMRVV high-risk countries may import dogs provided that the dogs, upon entering the United States, are examined, revaccinated, and have proof of an adequate titer from a CDC-approved laboratory upon arrival or are held in quarantine at a CDC-approved animal care facility until they meet CDC entry requirements. Importers of personally owned pets may also choose to use this pathway in lieu of obtaining a 
                    <E T="03">CDC Dog Import Permit.</E>
                </P>
                <FTNT>
                    <P>
                        <SU>121</SU>
                         88 FR 5348 (Jan. 27, 2023), effective February 1, 2023.
                    </P>
                </FTNT>
                <P>
                    Foreign-vaccinated dogs without a valid 
                    <E T="03">CDC Dog Import Permit</E>
                     must meet all of the following requirements:
                </P>
                <P>
                    • Dogs must enter at a port of entry with a CDC-approved animal care facility; 
                    <SU>122</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>122</SU>
                         Centers for Disease Control and Prevention (2022). Bringing a dog into the United States. Retrieved from 
                        <E T="03">www.cdc.gov/dogtravel.</E>
                    </P>
                </FTNT>
                <P>• Dogs must be six months of age or older at the time of entry;</P>
                <P>• Dogs must have an ISO-compatible microchip; and</P>
                <P>
                    • Dogs must have a 
                    <E T="03">CDC Rabies Vaccination and Microchip Record</E>
                     
                    <SU>123</SU>
                    <FTREF/>
                     completed by the veterinarian who administered the rabies vaccine. The record must be complete and state that the vaccine was administered on or after the date the dog was 12 weeks (84 days) of age. The record must be in English;
                </P>
                <FTNT>
                    <P>
                        <SU>123</SU>
                         Approved under OMB Control Number 0920-1383 Importation Regulations (42 CFR 71 Subpart F) (exp. 1/31/2026, or as revised).
                    </P>
                </FTNT>
                <P>
                    • Importers must provide all required entry documents (
                    <E T="03">CDC Rabies Vaccination and Microchip Record,</E>
                     serologic titer results if available, photos of dogs' teeth) to the CDC-approved animal care facility at least 10 days before the dogs' arrival;
                </P>
                <P>• Importers must arrange for an examination date and time and reserve space with a CDC-approved animal care facility;</P>
                <P>
                    • Importers must arrange for transportation by a CBP-bonded transporter (
                    <E T="03">i.e.,</E>
                     provided by the airline carrier or a CDC-approved animal care facility) to a CDC-approved animal care facility immediately upon the dogs' arrival to the United States; and
                </P>
                <P>• Dogs must undergo veterinary examination and revaccination against rabies at a CDC-approved animal care facility upon arrival at the importer's expense.</P>
                <P>Dogs must also be held at the CDC-approved animal care facility until the following entry requirements are completed:</P>
                <P>
                    • Veterinary health examination by a USDA-accredited veterinarian for signs of illness, including zoonotic or foreign 
                    <PRTPAGE P="43579"/>
                    animal diseases. Suspected or confirmed zoonotic or foreign animal diseases must be reported to CDC, USDA, the state or territorial public health veterinarian, and the state or territorial veterinarian;
                </P>
                <P>• The CDC-approved animal care facility must report all signs of illness or parasitism to CDC and may not release the dog without the written approval of CDC;</P>
                <P>• Vaccination against rabies with a USDA-licensed rabies vaccine and administered by a USDA-accredited veterinarian;</P>
                <P>• Confirmation of microchip number;</P>
                <P>• Confirmation of age through dental examination by a USDA-accredited veterinarian; and</P>
                <P>
                    • Verification of adequate rabies titer from a CDC-approved laboratory.
                    <SU>124</SU>
                    <FTREF/>
                     Serologic titer results of ≥0.5IU/mL are required from a CDC-approved laboratory, with the sample collected at least 45 days prior to entry and no greater than 365 days before entry. Dogs that arrive without documentation of an adequate rabies titer from an approved laboratory must be housed at the CDC-approved animal care facility for a 28-day quarantine at the expense of the importer following administration of the U.S. rabies vaccine in addition to meeting the criteria listed above. Dogs cannot be released from quarantine unless all requirements have been met.
                </P>
                <FTNT>
                    <P>
                        <SU>124</SU>
                         Approved laboratories can be found at: 
                        <E T="03">www.cdc.gov/importation/bringing-an-animal-into-the-united-states/approved-labs.html.</E>
                    </P>
                </FTNT>
                <P>Importers are responsible for all fees associated with the importation of dogs into the United States, including transportation, examination, revaccination, and quarantine fees.</P>
                <P>
                    Foreign-vaccinated dogs arriving without a 
                    <E T="03">CDC Dog Import Permit</E>
                     must enter the United States through a CDC-approved port of entry with a CDC-approved animal care facility. As of May 1, 2023, these facilities are located at: Atlanta Hartsfield-Jackson International Airport, John F. Kennedy International Airport (New York), Los Angeles International Airport, Miami International Airport, and Washington Dulles International Airport (outside Washington, DC). Importers are responsible for reserving examination times and space at the CDC-approved animal care facility prior to arrival in the United States. Dogs that arrive at unapproved ports of entry or without reservations at a CDC-approved animal care facility will be denied entry and returned to the country of departure.
                </P>
                <HD SOURCE="HD1">VI. Continued Conditions for All Dogs From DMRVV High-Risk Countries During the Extension</HD>
                <P>
                    Consistent with the terms of the original temporary suspension published in the June 16, 2021, 
                    <E T="04">Federal Register</E>
                     notice,
                    <SU>125</SU>
                    <FTREF/>
                     all dogs arriving from DMRVV high-risk countries must be microchipped prior to arrival in the United States. The microchip can be administered in any country and does not need to be a U.S.-issued microchip. The microchip number must be listed on the 
                    <E T="03">CDC Rabies Vaccination and Microchip Record</E>
                     or U.S.-issued rabies vaccination certificate. The microchip must be ISO-compatible.
                </P>
                <FTNT>
                    <P>
                        <SU>125</SU>
                         86 FR 32041 (June 16, 2021), effective July 14, 2021.
                    </P>
                </FTNT>
                <P>Any dog from a DMRVV high-risk country not otherwise meeting the requirements outlined in Sections III-V above will be excluded from entering the United States and returned to its country of departure on the next available flight, regardless of carrier or route, if the dog arrives under any of the following circumstances:</P>
                <P>
                    • A dog arrives in the United States and does not meet the minimum pre-arrival requirements (
                    <E T="03">i.e.,</E>
                     age greater than six months, microchip, and either valid U.S.-issued rabies vaccination certificate or complete and accurate 
                    <E T="03">CDC Rabies Vaccination and Microchip Record</E>
                    );
                </P>
                <P>
                    • A dog presented does not match the description of the animal listed on the permit (if required), U.S. rabies vaccination certificate, or 
                    <E T="03">CDC Rabies Vaccination and Microchip Record;</E>
                </P>
                <P>• A dog arrives at an unapproved port of entry;</P>
                <P>• A dog arrives at an airport with a CDC-approved animal care facility without a reservation and no space at the facility is available; or</P>
                <P>• Importer refuses transportation to, or receipt of, or payment for services at, a CDC-approved animal care facility (if required). CDC may consider the dog abandoned and transfer custody of the dog to the airline carrier for final disposition.</P>
                <P>The importer shall be financially responsible for all housing, care, and return costs. If an importer abandons a dog while it is at a CDC-approved animal care facility, the carrier shall become responsible for all costs associated with the care, housing, and return of the dog to the country of departure. In keeping with current practice, importers should continue to check with Federal, state, and local government officials regarding additional requirements of the final destination prior to entry or re-entry into the United States.</P>
                <HD SOURCE="HD1">VII. Additional Determinations Relating to This Notice</HD>
                <P>Pursuant to the terms of this notice, CDC is extending the temporary suspension for the importation of dogs from DMRVV high-risk countries. This suspension includes dogs originating in DMRVV low-risk or DMRVV-free countries that have been in a DMRVV high-risk country in the previous six months (not including animals transiting through DMRVV high-risk countries).</P>
                <P>To enter the United States, dogs imported from a DMRVV high-risk country must meet certain entry requirements as described in Sections III through V of this notice.</P>
                <GPOTABLE COLS="4" OPTS="L2,nj,p7,7/8,i1" CDEF="s50,r50,r50,r50">
                    <TTITLE>Table 1—Entry Conditions for Dogs Under Extended Temporary Suspension</TTITLE>
                    <BOXHD>
                        <CHED H="1">Dogs with valid U.S. rabies vaccination certificate (RVC)</CHED>
                        <CHED H="1">
                            Dogs with valid 
                            <E T="03">CDC</E>
                              
                            <LI>
                                <E T="03">Dog ImportPermit</E>
                                  
                            </LI>
                            <LI>(fewer than three dogs being imported with titer)</LI>
                        </CHED>
                        <CHED H="1">
                            Dogs with valid 
                            <E T="03">CDC Rabies</E>
                              
                            <LI>
                                <E T="03">Vaccination and Microchip Record</E>
                                  
                            </LI>
                            <LI>without titer</LI>
                        </CHED>
                        <CHED H="1">
                            Dogs with valid 
                            <E T="03">CDC Rabies</E>
                              
                            <LI>
                                <E T="03">Vaccination and Microchip Record</E>
                                  
                            </LI>
                            <LI>with titer</LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">At least six months of age</ENT>
                        <ENT>At least six months of age</ENT>
                        <ENT>At least six months of age</ENT>
                        <ENT>At least six months of age.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Microchip</ENT>
                        <ENT>Microchip</ENT>
                        <ENT>Microchip</ENT>
                        <ENT>Microchip.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Entry allowed at 18 ports of entry with CDC quarantine station</ENT>
                        <ENT>
                            Entry allowed at 18 ports of entry with CDC quarantine station with valid 
                            <E T="03">CDC Dog Import Permit</E>
                             issued prior to arrival
                        </ENT>
                        <ENT>Entry allowed at five ports of entry with CDC-approved animal care facility</ENT>
                        <ENT>Entry allowed at five ports of entry with CDC-approved animal care facility.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Titer not needed</ENT>
                        <ENT>Serologic titer (≥0.5 IU/mL) from a CDC-approved laboratory. Titer drawn at least 45 days before entry and not more than 365 days before entry</ENT>
                        <ENT>Not applicable *</ENT>
                        <ENT>Serologic titer (≥0.5 IU/mL) from a CDC-approved laboratory. Titer drawn at least 45 days before entry and not more than 365 days before entry.</ENT>
                    </ROW>
                    <ROW>
                        <PRTPAGE P="43580"/>
                        <ENT I="01">No quarantine</ENT>
                        <ENT>No quarantine</ENT>
                        <ENT>28-day quarantine at CDC-approved animal care facility</ENT>
                        <ENT>No quarantine.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Veterinary exam, booster vaccination or quarantine not required unless the animal appears ill upon arrival</ENT>
                        <ENT>
                            Veterinary exam or quarantine not required with valid 
                            <E T="03">CDC Dog Import Permit</E>
                             unless the animal appears ill upon arrival. Booster vaccination is required within 10 days of arrival by U.S. veterinarian
                        </ENT>
                        <ENT>Veterinary examination, booster vaccination, and paperwork verification at CDC-approved animal care facility required upon arrival</ENT>
                        <ENT>Veterinary examination, booster vaccination, and paperwork verification at CDC-approved animal care facility required upon arrival.</ENT>
                    </ROW>
                    <TNOTE>* This is an alternate pathway for importation in the event documentation of an adequate titer is not available upon arrival.</TNOTE>
                </GPOTABLE>
                <P>
                    The temporary suspension will continue to reduce the risk of importation of DMRVV and ensure public health safeguards are in place for the importation of dogs from DMRVV high-risk countries. The terms of the temporary suspension allow for sufficient safeguards to mitigate the public health risk. The temporary suspension will also allow CDC to continue to work with Federal partners and the animal transportation industry to implement more streamlined processes for verification of vaccination records prior to travel. The proposed rule issued as a companion document published elsewhere in this 
                    <E T="04">Federal Register</E>
                     reflects these streamlined processes. CDC will also continue to identify additional animal care facilities for the safe housing of animals arriving at ports of entry. Most importantly, it will ensure that U.S. public health remains protected.
                </P>
                <P>Therefore, pursuant to 42 CFR 71.51and 42 CFR 71.63, CDC hereby excludes the entry and suspends (subject to the terms and conditions outlined in this notice) the importation of dogs from DMRVV high-risk countries, including dogs from DMRVV low-risk and DMRVV-free countries if the dogs have been present in a DMRVV high-risk country in the previous six months.</P>
                <P>Additionally, under 42 CFR 71.63, CDC continues to find that DMRVV exists in countries designated as DMRVV high-risk countries and that, if reintroduced into the United States, DMRVV would threaten the public health of the United States. The continued entry of dogs from DMRVV high-risk countries in the context of rabies vaccination campaign disruptions and veterinary supply and veterinary workforce shortages as a result of the COVID-19 pandemic, as well as the insufficient safeguards in place to prevent the exportation of inadequately vaccinated dogs from DMRVV high-risk countries, further increases the risk that DMRVV may be introduced, transmitted, or spread into the United States. CDC has coordinated in advance with other Federal agencies as necessary to implement and enforce this notice.</P>
                <P>
                    CDC further clarifies through this notice that there is no agency policy of using the “least restrictive means” (as that concept is typically understood and applied in cases involving interests protected by the U.S. Constitution) in regard to animal importations under 42 CFR part 71. “The Due Process Clause of the Fourteenth Amendment imposes procedural constraints on governmental decisions that deprive individuals of liberty or property interests.” 
                    <E T="03">Nozzi</E>
                     v. 
                    <E T="03">Hous. Auth. Of City of Los Angeles,</E>
                     806 F.3d 1178, 1190 (9th Cir. 2015). However, “[d]ue process protections extend only to deprivations of protected interests.” 
                    <E T="03">Shinault</E>
                     v. 
                    <E T="03">Hawks,</E>
                     782 F.3d 1053, 1057 (9th Cir. 2015). Because individuals have no protected property or liberty interest in importing dogs into the United States, it is CDC's policy to not employ a constitutional analysis of “least restrictive means” in regard to animal imports under 42 CFR part 71. 
                    <E T="03">See Ganadera Ind.</E>
                     v. 
                    <E T="03">Block,</E>
                     727 F.2d 1156, 1160 (D.C. Cir. 1984) (“no constitutionally-protected right to import into the United States”); 
                    <E T="03">see also Arjay Assoc.</E>
                     v. 
                    <E T="03">Bush,</E>
                     891 F.2d. 894, 896 (Fed. Cir. 1989) (“It is beyond cavil that no one has a constitutional right to conduct foreign commerce in products excluded by Congress.”).
                </P>
                <P>Notwithstanding, to the extent that any court determines that an analysis of “least restrictive means” is necessary, CDC finds and asserts that the measures contained in this notice constitute the least restrictive means of protecting the public's health from the reintroduction of DMRVV. Although a complete ban on all dog imports would arguably provide a greater level of public health protection, it would deprive individuals of the many benefits arising from dog imports including the companionship offered by pet dogs. Similarly, removing all restrictions at this time (as has been explained in this notice) would endanger the public's health and risk the reintroduction of DMRVV based on, among other things, the high volume of imported dogs contemporaneous with insufficient veterinary controls in DMRVV high-risk countries to prevent the export of inadequately vaccinated dogs as well as inadequate veterinary supply chains and persistent workforce capacity shortages in DMRVV high-risk countries that export dogs to the United States. Accordingly, in establishing the terms and conditions of this notice, CDC has carefully balanced the need to protect the public's health against the potential burden on importers and determined that the measures in this notice constitute the least restrictive means.</P>
                <P>
                    This notice is not a legislative rule within the meaning of the Administrative Procedure Act (APA), but rather a notice of an exclusion and temporary suspension taken under the existing authority of 42 CFR 71.51(e) and 42 CFR 71.63, which were previously promulgated with full notice and comment. If this notice qualifies as a legislative rule under the APA, notice and comment and a delay in effective date are not required because there is good cause to dispense with prior public notice and the opportunity to comment on this notice. Considering the high volume of imported dogs contemporaneous with insufficient veterinary controls in DMRVV high-risk countries to prevent the export of inadequately vaccinated dogs, inadequate veterinary supply chains, and persistent workforce capacity shortages in DMRVV high-risk countries that export dogs to the United States, it would be impractical and contrary to the public's health, and by extension the public's interest, to delay the issuance and effective date of this notice. Notwithstanding, CDC is publishing this notice in advance of its effective date, to assure potential dog importers and other interested parties that the terms of the temporary suspension have not changed, and therefore does not require 
                    <PRTPAGE P="43581"/>
                    changes to their current operations and will remain in effect through July 31, 2024.
                </P>
                <P>CDC has further determined that good cause exists for a one-year extension of the temporary suspension through July 31, 2024, to address public health concerns regarding importation of dogs infected with rabies. Moreover, in parallel to this notice announcing the extension of the temporary suspension, CDC is proposing a rule revising entry requirements to address these concerns regarding importation of rabid dogs and fraudulent vaccination documentation. The proposed rule outlines a framework and set of operations that would mitigate the need for further extensions of the temporary suspension, should these procedures be adopted. In consideration of both the anticipated needs for global rabies vaccine campaigns to return to pre-pandemic levels and to avoid disruption to importers' and the travel industry's operations, CDC has determined that a one-year extension of the temporary suspension through July 31, 2024, is required to protect the public's health and is therefore in the public's interest. In the absence of further extension of the temporary suspension, dog importation requirements would return to procedures that proved inadequate to prevent the import of rabid dogs into the United States. A one-year extension provides time for CDC to continue to build a robust dog importation system while global rabies vaccination efforts continue to rebound. It will also avoid potential public confusion regarding changing dog importation requirements and better address the needs of importers, the animal care and transport industry, and Federal partners who have indicated they would need time to adequately prepare for any changes to their current operations. The proposed rule published in parallel with this extension provides an opportunity for public comment and input on any new procedures.</P>
                <P>This temporary suspension will enter into effect on August 1, 2023, and remain in effect through July 31, 2024, unless modified or rescinded by the CDC Director based on public health or other considerations.</P>
                <SIG>
                    <NAME>Kathryn Wolff,</NAME>
                    <TITLE>Chief of Staff, Centers for Disease Control and Prevention.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14342 Filed 7-6-23; 4:15 pm]</FRDOC>
            <BILCOD>BILLING CODE 4163-18-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF HOMELAND SECURITY</AGENCY>
                <DEPDOC>[CIS No. 2751-23; DHS Docket No. USCIS-2023-0008]</DEPDOC>
                <RIN>RIN 1615-ZC01</RIN>
                <SUBJECT>Implementation of a Family Reunification Parole Process for Guatemalans</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Department of Homeland Security.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of implementation of a family reunification parole process for Guatemalans.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This notice announces the U.S. Department of Homeland Security's (DHS) creation and implementation of a family reunification parole process (FRP) for Guatemalans. Under this process, certain Guatemalan principal beneficiaries of an approved Form I-130, Petition for Alien Relative, and their immediate family members, will be issued advance authorization to travel to the United States to seek a discretionary grant of parole into the United States for a period of up to three years, rather than remain outside the United States while awaiting availability of their immigrant visas. This process will allow family members to reunite in the United States while they wait for their immigrant visas to become available. This process is voluntary and intended to provide an additional lawful, safe, and orderly avenue for migration from Guatemala to the United States as an alternative to irregular migration to help relieve pressure at the Southwest Border (SWB) and reunite families, consistent with U.S. national security interests and foreign policy priorities. The process complements other efforts to collaboratively manage migration in the Western Hemisphere and at the SWB as the U.S. Government (USG) continues to implement its broader, multi-pronged, and regional strategy to address the challenges posed by irregular migration.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>DHS will begin using the Form I-134A, Online Request to be a Supporter and Declaration of Financial Support, for this process on July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Rená Cutlip-Mason, Chief, Humanitarian Affairs Division, Office of Policy and Strategy, U.S. Citizenship and Immigration Services, Department of Homeland Security, by mail at 5900 Capital Gateway Drive, Camp Springs, MD 20746, or by phone at 800-375-5283.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Background</HD>
                <P>
                    This notice describes the implementation of a new parole process for certain Guatemalan nationals and their immediate family members,
                    <SU>1</SU>
                    <FTREF/>
                     including the eligibility criteria and filing process. The parole process is intended to reunite families more quickly and offer an alternative to dangerous irregular migration routes through North and Central America to the United States by providing a process for certain Guatemalans and their immediate family members to lawfully enter the United States in a safe and orderly manner.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         Throughout this notice, “immediate family members” is used as a shorthand for the derivative beneficiary spouse and children of a principal beneficiary. 
                        <E T="03">See</E>
                         INA sec. 203(d), 8 U.S.C. 1153(d); 
                        <E T="03">see also</E>
                         INA sec. 101(b)(1), 8 U.S.C. 1101(b)(1) (defining “child,” in general, as meaning “an unmarried person under twenty-one years of age”).
                    </P>
                </FTNT>
                <P>
                    The USG is committed to implementing a comprehensive framework to manage migration through North and Central America.
                    <SU>2</SU>
                    <FTREF/>
                     Executive Order (E.O.) 14010 called for a four-pronged approach, including: addressing the root causes of irregular migration; managing migration throughout the region collaboratively with other nations and stakeholders; restoring and enhancing the U.S. asylum system and the process for migrants at the SWB to access this system; and creating and expanding lawful pathways for migrants to enter the United States and seek protection.
                    <SU>3</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See generally</E>
                         Executive Order 14010, 
                        <E T="03">Creating a Comprehensive Regional Framework to Address the Causes of Migration, To Manage Migration Throughout North and Central America, and To Provide Safe and Orderly Processing of Asylum Seekers at the United States Border</E>
                         (Feb. 2, 2021). 
                        <E T="03">https://www.govinfo.gov/content/pkg/FR-2021-02-05/pdf/2021-02561.pdf; see also</E>
                         NSC, 
                        <E T="03">Collaborative Migration Management Strategy</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-Migration-Management-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         E.O. 14010 at secs. 2-4.
                    </P>
                </FTNT>
                <P>
                    In July 2021, the National Security Council (NSC) published the 
                    <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America.</E>
                    <SU>4</SU>
                    <FTREF/>
                     This strategy outlined a comprehensive framework within which federal government agencies would work collaboratively to address the root causes of irregular migration through Central America, noting long-standing political instability, insecurity, and climate change in the region. Also in July 2021, the NSC published the 
                    <E T="03">Collaborative Migration Management Strategy,</E>
                     which described U.S. strategy to collaboratively manage migration 
                    <PRTPAGE P="43582"/>
                    through Central America.
                    <SU>5</SU>
                    <FTREF/>
                     Further, in March 2022, DHS published an interim final rule (IFR) intended to allow U.S. immigration officials to consider more promptly the asylum claims of individuals encountered at or near the SWB while ensuring the fundamental fairness of the asylum process.
                    <SU>6</SU>
                    <FTREF/>
                     In June 2022, through the Los Angeles Declaration on Migration and Protection (L.A. Declaration), the United States, along with several countries in the Western Hemisphere, committed to strengthen national, regional, and hemispheric efforts to create the conditions for safe, orderly, humane, and regular migration, and signaled their intent to work together to expand access to regular pathways for migrants and international protection, including through family reunification options where appropriate and feasible, in accordance with national legislation.
                    <SU>7</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         NSC 
                        <E T="03">Collaborative Migration Management Strategy</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-%20Migration-%20Management-%20Strategy.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         Procedures for Credible Fear Screening and Consideration of Asylum, Withholding of Removal, and CAT Protection Claims by Asylum Officers, 87 FR 18078 (Mar. 29, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         The White House, 
                        <E T="03">Los Angeles Declaration on Migration and Protection</E>
                         (June 10, 2022), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <P>
                    A critical component of this migration framework is the creation and expansion of lawful pathways through which migrants can come to the United States as one means of reducing irregular migration flows. Building on the success of Uniting for Ukraine,
                    <SU>8</SU>
                    <FTREF/>
                     in October 2022, the United States announced a parole process for certain Venezuelan nationals and their immediate family members to lawfully enter the United States in a safe and orderly manner.
                    <SU>9</SU>
                    <FTREF/>
                     The process for Venezuelans was designed to immediately address the humanitarian need and the increasing number of encounters of Venezuelan nationals at the SWB.
                    <SU>10</SU>
                    <FTREF/>
                     Implementation of the parole process for Venezuelans was dependent on Mexico continuing to accept the return of Venezuelan nationals seeking to irregularly enter the United States between the ports of entry (POEs), and the announcement made clear that Venezuelans who did not avail themselves of this process, and who instead entered the United States without authorization, were subject to expulsion or removal.
                    <SU>11</SU>
                    <FTREF/>
                     In January 2023, DHS implemented similar parole processes for Cubans, Haitians, and Nicaraguans, and their immediate family members, to address the increasing numbers of encounters of nationals of those countries at the SWB, and announced changes to the parole process for Venezuelans to allow for its continued operation.
                    <SU>12</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         Implementation of the Uniting for Ukraine Parole Process, 87 FR 25040 (Apr. 27, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         Implementation of a Parole Process for Venezuelans, 87 FR 63507 (Oct. 19, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">See</E>
                         Implementation of a Parole Process for Cubans, 88 FR 1266 (Jan. 9, 2023); Implementation of a Parole Process for Haitians, 88 FR 1243 (Jan. 9, 2023); Implementation of a Parole Process for Nicaraguans, 88 FR 1255 (Jan. 9, 2023); Implementation of Changes to the Parole Process for Venezuelans, 88 FR 1279 (Jan. 9, 2023).
                    </P>
                </FTNT>
                <P>
                    On May 12, 2023, following the termination of the Centers for Disease Control and Prevention's (CDC) Title 42 public health Order, DHS and the Department of Justice (DOJ) implemented a joint final rule, 
                    <E T="03">Circumvention of Lawful Pathways,</E>
                     which incentivizes migrants to avail themselves of identified lawful, safe, and orderly pathways into the United States, or otherwise to seek asylum or other protection in another country through which they travel.
                    <SU>13</SU>
                    <FTREF/>
                     That rule reflects the position that an increase in the availability of lawful pathways paired with consequences for migrants who do not avail themselves of such pathways can encourage the use of lawful pathways and undermine transnational criminal organizations (TCOs), such as smuggling operations.
                    <SU>14</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         88 FR 31314 (May 16, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         
                        <E T="03">See id.</E>
                         at 31325.
                    </P>
                </FTNT>
                <P>
                    In addition, DHS and the Department of State (State) have collaborated on a number of efforts to address the challenges of irregular migration by expanding access to lawful pathways, including: restarting and expanding eligibility criteria to the Central American Minors (CAM) Program; 
                    <SU>15</SU>
                    <FTREF/>
                     and expanding refugee processing in South and Central America, including by working to establish Safe Mobility Offices (SMOs) in key locations.
                    <SU>16</SU>
                    <FTREF/>
                     USG efforts have also expanded access to H-2 temporary nonimmigrant worker visas for individuals in the region while enhancing worker protections.
                    <SU>17</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         The United States announced in March 2021 that the CAM Program would reopen and continue with processing for cases that were closed in 2018 when the program was terminated. In June 2021, the United States announced the program would be expanded by increasing the categories of eligible U.S.-based relatives who can request access for their children in Northern Central America (NCA). In April 2023, the United States announced enhancements to the CAM Program, including updates to certain eligibility criteria for program access. 
                        <E T="03">See</E>
                         Bureau of Population, Refugees, and Migration; Central American Minors Program, 88 FR 21694 (Apr. 11, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet, U.S. Government Announces Sweeping New Actions to Manage Regional Migration (Apr. 27, 2023), 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                         DHS has previously announced the intention to establish Regional Processing Centers (RPCs) but will now refer to them as Safe Mobility Offices (SMOs) following the launch of the 
                        <E T="03">MovilidadSegura.org</E>
                         website and the announcements with hosting countries. 
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (Jun 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/</E>
                         and 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/; See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         While focusing attention on improvements to recruitment practices and educating workers on their rights in the NCA countries and labor conditions in the United States, the United States Government has been engaging in efforts to substantially increase the number of H-2 temporary workers from the NCA countries. As part of these efforts, the Secretary of Homeland Security, in consultation with the Secretary of Labor, has exercised the authority given by Congress to allocate additional H-2B temporary non-agricultural worker visas under the supplemental cap. Most recently, on December 15, 2022, DHS and DOL jointly published a temporary final rule increasing the number of H-2B nonimmigrant visas by up to 64,716 for the entirety of FY 2023. 
                        <E T="03">See</E>
                         Exercise of Time-Limited Authority to Increase the Numerical Limitation for FY 2023 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 87 FR 76816 (Dec. 15, 2022). 20,000 of these H-2B visas are reserved for nationals of El Salvador, Guatemala, Honduras, and Haiti. 
                        <E T="03">Id.</E>
                         DHS and DOL similarly exercised this authority in other recent FYs, with specific allocations for NCA countries. 
                        <E T="03">See</E>
                         Exercise of Time-Limited Authority To Increase the Numerical Limitation for Second Half of FY 2022 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking To Change Employers, 87 FR 30334 (May 18, 2022) (authorizing the issuance of no more than 35,000 additional H-2B visas during the second half of FY 2022, of which 11,500 H-2B visas were reserved for nationals of El Salvador, Guatemala, Honduras, and Haiti); Exercise of Time-Limited Authority to Increase the Fiscal Year 2022 Numerical Limitation for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 87 FR 4722 (Jan. 28, 2022) (DHS and DOL authorized an additional 20,000 H-2B visas, of which 6,500 were again reserved for nationals of the NCA countries, with the addition of Haiti); Exercise of Time-Limited Authority to Increase the Fiscal Year 2021 Numerical Limitation for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 86 FR 28198 (May 25, 2021) (DHS and 
                        <PRTPAGE/>
                        DOL authorized a total of 22,000 supplemental visas, of which 6,000 visas were reserved for nationals of the NCA countries).
                    </P>
                </FTNT>
                <PRTPAGE P="43583"/>
                <P>Consideration of noncitizens for parole on a case-by-case basis under the process outlined here will meaningfully contribute to the broader USG strategy of expanding access to lawful pathways to individuals who may otherwise undertake an irregular migration journey to the United States.</P>
                <HD SOURCE="HD1">II. Parole Authority</HD>
                <P>
                    The Immigration and Nationality Act (INA) provides the Secretary of Homeland Security (the Secretary) with the discretionary authority to parole applicants for admission “into the United States temporarily under such reasonable conditions as [the Secretary] may prescribe only on a case-by-case basis for urgent humanitarian reasons or significant public benefit.” 
                    <SU>18</SU>
                    <FTREF/>
                     Parole is not an admission of the individual to the United States, and a parolee remains an “applicant for admission” during their period of parole in the United States.
                    <SU>19</SU>
                    <FTREF/>
                     DHS sets the duration of the parole based on the purpose for granting the parole request and may impose appropriate conditions on parole.
                    <SU>20</SU>
                    <FTREF/>
                     DHS may terminate parole upon notice in its discretion at any time.
                    <SU>21</SU>
                    <FTREF/>
                     By regulation, parolees may apply for and be granted employment authorization to work lawfully in the United States.
                    <SU>22</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         INA sec. 212(d)(5)(A), 8 U.S.C. 1182(d)(5)(A); 
                        <E T="03">see also</E>
                         6 U.S.C. 202(a)(4) (charging the Secretary with the responsibility for “[e]stablishing and administering rules . . . governing . . . parole”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         INA secs. 101(a)(13)(B) and 212(d)(5)(A), 8 U.S.C. 1101(a)(13)(B) and 1182(d)(5)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         
                        <E T="03">See</E>
                         8 CFR 212.5(c).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         
                        <E T="03">See</E>
                         8 CFR 212.5(e).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         
                        <E T="03">See</E>
                         8 CFR 274a.12(c)(11).
                    </P>
                </FTNT>
                <P>
                    Past Secretaries have similarly exercised the parole authority to establish other family reunification parole processes administered by U.S. Citizenship and Immigration Services (USCIS). For example, the Cuban Family Reunification Parole (CFRP) Program, as established in 2007, allows U.S. citizens (USCs) and lawful permanent residents (LPRs) to request parole for certain eligible family members in Cuba who are beneficiaries of approved Form I-130s.
                    <SU>23</SU>
                    <FTREF/>
                     If parole is authorized, these family members may come to the United States and seek parole before their immigrant visa priority dates are current.
                    <SU>24</SU>
                    <FTREF/>
                     Similarly, in 2014, the Haitian Family Reunification Parole (HFRP) Program was established, allowing USCs and LPRs to request parole for certain eligible family members in Haiti who are beneficiaries of approved Form I-130s, who may subsequently come to the United States and seek parole before their immigrant visa priority dates are current.
                    <SU>25</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>23</SU>
                         
                        <E T="03">See</E>
                         Cuban Family Reunification Parole Program, 72 FR 65588 (Nov. 21, 2007) (Noting that granting parole to eligible aliens under the CFRP Program serves the significant public benefit of enabling the United States to meet its commitments under the Migration Accords as well as “reducing the perceived need for family members left behind in Cuba to make irregular and inherently dangerous attempts to arrive in the United States through unsafe maritime crossings, thereby discouraging alien smuggling as a means to enter the United States,” and stating that whether to parole a particular alien “remains, however, a case-by-case, discretionary determination.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>24</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>25</SU>
                         
                        <E T="03">See</E>
                         Implementation of Haitian Family Reunification Parole Program, 79 FR 75581 (Dec. 18, 2014) (“By expanding existing legal means for Haitians to immigrate, the HFRP Program serves a significant public benefit by promoting safe, legal, and orderly migration to the United States. Furthermore, it supports U.S. goals for Haiti's long-term reconstruction and development.”).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">III. The FRP Process for Guatemalans</HD>
                <P>As in the CFRP and HFRP processes, this FRP process for Guatemalans will allow USCs and LPRs to request for certain family members to receive advance authorization to travel to the United States to seek parole at an interior POE. Individuals who are eligible to be considered for parole under this process include nationals of Guatemala who are beneficiaries of an approved Form I-130 family-based immigrant petition, as well as their immediate family members, who are outside the United States and who have not yet received an immigrant visa. Like the CFRP and HFRP processes, this process requires that the Form I-130 petitioner first receive an invitation to request consideration for advance authorization to travel and parole on behalf of the Guatemalan principal beneficiary of the approved Form I-130 and the principal beneficiary's immediate family members. As in the CFRP and HFRP processes, this invitation requirement will allow DHS to adjust the number of invitations issued based on the resources available to process requests and to achieve desired policy objectives. If issued advance authorization to travel, the beneficiary will be permitted to travel to the United States to be considered for a discretionary grant of parole on a case-by-case basis at an interior POE. Noncitizens paroled into the United States under this FRP process will generally be paroled for up to three years, consistent with the HFRP process. If granted parole into the United States, parolees will be able to request employment authorization while they wait for their immigrant visa to become available and to apply for adjustment of status to that of an LPR once an immigrant visa becomes available to them. As with the CFRP and HFRP processes, under this FRP process for Guatemalans, parole will only be authorized on a discretionary, case-by-case, and temporary basis upon a demonstration of urgent humanitarian reasons or significant public benefit, as well as a demonstration that the beneficiary warrants a favorable exercise of discretion. Noncitizens paroled into the United States under this process may request additional periods of parole. DHS will determine whether an additional period is warranted, on a case-by-case basis, for urgent humanitarian reasons or significant public benefit.</P>
                <HD SOURCE="HD1">IV. Justification for the Process—Significant Public Benefit</HD>
                <P>As noted above, section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), confers upon the Secretary the discretionary authority to parole noncitizens “into the United States temporarily under such reasonable conditions as [the Secretary] may prescribe only on a case-by-case basis for urgent humanitarian reasons or significant public benefit.”</P>
                <P>The case-by-case parole of noncitizens with approved family-based immigrant visa petitions under this process will, in general, provide a significant public benefit by furthering the USG's holistic migration management strategy, specifically by: (1) promoting family unity; (2) furthering important foreign policy objectives, (3) providing a lawful and timely alternative to irregular migration; (4) reducing strain on limited U.S. resources; and (5) addressing root causes of migration through economic stability and development supported by increased remittances.</P>
                <HD SOURCE="HD2">A. Promoting Family Unity</HD>
                <P>
                    Consistent with Section 3(b)(ii) of E.O. 14010, the case-by-case parole of noncitizens under this FRP process will provide the significant public benefit of promoting family unity by providing a more expeditious pathway for USCs and LPRs to reunite with their family members from Guatemala in the United States. Currently, nationals of Guatemala with approved family-based petitions often wait many years before their immigrant visas can be issued and they can travel to the United States to apply for admission as immigrants.
                    <FTREF/>
                    <SU>26</SU>
                      
                    <PRTPAGE P="43584"/>
                    While waiting for an immigrant visa to be issued, security concerns and uncertainty in their home countries, combined with a desire to reunify with family in the United States, could cause many to undertake irregular migratory routes in the absence of an alternative path to come to the United States in the near term for family reunification.
                </P>
                <FTNT>
                    <P>
                        <SU>26</SU>
                         For example, under the May 2023 Department of State Visa Bulletin, a Guatemalan married child of a U.S. citizen—F3 Preference Relative category—will only have an immigrant visa available to them if their relative filed the Form I-130 on their behalf more than 14 years ago. 
                        <E T="03">See</E>
                         DOS, Visa Bulletin for 
                        <PRTPAGE/>
                        May 2023, Number 77, Volume X (May 2023), 
                        <E T="03">https://travel.state.gov/content/travel/en/legal/visa-law0/visa-bulletin/2023/visa-bulletin-for-may-2023.html.</E>
                         However, these dates are not predictive. Due to increases in Form I-130 volumes, it is likely that a Guatemalan married child of a U.S. citizen for whom a Form I-130 is filed today will have even longer to wait before an immigrant visa becomes available.
                    </P>
                </FTNT>
                <P>By facilitating quicker reunification of USCs and LPRs with their family members in the United States, this FRP process will improve the social and economic stability and well-being of these families, as well as their communities at large. Additionally, facilitating reunification in the short-term through a lawful, safe, and orderly pathway will provide the significant public benefit of promoting the reception and integration of arriving noncitizens into American society. New arrivals will be introduced sooner to the networks already built by family members living in the United States, providing them an opportunity to familiarize themselves with the United States, establish stable financial foundations, find housing and transportation, and enroll in school and find childcare for their children as they wait for their immigrant visas to become available.</P>
                <HD SOURCE="HD2">B. Furthering Important Foreign Policy Objectives</HD>
                <P>
                    The United States has been engaging with international partners to manage irregular migration through various lines of effort, including bringing together leaders from nations across the Western Hemisphere to endorse the L.A. Declaration,
                    <SU>27</SU>
                    <FTREF/>
                     joining Colombia and Panama to ramp up efforts to address irregular flows through the Darién,
                    <SU>28</SU>
                    <FTREF/>
                     working to establish SMOs in key locations in the Western Hemisphere,
                    <SU>29</SU>
                    <FTREF/>
                     joining Mexico to announce and develop a humanitarian plan on migration,
                    <SU>30</SU>
                    <FTREF/>
                     and issuing a trilateral statement with Canada and Spain to announce our intent to partner together to deepen engagement in Latin America.
                    <SU>31</SU>
                    <FTREF/>
                     A central theme of all these efforts is, as further articulated below, expanding and strengthening access to lawful pathways for migration. Many countries have cooperated extensively to: (1) create and expand access to lawful pathways in their respective countries; and (2) increase enforcement measures along the migratory routes and introduce policies that seek to reduce irregular migration from or through their countries. In turn, regional partner countries have consistently requested that the United States expand and strengthen access to lawful pathways, even following implementation of the parole processes for nationals of Cuba, Haiti, Nicaragua, and Venezuela (CHNV). Implementation of this parole process is one way of responding to such requests. Therefore, the parole of noncitizens, on a case-by-case basis, under this process will secure cooperation and strengthen bilateral relations with regional partners in furtherance of U.S. national interests.
                </P>
                <FTNT>
                    <P>
                        <SU>27</SU>
                         
                        <E T="03">See</E>
                         The White House, Los Angeles Declaration on Migration and Protection, June 10, 2022, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>28</SU>
                         
                        <E T="03">Trilateral Joint Statement,</E>
                         April 11, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/11/trilateral-joint-statement.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>29</SU>
                         
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (June 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/; See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/; See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>30</SU>
                         
                        <E T="03">See</E>
                         The White House, Mexico and United States Strengthen Joint Humanitarian Plan on Migration, May 2, 2023, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/02/mexico-and-united-states-strengthen-joint-humanitarian-plan-on-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>31</SU>
                         
                        <E T="03">See</E>
                         DHS, Trilateral statement on joint commitment to Latin America, May 3, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/05/03/trilateral-statement-joint-commitment-latin-america.</E>
                    </P>
                </FTNT>
                <P>
                    This process is not only responsive to the requests and interests of key foreign partners—and necessary for addressing migration challenges requiring coordination between two or more governments—it is also fully aligned with larger and important foreign policy objectives of this Administration and fits within a network of carefully negotiated actions by multiple governments, as reflected in the L.A. Declaration and the aforementioned actions.
                    <SU>32</SU>
                    <FTREF/>
                     The L.A. Declaration acknowledges the endorsees' shared responsibility on migration and commitment to strengthen national, regional, and hemispheric efforts to create the conditions for safe, orderly, humane, and regular migration.
                    <SU>33</SU>
                    <FTREF/>
                     All 21 countries that endorsed the declaration reaffirmed their shared commitment to strengthening and expanding regular pathways and promoting principles of safe, orderly, humane, and regular migration.
                    <SU>34</SU>
                    <FTREF/>
                     As such, it is the view of the United States that this process advances the Administration's foreign policy goals by demonstrating U.S. partnership and U.S. commitment to the shared goals of addressing migration through the hemisphere, both of which are essential to maintaining strong relationships with key partners to manage migration collaboratively.
                </P>
                <FTNT>
                    <P>
                        <SU>32</SU>
                         The White House, 
                        <E T="03">Los Angeles Declaration on Migration and Protection</E>
                         (June 10, 2022), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>33</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>34</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    The USG further intensified its international engagement in recent months and weeks as the date on which the CDC Title 42 public health Order 
                    <SU>35</SU>
                    <FTREF/>
                     would terminate neared and DHS anticipated a significant potential further increase in irregular migration.
                    <SU>36</SU>
                    <FTREF/>
                     For instance, consistent with the goals of the L.A. Declaration and in anticipation of the end of the Title 42 public health Order, on April 11, 2023, and at the request of the United States, the United States, jointly with the Governments of Panama and Colombia, committed to three goals—a counter-human smuggling effort in both the land and maritime domain; an expansion of lawful pathways as an alternative to irregular migration; and increased economic investment in impacted border communities—as part of a coordinated 60-day campaign and sustained cooperation beyond the initial two-month campaign to reduce irregular migration.
                    <SU>37</SU>
                    <FTREF/>
                     Implementing this process 
                    <PRTPAGE P="43585"/>
                    fulfills one of the commitments the United States made with its regional partners to seek to, among all three governments, “[o]pen new lawful and flexible pathways for tens of thousands of migrants and refugees as an alternative to irregular migration.” 
                    <SU>38</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>35</SU>
                         
                        <E T="03">See</E>
                         Public Health Determination and Order Regarding Suspending the Right to Introduce Certain Persons from Countries Where a Quarantinable Communicable Disease Exists, 87 FR 19941, 19941-42 (Apr. 6, 2022) (describing the CDC's recent Title 42 public health Orders, which “suspend[ ] the right to introduce certain persons into the United States from countries or places where the quarantinable communicable disease exists in order to protect the public health from an increased risk of the introduction of COVID-19”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>36</SU>
                         
                        <E T="03">See</E>
                         88 FR 11704, 11704-08 (Feb. 23, 2023) (describing “concern about the possibility of a surge in irregular migration upon, or in anticipation of, the eventual lifting of the Title 42 public health Order””); CNN, Southern border braces for a migrant surge with Title 42 set to expire this week, May 8, 2023, 
                        <E T="03">https://www.cnn.com/2023/05/08/us/title-42-expires-border-immigration/index.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>37</SU>
                         
                        <E T="03">Trilateral Joint Statement,</E>
                         April 11, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/11/trilateral-joint-statement.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>38</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <P>
                    The USG also continues to encourage regional governments to continue to expand lawful pathways that they make available for migrants, including providing status to migrants residing in their countries, as well as establish removal programs. Colombia, for example, has given 10-year temporary protected status to approximately 2.5 million Venezuelans, allowing them to work, study, and access public services.
                    <SU>39</SU>
                    <FTREF/>
                     Ecuador, Costa Rica, Belize, and Peru are also undertaking similar efforts to regularize migrants from Venezuela and Nicaragua.
                    <SU>40</SU>
                    <FTREF/>
                     Partner countries have also taken actions to forgive existing migrant overstay fines, effectively removing one of the largest barriers to regularization.
                    <SU>41</SU>
                    <FTREF/>
                     Brazil's “Operation Welcome” helped over 100,000 Venezuelans voluntarily resettle in places where they have greater economic opportunity.
                    <SU>42</SU>
                    <FTREF/>
                     Mexico and Canada are increasing the number of people that they welcome on a humanitarian basis.
                    <SU>43</SU>
                    <FTREF/>
                     The implementation of this parole process will demonstrate to these regional governments the commitment of the United States government to continue to expand lawful, safe, and orderly pathways as an alternative to irregular migration.
                </P>
                <FTNT>
                    <P>
                        <SU>39</SU>
                         
                        <E T="03">See</E>
                         Secretary Antony J. Blinken and Secretary of Homeland Security Alejandro Mayorkas at a Joint Press Availability—United States Department of State, Apr. 27, 2023, 
                        <E T="03">https://www.state.gov/secretary-antony-j-blinken-and-secretary-of-homeland-security-alejandro-mayorkas-at-a-joint-press-availability/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>40</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>41</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>42</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>43</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">C. Lawful Alternative to Irregular Migration</HD>
                <P>
                    In addition to existing lawful pathways, implementation of this FRP process will provide another lawful, safe, and orderly alternative to irregular migration in the near term. In the past several years, out-migration from the countries of Northern Central America (NCA), including El Salvador, Guatemala, and Honduras, has accounted for a significant proportion of individuals seeking to irregularly migrate to the United States. In Fiscal Year (FY) 2021, CBP encounters with Guatemalans at the SWB increased by about 112 percent as compared to FY18, and 4.8 percent as compared to FY19, with encounters totaling approximately 283,000 in FY21 as compared to 133,200 and 270,100 in FY18 and FY19, respectively.
                    <SU>44</SU>
                    <FTREF/>
                     Encounters with Guatemalans dropped in FY22, but still remained high with 231,500 encounters.
                    <SU>45</SU>
                    <FTREF/>
                     For FY21 through April 2023 of FY23, migrants from the NCA accounted for more than 27 percent of all encounters at the SWB, with Guatemalans accounting for approximately 11.3 percent of all encounters.
                    <SU>46</SU>
                    <FTREF/>
                     Economic insecurity and high levels of poverty, food insecurity, and sexual and gender-based violence, coupled with the desire to reunite with family members already in the United States, are driving migrants from NCA countries, including Guatemala, to the United States.
                    <SU>47</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>44</SU>
                         Data as of May 4, 2023. OIS analysis of CBP data.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>45</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>46</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>47</SU>
                         
                        <E T="03">See</E>
                         Migration Policy Institute, Charting a New Regional Course of Action: The Complex Motivations and Costs of Central American Migration (Nov. 2021) 
                        <E T="03">https://www.migrationpolicy.org/research/motivations-costs-central-american-migration; see also</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <P>
                    Some beneficiaries of approved family-based immigrant visa petitions may have to wait many years for an immigrant visa to become available.
                    <SU>48</SU>
                    <FTREF/>
                     While beneficiaries will still need to wait to apply to become an LPR, this FRP process will allow certain noncitizens to spend part of that waiting time with family in the United States. The process will create a lawful, safe, and orderly pathway to travel to the United States for certain nationals of Guatemala and their immediate family members, who have already followed established channels to begin seeking lawful status in the United States, whose immigrant visa petitions have been approved, and who are waiting for an immigrant visa to become available. The availability of this FRP process could discourage beneficiaries whose immigrant visas are not expected to become available soon from engaging in irregular migration by providing a hope and expectation that they will soon have access to a reasonably foreseeable, safe, and orderly alternative to irregular migration for which they may choose to wait.
                </P>
                <FTNT>
                    <P>
                        <SU>48</SU>
                         
                        <E T="03">See</E>
                         William Kandel, Congressional Research Service, 
                        <E T="03">U.S. Family-Based Immigration Policy</E>
                         (Feb. 9, 2018), 
                        <E T="03">https://crsreports.congress.gov/product/pdf/R/R43145;</E>
                         DOS, Visa Bulletin for May 2023, Number 77, Volume X (May 2023), 
                        <E T="03">https://travel.state.gov/content/travel/en/legal/visa-law0/visa-bulletin/2023/visa-bulletin-for-may-2023.html.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">D. Reducing Strain on Limited U.S. Resources</HD>
                <P>
                    Substantial irregular migration, including from Guatemala, has strained DHS's reception and processing capacity at the SWB.
                    <SU>49</SU>
                    <FTREF/>
                     By establishing a lawful pathway for some of these migrants from Guatemala, on a case-by-case basis, to enter the country before an immigrant visa becomes immediately available to them, this FRP process is expected to reduce the number of irregular migrants encountered at the SWB,
                    <SU>50</SU>
                    <FTREF/>
                     thereby providing a significant public benefit by reducing the strain on border reception and processing capacity, including by diverting the processing of individuals to interior POEs.
                </P>
                <FTNT>
                    <P>
                        <SU>49</SU>
                         
                        <E T="03">See</E>
                         Migration Policy Institute, Record-Breaking Migrant Encounters at the U.S.-Mexico Border Overlook the Bigger Story, (Oct. 2022) 
                        <E T="03">https://www.migrationpolicy.org/news/2022-record-migrant-encounters-us-mexico-border.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>50</SU>
                         As of late May 2023, there are currently an estimated 12,800 Guatemalan nationals with an approved Form I-130 waiting to travel to the United States. Individuals in this population may need to wait over 15 years for an immigrant visa to become available. Although DHS does not expect to issue invitations corresponding to all such Guatemalan nationals, this process may result in a significant reduction in wait times outside the United States for a substantial portion of this population, reducing incentives for irregular migration.
                    </P>
                </FTNT>
                <P>
                    Paroling individuals through this process will be less resource-intensive than processing individuals who irregularly migrate. Noncitizens who arrive through this FRP process will generally not require placement in DHS custody or removal proceedings, allowing more space and resources to be used for managing irregular migration.
                    <SU>51</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>51</SU>
                         
                        <E T="03">See, e.g.,</E>
                         INA secs. 235, 240, 8 U.S.C. 1225, 1229a.
                    </P>
                </FTNT>
                <P>
                    Furthermore, by establishing a meaningful, near-term lawful pathway that certain individuals, if found to be eligible on a case-by-case basis, may choose to use in lieu of attempting to enter the United States irregularly, the process will redirect such intending migrants away from irregular migratory routes that funnel money into TCOs. TCOs engaged in human smuggling along the route from the NCA region to the United States earn hundreds of millions to billions of dollars each year from smuggling activities associated with irregular migration.
                    <SU>52</SU>
                    <FTREF/>
                     TCOs exploit 
                    <PRTPAGE P="43586"/>
                    irregular migration for financial gain, either by charging migrants to cross the border, forcing migrants to carry contraband as they cross, or forcing and coercing migrants into a sex or labor trafficking situation.
                    <SU>53</SU>
                    <FTREF/>
                     This money can then be used to fund additional human smuggling, drug trafficking, and human trafficking, to buy weapons, or to engage in other illicit activities in the region, all of which are competing priorities for limited U.S. border resources to confront and manage.
                    <SU>54</SU>
                    <FTREF/>
                     This FRP process is expected to reduce the number of irregular migrants who may be exploited by TCOs engaged in human smuggling, serving a significant public benefit.
                </P>
                <FTNT>
                    <P>
                        <SU>52</SU>
                         Homeland Security Operational Analysis Center, 
                        <E T="03">Human Smuggling and Associated Revenues: What Do or Can We Know About Routes from Central America to the United States (</E>
                        2019) 
                        <E T="03">https://www.rand.org/content/dam/rand/pubs/research_reports/RR2800/RR2852/RAND_RR2852.pdf; see also</E>
                         DHS, 
                        <E T="03">Fact Sheet: Counter Human Smuggler Campaign Update</E>
                         (Oct. 6, 2022) 
                        <PRTPAGE/>
                        <E T="03">https://www.dhs.gov/news/2022/10/06/fact-sheet-counter-human-smuggler-campaign-update-dhs-led-effort-makes-5000th.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>53</SU>
                         DHS's Efforts to Disrupt Transnational Criminal Organizations in Central America: Hearing before the Subcommittee on Oversight, Management, and Accountability of the Committee of Homeland Security of the House of Representatives, 117th Cong. (2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>54</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">E. Addressing Root Causes of Migration Through Remittances</HD>
                <P>
                    This FRP process will also aid U.S. efforts in addressing economic insecurity in Guatemala, which is a key factor that drives out-migration.
                    <SU>55</SU>
                    <FTREF/>
                     Unlike many individuals who irregularly migrate, noncitizens who are paroled into the United States through this process will be immediately eligible to apply for employment authorization that they may maintain throughout the duration of their parole period, allowing them to contribute to the U.S. economy through the labor they provide, taxes they pay, and consumption of goods or payment of rent and utilities in their new U.S. communities.
                    <SU>56</SU>
                    <FTREF/>
                     Noncitizens with authorization to work also typically enjoy higher wages than those without employment authorization, providing them with the resources to send additional money to their home country as remittances.
                    <SU>57</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>55</SU>
                         U.S. Department of State, Integrated Country Strategies—Guatemala, Apr. 29, 2022, 
                        <E T="03">https://www.state.gov/wp-content/uploads/2022/08/ICS_WHA_Guatemala_Public.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>56</SU>
                         
                        <E T="03">See generally, e.g.,</E>
                         National Academies of Sciences, Engineering, and Medicine, “The Economic and Fiscal Consequences of Immigration” (2017), 
                        <E T="03">https://nap.nationalacademies.org/catalog/23550/the-economic-and-fiscal-consequences-of-immigration</E>
                        ; Chair Cecilia Rouse, Lisa Barrow, Kevin Rinz, and Evan Soltas, The White House Blog: The Economic Benefits of Extending Permanent Legal Status to Unauthorized Immigrants (Sept. 17, 2021), 
                        <E T="03">https://www.whitehouse.gov/cea/blog/2021/09/17/the-economic-benefits-of-extending-permanent-legal-status-to-unauthorized-immigrants/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>57</SU>
                         George J. Borjas, “The Earnings of Undocumented Immigrants,” National Bureau of Economic Research (Mar. 2017), 
                        <E T="03">https://www.nber.org/papers/w23236</E>
                         (providing that noncitizens without authorization to work earn less than those with employment authorization).
                    </P>
                </FTNT>
                <P>
                    Additional remittances sent back to Guatemala, together with other efforts to improve the investment climate and infrastructure in the country and address security concerns may promote economic development and address some of the root causes of migration.
                    <SU>58</SU>
                    <FTREF/>
                     Remittances from migrants from NCA countries including Guatemala already play a crucial role in their economies.
                    <SU>59</SU>
                    <FTREF/>
                     In 2018, remittances from migrants living abroad were equivalent to 12 percent of Gross Domestic Product (GDP) in Guatemala.
                    <SU>60</SU>
                    <FTREF/>
                     Remittances remained stable in 2019, at 13.8 percent.
                    <SU>61</SU>
                    <FTREF/>
                     Following the onset of the COVID-19 pandemic in 2020, remittances to the NCA countries increased dramatically as a percentage of GDP in 2021. In Guatemala specifically, remittances were equivalent to 18 percent of the country's 2021 GDP.
                    <SU>62</SU>
                    <FTREF/>
                     For the first eight months of 2022, remittances to El Salvador, Guatemala, and Honduras increased 16.5 percent.
                    <SU>63</SU>
                    <FTREF/>
                     Remittances provide a crucial financial lifeline that enhances economic development and promotes economic stability for many individuals, families, and communities in Guatemala, impacting individual decisions on whether to leave the region. In the absence of timely alternative options for lawful pathways, such as parole under this process, and the additional remittances that are anticipated to result from implementation of this process, individuals are more likely to turn to irregular migration in the short-term.
                </P>
                <FTNT>
                    <P>
                        <SU>58</SU>
                         Pew Research Center, 
                        <E T="03">Remittances from Abroad are major economic assets for some developing countries</E>
                         (Jan. 29, 2018) 
                        <E T="03">https://www.pewresearch.org/fact-tank/2018/01/29/remittances-from-abroad-are-major-economic-assets-for-some-developing-countries/; see also</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf; see also</E>
                         Atlas of Sustainable Development Goals, 
                        <E T="03">Remittances: a lifeline for many economies,</E>
                         The World Bank (2020) 
                        <E T="03">https://datatopics.worldbank.org/sdgatlas/goal-17-partnerships-for-the-goals/</E>
                        .
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>59</SU>
                         
                        <E T="03">See</E>
                         Atlas of Sustainable Development Goals, Remittances: a lifeline for many economies, The World Bank (2020) 
                        <E T="03">https://datatopics.worldbank.org/sdgatlas/goal-17-partnerships-for-the-goals/; see also</E>
                         Council on Foreign Relations, 
                        <E T="03">Central America's Turbulent Northern Triangle</E>
                         (July 1, 2021) 
                        <E T="03">https://www.cfr.org/backgrounder/central-americas-turbulent-northern-triangle.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>60</SU>
                         Congressional Research Service, U.S. Strategy for Engagement in Central America: Policy Issues for Congress (Nov. 12, 2019) 
                        <E T="03">https://fas.org/sgp/crs/row/R44812.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>61</SU>
                         The World Bank, Personal Remittances, received (% of GDP)—Guatemala (last visited June 9, 2023) 
                        <E T="03">https://data.worldbank.org/indicator/BX.TRF.PWKR.DT.GD.ZS?locations=GT.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>62</SU>
                         Bloomberg Línea, Remittances to Central America on Track to Break Records (Nov. 1, 2022) 
                        <E T="03">https://www.bloomberglinea.com/english/remittances-to-central-america-on-track-to-breaking-records/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>63</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">V. Eligibility</HD>
                <HD SOURCE="HD2">A. Petitioners</HD>
                <P>
                    Invitations to participate in this process will be issued to certain petitioners who have an approved Form I-130 filed on behalf of a Guatemalan principal beneficiary. Invitations will be issued based on operational capacity, the expected period of time until the principal beneficiary's immigrant visa becomes available, and in a manner calibrated to best achieve the policy aims of this process as described in this Notice. Petitioners who have an approved 
                    <SU>64</SU>
                    <FTREF/>
                     Form I-130 filed on behalf of a Guatemalan principal beneficiary outside the United States should ensure that their mailing address and other contact information are up to date with State's National Visa Center (NVC), as this is the information that will be used to issue invitations. The invitations will provide information about how the petitioner may file a request with USCIS that initiates this FRP process on behalf of a Guatemalan principal beneficiary of an approved Form I-130, and a separate request for any immediate family members of the principal beneficiary. As part of the request process, the petitioner will be required to provide evidence of their income and assets and commit to provide financial support to the beneficiary named in the request for the length of parole by submitting Form I-134A online. Petitioners will also be required to provide evidence to verify the family relationship between the principal beneficiary of the Form I-130 and all immediate family members of the principal beneficiary for whom the petitioner will be filing a request under this process. As part of the review process, the petitioner must pass security and background vetting, including for public safety, national security, human trafficking, and exploitation concerns.
                </P>
                <FTNT>
                    <P>
                        <SU>64</SU>
                         In certain circumstances, such as if the beneficiary is no longer eligible for the Form I-130 (
                        <E T="03">e.g.,</E>
                         the petitioner is no longer an LPR or USC), parole would be denied, and the Form I-130 approval would be revoked. If DHS revokes Form I-130 approval, the beneficiary will no longer be eligible for an immigrant visa. DHS will make these determinations on a case-by-case basis and will provide a written notice.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Beneficiaries</HD>
                <P>
                    A beneficiary is a national of Guatemala (or their immediate family member of any nationality) who is outside the United States and who may 
                    <PRTPAGE P="43587"/>
                    be considered for a discretionary grant of parole under this FRP process. To ultimately be considered for a discretionary issuance of advance authorization to travel to the United States to seek a discretionary grant of parole at the POE, a beneficiary must:
                </P>
                <P>• be outside the United States;</P>
                <P>
                    • be the principal beneficiary (or a derivative beneficiary spouse or child) 
                    <SU>65</SU>
                    <FTREF/>
                     of an approved Form I-130, Petition for Alien Relative;
                </P>
                <FTNT>
                    <P>
                        <SU>65</SU>
                         
                        <E T="03">See</E>
                         INA sec. 203(d), 8 U.S.C. 1153(d); 
                        <E T="03">see also</E>
                         INA sec. 101(b)(1), 8 U.S.C. 1101(b)(1) (defining “child,” in general, as meaning “an unmarried person under twenty-one years of age”). If a principal beneficiary married or had a child after USCIS approved the underlying Form I-130, that spouse or unmarried child under 21 may in some circumstances become a derivative beneficiary and may be eligible for parole based on their relationship to the principal beneficiary. Such “add-on derivatives” are included within the term “derivative” in this notice.
                    </P>
                </FTNT>
                <P>
                    • be a national of Guatemala or be a non-Guatemalan derivative beneficiary spouse or child 
                    <SU>66</SU>
                    <FTREF/>
                     of a Guatemalan principal beneficiary;
                </P>
                <FTNT>
                    <P>
                        <SU>66</SU>
                         Certain non-Guatemalans may use this process if they are a derivative beneficiary of a Guatemalan principal beneficiary and traveling with that Guatemalan beneficiary.
                    </P>
                </FTNT>
                <P>• have a petitioning relative in the United States who received an invitation to initiate this FRP process on their behalf by filing a Form I-134A;</P>
                <P>• have a U.S.-based petitioning relative who filed a Form I-134A on their behalf that USCIS has vetted and confirmed;</P>
                <P>• have not yet been issued an immigrant visa at the time the invitation is issued to the petitioning relative; and</P>
                <P>• have an unexpired passport valid for international travel, or possess alternative acceptable documentation as described in the invitation letter issued to the petitioning relative.</P>
                <P>In addition, each beneficiary must undergo and pass national security and public safety vetting and must demonstrate that they otherwise merit a favorable exercise of discretion by DHS. This includes vetting prior to issuance of advance authorization to travel to an interior POE to seek parole, as well as additional vetting completed by CBP upon inspection and collection of biometrics at the POE, as described in the section of this Notice that details the processing steps for this FRP process. CBP will consider a beneficiary's previous immigration history, encounters with USG entities, and the results of screening and vetting when determining eligibility to be issued advance authorization to travel to the United States, as well as when determining, on a case-by-case basis, whether to grant parole to the beneficiary at the POE. When making these discretionary advance authorizations to travel and parole determinations, DHS will consider a beneficiary to be ineligible for this process if the beneficiary:</P>
                <P>• has crossed irregularly into the United States, between the POEs, after July 10, 2023, except DHS will not consider a beneficiary to be ineligible based on a single instance of voluntary departure pursuant to section 240B of the INA, 8 U.S.C. 1229c, or withdrawal of their application for admission pursuant to section 235(a)(4) of the INA, 8 U.S.C. 1225(a)(4);</P>
                <P>
                    • has been interdicted at sea 
                    <SU>67</SU>
                    <FTREF/>
                     after July 10, 2023; or
                </P>
                <FTNT>
                    <P>
                        <SU>67</SU>
                         For purposes of this notice, “interdicted at sea” refers to migrants directly interdicted by the U.S. Coast Guard from vessels subject to U.S. jurisdiction or vessels without nationality, or migrants transferred to the U.S. Coast Guard.
                    </P>
                </FTNT>
                <P>
                    • has been ordered removed from the United States within the prior five years or is subject to a bar to admissibility based on a prior removal order.
                    <SU>68</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>68</SU>
                         
                        <E T="03">See, e.g.,</E>
                         INA sec. 212(a)(9)(A), 8 U.S.C. 1182(a)(9)(A).
                    </P>
                </FTNT>
                <P>DHS also will consider other factors in making discretionary determinations consistent with long-standing policy and practice.</P>
                <P>Each beneficiary must demonstrate that a grant of parole is warranted based on a significant public benefit or urgent humanitarian reasons, and that the beneficiary merits a favorable exercise of discretion in order for CBP to grant parole upon arrival at the POE. Each beneficiary must also comply with all additional requirements, including vaccination requirements and other public health guidelines.</P>
                <P>
                    Participation in this process is not limited to those beneficiaries currently living in Guatemala. However, as noted above, beneficiaries must be outside the United States to participate in the process. In order to use the advance authorization to travel to the United States, the beneficiary must have sufficient documentation (
                    <E T="03">e.g.,</E>
                     international passport) to travel on a commercial airline. Beneficiaries under the age of 18 to whom CBP issues advance authorization to travel under this process may be subject to additional screening and/or travel parameters in coordination with U.S. authorities to ensure appropriate travel arrangements and coordination with their parent(s) or legal guardian(s). This FRP process does not affect CBP's legal obligations regarding the identification and processing of unaccompanied children.
                    <SU>69</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>69</SU>
                         
                        <E T="03">See</E>
                         6 U.S.C. 279(g)(2) (defining “unaccompanied alien child”).
                    </P>
                </FTNT>
                <P>
                    A potential beneficiary of this process who enters the United States between POEs after July 10, 2023 rather than being considered for parole under this process will be ineligible for this process, except as indicated above, and will be processed under Title 8 of the U.S. Code and face appropriate consequences for that choice. For example, they may be subject to potential criminal prosecution,
                    <SU>70</SU>
                    <FTREF/>
                     expedited removal proceedings,
                    <SU>71</SU>
                    <FTREF/>
                     or removal proceedings under section 240 of the INA, 8 U.S.C. 1229a. In addition, potential beneficiaries who enter the United States between POEs rather than be considered for parole under this process may be or may become ineligible for adjustment of status 
                    <SU>72</SU>
                    <FTREF/>
                     or for an immigrant visa 
                    <SU>73</SU>
                    <FTREF/>
                     as a result of entering without inspection and not having been admitted or paroled.
                    <SU>74</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>70</SU>
                         8 U.S.C. 1325, 1326 (for illegal entry and reentry, respectively).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>71</SU>
                         INA sec. 235(b)(1)(A)(i), 8 U.S.C. 1225(b)(1)(A)(i).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>72</SU>
                         INA sec. 245(a), 8 U.S.C. 1255(a) (requiring adjustment of status applicants to be inspected and admitted or inspected and paroled, as well as be admissible); INA sec. 245(c), 8 U.S.C. 1255(c)(2) (adjustment of status applicants are ineligible if they are in unlawful immigration status on the date of filing the application for adjustment of status or fail to maintain continuously a lawful status since entry into the United States); INA sec. 212(a), 8 U.S.C. 1182(a) (grounds of inadmissibility that, absent the granting of an available waiver, render applicants for adjustment of status ineligible).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>73</SU>
                         INA sec. 221(g), 8 U.S.C. 1201(g) (immigrant visa applicants are ineligible for immigrant visas if inadmissible under INA sec. 212(a), 8 U.S.C. 1182(a)); INA sec. 212(a), 8 U.S.C. 1182(a) grounds of inadmissibility that render applicants for immigrant visas ineligible).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>74</SU>
                         For example, an applicant for adjustment of status who previously accrued more than one year of unlawful presence, departed, and thereafter reentered the United States without admission or parole is inadmissible and ineligible for adjustment unless they apply for and obtain consent to reapply for admission from outside the United States after waiting ten years after their last departure from the United States. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(C)(i)(I), 8 U.S.C. 1182(a)(9)(C)(i)(I). In addition, an applicant for an immigrant visa who accrued more than 180 days of unlawful presence in the United States, departed (or is removed, as applicable), and again seeks admission (by filing an immigrant visa application) within 3 or 10 years of departure (or removal) is inadmissible and ineligible for an immigrant visa unless they apply for and obtain a waiver of inadmissibility. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(B), 8 U.S.C. 1182(a)(9)(B). Additionally, an applicant for an immigrant visa who was ordered removed, departed, and again seeks admission within certain periods of time thereafter is inadmissible and therefore ineligible for an immigrant visa unless they apply for and obtain consent to reapply for admission. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(A), 8 U.S.C. 1182(a)(9)(A).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">C. Processing Steps</HD>
                <P>
                    This FRP process will be implemented in light of lessons learned through the CFRP and HFRP processes and will build on technological advancements and efficiencies developed since the inception of CFRP and HFRP. All steps of the process, 
                    <PRTPAGE P="43588"/>
                    except for the ultimate parole determination made in-person, on a case-by-case basis, by CBP at the POE, will generally be completed online, including individualized, case-by-case identity and eligibility determinations and robust security vetting.
                </P>
                <HD SOURCE="HD3">Step 1: Invitation Sent to Petitioner</HD>
                <P>An invitation may be sent to a petitioner who has filed an approved Form I-130 on behalf of the potential principal and derivative beneficiaries. The decision whether to send the invitation is based on multiple discretionary factors. Such factors may include operational capacity considerations, the expected period of time until the beneficiary's immigrant visa becomes available, as well as other measures calibrated to best achieve the policy aims of this process as described in this Notice. Only after receiving an invitation may the petitioner file a request and initiate consideration under this FRP process. The invitation will instruct the petitioner on next steps to initiate this process on behalf of the beneficiaries, including instructions on documentation to include in their Form I-134A. Each invitation will include an identifying number that the petitioner must include in the Form I-134A for each beneficiary on whose behalf they wish to request to be a supporter and to initiate consideration for advance authorization to travel to the United States to seek parole at an interior POE.</P>
                <HD SOURCE="HD3">Step 2: Petitioner Files Form I-134A Online</HD>
                <P>After receiving an invitation, the USC or LPR petitioner who filed the approved Form I-130 on behalf of the beneficiaries will submit a Form I-134A for each beneficiary with USCIS through the online myUSCIS web portal to initiate this process. The Form I-134A identifies and collects information on both the petitioner and the beneficiary. The petitioner must submit a separate Form I-134A for each beneficiary, including derivatives of the principal beneficiary. The petitioner must submit evidence establishing their income and assets and commit to provide financial support to the beneficiary for the duration of parole. The petitioner must also submit evidence establishing the family relationships between the principal beneficiary and all derivative beneficiaries. USCIS will perform background checks on the petitioner and verify their financial information to ensure that the petitioner is able to financially support the beneficiary. If the petitioner's Form I-134A is confirmed, the request proceeds to the next step.</P>
                <HD SOURCE="HD3">Step 3: Beneficiary Electronically Provides Information To Support the Request</HD>
                <P>If a petitioner's Form I-134A is confirmed by USCIS, the beneficiary named in the Form I-134A will receive an email from USCIS with instructions to create an online account with myUSCIS and next steps for completing the request. The beneficiary will be required to confirm their biographic information in their online account and attest to meeting eligibility requirements.</P>
                <P>As part of confirming eligibility in their myUSCIS account, a beneficiary who seeks advance authorization to travel to the United States will need to confirm that they meet public health requirements, including certain vaccination requirements.</P>
                <HD SOURCE="HD3">Step 4: Beneficiary Submits Request in CBP One Mobile Application</HD>
                <P>After confirming biographic information in myUSCIS and completing required eligibility attestations, the beneficiary will receive instructions through myUSCIS for accessing the CBP One mobile application. The beneficiary must enter certain biographic and biometric information—including a “live” facial photograph—into CBP One.</P>
                <HD SOURCE="HD3">Step 5: Approval To Travel to the United States</HD>
                <P>
                    A beneficiary who establishes eligibility for this process, passes all the requisite vetting, and demonstrates that they otherwise warrant a favorable exercise of discretion, may receive an electronic advance authorization to travel from CBP, facilitating their ability to travel to the United States to seek a discretionary grant of parole, on a case-by-case basis, at an interior POE. The beneficiary will receive a notice in their myUSCIS account confirming whether CBP has, in CBP's discretion, provided the beneficiary with advance authorization to travel to the United States. If approved, the beneficiary is responsible for securing their own travel via commercial air to an interior POE.
                    <SU>75</SU>
                    <FTREF/>
                     Approval of advance authorization to travel does not guarantee a beneficiary will be paroled into the United States upon inspection at the POE. Whether to parole the individual is a discretionary, case-by-case determination made by CBP at the time the individual arrives at the interior POE.
                </P>
                <FTNT>
                    <P>
                        <SU>75</SU>
                         Air carriers can validate an approved and valid travel authorization submission using the same mechanisms that are currently in place to validate that a traveler has a valid visa or other documentation to facilitate issuance of a boarding pass for air travel.
                    </P>
                </FTNT>
                <HD SOURCE="HD3">Step 6: Beneficiary Seeks Parole at the POE</HD>
                <P>CBP will inspect each beneficiary arriving at an interior POE under this process and consider each individual, on a case-by-case basis, for a grant of discretionary parole for a period of up to three years.</P>
                <P>Upon arrival at the interior POE, the beneficiary will be required to submit additional biometrics to DHS, including another photograph and fingerprints. This biometric information will support additional vetting against available databases to inform an independent determination by CBP officers as to whether parole is warranted on a case-by-case basis and whether the beneficiary merits a favorable exercise of discretion. A beneficiary who is determined to pose a national security or public safety threat will generally be denied parole. A beneficiary who otherwise does not warrant parole pursuant to section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), and as a matter of discretion upon inspection, will be processed under an appropriate disposition and may be referred to U.S. Immigration and Customs Enforcement (ICE) for detention.</P>
                <HD SOURCE="HD3">Step 7: Parole</HD>
                <P>
                    If granted parole at the POE, on a case-by-case basis, parole will generally be granted for a period of up to three years, subject to satisfying applicable health and vetting requirements, and the parolee will be eligible to apply for employment authorization for the duration of the parole period.
                    <SU>76</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>76</SU>
                         8 CFR 274a.12(c)(11).
                    </P>
                </FTNT>
                <P>All of the steps in this process, including the decision to confirm or non-confirm the Form I-134A, as well as the decision whether to issue advance authorization to travel and the parole decision at the interior POE, are entirely discretionary and not subject to appeal on any grounds. Parole may be terminated upon notice at DHS discretion, and the noncitizen may be placed into removal proceedings and/or detained if, for example, the parolee fails to maintain the conditions for the parole or other derogatory information emerges during the parole period.</P>
                <HD SOURCE="HD2">D. Termination and No Private Rights</HD>
                <P>
                    The Secretary retains the sole discretion to terminate this FRP process at any point. This process is being implemented as a matter of the Secretary's discretion. It is not intended to and does not create any rights, 
                    <PRTPAGE P="43589"/>
                    substantive or procedural, enforceable by any party in any matter, civil or criminal.
                </P>
                <HD SOURCE="HD1">VI. Other Considerations in the Establishment of This FRP Process</HD>
                <P>DHS has considered the potential impact of this FRP process on individuals applying for benefits under other immigration programs or processes, given that USCIS and CBP may reassign employees and reallocate resources to administer this process. This reassignment or reallocation could potentially impact processing times for USCIS- or CBP-administered immigration programs and processes. Although personnel and resources may be diverted from other similar processes and programs, participation in this process is by invitation only. DHS can adjust the number of invitations issued to alleviate pressure on other programs and processes as resource limitations require. As detailed above, each beneficiary of this process who is diverted away from irregular migration will also reduce the strain on border reception and processing capacity. Therefore, these costs are not significant enough to outweigh the benefits of the process.</P>
                <P>
                    DHS also considered the alternative approach of not establishing this process. As stated throughout this Notice, this process will provide many benefits and has few drawbacks. DHS has made an effort to identify and consider any reliance interests of the parties affected by establishment of this process. Ultimately, DHS has determined that the significant public benefit of the case-by-case parole of individuals under this FRP process to the United States, and other affected parties, including the reduction in irregular migration expected to be accomplished in connection with this process, outweigh the costs that may be incurred, while noting that this FRP process will not increase the total number of individuals eligible to enter the United States, as the potential beneficiaries already have a pathway to lawful permanent residence. For example, DHS has determined that the significant public benefits of the case-by-case parole of individuals under this process outweighs any costs incurred for schools and social services (such as health care) in the period between their parole into the United States and the time when a beneficiary's immigrant visa already would have become available (at which point they soon thereafter would, in general, have been admitted as immigrants).
                    <SU>77</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>77</SU>
                         
                        <E T="03">See, e.g.,</E>
                         National Academies of Sciences, Engineering, and Medicine, “The Economic and Fiscal Consequences of Immigration” (2017), 
                        <E T="03">https://nap.nationalacademies.org/catalog/23550/the-economic-and-fiscal-consequences-of-immigration</E>
                        .
                    </P>
                </FTNT>
                <P>Alternatively, as discussed below, a decision to not establish this process would adversely affect the United States' ability to negotiate for and request additional enforcement measures and increased cooperation with removals and ensure foreign partners' continued collaboration. In addition, certain nationals of Guatemala still waiting for their immigrant visas to become available would remain separated from their family members and could resort to irregular migration without this process. For any such Guatemalan nationals, the USG would need to commit resources to respond to their arrival, processing, and removal pursuant to the INA. Those who manage to cross the border without being encountered by CBP would join the population of individuals living in the United States without authorization, unable to legally seek employment. The states in which they settle would be less likely to benefit from additional tax revenues and other positive economic contributions these individuals would have provided if they had a lawful pathway like this FRP process through which they may apply for employment authorization while they wait to apply to adjust to LPR status.</P>
                <HD SOURCE="HD1">VII. Regulatory Requirements</HD>
                <HD SOURCE="HD2">A. Administrative Procedure Act (APA)</HD>
                <P>This process is exempt from notice-and-comment rulemaking and delayed effective date requirements on multiple grounds and is therefore amenable to immediate issuance and implementation.</P>
                <P>
                    <E T="03">First,</E>
                     DHS is merely adopting a general statement of policy,
                    <FTREF/>
                    <SU>78</SU>
                      
                    <E T="03">i.e.,</E>
                     a “statement issued by an agency to advise the public prospectively of the manner in which the agency proposes to exercise a discretionary power.” 
                    <SU>79</SU>
                    <FTREF/>
                     As section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), provides, parole decisions are made by the Secretary “in his discretion.” This policy creates a process for making discretionary, case-by-case parole decisions.
                </P>
                <FTNT>
                    <P>
                        <SU>78</SU>
                         5 U.S.C. 553(b)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>79</SU>
                         
                        <E T="03">See Lincoln</E>
                         v. 
                        <E T="03">Vigil,</E>
                         508 U.S. 182, 197 (1993) (quoting 
                        <E T="03">Chrysler Corp.</E>
                         v. 
                        <E T="03">Brown,</E>
                         441 U.S. 281,302 n.31 (1979)).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Second,</E>
                     even if this process were considered to be a legislative rule that would normally be subject to requirements for notice-and-comment rulemaking and a delayed effective date, the process would be exempt from such requirements because it involves a foreign affairs function of the United States.
                    <SU>80</SU>
                    <FTREF/>
                     Courts have held that this exemption applies when the rule in question “is clearly and directly involved in a foreign affairs function.” 
                    <SU>81</SU>
                    <FTREF/>
                     In addition, although the text of the Administrative Procedure Act does not require an agency invoking this exemption to show that such procedures may result in “definitely undesirable international consequences,” some courts have required such a showing.
                    <SU>82</SU>
                    <FTREF/>
                     This process satisfies both standards. Specifically, as discussed in the section above entitled, 
                    <E T="03">Furthering Important Foreign Policy Objectives,</E>
                     this FRP process is one part of the United States' ongoing efforts to engage hemispheric partners to increase their efforts to collaboratively manage irregular migration. As discussed in that section, and as further explained below, the expansion of lawful pathways for noncitizens to enter the United States is necessary to ensure partners' continued collaboration on migration issues, including the ability of the United States to meet other immigration-management priorities such as the timely establishment of SMOs.
                    <SU>83</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>80</SU>
                         5 U.S.C. 553(a)(1).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>81</SU>
                         
                        <E T="03">See, e.g., Mast Indus.</E>
                         v. 
                        <E T="03">Regan,</E>
                         596 F. Supp. 1567, 1582 (C.I.T. 1984) (cleaned up).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>82</SU>
                         
                        <E T="03">See, e.g., Rajah</E>
                         v. 
                        <E T="03">Mukasey,</E>
                         544 F.3d 427, 437 (2d Cir. 2008).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>83</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet: U.S. Government Announces Sweeping New Actions to Manage Regional Migration, Apr. 27, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                    </P>
                </FTNT>
                <P>
                    Delaying issuance and implementation of this process to undertake notice-and-comment rulemaking and a delayed effective date would complicate broader ongoing and future discussions and negotiations with key foreign partners about migration management, including the new measures the United States announced on April 27, 2023, in anticipation of the May 11 lifting of the Title 42 public health Order.
                    <SU>84</SU>
                    <FTREF/>
                     These measures are being implemented in close coordination with partner countries. Ongoing negotiations with partner countries involve the implementation of a range of new measures, including establishing SMOs in key locations in the Western Hemisphere to manage and reduce irregular migration and improve qualified individuals' access to 
                    <PRTPAGE P="43590"/>
                    accelerated refugee processing, family reunification, and labor pathways in the United States. As a key part of these negotiations, the United States and its partners are providing meaningful alternatives to irregular migration, including through lawful pathways to the United States, Canada, and Spain, as well as integration in host countries closer to home. The success of SMOs and other new measures to reduce irregular migration to the SWB is therefore connected to the United States expanding access to lawful pathways, including family reunification parole processes that will benefit nationals in countries identified to host SMOs. The USG also continues to engage with and ask additional governments to consider connecting their lawful pathways to SMO efforts and is building goodwill and momentum to seek SMOs in still more countries in the region.
                </P>
                <FTNT>
                    <P>
                        <SU>84</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet: U.S. Government Announces Sweeping New Actions to Manage Regional Migration, Apr. 27, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                    </P>
                </FTNT>
                <P>
                    On May 2, 2023, the United States and Mexico jointly announced a number of measures to address the humanitarian situation caused by unprecedented migration flows in the hemisphere by creating incentives for migrants to use lawful pathways, while announcing that consequences for unlawful entry would continue once the Title 42 public health Order was lifted. The announcements emphasized the importance of strengthening and expanding access to lawful pathways, including in Central America, which will continue to remain a central topic of bilateral relations.
                    <SU>85</SU>
                    <FTREF/>
                     Specifically, the United States stated its intention to welcome as many as 100,000 individuals from El Salvador, Guatemala, and Honduras under the family reunification parole processes, while the Government of Mexico recognized the value in SMOs and is considering how it can contribute to their success. Mexico concurrently committed to continue to accept the return of certain CHNV nationals on humanitarian grounds beyond the lifting of the Title 42 public health Order on May 11, 2023.
                </P>
                <FTNT>
                    <P>
                        <SU>85</SU>
                         
                        <E T="03">See</E>
                         Mexico and United States Strengthen Joint Humanitarian Plan on Migration, May 2, 2023, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/02/mexico-and-united-states-strengthen-joint-humanitarian-plan-on-migration/.</E>
                    </P>
                </FTNT>
                <P>
                    Additionally, after a series of negotiations, on June 1, 2023, the United States and Guatemala issued a joint statement to commit to take a series of critical steps to humanely reduce irregular migration and expand lawful pathways under the LA. Declaration.
                    <SU>86</SU>
                    <FTREF/>
                     As the first step of a comprehensive program to manage irregular migration, both countries intend to implement a six-month pilot phase of SMOs, which facilitate access to lawful pathways to the United States and other countries, family reunification, and access to temporary work visas.
                    <SU>87</SU>
                    <FTREF/>
                     These offices began accepting appointments on the website 
                    <E T="03">movilidadsegura.org</E>
                     on June 12, 2023.
                    <SU>88</SU>
                    <FTREF/>
                     In the same announcement, the United States and Guatemala stated that they will also deepen cooperation on border security and will continue to address the root causes of irregular migration.
                    <SU>89</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>86</SU>
                         See The White House, Joint Statement from the United States and Guatemala on Migration (June 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>87</SU>
                         
                        <E T="03">Id</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>88</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>89</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    In addition, on June 4, 2023, the United States and Colombia announced the impending establishment of SMOs that would identify, register, and categorize the reasons for irregular migration and channel those who qualify through lawful pathways from Colombia to the United States.
                    <SU>90</SU>
                    <FTREF/>
                     The goal is to prevent irregular migration to the United States or other places in the Hemisphere. The U.S. government also reaffirmed its commitment to simultaneously expand additional lawful pathways for Colombians with temporary work visas and expanded family reunification.
                    <SU>91</SU>
                    <FTREF/>
                     As stated in the announcement, the USG is working with the government of Colombia to promptly implement processing through SMOs to ensure the success of this initiative.
                    <SU>92</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>90</SU>
                         
                        <E T="03">See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/. See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>91</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>92</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    Furthermore, on June 12, 2023, the USG and the Government of Costa Rica, in furtherance of bilateral partnership and addressing hemispheric challenge of irregular migration, announced an exploratory six-month implementation of SMOs.
                    <SU>93</SU>
                    <FTREF/>
                     SMOs in Costa Rica will facilitate access to lawful pathways to the United States and other countries, including expedited refugee processing and other humanitarian and labor pathways.
                    <SU>94</SU>
                    <FTREF/>
                     In addition to starting the SMOs initiative, the USG and the Government of Costa Rica reaffirmed their commitment to work with all countries across the region to promote integration of refugees and migrants, expand lawful pathways, and promote humane border management.
                    <SU>95</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>93</SU>
                         
                        <E T="03">See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>94</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>95</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>Overall, delaying issuance and implementation of this process to undertake rulemaking would complicate these and future U.S. efforts to manage migration together with foreign partners. Because this FRP is an example of the United States' shared commitment to managing migration consistent with the L.A. Declaration and has been a key point in ongoing negotiations and partnerships, such a delay would risk undermining these partner countries' continued efforts, which are critical to the U.S. foreign policy approach to migration management.</P>
                <P>
                    Furthermore, the delay associated with implementing this process through notice-and-comment rulemaking would adversely affect the United States' ability to negotiate for and request additional enforcement measures and increased cooperation with removals, which is timely and urgent given the conclusion of Title 42 enforcement on May 11. Regional partner countries have repeatedly requested additional lawful pathways in diplomatic engagements in return for increased law enforcement measures throughout the migratory routes, imposing additional requirements on key nationalities using their countries as a gateway to make irregular journeys to the SWB, and accepting additional removal flights with significantly reduced manifest times. Coordinated USG efforts with partner countries in the Western Hemisphere, following the lifting of the CDC's Title 42 public health Order on May 11, 2023, and transition to processing under Title 8 of U.S. Code have led to a reduction of irregular migration flows throughout the region and at the SWB. However, the USG's assessment is that this might be a temporary shift if the United States and partner countries do not sustain their efforts to expand access to lawful pathways and enforcement measures along the migratory routes as our regional partner countries and international organization partners report skyrocketing inquiries from migrants about availability of, and requirements for lawful pathways and 
                    <PRTPAGE P="43591"/>
                    enforcement penalties for unlawful entry into the United States. A key means of delivering on these partnerships, in keeping with the U.S. strategy and approach on migration management overall, is to make available lawful pathways to provide safe and orderly alternatives to the danger and consequences of irregular migration.
                </P>
                <P>
                    The invocation of the foreign affairs exemption is also consistent with DHS precedent. For example, in 2017, DHS published a notice eliminating an exception to expedited removal for certain Cuban nationals, which explained that the change in policy was consistent with the foreign affairs exemption because the change was central to ongoing negotiations between the two countries.
                    <SU>96</SU>
                    <FTREF/>
                     DHS similarly invoked the foreign affairs exemption more recently, in connection with the CHNV parole processes.
                    <SU>97</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>96</SU>
                         
                        <E T="03">See</E>
                         DHS, Eliminating Exception To Expedited Removal Authority for Cuban Nationals Encountered in the United States or Arriving by Sea, 82 FR 4902 (Jan. 17, 2017).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>97</SU>
                         
                        <E T="03">See</E>
                         DHS, Implementation of a Parole Process for Cubans, 88 FR 1266 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Haitians, 88 FR 1243 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Nicaraguans, 88 FR 1255 (Jan. 9, 2023); DHS, Implementation of Changes to the Parole Process for Venezuelans, 88 FR 1282 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Venezuelans, 87 FR 63507 (Oct. 19, 2022).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Paperwork Reduction Act (PRA)</HD>
                <P>
                    Under the Paperwork Reduction Act (PRA), 44 U.S.C. chapter 35, all Departments are required to submit to the Office of Management and Budget (OMB), for review and approval, any new reporting requirements they impose. The process announced by this notice requires changes to the collections of information on Form I-134A, Online Request to be a Supporter and Declaration of Financial Support (OMB control number 1615-0157), which will be used for the FRP process for Guatemalans and is being revised in connection with this notice by increasing the burden estimate. This process also requires changes to the collection of information for Advance Travel Authorization (ATA) (OMB Control Number 1651-0143). USCIS and CBP have submitted and OMB has approved requests for emergency authorization of the required changes (under 5 CFR 1320.13) to Form I-134A and ATA for a period of 6 months. Within 45 days, USCIS and CBP will issue respective 60-day 
                    <E T="04">Federal Register</E>
                     notices seeking comment on these changes.
                    <SU>98</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>98</SU>
                         Per the normal clearance procedures at 5 CFR 1320.10(e).
                    </P>
                </FTNT>
                <SIG>
                    <NAME>Alejandro N. Mayorkas,</NAME>
                    <TITLE>Secretary, U.S. Department of Homeland Security.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14473 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 9111-97-P; 9111-14-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF HOMELAND SECURITY</AGENCY>
                <DEPDOC>[CIS No. 2749-23; DHS Docket No. USCIS-2023-0006]</DEPDOC>
                <RIN>RIN 1615-ZB99</RIN>
                <SUBJECT>Implementation of a Family Reunification Parole Process for Colombians</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Department of Homeland Security.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of implementation of a family reunification parole process for Colombians.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This notice announces the U.S. Department of Homeland Security's (DHS) creation and implementation of a family reunification parole process (FRP) for Colombians. Under this process, certain Colombian principal beneficiaries of an approved Form I-130, Petition for Alien Relative, and their immediate family members, will be issued advance authorization to travel to the United States to seek a discretionary grant of parole into the United States for a period of up to three years, rather than remain outside the United States while awaiting availability of their immigrant visas. This process will allow family members to reunite in the United States while they wait for their immigrant visas to become available. This process is voluntary and intended to provide an additional lawful, safe, and orderly avenue for migration from Colombia to the United States as an alternative to irregular migration to help relieve pressure at the Southwest Border (SWB) and reunite families, consistent with U.S. national security interests and foreign policy priorities. The process complements other efforts to collaboratively manage migration in the Western Hemisphere and at the SWB as the U.S. Government (USG) continues to implement its broader, multi-pronged, and regional strategy to address the challenges posed by irregular migration.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>DHS will begin using the Form I-134A, Online Request to be a Supporter and Declaration of Financial Support, for this process on July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Rená Cutlip-Mason, Chief, Humanitarian Affairs Division, Office of Policy and Strategy, U.S. Citizenship and Immigration Services, Department of Homeland Security, by mail at 5900 Capital Gateway Drive, Camp Springs, MD 20746, or by phone at 800-375-5283.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Background</HD>
                <P>
                    This notice describes the implementation of a new parole process for certain Colombian nationals and their immediate family members,
                    <SU>1</SU>
                    <FTREF/>
                     including the eligibility criteria and filing process. The parole process is intended to reunite families more quickly and offer an alternative to dangerous irregular migration routes through North and Central America to the United States by providing a process for certain Colombians and their immediate family members to lawfully enter the United States in a safe and orderly manner.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         Throughout this notice, “immediate family members” is used as a shorthand for the derivative beneficiary spouse and children of a principal beneficiary. 
                        <E T="03">See</E>
                         INA sec. 203(d), 8 U.S.C. 1153(d); 
                        <E T="03">see also</E>
                         INA sec. 101(b)(1), 8 U.S.C. 1101(b)(1) (defining “child,” in general, as meaning “an unmarried person under twenty-one years of age”).
                    </P>
                </FTNT>
                <P>
                    The USG is committed to implementing a comprehensive framework to manage migration through North and Central America.
                    <SU>2</SU>
                    <FTREF/>
                     Executive Order (E.O.) 14010 called for a four-pronged approach, including: addressing the root causes of irregular migration; managing migration throughout the region collaboratively with other nations and stakeholders; restoring and enhancing the U.S. asylum system and the process for migrants at the SWB to access this system; and creating and expanding lawful pathways for migrants to enter the United States and seek protection.
                    <SU>3</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See generally</E>
                         Executive Order 14010, 
                        <E T="03">Creating a Comprehensive Regional Framework to Address the Causes of Migration, To Manage Migration Throughout North and Central America, and To Provide Safe and Orderly Processing of Asylum Seekers at the United States Border</E>
                         (Feb. 2, 2021). 
                        <E T="03">https://www.govinfo.gov/content/pkg/FR-2021-02-05/pdf/2021-02561.pdf; see also</E>
                         NSC, 
                        <E T="03">Collaborative Migration Management Strategy</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-Migration-Management-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         E.O. 14010 at secs. 2-4.
                    </P>
                </FTNT>
                <P>
                    In July 2021, the National Security Council (NSC) published the 
                    <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America.</E>
                    <SU>4</SU>
                    <FTREF/>
                     This 
                    <PRTPAGE P="43592"/>
                    strategy outlined a comprehensive framework within which federal government agencies would work collaboratively to address the root causes of irregular migration through Central America, noting long-standing political instability, insecurity, and climate change in the region. Also in July 2021, the NSC published the 
                    <E T="03">Collaborative Migration Management Strategy,</E>
                     which described U.S. strategy to collaboratively manage migration through Central America.
                    <SU>5</SU>
                    <FTREF/>
                     Further, in March 2022, DHS published an interim final rule (IFR) intended to allow U.S. immigration officials to consider more promptly the asylum claims of individuals encountered at or near the SWB while ensuring the fundamental fairness of the asylum process.
                    <SU>6</SU>
                    <FTREF/>
                     In June 2022, through the Los Angeles Declaration on Migration and Protection (L.A. Declaration), the United States, along with several countries in the Western Hemisphere, committed to strengthen national, regional, and hemispheric efforts to create the conditions for safe, orderly, humane, and regular migration, and signaled their intent to work together to expand access to regular pathways for migrants and international protection, including through family reunification options, where appropriate and feasible, in accordance with national legislation.
                    <SU>7</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <PRTPAGE/>
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         NSC 
                        <E T="03">Collaborative Migration Management Strategy</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-%20Migration-%20Management-%20Strategy.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         Procedures for Credible Fear Screening and Consideration of Asylum, Withholding of Removal, and CAT Protection Claims by Asylum Officers, 87 FR 18078 (Mar. 29, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         The White House, 
                        <E T="03">Los Angeles Declaration on Migration and Protection</E>
                         (June 10, 2022), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <P>
                    A critical component of this migration framework is the creation and expansion of lawful pathways through which migrants can come to the United States, as one means of reducing irregular migration flows. Building on the success of Uniting for Ukraine,
                    <SU>8</SU>
                    <FTREF/>
                     in October 2022, the United States announced a parole process for certain Venezuelan nationals and their immediate family members to lawfully enter the United States in a safe and orderly manner.
                    <SU>9</SU>
                    <FTREF/>
                     The process for Venezuelans was designed to immediately address the humanitarian need and the increasing number of encounters of Venezuelan nationals at the SWB.
                    <SU>10</SU>
                    <FTREF/>
                     Implementation of the parole process for Venezuelans was dependent on Mexico continuing to accept the return of Venezuelan nationals seeking to irregularly enter the United States between the ports of entry (POEs), and the announcement made clear that Venezuelans who did not avail themselves of this process, and who instead entered the United States without authorization, were subject to expulsion or removal.
                    <SU>11</SU>
                    <FTREF/>
                     In January 2023, DHS implemented similar parole processes for Cubans, Haitians, and Nicaraguans, and their immediate family members, to address the increasing numbers of encounters of nationals of those countries at the SWB, and announced changes to the parole process for Venezuelans to allow for its continued operation.
                    <SU>12</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         Implementation of the Uniting for Ukraine Parole Process, 87 FR 25040 (Apr. 27, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         Implementation of a Parole Process for Venezuelans, 87 FR 63507 (Oct. 19, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">See</E>
                         Implementation of a Parole Process for Cubans, 88 FR 1266 (Jan. 9, 2023); Implementation of a Parole Process for Haitians, 88 FR 1243 (Jan. 9, 2023); Implementation of a Parole Process for Nicaraguans, 88 FR 1255 (Jan. 9, 2023); Implementation of Changes to the Parole Process for Venezuelans, 88 FR 1279 (Jan. 9, 2023).
                    </P>
                </FTNT>
                <P>
                    On May 12, 2023, following the termination of the Centers for Disease Control and Prevention's (CDC) Title 42 public health Order, DHS and the Department of Justice (DOJ) implemented a joint final rule, 
                    <E T="03">Circumvention of Lawful Pathways,</E>
                     which incentivizes migrants to avail themselves of identified lawful, safe, and orderly pathways into the United States, or otherwise to seek asylum or other protection in another country through which they travel.
                    <SU>13</SU>
                    <FTREF/>
                     That rule reflects the position that an increase in the availability of lawful pathways paired with consequences for migrants who do not avail themselves of such pathways can encourage the use of lawful pathways and undermine transnational criminal organizations (TCOs), such as smuggling operations.
                    <SU>14</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         88 FR 31314 (May 16, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         
                        <E T="03">See id.</E>
                         at 31325.
                    </P>
                </FTNT>
                <P>
                    In addition, DHS and the Department of State (State) have collaborated on a number of efforts to address the challenges of irregular migration by expanding access to lawful pathways, including: restarting and expanding eligibility criteria to the Central American Minors (CAM) Program; 
                    <SU>15</SU>
                    <FTREF/>
                     and expanding refugee processing in South and Central America, including by working to establish Safe Mobility Offices (SMOs) in key locations.
                    <SU>16</SU>
                    <FTREF/>
                     USG efforts have also expanded access to H-2 temporary nonimmigrant worker visas for individuals in the region while enhancing worker protections.
                    <SU>17</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         The United States announced in March 2021 that the CAM Program would reopen and continue with processing for cases that were closed in 2018 when the program was terminated. In June 2021, the United States announced the program would be expanded by increasing the categories of eligible U.S.-based relatives who can request access for their children in Northern Central America (NCA). In April 2023, the United States announced enhancements to the CAM Program, including updates to certain eligibility criteria for program access. 
                        <E T="03">See</E>
                         Bureau of Population, Refugees, and Migration; Central American Minors Program, 88 FR 21694 (Apr. 11, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet, U.S. Government Announces Sweeping New Actions to Manage Regional Migration (Apr. 27, 2023), 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                         DHS has previously announced the intention to establish Regional Processing Centers (RPCs) but will now refer to them as Safe Mobility Offices (SMOs) following the launch of the 
                        <E T="03">MovilidadSegura.org</E>
                         website and the announcements with hosting countries. 
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (Jun 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/</E>
                         and 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/; See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         While focusing attention on improvements to recruitment practices and educating workers on their rights in the NCA countries and labor conditions in the United States, the United States Government has been engaging in efforts to substantially increase the number of H-2 temporary workers from the NCA countries. As part of these efforts, the Secretary of Homeland Security, in consultation with the Secretary of Labor, has exercised the authority given by Congress to allocate additional H-2B temporary non-agricultural worker visas under the supplemental cap. Most recently, on December 15, 2022, DHS and DOL jointly published a temporary final rule increasing the number of H-2B nonimmigrant visas by up to 64,716 for the entirety of FY 2023. 
                        <E T="03">See</E>
                         Exercise of Time-Limited Authority to Increase the Numerical Limitation for FY 2023 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 87 FR 76816 (Dec. 15, 2022). 20,000 of these H-2B visas are reserved for nationals of El Salvador, Guatemala, Honduras, and Haiti. 
                        <E T="03">Id.</E>
                         DHS and DOL similarly exercised this authority in other recent FYs, with specific allocations for NCA countries. 
                        <E T="03">See</E>
                         Exercise of Time-Limited Authority To Increase the Numerical Limitation for Second Half of FY 2022 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking To Change Employers, 87 FR 30334 (May 18, 2022) (authorizing the issuance of no more than 35,000 
                        <PRTPAGE/>
                        additional H-2B visas during the second half of FY 2022, of which 11,500 H-2B visas were reserved for nationals of El Salvador, Guatemala, Honduras, and Haiti); Exercise of Time-Limited Authority to Increase the Fiscal Year 2022 Numerical Limitation for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 87 FR 4722 (Jan. 28, 2022) (DHS and DOL authorized an additional 20,000 H-2B visas, of which 6,500 were again reserved for nationals of the NCA countries, with the addition of Haiti); Exercise of Time-Limited Authority to Increase the Fiscal Year 2021 Numerical Limitation for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 86 FR 28198 (May 25, 2021) (DHS and DOL authorized a total of 22,000 supplemental visas, of which 6,000 visas were reserved for nationals of the NCA countries).
                    </P>
                </FTNT>
                <PRTPAGE P="43593"/>
                <P>Consideration of noncitizens for parole on a case-by-case basis under the process outlined here will meaningfully contribute to the broader USG strategy of expanding access to lawful pathways to individuals who may otherwise undertake an irregular migration journey to the United States.</P>
                <HD SOURCE="HD1">II. Parole Authority</HD>
                <P>
                    The Immigration and Nationality Act (INA) provides the Secretary of Homeland Security (the Secretary) with the discretionary authority to parole applicants for admission “into the United States temporarily under such reasonable conditions as [the Secretary] may prescribe only on a case-by-case basis for urgent humanitarian reasons or significant public benefit.” 
                    <SU>18</SU>
                    <FTREF/>
                     Parole is not an admission of the individual to the United States, and a parolee remains an “applicant for admission” during their period of parole in the United States.
                    <SU>19</SU>
                    <FTREF/>
                     DHS sets the duration of the parole based on the purpose for granting the parole request and may impose appropriate conditions on parole.
                    <SU>20</SU>
                    <FTREF/>
                     DHS may terminate parole upon notice in its discretion at any time.
                    <SU>21</SU>
                    <FTREF/>
                     By regulation, parolees may apply for and be granted employment authorization to work lawfully in the United States.
                    <SU>22</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         INA sec. 212(d)(5)(A), 8 U.S.C. 1182(d)(5)(A); 
                        <E T="03">see also</E>
                         6 U.S.C. 202(a)(4) (charging the Secretary with the responsibility for “[e]stablishing and administering rules . . . governing . . . parole”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         INA secs. 101(a)(13)(B) and 212(d)(5)(A), 8 U.S.C. 1101(a)(13)(B) and 1182(d)(5)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         
                        <E T="03">See</E>
                         8 CFR 212.5(c).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         
                        <E T="03">See</E>
                         8 CFR 212.5(e).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         
                        <E T="03">See</E>
                         8 CFR 274a.12(c)(11).
                    </P>
                </FTNT>
                <P>
                    Past Secretaries have similarly exercised the parole authority to establish other family reunification parole processes administered by U.S. Citizenship and Immigration Services (USCIS). For example, the Cuban Family Reunification Parole (CFRP) Program, as established in 2007, allows U.S. citizens (USCs) and lawful permanent residents (LPRs) to request parole for certain eligible family members in Cuba who are beneficiaries of approved Form I-130s.
                    <SU>23</SU>
                    <FTREF/>
                     If parole is authorized, these family members may come to the United States and seek parole before their immigrant visa priority dates are current.
                    <SU>24</SU>
                    <FTREF/>
                     Similarly, in 2014, the Haitian Family Reunification Parole (HFRP) Program was established, allowing USCs and LPRs to request parole for certain eligible family members in Haiti who are beneficiaries of approved Form I-130s, who may subsequently come to the United States and seek parole before their immigrant visa priority dates are current.
                    <SU>25</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>23</SU>
                         
                        <E T="03">See</E>
                         Cuban Family Reunification Parole Program, 72 FR 65588 (Nov. 21, 2007) (Noting that granting parole to eligible aliens under the CFRP Program serves the significant public benefit of enabling the United States to meet its commitments under the Migration Accords as well as “reducing the perceived need for family members left behind in Cuba to make irregular and inherently dangerous attempts to arrive in the United States through unsafe maritime crossings, thereby discouraging alien smuggling as a means to enter the United States,” and stating that whether to parole a particular alien “remains, however, a case-by-case, discretionary determination.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>24</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>25</SU>
                         
                        <E T="03">See</E>
                         Implementation of Haitian Family Reunification Parole Program, 79 FR 75581 (Dec. 18, 2014) (“By expanding existing legal means for Haitians to immigrate, the HFRP Program serves a significant public benefit by promoting safe, legal, and orderly migration to the United States. Furthermore, it supports U.S. goals for Haiti's long-term reconstruction and development.”).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">III. The FRP Process for Colombians</HD>
                <P>As in the CFRP and HFRP processes, this FRP process for Colombians will allow USCs and LPRs to request for certain family members to receive advance authorization to travel to the United States to seek parole at an interior POE. Individuals who are eligible to be considered for parole under this process include nationals of Colombia who are beneficiaries of an approved Form I-130 family-based immigrant petition, as well as their immediate family members, who are outside the United States and who have not yet received an immigrant visa. Like the CFRP and HFRP processes, this process requires that the Form I-130 petitioner first receive an invitation to request consideration for advance authorization to travel and parole on behalf of the Colombian principal beneficiary of the approved Form I-130 and the principal beneficiary's immediate family members. As in the CFRP and HFRP processes, this invitation requirement will allow DHS to adjust the number of invitations issued based on the resources available to process requests and to achieve desired policy objectives. If issued advance authorization to travel, the beneficiary will be permitted to travel to the United States to be considered for a discretionary grant of parole on a case-by-case basis at an interior POE. Noncitizens paroled into the United States under this FRP process will generally be paroled for up to three years, consistent with the HFRP process. If granted parole into the United States, parolees will be able to request employment authorization while they wait for their immigrant visa to become available and to apply for adjustment of status to that of an LPR once an immigrant visa becomes available to them. As with the CFRP and HFRP processes, under this FRP process for Colombians, parole will only be authorized on a discretionary, case-by-case, and temporary basis upon a demonstration of urgent humanitarian reasons or significant public benefit, as well as a demonstration that the beneficiary warrants a favorable exercise of discretion. Noncitizens paroled into the United States under this process may request additional periods of parole. DHS will determine whether an additional period is warranted, on a case-by-case basis, for urgent humanitarian reasons or significant public benefit.</P>
                <HD SOURCE="HD1">IV. Justification for the Process—Significant Public Benefit</HD>
                <P>As noted above, section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), confers upon the Secretary the discretionary authority to parole noncitizens “into the United States temporarily under such reasonable conditions as [the Secretary] may prescribe only on a case-by-case basis for urgent humanitarian reasons or significant public benefit.”</P>
                <P>The case-by-case parole of noncitizens with approved family-based immigrant visa petitions under this process will, in general, provide a significant public benefit by furthering the USG's holistic migration management strategy, specifically by: (1) promoting family unity; (2) furthering important foreign policy objectives; (3) providing a lawful and timely alternative to irregular migration; (4) reducing strain on limited U.S. resources; and (5) addressing root causes of migration through economic stability and development supported by increased remittances.</P>
                <HD SOURCE="HD2">A. Promoting Family Unity</HD>
                <P>
                    Consistent with Section 3(b)(ii) of E.O. 14010, the case-by-case parole of noncitizens under this FRP process will provide the significant public benefit of promoting family unity by providing a more expeditious pathway for USCs and LPRs to reunite with their family members from Colombia in the United 
                    <PRTPAGE P="43594"/>
                    States. Currently, nationals of Colombia with approved family-based petitions often wait many years before their immigrant visas can be issued and they can travel to the United States to apply for admission as immigrants.
                    <SU>26</SU>
                    <FTREF/>
                     While waiting for an immigrant visa to be issued, security concerns and uncertainty in their home countries, combined with a desire to reunify with family in the United States, could cause many to undertake irregular migratory routes in the absence of an alternative path to come to the United States in the near term for family reunification.
                </P>
                <FTNT>
                    <P>
                        <SU>26</SU>
                         For example, under the May 2023 Department of State Visa Bulletin, a Colombian married child of a U.S. citizen—F3 Preference Relative category—will only have an immigrant visa available to them if their relative filed the Form I-130 on their behalf more than 14 years ago. 
                        <E T="03">See</E>
                         DOS, Visa Bulletin for May 2023, Number 77, Volume X (May 2023), 
                        <E T="03">https://travel.state.gov/content/travel/en/legal/visa-law0/visa-bulletin/2023/visa-bulletin-for-may-2023.html.</E>
                         However, these dates are not predictive. Due to increases in Form I-130 volumes, it is likely that a Colombian married child of a U.S. citizen for whom a Form I-130 is filed today will have even longer to wait before an immigrant visa becomes available.
                    </P>
                </FTNT>
                <P>By facilitating quicker reunification of USCs and LPRs with their family members in the United States, this FRP process will improve the social and economic stability and well-being of these families, as well as their communities at large. Additionally, facilitating reunification in the short-term through a lawful, safe, and orderly pathway will provide the significant public benefit of promoting the reception and integration of arriving noncitizens into American society. New arrivals will be introduced sooner to the networks already built by family members living in the United States, providing them an opportunity to familiarize themselves with the United States, establish stable financial foundations, find housing and transportation, and enroll in school and find childcare for their children as they wait for their immigrant visas to become available.</P>
                <HD SOURCE="HD2">B. Furthering Important Foreign Policy Objectives</HD>
                <P>
                    The United States has been engaging with international partners to manage irregular migration through various lines of effort, including bringing together leaders from nations across the Western Hemisphere to endorse the L.A. Declaration,
                    <SU>27</SU>
                    <FTREF/>
                     joining Colombia and Panama to ramp up efforts to address irregular flows through the Darién,
                    <SU>28</SU>
                    <FTREF/>
                     working to establish SMOs in key locations in the Western Hemisphere,
                    <SU>29</SU>
                    <FTREF/>
                     joining Mexico to announce and develop a humanitarian plan on migration,
                    <SU>30</SU>
                    <FTREF/>
                     and issuing a trilateral statement with Canada and Spain to announce our intent to partner together to deepen engagement in Latin America.
                    <SU>31</SU>
                    <FTREF/>
                     A central theme of all these efforts is, as further articulated below, expanding and strengthening access to lawful pathways for migration. Many countries have cooperated extensively to: (1) create and expand access to lawful pathways in their respective countries; and (2) increase enforcement measures along the migratory routes and introduce policies that seek to reduce irregular migration from or through their countries. In turn, regional partner countries have consistently requested that the United States expand and strengthen access to lawful pathways, even following implementation of the parole processes for nationals of Cuba, Haiti, Nicaragua, and Venezuela (CHNV). Implementation of this parole process is one way of responding to such requests. Therefore, the parole of noncitizens, on a case-by-case basis, under this process will secure cooperation and strengthen bilateral relations with regional partners in furtherance of U.S. national interests.
                </P>
                <FTNT>
                    <P>
                        <SU>27</SU>
                         
                        <E T="03">See</E>
                         The White House, Los Angeles Declaration on Migration and Protection, June 10, 2022, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>28</SU>
                         
                        <E T="03">Trilateral Joint Statement,</E>
                         April 11, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/11/trilateral-joint-statement.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>29</SU>
                         
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (June 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/; See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/; See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>30</SU>
                         
                        <E T="03">See</E>
                         The White House, Mexico and United States Strengthen Joint Humanitarian Plan on Migration, May 2, 2023, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/02/mexico-and-united-states-strengthen-joint-humanitarian-plan-on-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>31</SU>
                         
                        <E T="03">See</E>
                         DHS, Trilateral statement on joint commitment to Latin America, May 3, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/05/03/trilateral-statement-joint-commitment-latin-america.</E>
                    </P>
                </FTNT>
                <P>
                    This process is not only responsive to the requests and interests of key foreign partners—and necessary for addressing migration challenges requiring coordination between two or more governments—it is also fully aligned with larger and important foreign policy objectives of this Administration and fits within a network of carefully negotiated actions by multiple governments, as reflected in the L.A. Declaration and the aforementioned actions.
                    <SU>32</SU>
                    <FTREF/>
                     The L.A. Declaration acknowledges the endorsees' shared responsibility on migration and commitment to strengthen national, regional, and hemispheric efforts to create the conditions for safe, orderly, humane, and regular migration.
                    <SU>33</SU>
                    <FTREF/>
                     All 21 countries that endorsed the declaration reaffirmed their shared commitment to strengthening and expanding regular pathways and promoting principles of safe, orderly, humane, and regular migration.
                    <SU>34</SU>
                    <FTREF/>
                     As such, it is the view of the United States that this process advances the Administration's foreign policy goals by demonstrating U.S. partnership and U.S. commitment to the shared goals of addressing migration through the hemisphere, both of which are essential to maintaining strong relationships with key partners to manage migration collaboratively.
                </P>
                <FTNT>
                    <P>
                        <SU>32</SU>
                         The White House, 
                        <E T="03">Los Angeles Declaration on Migration and Protection</E>
                         (June 10, 2022), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>33</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>34</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    The USG further intensified its international engagement in recent months and weeks as the date on which the CDC Title 42 public health Order 
                    <SU>35</SU>
                    <FTREF/>
                     would terminate neared and DHS anticipated a significant potential further increase in irregular migration.
                    <SU>36</SU>
                    <FTREF/>
                     For instance, consistent with the goals of the L.A. Declaration and in anticipation of the end of the Title 42 public health Order, on April 11, 2023, and at the request of the United States, the United States, jointly with the Governments of Panama and Colombia, committed to three goals—a counter-
                    <PRTPAGE P="43595"/>
                    human smuggling effort in both the land and maritime domain; an expansion of lawful pathways as an alternative to irregular migration; and increased economic investment in impacted border communities—as part of a coordinated 60-day campaign and sustained cooperation beyond the initial two-month campaign to reduce irregular migration.
                    <SU>37</SU>
                    <FTREF/>
                     Implementing this process fulfills one of the commitments the United States made with its regional partners to seek to, among all three governments, “[o]pen new lawful and flexible pathways for tens of thousands of migrants and refugees as an alternative to irregular migration.” 
                    <SU>38</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>35</SU>
                         
                        <E T="03">See</E>
                         Public Health Determination and Order Regarding Suspending the Right to Introduce Certain Persons from Countries Where a Quarantinable Communicable Disease Exists, 87 FR 19941, 19941-42 (Apr. 6, 2022) (describing the CDC's recent Title 42 public health Orders, which “suspend[ ] the right to introduce certain persons into the United States from countries or places where the quarantinable communicable disease exists in order to protect the public health from an increased risk of the introduction of COVID-19”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>36</SU>
                         
                        <E T="03">See</E>
                         88 FR 11704, 11704-08 (Feb. 23, 2023) (describing “concern about the possibility of a surge in irregular migration upon, or in anticipation of, the eventual lifting of the Title 42 public health Order”); CNN, Southern border braces for a migrant surge with Title 42 set to expire this week, May 8, 2023, 
                        <E T="03">https://www.cnn.com/2023/05/08/us/title-42-expires-border-immigration/index.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>37</SU>
                         
                        <E T="03">Trilateral Joint Statement,</E>
                         April 11, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/11/trilateral-joint-statement.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>38</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <P>
                    The USG also continues to encourage regional governments to continue to expand lawful pathways that they make available for migrants, including providing status to migrants residing in their countries, as well as establish removal programs. Colombia, for example, has given 10-year temporary protected status to approximately 2.5 million Venezuelans, allowing them to work, study, and access public services.
                    <SU>39</SU>
                    <FTREF/>
                     Ecuador, Costa Rica, Belize, and Peru are also undertaking similar efforts to regularize migrants from Venezuela and Nicaragua.
                    <SU>40</SU>
                    <FTREF/>
                     Partner countries have also taken actions to forgive existing migrant overstay fines, effectively removing one of the largest barriers to regularization.
                    <SU>41</SU>
                    <FTREF/>
                     Brazil's “Operation Welcome” helped over 100,000 Venezuelans voluntarily resettle in places where they have greater economic opportunity.
                    <SU>42</SU>
                    <FTREF/>
                     Mexico and Canada are increasing the number of people that they welcome on a humanitarian basis.
                    <SU>43</SU>
                    <FTREF/>
                     The implementation of this parole process will demonstrate to these regional governments the commitment of the United States government to continue to expand lawful, safe, and orderly pathways as an alternative to irregular migration.
                </P>
                <FTNT>
                    <P>
                        <SU>39</SU>
                         
                        <E T="03">See</E>
                         Secretary Antony J. Blinken and Secretary of Homeland Security Alejandro Mayorkas at a Joint Press Availability—United States Department of State, Apr. 27, 2023, 
                        <E T="03">https://www.state.gov/secretary-antony-j-blinken-and-secretary-of-homeland-security-alejandro-mayorkas-at-a-joint-press-availability/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>40</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>41</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>42</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>43</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">C. Lawful Alternative to Irregular Migration</HD>
                <P>
                    In addition to existing lawful pathways, implementation of this FRP process will provide another lawful, safe, and orderly alternative to irregular migration in the near term. In Fiscal Year 2022 (FY22), migration from Colombia significantly increased, with border enforcement encounters at the SWB more than 20 times greater in FY22 than in the prior year (6,202 in FY21 compared to 125,172 in FY22).
                    <SU>44</SU>
                    <FTREF/>
                     Encounters in FY23, through April 2023, were already at more than 107,000.
                    <SU>45</SU>
                    <FTREF/>
                     Economic insecurity and high levels of poverty, food insecurity, and sexual and gender-based violence, coupled with the desire to reunite with family members already in the United States, are driving migrants from Colombia to the United States.
                    <SU>46</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>44</SU>
                         U.S. Customs and Border Protection, Nationwide Encounters, May 17, 2023, 
                        <E T="03">https://www.cbp.gov/newsroom/stats/nationwide-encounters</E>
                         (last visited June 8, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>45</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>46</SU>
                         U.S. Dep't of State, 2022 Country Reports on Human Rights Practices: Colombia (Apr. 2023) 
                        <E T="03">https://www.state.gov/reports/2022-country-reports-on-human-rights-practices/colombia/;</E>
                         World Report 2023, Events of 2022 Colombia, Human Rights Watch (Jan. 2023) 
                        <E T="03">https://www.hrw.org/world-report/2023/country-chapters/colombia;</E>
                         ACAPS, Colombia Humanitarian overview: protection concerns and community protection responses (Nov. 17, 2022), 
                        <E T="03">https://www.acaps.org/sites/acaps/files/products/files/20221117_acaps_colombia_analysis_hub_protection.pdf;</E>
                         Reuters, More than 15 mln Colombians suffer food insecurity—UN (Feb. 16, 2023) 
                        <E T="03">https://www.reuters.com/world/americas/more-than-15-mln-colombians-suffer-food-insecurity-un-2023-02-16/; see also</E>
                         Paulina Villegas &amp; Samantha Schmidt, 
                        <E T="03">Two siblings tried reaching the U.S. by sea to reunite with their mother. Only one of them made it,</E>
                         Wash. Post, Jan. 28. 2022, 
                        <E T="03">https://www.washingtonpost.com/world/2022/01/28/siblings-bahamas-colombia/.</E>
                    </P>
                </FTNT>
                <P>
                    Some beneficiaries of approved family-based immigrant visa petitions may have to wait many years for an immigrant visa to become available.
                    <SU>47</SU>
                    <FTREF/>
                     While beneficiaries will still need to wait to apply to become an LPR, this FRP process will allow certain noncitizens to spend part of that waiting time with family in the United States. The process will create a lawful, safe, and orderly pathway to travel to the United States for certain nationals of Colombia and their immediate family members, who have already followed established channels to begin seeking lawful status in the United States, whose immigrant visa petitions have been approved, and who are waiting for an immigrant visa to become available. The availability of this FRP process could discourage beneficiaries whose immigrant visas are not expected to become available soon from engaging in irregular migration by providing a hope and expectation that they will soon have access to a reasonably foreseeable, safe, and orderly alternative to irregular migration for which they may choose to wait.
                </P>
                <FTNT>
                    <P>
                        <SU>47</SU>
                         
                        <E T="03">See</E>
                         William Kandel, Congressional Research Service, 
                        <E T="03">U.S. Family-Based Immigration Policy</E>
                         (Feb. 9, 2018), 
                        <E T="03">https://crsreports.congress.gov/product/pdf/R/R43145;</E>
                         DOS, Visa Bulletin for May 2023, Number 77, Volume X (May 2023), 
                        <E T="03">https://travel.state.gov/content/travel/en/legal/visa-law0/visa-bulletin/2023/visa-bulletin-for-may-2023.html.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">D. Reducing Strain on Limited U.S. Resources</HD>
                <P>
                    The increase in monthly encounters of Colombians, from approximately 7,500 per month in the first seven months of Fiscal Year (FY) 2022 to more than 15,300 per month in the first seven months of FY 2023 has contributed to the strain on DHS's reception and processing capacity at the SWB.
                    <SU>48</SU>
                    <FTREF/>
                     By establishing a lawful pathway for some of these migrants from Colombia, on a case-by-case basis, to enter the country before an immigrant visa becomes immediately available to them, this FRP process is expected to reduce the number of irregular migrants encountered at the SWB,
                    <SU>49</SU>
                    <FTREF/>
                     thereby providing a significant public benefit by reducing the strain on border reception and processing capacity, including by diverting the processing of individuals to interior POEs.
                </P>
                <FTNT>
                    <P>
                        <SU>48</SU>
                         U.S. Customs and Border Protection, Nationwide Encounters, May 17, 2023, 
                        <E T="03">https://www.cbp.gov/newsroom/stats/nationwide-encounters</E>
                         (last visited June 9, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>49</SU>
                         As of late May 2023, there are currently an estimated 17,400 Colombian nationals with an approved Form I-130 waiting to travel to the United States. Individuals in this population may need to wait over 15 years for an immigrant visa to become available. Although DHS does not expect to issue invitations corresponding to all such Colombian nationals, this process may result in a significant reduction in wait times outside the United States for a substantial portion of this population, reducing incentives for irregular migration.
                    </P>
                </FTNT>
                <P>
                    Paroling individuals through this process will be less resource-intensive than processing individuals who irregularly migrate. Noncitizens who arrive through this FRP process will generally not require placement in DHS custody or removal proceedings, allowing more space and resources to be used for managing irregular migration.
                    <SU>50</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>50</SU>
                         
                        <E T="03">See, e.g.,</E>
                         INA secs. 235, 240, 8 U.S.C. 1225, 1229a.
                    </P>
                </FTNT>
                <P>
                    Furthermore, by establishing a meaningful, near-term lawful pathway that certain individuals, if found to be eligible on a case-by-case basis, may choose to use in lieu of attempting to enter the United States irregularly, the process will redirect such intending migrants away from irregular migratory routes that funnel money into TCOs. TCOs engaged in human smuggling along the route from the NCA region to the United States earn hundreds of millions to billions of dollars each year from smuggling activities associated 
                    <PRTPAGE P="43596"/>
                    with irregular migration.
                    <SU>51</SU>
                    <FTREF/>
                     TCOs exploit irregular migration for financial gain, either by charging migrants to cross the border, forcing migrants to carry contraband as they cross, or forcing and coercing migrants into a sex or labor trafficking situation.
                    <SU>52</SU>
                    <FTREF/>
                     This money can then be used to fund additional human smuggling, drug trafficking, and human trafficking, to buy weapons, or to engage in other illicit activities in the region, all of which are competing priorities for limited U.S. border resources to confront and manage.
                    <SU>53</SU>
                    <FTREF/>
                     This FRP process is expected to reduce the number of irregular migrants who may be exploited by TCOs engaged in human smuggling, serving a significant public benefit.
                </P>
                <FTNT>
                    <P>
                        <SU>51</SU>
                         Homeland Security Operational Analysis Center, 
                        <E T="03">Human Smuggling and Associated Revenues: What Do or Can We Know About Routes from Central America to the United States (</E>
                        2019) 
                        <E T="03">https://www.rand.org/content/dam/rand/pubs/research_reports/RR2800/RR2852/RAND_RR2852.pdf; see also</E>
                         DHS, 
                        <E T="03">Fact Sheet: Counter Human Smuggler Campaign Update</E>
                         (Oct. 6, 2022) 
                        <E T="03">https://www.dhs.gov/news/2022/10/06/fact-sheet-counter-human-smuggler-campaign-update-dhs-led-effort-makes-5000th.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>52</SU>
                         DHS's Efforts to Disrupt Transnational Criminal Organizations in Central America: Hearing before the Subcommittee on Oversight, Management, and Accountability of the Committee of Homeland Security of the House of Representatives, 117th Cong. (2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>53</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">E. Addressing Root Causes of Migration Through Remittances</HD>
                <P>
                    This FRP process will also aid U.S. efforts in addressing economic concerns in Colombia, which may be a factor driving the increasing numbers of Colombians crossing the Darién Gap.
                    <SU>54</SU>
                    <FTREF/>
                     Unlike many individuals who irregularly migrate, noncitizens who are paroled into the United States through this process will be immediately eligible to apply for employment authorization that they may maintain throughout the duration of their parole period, allowing them to contribute to the U.S. economy through the labor they provide, taxes they pay, and consumption of goods or payment of rent and utilities in their new U.S. communities.
                    <SU>55</SU>
                    <FTREF/>
                     Noncitizens with authorization to work also typically enjoy higher wages than those without employment authorization, providing them with the resources to send additional money to their home country as remittances.
                    <SU>56</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>54</SU>
                         The number of Colombians crossing from Colombia into Panama has increased from approximately 300 in January 2023 to over 1,600 in April 2023. Servicio Nacional de Migración de Panamá, Tránsito Irregular por Darién 2023 (last visited June 9, 2023), 
                        <E T="03">https://www.migracion.gob.pa/images/img2023/pdf/IRREGULARES_%20POR_%20DARI%C3%89N_ABRIL_2023.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>55</SU>
                         
                        <E T="03">See generally, e.g.,</E>
                         National Academies of Sciences, Engineering, and Medicine, “The Economic and Fiscal Consequences of Immigration” (2017), 
                        <E T="03">https://nap.nationalacademies.org/catalog/23550/</E>
                        the-economic-and-fiscal-consequences-of-immigration; Chair Cecilia Rouse, Lisa Barrow, Kevin Rinz, and Evan Soltas, The White House Blog: The Economic Benefits of Extending Permanent Legal Status to Unauthorized Immigrants (Sept. 17, 2021), 
                        <E T="03">https://www.whitehouse.gov/cea/blog/2021/09/17/the-economic-benefits-of-extending-permanent-legal-status-to-unauthorized-immigrants/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>56</SU>
                         George J. Borjas, “The Earnings of Undocumented Immigrants,” National Bureau of Economic Research (Mar. 2017), 
                        <E T="03">https://www.nber.org/papers/w23236</E>
                         (providing that noncitizens without authorization to work earn less than those with employment authorization).
                    </P>
                </FTNT>
                <P>
                    Additional remittances sent back to Colombia, together with other efforts to improve the investment climate and infrastructure in the country and address security concerns, may promote economic development and address some of the root causes of migration.
                    <SU>57</SU>
                    <FTREF/>
                     Remittances from Colombian migrants already play an important role in the Colombian economy.
                    <SU>58</SU>
                    <FTREF/>
                     For the first nine months of 2022, remittances to Colombia increased 9 percent.
                    <SU>59</SU>
                    <FTREF/>
                     Additionally, Colombia receives the highest income from remittances in South America.
                    <SU>60</SU>
                    <FTREF/>
                     Overall, remittances provide a crucial financial lifeline that enhances economic development and promotes economic stability for many individuals, families, and communities in Colombia, potentially impacting individual decisions on whether to leave the region. In the absence of timely alternative options for lawful pathways, such as parole under this process, and the additional remittances that are anticipated to result from implementation of this process, individuals are more likely to turn to irregular migration in the short-term.
                </P>
                <FTNT>
                    <P>
                        <SU>57</SU>
                         
                        <E T="03">See</E>
                         Pew Research Center, 
                        <E T="03">Remittances from Abroad are major economic assets for some developing countries</E>
                         (Jan. 29, 2018), 
                        <E T="03">https://www.pewresearch.org/fact-tank/2018/01/29/remittances-from-abroad-are-major-economic-assets-for-some-developing-countries/; see also</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf;</E>
                         Atlas of Sustainable Development Goals, 
                        <E T="03">Remittances: a lifeline for many economies,</E>
                         The World Bank (2020), 
                        <E T="03">https://datatopics.worldbank.org/sdgatlas/goal-17-partnerships-for-the-goals/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>58</SU>
                         Bloomberg Línea, 
                        <E T="03">Remittances Remain Vital Source of Revenue for Latin America's Economies</E>
                         (Oct. 27, 2022), 
                        <E T="03">https://www.bloomberglinea.com/english/remittances-remain-vital-source-of-revenue-for-latin-americas-economies/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>59</SU>
                         The World Bank, 
                        <E T="03">Remittances Grow 5% in 2022, Despite Global Headwinds</E>
                         (Nov. 30, 2022), 
                        <E T="03">https://www.worldbank.org/en/news/press-release/2022/11/30/remittances-grow-5-percent-2022.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>60</SU>
                         Bloomberg Línea, 
                        <E T="03">Remittances Remain Vital Source of Revenue for Latin America's Economies</E>
                         (Oct. 27, 2022), 
                        <E T="03">https://www.bloomberglinea.com/english/remittances-remain-vital-source-of-revenue-for-latin-americas-economies/.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">V. Eligibility</HD>
                <HD SOURCE="HD2">A. Petitioners</HD>
                <P>
                    Invitations to participate in this process will be issued to certain petitioners who have an approved Form I-130 filed on behalf of a Colombian principal beneficiary. Invitations will be issued based on operational capacity, the expected period of time until the principal beneficiary's immigrant visa becomes available, and in a manner calibrated to best achieve the policy aims of this process as described in this Notice. Petitioners who have an approved 
                    <SU>61</SU>
                    <FTREF/>
                     Form I-130 filed on behalf of a Colombian principal beneficiary outside the United States should ensure that their mailing address and other contact information are up to date with State's National Visa Center (NVC), as this is the information that will be used to issue invitations. The invitations will provide information about how the petitioner may file a request with USCIS that initiates this FRP process on behalf of a Colombian principal beneficiary of an approved Form I-130, and a separate request for any immediate family members of the principal beneficiary. As part of the request process, the petitioner will be required to provide evidence of their income and assets and commit to provide financial support to the beneficiary named in the request for the length of parole by submitting Form I-134A online. Petitioners will also be required to provide evidence to verify the family relationship between the principal beneficiary of the Form I-130 and all immediate family members of the principal beneficiary for whom the petitioner will be filing a request under this process. As part of the review process, the petitioner must pass security and background vetting, including for public safety, national security, human trafficking, and exploitation concerns.
                </P>
                <FTNT>
                    <P>
                        <SU>61</SU>
                         In certain circumstances, such as if the beneficiary is no longer eligible for the Form I-130 (
                        <E T="03">e.g.,</E>
                         the petitioner is no longer an LPR or U.S.C.), parole would be denied, and the Form I-130 approval would be revoked. If DHS revokes Form I-130 approval, the beneficiary will no longer be eligible for an immigrant visa. DHS will make these determinations on a case-by-case basis and will provide a written notice.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Beneficiaries</HD>
                <P>
                    A beneficiary is a national of Colombia (or their immediate family member of any nationality) who is outside the United States and who may be considered for a discretionary grant of parole under this FRP process. To ultimately be considered for a discretionary issuance of advance authorization to travel to the United 
                    <PRTPAGE P="43597"/>
                    States to seek a discretionary grant of parole at the POE, a beneficiary must:
                </P>
                <P>• be outside the United States;</P>
                <P>
                    • be the principal beneficiary (or a derivative beneficiary spouse or child) 
                    <SU>62</SU>
                    <FTREF/>
                     of an approved Form I-130, Petition for Alien Relative;
                </P>
                <FTNT>
                    <P>
                        <SU>62</SU>
                         
                        <E T="03">See</E>
                         INA sec. 203(d), 8 U.S.C. 1153(d); 
                        <E T="03">see also</E>
                         INA sec. 101(b)(1), 8 U.S.C. 1101(b)(1) (defining “child,” in general, as meaning “an unmarried person under twenty-one years of age”). If a principal beneficiary married or had a child after USCIS approved the underlying Form I-130, that spouse or unmarried child under 21 may in some circumstances become a derivative beneficiary and may be eligible for parole based on their relationship to the principal beneficiary. Such “add-on derivatives” are included within the term “derivative” in this notice.
                    </P>
                </FTNT>
                <P>
                    • be a national of Colombia or be a non-Colombian derivative beneficiary spouse or child 
                    <SU>63</SU>
                    <FTREF/>
                     of a Colombian principal beneficiary;
                </P>
                <FTNT>
                    <P>
                        <SU>63</SU>
                         Certain non-Colombians may use this process if they are a derivative beneficiary of a Colombian principal beneficiary and traveling with that Colombian beneficiary.
                    </P>
                </FTNT>
                <P>• have a petitioning relative in the United States who received an invitation to initiate this FRP process on their behalf by filing a Form I-134A;</P>
                <P>• have a U.S.-based petitioning relative who filed a Form I-134A on their behalf that USCIS has vetted and confirmed;</P>
                <P>• have not yet been issued an immigrant visa at the time the invitation is issued to the petitioning relative; and</P>
                <P>• have an unexpired passport valid for international travel, or possess alternative acceptable documentation as described in the invitation letter issued to the petitioning relative.</P>
                <P>In addition, each beneficiary must undergo and pass national security and public safety vetting and must demonstrate that they otherwise merit a favorable exercise of discretion by DHS. This includes vetting prior to issuance of advance authorization to travel to an interior POE to seek parole, as well as additional vetting completed by CBP upon inspection and collection of biometrics at the POE, as described in the section of this Notice that details the processing steps for this FRP process. CBP will consider a beneficiary's previous immigration history, encounters with USG entities, and the results of screening and vetting when determining eligibility to be issued advance authorization to travel to the United States, as well as when determining, on a case-by-case basis, whether to grant parole to the beneficiary at the POE. When making these discretionary advance authorizations to travel and parole determinations, DHS will consider a beneficiary to be ineligible for this process if the beneficiary:</P>
                <P>• has crossed irregularly into the United States, between the POEs, after July 10, 2023, except DHS will not consider a beneficiary to be ineligible based on a single instance of voluntary departure pursuant to section 240B of the INA, 8 U.S.C. 1229c, or withdrawal of their application for admission pursuant to section 235(a)(4) of the INA, 8 U.S.C. 1225(a)(4);</P>
                <P>
                    • has been interdicted at sea 
                    <SU>64</SU>
                    <FTREF/>
                     after July 10, 2023; or
                </P>
                <FTNT>
                    <P>
                        <SU>64</SU>
                         For purposes of this notice, “interdicted at sea” refers to migrants directly interdicted by the U.S. Coast Guard from vessels subject to U.S. jurisdiction or vessels without nationality, or migrants transferred to the U.S. Coast Guard.
                    </P>
                </FTNT>
                <P>
                    • has been ordered removed from the United States within the prior five years or is subject to a bar to admissibility based on a prior removal order.
                    <SU>65</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>65</SU>
                         
                        <E T="03">See, e.g.,</E>
                         INA sec. 212(a)(9)(A), 8 U.S.C. 1182(a)(9)(A).
                    </P>
                </FTNT>
                <P>DHS also will consider other factors in making discretionary determinations consistent with long-standing policy and practice.</P>
                <P>Each beneficiary must demonstrate that a grant of parole is warranted based on a significant public benefit or urgent humanitarian reasons, and that the beneficiary merits a favorable exercise of discretion in order for CBP to grant parole upon arrival at the POE. Each beneficiary must also comply with all additional requirements, including vaccination requirements and other public health guidelines.</P>
                <P>
                    Participation in this process is not limited to those beneficiaries currently living in Colombia. However, as noted above, beneficiaries must be outside the United States to participate in the process. In order to use the advance authorization to travel to the United States, the beneficiary must have sufficient documentation (
                    <E T="03">e.g.,</E>
                     international passport) to travel on a commercial airline. Beneficiaries under the age of 18 to whom CBP issues advance authorization to travel under this process may be subject to additional screening and/or travel parameters in coordination with U.S. authorities to ensure appropriate travel arrangements and coordination with their parent(s) or legal guardian(s). This FRP process does not affect CBP's legal obligations regarding the identification and processing of unaccompanied children.
                    <SU>66</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>66</SU>
                         
                        <E T="03">See</E>
                         6 U.S.C. 279(g)(2) (defining “unaccompanied alien child”).
                    </P>
                </FTNT>
                <P>
                    A potential beneficiary of this process who enters the United States between POEs after July 10, 2023 rather than being considered for parole under this process will be ineligible for this process, except as indicated above, and will be processed under Title 8 of the U.S. Code and face appropriate consequences for that choice. For example, they may be subject to potential criminal prosecution,
                    <SU>67</SU>
                    <FTREF/>
                     expedited removal proceedings,
                    <SU>68</SU>
                    <FTREF/>
                     or removal proceedings under section 240 of the INA, 8 U.S.C. 1229a. In addition, potential beneficiaries who enter the United States between POEs rather than be considered for parole under this process may be or may become ineligible for adjustment of status 
                    <SU>69</SU>
                    <FTREF/>
                     or for an immigrant visa 
                    <SU>70</SU>
                    <FTREF/>
                     as a result of entering without inspection and not having been admitted or paroled.
                    <SU>71</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>67</SU>
                         8 U.S.C. 1325, 1326 (for illegal entry and reentry, respectively).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>68</SU>
                         INA sec. 235(b)(1)(A)(i), 8 U.S.C. 1225(b)(1)(A)(i).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>69</SU>
                         INA sec. 245(a), 8 U.S.C. 1255(a) (requiring adjustment of status applicants to be inspected and admitted or inspected and paroled, as well as be admissible); INA sec. 245(c), 8 U.S.C. 1255(c)(2) (adjustment of status applicants are ineligible if they are in unlawful immigration status on the date of filing the application for adjustment of status or fail to maintain continuously a lawful status since entry into the United States); INA sec. 212(a), 8 U.S.C. 1182(a) (grounds of inadmissibility that, absent the granting of an available waiver, render applicants for adjustment of status ineligible).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>70</SU>
                         INA sec. 221(g), 8 U.S.C. 1201(g) (immigrant visa applicants are ineligible for immigrant visas if inadmissible under INA sec. 212(a), 8 U.S.C. 1182(a)); INA sec. 212(a), 8 U.S.C. 1182(a) grounds of inadmissibility that render applicants for immigrant visas ineligible).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>71</SU>
                         For example, an applicant for adjustment of status who previously accrued more than one year of unlawful presence, departed, and thereafter reentered the United States without admission or parole is inadmissible and ineligible for adjustment unless they apply for and obtain consent to reapply for admission from outside the United States after waiting ten years after their last departure from the United States. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(C)(i)(I), 8 U.S.C. 1182(a)(9)(C)(i)(I). In addition, an applicant for an immigrant visa who accrued more than 180 days of unlawful presence in the United States, departed (or is removed, as applicable), and again seeks admission (by filing an immigrant visa application) within 3 or 10 years of departure (or removal) is inadmissible and ineligible for an immigrant visa unless they apply for and obtain a waiver of inadmissibility. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(B), 8 U.S.C. 1182(a)(9)(B). Additionally, an applicant for an immigrant visa who was ordered removed, departed, and again seeks admission within certain periods of time thereafter is inadmissible and therefore ineligible for an immigrant visa unless they apply for and obtain consent to reapply for admission. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(A), 8 U.S.C. 1182(a)(9)(A).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">C. Processing Steps</HD>
                <P>
                    This FRP process will be implemented in light of lessons learned through the CFRP and HFRP processes and will build on technological advancements and efficiencies developed since the inception of CFRP and HFRP. All steps of the process, except for the ultimate parole determination made in-person, on a case-by-case basis, by CBP at the POE, will generally be completed online, 
                    <PRTPAGE P="43598"/>
                    including individualized, case-by-case identity and eligibility determinations and robust security vetting.
                </P>
                <HD SOURCE="HD3">Step 1: Invitation Sent to Petitioner</HD>
                <P>An invitation may be sent to a petitioner who has filed an approved Form I-130 on behalf of the potential principal and derivative beneficiaries. The decision whether to send the invitation is based on multiple discretionary factors. Such factors may include operational capacity considerations, the expected period of time until the beneficiary's immigrant visa becomes available, as well as other measures calibrated to best achieve the policy aims of this process as described in this Notice. Only after receiving an invitation may the petitioner file a request and initiate consideration under this FRP process. The invitation will instruct the petitioner on next steps to initiate this process on behalf of the beneficiaries, including instructions on documentation to include in their Form I-134A. Each invitation will include an identifying number that the petitioner must include in the Form I-134A for each beneficiary on whose behalf they wish to request to be a supporter and to initiate consideration for advance authorization to travel to the United States to seek parole at an interior POE.</P>
                <HD SOURCE="HD3">Step 2: Petitioner Files Form I-134A Online</HD>
                <P>After receiving an invitation, the U.S.C. or LPR petitioner who filed the approved Form I-130 on behalf of the beneficiaries will submit a Form I-134A for each beneficiary with USCIS through the online myUSCIS web portal to initiate this process. The Form I-134A identifies and collects information on both the petitioner and the beneficiary. The petitioner must submit a separate Form I-134A for each beneficiary, including derivatives of the principal beneficiary. The petitioner must submit evidence establishing their income and assets and commit to provide financial support to the beneficiary for the duration of parole. The petitioner must also submit evidence establishing the family relationships between the principal beneficiary and all derivative beneficiaries. USCIS will perform background checks on the petitioner and verify their financial information to ensure that the petitioner is able to financially support the beneficiary. If the petitioner's Form I-134A is confirmed, the request proceeds to the next step.</P>
                <HD SOURCE="HD3">Step 3: Beneficiary Electronically Provides Information To Support the Request</HD>
                <P>If a petitioner's Form I-134A is confirmed by USCIS, the beneficiary named in the Form I-134A will receive an email from USCIS with instructions to create an online account with myUSCIS and next steps for completing the request. The beneficiary will be required to confirm their biographic information in their online account and attest to meeting eligibility requirements.</P>
                <P>As part of confirming eligibility in their myUSCIS account, a beneficiary who seeks advance authorization to travel to the United States will need to confirm that they meet public health requirements, including certain vaccination requirements.</P>
                <HD SOURCE="HD3">Step 4: Beneficiary Submits Request in CBP One Mobile Application</HD>
                <P>After confirming biographic information in myUSCIS and completing required eligibility attestations, the beneficiary will receive instructions through myUSCIS for accessing the CBP One mobile application. The beneficiary must enter certain biographic and biometric information—including a “live” facial photograph—into CBP One.</P>
                <HD SOURCE="HD3">Step 5: Approval To Travel to the United States</HD>
                <P>
                    A beneficiary who establishes eligibility for this process, passes all the requisite vetting, and demonstrates that they otherwise warrant a favorable exercise of discretion, may receive an electronic advance authorization to travel from CBP, facilitating their ability to travel to the United States to seek a discretionary grant of parole, on a case-by-case basis, at an interior POE. The beneficiary will receive a notice in their myUSCIS account confirming whether CBP has, in CBP's discretion, provided the beneficiary with advance authorization to travel to the United States. If approved, the beneficiary is responsible for securing their own travel via commercial air to an interior POE.
                    <SU>72</SU>
                    <FTREF/>
                     Approval of advance authorization to travel does not guarantee a beneficiary will be paroled into the United States upon inspection at the POE. Whether to parole the beneficiary is a discretionary, case-by-case determination made by CBP at the time the beneficiary arrives at the interior POE.
                </P>
                <FTNT>
                    <P>
                        <SU>72</SU>
                         Air carriers can validate an approved and valid travel authorization submission using the same mechanisms that are currently in place to validate that a traveler has a valid visa or other documentation to facilitate issuance of a boarding pass for air travel.
                    </P>
                </FTNT>
                <HD SOURCE="HD3">Step 6: Beneficiary Seeks Parole at the POE</HD>
                <P>CBP will inspect each beneficiary arriving at an interior POE under this process and consider each individual, on a case-by-case basis, for a grant of discretionary parole for a period of up to three years.</P>
                <P>Upon arrival at the interior POE, the beneficiary will be required to submit additional biometrics to DHS, including another photograph and fingerprints. This biometric information will support additional vetting against available databases to inform an independent determination by CBP officers as to whether parole is warranted on a case-by-case basis and whether the beneficiary merits a favorable exercise of discretion. A beneficiary who is determined to pose a national security or public safety threat will generally be denied parole. A beneficiary who otherwise does not warrant parole pursuant to section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), and as a matter of discretion upon inspection, will be processed under an appropriate disposition and may be referred to U.S. Immigration and Customs Enforcement (ICE) for detention.</P>
                <HD SOURCE="HD3">Step 7: Parole</HD>
                <P>
                    If granted parole at the POE, on a case-by-case basis, parole will generally be granted for a period of up to three years, subject to satisfying applicable health and vetting requirements, and the parolee will be eligible to apply for employment authorization for the duration of the parole period.
                    <SU>73</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>73</SU>
                         8 CFR 274a.12(c)(11).
                    </P>
                </FTNT>
                <P>All of the steps in this process, including the decision to confirm or non-confirm the Form I-134A, as well as the decision whether to issue advance authorization to travel and the parole decision at the interior POE, are entirely discretionary and not subject to appeal on any grounds. Parole may be terminated upon notice at DHS discretion, and the noncitizen may be placed into removal proceedings and/or detained if, for example, the parolee fails to maintain the conditions for the parole or other derogatory information emerges during the parole period.</P>
                <HD SOURCE="HD2">D. Termination and No Private Rights</HD>
                <P>
                    The Secretary retains the sole discretion to terminate this FRP process at any point. This process is being implemented as a matter of the Secretary's discretion. It is not intended to and does not create any rights, 
                    <PRTPAGE P="43599"/>
                    substantive or procedural, enforceable by any party in any matter, civil or criminal.
                </P>
                <HD SOURCE="HD1">VI. Other Considerations in the Establishment of This FRP Process</HD>
                <P>DHS has considered the potential impact of this FRP process on individuals applying for benefits under other immigration programs or processes, given that USCIS and CBP may reassign employees and reallocate resources to administer this process. This reassignment or reallocation could potentially impact processing times for USCIS- or CBP-administered immigration programs and processes. Although personnel and resources may be diverted from other similar processes and programs, participation in this process is by invitation only. DHS can adjust the number of invitations issued to alleviate pressure on other programs and processes as resource limitations require. As detailed above, each beneficiary of this process who is diverted away from irregular migration will also reduce the strain on border reception and processing capacity. Therefore, these costs are not significant enough to outweigh the benefits of the process.</P>
                <P>
                    DHS also considered the alternative approach of not establishing this process. As stated throughout this Notice, this process will provide many benefits and has few drawbacks. DHS has made an effort to identify and consider any reliance interests of the parties affected by establishment of this process. Ultimately, DHS has determined that the significant public benefit of the case-by-case parole of individuals under this FRP process to the United States, and other affected parties, including the reduction in irregular migration expected to be accomplished in connection with this process, outweigh the costs that may be incurred, while noting that this FRP process will not increase the total number of individuals eligible to enter the United States, as the potential beneficiaries already have a pathway to lawful permanent residence. For example, DHS has determined that the significant public benefits of the case-by-case parole of individuals under this process outweighs any costs incurred for schools and social services (such as health care) in the period between their parole into the United States and the time when a beneficiary's immigrant visa already would have become available (at which point they soon thereafter would, in general, have been admitted as immigrants).
                    <SU>74</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>74</SU>
                         
                        <E T="03">See, e.g.,</E>
                         National Academies of Sciences, Engineering, and Medicine, “The Economic and Fiscal Consequences of Immigration” (2017), 
                        <E T="03">https://nap.nationalacademies.org/catalog/23550/the-economic-and-fiscal-consequences-of-immigration.</E>
                    </P>
                </FTNT>
                <P>Alternatively, as discussed below, a decision to not establish this process would adversely affect the United States' ability to negotiate for and request additional enforcement measures and increased cooperation with removals and ensure foreign partners' continued collaboration. In addition, certain nationals of Colombia still waiting for their immigrant visas to become available would remain separated from their family members and could resort to irregular migration without this process. For any such Colombian nationals, the USG would need to commit resources to respond to their arrival, processing, and removal pursuant to the INA. Those who manage to cross the border without being encountered by CBP would join the population of individuals living in the United States without authorization, unable to legally seek employment. The states in which they settle would be less likely to benefit from additional tax revenues and other positive economic contributions these individuals would have provided if they had a lawful pathway like this FRP process through which they may apply for employment authorization while they wait to apply to adjust to LPR status.</P>
                <HD SOURCE="HD1">VII. Regulatory Requirements</HD>
                <HD SOURCE="HD2">A. Administrative Procedure Act (APA)</HD>
                <P>This process is exempt from notice-and-comment rulemaking and delayed effective date requirements on multiple grounds and is therefore amenable to immediate issuance and implementation.</P>
                <P>
                    <E T="03">First,</E>
                     DHS is merely adopting a general statement of policy,
                    <FTREF/>
                    <SU>75</SU>
                      
                    <E T="03">i.e.,</E>
                     a “statement issued by an agency to advise the public prospectively of the manner in which the agency proposes to exercise a discretionary power.” 
                    <SU>76</SU>
                    <FTREF/>
                     As section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), provides, parole decisions are made by the Secretary “in his discretion.” This policy creates a process for making discretionary, case-by-case parole decisions.
                </P>
                <FTNT>
                    <P>
                        <SU>75</SU>
                         5 U.S.C. 553(b)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>76</SU>
                         
                        <E T="03">See Lincoln</E>
                         v. 
                        <E T="03">Vigil,</E>
                         508 U.S. 182, 197 (1993) (quoting 
                        <E T="03">Chrysler Corp.</E>
                         v. 
                        <E T="03">Brown,</E>
                         441 U.S. 281,302 n.31 (1979)).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Second,</E>
                     even if this process were considered to be a legislative rule that would normally be subject to requirements for notice-and-comment rulemaking and a delayed effective date, the process would be exempt from such requirements because it involves a foreign affairs function of the United States.
                    <SU>77</SU>
                    <FTREF/>
                     Courts have held that this exemption applies when the rule in question “is clearly and directly involved in a foreign affairs function.” 
                    <SU>78</SU>
                    <FTREF/>
                     In addition, although the text of the Administrative Procedure Act does not require an agency invoking this exemption to show that such procedures may result in “definitely undesirable international consequences,” some courts have required such a showing.
                    <SU>79</SU>
                    <FTREF/>
                     This process satisfies both standards. Specifically, as discussed in the section above entitled, 
                    <E T="03">Furthering Important Foreign Policy Objectives,</E>
                     this FRP process is one part of the United States' ongoing efforts to engage hemispheric partners to increase their efforts to collaboratively manage irregular migration. As discussed in that section, and as further explained below, the expansion of lawful pathways for noncitizens to enter the United States is necessary to ensure partners' continued collaboration on migration issues, including the ability of the United States to meet other immigration-management priorities such as the timely establishment of SMOs.
                    <SU>80</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>77</SU>
                         5 U.S.C. 553(a)(1).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>78</SU>
                         
                        <E T="03">See, e.g., Mast Indus.</E>
                         v. 
                        <E T="03">Regan,</E>
                         596 F. Supp. 1567, 1582 (C.I.T. 1984) (cleaned up).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>79</SU>
                         
                        <E T="03">See, e.g., Rajah</E>
                         v. 
                        <E T="03">Mukasey,</E>
                         544 F.3d 427, 437 (2d Cir. 2008).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>80</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet: U.S. Government Announces Sweeping New Actions to Manage Regional Migration, Apr. 27, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration</E>
                        .
                    </P>
                </FTNT>
                <P>
                    Delaying issuance and implementation of this process to undertake notice-and-comment rulemaking and a delayed effective date would complicate broader ongoing and future discussions and negotiations with key foreign partners about migration management, including the new measures the United States announced on April 27, 2023, in anticipation of the May 11 lifting of the Title 42 public health Order.
                    <SU>81</SU>
                    <FTREF/>
                     These measures are being implemented in close coordination with partner countries. Ongoing negotiations with partner countries involve the implementation of a range of new measures, including establishing SMOs in key locations in the Western Hemisphere to manage and reduce irregular migration and improve qualified individuals' access to 
                    <PRTPAGE P="43600"/>
                    accelerated refugee processing, family reunification, and labor pathways in the United States. As a key part of these negotiations, the United States and its partners are providing meaningful alternatives to irregular migration, including through lawful pathways to the United States, Canada, and Spain, as well as integration in host countries closer to home. The success of SMOs and other new measures to reduce irregular migration to the SWB is therefore connected to the United States expanding access to lawful pathways, including family reunification parole processes that will benefit nationals in countries identified to host SMOs. The USG also continues to engage with and ask additional governments to consider connecting their lawful pathways to SMO efforts and is building goodwill and momentum to seek SMOs in still more countries in the region.
                </P>
                <FTNT>
                    <P>
                        <SU>81</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet: U.S. Government Announces Sweeping New Actions to Manage Regional Migration, Apr. 27, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration</E>
                        .
                    </P>
                </FTNT>
                <P>
                    On May 2, 2023, the United States and Mexico jointly announced a number of measures to address the humanitarian situation caused by unprecedented migration flows in the hemisphere by creating incentives for migrants to use lawful pathways, while announcing that consequences for unlawful entry would continue once the Title 42 public health Order was lifted. The announcements emphasized the importance of strengthening and expanding access to lawful pathways which will continue to remain a central topic of bilateral relations.
                    <SU>82</SU>
                    <FTREF/>
                     Specifically, the United States stated its intention to welcome as many as 100,000 individuals from El Salvador, Guatemala, and Honduras under the family reunification parole processes, while the Government of Mexico recognized the value in SMOs and is considering how it can contribute to their success. Mexico concurrently committed to continue to accept the return of certain CHNV nationals on humanitarian grounds beyond the lifting of the Title 42 public health Order on May 11, 2023.
                </P>
                <FTNT>
                    <P>
                        <SU>82</SU>
                         
                        <E T="03">See</E>
                         Mexico and United States Strengthen Joint Humanitarian Plan on Migration, May 2, 2023, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/02/mexico-and-united-states-strengthen-joint-humanitarian-plan-on-migration/</E>
                        .
                    </P>
                </FTNT>
                <P>
                    Additionally, after a series of negotiations, on June 1, 2023, the United States and Guatemala issued a joint statement to commit to take a series of critical steps to humanely reduce irregular migration and expand lawful pathways under the L.A. Declaration.
                    <SU>83</SU>
                    <FTREF/>
                     As the first step of a comprehensive program to manage irregular migration, both countries intend to implement a six-month pilot phase of SMOs, which facilitate access to lawful pathways to the United States and other countries, family reunification, and access to temporary work visas.
                    <SU>84</SU>
                    <FTREF/>
                     These offices began accepting appointments on the website 
                    <E T="03">movilidadsegura.org</E>
                     on June 12, 2023.
                    <SU>85</SU>
                    <FTREF/>
                     In the same announcement, the United States and Guatemala stated that they will also deepen cooperation on border security and will continue to address the root causes of irregular migration.
                    <SU>86</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>83</SU>
                         See The White House, Joint Statement from the United States and Guatemala on Migration (June 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/</E>
                        .
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>84</SU>
                         
                        <E T="03">Id</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>85</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>86</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    In addition, on June 4, 2023, the United States and Colombia announced the impending establishment of SMOs that would identify, register, and categorize the reasons for irregular migration and channel those who qualify through lawful pathways from Colombia to the United States.
                    <SU>87</SU>
                    <FTREF/>
                     The goal is to prevent irregular migration to the United States or other places in the hemisphere. The U.S. government also reaffirmed its commitment to simultaneously expand additional lawful pathways for Colombians with temporary work visas and expanded family reunification.
                    <SU>88</SU>
                    <FTREF/>
                     As stated in the announcement, the USG is working with the government of Colombia to promptly implement processing through SMOs to ensure the success of this initiative.
                    <SU>89</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>87</SU>
                         
                        <E T="03">See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/. See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>88</SU>
                         
                        <E T="03">Id</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>89</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    Furthermore, on June 12, 2023, the USG and the Government of Costa Rica, in furtherance of bilateral partnership and addressing hemispheric challenge of irregular migration, announced an exploratory six-month implementation of SMOs.
                    <SU>90</SU>
                    <FTREF/>
                     SMOs in Costa Rica will facilitate access to lawful pathways to the United States and other countries, including expedited refugee processing and other humanitarian and labor pathways.
                    <SU>91</SU>
                    <FTREF/>
                     In addition to starting the SMOs initiative, the USG and the Government of Costa Rica reaffirmed their commitment to work with all countries across the region to promote integration of refugees and migrants, expand lawful pathways, and promote humane border management.
                    <SU>92</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>90</SU>
                         
                        <E T="03">See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>91</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>92</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>Overall, delaying issuance and implementation of this process to undertake rulemaking would complicate these and future U.S. efforts to manage migration together with foreign partners. Because this FRP is an example of the United States' shared commitment to managing migration consistent with the L.A. Declaration and has been a key point in ongoing negotiations and partnerships, such a delay would risk undermining these partner countries' continued efforts, which are critical to the U.S. foreign policy approach to migration management.</P>
                <P>
                    Furthermore, the delay associated with implementing this process through notice-and-comment rulemaking would adversely affect the United States' ability to negotiate for and request additional enforcement measures and increased cooperation with removals, which is timely and urgent given the conclusion of Title 42 enforcement on May 11. Regional partner countries have repeatedly requested additional lawful pathways in diplomatic engagements in return for increased law enforcement measures throughout the migratory routes, imposing additional requirements on key nationalities using their countries as a gateway to make irregular journeys to the SWB, and accepting additional removal flights with significantly reduced manifest times. Coordinated USG efforts with partner countries in the Western Hemisphere, following the lifting of the CDC's Title 42 public health Order on May 11, 2023, and transition to processing under Title 8 of U.S. Code have led to a reduction of irregular migration flows throughout the region and at the SWB. However, the USG's assessment is that this might be a temporary shift if the United States and partner countries do not sustain their efforts to expand access to lawful pathways and enforcement measures along the migratory routes as our regional partner countries and international organization partners report skyrocketing inquiries from migrants about availability of, and requirements for lawful pathways and enforcement penalties for unlawful 
                    <PRTPAGE P="43601"/>
                    entry into the United States. A key means of delivering on these partnerships, in keeping with the U.S. strategy and approach on migration management overall, is to make available lawful pathways to provide safe and orderly alternatives to the danger and consequences of irregular migration.
                </P>
                <P>
                    The invocation of the foreign affairs exemption is also consistent with DHS precedent. For example, in 2017, DHS published a notice eliminating an exception to expedited removal for certain Cuban nationals, which explained that the change in policy was consistent with the foreign affairs exemption because the change was central to ongoing negotiations between the two countries.
                    <SU>93</SU>
                    <FTREF/>
                     DHS similarly invoked the foreign affairs exemption more recently, in connection with the CHNV parole processes.
                    <SU>94</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>93</SU>
                         
                        <E T="03">See</E>
                         DHS, Eliminating Exception To Expedited Removal Authority for Cuban Nationals Encountered in the United States or Arriving by Sea, 82 FR 4902 (Jan. 17, 2017).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>94</SU>
                         
                        <E T="03">See</E>
                         DHS, Implementation of a Parole Process for Cubans, 88 FR 1266 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Haitians, 88 FR 1243 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Nicaraguans, 88 FR 1255 (Jan. 9, 2023); DHS, Implementation of Changes to the Parole Process for Venezuelans, 88 FR 1282 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Venezuelans, 87 FR 63507 (Oct. 19, 2022).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Paperwork Reduction Act (PRA)</HD>
                <P>
                    Under the Paperwork Reduction Act (PRA), 44 U.S.C. chapter 35, all Departments are required to submit to the Office of Management and Budget (OMB), for review and approval, any new reporting requirements they impose. The process announced by this notice requires changes to the collections of information on Form I-134A, Online Request to be a Supporter and Declaration of Financial Support (OMB control number 1615-0157), which will be used for the FRP process for Colombians and is being revised in connection with this notice by increasing the burden estimate. This process also requires changes to the collection of information for Advance Travel Authorization (ATA) (OMB Control Number 1651-0143). USCIS and CBP have submitted and OMB has approved requests for emergency authorization of the required changes (under 5 CFR 1320.13) to Form I-134A and ATA for a period of 6 months. Within 45 days, USCIS and CBP will issue respective 60-day 
                    <E T="04">Federal Register</E>
                     notices seeking comment on these changes.
                    <SU>95</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>95</SU>
                         Per the normal clearance procedures at 5 CFR 1320.10(e).
                    </P>
                </FTNT>
                <SIG>
                    <NAME>Alejandro N. Mayorkas,</NAME>
                    <TITLE>Secretary, U.S. Department of Homeland Security.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14472 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 9111-97-P; 9111-14-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF HOMELAND SECURITY</AGENCY>
                <DEPDOC>[CIS No. 2752-23; DHS Docket No. USCIS-2023-0009]</DEPDOC>
                <RIN>RIN 1615-ZC02</RIN>
                <SUBJECT>Implementation of a Family Reunification Parole Process for Hondurans</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Department of Homeland Security.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of Implementation of a Family Reunification Parole Process for Hondurans.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This notice announces the U.S. Department of Homeland Security's (DHS) creation and implementation of a family reunification parole process (FRP) for Hondurans. Under this process, certain Honduran principal beneficiaries of an approved Form I-130, Petition for Alien Relative, and their immediate family members, will be issued advance authorization to travel to the United States to seek a discretionary grant of parole into the United States for a period of up to three years, rather than remain outside the United States while awaiting availability of their immigrant visas. This process will allow family members to reunite in the United States while they wait for their immigrant visas to become available. This process is voluntary and intended to provide an additional lawful, safe, and orderly avenue for migration from Honduras to the United States as an alternative to irregular migration to help relieve pressure at the Southwest Border (SWB) and reunite families, consistent with U.S. national security interests and foreign policy priorities. The process complements other efforts to collaboratively manage migration in the Western Hemisphere and at the SWB as the U.S. Government (USG) continues to implement its broader, multi-pronged, and regional strategy to address the challenges posed by irregular migration.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>DHS will begin using the Form I-134A, Online Request to be a Supporter and Declaration of Financial Support, for this process on July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Rená Cutlip-Mason, Chief, Humanitarian Affairs Division, Office of Policy and Strategy, U.S. Citizenship and Immigration Services, Department of Homeland Security, by mail at 5900 Capital Gateway Drive, Camp Springs, MD 20746, or by phone at 800-375-5283.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Background</HD>
                <P>
                    This notice describes the implementation of a new parole process for certain Honduran nationals and their immediate family members,
                    <SU>1</SU>
                    <FTREF/>
                     including the eligibility criteria and filing process. The parole process is intended to reunite families more quickly and offer an alternative to dangerous irregular migration routes through North and Central America to the United States by providing a process for certain Hondurans and their immediate family members to lawfully enter the United States in a safe and orderly manner.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         Throughout this notice, “immediate family members” is used as a shorthand for the derivative beneficiary spouse and children of a principal beneficiary. 
                        <E T="03">See</E>
                         INA sec. 203(d), 8 U.S.C. 1153(d); 
                        <E T="03">see also</E>
                         INA sec. 101(b)(1), 8 U.S.C. 1101(b)(1) (defining “child,” in general, as meaning “an unmarried person under twenty-one years of age”).
                    </P>
                </FTNT>
                <P>
                    The USG is committed to implementing a comprehensive framework to manage migration through North and Central America.
                    <SU>2</SU>
                    <FTREF/>
                     Executive Order (E.O.) 14010 called for a four-pronged approach, including: addressing the root causes of irregular migration; managing migration throughout the region collaboratively with other nations and stakeholders; restoring and enhancing the U.S. asylum system and the process for migrants at the SWB to access this system; and creating and expanding lawful pathways for migrants to enter the United States and seek protection.
                    <SU>3</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See generally</E>
                         Executive Order 14010, 
                        <E T="03">Creating a Comprehensive Regional Framework to Address the Causes of Migration, To Manage Migration Throughout North and Central America, and To Provide Safe and Orderly Processing of Asylum Seekers at the United States Border</E>
                         (Feb. 2, 2021). 
                        <E T="03">https://www.govinfo.gov/content/pkg/FR-2021-02-05/pdf/2021-02561.pdf; see also</E>
                         NSC, 
                        <E T="03">Collaborative Migration Management Strategy</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-Migration-Management-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         E.O. 14010 at secs. 2-4.
                    </P>
                </FTNT>
                <P>
                    In July 2021, the National Security Council (NSC) published the 
                    <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America.</E>
                    <SU>4</SU>
                    <FTREF/>
                     This 
                    <PRTPAGE P="43602"/>
                    strategy outlined a comprehensive framework within which federal government agencies would work collaboratively to address the root causes of irregular migration through Central America, noting long-standing political instability, insecurity, and climate change in the region. Also in July 2021, the NSC published the 
                    <E T="03">Collaborative Migration Management Strategy,</E>
                     which described U.S. strategy to collaboratively manage migration through Central America.
                    <SU>5</SU>
                    <FTREF/>
                     Further, in March 2022, DHS published an interim final rule (IFR) intended to allow U.S. immigration officials to consider more promptly the asylum claims of individuals encountered at or near the SWB while ensuring the fundamental fairness of the asylum process.
                    <SU>6</SU>
                    <FTREF/>
                     In June 2022, through the Los Angeles Declaration on Migration and Protection (L.A. Declaration), the United States, along with several countries in the Western Hemisphere, committed to strengthen national, regional, and hemispheric efforts to create the conditions for safe, orderly, humane, and regular migration, and signaled their intent to work together to expand access to regular pathways for migrants and international protection, including through family reunification options, where appropriate and feasible, in accordance with national legislation.
                    <SU>7</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         NSC 
                        <E T="03">Collaborative Migration Management Strategy</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-%20Migration-%20Management-%20Strategy.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         Procedures for Credible Fear Screening and Consideration of Asylum, Withholding of Removal, and CAT Protection Claims by Asylum Officers, 87 FR 18078 (Mar. 29, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         The White House, 
                        <E T="03">Los Angeles Declaration on Migration and Protection</E>
                         (June 10, 2022), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <P>
                    A critical component of this migration framework is the creation and expansion of lawful pathways through which migrants can come to the United States, as one means of reducing irregular migration flows. Building on the success of Uniting for Ukraine,
                    <SU>8</SU>
                    <FTREF/>
                     in October 2022, the United States announced a parole process for certain Venezuelan nationals and their immediate family members to lawfully enter the United States in a safe and orderly manner.
                    <SU>9</SU>
                    <FTREF/>
                     The process for Venezuelans was designed to immediately address the humanitarian need and the increasing number of encounters of Venezuelan nationals at the SWB.
                    <SU>10</SU>
                    <FTREF/>
                     Implementation of the parole process for Venezuelans was dependent on Mexico continuing to accept the return of Venezuelan nationals seeking to irregularly enter the United States between the ports of entry (POEs), and the announcement made clear that Venezuelans who did not avail themselves of this process, and who instead entered the United States without authorization, were subject to expulsion or removal.
                    <SU>11</SU>
                    <FTREF/>
                     In January 2023, DHS implemented similar parole processes for Cubans, Haitians, and Nicaraguans, and their immediate family members, to address the increasing numbers of encounters of nationals of those countries at the SWB, and announced changes to the parole process for Venezuelans to allow for its continued operation.
                    <SU>12</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         Implementation of the Uniting for Ukraine Parole Process, 87 FR 25040 (Apr. 27, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         Implementation of a Parole Process for Venezuelans, 87 FR 63507 (Oct. 19, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">See</E>
                         Implementation of a Parole Process for Cubans, 88 FR 1266 (Jan. 9, 2023); Implementation of a Parole Process for Haitians, 88 FR 1243 (Jan. 9, 2023); Implementation of a Parole Process for Nicaraguans, 88 FR 1255 (Jan. 9, 2023); Implementation of Changes to the Parole Process for Venezuelans, 88 FR 1279 (Jan. 9, 2023).
                    </P>
                </FTNT>
                <P>
                    On May 12, 2023, following the termination of the Centers for Disease Control and Prevention's (CDC) Title 42 public health Order, DHS and the Department of Justice (DOJ) implemented a joint final rule, 
                    <E T="03">Circumvention of Lawful Pathways,</E>
                     which incentivizes migrants to avail themselves of identified lawful, safe, and orderly pathways into the United States, or otherwise to seek asylum or other protection in another country through which they travel.
                    <SU>13</SU>
                    <FTREF/>
                     That rule reflects the position that an increase in the availability of lawful pathways paired with consequences for migrants who do not avail themselves of such pathways can encourage the use of lawful pathways and undermine transnational criminal organizations (TCOs), such as smuggling operations.
                    <SU>14</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         88 FR 31314 (May 16, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         
                        <E T="03">See id.</E>
                         at 31325.
                    </P>
                </FTNT>
                <P>
                    In addition, DHS and the Department of State (State) have collaborated on a number of efforts to address the challenges of irregular migration by expanding access to lawful pathways, including: restarting and expanding eligibility criteria to the Central American Minors (CAM) Program; 
                    <SU>15</SU>
                    <FTREF/>
                     and expanding refugee processing in South and Central America, including by working to establish Safe Mobility Offices (SMOs) in key locations.
                    <SU>16</SU>
                    <FTREF/>
                     USG efforts have also expanded access to H-2 temporary nonimmigrant worker visas for individuals in the region while enhancing worker protections.
                    <SU>17</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         The United States announced in March 2021 that the CAM Program would reopen and continue with processing for cases that were closed in 2018 when the program was terminated. In June 2021, the United States announced the program would be expanded by increasing the categories of eligible U.S.-based relatives who can request access for their children in Northern Central America (NCA). In April 2023, the United States announced enhancements to the CAM Program, including updates to certain eligibility criteria for program access. 
                        <E T="03">See</E>
                         Bureau of Population, Refugees, and Migration; Central American Minors Program, 88 FR 21694 (Apr. 11, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet, U.S. Government Announces Sweeping New Actions to Manage Regional Migration (Apr. 27, 2023), 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                         DHS has previously announced the intention to establish Regional Processing Centers (RPCs) but will now refer to them as Safe Mobility Offices (SMOs) following the launch of the MovilidadSegura.org website and the announcements with hosting countries. 
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (Jun 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/; See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/; See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         While focusing attention on improvements to recruitment practices and educating workers on their rights in the NCA countries and labor conditions in the United States, the United States Government has been engaging in efforts to substantially increase the number of H-2 temporary workers from the NCA countries. As part of these efforts, the Secretary of Homeland Security, in consultation with the Secretary of Labor, has exercised the authority given by Congress to allocate additional H-2B temporary non-agricultural worker visas under the supplemental cap. Most recently, on December 15, 2022, DHS and DOL jointly published a temporary final rule increasing the number of H-2B nonimmigrant visas by up to 64,716 for the entirety of FY 2023. 
                        <E T="03">See</E>
                         Exercise of Time-Limited Authority to Increase the Numerical Limitation for FY 2023 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 87 FR 76816 (Dec. 15, 2022). 20,000 of these H-2B visas are reserved for nationals of El Salvador, Guatemala, Honduras, and Haiti. 
                        <E T="03">Id.</E>
                         DHS and DOL similarly exercised this authority in other recent FYs, with specific allocations for NCA countries. 
                        <E T="03">See</E>
                         Exercise of Time-Limited Authority To Increase the Numerical Limitation for Second Half of FY 2022 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking To Change Employers, 87 FR 30334 (May 18, 2022) (authorizing the issuance of no more than 35,000 additional H-2B visas during the second half of FY 2022, of which 11,500 H-2B visas were reserved for nationals of El Salvador, Guatemala, Honduras, and Haiti); Exercise of Time-Limited Authority to Increase the Fiscal Year 2022 Numerical Limitation 
                        <PRTPAGE/>
                        for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 87 FR 4722 (Jan. 28, 2022) (DHS and DOL authorized an additional 20,000 H-2B visas, of which 6,500 were again reserved for nationals of the NCA countries, with the addition of Haiti); Exercise of Time-Limited Authority to Increase the Fiscal Year 2021 Numerical Limitation for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 86 FR 28198 (May 25, 2021) (DHS and DOL authorized a total of 22,000 supplemental visas, of which 6,000 visas were reserved for nationals of the NCA countries).
                    </P>
                </FTNT>
                <PRTPAGE P="43603"/>
                <P>Consideration of noncitizens for parole on a case-by-case basis under the process outlined here will meaningfully contribute to the broader USG strategy of expanding access to lawful pathways to individuals who may otherwise undertake an irregular migration journey to the United States.</P>
                <HD SOURCE="HD1">II. Parole Authority</HD>
                <P>
                    The Immigration and Nationality Act (INA) provides the Secretary of Homeland Security (the Secretary) with the discretionary authority to parole applicants for admission “into the United States temporarily under such reasonable conditions as [the Secretary] may prescribe only on a case-by-case basis for urgent humanitarian reasons or significant public benefit.” 
                    <SU>18</SU>
                    <FTREF/>
                     Parole is not an admission of the individual to the United States, and a parolee remains an “applicant for admission” during their period of parole in the United States.
                    <SU>19</SU>
                    <FTREF/>
                     DHS sets the duration of the parole based on the purpose for granting the parole request and may impose appropriate conditions on parole.
                    <SU>20</SU>
                    <FTREF/>
                     DHS may terminate parole upon notice in its discretion at any time.
                    <SU>21</SU>
                    <FTREF/>
                     By regulation, parolees may apply for and be granted employment authorization to work lawfully in the United States.
                    <SU>22</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         INA sec. 212(d)(5)(A), 8 U.S.C. 1182(d)(5)(A); 
                        <E T="03">see also</E>
                         6 U.S.C. 202(a)(4) (charging the Secretary with the responsibility for “[e]stablishing and administering rules . . . governing . . . parole”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         INA secs. 101(a)(13)(B) and 212(d)(5)(A), 8 U.S.C. 1101(a)(13)(B) and 1182(d)(5)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         
                        <E T="03">See</E>
                         8 CFR 212.5(c).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         
                        <E T="03">See</E>
                         8 CFR 212.5(e).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         
                        <E T="03">See</E>
                         8 CFR 274a.12(c)(11).
                    </P>
                </FTNT>
                <P>
                    Past Secretaries have similarly exercised the parole authority to establish other family reunification parole processes administered by U.S. Citizenship and Immigration Services (USCIS). For example, the Cuban Family Reunification Parole (CFRP) Program, as established in 2007, allows U.S. citizens (USCs) and lawful permanent residents (LPRs) to request parole for certain eligible family members in Cuba who are beneficiaries of approved Form I-130s.
                    <SU>23</SU>
                    <FTREF/>
                     If parole is authorized, these family members may come to the United States and seek parole before their immigrant visa priority dates are current.
                    <SU>24</SU>
                    <FTREF/>
                     Similarly, in 2014, the Haitian Family Reunification Parole (HFRP) Program was established, allowing USCs and LPRs to request parole for certain eligible family members in Haiti who are beneficiaries of approved Form I-130s, who may subsequently come to the United States and seek parole before their immigrant visa priority dates are current.
                    <SU>25</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>23</SU>
                         
                        <E T="03">See</E>
                         Cuban Family Reunification Parole Program, 72 FR 65588 (Nov. 21, 2007) (Noting that granting parole to eligible aliens under the CFRP Program serves the significant public benefit of enabling the United States to meet its commitments under the Migration Accords as well as “reducing the perceived need for family members left behind in Cuba to make irregular and inherently dangerous attempts to arrive in the United States through unsafe maritime crossings, thereby discouraging alien smuggling as a means to enter the United States,” and stating that whether to parole a particular alien “remains, however, a case-by-case, discretionary determination.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>24</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>25</SU>
                         
                        <E T="03">See</E>
                         Implementation of Haitian Family Reunification Parole Program, 79 FR 75581 (Dec. 18, 2014) (“By expanding existing legal means for Haitians to immigrate, the HFRP Program serves a significant public benefit by promoting safe, legal, and orderly migration to the United States. Furthermore, it supports U.S. goals for Haiti's long-term reconstruction and development.”).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">III. The FRP Process for Hondurans</HD>
                <P>As in the CFRP and HFRP processes, this FRP process for Hondurans will allow USCs and LPRs to request for certain family members to receive advance authorization to travel to the United States to seek parole at an interior POE. Individuals who are eligible to be considered for parole under this process include nationals of Honduras who are beneficiaries of an approved Form I-130 family-based immigrant petition, as well as their immediate family members, who are outside the United States and who have not yet received an immigrant visa. Like the CFRP and HFRP processes, this process requires that the Form I-130 petitioner first receive an invitation to request consideration for advance authorization to travel and parole on behalf of the Honduran principal beneficiary of the approved Form I-130 and the principal beneficiary's immediate family members. As in the CFRP and HFRP processes, this invitation requirement will allow DHS to adjust the number of invitations issued based on the resources available to process requests and to achieve desired policy objectives. If issued advance authorization to travel, the beneficiary will be permitted to travel to the United States to be considered for a discretionary grant of parole on a case-by-case basis at an interior POE. Noncitizens paroled into the United States under this FRP process will generally be paroled for up to three years, consistent with the HFRP process. If granted parole into the United States, parolees will be able to request employment authorization while they wait for their immigrant visa to become available and to apply for adjustment of status to that of an LPR once an immigrant visa becomes available to them. As with the CFRP and HFRP processes, under this FRP process for Hondurans, parole will only be authorized on a discretionary, case-by-case, and temporary basis upon a demonstration of urgent humanitarian reasons or significant public benefit, as well as a demonstration that the beneficiary warrants a favorable exercise of discretion. Noncitizens paroled into the United States under this process may request additional periods of parole. DHS will determine whether an additional period is warranted, on a case-by-case basis, for urgent humanitarian reasons or significant public benefit.</P>
                <HD SOURCE="HD1">IV. Justification for the Process—Significant Public Benefit</HD>
                <P>As noted above, section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), confers upon the Secretary the discretionary authority to parole noncitizens “into the United States temporarily under such reasonable conditions as [the Secretary] may prescribe only on a case-by-case basis for urgent humanitarian reasons or significant public benefit.”</P>
                <P>The case-by-case parole of noncitizens with approved family-based immigrant visa petitions under this process will, in general, provide a significant public benefit by furthering the USG's holistic migration management strategy, specifically by: (1) promoting family unity; (2) furthering important foreign policy objectives; (3) providing a lawful and timely alternative to irregular migration; (4) reducing strain on limited U.S. resources; and (5) addressing root causes of migration through economic stability and development supported by increased remittances.</P>
                <HD SOURCE="HD2">A. Promoting Family Unity</HD>
                <P>
                    Consistent with Section 3(b)(ii) of E.O. 14010, the case-by-case parole of noncitizens under this FRP process will provide the significant public benefit of promoting family unity by providing a more expeditious pathway for USCs and LPRs to reunite with their family members from Honduras in the United States. Currently, nationals of Honduras with approved family-based petitions often wait many years before their immigrant visas can be issued and they 
                    <PRTPAGE P="43604"/>
                    can travel to the United States to apply for admission as immigrants.
                    <SU>26</SU>
                    <FTREF/>
                     While waiting for an immigrant visa to be issued, security concerns and uncertainty in their home countries, combined with a desire to reunify with family in the United States, could cause many to undertake irregular migratory routes in the absence of an alternative path to come to the United States in the near term for family reunification.
                </P>
                <FTNT>
                    <P>
                        <SU>26</SU>
                         For example, under the May 2023 Department of State Visa Bulletin, a Honduran married child of a U.S. citizen—F3 Preference Relative category—will only have an immigrant visa available to them if their relative filed the Form I-130 on their behalf more than 14 years ago. 
                        <E T="03">See</E>
                         DOS, Visa Bulletin for May 2023, Number 77, Volume X (May 2023), 
                        <E T="03">https://travel.state.gov/content/travel/en/legal/visa-law0/visa-bulletin/2023/visa-bulletin-for-may-2023.html.</E>
                         However, these dates are not predictive. Due to increases in Form I-130 volumes, it is likely that a Honduran married child of a U.S. citizen for whom a Form I-130 is filed today will have even longer to wait before an immigrant visa becomes available.
                    </P>
                </FTNT>
                <P>By facilitating quicker reunification of USCs and LPRs with their family members in the United States, this FRP process will improve the social and economic stability and well-being of these families, as well as their communities at large. Additionally, facilitating reunification in the short-term through a lawful, safe, and orderly pathway will provide the significant public benefit of promoting the reception and integration of arriving noncitizens into American society. New arrivals will be introduced sooner to the networks already built by family members living in the United States, providing them an opportunity to familiarize themselves with the United States, establish stable financial foundations, find housing and transportation, and enroll in school and find childcare for their children as they wait for their immigrant visas to become available.</P>
                <HD SOURCE="HD2">B. Furthering Important Foreign Policy Objectives</HD>
                <P>
                    The United States has been engaging with international partners to manage irregular migration through various lines of effort, including bringing together leaders from nations across the Western Hemisphere to endorse the L.A. Declaration,
                    <SU>27</SU>
                    <FTREF/>
                     joining Colombia and Panama to ramp up efforts to address irregular flows through the Darién,
                    <SU>28</SU>
                    <FTREF/>
                     working to establish SMOs in key locations in the Western Hemisphere,
                    <SU>29</SU>
                    <FTREF/>
                     joining Mexico to announce and develop a humanitarian plan on migration,
                    <SU>30</SU>
                    <FTREF/>
                     and issuing a trilateral statement with Canada and Spain to announce our intent to partner together to deepen engagement in Latin America.
                    <SU>31</SU>
                    <FTREF/>
                     A central theme of all these efforts is, as further articulated below, expanding and strengthening access to lawful pathways for migration. Many countries have cooperated extensively to: (1) create and expand access to lawful pathways in their respective countries; and (2) increase enforcement measures along the migratory routes and introduce policies that seek to reduce irregular migration from or through their countries. In turn, regional partner countries have consistently requested that the United States expand and strengthen access to lawful pathways, even following implementation of the parole processes for nationals of Cuba, Haiti, Nicaragua, and Venezuela (CHNV). Implementation of this parole process is one way of responding to such requests. Therefore, the parole of noncitizens, on a case-by-case basis, under this process will secure cooperation and strengthen bilateral relations with regional partners in furtherance of U.S. national interests.
                </P>
                <FTNT>
                    <P>
                        <SU>27</SU>
                         
                        <E T="03">See</E>
                         The White House, Los Angeles Declaration on Migration and Protection, June 10, 2022, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>28</SU>
                         
                        <E T="03">Trilateral Joint Statement,</E>
                         April 11, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/11/trilateral-joint-statement.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>29</SU>
                         
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (June 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/; See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/; See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>30</SU>
                         
                        <E T="03">See</E>
                         The White House, Mexico and United States Strengthen Joint Humanitarian Plan on Migration, May 2, 2023, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/02/mexico-and-united-states-strengthen-joint-humanitarian-plan-on-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>31</SU>
                         
                        <E T="03">See</E>
                         DHS, Trilateral statement on joint commitment to Latin America, May 3, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/05/03/trilateral-statement-joint-commitment-latin-america.</E>
                    </P>
                </FTNT>
                <P>
                    This process is not only responsive to the requests and interests of key foreign partners—and necessary for addressing migration challenges requiring coordination between two or more governments—it is also fully aligned with larger and important foreign policy objectives of this Administration and fits within a network of carefully negotiated actions by multiple governments, as reflected in the L.A. Declaration and the aforementioned actions.
                    <SU>32</SU>
                    <FTREF/>
                     The L.A. Declaration acknowledges the endorsees' shared responsibility on migration and commitment to strengthen national, regional, and hemispheric efforts to create the conditions for safe, orderly, humane, and regular migration.
                    <SU>33</SU>
                    <FTREF/>
                     All 21 countries that endorsed the declaration reaffirmed their shared commitment to strengthening and expanding regular pathways and promoting principles of safe, orderly, humane, and regular migration.
                    <SU>34</SU>
                    <FTREF/>
                     As such, it is the view of the United States that this process advances the Administration's foreign policy goals by demonstrating U.S. partnership and U.S. commitment to the shared goals of addressing migration through the hemisphere, both of which are essential to maintaining strong relationships with key partners to manage migration collaboratively.
                </P>
                <FTNT>
                    <P>
                        <SU>32</SU>
                         The White House, 
                        <E T="03">Los Angeles Declaration on Migration and Protection</E>
                         (June 10, 2022), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>33</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>34</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    The USG further intensified its international engagement in recent months and weeks as the date on which the CDC Title 42 public health Order 
                    <SU>35</SU>
                    <FTREF/>
                     would terminate neared and DHS anticipated a significant potential further increase in irregular migration.
                    <SU>36</SU>
                    <FTREF/>
                     For instance, consistent with the goals of the L.A. Declaration and in anticipation of the end of the Title 42 public health Order, on April 11, 2023, and at the request of the United States, the United States, jointly with the Governments of Panama and Colombia, committed to three goals—a counter-human smuggling effort in both the land and maritime domain; an expansion of lawful pathways as an alternative to irregular migration; and increased 
                    <PRTPAGE P="43605"/>
                    economic investment in impacted border communities—as part of a coordinated 60-day campaign and sustained cooperation beyond the initial two-month campaign to reduce irregular migration.
                    <SU>37</SU>
                    <FTREF/>
                     Implementing this process fulfills one of the commitments the United States made with its regional partners to seek to, among all three governments, “[o]pen new lawful and flexible pathways for tens of thousands of migrants and refugees as an alternative to irregular migration.” 
                    <SU>38</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>35</SU>
                         
                        <E T="03">See</E>
                         Public Health Determination and Order Regarding Suspending the Right to Introduce Certain Persons from Countries Where a Quarantinable Communicable Disease Exists, 87 FR 19941, 19941-42 (Apr. 6, 2022) (describing the CDC's recent Title 42 public health Orders, which “suspend[ ] the right to introduce certain persons into the United States from countries or places where the quarantinable communicable disease exists in order to protect the public health from an increased risk of the introduction of COVID-19”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>36</SU>
                         
                        <E T="03">See</E>
                         88 FR 11704, 11704-08 (Feb. 23, 2023) (describing “concern about the possibility of a surge in irregular migration upon, or in anticipation of, the eventual lifting of the Title 42 public health Order”); CNN, Southern border braces for a migrant surge with Title 42 set to expire this week, May 8, 2023, 
                        <E T="03">https://www.cnn.com/2023/05/08/us/title-42-expires-border-immigration/index.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>37</SU>
                         
                        <E T="03">Trilateral Joint Statement,</E>
                         April 11, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/11/trilateral-joint-statement.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>38</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <P>
                    The USG also continues to encourage regional governments to continue to expand lawful pathways that they make available for migrants, including providing status to migrants residing in their countries, as well as establish removal programs. Colombia, for example, has given 10-year temporary protected status to approximately 2.5 million Venezuelans, allowing them to work, study, and access public services.
                    <SU>39</SU>
                    <FTREF/>
                     Ecuador, Costa Rica, Belize, and Peru are also undertaking similar efforts to regularize migrants from Venezuela and Nicaragua.
                    <SU>40</SU>
                    <FTREF/>
                     Partner countries have also taken actions to forgive existing migrant overstay fines, effectively removing one of the largest barriers to regularization.
                    <SU>41</SU>
                    <FTREF/>
                     Brazil's “Operation Welcome” helped over 100,000 Venezuelans voluntarily resettle in places where they have greater economic opportunity.
                    <SU>42</SU>
                    <FTREF/>
                     Mexico and Canada are increasing the number of people that they welcome on a humanitarian basis.
                    <SU>43</SU>
                    <FTREF/>
                     The implementation of this parole process will demonstrate to these regional governments the commitment of the United States government to continue to expand lawful, safe, and orderly pathways as an alternative to irregular migration.
                </P>
                <FTNT>
                    <P>
                        <SU>39</SU>
                         
                        <E T="03">See</E>
                         Secretary Antony J. Blinken and Secretary of Homeland Security Alejandro Mayorkas at a Joint Press Availability—United States Department of State, Apr. 27, 2023, 
                        <E T="03">https://www.state.gov/secretary-antony-j-blinken-and-secretary-of-homeland-security-alejandro-mayorkas-at-a-joint-press-availability/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>40</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>41</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>42</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>43</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">C. Lawful Alternative to Irregular Migration</HD>
                <P>
                    In addition to existing lawful pathways, implementation of this FRP process will provide another lawful, safe, and orderly alternative to irregular migration in the near term. In the past several years, out-migration from the countries of Northern Central America (NCA), including El Salvador, Guatemala, and Honduras, has accounted for a significant proportion of individuals seeking to irregularly migrate to the United States. In Fiscal Year (FY) 2021, CBP encounters with Hondurans at the SWB were 262 percent of the FY18 level and over 22 percent as compared to FY19, with encounters totaling approximately 319,200 in FY21 as compared to approximately 88,100 and 261,000 in FY18 and FY19, respectively.
                    <SU>44</SU>
                    <FTREF/>
                     Encounters of Hondurans dropped in FY22, but still remained high with about 212,900 encounters.
                    <SU>45</SU>
                    <FTREF/>
                     For FY21 through April 2023 of FY23, migrants from the NCA accounted for more than 27 percent of all encounters at the SWB, with Hondurans accounting for approximately 11.4 percent of all encounters.
                    <SU>46</SU>
                    <FTREF/>
                     Economic insecurity and high levels of poverty, food insecurity, gang violence, corruption, and sexual and gender-based violence, coupled with the desire to reunite with family members already in the United States, are driving migrants from NCA countries, including Honduras, to the United States.
                    <SU>47</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>44</SU>
                         Data as of May 4, 2023. OIS analysis of CBP data.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>45</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>46</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>47</SU>
                         
                        <E T="03">See</E>
                         Migration Policy Institute, Charting a New Regional Course of Action: The Complex Motivations and Costs of Central American Migration (Nov. 2021) 
                        <E T="03">https://www.migrationpolicy.org/research/motivations-costs-central-american-migration; see also</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <P>
                    Some beneficiaries of approved family-based immigrant visa petitions may have to wait many years for an immigrant visa to become available.
                    <SU>48</SU>
                    <FTREF/>
                     While beneficiaries will still need to wait to apply to become an LPR, this FRP process will allow certain noncitizens to spend part of that waiting time with family in the United States. The process will create a lawful, safe, and orderly pathway to travel to the United States for certain nationals of Honduras and their immediate family members, who have already followed established channels to begin seeking lawful status in the United States, whose immigrant visa petitions have been approved, and who are waiting for an immigrant visa to become available. The availability of this FRP process could discourage beneficiaries whose immigrant visas are not expected to become available soon from engaging in irregular migration by providing a hope and expectation that they will soon have access to a reasonably foreseeable, safe, and orderly alternative to irregular migration for which they may choose to wait.
                </P>
                <FTNT>
                    <P>
                        <SU>48</SU>
                         
                        <E T="03">See</E>
                         William Kandel, Congressional Research Service, 
                        <E T="03">U.S. Family-Based Immigration Policy</E>
                         (Feb. 9, 2018), 
                        <E T="03">https://crsreports.congress.gov/product/pdf/R/R43145;</E>
                         DOS, Visa Bulletin for May 2023, Number 77, Volume X (May 2023), 
                        <E T="03">https://travel.state.gov/content/travel/en/legal/visa-law0/visa-bulletin/2023/visa-bulletin-for-may-2023.html.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">D. Reducing Strain on Limited U.S. Resources</HD>
                <P>
                    Substantial irregular migration, including from Honduras, has strained DHS's reception and processing capacity at the SWB. Between FY20 and May 2023, encounters of Hondurans at the SWB exceeded half a million.
                    <SU>49</SU>
                    <FTREF/>
                     By establishing a lawful pathway for some of these migrants from Honduras, on a case-by-case basis, to enter the country before an immigrant visa becomes immediately available to them, this FRP process is expected to reduce the number of irregular migrants encountered at the SWB,
                    <SU>50</SU>
                    <FTREF/>
                     thereby providing a significant public benefit by reducing the strain on border reception and processing capacity, including by diverting the processing of individuals to interior POEs.
                </P>
                <FTNT>
                    <P>
                        <SU>49</SU>
                         CBP, Nationwide Encounters (last visited June 9, 2023); 
                        <E T="03">https://www.cbp.gov/newsroom/stats/nationwide-encounters.</E>
                         Total SWB encounters between FY20 and May 2023 sum to 662,470 as of date accessed.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>50</SU>
                         As of late May 2023, there are currently an estimated 10,700 Honduran nationals with an approved Form I-130 waiting to travel to the United States. Individuals in this population may need to wait over 15 years for an immigrant visa to become available. Although DHS does not expect to issue invitations corresponding to all such Honduran nationals, this process may result in a significant reduction in wait times outside the United States for a substantial portion of this population, reducing incentives for irregular migration.
                    </P>
                </FTNT>
                <P>
                    Paroling individuals through this process will be less resource-intensive than processing individuals who irregularly migrate. Noncitizens who arrive through this FRP process will generally not require placement in DHS custody or removal proceedings, allowing more space and resources to be used for managing irregular migration.
                    <SU>51</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>51</SU>
                         
                        <E T="03">See, e.g.,</E>
                         INA secs. 235, 240, 8 U.S.C. 1225, 1229a.
                    </P>
                </FTNT>
                <P>
                    Furthermore, by establishing a meaningful, near-term lawful pathway that certain individuals, if found to be eligible on a case-by-case basis, may choose to use in lieu of attempting to enter the United States irregularly, the process will redirect such intending migrants away from irregular migratory routes that funnel money into TCOs. TCOs engaged in human smuggling along the route from the NCA region to the United States earn hundreds of 
                    <PRTPAGE P="43606"/>
                    millions to billions of dollars each year from smuggling activities associated with irregular migration.
                    <SU>52</SU>
                    <FTREF/>
                     TCOs exploit irregular migration for financial gain, either by charging migrants to cross the border, forcing migrants to carry contraband as they cross, or forcing and coercing migrants into a sex or labor trafficking situation.
                    <SU>53</SU>
                    <FTREF/>
                     This money can then be used to fund additional human smuggling, drug trafficking, and human trafficking, to buy weapons, or to engage in other illicit activities in the region, all of which are competing priorities for limited U.S. border resources to confront and manage.
                    <SU>54</SU>
                    <FTREF/>
                     This FRP process is expected to reduce the number of irregular migrants who may be exploited by TCOs engaged in human smuggling, serving a significant public benefit.
                </P>
                <FTNT>
                    <P>
                        <SU>52</SU>
                         Homeland Security Operational Analysis Center, 
                        <E T="03">Human Smuggling and Associated Revenues: What Do or Can We Know About Routes from Central America to the United States</E>
                         (2019) 
                        <E T="03">https://www.rand.org/content/dam/rand/pubs/research_reports/RR2800/RR2852/RAND_RR2852.pdf; see also</E>
                         DHS, 
                        <E T="03">Fact Sheet: Counter Human Smuggler Campaign Update</E>
                         (Oct. 6, 2022) 
                        <E T="03">https://www.dhs.gov/news/2022/10/06/fact-sheet-counter-human-smuggler-campaign-update-dhs-led-effort-makes-5000th.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>53</SU>
                         DHS's Efforts to Disrupt Transnational Criminal Organizations in Central America: Hearing before the Subcommittee on Oversight, Management, and Accountability of the Committee of Homeland Security of the House of Representatives, 117th Cong. (2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>54</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">E. Addressing Root Causes of Migration Through Remittances</HD>
                <P>
                    This FRP process will also aid U.S. efforts in addressing economic insecurity in Honduras, which is a key factor that drives out-migration.
                    <SU>55</SU>
                    <FTREF/>
                     Unlike many individuals who irregularly migrate, noncitizens who are paroled into the United States through this process will be immediately eligible to apply for employment authorization that they may maintain throughout the duration of their parole period, allowing them to contribute to the U.S. economy through the labor they provide, taxes they pay, and consumption of goods or payment of rent and utilities in their new U.S. communities.
                    <SU>56</SU>
                    <FTREF/>
                     Noncitizens with authorization to work also typically enjoy higher wages than those without employment authorization, providing them with the resources to send additional money to their home country as remittances.
                    <SU>57</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>55</SU>
                         U.S. Department of State, Integrated Country Strategies—Honduras, April 4, 2022, 
                        <E T="03">https://www.state.gov/wp-content/uploads/2022/06/ICS_WHA_Honduras_Public.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>56</SU>
                         
                        <E T="03">See generally, e.g.,</E>
                         National Academies of Sciences, Engineering, and Medicine, “The Economic and Fiscal Consequences of Immigration” (2017), 
                        <E T="03">https://nap.nationalacademies.org/catalog/23550/the-economic-and-fiscal-consequences-of-immigration;</E>
                         Chair Cecilia Rouse, Lisa Barrow, Kevin Rinz, and Evan Soltas, The White House Blog: The Economic Benefits of Extending Permanent Legal Status to Unauthorized Immigrants (Sept. 17, 2021), 
                        <E T="03">https://www.whitehouse.gov/cea/blog/2021/09/17/the-economic-benefits-of-extending-permanent-legal-status-to-unauthorized-immigrants/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>57</SU>
                         George J. Borjas, “The Earnings of Undocumented Immigrants,” National Bureau of Economic Research (Mar. 2017), 
                        <E T="03">https://www.nber.org/papers/w23236</E>
                         (providing that noncitizens without authorization to work earn less than those with employment authorization).
                    </P>
                </FTNT>
                <P>
                    Additional remittances sent back to Honduras, together with other efforts to improve the investment climate and infrastructure in the country and address security concerns, may promote economic development and address some of the root causes of migration.
                    <SU>58</SU>
                    <FTREF/>
                     Remittances from migrants from NCA countries including Honduras already play a crucial role in their economies.
                    <SU>59</SU>
                    <FTREF/>
                     In 2018, remittances from migrants living abroad were equivalent to 20 percent of Gross Domestic Product (GDP) in Honduras.
                    <SU>60</SU>
                    <FTREF/>
                     Remittances remained stable in 2019, at 21 percent.
                    <SU>61</SU>
                    <FTREF/>
                     Following the onset of the COVID-19 pandemic in 2020, remittances to the NCA countries increased dramatically as a percentage of GDP in 2021. In Honduras specifically, remittances were equivalent to 26 percent of the country's 2021 GDP.
                    <SU>62</SU>
                    <FTREF/>
                     For the first eight months of 2022, remittances to El Salvador, Guatemala, and Honduras increased 16.5 percent.
                    <SU>63</SU>
                    <FTREF/>
                     Remittances provide a crucial financial lifeline that enhances economic development and promotes economic stability for many individuals, families, and communities in Honduras, impacting individual decisions on whether to leave the region. In the absence of timely alternative options for lawful pathways, such as parole under this process, and the additional remittances that are anticipated to result from implementation of this process, individuals are more likely to turn to irregular migration in the short-term.
                </P>
                <FTNT>
                    <P>
                        <SU>58</SU>
                         Pew Research Center, 
                        <E T="03">Remittances from Abroad are major economic assets for some developing countries</E>
                         (Jan. 29, 2018) 
                        <E T="03">https://www.pewresearch.org/fact-tank/2018/01/29/remittances-from-abroad-are-major-economic-assets-for-some-developing-countries/; see also</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf; see also</E>
                         Atlas of Sustainable Development Goals, 
                        <E T="03">Remittances: a lifeline for many economies,</E>
                         The World Bank (2020) 
                        <E T="03">https://datatopics.worldbank.org/sdgatlas/goal-17-partnerships-for-the-goals/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>59</SU>
                         
                        <E T="03">See</E>
                         Atlas of Sustainable Development Goals, Remittances: a lifeline for many economies, The World Bank (2020) 
                        <E T="03">https://datatopics.worldbank.org/sdgatlas/goal-17-partnerships-for-the-goals/; see also</E>
                         Council on Foreign Relations, 
                        <E T="03">Central America's Turbulent Northern Triangle</E>
                         (July 1, 2021) 
                        <E T="03">https://www.cfr.org/backgrounder/central-americas-turbulent-northern-triangle.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>60</SU>
                         Congressional Research Service, 
                        <E T="03">U.S. Strategy for Engagement in Central America: Policy Issues for Congress</E>
                         (Nov. 12, 2019) 
                        <E T="03">https://fas.org/sgp/crs/row/R44812.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>61</SU>
                         USAID, Economic Analysis of the Honduras Remittances Ecosystem: An Assessment of the Role Remittances have on Financial Inclusion and Development Outcomes (2022) 
                        <E T="03">https://pdf.usaid.gov/pdf_docs/PA00Z69J.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>62</SU>
                         Bloomberg Línea, Remittances to Central America on Track to Break Records (Nov. 1, 2022) 
                        <E T="03">https://www.bloomberglinea.com/english/remittances-to-central-america-on-track-to-breaking-records/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>63</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">V. Eligibility</HD>
                <HD SOURCE="HD2">A. Petitioners</HD>
                <P>
                    Invitations to participate in this process will be issued to certain petitioners who have an approved Form I-130 filed on behalf of a Honduran principal beneficiary. Invitations will be issued based on operational capacity, the expected period of time until the principal beneficiary's immigrant visa becomes available, and in a manner calibrated to best achieve the policy aims of this process as described in this Notice. Petitioners who have an approved 
                    <SU>64</SU>
                    <FTREF/>
                     Form I-130 filed on behalf of a Honduran principal beneficiary outside the United States should ensure that their mailing address and other contact information are up to date with State's National Visa Center (NVC), as this is the information that will be used to issue invitations. The invitations will provide information about how the petitioner may file a request with USCIS that initiates this FRP process on behalf of a Honduran principal beneficiary of an approved Form I-130, and a separate request for any immediate family members of the principal beneficiary. As part of the request process, the petitioner will be required to provide evidence of their income and assets and commit to provide financial support to the beneficiary named in the request for the length of parole by submitting Form I-134A online. Petitioners will also be required to provide evidence to verify the family relationship between the principal beneficiary of the Form I-130 and all immediate family members of the principal beneficiary for whom the petitioner will be filing a request under this process. As part of the review process, the petitioner must pass 
                    <PRTPAGE P="43607"/>
                    security and background vetting, including for public safety, national security, human trafficking, and exploitation concerns.
                </P>
                <FTNT>
                    <P>
                        <SU>64</SU>
                         In certain circumstances, such as if the beneficiary is no longer eligible for the Form I-130 (
                        <E T="03">e.g.,</E>
                         the petitioner is no longer an LPR or U.S.C.), parole would be denied, and the Form I-130 approval would be revoked. If DHS revokes Form I-130 approval, the beneficiary will no longer be eligible for an immigrant visa. DHS will make these determinations on a case-by-case basis and will provide a written notice.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Beneficiaries</HD>
                <P>A beneficiary is a national of Honduras (or their immediate family member of any nationality) who is outside the United States and who may be considered for a discretionary grant of parole under this FRP process. To ultimately be considered for a discretionary issuance of advance authorization to travel to the United States to seek a discretionary grant of parole at the POE, a beneficiary must:</P>
                <P>• be outside the United States;</P>
                <P>
                    • be the principal beneficiary (or a derivative beneficiary spouse or child) 
                    <SU>65</SU>
                    <FTREF/>
                     of an approved Form I-130, Petition for Alien Relative;
                </P>
                <FTNT>
                    <P>
                        <SU>65</SU>
                         
                        <E T="03">See</E>
                         INA sec. 203(d), 8 U.S.C. 1153(d); 
                        <E T="03">see also</E>
                         INA sec. 101(b)(1), 8 U.S.C. 1101(b)(1) (defining “child,” in general, as meaning “an unmarried person under twenty-one years of age”). If a principal beneficiary married or had a child after USCIS approved the underlying Form I-130, that spouse or unmarried child under 21 may in some circumstances become a derivative beneficiary and may be eligible for parole based on their relationship to the principal beneficiary. Such “add-on derivatives” are included within the term “derivative” in this notice.
                    </P>
                </FTNT>
                <P>
                    • be a national of Honduras or be a non-Honduran derivative beneficiary spouse or child 
                    <SU>66</SU>
                    <FTREF/>
                     of a Honduran principal beneficiary;
                </P>
                <FTNT>
                    <P>
                        <SU>66</SU>
                         Certain non-Hondurans may use this process if they are a derivative beneficiary of a Honduran principal beneficiary and traveling with that Honduran beneficiary.
                    </P>
                </FTNT>
                <P>• have a petitioning relative in the United States who received an invitation to initiate this FRP process on their behalf by filing a Form I-134A;</P>
                <P>• have a U.S.-based petitioning relative who filed a Form I-134A on their behalf that USCIS has vetted and confirmed;</P>
                <P>• have not yet been issued an immigrant visa at the time the invitation is issued to the petitioning relative; and</P>
                <P>• have an unexpired passport valid for international travel, or possess alternative acceptable documentation as described in the invitation letter issued to the petitioning relative.</P>
                <P>In addition, each beneficiary must undergo and pass national security and public safety vetting and must demonstrate that they otherwise merit a favorable exercise of discretion by DHS. This includes vetting prior to issuance of advance authorization to travel to an interior POE to seek parole, as well as additional vetting completed by CBP upon inspection and collection of biometrics at the POE, as described in the section of this Notice that details the processing steps for this FRP process. CBP will consider a beneficiary's previous immigration history, encounters with USG entities, and the results of screening and vetting when determining eligibility to be issued advance authorization to travel to the United States, as well as when determining, on a case-by-case basis, whether to grant parole to the beneficiary at the POE. When making these discretionary advance authorizations to travel and parole determinations, DHS will consider a beneficiary to be ineligible for this process if the beneficiary:</P>
                <P>• has crossed irregularly into the United States, between the POEs, after July 10, 2023, except DHS will not consider a beneficiary to be ineligible based on a single instance of voluntary departure pursuant to section 240B of the INA, 8 U.S.C. 1229c, or withdrawal of their application for admission pursuant to section 235(a)(4) of the INA, 8 U.S.C. 1225(a)(4);</P>
                <P>
                    • has been interdicted at sea 
                    <SU>67</SU>
                    <FTREF/>
                     after July 10, 2023; or
                </P>
                <FTNT>
                    <P>
                        <SU>67</SU>
                         For purposes of this notice, “interdicted at sea” refers to migrants directly interdicted by the U.S. Coast Guard from vessels subject to U.S. jurisdiction or vessels without nationality, or migrants transferred to the U.S. Coast Guard.
                    </P>
                </FTNT>
                <P>
                    • has been ordered removed from the United States within the prior five years or is subject to a bar to admissibility based on a prior removal order.
                    <SU>68</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>68</SU>
                         
                        <E T="03">See, e.g.,</E>
                         INA sec. 212(a)(9)(A), 8 U.S.C. 1182(a)(9)(A).
                    </P>
                </FTNT>
                <FP>DHS also will consider other factors in making discretionary determinations consistent with long-standing policy and practice.</FP>
                <P>Each beneficiary must demonstrate that a grant of parole is warranted based on a significant public benefit or urgent humanitarian reasons, and that the beneficiary merits a favorable exercise of discretion in order for CBP to grant parole upon arrival at the POE. Each beneficiary must also comply with all additional requirements, including vaccination requirements and other public health guidelines.</P>
                <P>
                    Participation in this process is not limited to those beneficiaries currently living in Honduras. However, as noted above, beneficiaries must be outside the United States to participate in the process. In order to use the advance authorization to travel to the United States, the beneficiary must have sufficient documentation (
                    <E T="03">e.g.,</E>
                     international passport) to travel on a commercial airline. Beneficiaries under the age of 18 to whom CBP issues advance authorization to travel under this process may be subject to additional screening and/or travel parameters in coordination with U.S. authorities to ensure appropriate travel arrangements and coordination with their parent(s) or legal guardian(s). This FRP process does not affect CBP's legal obligations regarding the identification and processing of unaccompanied children.
                    <SU>69</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>69</SU>
                         
                        <E T="03">See</E>
                         6 U.S.C. 279(g)(2) (defining “unaccompanied alien child”).
                    </P>
                </FTNT>
                <P>
                    A potential beneficiary of this process who enters the United States between POEs after July 10, 2023 rather than being considered for parole under this process will be ineligible for this process, except as indicated above, and will be processed under Title 8 of the U.S. Code and face appropriate consequences for that choice. For example, they may be subject to potential criminal prosecution,
                    <SU>70</SU>
                    <FTREF/>
                     expedited removal proceedings,
                    <SU>71</SU>
                    <FTREF/>
                     or removal proceedings under section 240 of the INA, 8 U.S.C. 1229a. In addition, potential beneficiaries who enter the United States between POEs rather than be considered for parole under this process may be or may become ineligible for adjustment of status 
                    <SU>72</SU>
                    <FTREF/>
                     or for an immigrant visa 
                    <SU>73</SU>
                    <FTREF/>
                     as a result of entering without inspection and not having been admitted or paroled.
                    <SU>74</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>70</SU>
                         8 U.S.C. 1325, 1326 (for illegal entry and reentry, respectively).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>71</SU>
                         INA sec. 235(b)(1)(A)(i), 8 U.S.C. 1225(b)(1)(A)(i).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>72</SU>
                         INA sec. 245(a), 8 U.S.C. 1255(a) (requiring adjustment of status applicants to be inspected and admitted or inspected and paroled, as well as be admissible); INA sec. 245(c), 8 U.S.C. 1255(c)(2) (adjustment of status applicants are ineligible if they are in unlawful immigration status on the date of filing the application for adjustment of status or fail to maintain continuously a lawful status since entry into the United States); INA sec. 212(a), 8 U.S.C. 1182(a) (grounds of inadmissibility that, absent the granting of an available waiver, render applicants for adjustment of status ineligible).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>73</SU>
                         INA sec. 221(g), 8 U.S.C. 1201(g) (immigrant visa applicants are ineligible for immigrant visas if inadmissible under INA sec. 212(a), 8 U.S.C. 1182(a)); INA sec. 212(a), 8 U.S.C. 1182(a) grounds of inadmissibility that render applicants for immigrant visas ineligible).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>74</SU>
                         For example, an applicant for adjustment of status who previously accrued more than one year of unlawful presence, departed, and thereafter reentered the United States without admission or parole is inadmissible and ineligible for adjustment unless they apply for and obtain consent to reapply for admission from outside the United States after waiting ten years after their last departure from the United States. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(C)(i)(I), 8 U.S.C. 1182(a)(9)(C)(i)(I). In addition, an applicant for an immigrant visa who accrued more than 180 days of unlawful presence in the United States, departed (or is removed, as applicable), and again seeks admission (by filing an immigrant visa application) within 3 or 10 years of departure (or removal) is inadmissible and ineligible for an immigrant visa unless they apply for and obtain a waiver of inadmissibility. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(B), 8 U.S.C. 1182(a)(9)(B). Additionally, an applicant for an immigrant visa who was ordered removed, departed, and again seeks admission within certain periods of time thereafter is inadmissible and 
                        <PRTPAGE/>
                        therefore ineligible for an immigrant visa unless they apply for and obtain consent to reapply for admission. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(A), 8 U.S.C. 1182(a)(9)(A).
                    </P>
                </FTNT>
                <PRTPAGE P="43608"/>
                <HD SOURCE="HD2">C. Processing Steps</HD>
                <P>This FRP process will be implemented in light of lessons learned through the CFRP and HFRP processes and will build on technological advancements and efficiencies developed since the inception of CFRP and HFRP.All steps of the process, except for the ultimate parole determination made in-person, on a case-by-case basis, by CBP at the POE, will generally be completed online, including individualized, case-by-case identity and eligibility determinations and robust security vetting.</P>
                <HD SOURCE="HD3">Step 1: Invitation Sent to Petitioner</HD>
                <P>An invitation may be sent to a petitioner who has filed an approved Form I-130 on behalf of the potential principal and derivative beneficiaries. The decision whether to send the invitation is based on multiple discretionary factors. Such factors may include operational capacity considerations, the expected period of time until the beneficiary's immigrant visa becomes available, as well as other measures calibrated to best achieve the policy aims of this process as described in this Notice. Only after receiving an invitation may the petitioner file a request and initiate consideration under this FRP process. The invitation will instruct the petitioner on next steps to initiate this process on behalf of the beneficiaries, including instructions on documentation to include in their Form I-134A. Each invitation will include an identifying number that the petitioner must include in the Form I-134A for each beneficiary on whose behalf they wish to request to be a supporter and to initiate consideration for advance authorization to travel to the United States to seek parole at an interior POE.</P>
                <HD SOURCE="HD3">Step 2: Petitioner Files Form I-134A Online</HD>
                <P>After receiving an invitation, the U.S.C. or LPR petitioner who filed the approved Form I-130 on behalf of the beneficiaries will submit a Form I-134A for each beneficiary with USCIS through the online myUSCIS web portal to initiate this process. The Form I-134A identifies and collects information on both the petitioner and the beneficiary. The petitioner must submit a separate Form I-134A for each beneficiary, including derivatives of the principal beneficiary. The petitioner must submit evidence establishing their income and assets and commit to provide financial support to the beneficiary for the duration of parole. The petitioner must also submit evidence establishing the family relationships between the principal beneficiary and all derivative beneficiaries. USCIS will perform background checks on the petitioner and verify their financial information to ensure that the petitioner is able to financially support the beneficiary. If the petitioner's Form I-134A is confirmed, the request proceeds to the next step.</P>
                <HD SOURCE="HD3">Step 3: Beneficiary Electronically Provides Information To Support the Request</HD>
                <P>If a petitioner's Form I-134A is confirmed by USCIS, the beneficiary named in the Form I-134A will receive an email from USCIS with instructions to create an online account with myUSCIS and next steps for completing the request. The beneficiary will be required to confirm their biographic information in their online account and attest to meeting eligibility requirements.</P>
                <P>As part of confirming eligibility in their myUSCIS account, a beneficiary who seeks advance authorization to travel to the United States will need to confirm that they meet public health requirements, including certain vaccination requirements.</P>
                <HD SOURCE="HD3">Step 4: Beneficiary Submits Request in CBP One Mobile Application</HD>
                <P>After confirming biographic information in myUSCIS and completing required eligibility attestations, the beneficiary will receive instructions through myUSCIS for accessing the CBP One mobile application. The beneficiary must enter certain biographic and biometric information—including a “live” facial photograph—into CBP One.</P>
                <HD SOURCE="HD3">Step 5: Approval To Travel to the United States</HD>
                <P>
                    A beneficiary who establishes eligibility for this process, passes all the requisite vetting, and demonstrates that they otherwise warrant a favorable exercise of discretion, may receive an electronic advance authorization to travel from CBP, facilitating their ability to travel to the United States to seek a discretionary grant of parole, on a case-by-case basis, at an interior POE. The beneficiary will receive a notice in their myUSCIS account confirming whether CBP has, in CBP's discretion, provided the beneficiary with advance authorization to travel to the United States. If approved, the beneficiary is responsible for securing their own travel via commercial air to an interior POE.
                    <SU>75</SU>
                    <FTREF/>
                     Approval of advance authorization to travel does not guarantee a beneficiary will be paroled into the United States upon inspection at the POE. Whether to parole the beneficiary is a discretionary, case-by-case determination made by CBP at the time the beneficiary arrives at the interior POE.
                </P>
                <FTNT>
                    <P>
                        <SU>75</SU>
                         Air carriers can validate an approved and valid travel authorization submission using the same mechanisms that are currently in place to validate that a traveler has a valid visa or other documentation to facilitate issuance of a boarding pass for air travel.
                    </P>
                </FTNT>
                <HD SOURCE="HD3">Step 6: Beneficiary Seeks Parole at the POE</HD>
                <P>CBP will inspect each beneficiary arriving at an interior POE under this process and consider each individual, on a case-by-case basis, for a grant of discretionary parole for a period of up to three years.</P>
                <P>Upon arrival at the interior POE, the beneficiary will be required to submit additional biometrics to DHS, including another photograph and fingerprints. This biometric information will support additional vetting against available databases to inform an independent determination by CBP officers as to whether parole is warranted on a case-by-case basis and whether the beneficiary merits a favorable exercise of discretion. A beneficiary who is determined to pose a national security or public safety threat will generally be denied parole. A beneficiary who otherwise does not warrant parole pursuant to section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), and as a matter of discretion upon inspection, will be processed under an appropriate disposition and may be referred to U.S. Immigration and Customs Enforcement (ICE) for detention.</P>
                <HD SOURCE="HD3">Step 7: Parole</HD>
                <P>
                    If granted parole at the POE, on a case-by-case basis, parole will generally be granted for a period of up to three years, subject to satisfying applicable health and vetting requirements, and the parolee will be eligible to apply for employment authorization for the duration of the parole period.
                    <SU>76</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>76</SU>
                         8 CFR 274a.12(c)(11).
                    </P>
                </FTNT>
                <P>
                    All of the steps in this process, including the decision to confirm or non-confirm the Form I-134A, as well as the decision whether to issue advance authorization to travel and the parole decision at the interior POE, are entirely discretionary and not subject to appeal on any grounds. Parole may be terminated upon notice at DHS discretion, and the noncitizen may be placed into removal proceedings and/or 
                    <PRTPAGE P="43609"/>
                    detained if, for example, the parolee fails to maintain the conditions for the parole or other derogatory information emerges during the parole period.
                </P>
                <HD SOURCE="HD2">D. Termination and No Private Rights</HD>
                <P>The Secretary retains the sole discretion to terminate this FRP process at any point. This process is being implemented as a matter of the Secretary's discretion. It is not intended to and does not create any rights, substantive or procedural, enforceable by any party in any matter, civil or criminal.</P>
                <HD SOURCE="HD1">VI. Other Considerations in the Establishment of This FRP Process</HD>
                <P>DHS has considered the potential impact of this FRP process on individuals applying for benefits under other immigration programs or processes, given that USCIS and CBP may reassign employees and reallocate resources to administer this process. This reassignment or reallocation could potentially impact processing times for USCIS- or CBP-administered immigration programs and processes. Although personnel and resources may be diverted from other similar processes and programs, participation in this process is by invitation only. DHS can adjust the number of invitations issued to alleviate pressure on other programs and processes as resource limitations require. As detailed above, each beneficiary of this process who is diverted away from irregular migration will also reduce the strain on border reception and processing capacity. Therefore, these costs are not significant enough to outweigh the benefits of the process.</P>
                <P>
                    DHS also considered the alternative approach of not establishing this process. As stated throughout this Notice, this process will provide many benefits and has few drawbacks. DHS has made an effort to identify and consider any reliance interests of the parties affected by establishment of this process. Ultimately, DHS has determined that the significant public benefit of the case-by-case parole of individuals under this FRP process to the United States, and other affected parties, including the reduction in irregular migration expected to be accomplished in connection with this process, outweigh the costs that may be incurred, while noting that this FRP process will not increase the total number of individuals eligible to enter the United States, as the potential beneficiaries already have a pathway to lawful permanent residence. For example, DHS has determined that the significant public benefits of the case by case parole of individuals under this process outweighs any costs incurred for schools and social services (such as health care) in the period between their parole into the United States and the time when a beneficiary's immigrant visa already would have become available (at which point they soon thereafter would, in general, have been admitted as immigrants).
                    <SU>77</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>77</SU>
                         
                        <E T="03">See, e.g.,</E>
                         National Academies of Sciences, Engineering, and Medicine, “The Economic and Fiscal Consequences of Immigration” (2017), 
                        <E T="03">https://nap.nationalacademies.org/catalog/23550/the-economic-and-fiscal-consequences-of-immigration.</E>
                    </P>
                </FTNT>
                <P>Alternatively, as discussed below, a decision to not establish this process would adversely affect the United States' ability to negotiate for and request additional enforcement measures and increased cooperation with removals and ensure foreign partners' continued collaboration. In addition, certain nationals of Honduras still waiting for their immigrant visas to become available would remain separated from their family members and could resort to irregular migration without this process. For any such Honduran nationals, the USG would need to commit resources to respond to their arrival, processing, and removal pursuant to the INA. Those who manage to cross the border without being encountered by CBP would join the population of individuals living in the United States without authorization, unable to legally seek employment. The states in which they settle would be less likely to benefit from additional tax revenues and other positive economic contributions these individuals would have provided if they had a lawful pathway like this FRP process through which they may apply for employment authorization while they wait to apply to adjust to LPR status.</P>
                <HD SOURCE="HD1">VII. Regulatory Requirements</HD>
                <HD SOURCE="HD2">A. Administrative Procedure Act (APA)</HD>
                <P>This process is exempt from notice-and-comment rulemaking and delayed effective date requirements on multiple grounds and is therefore amenable to immediate issuance and implementation.</P>
                <P>
                    <E T="03">First,</E>
                     DHS is merely adopting a general statement of policy,
                    <FTREF/>
                    <SU>78</SU>
                      
                    <E T="03">i.e.,</E>
                     a “statement issued by an agency to advise the public prospectively of the manner in which the agency proposes to exercise a discretionary power.” 
                    <SU>79</SU>
                    <FTREF/>
                     As section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), provides, parole decisions are made by the Secretary “in his discretion.” This policy creates a process for making discretionary, case-by-case parole decisions.
                </P>
                <FTNT>
                    <P>
                        <SU>78</SU>
                         5 U.S.C. 553(b)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>79</SU>
                         
                        <E T="03">See Lincoln</E>
                         v. 
                        <E T="03">Vigil,</E>
                         508 U.S. 182, 197 (1993) (quoting 
                        <E T="03">Chrysler Corp.</E>
                         v. 
                        <E T="03">Brown,</E>
                         441 U.S. 281,302 n.31 (1979)).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Second,</E>
                     even if this process were considered to be a legislative rule that would normally be subject to requirements for notice-and-comment rulemaking and a delayed effective date, the process would be exempt from such requirements because it involves a foreign affairs function of the United States.
                    <SU>80</SU>
                    <FTREF/>
                     Courts have held that this exemption applies when the rule in question “is clearly and directly involved in a foreign affairs function.” 
                    <SU>81</SU>
                    <FTREF/>
                     In addition, although the text of the Administrative Procedure Act does not require an agency invoking this exemption to show that such procedures may result in “definitely undesirable international consequences,” some courts have required such a showing.
                    <SU>82</SU>
                    <FTREF/>
                     This process satisfies both standards. Specifically, as discussed in the section above entitled, 
                    <E T="03">Furthering Important Foreign Policy Objectives,</E>
                     this FRP process is one part of the United States' ongoing efforts to engage hemispheric partners to increase their efforts to collaboratively manage irregular migration. As discussed in that section, and as further explained below, the expansion of lawful pathways for noncitizens to enter the United States is necessary to ensure partners' continued collaboration on migration issues, including the ability of the United States to meet other immigration-management priorities such as the timely establishment of SMOs.
                    <SU>83</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>80</SU>
                         5 U.S.C. 553(a)(1).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>81</SU>
                         
                        <E T="03">See, e.g., Mast Indus.</E>
                         v. 
                        <E T="03">Regan,</E>
                         596 F. Supp. 1567, 1582 (C.I.T. 1984) (cleaned up).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>82</SU>
                         
                        <E T="03">See, e.g., Rajah</E>
                         v. 
                        <E T="03">Mukasey,</E>
                         544 F.3d 427, 437 (2d Cir. 2008).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>83</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet: U.S. Government Announces Sweeping New Actions to Manage Regional Migration, Apr. 27, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                    </P>
                </FTNT>
                <P>
                    Delaying issuance and implementation of this process to undertake notice-and-comment rulemaking and a delayed effective date would complicate broader ongoing and future discussions and negotiations with key foreign partners about migration management, including the new measures the United States announced on April 27, 2023, in anticipation of the May 11 lifting of the Title 42 public health Order.
                    <SU>84</SU>
                    <FTREF/>
                     These measures are 
                    <PRTPAGE P="43610"/>
                    being implemented in close coordination with partner countries. Ongoing negotiations with partner countries involve the implementation of a range of new measures, including establishing SMOs in key locations in the Western Hemisphere to manage and reduce irregular migration and improve qualified individuals' access to accelerated refugee processing, family reunification, and labor pathways in the United States. As a key part of these negotiations, the United States and its partners are providing meaningful alternatives to irregular migration, including through lawful pathways to the United States, Canada, and Spain, as well as integration in host countries closer to home. The success of SMOs and other new measures to reduce irregular migration to the SWB is therefore connected to the United States expanding access to lawful pathways, including family reunification parole processes that will benefit nationals in countries identified to host SMOs. The USG also continues to engage with and ask additional governments to consider connecting their lawful pathways to SMO efforts and is building goodwill and momentum to seek SMOs in still more countries in the region.
                </P>
                <FTNT>
                    <P>
                        <SU>84</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet: U.S. Government Announces Sweeping New Actions to Manage Regional Migration, Apr. 27, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                    </P>
                </FTNT>
                <P>
                    On May 2, 2023, the United States and Mexico jointly announced a number of measures to address the humanitarian situation caused by unprecedented migration flows in the hemisphere by creating incentives for migrants to use lawful pathways, while announcing that consequences for unlawful entry would continue once the Title 42 public health Order was lifted. The announcements emphasized the importance of strengthening and expanding access to lawful pathways, including in Central America, which will continue to remain a central topic of bilateral relations.
                    <SU>85</SU>
                    <FTREF/>
                     Specifically, the United States stated its intention to welcome as many as 100,000 individuals from El Salvador, Guatemala, and Honduras under the family reunification parole processes, while the Government of Mexico recognized the value in SMOs and is considering how it can contribute to their success. Mexico concurrently committed to continue to accept the return of certain CHNV nationals on humanitarian grounds beyond the lifting of the Title 42 public health Order on May 11, 2023.
                </P>
                <FTNT>
                    <P>
                        <SU>85</SU>
                         
                        <E T="03">See</E>
                         Mexico and United States Strengthen Joint Humanitarian Plan on Migration, May 2, 2023, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/02/mexico-and-united-states-strengthen-joint-humanitarian-plan-on-migration/.</E>
                    </P>
                </FTNT>
                <P>
                    Additionally, after a series of negotiations, on June 1, 2023, the United States and Guatemala issued a joint statement to commit to take a series of critical steps to humanely reduce irregular migration and expand lawful pathways under the LA. Declaration.
                    <SU>86</SU>
                    <FTREF/>
                     As the first step of a comprehensive program to manage irregular migration, both countries intend to implement a six-month pilot phase of SMOs, which facilitate access to lawful pathways to the United States and other countries, family reunification, and access to temporary work visas.
                    <SU>87</SU>
                    <FTREF/>
                     These offices began accepting appointments on the website movilidadsegura.org on June 12, 2023.
                    <SU>88</SU>
                    <FTREF/>
                     In the same announcement, the United States and Guatemala stated that they will also deepen cooperation on border security and will continue to address the root causes of irregular migration.
                    <SU>89</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>86</SU>
                         
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (June 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>87</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>88</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>89</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    In addition, on June 4, 2023, the United States and Colombia announced the impending establishment of SMOs that would identify, register, and categorize the reasons for irregular migration and channel those who qualify through lawful pathways from Colombia to the United States.
                    <SU>90</SU>
                    <FTREF/>
                     The goal is to prevent irregular migration to the United States or other places in the Hemisphere. The U.S. government also reaffirmed its commitment to simultaneously expand additional lawful pathways for Colombians with temporary work visas and expanded family reunification.
                    <SU>91</SU>
                    <FTREF/>
                     As stated in the announcement, the USG is working with the government of Colombia to promptly implement processing through SMOs to ensure the success of this initiative.
                    <SU>92</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>90</SU>
                         
                        <E T="03">See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration</E>
                        . See The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>91</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>92</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    Furthermore, on June 12, 2023, the USG and the Government of Costa Rica, in furtherance of bilateral partnership and addressing hemispheric challenge of irregular migration, announced an exploratory six-month implementation of SMOs.
                    <SU>93</SU>
                    <FTREF/>
                     SMOs in Costa Rica will facilitate access to lawful pathways to the United States and other countries, including expedited refugee processing and other humanitarian and labor pathways.
                    <SU>94</SU>
                    <FTREF/>
                     In addition to starting the SMOs initiative, the USG and the Government of Costa Rica reaffirmed their commitment to work with all countries across the region to promote integration of refugees and migrants, expand lawful pathways, and promote humane border management.
                    <SU>95</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>93</SU>
                         
                        <E T="03">See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>94</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>95</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>Overall, delaying issuance and implementation of this process to undertake rulemaking would complicate these and future U.S. efforts to manage migration together with foreign partners. Because this FRP is an example of the United States' shared commitment to managing migration consistent with the L.A. Declaration and has been a key point in ongoing negotiations and partnerships, such a delay would risk undermining these partner countries' continued efforts, which are critical to the U.S. foreign policy approach to migration management.</P>
                <P>
                    Furthermore, the delay associated with implementing this process through notice-and-comment rulemaking would adversely affect the United States' ability to negotiate for and request additional enforcement measures and increased cooperation with removals, which is timely and urgent given the conclusion of Title 42 enforcement on May 11. Regional partner countries have repeatedly requested additional lawful pathways in diplomatic engagements in return for increased law enforcement measures throughout the migratory routes, imposing additional requirements on key nationalities using their countries as a gateway to make irregular journeys to the SWB, and accepting additional removal flights with significantly reduced manifest times. Coordinated USG efforts with partner countries in the Western Hemisphere, following the lifting of the CDC's Title 42 public health Order on May 11, 2023, and transition to processing under Title 8 of U.S. Code have led to a reduction of irregular migration flows throughout the region and at the SWB. However, the USG's assessment is that this might be a temporary shift if the United States and partner countries do not sustain their 
                    <PRTPAGE P="43611"/>
                    efforts to expand access to lawful pathways and enforcement measures along the migratory routes as our regional partner countries and international organization partners report skyrocketing inquiries from migrants about availability of, and requirements for lawful pathways and enforcement penalties for unlawful entry into the United States. A key means of delivering on these partnerships, in keeping with the U.S. strategy and approach on migration management overall, is to make available lawful pathways to provide safe and orderly alternatives to the danger and consequences of irregular migration.
                </P>
                <P>
                    The invocation of the foreign affairs exemption is also consistent with DHS precedent. For example, in 2017, DHS published a notice eliminating an exception to expedited removal for certain Cuban nationals, which explained that the change in policy was consistent with the foreign affairs exemption because the change was central to ongoing negotiations between the two countries.
                    <SU>96</SU>
                    <FTREF/>
                     DHS similarly invoked the foreign affairs exemption more recently, in connection with the CHNV parole processes.
                    <SU>97</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>96</SU>
                         
                        <E T="03">See</E>
                         DHS, Eliminating Exception To Expedited Removal Authority for Cuban Nationals Encountered in the United States or Arriving by Sea, 82 FR 4902 (Jan. 17, 2017).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>97</SU>
                         
                        <E T="03">See</E>
                         DHS, Implementation of a Parole Process for Cubans, 88 FR 1266 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Haitians, 88 FR 1243 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Nicaraguans, 88 FR 1255 (Jan. 9, 2023); DHS, Implementation of Changes to the Parole Process for Venezuelans, 88 FR 1282 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Venezuelans, 87 FR 63507 (Oct. 19, 2022).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Paperwork Reduction Act (PRA)</HD>
                <P>
                    Under the Paperwork Reduction Act (PRA), 44 U.S.C. chapter 35, all Departments are required to submit to the Office of Management and Budget (OMB), for review and approval, any new reporting requirements they impose. The process announced by this notice requires changes to the collections of information on Form I-134A, Online Request to be a Supporter and Declaration of Financial Support (OMB control number 1615-0157), which will be used for the FRP process for Hondurans and is being revised in connection with this notice by increasing the burden estimate. This process also requires changes to the collection of information for Advance Travel Authorization (ATA) (OMB Control Number 1651-0143). USCIS and CBP have submitted and OMB has approved requests for emergency authorization of the required changes (under 5 CFR 1320.13) to Form I-134A and ATA for a period of 6 months. Within 45 days, USCIS and CBP will issue respective 60-day 
                    <E T="04">Federal Register</E>
                     notices seeking comment on these changes.
                    <SU>98</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>98</SU>
                         Per the normal clearance procedures at 5 CFR 1320.10(e).
                    </P>
                </FTNT>
                <SIG>
                    <NAME>Alejandro N. Mayorkas,</NAME>
                    <TITLE>Secretary, U.S. Department of Homeland Security.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14474 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF HOMELAND SECURITY</AGENCY>
                <DEPDOC>[CIS No. 2750-23; DHS Docket No. USCIS-2023-0007]</DEPDOC>
                <RIN>RIN 1615-ZC00</RIN>
                <SUBJECT>Implementation of a Family Reunification Parole Process for Salvadorans</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Department of Homeland Security.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of Implementation of a Family Reunification Parole Process for Salvadorans.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>This notice announces the U.S. Department of Homeland Security's (DHS) creation and implementation of a family reunification parole process (FRP) for Salvadorans. Under this process, certain Salvadoran principal beneficiaries of an approved Form I-130, Petition for Alien Relative, and their immediate family members, will be issued advance authorization to travel to the United States to seek a discretionary grant of parole into the United States for a period of up to three years, rather than remain outside the United States while awaiting availability of their immigrant visas. This process will allow family members to reunite in the United States while they wait for their immigrant visas to become available. This process is voluntary and intended to provide an additional lawful, safe, and orderly avenue for migration from El Salvador to the United States as an alternative to irregular migration to help relieve pressure at the Southwest Border (SWB) and reunite families, consistent with U.S. national security interests and foreign policy priorities. The process complements other efforts to collaboratively manage migration in the Western Hemisphere and at the SWB as the U.S. Government (USG) continues to implement its broader, multi-pronged, and regional strategy to address the challenges posed by irregular migration.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>DHS will begin using the Form I-134A, Online Request to be a Supporter and Declaration of Financial Support, for this process on July 10, 2023.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>Rená Cutlip-Mason, Chief, Humanitarian Affairs Division, Office of Policy and Strategy, U.S. Citizenship and Immigration Services, Department of Homeland Security, by mail at 5900 Capital Gateway Drive, Camp Springs, MD 20746, or by phone at 800-375-5283.</P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Background</HD>
                <P>
                    This notice describes the implementation of a new parole process for certain Salvadoran nationals and their immediate family members,
                    <SU>1</SU>
                    <FTREF/>
                     including the eligibility criteria and filing process. The parole process is intended to reunite families more quickly and offer an alternative to dangerous irregular migration routes through North and Central America to the United States by providing a process for certain Salvadorans and their immediate family members to lawfully enter the United States in a safe and orderly manner.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         Throughout this notice, “immediate family members” is used as a shorthand for the derivative beneficiary spouse and children of a principal beneficiary. 
                        <E T="03">See</E>
                         INA sec. 203(d), 8 U.S.C. 1153(d); 
                        <E T="03">see also</E>
                         INA sec. 101(b)(1), 8 U.S.C. 1101(b)(1) (defining “child,” in general, as meaning “an unmarried person under twenty-one years of age”).
                    </P>
                </FTNT>
                <P>
                    The USG is committed to implementing a comprehensive framework to manage migration through North and Central America.
                    <SU>2</SU>
                    <FTREF/>
                     Executive Order (E.O.) 14010 called for a four-pronged approach, including: addressing the root causes of irregular migration; managing migration throughout the region collaboratively with other nations and stakeholders; restoring and enhancing the U.S. asylum system and the process for migrants at the SWB to access this system; and creating and expanding lawful pathways for migrants to enter the United States and seek protection.
                    <SU>3</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         
                        <E T="03">See generally</E>
                         Executive Order 14010, 
                        <E T="03">Creating a Comprehensive Regional Framework to Address the Causes of Migration, To Manage Migration Throughout North and Central America, and To Provide Safe and Orderly Processing of Asylum Seekers at the United States Border</E>
                         (Feb. 2, 2021). 
                        <E T="03">https://www.govinfo.gov/content/pkg/FR-2021-02-05/pdf/2021-02561.pdf; see also</E>
                         NSC, 
                        <E T="03">Collaborative Migration Management Strategy</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-Migration-Management-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         E.O. 14010 at secs. 2-4.
                    </P>
                </FTNT>
                <P>
                    In July 2021, the National Security Council (NSC) published the 
                    <E T="03">
                        U.S. Strategy for Addressing the Root Causes 
                        <PRTPAGE P="43612"/>
                        of Migration in Central America.
                    </E>
                    <SU>4</SU>
                    <FTREF/>
                     This strategy outlined a comprehensive framework within which federal government agencies would work collaboratively to address the root causes of irregular migration through Central America, noting long-standing political instability, insecurity, and climate change in the region. Also in July 2021, the NSC published the 
                    <E T="03">Collaborative Migration Management Strategy,</E>
                     which described U.S. strategy to collaboratively manage migration through Central America.
                    <SU>5</SU>
                    <FTREF/>
                     Further, in March 2022, DHS published an interim final rule (IFR) intended to allow U.S. immigration officials to consider more promptly the asylum claims of individuals encountered at or near the SWB while ensuring the fundamental fairness of the asylum process.
                    <SU>6</SU>
                    <FTREF/>
                     In June 2022, through the Los Angeles Declaration on Migration and Protection (L.A. Declaration), the United States, along with several countries in the Western Hemisphere, committed to strengthen national, regional, and hemispheric efforts to create the conditions for safe, orderly, humane, and regular migration, and signaled their intent to work together to expand access to regular pathways for migrants and international protection, including through family reunification options, where appropriate and feasible, in accordance with national legislation.
                    <SU>7</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         
                        <E T="03">See</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         
                        <E T="03">See</E>
                         NSC 
                        <E T="03">Collaborative Migration Management Strategy</E>
                         (July 2021), 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Collaborative-%20Migration-%20Management-%20Strategy.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         Procedures for Credible Fear Screening and Consideration of Asylum, Withholding of Removal, and CAT Protection Claims by Asylum Officers, 87 FR 18078 (Mar. 29, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         The White House, 
                        <E T="03">Los Angeles Declaration on Migration and Protection</E>
                         (June 10, 2022), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <P>
                    A critical component of this migration framework is the creation and expansion of lawful pathways through which migrants can come to the United States as one means of reducing irregular migration flows. Building on the success of Uniting for Ukraine,
                    <SU>8</SU>
                    <FTREF/>
                     in October 2022, the United States announced a parole process for certain Venezuelan nationals and their immediate family members to lawfully enter the United States in a safe and orderly manner.
                    <SU>9</SU>
                    <FTREF/>
                     The process for Venezuelans was designed to immediately address the humanitarian need and the increasing number of encounters of Venezuelan nationals at the SWB.
                    <SU>10</SU>
                    <FTREF/>
                     Implementation of the parole process for Venezuelans was dependent on Mexico continuing to accept the return of Venezuelan nationals seeking to irregularly enter the United States between the ports of entry (POEs), and the announcement made clear that Venezuelans who did not avail themselves of this process, and who instead entered the United States without authorization, were subject to expulsion or removal.
                    <SU>11</SU>
                    <FTREF/>
                     In January 2023, DHS implemented similar parole processes for Cubans, Haitians, and Nicaraguans, and their immediate family members, to address the increasing numbers of encounters of nationals of those countries at the SWB, and announced changes to the parole process for Venezuelans to allow for its continued operation.
                    <SU>12</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         Implementation of the Uniting for Ukraine Parole Process, 87 FR 25040 (Apr. 27, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         Implementation of a Parole Process for Venezuelans, 87 FR 63507 (Oct. 19, 2022).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         
                        <E T="03">See</E>
                         Implementation of a Parole Process for Cubans, 88 FR 1266 (Jan. 9, 2023); Implementation of a Parole Process for Haitians, 88 FR 1243 (Jan. 9, 2023); Implementation of a Parole Process for Nicaraguans, 88 FR 1255 (Jan. 9, 2023); Implementation of Changes to the Parole Process for Venezuelans, 88 FR 1279 (Jan. 9, 2023).
                    </P>
                </FTNT>
                <P>
                    On May 12, 2023, following the termination of the Centers for Disease Control and Prevention's (CDC) Title 42 public health Order, DHS and the Department of Justice (DOJ) implemented a joint final rule, 
                    <E T="03">Circumvention of Lawful Pathways,</E>
                     which incentivizes migrants to avail themselves of identified lawful, safe, and orderly pathways into the United States, or otherwise to seek asylum or other protection in another country through which they travel.
                    <SU>13</SU>
                    <FTREF/>
                     That rule reflects the position that an increase in the availability of lawful pathways paired with consequences for migrants who do not avail themselves of such pathways can encourage the use of lawful pathways and undermine transnational criminal organizations (TCOs), such as smuggling operations.
                    <SU>14</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         88 FR 31314 (May 16, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         
                        <E T="03">See id.</E>
                         at 31325.
                    </P>
                </FTNT>
                <P>
                    In addition, DHS and the Department of State (State) have collaborated on a number of efforts to address the challenges of irregular migration by expanding access to lawful pathways, including: restarting and expanding eligibility criteria to the Central American Minors (CAM) Program; 
                    <SU>15</SU>
                    <FTREF/>
                     and expanding refugee processing in South and Central America, including by working to establish Safe Mobility Offices (SMOs) in key locations.
                    <SU>16</SU>
                    <FTREF/>
                     USG efforts have also expanded access to H-2 temporary nonimmigrant worker visas for individuals in the region while enhancing worker protections.
                    <SU>17</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         The United States announced in March 2021 that the CAM Program would reopen and continue with processing for cases that were closed in 2018 when the program was terminated. In June 2021, the United States announced the program would be expanded by increasing the categories of eligible U.S.-based relatives who can request access for their children in Northern Central America (NCA). In April 2023, the United States announced enhancements to the CAM Program, including updates to certain eligibility criteria for program access. 
                        <E T="03">See</E>
                         Bureau of Population, Refugees, and Migration; Central American Minors Program, 88 FR 21694 (Apr. 11, 2023).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet, U.S. Government Announces Sweeping New Actions to Manage Regional Migration (Apr. 27, 2023), 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                         DHS has previously announced the intention to establish Regional Processing Centers (RPCs) but will now refer to them as Safe Mobility Offices (SMOs) following the launch of the 
                        <E T="03">MovilidadSegura.org</E>
                         website and the announcements with hosting countries. 
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (Jun 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/; See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/; See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         While focusing attention on improvements to recruitment practices and educating workers on their rights in the NCA countries and labor conditions in the United States, the United States Government has been engaging in efforts to substantially increase the number of H-2 temporary workers from the NCA countries. As part of these efforts, the Secretary of Homeland Security, in consultation with the Secretary of Labor, has exercised the authority given by Congress to allocate additional H-2B temporary non-agricultural worker visas under the supplemental cap. Most recently, on December 15, 2022, DHS and DOL jointly published a temporary final rule increasing the number of H-2B nonimmigrant visas by up to 64,716 for the entirety of FY 2023. 
                        <E T="03">See</E>
                         Exercise of Time-Limited Authority to Increase the Numerical Limitation for FY 2023 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 87 FR 76816 (Dec. 15, 2022). 20,000 of these H-2B visas are reserved for nationals of El Salvador, Guatemala, Honduras, and Haiti. 
                        <E T="03">Id.</E>
                         DHS and DOL similarly exercised this authority in other recent FYs, with specific allocations for NCA countries. 
                        <E T="03">See</E>
                         Exercise of Time-Limited Authority To Increase the Numerical Limitation for Second Half of FY 2022 for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking To Change Employers, 87 FR 30334 (May 18, 2022) 
                        <PRTPAGE/>
                        (authorizing the issuance of no more than 35,000 additional H-2B visas during the second half of FY 2022, of which 11,500 H-2B visas were reserved for nationals of El Salvador, Guatemala, Honduras, and Haiti); Exercise of Time-Limited Authority to Increase the Fiscal Year 2022 Numerical Limitation for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 87 FR 4722 (Jan. 28, 2022) (DHS and DOL authorized an additional 20,000 H-2B visas, of which 6,500 were again reserved for nationals of the NCA countries, with the addition of Haiti); Exercise of Time-Limited Authority to Increase the Fiscal Year 2021 Numerical Limitation for the H-2B Temporary Nonagricultural Worker Program and Portability Flexibility for H-2B Workers Seeking to Change Employers, 86 FR 28198 (May 25, 2021) (DHS and DOL authorized a total of 22,000 supplemental visas, of which 6,000 visas were reserved for nationals of the NCA countries).
                    </P>
                </FTNT>
                <PRTPAGE P="43613"/>
                <P>Consideration of noncitizens for parole on a case-by-case basis under the process outlined here will meaningfully contribute to the broader USG strategy of expanding access to lawful pathways to individuals who may otherwise undertake an irregular migration journey to the United States.</P>
                <HD SOURCE="HD1">II. Parole Authority</HD>
                <P>
                    The Immigration and Nationality Act (INA) provides the Secretary of Homeland Security (the Secretary) with the discretionary authority to parole applicants for admission “into the United States temporarily under such reasonable conditions as [the Secretary] may prescribe only on a case-by-case basis for urgent humanitarian reasons or significant public benefit.” 
                    <SU>18</SU>
                    <FTREF/>
                     Parole is not an admission of the individual to the United States, and a parolee remains an “applicant for admission” during their period of parole in the United States.
                    <SU>19</SU>
                    <FTREF/>
                     DHS sets the duration of the parole based on the purpose for granting the parole request and may impose appropriate conditions on parole.
                    <SU>20</SU>
                    <FTREF/>
                     DHS may terminate parole upon notice in its discretion at any time.
                    <SU>21</SU>
                    <FTREF/>
                     By regulation, parolees may apply for and be granted employment authorization to work lawfully in the United States.
                    <SU>22</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         INA sec. 212(d)(5)(A), 8 U.S.C. 1182(d)(5)(A); 
                        <E T="03">see also</E>
                         6 U.S.C. 202(a)(4) (charging the Secretary with the responsibility for “[e]stablishing and administering rules . . . governing . . . parole”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         INA secs. 101(a)(13)(B) and 212(d)(5)(A), 8 U.S.C. 1101(a)(13)(B) and 1182(d)(5)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         
                        <E T="03">See</E>
                         8 CFR 212.5(c).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         
                        <E T="03">See</E>
                         8 CFR 212.5(e).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         
                        <E T="03">See</E>
                         8 CFR 274a.12(c)(11).
                    </P>
                </FTNT>
                <P>
                    Past Secretaries have similarly exercised the parole authority to establish other family reunification parole processes administered by U.S. Citizenship and Immigration Services (USCIS). For example, the Cuban Family Reunification Parole (CFRP) Program, as established in 2007, allows U.S. citizens (USCs) and lawful permanent residents (LPRs) to request parole for certain eligible family members in Cuba who are beneficiaries of approved Form I-130s.
                    <SU>23</SU>
                    <FTREF/>
                     If parole is authorized, these family members may come to the United States and seek parole before their immigrant visa priority dates are current.
                    <SU>24</SU>
                    <FTREF/>
                     Similarly, in 2014, the Haitian Family Reunification Parole (HFRP) Program was established, allowing USCs and LPRs to request parole for certain eligible family members in Haiti who are beneficiaries of approved Form I-130s, who may subsequently come to the United States and seek parole before their immigrant visa priority dates are current.
                    <SU>25</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>23</SU>
                         
                        <E T="03">See</E>
                         Cuban Family Reunification Parole Program, 72 FR 65588 (Nov. 21, 2007) (Noting that granting parole to eligible aliens under the CFRP Program serves the significant public benefit of enabling the United States to meet its commitments under the Migration Accords as well as “reducing the perceived need for family members left behind in Cuba to make irregular and inherently dangerous attempts to arrive in the United States through unsafe maritime crossings, thereby discouraging alien smuggling as a means to enter the United States,” and stating that whether to parole a particular alien “remains, however, a case-by-case, discretionary determination.”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>24</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>25</SU>
                         
                        <E T="03">See</E>
                         Implementation of Haitian Family Reunification Parole Program, 79 FR 75581 (Dec. 18, 2014) (“By expanding existing legal means for Haitians to immigrate, the HFRP Program serves a significant public benefit by promoting safe, legal, and orderly migration to the United States. Furthermore, it supports U.S. goals for Haiti's long-term reconstruction and development.”).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">III. The FRP Process for Salvadorans</HD>
                <P>As in the CFRP and HFRP processes, this FRP process for Salvadorans will allow USCs and LPRs to request for certain family members to receive advance authorization to travel to the United States to seek parole at an interior POE. Individuals who are eligible to be considered for parole under this process include nationals of El Salvador who are beneficiaries of an approved Form I-130 family-based immigrant petition, as well as their immediate family members, who are outside the United States and who have not yet received an immigrant visa. Like the CFRP and HFRP processes, this process requires that the Form I-130 petitioner first receive an invitation to request consideration for advance authorization to travel and parole on behalf of the Salvadoran principal beneficiary of the approved Form I-130 and the principal beneficiary's immediate family members. As in the CFRP and HFRP processes, this invitation requirement will allow DHS to adjust the number of invitations issued based on the resources available to process requests and to achieve desired policy objectives. If issued advance authorization to travel, the beneficiary will be permitted to travel to the United States to be considered for a discretionary grant of parole on a case-by-case basis at an interior POE. Noncitizens paroled into the United States under this FRP process will generally be paroled for up to three years, consistent with the HFRP process. If granted parole into the United States, parolees will be able to request employment authorization while they wait for their immigrant visa to become available and to apply for adjustment of status to that of an LPR once an immigrant visa becomes available to them. As with the CFRP and HFRP processes, under this FRP process for Salvadorans, parole will only be authorized on a discretionary, case-by-case, and temporary basis upon a demonstration of urgent humanitarian reasons or significant public benefit, as well as a demonstration that the beneficiary warrants a favorable exercise of discretion. Noncitizens paroled into the United States under this process may request additional periods of parole. DHS will determine whether an additional period is warranted, on a case-by-case basis, for urgent humanitarian reasons or significant public benefit.</P>
                <HD SOURCE="HD1">IV. Justification for the Process—Significant Public Benefit</HD>
                <P>As noted above, section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), confers upon the Secretary the discretionary authority to parole noncitizens “into the United States temporarily under such reasonable conditions as [the Secretary] may prescribe only on a case-by-case basis for urgent humanitarian reasons or significant public benefit.”</P>
                <P>The case-by-case parole of noncitizens with approved family-based immigrant visa petitions under this process will, in general, provide a significant public benefit by furthering the USG's holistic migration management strategy, specifically by: (1) promoting family unity; (2) furthering important foreign policy objectives, (3) providing a lawful and timely alternative to irregular migration; (4) reducing strain on limited U.S. resources; and (5) addressing root causes of migration through economic stability and development supported by increased remittances.</P>
                <HD SOURCE="HD2">A. Promoting Family Unity</HD>
                <P>
                    Consistent with Section 3(b)(ii) of E.O. 14010, the case-by-case parole of noncitizens under this FRP process will provide the significant public benefit of promoting family unity by providing a more expeditious pathway for USCs and LPRs to reunite with their family 
                    <PRTPAGE P="43614"/>
                    members from El Salvador in the United States. Currently, nationals of El Salvador with approved family-based petitions often wait many years before their immigrant visas can be issued and they can travel to the United States to apply for admission as immigrants.
                    <SU>26</SU>
                    <FTREF/>
                     While waiting for an immigrant visa to be issued, security concerns and uncertainty in their home countries, combined with a desire to reunify with family in the United States, could cause many to undertake irregular migratory routes in the absence of an alternative path to come to the United States in the near term for family reunification.
                </P>
                <FTNT>
                    <P>
                        <SU>26</SU>
                         For example, under the May 2023 Department of State Visa Bulletin, a Salvadoran married child of a U.S. citizen—F3 Preference Relative category—will only have an immigrant visa available to them if their relative filed the Form I-130 on their behalf more than 14 years ago. 
                        <E T="03">See</E>
                         DOS, Visa Bulletin for May 2023, Number 77, Volume X (May 2023), 
                        <E T="03">https://travel.state.gov/content/travel/en/legal/visa-law0/visa-bulletin/2023/visa-bulletin-for-may-2023.html.</E>
                         However, these dates are not predictive. Due to increases in Form I-130 volumes, it is likely that a Salvadoran married child of a U.S. citizen for whom a Form I-130 is filed today will have even longer to wait before an immigrant visa becomes available.
                    </P>
                </FTNT>
                <P>By facilitating quicker reunification of USCs and LPRs with their family members in the United States, this FRP process will improve the social and economic stability and well-being of these families, as well as their communities at large. Additionally, facilitating reunification in the short-term through a lawful, safe, and orderly pathway will provide the significant public benefit of promoting the reception and integration of arriving noncitizens into American society. New arrivals will be introduced sooner to the networks already built by family members living in the United States, providing them an opportunity to familiarize themselves with the United States, establish stable financial foundations, find housing and transportation, and enroll in school and find childcare for their children as they wait for their immigrant visas to become available.</P>
                <HD SOURCE="HD2">B. Furthering Important Foreign Policy Objectives</HD>
                <P>
                    The United States has been engaging with international partners to manage irregular migration through various lines of effort, including bringing together leaders from nations across the Western Hemisphere to endorse the L.A. Declaration,
                    <SU>27</SU>
                    <FTREF/>
                     joining Colombia and Panama to ramp up efforts to address irregular flows through the Darién,
                    <SU>28</SU>
                    <FTREF/>
                     working to establish SMOs in key locations in the Western Hemisphere,
                    <SU>29</SU>
                    <FTREF/>
                     joining Mexico to announce and develop a humanitarian plan on migration,
                    <SU>30</SU>
                    <FTREF/>
                     and issuing a trilateral statement with Canada and Spain to announce our intent to partner together to deepen engagement in Latin America.
                    <SU>31</SU>
                    <FTREF/>
                     A central theme of all these efforts is, as further articulated below, expanding and strengthening access to lawful pathways for migration. Many countries have cooperated extensively to: (1) create and expand access to lawful pathways in their respective countries; and (2) increase enforcement measures along the migratory routes and introduce policies that seek to reduce irregular migration from or through their countries. In turn, regional partner countries have consistently requested that the United States expand and strengthen access to lawful pathways, even following implementation of the parole processes for nationals of Cuba, Haiti, Nicaragua, and Venezuela (CHNV). Implementation of this parole process is one way of responding to such requests. Therefore, the parole of noncitizens, on a case-by-case basis, under this process will secure cooperation and strengthen bilateral relations with regional partners in furtherance of U.S. national interests.
                </P>
                <FTNT>
                    <P>
                        <SU>27</SU>
                         
                        <E T="03">See</E>
                         The White House, Los Angeles Declaration on Migration and Protection, June 10, 2022, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>28</SU>
                         
                        <E T="03">Trilateral Joint Statement,</E>
                         April 11, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/11/trilateral-joint-statement.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>29</SU>
                         
                        <E T="03">See</E>
                         The White House, Joint Statement from the United States and Guatemala on Migration (June 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/; See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/; See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/; See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>30</SU>
                         
                        <E T="03">See</E>
                         The White House, Mexico and United States Strengthen Joint Humanitarian Plan on Migration, May 2, 2023, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/02/mexico-and-united-states-strengthen-joint-humanitarian-plan-on-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>31</SU>
                         
                        <E T="03">See</E>
                         DHS, Trilateral statement on joint commitment to Latin America, May 3, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/05/03/trilateral-statement-joint-commitment-latin-america.</E>
                    </P>
                </FTNT>
                <P>
                    This process is not only responsive to the requests and interests of key foreign partners—and necessary for addressing migration challenges requiring coordination between two or more governments—it is also fully aligned with larger and important foreign policy objectives of this Administration and fits within a network of carefully negotiated actions by multiple governments, as reflected in the L.A. Declaration and the aforementioned actions.
                    <SU>32</SU>
                    <FTREF/>
                     The L.A. Declaration acknowledges the endorsees' shared responsibility on migration and commitment to strengthen national, regional, and hemispheric efforts to create the conditions for safe, orderly, humane, and regular migration.
                    <SU>33</SU>
                    <FTREF/>
                     All 21 countries that endorsed the declaration reaffirmed their shared commitment to strengthening and expanding regular pathways and promoting principles of safe, orderly, humane, and regular migration.
                    <SU>34</SU>
                    <FTREF/>
                     As such, it is the view of the United States that this process advances the Administration's foreign policy goals by demonstrating U.S. partnership and U.S. commitment to the shared goals of addressing migration through the hemisphere, both of which are essential to maintaining strong relationships with key partners to manage migration collaboratively.
                </P>
                <FTNT>
                    <P>
                        <SU>32</SU>
                         The White House, 
                        <E T="03">Los Angeles Declaration on Migration and Protection</E>
                         (June 10, 2022), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2022/06/10/los-angeles-declaration-on-migration-and-protection/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>33</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>34</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    The USG further intensified its international engagement in recent months and weeks as the date on which the CDC Title 42 public health Order 
                    <SU>35</SU>
                    <FTREF/>
                     would terminate neared and DHS anticipated a significant potential further increase in irregular migration.
                    <SU>36</SU>
                    <FTREF/>
                     For instance, consistent with the goals of the L.A. Declaration and in anticipation of the end of the Title 42 public health Order, on April 11, 2023, and at the request of the United States, the United States, jointly with the Governments of Panama and Colombia, committed to three goals—a counter-
                    <PRTPAGE P="43615"/>
                    human smuggling effort in both the land and maritime domain; an expansion of lawful pathways as an alternative to irregular migration; and increased economic investment in impacted border communities—as part of a coordinated 60-day campaign and sustained cooperation beyond the initial two-month campaign to reduce irregular migration.
                    <SU>37</SU>
                    <FTREF/>
                     Implementing this process fulfills one of the commitments the United States made with its regional partners to seek to, among all three governments, “[o]pen new lawful and flexible pathways for tens of thousands of migrants and refugees as an alternative to irregular migration.” 
                    <SU>38</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>35</SU>
                         
                        <E T="03">See</E>
                         Public Health Determination and Order Regarding Suspending the Right to Introduce Certain Persons from Countries Where a Quarantinable Communicable Disease Exists, 87 FR 19941, 19941-42 (Apr. 6, 2022) (describing the CDC's recent Title 42 public health Orders, which “suspend[ ] the right to introduce certain persons into the United States from countries or places where the quarantinable communicable disease exists in order to protect the public health from an increased risk of the introduction of COVID-19”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>36</SU>
                         
                        <E T="03">See</E>
                         88 FR 11704, 11704-08 (Feb. 23, 2023) (describing “concern about the possibility of a surge in irregular migration upon, or in anticipation of, the eventual lifting of the Title 42 public health Order”); CNN, Southern border braces for a migrant surge with Title 42 set to expire this week, May 8, 2023, 
                        <E T="03">https://www.cnn.com/2023/05/08/us/title-42-expires-border-immigration/index.html.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>37</SU>
                         
                        <E T="03">Trilateral Joint Statement,</E>
                         April 11, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/11/trilateral-joint-statement.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>38</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <P>
                    The USG also continues to encourage regional governments to continue to expand lawful pathways that they make available for migrants, including providing status to migrants residing in their countries, as well as establish removal programs. Colombia, for example, has given 10-year temporary protected status to approximately 2.5 million Venezuelans, allowing them to work, study, and access public services.
                    <SU>39</SU>
                    <FTREF/>
                     Ecuador, Costa Rica, Belize, and Peru are also undertaking similar efforts to regularize migrants from Venezuela and Nicaragua.
                    <SU>40</SU>
                    <FTREF/>
                     Partner countries have also taken actions to forgive existing migrant overstay fines, effectively removing one of the largest barriers to regularization.
                    <SU>41</SU>
                    <FTREF/>
                     Brazil's “Operation Welcome” helped over 100,000 Venezuelans voluntarily resettle in places where they have greater economic opportunity.
                    <SU>42</SU>
                    <FTREF/>
                     Mexico and Canada are increasing the number of people that they welcome on a humanitarian basis.
                    <SU>43</SU>
                    <FTREF/>
                     The implementation of this parole process will demonstrate to these regional governments the commitment of the United States government to continue to expand lawful, safe, and orderly pathways as an alternative to irregular migration.
                </P>
                <FTNT>
                    <P>
                        <SU>39</SU>
                         
                        <E T="03">See</E>
                         Secretary Antony J. Blinken and Secretary of Homeland Security Alejandro Mayorkas at a Joint Press Availability—United States Department of State, Apr. 27, 2023, 
                        <E T="03">https://www.state.gov/secretary-antony-j-blinken-and-secretary-of-homeland-security-alejandro-mayorkas-at-a-joint-press-availability/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>40</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>41</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>42</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>43</SU>
                         
                        <E T="03">See id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">C. Lawful Alternative to Irregular Migration</HD>
                <P>
                    In addition to existing lawful pathways, implementation of this FRP process will provide another lawful, safe, and orderly alternative to irregular migration in the near term. In the past several years, out-migration from the countries of Northern Central America (NCA), including El Salvador, Guatemala, and Honduras, has accounted for a significant proportion of individuals seeking to irregularly migrate to the United States. In Fiscal Year (FY) 2021, CBP encounters with Salvadorans at the SWB increased by about 168 percent as compared to FY18, and about 7.0 percent as compared to FY19, with encounters totaling approximately 98,600 in FY21 as compared to 36,800 and 92,200 in FY18 and FY19, respectively.
                    <SU>44</SU>
                    <FTREF/>
                     In FY22, the encounters remained at the high levels of the previous fiscal year, with 97,000 encounters.
                    <SU>45</SU>
                    <FTREF/>
                     For FY21 through April 2023 of FY23, migrants from the NCA accounted for more than 27 percent of all encounters at the SWB, with Salvadorans accounting for approximately 4.3 percent of all encounters.
                    <SU>46</SU>
                    <FTREF/>
                     Economic insecurity and high levels of poverty, food insecurity, and sexual and gender-based violence, coupled with the desire to reunite with family members already in the United States, are driving migrants from NCA countries, including El Salvador, to the United States.
                    <SU>47</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>44</SU>
                         Data as of May 4, 2023. OIS analysis of CBP data.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>45</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>46</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>47</SU>
                         
                        <E T="03">See</E>
                         Migration Policy Institute, Charting a New Regional Course of Action: The Complex Motivations and Costs of Central American Migration (Nov. 2021) 
                        <E T="03">https://www.migrationpolicy.org/research/motivations-costs-central-american-migration;</E>
                         s
                        <E T="03">ee also</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf.</E>
                    </P>
                </FTNT>
                <P>
                    Some beneficiaries of approved family-based immigrant visa petitions may have to wait many years for an immigrant visa to become available.
                    <SU>48</SU>
                    <FTREF/>
                     While beneficiaries will still need to wait to apply to become an LPR, this FRP process will allow certain noncitizens to spend part of that waiting time with family in the United States. The process will create a lawful, safe, and orderly pathway to travel to the United States for certain nationals of El Salvador and their immediate family members, who have already followed established channels to begin seeking lawful status in the United States, whose immigrant visa petitions have been approved, and who are waiting for an immigrant visa to become available. The availability of this FRP process could discourage beneficiaries whose immigrant visas are not expected to become available soon from engaging in irregular migration by providing a hope and expectation that they will soon have access to a reasonably foreseeable, safe, and orderly alternative to irregular migration for which they may choose to wait.
                </P>
                <FTNT>
                    <P>
                        <SU>48</SU>
                         
                        <E T="03">See</E>
                         William Kandel, Congressional Research Service, 
                        <E T="03">U.S. Family-Based Immigration Policy</E>
                         (Feb. 9, 2018), 
                        <E T="03">https://crsreports.congress.gov/product/pdf/R/R43145;</E>
                         DOS, Visa Bulletin for May 2023, Number 77, Volume X (May 2023), 
                        <E T="03">https://travel.state.gov/content/travel/en/legal/visa-law0/visa-bulletin/2023/visa-bulletin-for-may-2023.html.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">D. Reducing Strain on Limited U.S. Resources</HD>
                <P>
                    Substantial irregular migration, including from El Salvador, has strained DHS's reception and processing capacity at the SWB. Between FY20 and April 2023, encounters of Salvadorans at the SWB totaled approximately a quarter million.
                    <SU>49</SU>
                    <FTREF/>
                     By establishing a lawful pathway for some of these migrants from El Salvador, on a case-by-case basis, to enter the country before an immigrant visa becomes immediately available to them, this FRP process is expected to reduce the number of irregular migrants encountered at the SWB,
                    <SU>50</SU>
                    <FTREF/>
                     thereby providing a significant public benefit by reducing the strain on border reception and processing capacity, including by diverting the processing of individuals to interior POEs.
                </P>
                <FTNT>
                    <P>
                        <SU>49</SU>
                         CBP, Nationwide Encounters (last visited June 9, 2023) 
                        <E T="03">https://www.cbp.gov/newsroom/stats/nationwide-encounters.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>50</SU>
                         As of late May 2023, there are currently an estimated 32,600 Salvadoran nationals with an approved Form I-130 waiting to travel to the United States. Individuals in this population may need to wait over 15 years for an immigrant visa to become available. Although DHS does not expect to issue invitations corresponding to all such Salvadoran nationals, this process may result in a significant reduction in wait times outside the United States for a substantial portion of this population, reducing incentives for irregular migration.
                    </P>
                </FTNT>
                <P>
                    Paroling individuals through this process will be less resource-intensive than processing individuals who irregularly migrate. Noncitizens who arrive through this FRP process will generally not require placement in DHS custody or removal proceedings, allowing more space and resources to be used for managing irregular migration.
                    <SU>51</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>51</SU>
                         
                        <E T="03">See, e.g.,</E>
                         INA secs. 235, 240, 8 U.S.C. 1225, 1229a.
                    </P>
                </FTNT>
                <P>
                    Furthermore, by establishing a meaningful, near-term lawful pathway that certain individuals, if found to be eligible on a case-by-case basis, may choose to use in lieu of attempting to enter the United States irregularly, the process will redirect such intending migrants away from irregular migratory routes that funnel money into TCOs. TCOs engaged in human smuggling 
                    <PRTPAGE P="43616"/>
                    along the route from the NCA region to the United States earn hundreds of millions to billions of dollars each year from smuggling activities associated with irregular migration.
                    <SU>52</SU>
                    <FTREF/>
                     TCOs exploit irregular migration for financial gain, either by charging migrants to cross the border, forcing migrants to carry contraband as they cross, or forcing and coercing migrants into a sex or labor trafficking situation.
                    <SU>53</SU>
                    <FTREF/>
                     This money can then be used to fund additional human smuggling, drug trafficking, and human trafficking, to buy weapons, or to engage in other illicit activities in the region, all of which are competing priorities for limited U.S. border resources to confront and manage.
                    <SU>54</SU>
                    <FTREF/>
                     This FRP process is expected to reduce the number of irregular migrants who may be exploited by TCOs engaged in human smuggling, serving a significant public benefit.
                </P>
                <FTNT>
                    <P>
                        <SU>52</SU>
                         Homeland Security Operational Analysis Center, 
                        <E T="03">Human Smuggling and Associated Revenues: What Do or Can We Know About Routes from Central America to the United States</E>
                         (2019) 
                        <E T="03">https://www.rand.org/content/dam/rand/pubs/research_reports/RR2800/RR2852/RAND_RR2852.pdf; see also</E>
                         DHS, 
                        <E T="03">Fact Sheet: Counter Human Smuggler Campaign Update</E>
                         (Oct. 6, 2022) 
                        <E T="03">https://www.dhs.gov/news/2022/10/06/fact-sheet-counter-human-smuggler-campaign-update-dhs-led-effort-makes-5000th.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>53</SU>
                         DHS's Efforts to Disrupt Transnational Criminal Organizations in Central America: Hearing before the Subcommittee on Oversight, Management, and Accountability of the Committee of Homeland Security of the House of Representatives, 117th Cong. (2021).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>54</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD2">E. Addressing Root Causes of Migration Through Remittances</HD>
                <P>
                    This FRP process will also aid U.S. efforts in addressing economic insecurity in El Salvador, which is a key factor that drives out-migration.
                    <SU>55</SU>
                    <FTREF/>
                     Unlike many individuals who irregularly migrate, noncitizens who are paroled into the United States through this process will be immediately eligible to apply for employment authorization that they may maintain throughout the duration of their parole period, allowing them to contribute to the U.S. economy through the labor they provide, taxes they pay, and consumption of goods or payment of rent and utilities in their new U.S. communities.
                    <SU>56</SU>
                    <FTREF/>
                     Noncitizens with authorization to work also typically enjoy higher wages than those without employment authorization, providing them with the resources to send additional money to their home country as remittances.
                    <SU>57</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>55</SU>
                         U.S. Department of State, Integrated Country Strategies—El Salvador, Apr. 21, 2023, 
                        <E T="03">https://www.state.gov/wp-content/uploads/2023/04/ICS_WHA_El-Salvador_Public.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>56</SU>
                         
                        <E T="03">See generally, e.g.,</E>
                         National Academies of Sciences, Engineering, and Medicine, “The Economic and Fiscal Consequences of Immigration” (2017), 
                        <E T="03">https://nap.nationalacademies.org/catalog/23550/the-economic-and-fiscal-consequences-of-immigration;</E>
                         Chair Cecilia Rouse, Lisa Barrow, Kevin Rinz, and Evan Soltas, The White House Blog: The Economic Benefits of Extending Permanent Legal Status to Unauthorized Immigrants (Sept. 17, 2021), 
                        <E T="03">https://www.whitehouse.gov/cea/blog/2021/09/17/the-economic-benefits-of-extending-permanent-legal-status-to-unauthorized-immigrants/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>57</SU>
                         George J. Borjas, “The Earnings of Undocumented Immigrants,” National Bureau of Economic Research (Mar. 2017), 
                        <E T="03">https://www.nber.org/papers/w23236</E>
                         (providing that noncitizens without authorization to work earn less than those with employment authorization).
                    </P>
                </FTNT>
                <P>
                    Additional remittances sent back to El Salvador, together with other efforts to improve the investment climate and infrastructure in the country and address security concerns may promote economic development and address some of the root causes of migration.
                    <SU>58</SU>
                    <FTREF/>
                     Remittances from migrants from NCA countries including El Salvador already play a crucial role in their economies.
                    <SU>59</SU>
                    <FTREF/>
                     In 2018, remittances from migrants living abroad were equivalent to nearly 21 percent of Gross Domestic Product (GDP) in El Salvador.
                    <SU>60</SU>
                    <FTREF/>
                     Remittances remained stable in 2019, at 21 percent.
                    <SU>61</SU>
                    <FTREF/>
                     Following the onset of the COVID-19 pandemic in 2020, remittances to the NCA countries increased dramatically as a percentage of GDP in 2021. In El Salvador specifically, remittances were equivalent to 26 percent of the country's 2021 GDP.
                    <SU>62</SU>
                    <FTREF/>
                     For the first eight months of 2022, remittances to El Salvador, Guatemala, and Honduras increased 16.5 percent.
                    <SU>63</SU>
                    <FTREF/>
                     Remittances provide a crucial financial lifeline that enhances economic development and promotes economic stability for many individuals, families, and communities in El Salvador, impacting individual decisions on whether to leave the region. In the absence of timely alternative options for lawful pathways, such as parole under this process, and the additional remittances that are anticipated to result from implementation of this process, individuals are more likely to turn to irregular migration in the short-term.
                </P>
                <FTNT>
                    <P>
                        <SU>58</SU>
                         Pew Research Center, 
                        <E T="03">Remittances from Abroad are major economic assets for some developing countries</E>
                         (Jan. 29, 2018) 
                        <E T="03">https://www.pewresearch.org/fact-tank/2018/01/29/remittances-from-abroad-are-major-economic-assets-for-some-developing-countries/; see also</E>
                         NSC, 
                        <E T="03">U.S. Strategy for Addressing the Root Causes of Migration in Central America</E>
                         (July 2021) 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2021/07/Root-Causes-Strategy.pdf;</E>
                         s
                        <E T="03">ee also</E>
                         Atlas of Sustainable Development Goals, 
                        <E T="03">Remittances: a lifeline for many economies,</E>
                         The World Bank (2020) 
                        <E T="03">https://datatopics.worldbank.org/sdgatlas/goal-17-partnerships-for-the-goals/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>59</SU>
                         
                        <E T="03">See</E>
                         Atlas of Sustainable Development Goals, Remittances: a lifeline for many economies, The World Bank (2020) 
                        <E T="03">https://datatopics.worldbank.org/sdgatlas/goal-17-partnerships-for-the-goals/; see also</E>
                         Council on Foreign Relations, 
                        <E T="03">Central America's Turbulent Northern Triangle</E>
                         (July 1, 2021) 
                        <E T="03">https://www.cfr.org/backgrounder/central-americas-turbulent-northern-triangle.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>60</SU>
                         Congressional Research Service, 
                        <E T="03">U.S. Strategy for Engagement in Central America: Policy Issues for Congress</E>
                         (Nov. 12, 2019) 
                        <E T="03">https://fas.org/sgp/crs/row/R44812.pdf.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>61</SU>
                         The World Bank, Personal Remittances, received (% of GDP)—El Salvador (last visited June 9, 2023) 
                        <E T="03">https://data.worldbank.org/indicator/BX.TRF.PWKR.DT.GD.ZS?locations=SV.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>62</SU>
                         
                        <E T="03">Id.; also see</E>
                         Bloomberg Línea, 
                        <E T="03">Remittances to Central America on Track to Break Records</E>
                         (Nov. 1, 2022) 
                        <E T="03">https://www.bloomberglinea.com/english/remittances-to-central-america-on-track-to-breaking-records.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>63</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">V. Eligibility</HD>
                <HD SOURCE="HD2">A. Petitioners</HD>
                <P>
                    Invitations to participate in this process will be issued to certain petitioners who have an approved Form I-130 filed on behalf of a Salvadoran principal beneficiary. Invitations will be issued based on operational capacity, the expected period of time until the principal beneficiary's immigrant visa becomes available, and in a manner calibrated to best achieve the policy aims of this process as described in this Notice. Petitioners who have an approved 
                    <SU>64</SU>
                    <FTREF/>
                     Form I-130 filed on behalf of a Salvadoran principal beneficiary outside the United States should ensure that their mailing address and other contact information are up to date with State's National Visa Center (NVC), as this is the information that will be used to issue invitations. The invitations will provide information about how the petitioner may file a request with USCIS that initiates this FRP process on behalf of a Salvadoran principal beneficiary of an approved Form I-130, and a separate request for any immediate family members of the principal beneficiary. As part of the request process, the petitioner will be required to provide evidence of their income and assets and commit to provide financial support to the beneficiary named in the request for the length of parole by submitting Form I-134A online. Petitioners will also be required to provide evidence to verify the family relationship between the principal beneficiary of the Form I-130 and all immediate family members of the principal beneficiary for whom the petitioner will be filing a request under this process. As part of the review 
                    <PRTPAGE P="43617"/>
                    process, the petitioner must pass security and background vetting, including for public safety, national security, human trafficking, and exploitation concerns.
                </P>
                <FTNT>
                    <P>
                        <SU>64</SU>
                         In certain circumstances, such as if the beneficiary is no longer eligible for the Form I-130 (
                        <E T="03">e.g.,</E>
                         the petitioner is no longer an LPR or U.S.C.), parole would be denied, and the Form I-130 approval would be revoked. If DHS revokes Form I-130 approval, the beneficiary will no longer be eligible for an immigrant visa. DHS will make these determinations on a case-by-case basis and will provide a written notice.
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Beneficiaries</HD>
                <P>A beneficiary is a national of El Salvador (or their immediate family member of any nationality) who is outside the United States and who may be considered for a discretionary grant of parole under this FRP process. To ultimately be considered for a discretionary issuance of advance authorization to travel to the United States to seek a discretionary grant of parole at the POE, a beneficiary must:</P>
                <P>• be outside the United States;</P>
                <P>
                    • be the principal beneficiary (or a derivative beneficiary spouse or child) 
                    <SU>65</SU>
                    <FTREF/>
                     of an approved Form I-130, Petition for Alien Relative;
                </P>
                <FTNT>
                    <P>
                        <SU>65</SU>
                         
                        <E T="03">See</E>
                         INA sec. 203(d), 8 U.S.C. 1153(d); 
                        <E T="03">see also</E>
                         INA sec. 101(b)(1), 8 U.S.C. 1101(b)(1) (defining “child,” in general, as meaning “an unmarried person under twenty-one years of age”). If a principal beneficiary married or had a child after USCIS approved the underlying Form I-130, that spouse or unmarried child under 21 may in some circumstances become a derivative beneficiary and may be eligible for parole based on their relationship to the principal beneficiary. Such “add-on derivatives” are included within the term “derivative” in this notice.
                    </P>
                </FTNT>
                <P>
                    • be a national of El Salvador or be a non-Salvadoran derivative beneficiary spouse or child 
                    <SU>66</SU>
                    <FTREF/>
                     of a Salvadoran principal beneficiary;
                </P>
                <FTNT>
                    <P>
                        <SU>66</SU>
                         Certain non-Salvadorans may use this process if they are a derivative beneficiary of a Salvadoran principal beneficiary and traveling with that Salvadoran beneficiary.
                    </P>
                </FTNT>
                <P>• have a petitioning relative in the United States who received an invitation to initiate this FRP process on their behalf by filing a Form I-134A;</P>
                <P>• have a U.S.-based petitioning relative who filed a Form I-134A on their behalf that USCIS has vetted and confirmed;</P>
                <P>• have not yet been issued an immigrant visa at the time the invitation is issued to the petitioning relative; and</P>
                <P>• have an unexpired passport valid for international travel, or possess alternative acceptable documentation as described in the invitation letter issued to the petitioning relative.</P>
                <P>In addition, each beneficiary must undergo and pass national security and public safety vetting and must demonstrate that they otherwise merit a favorable exercise of discretion by DHS. This includes vetting prior to issuance of advance authorization to travel to an interior POE to seek parole, as well as additional vetting completed by CBP upon inspection and collection of biometrics at the POE, as described in the section of this Notice that details the processing steps for this FRP process. CBP will consider a beneficiary's previous immigration history, encounters with USG entities, and the results of screening and vetting when determining eligibility to be issued advance authorization to travel to the United States, as well as when determining, on a case-by-case basis, whether to grant parole to the beneficiary at the POE. When making these discretionary advance authorizations to travel and parole determinations, DHS will consider a beneficiary to be ineligible for this process if the beneficiary:</P>
                <P>• has crossed irregularly into the United States, between the POEs, after July 10, 2023, except DHS will not consider a beneficiary to be ineligible based on a single instance of voluntary departure pursuant to section 240B of the INA, 8 U.S.C. 1229c, or withdrawal of their application for admission pursuant to section 235(a)(4) of the INA, 8 U.S.C. 1225(a)(4);</P>
                <P>
                    • has been interdicted at sea 
                    <SU>67</SU>
                    <FTREF/>
                     after July 10, 2023; or
                </P>
                <FTNT>
                    <P>
                        <SU>67</SU>
                         For purposes of this notice, “interdicted at sea” refers to migrants directly interdicted by the U.S. Coast Guard from vessels subject to U.S. jurisdiction or vessels without nationality, or migrants transferred to the U.S. Coast Guard.
                    </P>
                </FTNT>
                <P>
                    • has been ordered removed from the United States within the prior five years or is subject to a bar to admissibility based on a prior removal order.
                    <SU>68</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>68</SU>
                         
                        <E T="03">See, e.g.,</E>
                         INA sec. 212(a)(9)(A), 8 U.S.C. 1182(a)(9)(A).
                    </P>
                </FTNT>
                <P>DHS also will consider other factors in making discretionary determinations consistent with long-standing policy and practice.</P>
                <P>Each beneficiary must demonstrate that a grant of parole is warranted based on a significant public benefit or urgent humanitarian reasons, and that the beneficiary merits a favorable exercise of discretion in order for CBP to grant parole upon arrival at the POE. Each beneficiary must also comply with all additional requirements, including vaccination requirements and other public health guidelines.</P>
                <P>
                    Participation in this process is not limited to those beneficiaries currently living in El Salvador. However, as noted above, beneficiaries must be outside the United States to participate in the process. In order to use the advance authorization to travel to the United States, the beneficiary must have sufficient documentation (
                    <E T="03">e.g.,</E>
                     international passport) to travel on a commercial airline. Beneficiaries under the age of 18 to whom CBP issues advance authorization to travel under this process may be subject to additional screening and/or travel parameters in coordination with U.S. authorities to ensure appropriate travel arrangements and coordination with their parent(s) or legal guardian(s). This FRP process does not affect CBP's legal obligations regarding the identification and processing of unaccompanied children.
                    <SU>69</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>69</SU>
                         
                        <E T="03">See</E>
                         6 U.S.C. 279(g)(2) (defining “unaccompanied alien child”).
                    </P>
                </FTNT>
                <P>
                    A potential beneficiary of this process who enters the United States between POEs after July 10, 2023 rather than being considered for parole under this process will be ineligible for this process, except as indicated above, and will be processed under Title 8 of the U.S. Code and face appropriate consequences for that choice. For example, they may be subject to potential criminal prosecution,
                    <SU>70</SU>
                    <FTREF/>
                     expedited removal proceedings,
                    <SU>71</SU>
                    <FTREF/>
                     or removal proceedings under section 240 of the INA, 8 U.S.C. 1229a. In addition, potential beneficiaries who enter the United States between POEs rather than be considered for parole under this process may be or may become ineligible for adjustment of status 
                    <SU>72</SU>
                    <FTREF/>
                     or for an immigrant visa 
                    <SU>73</SU>
                    <FTREF/>
                     as a result of entering without inspection and not having been admitted or paroled.
                    <SU>74</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>70</SU>
                         8 U.S.C. 1325, 1326 (for illegal entry and reentry, respectively).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>71</SU>
                         INA sec. 235(b)(1)(A)(i), 8 U.S.C. 1225(b)(1)(A)(i).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>72</SU>
                         INA sec. 245(a), 8 U.S.C. 1255(a) (requiring adjustment of status applicants to be inspected and admitted or inspected and paroled, as well as be admissible); INA sec. 245(c), 8 U.S.C. 1255(c)(2) (adjustment of status applicants are ineligible if they are in unlawful immigration status on the date of filing the application for adjustment of status or fail to maintain continuously a lawful status since entry into the United States); INA sec. 212(a), 8 U.S.C. 1182(a) (grounds of inadmissibility that, absent the granting of an available waiver, render applicants for adjustment of status ineligible).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>73</SU>
                         INA sec. 221(g), 8 U.S.C. 1201(g) (immigrant visa applicants are ineligible for immigrant visas if inadmissible under INA sec. 212(a), 8 U.S.C. 1182(a)); INA sec. 212(a), 8 U.S.C. 1182(a) grounds of inadmissibility that render applicants for immigrant visas ineligible).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>74</SU>
                         For example, an applicant for adjustment of status who previously accrued more than one year of unlawful presence, departed, and thereafter reentered the United States without admission or parole is inadmissible and ineligible for adjustment unless they apply for and obtain consent to reapply for admission from outside the United States after waiting ten years after their last departure from the United States. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(C)(i)(I), 8 U.S.C. 1182(a)(9)(C)(i)(I). In addition, an applicant for an immigrant visa who accrued more than 180 days of unlawful presence in the United States, departed (or is removed, as applicable), and again seeks admission (by filing an immigrant visa application) within 3 or 10 years of departure (or removal) is inadmissible and ineligible for an immigrant visa unless they apply for and obtain a waiver of inadmissibility. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(B), 8 U.S.C. 1182(a)(9)(B). Additionally, an applicant for an immigrant visa who was ordered removed, departed, and again seeks admission within certain 
                        <PRTPAGE/>
                        periods of time thereafter is inadmissible and therefore ineligible for an immigrant visa unless they apply for and obtain consent to reapply for admission. 
                        <E T="03">See</E>
                         INA sec. 212(a)(9)(A), 8 U.S.C. 1182(a)(9)(A).
                    </P>
                </FTNT>
                <PRTPAGE P="43618"/>
                <HD SOURCE="HD2">C. Processing Steps</HD>
                <P>This FRP process will be implemented in light of lessons learned through the CFRP and HFRP processes and will build on technological advancements and efficiencies developed since the inception of CFRP and HFRP.All steps of the process, except for the ultimate parole determination made in-person, on a case-by-case basis, by CBP at the POE, will generally be completed online, including individualized, case-by-case identity and eligibility determinations and robust security vetting.</P>
                <HD SOURCE="HD3">Step 1: Invitation Sent to Petitioner</HD>
                <P>An invitation may be sent to a petitioner who has filed an approved Form I-130 on behalf of the potential principal and derivative beneficiaries. The decision whether to send the invitation is based on multiple discretionary factors. Such factors may include operational capacity considerations, the expected period of time until the beneficiary's immigrant visa becomes available, as well as other measures calibrated to best achieve the policy aims of this process as described in this Notice. Only after receiving an invitation may the petitioner file a request and initiate consideration under this FRP process. The invitation will instruct the petitioner on next steps to initiate this process on behalf of the beneficiaries, including instructions on documentation to include in their Form I-134A. Each invitation will include an identifying number that the petitioner must include in the Form I-134A for each beneficiary on whose behalf they wish to request to be a supporter and to initiate consideration for advance authorization to travel to the United States to seek parole at an interior POE.</P>
                <HD SOURCE="HD3">Step 2: Petitioner Files Form I-134A Online</HD>
                <P>After receiving an invitation, the U.S.C. or LPR petitioner who filed the approved Form I-130 on behalf of the beneficiaries will submit a Form I-134A for each beneficiary with USCIS through the online myUSCIS web portal to initiate this process. The Form I-134A identifies and collects information on both the petitioner and the beneficiary. The petitioner must submit a separate Form I-134A for each beneficiary, including derivatives of the principal beneficiary. The petitioner must submit evidence establishing their income and assets and commit to provide financial support to the beneficiary for the duration of parole. The petitioner must also submit evidence establishing the family relationships between the principal beneficiary and all derivative beneficiaries. USCIS will perform background checks on the petitioner and verify their financial information to ensure that the petitioner is able to financially support the beneficiary. If the petitioner's Form I-134A is confirmed, the request proceeds to the next step.</P>
                <HD SOURCE="HD3">Step 3: Beneficiary Electronically Provides Information To Support the Request</HD>
                <P>If a petitioner's Form I-134A is confirmed by USCIS, the beneficiary named in the Form I-134A will receive an email from USCIS with instructions to create an online account with myUSCIS and next steps for completing the request. The beneficiary will be required to confirm their biographic information in their online account and attest to meeting eligibility requirements.</P>
                <P>As part of confirming eligibility in their myUSCIS account, a beneficiary who seeks advance authorization to travel to the United States will need to confirm that they meet public health requirements, including certain vaccination requirements.</P>
                <HD SOURCE="HD3">Step 4: Beneficiary Submits Request in CBP One Mobile Application</HD>
                <P>After confirming biographic information in myUSCIS and completing required eligibility attestations, the beneficiary will receive instructions through myUSCIS for accessing the CBP One mobile application. The beneficiary must enter certain biographic and biometric information—including a “live” facial photograph—into CBP One.</P>
                <HD SOURCE="HD3">Step 5: Approval To Travel to the United States</HD>
                <P>
                    A beneficiary who establishes eligibility for this process, passes all the requisite vetting, and demonstrates that they otherwise warrant a favorable exercise of discretion, may receive an electronic advance authorization to travel from CBP, facilitating their ability to travel to the United States to seek a discretionary grant of parole, on a case-by-case basis, at an interior POE. The beneficiary will receive a notice in their myUSCIS account confirming whether CBP has, in CBP's discretion, provided the beneficiary with advance authorization to travel to the United States. If approved, the beneficiary is responsible for securing their own travel via commercial air to an interior POE.
                    <SU>75</SU>
                    <FTREF/>
                     Approval of advance authorization to travel does not guarantee a beneficiary will be paroled into the United States upon inspection at the POE. Whether to parole the beneficiary is a discretionary, case-by-case determination made by CBP at the time the beneficiary arrives at the interior POE.
                </P>
                <FTNT>
                    <P>
                        <SU>75</SU>
                         Air carriers can validate an approved and valid travel authorization submission using the same mechanisms that are currently in place to validate that a traveler has a valid visa or other documentation to facilitate issuance of a boarding pass for air travel.
                    </P>
                </FTNT>
                <HD SOURCE="HD3">Step 6: Beneficiary Seeks Parole at the Poe</HD>
                <P>CBP will inspect each beneficiary arriving at an interior POE under this process and consider each individual, on a case-by-case basis, for a grant of discretionary parole for a period of up to three years.</P>
                <P>Upon arrival at the interior POE, the beneficiary will be required to submit additional biometrics to DHS, including another photograph and fingerprints. This biometric information will support additional vetting against available databases to inform an independent determination by CBP officers as to whether parole is warranted on a case-by-case basis and whether the beneficiary merits a favorable exercise of discretion. A beneficiary who is determined to pose a national security or public safety threat will generally be denied parole. A beneficiary who otherwise does not warrant parole pursuant to section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), and as a matter of discretion upon inspection, will be processed under an appropriate disposition and may be referred to U.S. Immigration and Customs Enforcement (ICE) for detention.</P>
                <HD SOURCE="HD3">Step 7: Parole</HD>
                <P>
                    If granted parole at the POE, on a case-by-case basis, parole will generally be granted for a period of up to three years, subject to satisfying applicable health and vetting requirements, and the parolee will be eligible to apply for employment authorization for the duration of the parole period.
                    <SU>76</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>76</SU>
                         8 CFR 274a.12(c)(11).
                    </P>
                </FTNT>
                <P>
                    All of the steps in this process, including the decision to confirm or non-confirm the Form I-134A, as well as the decision whether to issue advance authorization to travel and the parole decision at the interior POE, are entirely discretionary and not subject to appeal on any grounds. Parole may be terminated upon notice at DHS discretion, and the noncitizen may be placed into removal proceedings and/or 
                    <PRTPAGE P="43619"/>
                    detained if, for example, the parolee fails to maintain the conditions for the parole or other derogatory information emerges during the parole period.
                </P>
                <HD SOURCE="HD2">D. Termination and No Private Rights</HD>
                <P>The Secretary retains the sole discretion to terminate this FRP process at any point. This process is being implemented as a matter of the Secretary's discretion. It is not intended to and does not create any rights, substantive or procedural, enforceable by any party in any matter, civil or criminal.</P>
                <HD SOURCE="HD1">VI. Other Considerations in the Establishment of This FRP Process</HD>
                <P>DHS has considered the potential impact of this FRP process on individuals applying for benefits under other immigration programs or processes, given that USCIS and CBP may reassign employees and reallocate resources to administer this process. This reassignment or reallocation could potentially impact processing times for USCIS- or CBP-administered immigration programs and processes. Although personnel and resources may be diverted from other similar processes and programs, participation in this process is by invitation only. DHS can adjust the number of invitations issued to alleviate pressure on other programs and processes as resource limitations require. As detailed above, each beneficiary of this process who is diverted away from irregular migration will also reduce the strain on border reception and processing capacity. Therefore, these costs are not significant enough to outweigh the benefits of the process.</P>
                <P>
                    DHS also considered the alternative approach of not establishing this process. As stated throughout this Notice, this process will provide many benefits and has few drawbacks. DHS has made an effort to identify and consider any reliance interests of the parties affected by establishment of this process. Ultimately, DHS has determined that the significant public benefit of the case-by-case parole of individuals under this FRP process to the United States, and other affected parties, including the reduction in irregular migration expected to be accomplished in connection with this process, outweigh the costs that may be incurred, while noting that this FRP process will not increase the total number of individuals eligible to enter the United States, as the potential beneficiaries already have a pathway to lawful permanent residence. For example, DHS has determined that the significant public benefits of the case-by-case parole of individuals under this process outweighs any costs incurred for schools and social services (such as health care) in the period between their parole into the United States and the time when a beneficiary's immigrant visa already would have become available (at which point they soon thereafter would, in general, have been admitted as immigrants).
                    <SU>77</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>77</SU>
                         
                        <E T="03">See, e.g.,</E>
                         National Academies of Sciences, Engineering, and Medicine, “The Economic and Fiscal Consequences of Immigration” (2017), 
                        <E T="03">https://nap.nationalacademies.org/catalog/23550/</E>
                        the-economic-and-fiscal-consequences-of-immigration.
                    </P>
                </FTNT>
                <P>Alternatively, as discussed below, a decision to not establish this process would adversely affect the United States' ability to negotiate for and request additional enforcement measures and increased cooperation with removals and ensure foreign partners' continued collaboration. In addition, certain nationals of El Salvador still waiting for their immigrant visas to become available would remain separated from their family members and could resort to irregular migration without this process. For any such Salvadoran nationals, the USG would need to commit resources to respond to their arrival, processing, and removal pursuant to the INA. Those who manage to cross the border without being encountered by CBP would join the population of individuals living in the United States without authorization, unable to legally seek employment. The states in which they settle would be less likely to benefit from additional tax revenues and other positive economic contributions these individuals would have provided if they had a lawful pathway like this FRP process through which they may apply for employment authorization while they wait to apply to adjust to LPR status.</P>
                <HD SOURCE="HD1">VII. Regulatory Requirements</HD>
                <HD SOURCE="HD2">A. Administrative Procedure Act (APA)</HD>
                <P>This process is exempt from notice-and-comment rulemaking and delayed effective date requirements on multiple grounds and is therefore amenable to immediate issuance and implementation.</P>
                <P>
                    <E T="03">First,</E>
                     DHS is merely adopting a general statement of policy,
                    <FTREF/>
                    <SU>78</SU>
                      
                    <E T="03">i.e.,</E>
                     a “statement issued by an agency to advise the public prospectively of the manner in which the agency proposes to exercise a discretionary power.” 
                    <SU>79</SU>
                    <FTREF/>
                     As section 212(d)(5)(A) of the INA, 8 U.S.C. 1182(d)(5)(A), provides, parole decisions are made by the Secretary “in his discretion.” This policy creates a process for making discretionary, case-by-case parole decisions.
                </P>
                <FTNT>
                    <P>
                        <SU>78</SU>
                         5 U.S.C. 553(b)(A).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>79</SU>
                         
                        <E T="03">See Lincoln</E>
                         v. 
                        <E T="03">Vigil,</E>
                         508 U.S. 182, 197 (1993) (quoting 
                        <E T="03">Chrysler Corp.</E>
                         v. 
                        <E T="03">Brown,</E>
                         441 U.S. 281,302 n.31 (1979)).
                    </P>
                </FTNT>
                <P>
                    <E T="03">Second,</E>
                     even if this process were considered to be a legislative rule that would normally be subject to requirements for notice-and-comment rulemaking and a delayed effective date, the process would be exempt from such requirements because it involves a foreign affairs function of the United States.
                    <SU>80</SU>
                    <FTREF/>
                     Courts have held that this exemption applies when the rule in question “is clearly and directly involved in a foreign affairs function.” 
                    <SU>81</SU>
                    <FTREF/>
                     In addition, although the text of the Administrative Procedure Act does not require an agency invoking this exemption to show that such procedures may result in “definitely undesirable international consequences,” some courts have required such a showing.
                    <SU>82</SU>
                    <FTREF/>
                     This process satisfies both standards. Specifically, as discussed in the section above entitled, 
                    <E T="03">Furthering Important Foreign Policy Objectives,</E>
                     this FRP process is one part of the United States' ongoing efforts to engage hemispheric partners to increase their efforts to collaboratively manage irregular migration. As discussed in that section, and as further explained below, the expansion of lawful pathways for noncitizens to enter the United States is necessary to ensure partners' continued collaboration on migration issues, including the ability of the United States to meet other immigration-management priorities such as the timely establishment of SMOs.
                    <SU>83</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>80</SU>
                         5 U.S.C. 553(a)(1).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>81</SU>
                         
                        <E T="03">See, e.g., Mast Indus.</E>
                         v. 
                        <E T="03">Regan,</E>
                         596 F. Supp. 1567, 1582 (C.I.T. 1984) (cleaned up).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>82</SU>
                         
                        <E T="03">See, e.g., Rajah</E>
                         v. 
                        <E T="03">Mukasey,</E>
                         544 F.3d 427, 437 (2d Cir. 2008).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>83</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet: U.S. Government Announces Sweeping New Actions to Manage Regional Migration, Apr. 27, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                    </P>
                </FTNT>
                <P>
                    Delaying issuance and implementation of this process to undertake notice-and-comment rulemaking and a delayed effective date would complicate broader ongoing and future discussions and negotiations with key foreign partners about migration management, including the new measures the United States announced on April 27, 2023, in anticipation of the May 11 lifting of the Title 42 public health Order.
                    <SU>84</SU>
                    <FTREF/>
                     These measures are 
                    <PRTPAGE P="43620"/>
                    being implemented in close coordination with partner countries. Ongoing negotiations with partner countries involve the implementation of a range of new measures, including establishing SMOs in key locations in the Western Hemisphere to manage and reduce irregular migration and improve qualified individuals' access to accelerated refugee processing, family reunification, and labor pathways in the United States. As a key part of these negotiations, the United States and its partners are providing meaningful alternatives to irregular migration, including through lawful pathways to the United States, Canada, and Spain, as well as integration in host countries closer to home. The success of SMOs and other new measures to reduce irregular migration to the SWB is therefore connected to the United States expanding access to lawful pathways, including family reunification parole processes that will benefit nationals in countries identified to host SMOs. The USG also continues to engage with and ask additional governments to consider connecting their lawful pathways to SMO efforts and is building goodwill and momentum to seek SMOs in still more countries in the region.
                </P>
                <FTNT>
                    <P>
                        <SU>84</SU>
                         
                        <E T="03">See</E>
                         DHS, Fact Sheet: U.S. Government Announces Sweeping New Actions to Manage Regional Migration, Apr. 27, 2023, 
                        <E T="03">https://www.dhs.gov/news/2023/04/27/fact-sheet-us-government-announces-sweeping-new-actions-manage-regional-migration.</E>
                    </P>
                </FTNT>
                <P>
                    On May 2, 2023, the United States and Mexico jointly announced a number of measures to address the humanitarian situation caused by unprecedented migration flows in the hemisphere by creating incentives for migrants to use lawful pathways, while announcing that consequences for unlawful entry would continue once the Title 42 public health Order was lifted. The announcements emphasized the importance of strengthening and expanding access to lawful pathways, including in Central America, which will continue to remain a central topic of bilateral relations.
                    <SU>85</SU>
                    <FTREF/>
                     Specifically, the United States stated its intention to welcome as many as 100,000 individuals from El Salvador, Guatemala, and Honduras under the family reunification parole processes, while the Government of Mexico recognized the value in SMOs and is considering how it can contribute to their success. Mexico concurrently committed to continue to accept the return of certain CHNV nationals on humanitarian grounds beyond the lifting of the Title 42 public health Order on May 11, 2023.
                </P>
                <FTNT>
                    <P>
                        <SU>85</SU>
                         
                        <E T="03">See</E>
                         Mexico and United States Strengthen Joint Humanitarian Plan on Migration, May 2, 2023, 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/02/mexico-and-united-states-strengthen-joint-humanitarian-plan-on-migration/.</E>
                    </P>
                </FTNT>
                <P>
                    Additionally, after a series of negotiations, on June 1, 2023, the United States and Guatemala issued a joint statement to commit to take a series of critical steps to humanely reduce irregular migration and expand lawful pathways under the LA. Declaration.
                    <SU>86</SU>
                    <FTREF/>
                     As the first step of a comprehensive program to manage irregular migration, both countries intend to implement a six-month pilot phase of SMOs, which facilitate access to lawful pathways to the United States and other countries, family reunification, and access to temporary work visas.
                    <SU>87</SU>
                    <FTREF/>
                     These offices began accepting appointments on the website movilidadsegura.org on June 12, 2023.
                    <SU>88</SU>
                    <FTREF/>
                     In the same announcement, the United States and Guatemala stated that they will also deepen cooperation on border security and will continue to address the root causes of irregular migration.
                    <SU>89</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>86</SU>
                         See The White House, Joint Statement from the United States and Guatemala on Migration (June 1, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/01/joint-statement-from-the-united-states-and-guatemala-on-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>87</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>88</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>89</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    In addition, on June 4, 2023, the United States and Colombia announced the impending establishment of SMOs that would identify, register, and categorize the reasons for irregular migration and channel those who qualify through lawful pathways from Colombia to the United States.
                    <SU>90</SU>
                    <FTREF/>
                     The goal is to prevent irregular migration to the United States or other places in the Hemisphere. The U.S. government also reaffirmed its commitment to simultaneously expand additional lawful pathways for Colombians with temporary work visas and expanded family reunification.
                    <SU>91</SU>
                    <FTREF/>
                     As stated in the announcement, the USG is working with the government of Colombia to promptly implement processing through SMOs to ensure the success of this initiative.
                    <SU>92</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>90</SU>
                         
                        <E T="03">See</E>
                         United States Department of State, U.S.-Colombia Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 4, 2023), 
                        <E T="03">https://www.state.gov/u-s-colombia-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/. See</E>
                         The White House, Readout of Principal Deputy National Security Advisor Jon Finer's Meeting with Colombian Foreign Minister Alvaro Leyva (June 11, 2023), 
                        <E T="03">https://www.whitehouse.gov/briefing-room/statements-releases/2023/06/11/readout-of-principal-deputy-national-security-advisor-jon-finers-meeting-with-colombian-foreign-minister-alvaro-leyva/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>91</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>92</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>
                    Furthermore, on June 12, 2023, the USG and the Government of Costa Rica, in furtherance of bilateral partnership and addressing hemispheric challenge of irregular migration, announced an exploratory six-month implementation of SMOs.
                    <SU>93</SU>
                    <FTREF/>
                     SMOs in Costa Rica will facilitate access to lawful pathways to the United States and other countries, including expedited refugee processing and other humanitarian and labor pathways.
                    <SU>94</SU>
                    <FTREF/>
                     In addition to starting the SMOs initiative, the USG and the Government of Costa Rica reaffirmed their commitment to work with all countries across the region to promote integration of refugees and migrants, expand lawful pathways, and promote humane border management.
                    <SU>95</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>93</SU>
                         
                        <E T="03">See</E>
                         United States Department of State, U.S.-Costa Rica Joint Commitment to Address the Hemispheric Challenge of Irregular Migration (June 12, 2023), 
                        <E T="03">https://www.state.gov/u-s-costa-rica-joint-commitment-to-address-the-hemispheric-challenge-of-irregular-migration/.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>94</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>95</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <P>Overall, delaying issuance and implementation of this process to undertake rulemaking would complicate these and future U.S. efforts to manage migration together with foreign partners. Because this FRP is an example of the United States' shared commitment to managing migration consistent with the L.A. Declaration and has been a key point in ongoing negotiations and partnerships, such a delay would risk undermining these partner countries' continued efforts, which are critical to the U.S. foreign policy approach to migration management.</P>
                <P>
                    Furthermore, the delay associated with implementing this process through notice-and-comment rulemaking would adversely affect the United States' ability to negotiate for and request additional enforcement measures and increased cooperation with removals, which is timely and urgent given the conclusion of Title 42 enforcement on May 11. Regional partner countries have repeatedly requested additional lawful pathways in diplomatic engagements in return for increased law enforcement measures throughout the migratory routes, imposing additional requirements on key nationalities using their countries as a gateway to make irregular journeys to the SWB, and accepting additional removal flights with significantly reduced manifest times. Coordinated USG efforts with partner countries in the Western Hemisphere, following the lifting of the CDC's Title 42 public health Order on May 11, 2023, and transition to processing under Title 8 of U.S. Code have led to a reduction of irregular migration flows throughout the region and at the SWB. However, the USG's assessment is that this might be a temporary shift if the United States and partner countries do not sustain their 
                    <PRTPAGE P="43621"/>
                    efforts to expand access to lawful pathways and enforcement measures along the migratory routes as our regional partner countries and international organization partners report skyrocketing inquiries from migrants about availability of, and requirements for lawful pathways and enforcement penalties for unlawful entry into the United States. A key means of delivering on these partnerships, in keeping with the U.S. strategy and approach on migration management overall, is to make available lawful pathways to provide safe and orderly alternatives to the danger and consequences of irregular migration.
                </P>
                <P>
                    The invocation of the foreign affairs exemption is also consistent with DHS precedent. For example, in 2017, DHS published a notice eliminating an exception to expedited removal for certain Cuban nationals, which explained that the change in policy was consistent with the foreign affairs exemption because the change was central to ongoing negotiations between the two countries.
                    <SU>96</SU>
                    <FTREF/>
                     DHS similarly invoked the foreign affairs exemption more recently, in connection with the CHNV parole processes.
                    <SU>97</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>96</SU>
                         
                        <E T="03">See</E>
                         DHS, Eliminating Exception To Expedited Removal Authority for Cuban Nationals Encountered in the United States or Arriving by Sea, 82 FR 4902 (Jan. 17, 2017).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>97</SU>
                         
                        <E T="03">See</E>
                         DHS, Implementation of a Parole Process for Cubans, 88 FR 1266 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Haitians, 88 FR 1243 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Nicaraguans, 88 FR 1255 (Jan. 9, 2023); DHS, Implementation of Changes to the Parole Process for Venezuelans, 88 FR 1282 (Jan. 9, 2023); DHS, Implementation of a Parole Process for Venezuelans, 87 FR 63507 (Oct. 19, 2022).
                    </P>
                </FTNT>
                <HD SOURCE="HD2">B. Paperwork Reduction Act (PRA)</HD>
                <P>
                    Under the Paperwork Reduction Act (PRA), 44 U.S.C. chapter 35, all Departments are required to submit to the Office of Management and Budget (OMB), for review and approval, any new reporting requirements they impose. The process announced by this notice requires changes to the collections of information on Form I-134A, Online Request to be a Supporter and Declaration of Financial Support (OMB control number 1615-0157), which will be used for the FRP process for Salvadorans and is being revised in connection with this notice by increasing the burden estimate. This process also requires changes to the collection of information for Advance Travel Authorization (ATA) (OMB Control Number 1651-0143). USCIS and CBP have submitted and OMB has approved requests for emergency authorization of the required changes (under 5 CFR 1320.13) to Form I-134A and ATA for a period of 6 months. Within 45 days, USCIS and CBP will issue respective 60-day 
                    <E T="04">Federal Register</E>
                     notices seeking comment on these changes.
                    <SU>98</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>98</SU>
                         Per the normal clearance procedures at 5 CFR 1320.10(e).
                    </P>
                </FTNT>
                <SIG>
                    <NAME>Alejandro N. Mayorkas,</NAME>
                    <TITLE>Secretary, U.S. Department of Homeland Security.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14475 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 9111-97-P; 9111-14-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Fish and Wildlife Service</SUBAGY>
                <DEPDOC>[Docket No. FWS-R7-ES-2023-0008; FF07CAMM00-FX-ES111607MRG01]</DEPDOC>
                <SUBJECT>Marine Mammals; Letters of Authorization To Take Pacific Walruses and Polar Bears in the Beaufort Sea, Alaska, in 2022</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Fish and Wildlife Service, Interior.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of issuance.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Marine Mammal Protection Act of 1972, as amended, the U.S. Fish and Wildlife Service issued letters of authorization (LOA) for the nonlethal take of polar bears and Pacific walruses incidental to oil and gas industry exploration, development, and production activities in the Beaufort Sea and the adjacent northern coast of Alaska in 2022. This notice announces the LOAs issued in calendar year 2022. The LOAs stipulate conditions and methods that minimize impacts to polar bears and Pacific walruses from these activities.</P>
                </SUM>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        <E T="03">Document availability:</E>
                         You may view the letters of authorization at 
                        <E T="03">https://www.regulations.gov</E>
                         under Docket No. FWS-R7-ES-2023-0008, or you may request them from the contact in 
                        <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                        .
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Charles Hamilton, via U.S. mail at Marine Mammals Management, U.S. Fish and Wildlife Service, MS 341, 1011 East Tudor Road, Anchorage, AK 99503; by email at 
                        <E T="03">R7mmmRegulatory@fws.gov,</E>
                         or by telephone at 1-800-362-5148. Individuals in the United States who are deaf, deafblind, hard of hearing, or have a speech disability may dial 711 (TTY, TDD, or TeleBraille) to access telecommunications relay services. Individuals outside the United States should use the relay services offered within their country to make international calls to the point-of-contact in the United States.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    On August 5, 2021, the U.S. Fish and Wildlife Service (Service) published in the 
                    <E T="04">Federal Register</E>
                     a final rule (86 FR 42982) establishing regulations that allow us to authorize the nonlethal, incidental, unintentional take of small numbers of polar bears (
                    <E T="03">Ursus maritimus</E>
                    ) and Pacific walruses (
                    <E T="03">Odobenus rosmarus divergens</E>
                    ) during year-round oil and gas industry exploration, development, and production activities in the Beaufort Sea and adjacent northern coast of Alaska. These incidental take regulations are located in subpart J in part 18 of title 50 of the Code of Federal Regulations (CFR) and are effective through August 5, 2026. The rule prescribed a process under which we issue letters of authorization (LOA) to applicants conducting activities as described under the provisions of the regulations.
                </P>
                <P>Each LOA stipulates conditions or methods that are specific to the activity and location. Holders of the LOAs must use methods and conduct activities in a manner that minimizes to the greatest extent practicable adverse impacts on Pacific walruses and polar bears and their habitat, and on the availability of these marine mammals for subsistence purposes. No intentional take or lethal incidental take is authorized under these regulations.</P>
                <P>
                    In accordance with section 101(a)(5)(A) of the Marine Mammal Protection Act (16 U.S.C. 1361 
                    <E T="03">et seq.</E>
                    ) and our regulations at 50 CFR part 18, subpart J, in 2022, we issued LOAs to the companies in the Beaufort Sea and adjacent northern coast of Alaska shown in the table. The Service includes in the table all LOAs issued in 2022.
                    <PRTPAGE P="43622"/>
                </P>
                <GPOTABLE COLS="3" OPTS="L2,i1" CDEF="s50,r100,xs70">
                    <TTITLE>Letters of Authorization Issued for Oil and Gas Development Activities in the Beaufort Sea, Alaska, in 2022</TTITLE>
                    <BOXHD>
                        <CHED H="1">Company</CHED>
                        <CHED H="1">Project</CHED>
                        <CHED H="1">LOA No.</CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">ASRC Consulting and Environmental Services</ENT>
                        <ENT>Well drilling for a methane hydrate project on the Kuparuk State 7-11-12 gravel pad within the Prudhoe Bay Unit on the North Slope of Alaska</ENT>
                        <ENT>22-01.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Conoco Philips Alaska Inc</ENT>
                        <ENT>Incidental take of polar bears that may occur during ConocoPhillips Alaska Inc.'s 3D seismic acquisition at and surrounding the Alpine CD1 Pad</ENT>
                        <ENT>22-02.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Eni U.S. Operating Company Inc</ENT>
                        <ENT>Oil and gas drilling and production within the Nikaitchuq and Oooguruk Units on Alaska's North Slope</ENT>
                        <ENT>22-03.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Oil Search Alaska, LLC</ENT>
                        <ENT>Oil and gas exploration and development within and adjacent to the Pikka Unit area and oil and gas exploration on Oil Search Alaska operated leaseholds on Alaska's North Slope</ENT>
                        <ENT>22-04.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Alyeska Pipeline Service Company</ENT>
                        <ENT>Operation and maintenance of the Trans Alaska Pipeline System, which extends from Pump Station 1 in the Prudhoe Bay Oilfield to the Valdez Marine Terminal</ENT>
                        <ENT>22-05.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ASRC Consulting and Environmental Services</ENT>
                        <ENT>Well drilling and production test facility construction and operation for a methane hydrate project on the Kuparuk State 7-11-12 gravel pad within the Prudhoe Bay Unit on the North Slope of Alaska</ENT>
                        <ENT>22-06.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Glacier Oil and Gas</ENT>
                        <ENT>Incidental harassment of polar bears and Pacific walrus that may occur during Glacier Oil and Gas Corporation's oil production, facilities and pipeline maintenance, workovers of existing wells, and construction and maintenance of ice roads associated with the Badami oilfield near Mikkelsen Bay in the North Slope</ENT>
                        <ENT>22-07.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Hilcorp Alaska, LLC</ENT>
                        <ENT>Year-round oil and gas exploration, production, development, and support activities in the Milne Point, Duck Island (Endicott), Northstar Island, Prudhoe Bay, and Point Thomson operation areas located in the Beaufort Sea Incidental Take Regulations area of the North Slope of Alaska</ENT>
                        <ENT>22-08.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Conoco Philips Alaska Inc</ENT>
                        <ENT>Incidental take of polar bears and Pacific walrus that may occur during ConocoPhillips Alaska Inc.'s field-wide operations in the Kuparuk River, Western North Slope, Colville River, Greater Moose's Tooth, and Bear Tooth Units on the North Slope of Alaska</ENT>
                        <ENT>22-09.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Conoco Philips Alaska, Inc</ENT>
                        <ENT>The incidental take of polar bears that may occur during ConocoPhillips Alaska Inc.'s year 1 construction activities and geotechnical investigations for the Willow Development Project located in the Bear Tooth, Greater Mooses Tooth, Colville River, Pikka, Southern Miluveach, and Kuparuk River Units of the North Slope of Alaska, as well as non-unitized lands east of the Colville River</ENT>
                        <ENT>22-10.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Hilcorp Alaska, LLC</ENT>
                        <ENT>An amendment dated March 9, 2022, to the letter of authorization (LOA) for the alteration of a previously covered tundra travel route extending from Deadhorse to Point Thomson and the addition of a secondary tundra travel route extending from the western portion of the Point Thomson Unit coastal route to the Bullen Point Staging Pad. The requested LOA is for the incidental take of polar bears and Pacific walrus that may occur during operational and tundra travel activities in support of the Point Thomson Production Facility on the North Slope of Alaska</ENT>
                        <ENT>21-01 [Amended in 2022 from 2021].</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Oil Search Alaska, LLC</ENT>
                        <ENT>An amendment dated January 26, 2022, to the LOA 21-03 [corrected] issued on October 15, 2021, for the incidental take of small numbers of polar bears. The amended LOA is for the incidental take of small numbers of polar bears that may occur during Oil Search (Alaska) (OSA), LLC's activities associated with oil and gas exploration and development within and adjacent to the Pikka Unit area and oil and gas exploration on OSA-operated leaseholds on Alaska's North Slope. Planned activities occurred from January 28, 2022, to August 6, 2022</ENT>
                        <ENT>21-03 [Amended in 2022 from 2021].</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Hilcorp Alaska, LLC</ENT>
                        <ENT>An amendment dated January 3, 2022, to the LOA issued on August 5, 2021, for the incidental take of polar bears and Pacific walrus. The Service considered additional information provided by Hilcorp Alaska, LLC, in the Milne Point, Duck Island (Endicott), Northstar Island, and Prudhoe Bay operation areas located in the Beaufort Sea Incidental Take Regulations Area of the North Slope of Alaska. Planned activities occurred from January 3, 2022, to August 5, 2022</ENT>
                        <ENT>21-05  [Amended in 2022 from 2021].</ENT>
                    </ROW>
                </GPOTABLE>
                <P>
                    <E T="03">Authority:</E>
                     We issue this notice under the authority of the Marine Mammal Protection Act (16 U.S.C. 1361 
                    <E T="03">et seq.</E>
                    ).
                </P>
                <SIG>
                    <NAME>Peter Fasbender,</NAME>
                    <TITLE>Assistant Regional Director, Fisheries and Ecological Services, Alaska Region.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14442 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4333-15-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Fish and Wildlife Service</SUBAGY>
                <DEPDOC>[FWS-R4-ES-2023-N058; FXES11140400000-234-FF04E00000]</DEPDOC>
                <SUBJECT>Endangered Species; Recovery Permit Applications</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Fish and Wildlife Service, Interior.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of receipt of permit applications; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        We, the U.S. Fish and Wildlife Service, have received applications for permits to conduct activities intended to enhance the propagation or survival of endangered species under the Endangered Species Act. We invite the public and local, State, Tribal, and Federal agencies to 
                        <PRTPAGE P="43623"/>
                        comment on these applications. Before issuing any of the requested permits, we will take into consideration any information that we receive during the public comment period.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>We must receive written data or comments on the applications by August 9, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P/>
                    <P>
                        <E T="03">Reviewing Documents:</E>
                         Submit requests for copies of applications and other information submitted with the applications to Karen Marlowe (see 
                        <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                        ). All requests and comments should specify the applicant name and application number (
                        <E T="03">e.g.,</E>
                         Mary Smith, ESPER0001234).
                    </P>
                    <P>
                        <E T="03">Submitting Comments:</E>
                         If you wish to comment, you may submit comments by one of the following methods:
                    </P>
                    <P>
                        • 
                        <E T="03">Email (preferred method): permitsR4ES@fws.gov.</E>
                         Please include your name and return address in your email message. If you do not receive a confirmation from the U.S. Fish and Wildlife Service that we have received your email message, contact us directly at the telephone number listed in 
                        <E T="02">FOR FURTHER INFORMATION CONTACT.</E>
                    </P>
                    <P>
                        • 
                        <E T="03">U.S. mail:</E>
                         U.S. Fish and Wildlife Service Regional Office, Ecological Services, 1875 Century Boulevard, Atlanta, GA 30345 (Attn: Karen Marlowe, Permit Coordinator).
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Karen Marlowe, Permit Coordinator, 404-679-7097 (telephone) or 
                        <E T="03">karen_marlowe@fws.gov</E>
                         (email). Individuals in the United States who are deaf, deafblind, hard of hearing, or have a speech disability may dial 711 (TTY, TDD, or TeleBraille) to access telecommunications relay services. Individuals outside the United States should use the relay services offered within their country to make international calls to the point-of-contact in the United States.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    We, the U.S. Fish and Wildlife Service, invite review and comment from the public and local, State, Tribal, and Federal agencies on applications we have received for permits to conduct certain activities with endangered and threatened species under section 10(a)(1)(A) of the Endangered Species Act of 1973, as amended (ESA; 16 U.S.C. 1531 
                    <E T="03">et seq.</E>
                    ), and our regulations in the Code of Federal Regulations (CFR) at 50 CFR part 17. Documents and other information submitted with the applications are available for review, subject to the requirements of the Privacy Act of 1974, as amended (5 U.S.C. 552a), and the Freedom of Information Act (5 U.S.C. 552).
                </P>
                <HD SOURCE="HD1">Background</HD>
                <P>With some exceptions, the ESA prohibits take of listed species unless a Federal permit is issued that authorizes such take. The ESA's definition of “take” includes hunting, shooting, harming, wounding, or killing, and also such activities as pursuing, harassing, trapping, capturing, or collecting.</P>
                <P>A recovery permit issued by us under section 10(a)(1)(A) of the ESA authorizes the permittee to take endangered or threatened species while engaging in activities that are conducted for scientific purposes that promote recovery of species or for enhancement of propagation or survival of species. These activities often include the capture and collection of species, which would result in prohibited take if a permit were not issued. Our regulations implementing section 10(a)(1)(A) for these permits are found at 50 CFR 17.22 for endangered wildlife species, 50 CFR 17.32 for threatened wildlife species, 50 CFR 17.62 for endangered plant species, and 50 CFR 17.72 for threatened plant species.</P>
                <HD SOURCE="HD1">Permit Applications Available for Review and Comment</HD>
                <P>The ESA requires that we invite public comment before issuing these permits. Accordingly, we invite local, State, Tribal, and Federal agencies, and the public to submit written data, views, or arguments with respect to these applications. The comments and recommendations that will be most useful and likely to influence agency decisions are those supported by quantitative information or studies. Proposed activities in the following permit requests are for the recovery and enhancement of propagation or survival of the species in the wild.</P>
                <GPOTABLE COLS="7" OPTS="L2,nj,p7,7/8,i1" CDEF="xs46,r50,r100,r75,r55,r55,xs48">
                    <BOXHD>
                        <CHED H="1">
                            Permit
                            <LI>application No.</LI>
                        </CHED>
                        <CHED H="1">Applicant</CHED>
                        <CHED H="1">Species</CHED>
                        <CHED H="1">Location</CHED>
                        <CHED H="1">Activity</CHED>
                        <CHED H="1">Type of take</CHED>
                        <CHED H="1">Permit action</CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">ES35594A-5</ENT>
                        <ENT>Alabama Power Company; Birmingham, AL</ENT>
                        <ENT>
                            Canoe Creek clubshell (
                            <E T="03">Pleurobema athearni</E>
                            ), Coosa moccasinshell (
                            <E T="03">Medionidus parvulus</E>
                            ), ovate clubshell (
                            <E T="03">Pleurobema perovatum</E>
                            ), southern acornshell (
                            <E T="03">Epioblasma othcaloogensis</E>
                            ), triangular kidneyshell (
                            <E T="03">Ptychobranchus greenii</E>
                            ), and upland combshell (
                            <E T="03">Epioblasma metastriata</E>
                            )
                        </ENT>
                        <ENT>Alabama</ENT>
                        <ENT>Presence/probable absence surveys and population monitoring</ENT>
                        <ENT>Capture, handle, identify, tag, release, and collect relic shells</ENT>
                        <ENT>Renewal and amendment.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES237549-3</ENT>
                        <ENT>Cory Holliday; Gainesboro, TN</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), and northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            )
                        </ENT>
                        <ENT>Tennessee</ENT>
                        <ENT>Presence/probable absence surveys, studies to document habitat use, population monitoring, and white-nose syndrome surveillance</ENT>
                        <ENT>Enter hibernacula or maternity roosts, capture with mist nets or harp traps, handle, identify, band, radio tag, light tag, swab, collect hair samples, wing punch, and release</ENT>
                        <ENT>Renewal.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES80381A-3</ENT>
                        <ENT>Department of Defense (Army); Fort Campbell, KY</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ), and tricolored bat (
                            <E T="03">Perimyotis subflavus</E>
                            )
                        </ENT>
                        <ENT>Kentucky and Tennessee</ENT>
                        <ENT>Presence/probable absence surveys, studies to document habitat use, and population monitoring</ENT>
                        <ENT>Enter hibernacula or maternity roosts, capture with mist nets, handle, identify, band, radio tag, and release</ENT>
                        <ENT>Renewal and amendment.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">PER2789344-0</ENT>
                        <ENT>Glenn M. Rohrbach; Nashville, TN</ENT>
                        <ENT>
                            Nashville crayfish (
                            <E T="03">Orconectes shoupi</E>
                            )
                        </ENT>
                        <ENT>Tennessee</ENT>
                        <ENT>Presence/probable absence surveys</ENT>
                        <ENT>Capture, handle, identify, and release</ENT>
                        <ENT>New.</ENT>
                    </ROW>
                    <ROW>
                        <PRTPAGE P="43624"/>
                        <ENT I="01">ES14105A-3</ENT>
                        <ENT>Breedlove, Dennis, and Associates, Inc.; Winter Park, FL</ENT>
                        <ENT>
                            Red-cockaded woodpecker (
                            <E T="03">Picoides borealis</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, and South Carolina</ENT>
                        <ENT>Population monitoring and management</ENT>
                        <ENT>Capture, handle, band, and monitor nest and artificial nest cavities</ENT>
                        <ENT>Renewal.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES37490B-2</ENT>
                        <ENT>Melissa Littrell; Lexington, KY</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ), and Virginia big-eared bat (
                            <E T="03">Corynorhinus townsendii virginianus</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Georgia, Illinois, Indiana, Kentucky, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Virginia, and West Virginia</ENT>
                        <ENT>Presence/probable absence surveys and white-nose syndrome surveillance</ENT>
                        <ENT>Capture with mist nets or harp traps, handle, identify, band, radio tag, swab, collect hair samples, wing punch, and release</ENT>
                        <ENT>Renewal.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES088889-4</ENT>
                        <ENT>The Nature Conservancy; Kissimmee, FL</ENT>
                        <ENT>
                            Florida scrub-jay (
                            <E T="03">Aphelocoma coerulescens</E>
                            ) and red-cockaded woodpecker (
                            <E T="03">Picoides borealis</E>
                            )
                        </ENT>
                        <ENT>Florida</ENT>
                        <ENT>Population monitoring and management</ENT>
                        <ENT>Florida scrub-jay: bait with unsalted peanuts, trap, handle, band, and release; red-cockaded woodpecker: capture, handle, band, construct and monitor artificial nest cavities and restrictors, release, and translocate</ENT>
                        <ENT>Renewal.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES27608B-2</ENT>
                        <ENT>McGehee Engineering Corporation; Jasper, AL</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), and northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            )
                        </ENT>
                        <ENT>Alabama</ENT>
                        <ENT>Presence/probable absence surveys and population monitoring</ENT>
                        <ENT>Enter hibernacula or maternity roost caves, capture with mist nets or harp traps, handle, identify, band, radio tag, and release</ENT>
                        <ENT>Renewal.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES48579B-5</ENT>
                        <ENT>Ecological Solutions, Inc.; Roswell, GA</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), and northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming</ENT>
                        <ENT>Presence/probable absence surveys, studies to document habitat use, population monitoring, and white-nose syndrome surveillance</ENT>
                        <ENT>Enter hibernacula or maternity roost caves, capture with mist nets or harp traps, handle, identify, collect hair samples, band, radio tag, light tag, swab, wing punch, and release</ENT>
                        <ENT>Renewal.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES54578B-3</ENT>
                        <ENT>Mary Frazer; Raleigh, NC</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ), tricolored bat (
                            <E T="03">Perimyotis subflavus</E>
                            ), and Virginia big-eared bat (
                            <E T="03">Corynorhinus townsendii virginianus</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New York. North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming</ENT>
                        <ENT>Presence/probable absence surveys, studies to document habitat use, population monitoring, and white-nose syndrome surveillance</ENT>
                        <ENT>Enter hibernacula or maternity roost caves, capture with mist nets or harp traps, handle, identify, collect hair samples, band, radio tag, light tag, wing punch, and release</ENT>
                        <ENT>Renewal and amendment.</ENT>
                    </ROW>
                    <ROW>
                        <PRTPAGE P="43625"/>
                        <ENT I="01">ES119937-5</ENT>
                        <ENT>Susan Loeb; Clemson, SC</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ), and tricolored bat (
                            <E T="03">Perimyotis subflavus</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Georgia, Kentucky, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Virginia, and West Virginia</ENT>
                        <ENT>Presence/probable absence surveys, studies to document habitat use, population monitoring, and white-nose syndrome surveillance</ENT>
                        <ENT>Enter hibernacula or maternity roost caves, capture with mist nets or harp traps, handle, identify, band, radio tag, collect hair samples, light tag, wing punch, and release</ENT>
                        <ENT>Renewal and amendment.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES37663B-2</ENT>
                        <ENT>Rebecca Ijames; Central City, KY</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), and northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            )
                        </ENT>
                        <ENT>Indiana, Kentucky, Missouri, Ohio, and Tennessee</ENT>
                        <ENT>Presence/probable absence surveys, studies to document habitat use, and population monitoring</ENT>
                        <ENT>Capture with mist nets, handle, identify, band, radio-tag, and release</ENT>
                        <ENT>Renewal.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">PER3128179-0</ENT>
                        <ENT>Justin Hoffman, McNeese State University; Lake Charles, LA</ENT>
                        <ENT>
                            Northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ) and tricolored bat (
                            <E T="03">Perimyotis subflavus</E>
                            )
                        </ENT>
                        <ENT>Kisatchie National Forest, Louisiana</ENT>
                        <ENT>Presence/probable absence surveys</ENT>
                        <ENT>Capture with mist nets and hand-held mesh nets, handle, identify, and release</ENT>
                        <ENT>New.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES64393C-2</ENT>
                        <ENT>Vanasse Hangen Brustlin, Inc.; Raleigh, NC</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ), and Virginia big-eared bat (
                            <E T="03">Corynorhinus townsendii virginianus</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming</ENT>
                        <ENT>Presence/probable absence surveys</ENT>
                        <ENT>Capture with mist nets, handle, identify, band, radio tag, and release</ENT>
                        <ENT>Renewal.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES88778B-3</ENT>
                        <ENT>John Lamb; Decherd, TN</ENT>
                        <ENT>
                            Tricolored bat (
                            <E T="03">Perimyotis subflavus</E>
                            )
                        </ENT>
                        <ENT>Tennessee</ENT>
                        <ENT>Presence/probable absence surveys, studies to document habitat use, population monitoring, and white-nose syndrome surveillance</ENT>
                        <ENT>Enter hibernacula or maternity roost caves, capture with mist nets or harp traps, handle, identify, band, collect hair samples, radio tag, and release</ENT>
                        <ENT>Amendment.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES81353B-2</ENT>
                        <ENT>Stephanie Penk; Sylva, NC</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ), and tricolored bat (
                            <E T="03">Perimyotis subflavus</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming</ENT>
                        <ENT>Presence/probable absence surveys, habitat use and assessment research, population dynamics evaluations, and migration research</ENT>
                        <ENT>Capture with mist nets and harp traps, handle, identify, band, radio tag, and release</ENT>
                        <ENT>Amendment.</ENT>
                    </ROW>
                    <ROW>
                        <PRTPAGE P="43626"/>
                        <ENT I="01">PER3315996-0</ENT>
                        <ENT>Dominique DiLandro; Holly Springs, NC</ENT>
                        <ENT>
                            Gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ), and tricolored bat (
                            <E T="03">Perimyotis subflavus</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming</ENT>
                        <ENT>Presence/probable absence surveys, habitat use and roost selection research, and population dynamics studies</ENT>
                        <ENT>Enter roosts (bridges, culverts, and abandoned buildings), capture via mist nets and harp traps, handle, identify, band, radio tag, collect swabs and hair samples, and release</ENT>
                        <ENT>New.</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">ES94704A-4</ENT>
                        <ENT>Dorothy Brown; Arden, NC</ENT>
                        <ENT>
                            Mammals: Carolina northern flying squirrel (
                            <E T="03">Glaucomys sabrinus coloratus</E>
                            ), gray bat (
                            <E T="03">Myotis grisescens</E>
                            ), Indiana bat (
                            <E T="03">Myotis sodalis</E>
                            ), northern long-eared bat (
                            <E T="03">Myotis septentrionalis</E>
                            ), tricolored bat (
                            <E T="03">Perimyotis subflavus</E>
                            ), and Virginia big-eared bat (
                            <E T="03">Corynorhinus townsendii virginianus</E>
                            ); Reptile: Bog turtle (
                            <E T="03">Clemmys muhlenbergii</E>
                            )
                        </ENT>
                        <ENT>Alabama, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming</ENT>
                        <ENT>Presence/probable absence surveys, white-nose syndrome research, studies to document habitat use, population monitoring, and genetic sampling</ENT>
                        <ENT>Carolina northern flying squirrel: capture, handle, ear-tag, pit-tag, radio-tag, collect fur and tissue samples, and conduct den surveys; Bats: enter hibernacula or maternity roost caves, capture with mist nets or harp traps, handle, identify, collect hair samples, band, pit-tag, radio-tag, light-tag, wing-punch, swab for white-nose syndrome testing, and release; Bog turtle: capture, mark, pit-tag, and radio-tag</ENT>
                        <ENT>Renewal and amendment.</ENT>
                    </ROW>
                </GPOTABLE>
                <HD SOURCE="HD1">Public Availability of Comments</HD>
                <P>Written comments we receive become part of the administrative record associated with this action. Before including your address, phone number, email address, or other personal identifying information in your comment, you should be aware that your entire comment—including your personal identifying information—may be made publicly available at any time. While you can ask us in your comment to withhold your personal identifying information from public review, we cannot guarantee that we will be able to do so. All submissions from organizations or businesses, and from individuals identifying themselves as representatives or officials of organizations or businesses, will be made available for public disclosure in their entirety.</P>
                <HD SOURCE="HD1">Next Steps</HD>
                <P>
                    If we decide to issue a permit to an applicant listed in this notice, we will publish a notice in the 
                    <E T="04">Federal Register</E>
                    .
                </P>
                <HD SOURCE="HD1">Authority</HD>
                <P>
                    We publish this notice under section 10(c) of the Endangered Species Act of 1973, as amended (16 U.S.C. 1531 
                    <E T="03">et seq.</E>
                    ).
                </P>
                <SIG>
                    <NAME>John Tirpak,</NAME>
                    <TITLE>Deputy Assistant Regional Director, Ecological Services, Southeast Region.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14509 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4333-15-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Geological Survey</SUBAGY>
                <DEPDOC>[GX23MR00G6ZW800 OMB Control Number 1028-NEW]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Submission to the Office of Management and Budget for Review and Approval; Turtle Distribution Database</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>U.S. Geological Survey, Interior.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of information collection; request for comment.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Paperwork Reduction Act of 1995, we, the U.S. Geological Survey (USGS) are proposing a new information collection.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Interested persons are invited to submit comments on or before August 9, 2023.</P>
                </DATES>
                <ADD>
                    <PRTPAGE P="43627"/>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Send your comments on this Information Collection Request (ICR) to the Office of Management and Budget's (OMB) Desk Officer for the Department of the Interior by email at 
                        <E T="03">OIRA_Submission@omb.eop.gov;</E>
                         or via facsimile to (202) 395-5806. Please provide a copy of your comments to U.S. Geological Survey, Information Collections Officer, 12201 Sunrise Valley Drive, MS 159, Reston, VA 20192; or by email to 
                        <E T="03">gs-info_collections@usgs.gov.</E>
                         Please reference OMB Control Number 1028-NEW-Turtles in the subject line of your comments.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        To request additional information about this ICR, contact Margaret Lamont by email at 
                        <E T="03">mlamont@usgs.gov,</E>
                         or by telephone at 352-209-4306. Individuals in the United States who are deaf, deafblind, hard of hearing, or have a speech disability may dial 711 (TTY, TDD, or TeleBraille) to access telecommunications relay services. Individuals outside the United States should use the relay services offered within their country to make international calls to the point-of-contact in the United States. You may also view the ICR at 
                        <E T="03">http://www.reginfo.gov/public/do/PRAMain.</E>
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    In accordance with the Paperwork Reduction Act of 1995 (PRA, 44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ) and 5 CFR 1320.8(d)(1), we provide the general public and other Federal agencies with an opportunity to comment on new, proposed, revised, and continuing collections of information. This helps us assess the impact of our information collection requirements and minimize the public's reporting burden. It also helps the public understand our information collection requirements and provide the requested data in the desired format.
                </P>
                <P>
                    A 
                    <E T="04">Federal Register</E>
                     notice, 88 FR 10536 with a 60-day public comment period soliciting comments on this collection of information was published on February 21, 2023. No comments were received.
                </P>
                <P>As part of our continuing effort to reduce paperwork and respondent burdens, we are again soliciting comments from the public and other Federal agencies on the proposed ICR that is described below. We are especially interested in public comment addressing the following:</P>
                <P>(1) Whether or not the collection of information is necessary for the proper performance of the functions of the agency, including whether or not the information will have practical utility;</P>
                <P>(2) The accuracy of our estimate of the burden for this collection of information, including the validity of the methodology and assumptions used;</P>
                <P>(3) Ways to enhance the quality, utility, and clarity of the information to be collected; and</P>
                <P>
                    (4) How might the agency minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, 
                    <E T="03">e.g.,</E>
                     permitting electronic submission of response.
                </P>
                <P>Comments that you submit in response to this notice are a matter of public record. Before including your address, phone number, email address, or other personal identifiable Information (PII) in your comment, you should be aware that your entire comment—including your PII—may be made publicly available at any time. While you can ask us in your comment to withhold your PII from public review, we cannot guarantee that we will be able to do so.</P>
                <P>
                    <E T="03">Abstract:</E>
                     The order Testudines, which encompasses tortoises and freshwater and marine turtles, is among the most threatened group of vertebrates in the world. However, turtles are frequently observed during everyday activities, such as while walking through a park, driving along a roadway, or kayaking in a river or pond. Local citizen-science projects focused on single species (such as box turtles) have provided valuable demographic information for turtle populations, but these projects are isolated both spatially and specifically (
                    <E T="03">i.e.,</E>
                     focused on one species). This project would use sighting information supplied by citizens to fill gaps in our knowledge of turtle distributions throughout Northern Florida. When a citizen observes a turtle, they would document the species (if possible), location (latitude/longitude collected via cell phone), date, and time, and they would photograph the animal. We would also ask each contributor to provide their initials (not full name) and a way to contact them if questions about the entry arise (
                    <E T="03">e.g.,</E>
                     phone number or email address). The sighting information will be mapped and used to develop species-distribution maps.
                </P>
                <P>
                    <E T="03">Title of Collection:</E>
                     Turtle Distribution Database.
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1028-NEW.
                </P>
                <P>
                    <E T="03">Form Number:</E>
                     None.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     New.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     Individuals.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Respondents:</E>
                     250.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     250.
                </P>
                <P>
                    <E T="03">Estimated Completion Time per Response:</E>
                     5 minutes on average.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     21 hours.
                </P>
                <P>
                    <E T="03">Respondent's Obligation:</E>
                     Voluntary.
                </P>
                <P>
                    <E T="03">Frequency of Collection:</E>
                     On occasion.
                </P>
                <P>
                    <E T="03">Total Estimated Annual Nonhour Burden Cost:</E>
                     None.
                </P>
                <P>An agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.</P>
                <P>
                    The authority for this action is the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ).
                </P>
                <SIG>
                    <NAME>Margaret M. Lamont,</NAME>
                    <TITLE>Research Biologist, USGS Wetland and Aquatic Research Center.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14479 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4338-11-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Bureau of Land Management</SUBAGY>
                <DEPDOC>[BLM_NV_FRN_MO #4500167906]</DEPDOC>
                <SUBJECT>Notice of Realty Action: Classification for Lease and/or Conveyance of Public Lands in Humboldt County, Nevada</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Bureau of Land Management, Interior.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of realty action.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The Bureau of Land Management (BLM), Humboldt River Field Office, has examined 40 acres of public land in Humboldt County, Nevada, and found the land suitable to classify for lease and/or conveyance under the provisions of the Recreation and Public Purposes (R&amp;PP) Act, as amended. Humboldt County proposes to use the land to build a school complex with a K-8 elementary school and a high school in Orovada, Nevada, to improve educational services in the community.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>
                        Submit written comments regarding this proposed classification on or before August 24, 2023. Comments may be mailed, or hand delivered to the BLM office address in the 
                        <E T="02">ADDRESSES</E>
                         section. The BLM will not consider comments received via telephone calls or email.
                    </P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Mail written comments to: Samuel Burton, Winnemucca District Manager, 5100 Winnemucca East Boulevard, Winnemucca, NV 89445. Detailed information including, but not limited to, a proposed development plan, management plan, and documentation relating to with 
                        <PRTPAGE P="43628"/>
                        applicable environmental and cultural resource laws, is available for review during business hours, 7:30 a.m. to 4:30 p.m. Pacific Time, Monday through Friday, except during Federal holidays, at the Humboldt River Field Office, 5100 East Winnemucca Boulevard, Winnemucca, Nevada 89445.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Jenifer Barnett, Realty Specialist, Humboldt River Field Office, by telephone at 775-623-1582, by email at 
                        <E T="03">jbarnett@blm.gov;</E>
                         or you may visit the Humboldt River Field Office at the earlier-listed address. Individuals in the United States who are deaf, deafblind, hard of hearing, or have a speech disability may dial 711 (TTY, TDD, or TeleBraille) to access telecommunications relay services. Individuals outside the United States should use the relay services offered within their country to make international calls to the point-of-contact in the United States. You will receive a reply during normal business hours.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>The lands examined and identified as suitable for conveyance under the R&amp;PP Act are legally described as:</P>
                <EXTRACT>
                    <HD SOURCE="HD1">Mount Diablo Meridian, Nevada</HD>
                    <FP SOURCE="FP-2">T. 42 N., R. 37 E.,</FP>
                    <FP SOURCE="FP1-2">
                        Sec. 4, SE
                        <FR>1/4</FR>
                        SE
                        <FR>1/4</FR>
                        .
                    </FP>
                    <P>The area described contains 40 acres, according to the official plats of the surveys on file with the BLM.</P>
                </EXTRACT>
                <P>The proposed school complex would be in Orovada, a census-designated place in the Quinn River Valley, Nevada, which is approximately 45.8 miles north of Winnemucca, Nevada. The new elementary school would replace the existing elementary school that has become difficult to maintain due to its age and condition. The new schoolhouse needs to be built elsewhere because the location of the existing school is also less than adequate, with traffic concerns.</P>
                <P>The schoolhouse would include a Primary Education Development Center consisting of an outdoor basketball court, picnic area, rock climbing and jungle gym areas, outdoor running track, water well, septic system, soccer field, and a detached gymnasium that would function as a community center when not in use for school activities. The school would include a library, a cafeteria and kitchen, an art/music room and support room, a STEM lab/flex space, a kindergarten room, three open concept classrooms to serve first through eighth grades, electrical and mechanical rooms, restrooms, a nurse's room, a teacher's lounge, office space, and a waiting area.</P>
                <P>Thirty-two students attend the existing elementary school; however, the new school would be designed to accommodate community growth by including space for additional classrooms to be built later should they be needed. Up to 20 acres would be used to construct the elementary school, gymnasium, parking lots, sports fields, and landscaping. The high school would be developed over the remaining 20 acres and would include a schoolhouse, detached gymnasium, common area, outdoor running track, and desert landscaping. Each school would have paved parking for staff, visitors, and student drop-off areas. The schools would be built using rammed-earth technology and the design would adhere to all state and local laws and codes. Construction of the elementary school would begin in 2023, and the high school would be built afterwards.</P>
                <P>The lands identified are not needed for any Federal purpose and it would be in the public's interest to transfer the parcel under the R&amp;PP Act. The lease and subsequent conveyance are consistent with the Resource Management Plan for the Winnemucca District Planning Area.</P>
                <P>
                    All interested parties will receive a copy of this notice once it is published in the 
                    <E T="04">Federal Register</E>
                    . A copy of the notice will also be published in a newspaper of general circulation once a week for three consecutive weeks and mailed to interested parties, adjoining landowners, and appropriate government offices.
                </P>
                <P>
                    Upon publication of this notice in the 
                    <E T="04">Federal Register</E>
                    , the lands will be segregated from all other forms of appropriation under the public land laws, including location and entry under the mining laws, except for lease or conveyance under the R&amp;PP Act and leasing under the mineral leasing laws.
                </P>
                <P>The lease or conveyance of the land, when issued, will be subject to the following terms, conditions, and reservations:</P>
                <P>1. A right-of-way thereon for ditches and canals constructed by the authority of the United States Act of August 30, 1890 (43 U.S.C. 945).</P>
                <P>2. Provisions of the R&amp;PP Act and all applicable regulations of the Secretary of the Interior.</P>
                <P>3. All mineral deposits in the land so patented, and the right to prospect for, mine, and remove such deposits from the same under applicable law and regulations as established by the Secretary of the Interior are reserved to the United States, together with all necessary access and exit rights.</P>
                <P>4. Lease or conveyance of the parcel is subject to valid existing rights.</P>
                <P>5. An appropriate indemnification clause protecting the United States from claims arising out of the lessee's/patentee's use, occupancy, or operations on the leased/patented lands.</P>
                <P>6. Any other reservations that the authorized officer determines appropriate to ensure public access and proper management of Federal lands and interests therein.</P>
                <P>Comments on the classification are restricted to whether the land is physically suited for the school complex as proposed, whether the use will maximize the future use or uses of the land, whether the use is consistent with local planning and zoning, or if the use is consistent with State and Federal programs.</P>
                <P>Interested persons may also submit comments regarding the specific use proposed in the application and plan of development and management, whether the BLM followed proper administrative procedures in reaching the decision, or any other factor not directly related to the suitability of the lands for a school complex, as proposed.</P>
                <P>Any adverse comments will be reviewed by the BLM State Director who may sustain, vacate, or modify this realty action. In the absence of any adverse comments, the classification will become effective on September 8, 2023. The lands will not be offered for lease or conveyance until after the classification becomes effective.</P>
                <P>Before including your address, phone number, email address, or other personal identifying information in your comment, be advised that your entire comment, including your personal identifying information, may be made publicly available at any time. While you can ask us in your comment to withhold your personal identifying information from public review, we cannot guarantee that we will be able to do so.</P>
                <EXTRACT>
                    <FP>(Authority: 43 CFR 2741.5.)</FP>
                </EXTRACT>
                <SIG>
                    <NAME>Samuel Burton,</NAME>
                    <TITLE>District Manager, Winnemucca District.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14446 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4331-21-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Bureau of Land Management</SUBAGY>
                <DEPDOC>[BLM_ES_FRN_MO4500171869]</DEPDOC>
                <SUBJECT>Notice of Filing of Plat of Surveys; Minnesota</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Bureau of Land Management, Interior.</P>
                </AGY>
                <ACT>
                    <PRTPAGE P="43629"/>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of official filing.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>The plat of survey of the following described lands is scheduled to be officially filed in the Bureau of Land Management (BLM), Eastern States Office, Falls Church, Virginia, 30 days from the date of this publication. The survey, executed at the request of the Bureau of Indian Affairs, Midwest Region, is required for the management of these lands.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>
                        Unless there are protests of this action, the filing of the plat described in this notice will happen 30 days after publication of this notice in the 
                        <E T="04">Federal Register</E>
                        .
                    </P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>Written notices protesting the survey must be sent to the State Director, BLM Eastern States, 5275 Leesburg Pike, Falls Church, Virginia 22041.</P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Frank D. Radford, Chief Cadastral Surveyor for Eastern States; (703) 558-7759; email: 
                        <E T="03">fradford@blm.gov;</E>
                         or U.S. Postal Service: BLM-ES, 5275 Leesburg Pike, Suite 102A, Falls Church, Virginia 22041. Attn: Cadastral Survey. Persons who use a telecommunications device for the deaf may call the Federal Information Relay Service (FIRS) at 1-800-877-8339 to contact the above individual during normal business hours. The service is available 24 hours a day, 7 days a week, to leave a message or question with the above individual. You will receive a reply during normal business hours.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">Fourth Principal Meridian, Minnesota</HD>
                <P>The retracement of a portion of the line between Townships 49 and 50 North, Range 17 West, and the survey of an island designated Tract No. 37, Township 49 North, Range 17 West and Tract No. 37, Township 50 North, Range 17 West; locally known as Pine Island, in the St. Louis River, in St. Louis and Carlton Counties, Minnesota.</P>
                <P>
                    A person or party who wishes to protest a survey must file a written notice of protest within 30 calendar days from the date of this publication at the address listed in the 
                    <E T="02">ADDRESSES</E>
                     section of this notice. A notice of protest is considered filed on the date it is received by the State Director for Eastern States during regular business hours; if received after regular business hours, a notice of protest will be considered filed the next business day. Any notice of protest filed after the scheduled date of official filing will be untimely and will not be considered. A statement of reasons for the protest may be filed with the notice of protest and must be filed within 30 calendar days after the protest is filed. If a notice of protest against the survey is received prior to the date of official filing, the filing will be stayed pending consideration of the protest. A plat will not be officially filed until the next business day after all protests have been dismissed or otherwise resolved.
                </P>
                <P>Before including your address, phone number, email address, or other personal identifying information in your notice of protest or statement of reasons, please be aware that your entire protest, including your personal identifying information may be made publicly available at any time. While you can ask us in your comment to withhold your personal identifying information from public review, we cannot guarantee that we will be able to do so.</P>
                <P>A copy of the described plats will be placed in the open files, and available to the public, as a matter of information.</P>
                <P>
                    <E T="03">Authority:</E>
                     43 U.S.C. chap. 3.
                </P>
                <SIG>
                    <NAME>Frank D. Radford,</NAME>
                    <TITLE>Chief Cadastral Surveyor for Eastern States.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14487 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4331-18-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Bureau of Reclamation</SUBAGY>
                <DEPDOC>[RR83550000, 234R5065C6, RX.59389832.1009676; OMB Control Number 1006-0023]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Forms to Determine Compliance by Certain Landholders</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Bureau of Reclamation, Interior.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of information collection; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Paperwork Reduction Act of 1995, we, the Bureau of Reclamation (Reclamation), are proposing to renew an information collection.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Interested persons are invited to submit comments on or before September 8, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Send your comments on this information collection request (ICR) by email to Janice Perez, Bureau of Reclamation, Office of Policy and Programs, at 
                        <E T="03">janiceperez@usbr.gov.</E>
                         Please reference Office of Management and Budget (OMB) Control Number 1006-0023 in the subject line of your comments.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        To request additional information about this ICR, contact Janice Perez by email at 
                        <E T="03">janiceperez@usbr.gov,</E>
                         or by telephone at (303) 817-4477. Individuals in the United States who are deaf, deafblind, hard of hearing, or have a speech disability may dial 711 (TTY, TDD, or TeleBraille) to access telecommunications relay services. Individuals outside the United States should use the relay services offered within their country to make international calls to the point-of-contact in the United States.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    In accordance with the Paperwork Reduction Act of 1995 (PRA, 44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ) and 5 CFR 1320.8(d)(1), all information collections require approval under the PRA. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.
                </P>
                <P>As part of our continuing effort to reduce paperwork and respondent burdens, we invite the public and other Federal agencies to comment on new, proposed, revised, and continuing collections of information. This helps us assess the impact of our information collection requirements and minimize the public's reporting burden. It also helps the public understand our information collection requirements and provide the requested data in the desired format.</P>
                <P>We are especially interested in public comment addressing the following:</P>
                <P>(1) Whether or not the collection of information is necessary for the proper performance of the functions of the agency, including whether or not the information will have practical utility;</P>
                <P>(2) The accuracy of our estimate of the burden for this collection of information, including the validity of the methodology and assumptions used;</P>
                <P>(3) Ways to enhance the quality, utility, and clarity of the information to be collected; and</P>
                <P>
                    (4) How might the agency minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, 
                    <E T="03">e.g.,</E>
                     permitting electronic submission of response.
                </P>
                <P>
                    Comments that you submit in response to this notice are a matter of public record. We will include or summarize each comment in our request to OMB to approve this ICR. Before including your address, phone number, email address, or other personal identifying information in your comment, you should be aware that your entire comment—including your personal identifying information—may 
                    <PRTPAGE P="43630"/>
                    be made publicly available at any time. While you can ask us in your comment to withhold your personal identifying information from public review, we cannot guarantee that we will be able to do so.
                </P>
                <P>
                    <E T="03">Abstract.</E>
                </P>
                <P>
                    <E T="03">Identification of limited recipients</E>
                    —Some entities that receive Reclamation irrigation water may believe that they are under the Reclamation Reform Act of 1982 (RRA) forms submittal threshold and, consequently, may not submit the appropriate RRA form(s). However, some of these entities may in fact have a different RRA forms submittal threshold than what they believe it to be due to the number of natural persons benefiting from each entity and the location of the land held by each entity. In addition, some entities that are exempt from the requirement to submit RRA forms due to the size of their landholdings (directly and indirectly owned and leased land) may in fact be receiving Reclamation irrigation water for which the full-cost rate must be paid because the start of Reclamation irrigation water deliveries occurred after October 1, 1981 [43 CFR 426.6(b)(2)]. The information obtained through completion of the Limited Recipient Identification Sheet (Form 7-2536) allows us to establish entities' compliance with Federal reclamation law. The Limited Recipient Identification Sheet is disbursed at our discretion.
                </P>
                <P>
                    <E T="03">Trust review</E>
                    —In order to administer section 214 of the RRA and 43 CFR 426.7, we are required to review and approve all trusts. Land held in trust generally will be attributed to the beneficiaries of the trust rather than the trustee if the criteria specified in the RRA and 43 CFR 426.7 are met. We may extend the option to complete and submit for our review the Trust Information Sheet (Form 7-2537) instead of actual trust documents when we become aware of trusts with a relatively small landholding (40 acres or less in districts subject to the prior law provisions of Federal reclamation law, 240 acres or less in districts subject to the discretionary provisions of Federal reclamation law). If we find nothing on the completed Trust Information Sheet that would warrant the further review of a particular trust, that trustee will not be burdened with submitting trust documents to us for in-depth review. The Trust Information Sheet is disbursed at our discretion.
                </P>
                <P>
                    <E T="03">Acreage limitation provisions applicable to public entities</E>
                    —Land farmed by a public entity can be considered exempt from the application of the acreage limitation provisions provided the public entity meets certain criteria pertaining to the revenue generated through the entity's farming activities (43 CFR 426.10 and the Act of July 7, 1970, Public Law 91-310). We are required to ascertain whether public entities that receive Reclamation irrigation water meet such revenue criteria regardless of how much land the public entities hold (directly or indirectly own or lease) [43 CFR 426.10(a)]. In order to minimize the burden on public entities, standard RRA forms are submitted by a public entity only when the public entity holds more than 40 acres subject to the acreage limitation provisions westwide, which makes it difficult to apply the revenue criteria as required to those public entities that hold less than 40 acres. When we become aware of such public entities, we request those public entities complete and submit for our review the Public Entity Information Sheet (Form 7-2565), which allows us to establish compliance with Federal reclamation law for those public entities that hold 40 acres or less and, thus, do not submit a standard RRA form because they are below the RRA forms submittal threshold. In addition, for those public entities that do not meet the exemption criteria, we must determine the proper rate to charge for Reclamation irrigation water deliveries. The Public Entity Information Sheet is disbursed at our discretion.
                </P>
                <P>
                    <E T="03">Acreage limitation provisions applicable to religious or charitable organizations</E>
                    —Some religious or charitable organizations that receive Reclamation irrigation water may believe that they are under the RRA forms submittal threshold and, consequently, may not submit the appropriate RRA form(s). However, some of these organizations may in fact have a different RRA forms submittal threshold than what they believe it to be depending on whether these organizations meet all of the required criteria for full special application of the acreage limitations provisions to religious or charitable organizations [43 CFR 426.9(b)]. In addition, some organizations that (1) do not meet the criteria to be treated as a religious or charitable organization under the acreage limitation provisions, and (2) are exempt from the requirement to submit RRA forms due to the size of their landholdings (directly and indirectly owned and leased land), may in fact be receiving Reclamation irrigation water for which the full-cost rate must be paid because the start of Reclamation irrigation water deliveries occurred after October 1, 1981 [43 CFR 426.6(b)(2)]. The Religious or Charitable Organization Identification Sheet (Form 7-2578) allows us to establish certain religious or charitable organizations' compliance with Federal reclamation law. The Religious or Charitable Organization Identification Sheet is disbursed at our discretion.
                </P>
                <P>
                    <E T="03">Title of Collection:</E>
                     Forms to Determine Compliance by Certain Landholders, 43 CFR part 426.
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1006-0023.
                </P>
                <P>
                    <E T="03">Form Numbers:</E>
                     Form 7-2536, Form 7-2537, Form 7-2565, and Form 7-2578.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     Extension of a currently approved collection.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     Entity landholders, trusts, public entities, and religious or charitable organizations identified by Reclamation that are subject to the acreage limitation provisions of Federal reclamation law.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Respondents:</E>
                     125.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     125.
                </P>
                <P>
                    <E T="03">Estimated Completion Time per Response:</E>
                     See table below.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     15 hours.
                </P>
                <P>
                    <E T="03">Respondent's Obligation:</E>
                     Mandatory.
                </P>
                <P>
                    <E T="03">Frequency of Collection:</E>
                     Generally, these forms will be submitted only once per identified entity, trust, public entity, or religious or charitable organization. Each year, we expect new responses in accordance with the following numbers.
                </P>
                <P>
                    <E T="03">Total Estimated Annual Nonhour Burden Cost:</E>
                     None.
                </P>
                <GPOTABLE COLS="5" OPTS="L2,tp0,i1" CDEF="s100,12,12,12,14">
                    <TTITLE> </TTITLE>
                    <BOXHD>
                        <CHED H="1">Form No.</CHED>
                        <CHED H="1">
                            Burden 
                            <LI>estimate </LI>
                            <LI>per form</LI>
                            <LI>(in minutes)</LI>
                        </CHED>
                        <CHED H="1">
                            Number of 
                            <LI>respondents</LI>
                        </CHED>
                        <CHED H="1">
                            Annual 
                            <LI>number of </LI>
                            <LI>responses</LI>
                        </CHED>
                        <CHED H="1">
                            Annual burden on respondents 
                            <LI>(in hours)</LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">Limited Recipient Identification Sheet</ENT>
                        <ENT>5</ENT>
                        <ENT>50</ENT>
                        <ENT>50</ENT>
                        <ENT>4</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Trust Information Sheet</ENT>
                        <ENT>5</ENT>
                        <ENT>50</ENT>
                        <ENT>50</ENT>
                        <ENT>4</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Public Entity Information Sheet</ENT>
                        <ENT>15</ENT>
                        <ENT>15</ENT>
                        <ENT>15</ENT>
                        <ENT>4</ENT>
                    </ROW>
                    <ROW RUL="n,s">
                        <PRTPAGE P="43631"/>
                        <ENT I="01">Religious or Charitable Identification Sheet</ENT>
                        <ENT>15</ENT>
                        <ENT>10</ENT>
                        <ENT>10</ENT>
                        <ENT>3</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="03">Totals</ENT>
                        <ENT/>
                        <ENT>125</ENT>
                        <ENT>125</ENT>
                        <ENT>15</ENT>
                    </ROW>
                </GPOTABLE>
                <P>An agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.</P>
                <P>
                    The authority for this action is the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ).
                </P>
                <SIG>
                    <NAME>Christopher Beardsley,</NAME>
                    <TITLE>Director, Policy and Programs.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14437 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4332-90-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Bureau of Reclamation</SUBAGY>
                <DEPDOC>[RR83550000, 234R5065C6, RX.59389832.1009676; OMB Control Number 1006-0005]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Individual Landholder's and Farm Operator's Certification and Reporting Forms for Acreage Limitation</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Bureau of Reclamation, Interior.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of information collection; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Paperwork Reduction Act of 1995, we, the Bureau of Reclamation, are proposing to renew an information collection.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Interested persons are invited to submit comments on or before September 8, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Send your comments on this information collection request (ICR) by email to Janice Perez, Bureau of Reclamation, Office of Policy and Programs, at 
                        <E T="03">janiceperez@usbr.gov.</E>
                         Please reference Office of Management and Budget (OMB) Control Number 1006-0005 in the subject line of your comments.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        To request additional information about this ICR, contact Janice Perez by email at 
                        <E T="03">janiceperez@usbr.gov,</E>
                         or by telephone at (303) 817-4477. Individuals in the United States who are deaf, deafblind, hard of hearing, or have a speech disability may dial 711 (TTY, TDD, or TeleBraille) to access telecommunications relay services. Individuals outside the United States should use the relay services offered within their country to make international calls to the point-of-contact in the United States.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    In accordance with the Paperwork Reduction Act of 1995 (PRA, 44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ) and 5 CFR 1320.8(d)(1), all information collections require approval under the PRA. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.
                </P>
                <P>As part of our continuing effort to reduce paperwork and respondent burdens, we invite the public and other Federal agencies to comment on new, proposed, revised, and continuing collections of information. This helps us assess the impact of our information collection requirements and minimize the public's reporting burden. It also helps the public understand our information collection requirements and provide the requested data in the desired format.</P>
                <P>We are especially interested in public comment addressing the following:</P>
                <P>(1) Whether or not the collection of information is necessary for the proper performance of the functions of the agency, including whether or not the information will have practical utility;</P>
                <P>(2) The accuracy of our estimate of the burden for this collection of information, including the validity of the methodology and assumptions used;</P>
                <P>(3) Ways to enhance the quality, utility, and clarity of the information to be collected; and</P>
                <P>
                    (4) How might the agency minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, 
                    <E T="03">e.g.,</E>
                     permitting electronic submission of response.
                </P>
                <P>Comments that you submit in response to this notice are a matter of public record. We will include or summarize each comment in our request to OMB to approve this ICR. Before including your address, phone number, email address, or other personal identifying information in your comment, you should be aware that your entire comment—including your personal identifying information—may be made publicly available at any time. While you can ask us in your comment to withhold your personal identifying information from public review, we cannot guarantee that we will be able to do so.</P>
                <P>
                    <E T="03">Abstract:</E>
                     This information collection is required under the Reclamation Reform Act of 1982 (RRA), Acreage Limitation Rules and Regulations, 43 CFR part 426, and Information Requirements for Certain Farm Operations In Excess of 960 Acres and the Eligibility of Certain Formerly Excess Land, 43 CFR part 428. This information collection requires certain landholders (direct or indirect landowners or lessees) and farm operators to complete forms demonstrating their compliance with the acreage limitation provisions of Federal reclamation law. The forms in this information collection are submitted to districts that use the information to establish each landholder's status with respect to landownership limitations, full-cost pricing thresholds, lease requirements, and other provisions of Federal reclamation law. In addition, forms are submitted by certain farm operators to provide information concerning the services they provide and the nature of their farm operating arrangements. All landholders whose entire westwide landholdings total 40 acres or less are exempt from the requirement to submit RRA forms. Landholders who are “qualified recipients” have RRA forms submittal thresholds of 80 acres or 240 acres depending on the district's RRA forms submittal threshold category where the land is held. Only farm operators who provide multiple services to more than 960 acres held in trusts or by legal entities are required to submit forms.
                </P>
                <P>
                    <E T="03">Title of Collection:</E>
                     Individual Landholder's and Farm Operator's Certification and Reporting Forms for Acreage Limitation, 43 CFR part 426 and 43 CFR part 428.
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1006-0005.
                </P>
                <P>
                    <E T="03">Form Numbers:</E>
                     Form 7-2180, Form 7-2180EZ, Form 7-2181, Form 7-2184, 
                    <PRTPAGE P="43632"/>
                    Form 7-2190, Form 7-2190EZ, Form 7-2191, Form 7-2194, Form 7-21TRUST, Form 7-21PE, Form 7-21PE-IND, Form 7-21FARMOP, Form 7-21VERIFY, Form 7-21FC, Form 7-21XS, Form 7-21XSINAQ, Form 7-21CONT-I, Form 7-21CONT-L, Form 7-21CONT-O, and Form 7-21INFO.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     Extension of a currently approved collection.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     Landholders and farm operators of certain lands in our projects, whose landholdings exceed specified RRA forms submittal thresholds.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Respondents:</E>
                     5,544.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     5,654.
                </P>
                <P>
                    <E T="03">Estimated Completion Time per Response:</E>
                     See table below.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     5,087 hours.
                </P>
                <P>
                    <E T="03">Respondent's Obligation:</E>
                     Mandatory.
                </P>
                <P>
                    <E T="03">Frequency of Collection:</E>
                     Annually.
                </P>
                <P>
                    <E T="03">Total Estimated Annual Nonhour Burden Cost:</E>
                     None.
                </P>
                <GPOTABLE COLS="5" OPTS="L2,tp0,i1" CDEF="s100,12,12,12,12">
                    <TTITLE> </TTITLE>
                    <BOXHD>
                        <CHED H="1">Form No.</CHED>
                        <CHED H="1">
                            Burden
                            <LI>estimate</LI>
                            <LI>per form</LI>
                            <LI>(in minutes)</LI>
                        </CHED>
                        <CHED H="1">
                            Number of
                            <LI>respondents</LI>
                        </CHED>
                        <CHED H="1">
                            Annual
                            <LI>number of</LI>
                            <LI>responses</LI>
                        </CHED>
                        <CHED H="1">
                            Annual
                            <LI>burden on</LI>
                            <LI>respondents</LI>
                            <LI>(in hours)</LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">Form 7-2180</ENT>
                        <ENT>60</ENT>
                        <ENT>1,967</ENT>
                        <ENT>2,006</ENT>
                        <ENT>2,006</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-2180EZ</ENT>
                        <ENT>45</ENT>
                        <ENT>218</ENT>
                        <ENT>222</ENT>
                        <ENT>167</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-2181</ENT>
                        <ENT>78</ENT>
                        <ENT>1,076</ENT>
                        <ENT>1,097</ENT>
                        <ENT>1,426</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-2184</ENT>
                        <ENT>45</ENT>
                        <ENT>10</ENT>
                        <ENT>10</ENT>
                        <ENT>8</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-2190</ENT>
                        <ENT>60</ENT>
                        <ENT>133</ENT>
                        <ENT>136</ENT>
                        <ENT>136</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-2190EZ</ENT>
                        <ENT>45</ENT>
                        <ENT>32</ENT>
                        <ENT>33</ENT>
                        <ENT>25</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-2191</ENT>
                        <ENT>78</ENT>
                        <ENT>81</ENT>
                        <ENT>83</ENT>
                        <ENT>108</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-2194</ENT>
                        <ENT>45</ENT>
                        <ENT>4</ENT>
                        <ENT>4</ENT>
                        <ENT>3</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-21PE</ENT>
                        <ENT>75</ENT>
                        <ENT>141</ENT>
                        <ENT>144</ENT>
                        <ENT>180</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-21PE-IND</ENT>
                        <ENT>12</ENT>
                        <ENT>20</ENT>
                        <ENT>20</ENT>
                        <ENT>4</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-21TRUST</ENT>
                        <ENT>60</ENT>
                        <ENT>398</ENT>
                        <ENT>406</ENT>
                        <ENT>406</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-21VERIFY</ENT>
                        <ENT>12</ENT>
                        <ENT>688</ENT>
                        <ENT>702</ENT>
                        <ENT>140</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-21FC</ENT>
                        <ENT>30</ENT>
                        <ENT>372</ENT>
                        <ENT>379</ENT>
                        <ENT>190</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="01">Form 7-21XS</ENT>
                        <ENT>30</ENT>
                        <ENT>304</ENT>
                        <ENT>310</ENT>
                        <ENT>155</ENT>
                    </ROW>
                    <ROW RUL="n,s">
                        <ENT I="01">Form 7-21FARMOP</ENT>
                        <ENT>78</ENT>
                        <ENT>100</ENT>
                        <ENT>102</ENT>
                        <ENT>133</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="03">Totals</ENT>
                        <ENT/>
                        <ENT>5,544</ENT>
                        <ENT>5,654</ENT>
                        <ENT>5,087</ENT>
                    </ROW>
                </GPOTABLE>
                <P>An agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.</P>
                <P>
                    The authority for this action is the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ).
                </P>
                <SIG>
                    <NAME>Christopher Beardsley,</NAME>
                    <TITLE>Director, Policy and Programs.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14438 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4332-90-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF THE INTERIOR</AGENCY>
                <SUBAGY>Bureau of Reclamation</SUBAGY>
                <DEPDOC>[RR83550000, 234R5065C6, RX.59389832.1009676; OMB Control Number 1006-0006]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities; Certification Summary Form, Reporting Summary Form for Acreage Limitation</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Bureau of Reclamation, Interior.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of information collection; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>In accordance with the Paperwork Reduction Act of 1995, we, the Bureau of Reclamation, are proposing to renew an information collection.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Interested persons are invited to submit comments on or before September 8, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Send your comments on this information collection request (ICR) by email to Janice Perez, Bureau of Reclamation, Office of Policy and Programs, at 
                        <E T="03">janiceperez@usbr.gov.</E>
                         Please reference Office of Management and Budget (OMB) Control Number 1006-0006 in the subject line of your comments.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        To request additional information about this ICR, contact Janice Perez by email at 
                        <E T="03">janiceperez@usbr.gov,</E>
                         or by telephone at (303) 817-4477. Individuals in the United States who are deaf, deafblind, hard of hearing, or have a speech disability may dial 711 (TTY, TDD, or TeleBraille) to access telecommunications relay services. Individuals outside the United States should use the relay services offered within their country to make international calls to the point-of-contact in the United States.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>
                    In accordance with the Paperwork Reduction Act of 1995 (PRA, 44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ) and 5 CFR 1320.8(d)(1), all information collections require approval under the PRA. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.
                </P>
                <P>As part of our continuing effort to reduce paperwork and respondent burdens, we invite the public and other Federal agencies to comment on new, proposed, revised, and continuing collections of information. This helps us assess the impact of our information collection requirements and minimize the public's reporting burden. It also helps the public understand our information collection requirements and provide the requested data in the desired format.</P>
                <P>We are especially interested in public comment addressing the following:</P>
                <P>(1) Whether or not the collection of information is necessary for the proper performance of the functions of the agency, including whether or not the information will have practical utility;</P>
                <P>(2) The accuracy of our estimate of the burden for this collection of information, including the validity of the methodology and assumptions used;</P>
                <P>(3) Ways to enhance the quality, utility, and clarity of the information to be collected; and</P>
                <P>
                    (4) How might the agency minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of 
                    <PRTPAGE P="43633"/>
                    information technology, 
                    <E T="03">e.g.,</E>
                     permitting electronic submission of response.
                </P>
                <P>Comments that you submit in response to this notice are a matter of public record. We will include or summarize each comment in our request to OMB to approve this ICR. Before including your address, phone number, email address, or other personal identifying information in your comment, you should be aware that your entire comment—including your personal identifying information—may be made publicly available at any time. While you can ask us in your comment to withhold your personal identifying information from public review, we cannot guarantee that we will be able to do so.</P>
                <P>
                    <E T="03">Abstract.</E>
                     This information collection is required under the Reclamation Reform Act of 1982 (RRA), Acreage Limitation Rules and Regulations, 43 CFR part 426, and Information Requirements for Certain Farm Operations In Excess of 960 Acres and the Eligibility of Certain Formerly Excess Land, 43 CFR part 428. The forms in this information collection are to be used by district offices to summarize individual landholder (direct or indirect landowner or lessee) and farm operator certification and reporting forms. This information allows us to establish water user compliance with Federal reclamation law.
                </P>
                <P>
                    <E T="03">Title of Collection:</E>
                     Certification Summary Form, Reporting Summary Form for Acreage Limitation, 43 CFR part 426 and 43 CFR part 428.
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     1006-0006.
                </P>
                <P>
                    <E T="03">Form Numbers:</E>
                     Form 7-21SUMM-C and Form 7-21SUMM-R.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     Extension of a currently approved collection.
                </P>
                <P>
                    <E T="03">Respondents/Affected Public:</E>
                     Contracting entities that are subject to the acreage limitation provisions of Federal reclamation law.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Respondents:</E>
                     120.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Responses:</E>
                     150.
                </P>
                <P>
                    <E T="03">Estimated Completion Time per Respondent:</E>
                     See table below.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Annual Burden Hours:</E>
                     6,000 hours.
                </P>
                <P>
                    <E T="03">Respondent's Obligation:</E>
                     Mandatory.
                </P>
                <P>
                    <E T="03">Frequency of Collection:</E>
                     Annually.
                </P>
                <P>
                    <E T="03">Total Estimated Annual Nonhour Burden Cost:</E>
                     None.
                </P>
                <GPOTABLE COLS="5" OPTS="L2,tp0,i1" CDEF="s100,14,12,12,14">
                    <TTITLE> </TTITLE>
                    <BOXHD>
                        <CHED H="1">Form No.</CHED>
                        <CHED H="1">
                            Burden estimate
                            <LI>per form</LI>
                            <LI>(in hours)</LI>
                        </CHED>
                        <CHED H="1">
                            Number of
                            <LI>respondents</LI>
                        </CHED>
                        <CHED H="1">
                            Annual
                            <LI>number of</LI>
                            <LI>responses</LI>
                        </CHED>
                        <CHED H="1">
                            Annual burden
                            <LI>on respondents</LI>
                            <LI>(in hours)</LI>
                        </CHED>
                    </BOXHD>
                    <ROW>
                        <ENT I="01">7-21SUMM-C and associated tabulation sheets</ENT>
                        <ENT>40</ENT>
                        <ENT>113</ENT>
                        <ENT>141</ENT>
                        <ENT>5,640</ENT>
                    </ROW>
                    <ROW RUL="n,s">
                          
                        <ENT I="01">7-21SUMM-R and associated tabulation sheets</ENT>
                        <ENT>40</ENT>
                        <ENT>7</ENT>
                        <ENT>9</ENT>
                        <ENT>360</ENT>
                    </ROW>
                    <ROW>
                        <ENT I="03">Totals</ENT>
                        <ENT/>
                        <ENT>120</ENT>
                        <ENT>150</ENT>
                        <ENT>6,000</ENT>
                    </ROW>
                </GPOTABLE>
                <P>An agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.</P>
                <P>
                    The authority for this action is the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 
                    <E T="03">et seq.</E>
                    ).
                </P>
                <SIG>
                    <NAME>Christopher Beardsley,</NAME>
                    <TITLE>Director, Policy and Programs.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14439 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4332-90-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">INTERNATIONAL TRADE COMMISSION</AGENCY>
                <DEPDOC>[USITC SE-23-032]</DEPDOC>
                <SUBJECT>Sunshine Act Meetings</SUBJECT>
                <PREAMHD>
                    <HD SOURCE="HED">Agency Holding the Meeting:</HD>
                    <P> United States International Trade Commission.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">TIME AND DATE:</HD>
                    <P>July 14, 2023 at 11:00 a.m.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">PLACE:</HD>
                    <P>Room 101, 500 E Street SW, Washington, DC 20436, Telephone: (202) 205-2000.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">STATUS:</HD>
                    <P>Open to the public.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">MATTERS TO BE CONSIDERED:</HD>
                    <P/>
                    <P>
                        1. 
                        <E T="03">Agendas for future meetings:</E>
                         none.
                    </P>
                    <P>2. Minutes.</P>
                    <P>3. Ratification List.</P>
                    <P>4. Commission vote on Inv. Nos. 701-TA-690-691 and 731-TA-1619-1627 (Preliminary) (Paper Shopping Bags from Cambodia, China, Colombia, India, Malaysia, Portugal, Taiwan, Turkey, and Vietnam). The Commission currently is scheduled to complete and file its determinations on July 17, 2023; views of the Commission currently are scheduled to be completed and filed on July 24, 2023.</P>
                    <P>
                        5. 
                        <E T="03">Outstanding action jackets:</E>
                         none.
                    </P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">CONTACT PERSON FOR MORE INFORMATION: </HD>
                    <P>Sharon Bellamy, Acting Supervisory Hearings and Information Officer, 202-205-2000.</P>
                    <P>The Commission is holding the meeting under the Government in the Sunshine Act, 5 U.S.C. 552(b). In accordance with Commission policy, subject matter listed above, not disposed of at the scheduled meeting, may be carried over to the agenda of the following meeting.</P>
                </PREAMHD>
                <SIG>
                    <P>By order of the Commission.</P>
                    <DATED>Issued: July 6, 2023.</DATED>
                    <NAME>Lisa Barton,</NAME>
                    <TITLE>Secretary to the Commission.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14622 Filed 7-6-23; 4:15 pm]</FRDOC>
            <BILCOD>BILLING CODE 7020-02-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">INTERNATIONAL TRADE COMMISSION</AGENCY>
                <DEPDOC>[Investigation No. 332-598]</DEPDOC>
                <SUBJECT>Greenhouse Gas Emissions Intensities of the U.S. Steel and Aluminum Industries at the Product Level</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>United States International Trade Commission.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of investigation and scheduling of a public hearing.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        Following receipt on June 5, 2023, of a request from the U.S. Trade Representative (USTR), under section 332(g) of the Tariff Act of 1930, the U.S. International Trade Commission (Commission) instituted Investigation No. 332-598, 
                        <E T="03">Greenhouse Gas Emissions Intensities of the U.S. Steel and Aluminum Industries at the Product Level.</E>
                         The USTR requested that the Commission conduct an investigation and prepare a report that assesses the greenhouse gas emissions intensity of steel and aluminum products produced in the United States.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P/>
                    <P>
                        <E T="03">November 17, 2023:</E>
                         Deadline for filing requests to appear at the public hearing.
                    </P>
                    <P>
                        <E T="03">November 21, 2023:</E>
                         Deadline for filing prehearing briefs and statements.
                    </P>
                    <P>
                        <E T="03">November 29, 2023:</E>
                         Deadline for filing electronic copies of oral hearing statements.
                    </P>
                    <P>
                        <E T="03">December 7, 2023:</E>
                         Public hearing.
                        <PRTPAGE P="43634"/>
                    </P>
                    <P>
                        <E T="03">December 21, 2023:</E>
                         Deadline for filing posthearing briefs and statements.
                    </P>
                    <P>
                        <E T="03">June 28, 2024:</E>
                         Deadline for filing all other written submissions.
                    </P>
                    <P>
                        <E T="03">January 28, 2025:</E>
                         Transmittal of Commission report to the USTR.
                    </P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        All Commission offices, including the Commission's hearing rooms, are located in the U.S. International Trade Commission Building, 500 E Street SW, Washington, DC. All written submissions should be addressed to the Secretary, U.S. International Trade Commission, 500 E Street SW, Washington, DC 20436. The public record for this investigation may be viewed on the Commission's electronic docket (EDIS) at 
                        <E T="03">https://edis.usitc.gov.</E>
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Project Leader Caroline Peters (202-708-1443 or 
                        <E T="03">caroline.peters@usitc.gov</E>
                        ), Deputy Project Leader Shova KC (202-205-2234 or 
                        <E T="03">shova.kc@usitc.gov</E>
                        ) or Deputy Project Leader Alexander Melton (202-708-1665 or 
                        <E T="03">alexander.melton@usitc.gov</E>
                        ) for information specific to this investigation. For information on the legal aspects of this investigation, contact Brian Allen (202-205-3034 or 
                        <E T="03">brian.allen@usitc.gov</E>
                        ) or William Gearhart (202-205-3091 or 
                        <E T="03">william.gearhart@usitc.gov</E>
                        ) of the Commission's Office of the General Counsel. The media should contact Jennifer Andberg, Office of External Relations (202-205-3404 or 
                        <E T="03">jennifer.andberg@usitc.gov</E>
                        ).
                    </P>
                    <P>
                        Hearing-impaired individuals are advised that information on this matter can be obtained by contacting the Commission's TDD terminal on 202-205-1810. General information concerning the Commission may be obtained by accessing its internet address (
                        <E T="03">https://www.usitc.gov</E>
                        ). Persons with mobility impairments who will need special assistance in gaining access to the Commission should contact the Office of the Secretary at 202-205-2000.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P/>
                <P>
                    <E T="03">Background:</E>
                     As requested in the letter received from the USTR on June 5, 2023, the Commission has instituted an investigation under section 332(g) of the Tariff Act of 1930 (19 U.S.C. 1332(g)) to prepare a report that assesses the greenhouse gas (GHG) emissions intensity of steel and aluminum produced in the United States, which the USTR states will help to inform discussions regarding the Global Arrangement on Sustainable Steel and Aluminum. To this end, the Commission intends to conduct a survey by issuing questionnaires to firms with facilities producing steel and aluminum in the United States, whether the firms are U.S.- or foreign-owned, to collect data on their production of these goods and associated GHG emissions. The Commission will post the draft questionnaire on its website for public comment and will post the final questionnaire on its website once the questionnaire is ready to be issued.
                </P>
                <P>The GHG emissions intensity estimates presented in the report will include the following types of GHG emissions:</P>
                <P>
                    1. 
                    <E T="03">Scope 1</E>
                    —GHG emissions related to the production of steel and aluminum. Scope 1 GHG emissions are the direct emissions from the facility's owned or controlled sources. These include the facility's fuel combustion emissions, process emissions (emissions from industrial processes involving chemical or physical transformations other than fuel combustion), and emissions from the facility's own electricity generation.
                </P>
                <P>
                    2. 
                    <E T="03">Scope 2</E>
                    —GHG emissions related to the production of steel and aluminum. Scope 2 GHG emissions are the indirect emissions from the generation of the facility's purchased energy, including electricity, steam, heat, or cooling.
                </P>
                <P>
                    3. 
                    <E T="03">Certain scope 3</E>
                    —GHG emissions associated with material and resource inputs for the production of steel and aluminum. Scope 3 GHG emissions are indirect emissions not included in scope 2 that occur in the value chain of the reporting company. For purposes of this investigation, the Commission will analyze only a specific subset of upstream scope 3 GHG emissions associated with U.S. facilities' intermediate steel and aluminum inputs purchased from other sources and used in production. These intermediate inputs could include iron ore, coke, ore-based metallics, semi-finished steel and other steel substrate suitable for further processing, carbon anodes, unwrought aluminum, and wrought aluminum suitable for further processing.
                </P>
                <P>
                    In presenting the GHG emissions intensity estimates, the report will describe the methodologies used to collect relevant information and to analyze product-specific GHG emissions intensity for the range of steel and aluminum products made in the United States, and provide estimates for the highest and average GHG emissions intensities for the products analyzed. The report will also identify the stages within the steel and aluminum production processes at which associated GHG emissions occur and identify the locations (
                    <E T="03">i.e.,</E>
                     originating countries) of scope 3 emissions associated with U.S. steel and aluminum products. Scope 3 emissions intensity estimates may be derived from the volume and origin of intermediate inputs from foreign and domestic sources as well as information regarding the emissions intensity of such inputs.
                </P>
                <P>
                    As requested by the USTR, the Commission will deliver the report no later than January 28, 2025. Since USTR has indicated that it intends to make this report available to the public in its entirety, the Commission will not include confidential business or national security classified information in its report. However, as detailed below, participants may submit confidential information to the Commission to inform its understanding of these issues, and such information will be protected in accordance with the Commission's 
                    <E T="03">Rules of Practice and Procedure.</E>
                     Participants are strongly encouraged to provide any supporting data and information along with their views.
                </P>
                <P>
                    <E T="03">Public Hearing:</E>
                     A public hearing in connection with this investigation will be held in person beginning at 9:30 a.m. on December 7, 2023, in the Main Hearing Room of the U.S. International Trade Commission, 500 E Street SW, Washington, DC 20436. The hearing can also be accessed remotely using the WebEx videoconference platform. A link to the hearing will be posted on the Commission's website at 
                    <E T="03">https://www.usitc.gov/calendarpad/calendar.html.</E>
                </P>
                <P>Requests to appear at the hearing should be filed with the Secretary to the Commission no later than 5:15 p.m., November 17, 2023, in accordance with the requirements in the “Written Submissions” section below. Any requests to appear as a witness via videoconference must be included with your request to appear. Requests to appear as a witness via videoconference must include a statement explaining why the witness cannot appear in person; the Chairman, or other person designated to conduct the investigation, may at their discretion for good cause shown, grant such requests. Requests to appear as a witness via videoconference due to illness or a positive COVID-19 test result may be submitted by 3 p.m. the business day prior to the hearing.</P>
                <P>
                    All prehearing briefs and statements should be filed no later than 5:15 p.m., November 21, 2023. To facilitate the hearing, including the preparation of an accurate written public transcript of the hearing, oral testimony to be presented at the hearing must be submitted to the Commission electronically no later than 5:15 p.m., November 29, 2023. All posthearing briefs and statements should be filed no later than 5:15 p.m., December 21, 2023. Posthearing briefs and statements should address matters 
                    <PRTPAGE P="43635"/>
                    raised at the hearing. For a description of the different types of written briefs and statements, see the “Definitions” section below.
                </P>
                <P>In the event that, as of the close of business on November 17, 2023, no witnesses are scheduled to appear at the hearing, the hearing will be canceled. Any person interested in attending the hearing as an observer or nonparticipant should check the Commission website as indicated above for information concerning whether the hearing will be held.</P>
                <P>
                    <E T="03">Written submissions:</E>
                     In lieu of or in addition to participating in the hearing, interested persons are invited to file written submissions concerning this investigation. All written submissions should be addressed to the Secretary, and should be received no later than 5:15 p.m., June 28, 2024. All written submissions must conform to the provisions of section 201.8 of the Commission's 
                    <E T="03">Rules of Practice and Procedure</E>
                     (19 CFR 201.8), as temporarily amended by 85 FR 15798 (March 19, 2020). Under that rule waiver, the Office of the Secretary will accept only electronic filings at this time. Filings must be made through the Commission's Electronic Document Information System (EDIS, 
                    <E T="03">https://edis.usitc.gov</E>
                    ). No in-person, paper-based filings or paper copies of any electronic filings will be accepted until further notice. Persons with questions regarding electronic filing should contact the Office of the Secretary, Docket Services Division (202-205-1802), or consult the Commission's Handbook on Filing Procedures.
                </P>
                <P>
                    <E T="03">Definitions of types of documents that may be filed; Requirements:</E>
                     In addition to requests to appear at the hearing, this notice provides for the possible filing of four types of documents: prehearing briefs, oral hearing statements, posthearing briefs, and other written submissions.
                </P>
                <P>
                    (1) 
                    <E T="03">Prehearing briefs</E>
                     refers to written materials relevant to the investigation and submitted in advance of the hearing, and includes written views on matters that are the subject of the investigation, supporting materials, and any other written materials that you consider will help the Commission in understanding your views. You should file a prehearing brief particularly if you plan to testify at the hearing on behalf of an industry group, company, or other organization, and wish to provide detailed views or information that will support or supplement your testimony.
                </P>
                <P>
                    (2) 
                    <E T="03">Oral hearing statements (testimony)</E>
                     refers to the actual oral statement that you intend to present at the hearing. Do not include any confidential business information (CBI) in that statement. If you plan to testify, you must file a copy of your oral statement by the date specified in this notice. This statement will allow Commissioners to understand your position in advance of the hearing and will also assist the court reporter in preparing an accurate transcript of the hearing (
                    <E T="03">e.g.,</E>
                     names spelled correctly).
                </P>
                <P>
                    (3) 
                    <E T="03">Posthearing briefs</E>
                     refers to submissions filed after the hearing by persons who appeared at the hearing. Such briefs: (a) should be limited to matters that arose during the hearing; (b) should respond to any Commissioner and staff questions addressed to you at the hearing; (c) should clarify, amplify, or correct any statements you made at the hearing; and (d) may, at your option, address or rebut statements made by other participants in the hearing.
                </P>
                <P>
                    (4) 
                    <E T="03">Other written submissions</E>
                     refers to any other written submissions that interested persons wish to make, regardless of whether they appeared at the hearing, and may include new information or updates of information previously provided.
                </P>
                <P>
                    In accordance with the provisions of section 201.8 of the Commission's Rules of Practice and Procedure (19 CFR 201.8), the document must identify on its cover (1) the investigation number and title and the type of document filed (
                    <E T="03">i.e.,</E>
                     prehearing brief, oral statement of (name), posthearing brief, or written submission), (2) the name and signature of the person filing it, (3) the name of the organization that the submission is filed on behalf of, and (4) whether it contains CBI. If it contains CBI, it must comply with the marking and other requirements set out below in this notice relating to CBI. Submitters of written documents (other than oral hearing statements) are encouraged to include a short summary of their position or interest at the beginning of the document, and a table of contents when the document addresses multiple issues.
                </P>
                <P>
                    <E T="03">Confidential business information:</E>
                     Any submissions that contain CBI must also conform to the requirements of section 201.6 of the Commission's Rules of Practice and Procedure (19 CFR 201.6). Section 201.6 of the rules requires that the cover of the document and the individual pages be clearly marked as to whether they are the “confidential” or “nonconfidential” version, and that the CBI is clearly identified by means of brackets. All written submissions, except for CBI, will be made available for inspection by interested persons.
                </P>
                <P>As requested by the USTR, the Commission will not include any CBI in its report. However, all information, including CBI, submitted in this investigation may be disclosed to and used: (i) by the Commission, its employees and Offices, and contract personnel (a) for developing or maintaining the records of this or a related proceeding, or (b) in internal investigations, audits, reviews, and evaluations relating to the programs, personnel, and operations of the Commission, including under 5 U.S.C. appendix 3; or (ii) by U.S. Government employees and contract personnel for cybersecurity purposes. The Commission will not otherwise disclose any CBI in a way that would reveal the operations of the firm supplying the information.</P>
                <P>
                    <E T="03">Summaries of written submissions:</E>
                     Persons wishing to have a summary of their position included in the report should include a summary with their written submission no later than June 28, 2024, and should mark the summary as having been provided for that purpose. The summary should be clearly marked as “summary for inclusion in the report” at the top of the page. The summary may not exceed 500 words and should not include any CBI. The summary will be published as provided if it meets these requirements and is germane to the subject matter of the investigation. The Commission will list the name of the organization furnishing the summary and will include a link where the written submission can be found.
                </P>
                <SIG>
                    <P>By order of the Commission.</P>
                    <DATED>Issued: July 5, 2023.</DATED>
                    <NAME>Lisa Barton,</NAME>
                    <TITLE>Secretary to the Commission.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14500 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 7020-02-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF JUSTICE</AGENCY>
                <SUBAGY>Foreign Claims Settlement Commission</SUBAGY>
                <DEPDOC>[F.C.S.C. Meeting and Hearing Notice No. 01-23]</DEPDOC>
                <SUBJECT>Sunshine Act Meeting</SUBJECT>
                <P>The Foreign Claims Settlement Commission, pursuant to its regulations (45 CFR part 503.25) and the Government in the Sunshine Act (5 U.S.C. 552b), hereby gives notice in regard to the scheduling of open meetings as follows:</P>
                <PREAMHD>
                    <HD SOURCE="HED">TIME AND DATE: </HD>
                    <P>Tuesday, July 18, 2023, at 10:00 a.m. EST</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">PLACE: </HD>
                    <P>
                        All meetings are held at the Foreign Claims Settlement Commission, 
                        <PRTPAGE P="43636"/>
                        441 G Street NW, Room 6330, Washington, DC.
                    </P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">STATUS: </HD>
                    <P>Open.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">MATTERS TO BE CONSIDERED: </HD>
                    <P>10:00 a.m.—Oral hearing on Objection to Commission's Proposed Decision in Claim No. ALB-352. 11:00 a.m.—Issuance of Proposed Decisions in claims against Albania.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">CONTACT PERSON FOR MORE INFORMATION: </HD>
                    <P>Requests for information, or advance notices of intention to observe an open meeting, may be directed to: Patricia M. Hall, Foreign Claims Settlement Commission, 441 G St NW, Room 6234, Washington, DC 20579. Telephone: (202) 616-6975.</P>
                </PREAMHD>
                <SIG>
                    <NAME>Brian M. Simkin,</NAME>
                    <TITLE>Chief Counsel.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14659 Filed 7-6-23; 4:15 pm]</FRDOC>
            <BILCOD>BILLING CODE 4410-BA-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES</AGENCY>
                <SUBAGY>National Endowment for the Arts</SUBAGY>
                <SUBJECT>Arts Advisory Panel Meetings</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>National Endowment for the Arts.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of meetings.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>Pursuant to the Federal Advisory Committee Act, as amended, notice is hereby given that 21 meetings of the Arts Advisory Panel to the National Council on the Arts will be held by teleconference or videoconference.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>
                        See the 
                        <E T="02">SUPPLEMENTARY INFORMATION</E>
                         section for individual meeting times and dates. All meetings are Eastern time and ending times are approximate.
                    </P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>National Endowment for the Arts, Constitution Center, 400 7th St. SW, Washington, DC 20506.</P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Further information with reference to these meetings can be obtained from David Travis, Office of Guidelines &amp; Panel Operations, National Endowment for the Arts, Washington, DC 20506; 
                        <E T="03">travisd@arts.gov,</E>
                         or call 202-682-5001.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>The closed portions of meetings are for the purpose of Panel review, discussion, evaluation, and recommendations on financial assistance under the National Foundation on the Arts and the Humanities Act of 1965, as amended, including information given in confidence to the agency. In accordance with the determination of the Chair of March 11, 2022, these sessions will be closed to the public pursuant to 5 U.S.C. 10.</P>
                <P>The upcoming meetings are:</P>
                <P>
                    <E T="03">Literary Arts</E>
                     (review of applications): This meeting will be closed.
                </P>
                <P>
                    <E T="03">Date and time:</E>
                     August 1, 2023; 1:00 p.m. to 3:00 p.m.
                </P>
                <P>
                    <E T="03">Literary Arts</E>
                     (review of applications): This meeting will be closed.
                </P>
                <P>
                    <E T="03">Date and time:</E>
                     August 2, 2023; 1:00 p.m. to 3:00 p.m.
                </P>
                <P>
                    <E T="03">National Heritage Fellowships</E>
                     (review of applications): This meeting will be closed.
                </P>
                <P>
                    <E T="03">Date and time:</E>
                     August 8, 2023; 1:00 p.m. to 3:00 p.m.
                </P>
                <P>
                    <E T="03">Literature Fellowships: Translation</E>
                     (review of applications): This meeting will be closed.
                </P>
                <P>
                    <E T="03">Date and time:</E>
                     August 9, 2023; 1:00 p.m. to 3:00 p.m.
                </P>
                <P>
                    <E T="03">Literature Fellowships: Translation</E>
                     (review of applications): This meeting will be closed.
                </P>
                <P>
                    <E T="03">Date and time:</E>
                     August 10, 2023; 1:00 p.m. to 3:00 p.m.
                </P>
                <P>
                    <E T="03">National Heritage Fellowships</E>
                     (review of applications): This meeting will be closed.
                </P>
                <P>
                    <E T="03">Date and time:</E>
                     August 10, 2023; 1:00 p.m. to 3:00 p.m.
                </P>
                <P>
                    <E T="03">Literature Fellowships: Creative Writing</E>
                     (review of applications): This meeting will be closed.
                </P>
                <P>
                    <E T="03">Date and time:</E>
                     September 13, 2023; 1:00 p.m. to 3:00 p.m.
                </P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>David Travis,</NAME>
                    <TITLE>Specialist, National Endowment for the Arts.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14493 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 7537-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">NUCLEAR REGULATORY COMMISSION</AGENCY>
                <DEPDOC>[NRC-2023-0001]</DEPDOC>
                <SUBJECT>Sunshine Act Meetings</SUBJECT>
                <PREAMHD>
                    <HD SOURCE="HED">TIME AND DATE: </HD>
                    <P>
                        Weeks of July 10, 17, 24, 31, August 7, 14, 2023. The schedule for Commission meetings is subject to change on short notice. The NRC Commission Meeting Schedule can be found on the internet at: 
                        <E T="03">https://www.nrc.gov/public-involve/public-meetings/schedule.html.</E>
                    </P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">PLACE: </HD>
                    <P>
                        The NRC provides reasonable accommodation to individuals with disabilities where appropriate. If you need a reasonable accommodation to participate in these public meetings or need this meeting notice or the transcript or other information from the public meetings in another format (
                        <E T="03">e.g.,</E>
                         braille, large print), please notify Anne Silk, NRC Disability Program Specialist, at 301-287-0745, by videophone at 240-428-3217, or by email at 
                        <E T="03">Anne.Silk@nrc.gov.</E>
                         Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
                    </P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">STATUS: </HD>
                    <P>Closed.</P>
                    <P>
                        Members of the public may request to receive the information in these notices electronically. If you would like to be added to the distribution, please contact the Nuclear Regulatory Commission, Office of the Secretary, Washington, DC 20555, at 301-415-1969, or by email at 
                        <E T="03">Wendy.Moore@nrc.gov.</E>
                    </P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">MATTERS TO BE CONSIDERED:</HD>
                    <P/>
                </PREAMHD>
                <HD SOURCE="HD1">Week of July 10, 2023</HD>
                <HD SOURCE="HD2">Tuesday, July 11, 2023</HD>
                <FP SOURCE="FP-2">10:00 a.m. Executive Branch Briefing on NRC International Activities (Closed Ex. 1 &amp; 9)</FP>
                <HD SOURCE="HD1">Week of July 17, 2023—Tentative</HD>
                <P>There are no meetings scheduled for the week of July 17, 2023.</P>
                <HD SOURCE="HD1">Week of July 24, 2023—Tentative</HD>
                <P>There are no meetings scheduled for the week of July 24, 2023.</P>
                <HD SOURCE="HD1">Week of July 31, 2023—Tentative</HD>
                <P>There are no meetings scheduled for the week of July 31, 2023.</P>
                <HD SOURCE="HD1">Week of August 7, 2023—Tentative</HD>
                <P>There are no meetings scheduled for the week of August 7, 2023.</P>
                <HD SOURCE="HD1">Week of August 14, 2023—Tentative</HD>
                <P>There are no meetings scheduled for the week of August 14, 2023.</P>
                <PREAMHD>
                    <HD SOURCE="HED">CONTACT PERSON FOR MORE INFORMATION: </HD>
                    <P>
                        For more information or to verify the status of meetings, contact Wesley Held at 301-287-3591 or via email at 
                        <E T="03">Wesley.Held@nrc.gov.</E>
                    </P>
                    <P>The NRC is holding the meetings under the authority of the Government in the Sunshine Act, 5 U.S.C. 552b.</P>
                </PREAMHD>
                <SIG>
                    <DATED>Dated: July 6, 2023.</DATED>
                    <P>For the Nuclear Regulatory Commission.</P>
                    <NAME>Monika G. Coflin,</NAME>
                    <TITLE>Technical Coordinator, Office of the Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14583 Filed 7-6-23; 11:15 am]</FRDOC>
            <BILCOD>BILLING CODE 7590-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <PRTPAGE P="43637"/>
                <AGENCY TYPE="S">SECURITIES AND EXCHANGE COMMISSION</AGENCY>
                <DEPDOC>[Release No. 34-97833; File No. SR-NASDAQ-2023-017]</DEPDOC>
                <SUBJECT>Self-Regulatory Organizations; The Nasdaq Stock Market LLC; Notice of Filing of Proposed Rule Change To Modify the Package of Complimentary Services Provided to Certain Eligible Switches and Make Other Changes to IM-5900-7 and IM-5900-7A</SUBJECT>
                <DATE>July 3, 2023.</DATE>
                <P>
                    Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 (“Act”),
                    <SU>1</SU>
                    <FTREF/>
                     and Rule 19b-4 thereunder,
                    <SU>2</SU>
                    <FTREF/>
                     notice is hereby given that on June 21, 2023, The Nasdaq Stock Market LLC (“Nasdaq” or “Exchange”) filed with the Securities and Exchange Commission (“SEC” or “Commission”) the proposed rule change as described in Items I, II, and III, below, which Items have been prepared by the Exchange. The Commission is publishing this notice to solicit comments on the proposed rule change from interested persons.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         15 U.S.C. 78s(b)(1).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         17 CFR 240.19b-4.
                    </P>
                </FTNT>
                <HD SOURCE="HD1">I. Self-Regulatory Organization's Statement of the Terms of Substance of the Proposed Rule Change</HD>
                <P>The Exchange proposes to modify the package of complimentary services provided to certain Eligible Switches, to update the values of complimentary services provided under Listing Rules IM-5900-7 and IM-5900-7A, and to remove certain obsolete provisions.</P>
                <P>
                    The text of the proposed rule change is available on the Exchange's website at 
                    <E T="03">https://listingcenter.nasdaq.com/rulebook/nasdaq/rules,</E>
                     at the principal office of the Exchange, and at the Commission's Public Reference Room.
                </P>
                <HD SOURCE="HD1">II. Self-Regulatory Organization's Statement of the Purpose of, and Statutory Basis for, the Proposed Rule Change</HD>
                <P>In its filing with the Commission, the Exchange included statements concerning the purpose of and basis for the proposed rule change and discussed any comments it received on the proposed rule change. The text of these statements may be examined at the places specified in Item IV below. The Exchange has prepared summaries, set forth in sections A, B, and C below, of the most significant aspects of such statements.</P>
                <HD SOURCE="HD2">A. Self-Regulatory Organization's Statement of the Purpose of, and Statutory Basis for, the Proposed Rule Change</HD>
                <HD SOURCE="HD3">1. Purpose</HD>
                <P>
                    Nasdaq offers complimentary services under Listing Rule IM-5900-7 to Eligible New Listings 
                    <SU>3</SU>
                    <FTREF/>
                     and Eligible Switches 
                    <SU>4</SU>
                    <FTREF/>
                     newly listing on Nasdaq (collectively, “Eligible Companies”).
                    <SU>5</SU>
                    <FTREF/>
                     Nasdaq believes that the complimentary service program offers valuable services to newly listing companies, designed to help ease the transition of becoming a public company or switching markets, and makes listing on Nasdaq more attractive to these companies. The services offered include a whistleblower hotline, investor relations website, disclosure services for earnings or other press releases, webcasting, market analytic tools, environmental, social and governance (“ESG”) services, and may include market advisory tools such as stock surveillance (collectively the “Service Package”).
                    <SU>6</SU>
                    <FTREF/>
                     Nasdaq is filing this proposed rule change to modify the ESG services available to Eligible Switches with a market capitalization of $5 billion or more. Nasdaq also is proposing to update the values of the complimentary services provided under Rules IM-5900-7 and IM-5900-7A and to remove obsolete provisions from IM-5900-7A.
                </P>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         IM-5900-7 defines an Eligible New Listing as “a Company listing on the Global or Global Select Market in connection with: (i) an initial public offering in the United States, including American Depository Receipts (other than a Company listed under IM-5101-2), (ii) upon emerging from bankruptcy, (iii) in connection with a spin-off or carve-out from another Company, (iv) in connection with a Direct Listing as defined in IM-5315-1 (including the listing of American Depository Receipts), or (v) in conjunction with a business combination that satisfies the conditions in IM-5101-2(b).”
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         IM-5900-7 defines an Eligible Switch as “a Company: (i) (other than a Company listed under IM-5101-2) switching its listing from the New York Stock Exchange to the Global or Global Select Markets, or (ii) that has switched its listing from the New York Stock Exchange and listed on Nasdaq under IM-5101-2 after the Company publicly announced that it entered into a binding agreement for a business combination and that subsequently satisfies the conditions in IM-5101-2(b) and lists on the Global or Global Select Market in conjunction with that business combination.”
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         IM-5900-7A describes the Service Package available to companies that listed before March 12, 2021, the effective date of SR-Nasdaq-2021-002. 
                        <E T="03">See</E>
                         Securities Exchange Act Release No. 91318 (March 12, 2021), 86 FR 14774 (March 18, 2021) (modifying the package of complimentary services provided to eligible companies and memorializing as IM-5900-7A the services offered to eligible companies that listed before the effective date of the change).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         In addition, all companies listed on Nasdaq receive other standard services from Nasdaq, including Nasdaq Online and the Market Intelligence Desk.
                    </P>
                </FTNT>
                <P>
                    In 2021, Nasdaq first included ESG services in the Service Package for all Eligible Companies.
                    <SU>7</SU>
                    <FTREF/>
                     Specifically, all Eligible Companies receive access to a Core ESG software solution,
                    <SU>8</SU>
                    <FTREF/>
                     which simplifies the gathering, tracking, approving, managing and disclosing of ESG data.
                    <SU>9</SU>
                    <FTREF/>
                     Based on Nasdaq's experience since first including the ESG services, Nasdaq has become aware that as companies mature and become larger, they no longer rely on services like the Core ESG software solution, but instead need more sophisticated programs with additional metrics. Accordingly, the Core ESG software solution is not valuable to these larger seasoned companies and Nasdaq proposes to instead offer Eligible Switches with a market capitalization of $5 billion or more an advanced software solution, which will enable the company to select additional metrics to use in the solution (“Advanced ESG Software Solution”).
                    <SU>10</SU>
                    <FTREF/>
                     Specifically, the Advanced ESG Software Solution allows the company to track approximately ten times as many standard performance indicators and also allows the company to select and track additional custom performance indicators. In addition, each of these companies is at a different phase in implementing an ESG strategy and therefore Nasdaq will also offer these companies $60,000 worth of bespoke ESG consulting services per year designed to aid the company in identifying and incorporating ESG metrics into communications, with customized analysis and recommendations (“ESG Advisory Services”). Each of these services would be available to Eligible Switches with a market capitalization of $5 billion or more for the same four-year term 
                    <PRTPAGE P="43638"/>
                    provided for other services under IM-5900-7. While Nasdaq believes that these services will be valuable to these companies, and will provide information important for communicating with their investors and other stakeholders, no company is required to use these services as a condition of listing. As is the case with other complimentary services, at the end of the package term, companies may choose to renew these services or discontinue them.
                </P>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         Securities Exchange Act Release No. 91318, 
                        <E T="03">supra.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         This service is currently called “ESG Core” in IM-5900-7. Nasdaq is proposing to make a technical change to rename the service to “Core ESG Software Solution” in the proposed rule filing. No other changes are being proposed to the service.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         Eligible Companies that have a market capitalization of $750 million or more also receive access to an ESG Education &amp; Sector Benchmarking Service to help them understand the ESG landscape. No change is proposed with respect to this service.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         This service has a retail value of approximately $52,500 per year. In addition, one-time development fees of up to $21,500 to establish the services in the first year will be waived. The one-time development fees reflect the high level of customization available in this product. The total one-time development fees that are waived for Eligible Companies that receive this service, as reflected in proposed Rule IM-5900-7(d)(3)(A) is approximately $26,500, which also includes approximately $5,000 to establish the investor relations website.
                    </P>
                </FTNT>
                <P>The proposed new services will be available to Eligible Switches with a market capitalization of $5 billion or more that list after the date of approval of the proposed rule change. Nasdaq proposes to add a new paragraph to IM-5900-7(d)(3) to memorialize the services provided to an Eligible Switch with a market capitalization of $5 billion or more that listed before that date.</P>
                <P>
                    Nasdaq also proposes to update the values of the services contained in Listing Rules IM-5900-7 and IM-5900-7A to their current values.
                    <SU>11</SU>
                    <FTREF/>
                     Depending on a company's market capitalization and whether it is an Eligible New Listing or an Eligible Switch, the total revised value of the services provided to Eligible Companies (including the waiver of one-time fees) ranges from $364,800 to $1,533,000.
                    <SU>12</SU>
                    <FTREF/>
                     Finally, Nasdaq proposes to simplify Rule IM-5900-7A by cross-referencing the description of services and their values that also appears in IM-5900-7 and by deleting the descriptions of offerings that are no longer available to any companies.
                    <SU>13</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         These services are offered through Nasdaq Corporate Solutions, LLC, an affiliate of Nasdaq, or a third-party provider selected by Nasdaq.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         The exact values are set forth in proposed IM-5900-7 and IM-5900-7A. In describing the total value of the services for companies that can select more than one market advisory tool, Nasdaq presumes that a company would use stock surveillance, which has an approximate retail value of $56,500, and global targeting, which has an approximate retail value of $48,000. Companies could, of course, select different combinations of the three services offered, but these other combinations would have lower total approximate retail values.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         The services described in IM-5900-7A(c) and (d)(1) were provided for a term of two years to companies that listed before March 12, 2021. In addition, no company still receives the services described in IM-5900-7A(g), which applies only to companies that listed before April 23, 2018.
                    </P>
                </FTNT>
                <P>Nasdaq notes that no other company will be required to pay higher fees as a result of the proposed amendments and represents that providing these services will have no impact on the resources available for its regulatory programs.</P>
                <HD SOURCE="HD3">2. Statutory Basis</HD>
                <P>
                    The Exchange believes that its proposal is consistent with Section 6(b) of the Act,
                    <SU>14</SU>
                    <FTREF/>
                     in general, and furthers the objectives of Section 6(b)(5) of the Act,
                    <SU>15</SU>
                    <FTREF/>
                     in particular, in that it is designed to promote just and equitable principles of trade, to remove impediments to and perfect the mechanism of a free and open market and a national market system, and, in general to protect investors and the public interest. It is also consistent with this provision because it is not designed to permit unfair discrimination between issuers. Nasdaq also believes that the proposed rule change is consistent with the provisions of Sections 6(b)(4) 
                    <SU>16</SU>
                    <FTREF/>
                     and 6(b)(8),
                    <SU>17</SU>
                    <FTREF/>
                     in that the proposal is designed, among other things, to provide for the equitable allocation of reasonable dues, fees, and other charges among Exchange members and issuers and other persons using its facilities and that the rules of the Exchange do not impose any burden on competition not necessary or appropriate in furtherance of the purposes of the Exchange Act.
                </P>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         15 U.S.C. 78f(b).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         15 U.S.C. 78f(b)(5).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         15 U.S.C. 78f(4).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         15 U.S.C. 78f(8).
                    </P>
                </FTNT>
                <P>
                    Nasdaq faces competition in the market for listing services,
                    <SU>18</SU>
                    <FTREF/>
                     and competes, in part, by offering valuable services to companies. Nasdaq believes that it is reasonable to offer complimentary services to attract and retain listings as part of this competition. All similarly situated companies are eligible for the same package of services. The proposed Advanced ESG Software Solution and ESG Advisory Services will help eligible companies communicate with their shareholders and other stakeholders by helping collect, store and disclose ESG data chosen by the company and guiding messaging and reporting of that information. The services will also help assess the company's current ESG program, identify ESG risk and opportunities, and establish strategies for risk management and opportunity capture. While the proposed services will be available only to Eligible Switches with a market capitalization of $5 billion or more, Nasdaq does not believe that it is unfairly discriminatory to offer different services based on a company's market capitalization given that larger companies generally will need more and different ESG services, and that those issuers will likely bring greater future value to Nasdaq than will other issuers by switching to its market.
                    <SU>19</SU>
                    <FTREF/>
                     Moreover, those companies would more likely forego ESG services offered by their current exchange when switching their listing to Nasdaq, which smaller companies would not.
                    <SU>20</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         The Justice Department has noted the intense competitive environment for exchange listings. 
                        <E T="03">See</E>
                         “NASDAQ OMX Group Inc. and Intercontinental Exchange Inc. Abandon Their Proposed Acquisition Of NYSE Euronext After Justice Department Threatens Lawsuit” (May 16, 2011), available at 
                        <E T="03">http://www.justice.gov/atr/public/press_releases/2011/271214.htm.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         
                        <E T="03">See</E>
                         Securities Exchange Act Release No. 65963 (December 15, 2011), 76 FR 79262 at 79265 (December 21, 2011).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         
                        <E T="03">See</E>
                         Securities Exchange Act Release No. 94222 (February 10, 2022), 87 FR 8886 (February 16, 2022) (approving changes to NYSE Listed Company Manual Section 907.00, including the offer of ESG tools to currently listed companies with 270 million or more total shares of common stock outstanding, but not to companies with fewer shares outstanding).
                    </P>
                </FTNT>
                <P>
                    The Commission has previously indicated pursuant to Section 19(b) of the Exchange Act 
                    <SU>21</SU>
                    <FTREF/>
                     that updating the values of the services within the rule is necessary,
                    <SU>22</SU>
                    <FTREF/>
                     and Nasdaq does not believe this update has an effect on the allocation of fees nor does it permit unfair discrimination, as issuers will continue to receive the same services, except for the additional services described above. Further, this change to update the values will enhance the transparency of Nasdaq's rules and the value of the services it offers companies, thus promoting just and equitable principles of trade. As such, this aspect of the proposed rule change is consistent with the requirements of Section 6(b)(4) and (5) of the Exchange Act.
                </P>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         15 U.S.C. 78s(b).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         
                        <E T="03">See</E>
                         Exchange Act Release No. 72669 (July 24, 2014), 79 FR 44234 (July 30, 2014) (SR-NASDAQ-2014-058) (footnote 39 and accompanying text: “We would expect Nasdaq, consistent with Section 19(b) of the Exchange Act, to periodically update the retail values of services offered should they change. This will help to provide transparency to listed companies on the value of the free services they receive and the actual costs associated with listing on Nasdaq.”).
                    </P>
                </FTNT>
                <P>Finally, Nasdaq notes that the proposed change to include the effective date of IM-5900-7A, the changes to cross reference duplicate product descriptions and values, and the changes to eliminate obsolete parts of the rules, are consistent with Section 6(b)(5) of the Exchange Act because they will simplify and clarify the rule and remove duplication without making any substantive change.</P>
                <P>
                    Nasdaq represents, and this proposed rule change will help ensure, that individual listed companies are not given specially negotiated packages of products or services to list, or remain listed, which the Commission has previously stated would raise unfair discrimination issues under the Exchange Act.
                    <SU>23</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>23</SU>
                         
                        <E T="03">See</E>
                         Exchange Act Release No. 79366, 81 FR 85663 at 85665 (citing Securities Exchange Act Release No. 65127 (August 12, 2011), 76 FR 51449, 51452 (August 18, 2011) (approving NYSE-2011-20)).
                    </P>
                </FTNT>
                <PRTPAGE P="43639"/>
                <HD SOURCE="HD2">B. Self-Regulatory Organization's Statement on Burden on Competition</HD>
                <P>The Exchange does not believe that the proposed rule change will impose any burden on competition not necessary or appropriate in furtherance of the purposes of the Act. As noted above, Nasdaq faces competition in the market for listing services, and competes, in part, by offering valuable services to companies. Nasdaq believes that it is reasonable to offer complimentary services to attract and retain listings as part of this competition. The proposed rule changes reflect that competition, but do not impose any burden on the competition with other exchanges. Other exchanges can also offer similar services to companies, thereby increasing competition to the benefit of those companies and their shareholders.</P>
                <P>Further, all similarly situated companies are eligible for the same package of services. While the proposed services will be available only to Eligible Switches with a market capitalization of $5 billion or more, Nasdaq does not believe that it is unfairly discriminatory to offer different services based on a company's market capitalization given that larger companies generally will need more and different ESG services, and that those issuers will likely bring greater future value to Nasdaq by switching to its market than would other issuers.</P>
                <P>Accordingly, Nasdaq does not believe the proposed rule change will impose any burden on competition that is not necessary or appropriate in furtherance of the purposes of the Exchange Act, as amended.</P>
                <HD SOURCE="HD2">C. Self-Regulatory Organization's Statement on Comments on the Proposed Rule Change Received From Members, Participants, or Others</HD>
                <P>No written comments were either solicited or received.</P>
                <HD SOURCE="HD1">III. Date of Effectiveness of the Proposed Rule Change and Timing for Commission Action</HD>
                <P>
                    Within 45 days of the date of publication of this notice in the 
                    <E T="04">Federal Register</E>
                     or within such longer period (i) as the Commission may designate up to 90 days of such date if it finds such longer period to be appropriate and publishes its reasons for so finding or (ii) as to which the Exchange consents, the Commission shall: (a) by order approve or disapprove such proposed rule change, or (b) institute proceedings to determine whether the proposed rule change should be disapproved.
                </P>
                <HD SOURCE="HD1">IV. Solicitation of Comments</HD>
                <P>Interested persons are invited to submit written data, views and arguments concerning the foregoing, including whether the proposed rule change is consistent with the Act. Comments may be submitted by any of the following methods:</P>
                <HD SOURCE="HD2">Electronic Comments</HD>
                <P>
                    • Use the Commission's internet comment form (
                    <E T="03">https://www.sec.gov/rules/sro.shtml</E>
                    ); or
                </P>
                <P>
                    • Send an email to 
                    <E T="03">rule-comments@sec.gov.</E>
                     Please include file number SR-NASDAQ-2023-017 on the subject line.
                </P>
                <HD SOURCE="HD2">Paper Comments</HD>
                <P>• Send paper comments in triplicate to Secretary, Securities and Exchange Commission, 100 F Street NE, Washington, DC 20549-1090.</P>
                <FP>
                    All submissions should refer to file number SR-NASDAQ-2023-017. This file number should be included on the subject line if email is used. To help the Commission process and review your comments more efficiently, please use only one method. The Commission will post all comments on the Commission's internet website (
                    <E T="03">https://www.sec.gov/rules/sro.shtml</E>
                    ). Copies of the submission, all subsequent amendments, all written statements with respect to the proposed rule change that are filed with the Commission, and all written communications relating to the proposed rule change between the Commission and any person, other than those that may be withheld from the public in accordance with the provisions of 5 U.S.C. 552, will be available for website viewing and printing in the Commission's Public Reference Room, 100 F Street NE, Washington, DC 20549, on official business days between the hours of 10 a.m. and 3 p.m. Copies of the filing also will be available for inspection and copying at the principal office of the Exchange. Do not include personal identifiable information in submissions; you should submit only information that you wish to make available publicly. We may redact in part or withhold entirely from publication submitted material that is obscene or subject to copyright protection. All submissions should refer to file number SR-NASDAQ-2023-017 and should be submitted on or before July 31, 2023.
                </FP>
                <SIG>
                    <P>
                        For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.
                        <SU>24</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>24</SU>
                             17 CFR 200.30-3(a)(12).
                        </P>
                    </FTNT>
                    <NAME>Vanessa A. Countryman,</NAME>
                    <TITLE>Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14443 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 8011-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">SECURITIES AND EXCHANGE COMMISSION</AGENCY>
                <SUBJECT>Sunshine Act Meetings</SUBJECT>
                <PREAMHD>
                    <HD SOURCE="HED">TIME AND DATE:</HD>
                    <P>2:00 p.m. on Thursday, July 13, 2023.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">PLACE:</HD>
                    <P>The meeting will be held via remote means and/or at the Commission's headquarters, 100 F Street NE, Washington, DC 20549.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">STATUS:</HD>
                    <P>This meeting will be closed to the public.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">MATTERS TO BE CONSIDERED:</HD>
                    <P>Commissioners, Counsel to the Commissioners, the Secretary to the Commission, and recording secretaries will attend the closed meeting. Certain staff members who have an interest in the matters also may be present.</P>
                    <P>
                        In the event that the time, date, or location of this meeting changes, an announcement of the change, along with the new time, date, and/or place of the meeting will be posted on the Commission's website at 
                        <E T="03">https://www.sec.gov.</E>
                    </P>
                    <P>The General Counsel of the Commission, or her designee, has certified that, in her opinion, one or more of the exemptions set forth in 5 U.S.C. 552b(c)(3), (5), (6), (7), (8), 9(B) and (10) and 17 CFR 200.402(a)(3), (a)(5), (a)(6), (a)(7), (a)(8), (a)(9)(ii) and (a)(10), permit consideration of the scheduled matters at the closed meeting.</P>
                    <P>The subject matter of the closed meeting will consist of the following topics:</P>
                </PREAMHD>
                <EXTRACT>
                    <P>Institution and settlement of injunctive actions;</P>
                    <P>Institution and settlement of administrative proceedings;</P>
                    <P>Resolution of litigation claims; and</P>
                    <P>Other matters relating to examinations and enforcement proceedings.</P>
                </EXTRACT>
                <P>At times, changes in Commission priorities require alterations in the scheduling of meeting agenda items that may consist of adjudicatory, examination, litigation, or regulatory matters.</P>
                <PREAMHD>
                    <HD SOURCE="HED">CONTACT PERSON FOR MORE INFORMATION:</HD>
                    <P>For further information; please contact Vanessa A. Countryman from the Office of the Secretary at (202) 551-5400.</P>
                    <P>
                        <E T="03">Authority:</E>
                         5 U.S.C. 552b.
                    </P>
                </PREAMHD>
                <SIG>
                    <PRTPAGE P="43640"/>
                    <DATED>Dated: July 6, 2023.</DATED>
                    <NAME>Sherry R. Haywood,</NAME>
                    <TITLE>Assistant Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14636 Filed 7-6-23; 4:15 pm]</FRDOC>
            <BILCOD>BILLING CODE 8011-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">SECURITIES AND EXCHANGE COMMISSION</AGENCY>
                <DEPDOC>[Release No. 34-97832; File No. SR-OCC-2023-003]</DEPDOC>
                <SUBJECT>Self-Regulatory Organizations; Options Clearing Corporation; Order Instituting Proceedings To Determine Whether To Approve or Disapprove a Proposed Rule Change, as Modified by Partial Amendment No. 1, Concerning Clearing Member Cybersecurity Obligations</SUBJECT>
                <DATE>July 3, 2023.</DATE>
                <HD SOURCE="HD1">I. Introduction</HD>
                <P>
                    On March 21, 2023, the Options Clearing Corporation (“OCC”) filed with the Securities and Exchange Commission (“Commission”) the proposed rule change SR-OCC-2023-003 pursuant to Section 19(b) of the Securities Exchange Act of 1934 (“Exchange Act”) 
                    <SU>1</SU>
                    <FTREF/>
                     and Rule 19b-4 
                    <SU>2</SU>
                    <FTREF/>
                     thereunder to amend certain provisions in OCC's Rules relating to each Clearing Member's obligation to address a ”Security Incident” (
                    <E T="03">i.e.,</E>
                     the occurrence of a cyber-related disruption or intrusion) of that Clearing Member.
                    <SU>3</SU>
                    <FTREF/>
                     The proposed rule change was published for public comment in the 
                    <E T="04">Federal Register</E>
                     on April 5, 2023.
                    <SU>4</SU>
                    <FTREF/>
                     The Commission has received comments regarding the proposed rule change.
                    <SU>5</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         15 U.S.C. 78s(b)(1).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         17 CFR 240.19b-4.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>3</SU>
                         
                        <E T="03">See</E>
                         Notice of Filing 
                        <E T="03">infra</E>
                         note 4, at 88 FR at 20195.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>4</SU>
                         Securities Exchange Act Release No. 97225 (Mar. 30, 2023), 88 FR 20195 (Apr. 5, 2023) (File No. SR-OCC-2023-003) (“Notice of Filing”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>5</SU>
                         Comments on the proposed rule change are available at 
                        <E T="03">https://www.sec.gov/comments/sr-occ-2023-003/srocc2023003.htm.</E>
                    </P>
                </FTNT>
                <P>
                    On May 18, 2023, pursuant to Section 19(b)(2) of the Exchange Act,
                    <SU>6</SU>
                    <FTREF/>
                     the Commission designated a longer period within which to approve, disapprove, or institute proceedings to determine whether to approve or disapprove the proposed rule change.
                    <SU>7</SU>
                    <FTREF/>
                     On May 24, 2023, OCC filed Partial Amendment No. 1 to the proposed rule change.
                    <SU>8</SU>
                    <FTREF/>
                     This order institutes proceedings, pursuant to Section 19(b)(2)(B) of the Exchange Act,
                    <SU>9</SU>
                    <FTREF/>
                     to determine whether to approve or disapprove the proposed rule change, as modified by Partial Amendment No. 1 (hereinafter defined as “Proposed Rule Change”).
                </P>
                <FTNT>
                    <P>
                        <SU>6</SU>
                         15 U.S.C. 78s(b)(2).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>7</SU>
                         Securities Exchange Act Release No. 97525 (May 18, 2023), 88 FR 33655 (May 24, 2023) (File No. SR-OCC-2023-003).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>8</SU>
                         Securities Exchange Act Release No. 97602 (May 26, 2023), 88 FR 36351 (Jun. 2, 2023) (File No. SR-OCC-2023-003) (“Partial Amendment No. 1”).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>9</SU>
                         15 U.S.C. 78s(b)(2)(B).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">II. Summary of the Proposed Rule Change</HD>
                <P>
                    Currently, the only OCC Rule governing a Clearing Member's cybersecurity obligations to OCC is Rule 219, titled “Cybersecurity Confirmation.” It requires Clearing Members and applicants for clearing membership to submit to OCC a form called the “Cybersecurity Confirmation” at least every two years or as part of its application materials, respectively. Through the form, Clearing Members and applicants confirm that they maintain a comprehensive cybersecurity program that meets certain criteria (
                    <E T="03">e.g.,</E>
                     it is approved by senior management, reviewed and updated periodically, protects the segment of the Clearing Member's or applicant's system that interacts with OCC, establishes a process for the Clearing Member to remediate cyber issues, etc.). However, current Rule 219 does not require Clearing Members to notify OCC if they experience a cybersecurity incident that could impact OCC or otherwise address OCC's processes, or the Clearing Member's obligations with respect to OCC, in the event a Clearing Member experiences a cybersecurity incident.
                </P>
                <P>The substantive changes in the proposed rule change would be the addition of two new subsections—(d) and (e)—titled “Occurrence of a Security Incident” and “Procedures for Connecting Following a Security Incident,” respectively. New subsection (d) would require a Clearing Member that experiences a Security Incident (as defined in the Rule) to immediately notify OCC of the Security Incident. It would also specify that OCC may take actions it deems reasonably necessary to mitigate any effects on its operations following a Security Incident. New subsection (e) would require a Clearing Member wishing to reconnect its systems to OCC's systems to provide OCC with a new form, titled “Reconnection Attestation,” that describes the Security Incident and attests to certain security requirements, as well as an associated checklist, titled “Reconnection Checklist,” that describes the affected Clearing Member's remediation efforts and other key information.</P>
                <P>
                    OCC submitted Partial Amendment No. 1 in response to comments received on the scope of the proposed definition of Security Incident and potential conflicts with other existing and proposed Commission rules.
                    <SU>10</SU>
                    <FTREF/>
                     OCC also submitted Partial Amendment No. 1 in response to comments about (i) the requirement that Clearing Members provide immediate notice of a Security Incident to OCC, (ii) the standards OCC would apply when determining whether to disconnect a Clearing Member from OCC, and (iii) the process for reconnection following a Security Incident that results in disconnection.
                    <SU>11</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>10</SU>
                         
                        <E T="03">See</E>
                         Partial Amendment No. 1, 
                        <E T="03">supra</E>
                         note 8.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>11</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">III. Proceedings To Determine Whether To Approve or Disapprove the Proposed Rule Change and Grounds for Disapproval Under Consideration</HD>
                <P>
                    The Commission is instituting proceedings pursuant to Section 19(b)(2)(B) of the Exchange Act 
                    <SU>12</SU>
                    <FTREF/>
                     to determine whether the Proposed Rule Change should be approved or disapproved. Institution of proceedings is appropriate at this time in view of the legal and policy issues raised by the Proposed Rule Change. Institution of proceedings does not indicate that the Commission has reached any conclusions with respect to any of the issues involved. Rather, the Commission seeks and encourages interested persons to comment on the Proposed Rule Change, providing the Commission with arguments to support the Commission's analysis as to whether to approve or disapprove the Proposed Rule Change.
                </P>
                <FTNT>
                    <P>
                        <SU>12</SU>
                         15 U.S.C. 78s(b)(2)(B).
                    </P>
                </FTNT>
                <P>
                    Pursuant to Section 19(b)(2)(B) of the Exchange Act,
                    <SU>13</SU>
                    <FTREF/>
                     the Commission is providing notice of the grounds for disapproval under consideration. The Commission is instituting proceedings to allow for additional analysis of, and input from commenters with respect to, the Proposed Rule Change's consistency with Section 17A of the Exchange Act,
                    <SU>14</SU>
                    <FTREF/>
                     and the rules thereunder, including the following provisions:
                </P>
                <FTNT>
                    <P>
                        <SU>13</SU>
                         
                        <E T="03">Id.</E>
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>14</SU>
                         15 U.S.C. 78q-1.
                    </P>
                </FTNT>
                <P>
                    • Section 17A(b)(3)(F) of the Exchange Act,
                    <SU>15</SU>
                    <FTREF/>
                     which requires, among other things, that the rules of a clearing agency are designed to promote the prompt and accurate clearance and settlement of securities transactions and derivative agreements, contracts, and transactions; and to assure the safeguarding of securities and funds which are in the custody or control of the clearing agency or for which it is responsible; and
                </P>
                <FTNT>
                    <P>
                        <SU>15</SU>
                         15 U.S.C. 78q-1(b)(3)(F).
                    </P>
                </FTNT>
                <PRTPAGE P="43641"/>
                <P>
                    • Rule 17Ad-22(e)(17)(i) of the Exchange Act,
                    <SU>16</SU>
                    <FTREF/>
                     which requires that a covered clearing agency establish, implement, maintain and enforce written policies and procedures reasonably designed to manage the covered clearing agency's operational risks by identifying the plausible sources of operational risk, both internal and external, and mitigating their impact through the use of appropriate systems, policies, procedures, and controls.
                </P>
                <FTNT>
                    <P>
                        <SU>16</SU>
                         17 CFR 240.17Ad-22(e)(17)(i).
                    </P>
                </FTNT>
                <HD SOURCE="HD1">IV. Procedure: Request for Written Comments</HD>
                <P>
                    The Commission requests that interested persons provide written submissions of their views, data, and arguments with respect to the issues identified above, as well as any other concerns they may have with the Proposed Rule Change. In particular, the Commission invites the written views of interested persons concerning whether the Proposed Rule Change is consistent with Section 17A(b)(3)(F) 
                    <SU>17</SU>
                    <FTREF/>
                     and Rule 17Ad-22(e)(17)(i) 
                    <SU>18</SU>
                    <FTREF/>
                     of the Exchange Act, or any other provision of the Exchange Act, or the rules and regulations thereunder. Although there do not appear to be any issues relevant to approval or disapproval that would be facilitated by an oral presentation of views, data, and arguments, the Commission will consider, pursuant to Rule 19b-4(g) under the Exchange Act,
                    <SU>19</SU>
                    <FTREF/>
                     any request for an opportunity to make an oral presentation.
                    <SU>20</SU>
                    <FTREF/>
                </P>
                <FTNT>
                    <P>
                        <SU>17</SU>
                         15 U.S.C. 78q-1(b)(3)(F).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>18</SU>
                         17 CFR 240.17Ad-22(e)(17)(i).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>19</SU>
                         17 CFR 240.19b-4(g).
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>20</SU>
                         Section 19(b)(2) of the Exchange Act grants to the Commission flexibility to determine what type of proceeding—either oral or notice and opportunity for written comments—is appropriate for consideration of a particular proposal by a self-regulatory organization. 
                        <E T="03">See</E>
                         Securities Act Amendments of 1975, Senate Comm. on Banking, Housing &amp; Urban Affairs, S. Rep. No. 75, 94th Cong., 1st Sess. 30 (1975).
                    </P>
                </FTNT>
                <P>Interested persons are invited to submit written data, views, and arguments regarding whether the Proposed Rule Change should be approved or disapproved by July 25, 2023. Any person who wishes to file a rebuttal to any other person's submission must file that rebuttal by August 8, 2023.</P>
                <P>
                    The Commission asks that commenters address the sufficiency of OCC's statements in support of the Proposed Rule Change, which are set forth in the Notice of Filing 
                    <SU>21</SU>
                    <FTREF/>
                     and the Partial Amendment No. 1,
                    <SU>22</SU>
                    <FTREF/>
                     in addition to any other comments they may wish to submit about the Proposed Rule Change.
                </P>
                <FTNT>
                    <P>
                        <SU>21</SU>
                         
                        <E T="03">See</E>
                         Notice of Filing, 
                        <E T="03">supra</E>
                         note 4.
                    </P>
                </FTNT>
                <FTNT>
                    <P>
                        <SU>22</SU>
                         
                        <E T="03">See</E>
                         Partial Amendment No. 1, 
                        <E T="03">supra</E>
                         note 8.
                    </P>
                </FTNT>
                <P>Comments may be submitted by any of the following methods:</P>
                <HD SOURCE="HD2">Electronic Comments</HD>
                <P>• Use the Commission's internet comment form</P>
                <P>
                    (
                    <E T="03">http://www.sec.gov/rules/sro.shtml</E>
                    ); or
                </P>
                <P>
                    • Send an email to 
                    <E T="03">rule-comments@sec.gov.</E>
                     Please include file number SR-OCC-2023-003 on the subject line.
                </P>
                <HD SOURCE="HD2">Paper Comments</HD>
                <P>• Send paper comments in triplicate to Secretary, Securities and Exchange Commission, 100 F Street NE, Washington, DC 20549-1090.</P>
                <FP>
                    All submissions should refer to file number SR-OCC-2023-003. This file number should be included on the subject line if email is used. To help the Commission process and review your comments more efficiently, please use only one method. The Commission will post all comments on the Commission's internet website (
                    <E T="03">https://www.sec.gov/rules/sro.shtml</E>
                    ). Copies of the submission, all subsequent amendments, all written statements with respect to the Proposed Rule Change that are filed with the Commission, and all written communications relating to the Proposed Rule Change between the Commission and any person, other than those that may be withheld from the public in accordance with the provisions of 5 U.S.C. 552, will be available for website viewing and printing in the Commission's Public Reference Room, 100 F Street NE, Washington, DC 20549 on official business days between the hours of 10 a.m. and 3 p.m. Copies of such filing also will be available for inspection and copying at the principal office of OCC and on OCC's website at 
                    <E T="03">https://www.theocc.com/Company-Information/Documents-and-Archives/By-Laws-and-Rules.</E>
                </FP>
                <P>Do not include personal identifiable information in submissions; you should submit only information that you wish to make available publicly. We may redact in part or withhold entirely from publication submitted material that is obscene or subject to copyright protection.</P>
                <P>All submissions should refer to File Number SR-OCC-2023-003 and should be submitted on or before July 25, 2023. Rebuttal comments should be submitted by August 8, 2023.</P>
                <SIG>
                    <P>
                        For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.
                        <SU>23</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>23</SU>
                             17 CFR 200.30-3(a)(31).
                        </P>
                    </FTNT>
                    <NAME>Vanessa A. Countryman,</NAME>
                    <TITLE>Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14441 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 8011-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">SECURITIES AND EXCHANGE COMMISSION</AGENCY>
                <SUBJECT>Sunshine Act Meeting</SUBJECT>
                <PREAMHD>
                    <HD SOURCE="HED">TIME AND DATE: </HD>
                    <P>Notice is hereby given, pursuant to the provisions of the Government in the Sunshine Act, Public Law 94-409, that the Securities and Exchange Commission will hold an Open Meeting on Wednesday, July 12, 2023 at 10:00 a.m.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">PLACE: </HD>
                    <P>
                        The meeting will be webcast on the Commission's website at 
                        <E T="03">www.sec.gov.</E>
                    </P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">STATUS: </HD>
                    <P>
                        This meeting will begin at 10:00 a.m. (ET) and will be open to the public via webcast on the Commission's website at 
                        <E T="03">www.sec.gov.</E>
                    </P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">MATTERS TO BE CONSIDERED:</HD>
                    <P/>
                    <P>1. The Commission will consider whether to adopt amendments to certain rules that govern money market funds and related form amendments. The Commission will also consider whether to adopt amendments to Form PF to revise reporting requirements for large liquidity fund advisers, as well as certain technical amendments to other forms.</P>
                    <P>2. The Commission will consider whether to propose amendments to the broker-dealer customer protection rule to require certain broker-dealers to compute their customer and broker-dealer reserve deposit requirements daily rather than weekly. The Commission also will consider whether to seek comment on whether similar daily reserve computation requirements should apply to broker-dealers and security-based swap dealers with respect to their security-based swap customers.</P>
                </PREAMHD>
                <PREAMHD>
                    <HD SOURCE="HED">CONTACT PERSON FOR MORE INFORMATION: </HD>
                    <P>For further information and to ascertain what, if any, matters have been added, deleted or postponed, please contact Vanessa A. Countryman from the Office of the Secretary at (202) 551-5400.</P>
                    <P>
                        <E T="03">Authority:</E>
                         5 U.S.C. 552b.
                    </P>
                </PREAMHD>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Sherry R. Haywood,</NAME>
                    <TITLE>Assistant Secretary.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14559 Filed 7-6-23; 11:15 am]</FRDOC>
            <BILCOD>BILLING CODE 8011-01-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <PRTPAGE P="43642"/>
                <AGENCY TYPE="N">SOCIAL SECURITY ADMINISTRATION</AGENCY>
                <DEPDOC>[Docket No: SSA-2020-0025]</DEPDOC>
                <SUBJECT>Agency Information Collection Activities: Proposed Request and Comment Request</SUBJECT>
                <P>The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes an extension of an OMB-approved information collection.</P>
                <P>SSA is soliciting comments on the accuracy of the agency's burden estimate; the need for the information; its practical utility; ways to enhance its quality, utility, and clarity; and ways to minimize burden on respondents, including the use of automated collection techniques or other forms of information technology. Mail, email, or fax your comments and recommendations on the information collection(s) to the OMB Desk Officer and SSA Reports Clearance Officer at the following addresses or fax numbers.</P>
                <P>
                    (OMB) Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 202-395-6974, Email address: 
                    <E T="03">OIRA_Submission@omb.eop.gov.</E>
                     Submit your comments online referencing Docket ID Number [SSA-2023-0025].
                </P>
                <P>
                    (SSA) Social Security Administration, OLCA, Attn: Reports Clearance Director, Mail Stop 3253 Altmeyer, 6401 Security Blvd., Baltimore, MD 21235, Fax: 833-410-1631, Email address: 
                    <E T="03">OR.Reports.Clearance@ssa.gov.</E>
                </P>
                <P>
                    Or you may submit your comments online through 
                    <E T="03">https://www.reginfo.gov/public/do/PRAMain,</E>
                     referencing Docket ID Number [SSA-2020-0025].
                </P>
                <P>I. The information collection below is pending at SSA. SSA will submit it to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than September 8, 2023. Individuals can obtain copies of the collection instruments by writing to the above email address.</P>
                <P>Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery—0960-0788. SSA, as part of our continuing effort to reduce paperwork and respondent burden, invites the general public to comment on the “Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery” for approval under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501). We developed this collection as part of a Federal Government-wide effort to streamline the process for seeking feedback from the public on service delivery.</P>
                <P>Under the auspices of Executive Order 12862, Setting Customer Service Standards, SSA conducts multiple satisfaction surveys each year. This proposed information collection activity provides a means to garner qualitative customer and stakeholder feedback in an efficient, timely manner, in accordance with SSA's commitment to improving service delivery. By qualitative feedback we mean information that provides useful insights on perceptions and opinions (not statistical surveys) that yield quantitative results that can be generalized to the population of study. This feedback will provide insights into customer or stakeholder perceptions, experiences, and expectations; provide an early warning of issues with service; or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative, and actionable communications between SSA and our customers and stakeholders.</P>
                <P>The solicitation of feedback will target areas such as: timeliness; appropriateness; accuracy of information; courtesy; efficiency of service delivery; and resolution of issues with service delivery. We will assess responses to plan and inform efforts to improve or maintain the quality of service offered to the public. If we do not collect this information, we would not have access to vital feedback from customers and stakeholders on SSA's services.</P>
                <P>We will only submit a collection for approval under this generic clearance if it meets the following conditions: (1) the collections are voluntary; (2) the collections are low-burden for respondents (based on considerations of total burden hours, total number of respondents, or burden-hours per respondent) and are low-cost for both the respondents and the Federal Government; (3) the collections are non-controversial and do not raise issues of concern to other Federal agencies; (4) the collections elicit opinions from respondents who previously had experience with Social Security programs or services, or are likely to do so in the near future; (5) we collect personally identifiable information (PII) only to the extent necessary and we do not retain it; (6) we will use information gathered only internally for general service improvement and program management purposes and we will not release it outside of the agency; (7) we will not use information we gather for the purpose of substantially informing influential policy decisions; and (8) information we gather will yield qualitative information; the collections will not be designed or expected to yield statistically reliable results or used as though the results are generalizable to the population of study.</P>
                <P>Feedback collected under this generic clearance provides useful information, but it does not yield data that can be generalized to the overall population. This type of generic clearance for qualitative information will not be used for quantitative information collections that are designed to yield reliably actionable results, such as monitoring trends over time or documenting program performance. Such data uses require more rigorous designs that address the target population to which generalizations will be made. Depending on the study design and the type of results being elicited, such collections may still be eligible for submission for other generic mechanisms that are designed to yield quantitative results.</P>
                <P>As a general matter, information collections will not result in any new system of records containing privacy information and will not ask questions of a sensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private.</P>
                <P>The respondents are recipients of SSA services (including most members of the public), professionals, and individuals who work on behalf of SSA beneficiaries.</P>
                <P>
                    <E T="03">Type of Request:</E>
                     Extension of an OMB-approved information collection.
                </P>
                <P>
                    <E T="03">Affected Public:</E>
                     Individuals and households, businesses and organizations, State, Local or Tribal government.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Respondents:</E>
                     5,454,212.
                </P>
                <P>Below we provide projected average estimates for the next three years:</P>
                <P>
                    <E T="03">Annual Respondents:</E>
                     1,818,404.
                </P>
                <P>
                    <E T="03">Annual Responses:</E>
                     1,818,404.
                </P>
                <P>
                    <E T="03">Frequency of Response:</E>
                     Once per request.
                </P>
                <P>
                    <E T="03">Average minutes per Response:</E>
                     13 minutes (12.6912).
                </P>
                <P>
                    <E T="03">Estimated Annual Burden:</E>
                     384,629 hours.
                </P>
                <P>
                    II. SSA submitted the information collection below to OMB for clearance. Your comments regarding this information collection would be most useful if OMB and SSA receive them 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than August 9, 2023. Individuals can obtain copies of this OMB clearance package 
                    <PRTPAGE P="43643"/>
                    by writing to 
                    <E T="03">OR.Reports.Clearance@ssa.gov.</E>
                </P>
                <P>
                    Generic Clearance for the Collection of Improving Customer Experience (OMB Circular A-11, Section 280 Implementation)—0960-0818. A modern, streamlined and responsive customer experience means: raising government-wide customer experience to the average of the private sector service industry; developing indicators for high-impact Federal programs to monitor progress towards excellent customer experience and mature digital services; and providing the structure (including increasing transparency) and resources to ensure customer experience is a focal point for agency leadership. This proposed information collection activity provides a means to garner customer and stakeholder feedback in an efficient, timely manner in accordance with the Administration's commitment to improving customer service delivery as discussed in section 280 of OMB Circular A-11 at 
                    <E T="03">https://www.whitehouse.gov/wp-content/uploads/2018/06/s280.pdf.</E>
                     As discussed in OMB guidance, agencies should identify their highest-impact customer journeys (using customer volume, annual program cost, and/or knowledge of customer priority as weighting factors) and select touchpoints/transactions within those journeys to collect feedback.
                </P>
                <P>
                    These results will be used to improve the delivery of Federal services and programs. It will also provide government-wide data on customer experience that can be displayed on 
                    <E T="03">www.performance.gov</E>
                     to help build transparency and accountability of Federal programs to the customers they serve.
                </P>
                <P>As a general matter, these information collections will not result in any new system of records containing privacy information and will not ask questions of a sensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private.</P>
                <P>SSA will only submit collections if they meet the following criteria.</P>
                <P>• The collections are voluntary;</P>
                <P>• The collections are low-burden for respondents (based on considerations of total burden hours or burden-hours per respondent) and are low-cost for both the respondents and the Federal Government;</P>
                <P>• The collections are non-controversial and do not raise issues of concern to other Federal agencies;</P>
                <P>• The collections elicit opinions from respondents who had experience with Social Security programs or may have experience with the programs or services, or expect to do so in the near future;</P>
                <P>• Personally identifiable information (PII) is collected only to the extent necessary and is not retained;</P>
                <P>• Information gathered is intended to be used for general service improvement and program management purposes; and</P>
                <P>
                    • Upon agreement between OMB and the agency all or a subset of information may be released as part of A-11, Section 280 requirements only on 
                    <E T="03">performance.gov.</E>
                     Summaries of customer research and user testing activities may be included in public-facing customer journey maps.
                </P>
                <P>• Additional release of data must be done coordinated with OMB.</P>
                <P>These collections will allow for ongoing, collaborative, and actionable communications between the Agency, its customers and stakeholders, and OMB as it monitors agency compliance on section 280. These responses will inform efforts to improve or maintain the quality of service offered to the public. If this information is not collected, vital feedback from customers and stakeholders on services will be unavailable.</P>
                <P>The respondents are individuals and households, businesses and organizations, State, local or Tribal government.</P>
                <P>
                    <E T="03">Type of Request:</E>
                     Extension of an OMB-approved information collection.
                </P>
                <P>
                    <E T="03">Affected Public:</E>
                     Individuals and households, businesses and organizations, State, local or Tribal government.
                </P>
                <P>
                    <E T="03">Total Estimated Number of Respondents:</E>
                     17,866,680.
                </P>
                <P>Below we provide projected average estimates for the next three years:</P>
                <P>
                    <E T="03">Annual Respondents:</E>
                     5,955,560.
                </P>
                <P>
                    <E T="03">Annual Responses:</E>
                     1,142,475.
                </P>
                <P>
                    <E T="03">Frequency of Response:</E>
                     Once per request.
                </P>
                <P>
                    <E T="03">Average minutes per Response:</E>
                     12 minutes (11.51).
                </P>
                <P>
                    <E T="03">Estimated Annual Burden:</E>
                     384,629 hours.
                </P>
                <SIG>
                    <DATED>Dated: July 3, 2023.</DATED>
                    <NAME>Faye Lipsky,</NAME>
                    <TITLE>Staff Director, Office of Regulations and Reports Clearance, Office of Legislation and Congressional Affairs, Social Security Administration.</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14447 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4191-02-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Motor Carrier Safety Administration</SUBAGY>
                <DEPDOC>[Docket No. FMCSA-2023-0042]</DEPDOC>
                <SUBJECT>Qualification of Drivers; Exemption Applications; Implantable Cardioverter Defibrillator (ICD)</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Motor Carrier Safety Administration (FMCSA), Department of Transportation (DOT).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of denials.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>FMCSA announces its decision to deny the application from one individual treated with an Implantable Cardioverter Defibrillator (ICD) who requested an exemption from the Federal Motor Carrier Safety Regulations (FMCSRs) prohibiting operation of a commercial motor vehicle (CMV) in interstate commerce by persons with a current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope (transient loss of consciousness), dyspnea (shortness of breath), collapse, or congestive heart failure.</P>
                </SUM>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Ms. Christine A. Hydock, Chief, Medical Programs Division, FMCSA, DOT, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001, (202) 366-4001, 
                        <E T="03">fmcsamedical@dot.gov.</E>
                         Office hours are from 8:30 a.m. to 5 p.m. ET Monday through Friday, except Federal holidays. If you have questions regarding viewing materials in the docket, contact Dockets Operations, (202) 366-9826.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Public Participation</HD>
                <HD SOURCE="HD2">A. Viewing Comments</HD>
                <P>
                    To view comments go to 
                    <E T="03">www.regulations.gov.</E>
                     Insert the docket number (FMCSA-2023-0042) in the keyword box and click “Search.” Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, and click “Browse Comments.” If you do not have access to the internet, you may view the docket online by visiting Dockets Operations on the ground floor of the DOT West Building, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET Monday through Friday, except Federal holidays. To be sure someone is there to help you, please call (202) 366-9317 or (202) 366-9826 before visiting Dockets Operations.
                    <PRTPAGE P="43644"/>
                </P>
                <HD SOURCE="HD2">B. Privacy Act</HD>
                <P>
                    In accordance with 49 U.S.C. 31315(b)(6), DOT solicits comments from the public on the exemption requests. DOT posts these comments, without edit, including any personal information the commenter provides, to 
                    <E T="03">www.regulations.gov.</E>
                     As described in the system of records notice DOT/ALL 14 (Federal Docket Management System), which can be reviewed at 
                    <E T="03">https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices,</E>
                     the comments are searchable by the name of the submitter.
                </P>
                <HD SOURCE="HD1">II. Background</HD>
                <P>
                    On May 18, 2023, FMCSA published a 
                    <E T="04">Federal Register</E>
                     notice (88 FR 31842) announcing receipt of one application from an individual treated with an ICD and requested comments from the public. The individual requested an exemption from 49 CFR 391.41(b)(4) which prohibits operation of a CMV in interstate commerce by persons with a current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, or congestive heart failure. The public comment period ended on June 20, 2023, and no comments were received.
                </P>
                <P>
                    FMCSA has evaluated the eligibility of the applicant and concluded that granting an exemption would not provide a level of safety that would be equivalent to, or greater than, the level of safety that would be obtained by complying with § 391.41(b)(4). A summary of the applicant's medical history related to their ICD exemption request was discussed in the May 18, 2023, 
                    <E T="04">Federal Register</E>
                     notice (88 FR 31842) requesting comments and will not be repeated here.
                </P>
                <P>
                    The Agency's decision regarding this exemption application is based on information from the Cardiovascular Medical Advisory Criteria, an April 2007 evidence report titled “Cardiovascular Disease and Commercial Motor Vehicle Driver Safety,” 
                    <SU>1</SU>
                    <FTREF/>
                     and a December 2014 focused research report titled “Implantable Cardioverter Defibrillators and the Impact of a Shock in a Patient When Deployed.” Copies of these reports are included in the docket.
                </P>
                <FTNT>
                    <P>
                        <SU>1</SU>
                         The report is available on the internet at 
                        <E T="03">https://rosap.ntl.bts.gov/view/dot/16462.</E>
                    </P>
                </FTNT>
                <P>
                    FMCSA has published advisory criteria to assist medical examiners in determining whether drivers with certain medical conditions are qualified to operate a CMV in interstate commerce.
                    <SU>2</SU>
                    <FTREF/>
                     The advisory criteria for § 391.41(b)(4) indicates that coronary artery bypass surgery and pacemaker implantation are remedial procedures and thus, not medically disqualifying. ICDs are disqualifying due to risk of syncope.
                </P>
                <FTNT>
                    <P>
                        <SU>2</SU>
                         These criteria may be found in 49 CFR part 391, APPENDIX A TO PART 391—MEDICAL ADVISORY CRITERIA, section D. 
                        <E T="03">Cardiovascular: § 391.41(b)(4),</E>
                         paragraph 4, which is available on the internet at 
                        <E T="03">https://www.gpo.gov/fdsys/pkg/CFR-2015-title49-vol5/pdf/CFR-2015-title49-vol5-part391-appA.pdf.</E>
                    </P>
                </FTNT>
                <HD SOURCE="HD1">III. Discussion of Comments</HD>
                <P>FMCSA received no comments in this proceeding.</P>
                <HD SOURCE="HD1">IV. Basis for Exemption Determination</HD>
                <P>Under 49 U.S.C. 31136(e) and 31315(b), FMCSA may grant an exemption from the FMCSRs for no longer than a 5-year period if it finds such exemption would likely achieve a level of safety that is equivalent to, or greater than, the level that would be achieved absent such exemption.</P>
                <P>The Agency's decision regarding this exemption application is based on an individualized assessment of the applicants' medical information, available medical and scientific data concerning ICDs, and any relevant public comments received.</P>
                <P>In the case of persons with ICDs, the underlying condition for which the ICD was implanted places the individual at high risk for syncope or other unpredictable events known to result in gradual or sudden incapacitation. ICDs may discharge, which could result in loss of ability to safely control a CMV. The December 2014 focused research report referenced previously upholds the findings of the April 2007 report and indicates that the available scientific data on persons with ICDs and CMV driving does not support that persons with ICDs who operate CMVs are able to meet an equal or greater level of safety.</P>
                <HD SOURCE="HD1">V. Conclusion</HD>
                <P>The Agency has determined that the available medical and scientific literature and research provides insufficient data to enable the Agency to conclude that granting this exemption would achieve a level of safety equivalent to, or greater than, the level of safety maintained without the exemption. Therefore, Nicholas Steffler (NC) has been denied an exemption from the physical qualification standards in § 391.41(b)(4).</P>
                <P>The applicant has, prior to this notice, received a letter of final disposition regarding their exemption request. The decision letter fully outlined the basis for the denial and constitutes final action by the Agency. The name of this individual published today summarizes the Agency's recent denial as required under 49 U.S.C. 31315(b)(4).</P>
                <SIG>
                    <NAME>Larry W. Minor,</NAME>
                    <TITLE>Associate Administrator for Policy.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14462 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-EX-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Motor Carrier Safety Administration</SUBAGY>
                <DEPDOC>[Docket No. FMCSA-2023-0021]</DEPDOC>
                <SUBJECT>Qualification of Drivers; Exemption Applications; Hearing</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Motor Carrier Safety Administration (FMCSA), Department of Transportation (DOT).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of applications for exemption; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>FMCSA announces receipt of applications from 12 individuals for an exemption from the hearing requirement in the Federal Motor Carrier Safety Regulations (FMCSRs) to operate a commercial motor vehicle (CMV) in interstate commerce. If granted, the exemptions would enable these hard of hearing and deaf individuals to operate CMVs in interstate commerce.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>Comments must be received on or before August 9, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>You may submit comments identified by the Federal Docket Management System Docket No. FMCSA-2023-0021 using any of the following methods:</P>
                    <P>
                        • 
                        <E T="03">Federal eRulemaking Portal:</E>
                         Go to 
                        <E T="03">www.regulations.gov/,</E>
                         insert the docket number (FMCSA-2023-0021) in the keyword box and click “Search.” Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, and click on the “Comment” button. Follow the online instructions for submitting comments.
                    </P>
                    <P>
                        • 
                        <E T="03">Mail:</E>
                         Dockets Operations; U.S. Department of Transportation, 1200 New Jersey Avenue SE, West Building Ground Floor, Washington, DC 20590-0001.
                    </P>
                    <P>
                        • 
                        <E T="03">Hand Delivery:</E>
                         West Building Ground Floor, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET Monday through Friday, except Federal Holidays.
                    </P>
                    <P>
                        • 
                        <E T="03">Fax:</E>
                         (202) 493-2251.
                    </P>
                    <P>
                        To avoid duplication, please use only one of these four methods. See the “Public Participation” portion of the 
                        <PRTPAGE P="43645"/>
                        <E T="02">SUPPLEMENTARY INFORMATION</E>
                         section for instructions on submitting comments.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Ms. Christine A. Hydock, Chief, Medical Programs Division, FMCSA, DOT, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001, (202) 366-4001, 
                        <E T="03">fmcsamedical@dot.gov.</E>
                         Office hours are 8:30 a.m. to 5 p.m. ET Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Dockets Operations, (202) 366-9826.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Public Participation</HD>
                <HD SOURCE="HD2">A. Submitting Comments</HD>
                <P>If you submit a comment, please include the docket number for this notice (Docket No. FMCSA-2023-0021), indicate the specific section of this document to which each comment applies, and provide a reason for each suggestion or recommendation. You may submit your comments and material online or by fax, mail, or hand delivery, but please use only one of these means. FMCSA recommends that you include your name and a mailing address, an email address, or a phone number in the body of your document so that FMCSA can contact you if there are questions regarding your submission.</P>
                <P>
                    To submit your comment online, go to 
                    <E T="03">www.regulations.gov/docket?D=FMCSA-2023-0021</E>
                    . Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, click the “Comment” button, and type your comment into the text box on the following screen. Choose whether you are submitting your comment as an individual or on behalf of a third party and then submit.
                </P>
                <P>
                    If you submit your comments by mail or hand delivery, submit them in an unbound format, no larger than 8
                    <FR>1/2</FR>
                     by 11 inches, suitable for copying and electronic filing.
                </P>
                <P>FMCSA will consider all comments and material received during the comment period.</P>
                <HD SOURCE="HD2">B. Viewing Comments</HD>
                <P>
                    To view comments go to 
                    <E T="03">www.regulations.gov.</E>
                     Insert the docket number (FMCSA-2023-0021) in the keyword box and click “Search.” Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, and click “Browse Comments.” If you do not have access to the internet, you may view the docket online by visiting Dockets Operations on the ground floor of the DOT West Building, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET Monday through Friday, except Federal holidays. To be sure someone is there to help you, please call (202) 366-9317 or (202) 366-9826 before visiting Dockets Operations.
                </P>
                <HD SOURCE="HD2">C. Privacy Act</HD>
                <P>
                    In accordance with 49 U.S.C. 31315(b)(6), DOT solicits comments from the public on the exemption requests. DOT posts these comments, without edit, including any personal information the commenter provides, to 
                    <E T="03">www.regulations.gov.</E>
                     As described in the system of records notice DOT/ALL 14 (Federal Docket Management System), which can be reviewed at 
                    <E T="03">https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices,</E>
                     the comments are searchable by the name of the submitter.
                </P>
                <HD SOURCE="HD1">II. Background</HD>
                <P>Under 49 U.S.C. 31136(e) and 31315(b), FMCSA may grant an exemption from the FMCSRs for no longer than a 5-year period if it finds such exemption would likely achieve a level of safety that is equivalent to, or greater than, the level that would be achieved absent such exemption. The statutes also allow the Agency to renew exemptions at the end of the 5-year period. FMCSA grants medical exemptions from the FMCSRs for a 2-year period to align with the maximum duration of a driver's medical certification.</P>
                <P>The 12 individuals listed in this notice have requested an exemption from the hearing requirement in 49 CFR 391.41(b)(11). Accordingly, the Agency will evaluate the qualifications of each applicant to determine whether granting the exemption will achieve the required level of safety mandated by statute.</P>
                <P>The physical qualification standard for drivers regarding hearing found in § 391.41(b)(11) states that a person is physically qualified to drive a CMV if that person first perceives a forced whispered voice in the better ear at not less than 5 feet with or without the use of a hearing aid or, if tested by use of an audiometric device, does not have an average hearing loss in the better ear greater than 40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz with or without a hearing aid when the audiometric device is calibrated to American National Standard (formerly ASA Standard) Z24.5-1951.</P>
                <P>This standard was adopted in 1970 and was revised in 1971 to allow drivers to be qualified under this standard while wearing a hearing aid, (35 FR 6458, 6463 (Apr. 22, 1970) and 36 FR 12857 (July 8, 1971), respectively).</P>
                <P>On February 1, 2013, FMCSA announced in a Notice of Final Disposition titled, “Qualification of Drivers; Application for Exemptions; National Association of the Deaf,” (78 FR 7479), its decision to grant requests from 40 individuals for exemptions from the Agency's physical qualification standard concerning hearing for interstate CMV drivers. Since that time the Agency has published additional notices granting requests from hard of hearing and deaf individuals for exemptions from the Agency's physical qualification standard concerning hearing for interstate CMV drivers.</P>
                <HD SOURCE="HD1">III. Qualifications of Applicants</HD>
                <HD SOURCE="HD2">Andrew Abraham</HD>
                <P>Andrew Abraham, 33, holds a class C driver's license in Texas.</P>
                <HD SOURCE="HD2">Dary Berke</HD>
                <P>Dary Berke, 37, holds a class C driver's license in Maryland.</P>
                <HD SOURCE="HD2">Esteban Castro</HD>
                <P>Esteban Castro, 56, holds a class D driver's license in Delaware.</P>
                <HD SOURCE="HD2">Darius Cheatom</HD>
                <P>Darius Cheatom, 43, holds a class C driver's license in California.</P>
                <HD SOURCE="HD2">Oscar Faustinos</HD>
                <P>Oscar Faustinos, 41, holds a class C driver's license in California.</P>
                <HD SOURCE="HD2">Corey Garton</HD>
                <P>Corey Garton, 53, holds a class D driver's license in Arizona</P>
                <HD SOURCE="HD2">Montalvo Gonzalez</HD>
                <P>Montalvo Gonzalez, 26, holds a class F driver's license in Florida.</P>
                <HD SOURCE="HD2">Wen Le</HD>
                <P>Wen Le, 39, holds a class C driver's license in California.</P>
                <HD SOURCE="HD2">Kenneth Lloyd</HD>
                <P>Kenneth Lloyd, 42, holds a class C driver's license in Pennsylvania.</P>
                <HD SOURCE="HD2">Victor Lopez</HD>
                <P>Victor Lopez, 32, holds a class C driver's license in California.</P>
                <HD SOURCE="HD2">Robert Troeller</HD>
                <P>Robert Troeller, 56, holds a class ABCDM Commercial Driver's License (CDL) in Wisconsin.</P>
                <HD SOURCE="HD2">William Whitfield</HD>
                <P>William Whitfield, 46, holds a class D driver's license in Virginia.</P>
                <HD SOURCE="HD1">IV. Request for Comments</HD>
                <P>
                    In accordance with 49 U.S.C. 31136(e) and 31315(b), FMCSA requests public 
                    <PRTPAGE P="43646"/>
                    comment from all interested persons on the exemption petitions described in this notice. We will consider all comments received before the close of business on the closing date indicated under the 
                    <E T="02">DATES</E>
                     section of the notice.
                </P>
                <SIG>
                    <NAME>Larry W. Minor,</NAME>
                    <TITLE>Associate Administrator for Policy.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14464 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-EX-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Motor Carrier Safety Administration</SUBAGY>
                <DEPDOC>[Docket No. FMCSA-2013-0125; FMCSA-2014-0102; FMCSA-2014-0106; FMCSA-2014-0107; FMCSA-2014-0383; FMCSA-2014-0384; FMCSA-2015-0326; FMCSA-2018-0138]</DEPDOC>
                <SUBJECT>Qualification of Drivers; Exemption Applications; Hearing</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Motor Carrier Safety Administration (FMCSA), Department of Transportation (DOT).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of final disposition.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>FMCSA announces its decision to renew exemptions for 13 individuals from the hearing requirement in the Federal Motor Carrier Safety Regulations (FMCSRs) for interstate commercial motor vehicle (CMV) drivers. The exemptions enable these hard of hearing and deaf individuals to continue to operate CMVs in interstate commerce.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The exemptions were applicable on June 17, 2023. The exemptions expire on June 17, 2025.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Ms. Christine A. Hydock, Chief, Medical Programs Division, FMCSA, DOT, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001, (202) 366-4001, 
                        <E T="03">fmcsamedical@dot.gov.</E>
                         Office hours are 8:30 a.m. to 5 p.m. ET Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Dockets Operations, (202) 366-9826.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Public Participation</HD>
                <HD SOURCE="HD2">A. Viewing Comments</HD>
                <P>
                    To view comments go to 
                    <E T="03">www.regulations.gov.</E>
                     Insert the docket number (FMCSA-2013-0125, FMCSA-2014-0102, FMCSA-2014-0106, FMCSA-2014-0107, FMCSA-2014-0383, FMCSA-2014-0384, FMCSA-2015-0326, or FMCSA-2018-0138) in the keyword box and click “Search.” Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, and click “Browse Comments.” If you do not have access to the internet, you may view the docket online by visiting Dockets Operations on the ground floor of the DOT West Building, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET Monday through Friday, except Federal holidays. To be sure someone is there to help you, please call (202) 366-9317 or (202) 366-9826 before visiting Dockets Operations.
                </P>
                <HD SOURCE="HD2">B. Privacy Act</HD>
                <P>
                    In accordance with 49 U.S.C. 31315(b)(6), DOT solicits comments from the public on the exemption requests. DOT posts these comments, without edit, including any personal information the commenter provides, to 
                    <E T="03">www.regulations.gov.</E>
                     As described in the system of records notice DOT/ALL 14 (Federal Docket Management System), which can be reviewed at 
                    <E T="03">https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices,</E>
                     the comments are searchable by the name of the submitter.
                </P>
                <HD SOURCE="HD1">II. Background</HD>
                <P>On May 24, 2023, FMCSA published a notice announcing its decision to renew exemptions for 13 individuals from the hearing standard in 49 CFR 391.41(b)(11) to operate a CMV in interstate commerce and requested comments from the public (88 FR 33661). The public comment period ended on June 23, 2023, and no comments were received.</P>
                <P>FMCSA has evaluated the eligibility of these applicants and determined that renewing these exemptions would likely achieve a level of safety that is equivalent to, or greater than, the level that would be achieved by complying with § 391.41(b)(11).</P>
                <P>The physical qualification standard for drivers regarding hearing found in § 391.41(b)(11) states that a person is physically qualified to drive a CMV if that person first perceives a forced whispered voice in the better ear at not less than 5 feet with or without the use of a hearing aid or, if tested by use of an audiometric device, does not have an average hearing loss in the better ear greater than 40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz with or without a hearing aid when the audiometric device is calibrated to American National Standard (formerly ASA Standard) Z24.5—1951.</P>
                <P>This standard was adopted in 1970 and was revised in 1971 to allow drivers to be qualified under this standard while wearing a hearing aid (35 FR 6458, 6463 (Apr. 22, 1970) and 36 FR 12857 (July 8, 1971), respectively).</P>
                <HD SOURCE="HD1">III. Discussion of Comments</HD>
                <P>FMCSA received no comments in this proceeding.</P>
                <HD SOURCE="HD1">IV. Conclusion</HD>
                <P>Based upon its evaluation of the 13 renewal exemption applications, FMCSA announces its decision to exempt the following drivers from the hearing requirement in § 391.41(b)(11).</P>
                <P>As of June 17, 2023, and in accordance with 49 U.S.C. 31136(e) and 31315(b), the following 13 individuals have satisfied the renewal conditions for obtaining an exemption from the hearing requirement in the FMCSRs for interstate CMV drivers (88 FR 33662):</P>
                <FP SOURCE="FP-1">Kevin Ballard (TX)</FP>
                <FP SOURCE="FP-1">Herbert Crowe (MO)</FP>
                <FP SOURCE="FP-1">Mark Dickson (TX)</FP>
                <FP SOURCE="FP-1">Jacob Gadreault (MA)</FP>
                <FP SOURCE="FP-1">David Garland (ME)</FP>
                <FP SOURCE="FP-1">Lane Grover (IN)</FP>
                <FP SOURCE="FP-1">Paul Langlois (OH)</FP>
                <FP SOURCE="FP-1">Billie Jo Martinez (TX)</FP>
                <FP SOURCE="FP-1">David Shores (NC)</FP>
                <FP SOURCE="FP-1">Kirk Soneson (OH)</FP>
                <FP SOURCE="FP-1">James Thomason (MO)</FP>
                <FP SOURCE="FP-1">Ramarr Wadley (PA)</FP>
                <FP SOURCE="FP-1">Jeffrey Webber (OK)</FP>
                <P>The drivers were included in docket numbers FMCSA-2013-0125, FMCSA-2014-0102, FMCSA-2014-0106, FMCSA-2014-0107, FMCSA-2014-0383, FMCSA-2014-0384, FMCSA-2015-0326, or FMCSA-2018-0138. Their exemptions were applicable as of June 17, 2023 and will expire on June 17, 2025.</P>
                <P>In accordance with 49 U.S.C. 31315(b), each exemption will be valid for 2 years from the effective date unless revoked earlier by FMCSA. The exemption will be revoked if the following occurs: (1) the person fails to comply with the terms and conditions of the exemption; (2) the exemption has resulted in a lower level of safety than was maintained prior to being granted; or (3) continuation of the exemption would not be consistent with the goals and objectives of 49 U.S.C. 31136, 49 U.S.C. chapter 313, or the FMCSRs.</P>
                <SIG>
                    <NAME>Larry W. Minor,</NAME>
                    <TITLE>Associate Administrator for Policy.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14466 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-EX-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <PRTPAGE P="43647"/>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Motor Carrier Safety Administration</SUBAGY>
                <DEPDOC>[Docket No. FMCSA-2023-0020]</DEPDOC>
                <SUBJECT>Qualification of Drivers; Exemption Applications; Hearing</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Motor Carrier Safety Administration (FMCSA), Department of Transportation (DOT).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of final disposition.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>FMCSA announces its decision to exempt ten individuals from the hearing requirement in the Federal Motor Carrier Safety Regulations (FMCSRs) to operate a commercial motor vehicle (CMV) in interstate commerce. The exemptions enable these hard of hearing and deaf individuals to operate CMVs in interstate commerce.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The exemptions are applicable on June 30, 2023. The exemptions expire on June 30, 2025.</P>
                </DATES>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Ms. Christine A. Hydock, Chief, Medical Programs Division, FMCSA, DOT, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001, (202) 366-4001, 
                        <E T="03">fmcsamedical@dot.gov.</E>
                         Office hours are from 8:30 a.m. to 5 p.m. ET Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Dockets Operations, (202) 366-9826.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Public Participation</HD>
                <HD SOURCE="HD2">A. Viewing Comments</HD>
                <P>
                    To view comments go to 
                    <E T="03">www.regulations.gov.</E>
                     Insert the docket number (FMCSA-2023-0020) in the keyword box and click “Search.” Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, and click “Browse Comments.” If you do not have access to the internet, you may view the docket online by visiting Dockets Operations on the ground floor of the DOT West Building, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET Monday through Friday, except Federal holidays. To be sure someone is there to help you, please call (202) 366-9317 or (202) 366-9826 before visiting Dockets Operations.
                </P>
                <HD SOURCE="HD2">B. Privacy Act</HD>
                <P>
                    In accordance with 49 U.S.C. 31315(b)(6), DOT solicits comments from the public on the exemption requests. DOT posts these comments, without edit, including any personal information the commenter provides, to 
                    <E T="03">www.regulations.gov.</E>
                     As described in the system of records notice DOT/ALL 14 (Federal Docket Management System), which can be reviewed at 
                    <E T="03">https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices,</E>
                     the comments are searchable by the name of the submitter.
                </P>
                <HD SOURCE="HD1">II. Background</HD>
                <P>On May 24, 2023, FMCSA published a notice announcing receipt of applications from 10 individuals requesting an exemption from the hearing requirement in 49 CFR 391.41(b)(11) to operate a CMV in interstate commerce and requested comments from the public (88 FR 33662). The public comment period ended on June 23, 2023, and no comments were received.</P>
                <P>FMCSA has evaluated the eligibility of these applicants and determined that granting exemptions to these individuals would likely achieve a level of safety that is equivalent to, or greater than, the level that would be achieved by complying with § 391.41(b)(11).</P>
                <P>The physical qualification standard for drivers regarding hearing found in § 391.41(b)(11) states that a person is physically qualified to drive a CMV if that person first perceives a forced whispered voice in the better ear at not less than 5 feet with or without the use of a hearing aid or, if tested by use of an audiometric device, does not have an average hearing loss in the better ear greater than 40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz with or without a hearing aid when the audiometric device is calibrated to American National Standard (formerly ASA Standard) Z24.5-1951.</P>
                <P>This standard was adopted in 1970 and was revised in 1971 to allow drivers to be qualified under this standard while wearing a hearing aid (35 FR 6458, 6463 (Apr. 22, 1970) and 36 FR 12857 (July 8, 1971), respectively).</P>
                <HD SOURCE="HD1">III. Discussion of Comments</HD>
                <P>FMCSA received no comments in this proceeding.</P>
                <HD SOURCE="HD1">IV. Basis for Exemption Determination</HD>
                <P>Under 49 U.S.C. 31136(e) and 31315(b), FMCSA may grant an exemption from the FMCSRs for no longer than a 5-year period if it finds such exemption would likely achieve a level of safety that is equivalent to, or greater than, the level that would be achieved absent such exemption. The statutes also allow the Agency to renew exemptions at the end of the 5-year period. However, FMCSA grants medical exemptions from the FMCSRs for a 2-year period to align with the maximum duration of a driver's medical certification.</P>
                <P>The Agency's decision regarding these exemption applications is based on relevant scientific information and literature, and the 2008 Evidence Report, “Executive Summary on Hearing, Vestibular Function and Commercial Motor Driving Safety.” The evidence report reached two conclusions regarding the matter of hearing loss and CMV driver safety: (1) no studies that examined the relationship between hearing loss and crash risk exclusively among CMV drivers were identified; and (2) evidence from studies of the private driver's license holder population does not support the contention that individuals with hearing impairment are at an increased risk for a crash. In addition, the Agency reviewed each applicant's driving record found in the Commercial Driver's License Information System, for commercial driver's license (CDL) holders, and inspections recorded in the Motor Carrier Management Information System. For non-CDL holders, the Agency reviewed the driving records from the State Driver's Licensing Agency. Each applicant's record demonstrated a safe driving history. Based on an individual assessment of each applicant that focused on whether an equal or greater level of safety would likely be achieved by permitting each of these drivers to drive in interstate commerce, the Agency finds the drivers granted this exemption have demonstrated that they do not pose a risk to public safety.</P>
                <P>Consequently, FMCSA finds further that in each case exempting these applicants from the hearing standard in § 391.41(b)(11) would likely achieve a level of safety equal to that existing without the exemption, consistent with the applicable standard in 49 U.S.C. 31315(b)(1).</P>
                <HD SOURCE="HD1">V. Conditions and Requirements</HD>
                <P>
                    The terms and conditions of the exemption are provided to the applicants in the exemption document and include the following: (1) each driver must report any crashes or accidents as defined in § 390.5T; (2) each driver must report all citations and convictions for disqualifying offenses under 49 CFR parts 383 and 391 to FMCSA; and (3) each driver is prohibited from operating a motorcoach or bus with passengers in interstate commerce. The driver must also have a copy of the exemption when driving, for presentation to a duly authorized Federal, State, or local enforcement official. In addition, the exemption does not exempt the individual from meeting 
                    <PRTPAGE P="43648"/>
                    the applicable CDL testing requirements.
                </P>
                <HD SOURCE="HD1">VI. Preemption</HD>
                <P>During the period the exemption is in effect, no State shall enforce any law or regulation that conflicts with this exemption with respect to a person operating under the exemption.</P>
                <HD SOURCE="HD1">VII. Conclusion</HD>
                <P>Based upon its evaluation of the ten exemption applications, FMCSA exempts the following drivers from the hearing standard; in § 391.41(b)(11), subject to the requirements cited above:</P>
                <FP SOURCE="FP-1">Lori Greenidge (NE)</FP>
                <FP SOURCE="FP-1">Bradley Hannah (KY) </FP>
                <FP SOURCE="FP-1">Jerry Lacouture (TX) </FP>
                <FP SOURCE="FP-1">Edgar Pacheo (AZ) </FP>
                <FP SOURCE="FP-1">Chadwick Savoy (MS)</FP>
                <FP SOURCE="FP-1">Lucas Grimm (PA)</FP>
                <FP SOURCE="FP-1">Ryan Ketchner (TX)</FP>
                <FP SOURCE="FP-1">Matthew Loschen (MI)</FP>
                <FP SOURCE="FP-1">Nicholas Romano (MA)</FP>
                <FP SOURCE="FP-1">Rebecca Yeater (FL)</FP>
                <P>In accordance with 49 U.S.C. 31315(b), each exemption will be valid for 2 years from the effective date unless revoked earlier by FMCSA. The exemption will be revoked if the following occurs: (1) the person fails to comply with the terms and conditions of the exemption; (2) the exemption has resulted in a lower level of safety than was maintained prior to being granted; or (3) continuation of the exemption would not be consistent with the goals and objectives of 49 U.S.C. 31136, 49 U.S.C. chapter 313, or the FMCSRs.</P>
                <SIG>
                    <NAME>Larry W. Minor,</NAME>
                    <TITLE>Associate Administrator for Policy.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14463 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-EX-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Federal Motor Carrier Safety Administration</SUBAGY>
                <DEPDOC>[Docket No. FMCSA-2014-0383; FMCSA-2014-0384; FMCSA-2018-0138; FMCSA-2021-0014]</DEPDOC>
                <SUBJECT>Qualification of Drivers; Exemption Applications; Hearing</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Federal Motor Carrier Safety Administration (FMCSA), Department of Transportation (DOT).</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice of renewal of exemptions; request for comments.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>FMCSA announces its decision to renew exemptions for 11 individuals from the hearing requirement in the Federal Motor Carrier Safety Regulations (FMCSRs) for interstate commercial motor vehicle (CMV) drivers. The exemptions enable these hard of hearing and deaf individuals to continue to operate CMVs in interstate commerce.</P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The exemptions are applicable on July 30, 2023. The exemptions expire on July 30, 2025. Comments must be received on or before August 9, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>You may submit comments identified by the Federal Docket Management System Docket No. FMCSA-2014-0383, Docket No. FMCSA-2014-0384, Docket No. FMCSA-2018-0138, or Docket No. FMCSA-2021-0014 using any of the following methods:</P>
                    <P>
                        • 
                        <E T="03">Federal eRulemaking Portal:</E>
                         Go to 
                        <E T="03">www.regulations.gov/,</E>
                         insert the docket number (FMCSA-2014-0383, FMCSA-2014-0384, FMCSA-2018-0138, or FMCSA-2021-0014) in the keyword box and click “Search.” Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, and click on the “Comment” button. Follow the online instructions for submitting comments.
                    </P>
                    <P>
                        • 
                        <E T="03">Mail:</E>
                         Dockets Operations; U.S. Department of Transportation, 1200 New Jersey Avenue SE, West Building Ground Floor, Washington, DC 20590-0001.
                    </P>
                    <P>
                        • 
                        <E T="03">Hand Delivery:</E>
                         West Building Ground Floor, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET Monday through Friday, except Federal Holidays.
                    </P>
                    <P>
                        • 
                        <E T="03">Fax:</E>
                         (202) 493-2251.
                    </P>
                    <P>
                        To avoid duplication, please use only one of these four methods. See the “Public Participation” portion of the 
                        <E T="02">SUPPLEMENTARY INFORMATION</E>
                         section for instructions on submitting comments.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Ms. Christine A. Hydock, Chief, Medical Programs Division, FMCSA, DOT, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001, (202) 366-4001, 
                        <E T="03">fmcsamedical@dot.gov.</E>
                         Office hours are 8:30 a.m. to 5 p.m. ET Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Dockets Operations, (202) 366-9826.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Public Participation</HD>
                <HD SOURCE="HD2">A. Submitting Comments</HD>
                <P>If you submit a comment, please include the docket number for this notice (Docket No. FMCSA-2014-0383, Docket No. FMCSA-2014-0384, Docket No. FMCSA-2018-0138, or Docket No. FMCSA-2021-0014), indicate the specific section of this document to which each comment applies, and provide a reason for each suggestion or recommendation. You may submit your comments and material online or by fax, mail, or hand delivery, but please use only one of these means. FMCSA recommends that you include your name and a mailing address, an email address, or a phone number in the body of your document so that FMCSA can contact you if there are questions regarding your submission.</P>
                <P>
                    To submit your comment online, go to 
                    <E T="03">www.regulations.gov/,</E>
                     insert the docket number (FMCSA-2014-0383, FMCSA-2014-0384, FMCSA-2018-0138, or FMCSA-2021-0014) in the keyword box and click “Search.” Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, click the “Comment” button, and type your comment into the text box on the following screen. Choose whether you are submitting your comment as an individual or on behalf of a third party and then submit.
                </P>
                <P>
                    If you submit your comments by mail or hand delivery, submit them in an unbound format, no larger than 8
                    <FR>1/2</FR>
                     by 11 inches, suitable for copying and electronic filing. FMCSA will consider all comments and material received during the comment period.
                </P>
                <HD SOURCE="HD2">B. Viewing Comments</HD>
                <P>
                    To view comments go to 
                    <E T="03">www.regulations.gov.</E>
                     Insert the docket number (FMCSA-2014-0383, FMCSA-2014-0384, FMCSA-2018-0138, or FMCSA-2021-0014) in the keyword box and click “Search.” Next, sort the results by “Posted (Newer-Older),” choose the first notice listed, and click “Browse Comments.” If you do not have access to the internet, you may view the docket online by visiting Dockets Operations on the ground floor of the DOT West Building, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m. ET Monday through Friday, except Federal holidays. To be sure someone is there to help you, please call (202) 366-9317 or (202) 366-9826 before visiting Dockets Operations.
                </P>
                <HD SOURCE="HD2">C. Privacy Act</HD>
                <P>
                    In accordance with 49 U.S.C. 31315(b)(6), DOT solicits comments from the public on the exemption requests. DOT posts these comments, without edit, including any personal information the commenter provides, to 
                    <E T="03">www.regulations.gov.</E>
                     As described in the system of records notice DOT/ALL 14 (Federal Docket Management System), which can be reviewed at 
                    <E T="03">
                        https://www.transportation.gov/
                        <PRTPAGE P="43649"/>
                        individuals/privacy/privacy-act-system-records-notices,
                    </E>
                     the comments are searchable by the name of the submitter.
                </P>
                <HD SOURCE="HD1">II. Background</HD>
                <P>Under 49 U.S.C. 31136(e) and 31315(b), FMCSA may grant an exemption from the FMCSRs for no longer than a 5-year period if it finds such exemption would likely achieve a level of safety that is equivalent to, or greater than, the level that would be achieved absent such exemption. The statutes also allow the Agency to renew exemptions at the end of the 5-year period. FMCSA grants medical exemptions from the FMCSRs for a 2-year period to align with the maximum duration of a driver's medical certification.</P>
                <P>The physical qualification standard for drivers regarding hearing found in 49 CFR 391.41(b)(11) states that a person is physically qualified to drive a CMV if that person first perceives a forced whispered voice in the better ear at not less than 5 feet with or without the use of a hearing aid or, if tested by use of an audiometric device, does not have an average hearing loss in the better ear greater than 40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz with or without a hearing aid when the audiometric device is calibrated to American National Standard (formerly ASA Standard) Z24.5-1951.</P>
                <P>This standard was adopted in 1970 and was revised in 1971 to allow drivers to be qualified under this standard while wearing a hearing aid, (35 FR 6458, 6463 (Apr. 22, 1970) and 36 FR 12857 (July 8, 1971), respectively).</P>
                <P>The 11 individuals listed in this notice have requested renewal of their exemptions from the hearing standard in § 391.41(b)(11), in accordance with FMCSA procedures. Accordingly, FMCSA has evaluated these applications for renewal on their merits and decided to extend each exemption for a renewable 2-year period.</P>
                <HD SOURCE="HD1">III. Request for Comments</HD>
                <P>Interested parties or organizations possessing information that would otherwise show that any, or all, of these drivers are not currently achieving the statutory level of safety should immediately notify FMCSA. The Agency will evaluate any adverse evidence submitted and, if safety is being compromised or if continuation of the exemption would not be consistent with the goals and objectives of 49 U.S.C. 31136(e) and 31315(b), FMCSA will take immediate steps to revoke the exemption of a driver.</P>
                <HD SOURCE="HD1">IV. Basis for Renewing Exemptions</HD>
                <P>In accordance with 49 U.S.C. 31136(e) and 31315(b), each of the 11 applicants has satisfied the renewal conditions for obtaining an exemption from the hearing requirement. The 11 drivers in this notice remain in good standing with the Agency. In addition, for commercial driver's license (CDL) holders, the Commercial Driver's License Information System and the Motor Carrier Management Information System are searched for crash and violation data. For non-CDL holders, the Agency reviews the driving records from the State Driver's Licensing Agency. These factors provide an adequate basis for predicting each driver's ability to continue to safely operate a CMV in interstate commerce. Therefore, FMCSA concludes that extending the exemption for each of these drivers for a period of 2 years is likely to achieve a level of safety equal to that existing without the exemption.</P>
                <P>In accordance with 49 U.S.C. 31136(e) and 31315(b), the following groups of drivers received renewed exemptions in the month of July and are discussed below. As of July 30, 2023, and in accordance with 49 U.S.C. 31136(e) and 31315(b), the following 11 individuals have satisfied the renewal conditions for obtaining an exemption from the hearing requirement in the FMCSRs for interstate CMV drivers:</P>
                <FP SOURCE="FP-1">Selwyn Abrahamson (MN)</FP>
                <FP SOURCE="FP-1">Chris Anderson (TX)</FP>
                <FP SOURCE="FP-1">Thomas Carr (PA)</FP>
                <FP SOURCE="FP-1">Elezar Contreras (IL)</FP>
                <FP SOURCE="FP-1">Michael Hoyt (OR)</FP>
                <FP SOURCE="FP-1">Thomas Lipyanic (FL)</FP>
                <FP SOURCE="FP-1">Jonas Pittman (NC)</FP>
                <FP SOURCE="FP-1">Leroy Raine (AL)</FP>
                <FP SOURCE="FP-1">Troy Rolland (TX)</FP>
                <FP SOURCE="FP-1">Sandy Sloat (TX)</FP>
                <FP SOURCE="FP-1">Richard Whittaker (FL)</FP>
                <P>The drivers were included in docket numbers FMCSA-2014-0383, FMCSA-2014-0384, FMCSA-2018-0138, or FMCSA-2021-0014. Their exemptions are applicable as of July 30, 2023 and will expire on July 30, 2025.</P>
                <HD SOURCE="HD1">V. Conditions and Requirements</HD>
                <P>The exemptions are extended subject to the following conditions: (1) each driver must report any crashes or accidents as defined in § 390.5T; and (2) report all citations and convictions for disqualifying offenses under 49 CFR parts 383 and 391 to FMCSA; and (3) each driver prohibited from operating a motorcoach or bus with passengers in interstate commerce. The driver must also have a copy of the exemption when driving, for presentation to a duly authorized Federal, State, or local enforcement official. In addition, the exemption does not exempt the individual from meeting the applicable CDL testing requirements. Each exemption will be valid for 2 years unless rescinded earlier by FMCSA. The exemption will be rescinded if: (1) the person fails to comply with the terms and conditions of the exemption; (2) the exemption has resulted in a lower level of safety than was maintained before it was granted; or (3) continuation of the exemption would not be consistent with the goals and objectives of 49 U.S.C. 31136(e) and 31315(b).</P>
                <HD SOURCE="HD1">VI. Preemption</HD>
                <P>During the period the exemption is in effect, no State shall enforce any law or regulation that conflicts with this exemption with respect to a person operating under the exemption.</P>
                <HD SOURCE="HD1">VII. Conclusion</HD>
                <P>Based upon its evaluation of the 11 exemption applications, FMCSA renews the exemptions of the aforementioned drivers from the hearing requirement in 391.41(b)(11). In accordance with 49 U.S.C. 31136(e) and 31315(b), each exemption will be valid for 2 years unless revoked earlier by FMCSA.</P>
                <SIG>
                    <NAME>Larry W. Minor,</NAME>
                    <TITLE>Associate Administrator for Policy.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14465 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-EX-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="S">DEPARTMENT OF TRANSPORTATION</AGENCY>
                <SUBAGY>Maritime Administration</SUBAGY>
                <SUBJECT>Decommissioning and Disposition of the National Historic Landmark Nuclear Ship Savannah; Notice of Public Meeting</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Maritime Administration, Department of Transportation.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        The Maritime Administration (MARAD) announces the first public meeting of the Peer Review Group (PRG). The PRG was established pursuant to the requirements of the National Historic Preservation Act (NHPA) and its implementing regulations to plan for the decommissioning and disposition of the Nuclear Ship Savannah (NSS). PRG membership is comprised of officials from the U.S. Department of Transportation, MARAD, the U.S. Nuclear Regulatory Commission (NRC), the Advisory Council on Historic Preservation (ACHP), the Maryland State Historic Preservation Officer (SHPO), and other consulting parties. 
                        <PRTPAGE P="43650"/>
                        The public meeting affords the public an opportunity to participate in PRG activities, including reviewing and providing comments on draft deliverables. MARAD encourages public participation and provides the PRG meeting information below.
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P>The meeting will be held on Tuesday, July 18, 2023, from 2:30 p.m. to 4:00 p.m. Eastern Daylight Time (EDT). Requests to attend the meeting must be received by 5:00 p.m. EDT the day before the meeting, Monday, July 17, 2023, to facilitate entry or to receive instructions to participate online. Requests for accommodations for a disability must also be received by the day before the meeting, Monday, July 17, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>The meeting will be held onboard the NSS, online, or by phone. The NSS is located at Pier 13 Canton Marine Terminal, 4601 Newgate Avenue, Baltimore, MD 21124.</P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Erhard W. Koehler, (202) 680-2066 or via email at 
                        <E T="03">marad.history@dot.gov.</E>
                         You may send mail to N.S. Savannah/Savannah Technical Staff, Pier 13 Canton Marine Terminal, 4601 Newgate Avenue, Baltimore, MD 21224, ATTN: Erhard Koehler.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <HD SOURCE="HD1">I. Background</HD>
                <P>
                    The decommissioning and disposition of the NSS is an Undertaking under section 106 of the NHPA. Section 106 requires that Federal agencies consider views of the public regarding their Undertakings; therefore, in 2020, MARAD established a Federal docket at 
                    <E T="03">https://www.regulations.gov/docket/MARAD-2020-0133</E>
                     to provide public notice about the NSS Undertaking. The Federal docket was also used in 2021 to solicit public comments on the future uses of the NSS. MARAD is continuing to use this same docket to take in public comment, share information, and post agency actions.
                </P>
                <P>
                    The NHPA Programmatic Agreement (PA) for the Decommissioning and Disposition of the NSS is available on the MARAD docket located at 
                    <E T="03">www.regulations.gov</E>
                     under docket id “MARAD-2020-0133.” The PA stipulates a deliberative process by which MARAD will consider the disposition of the NSS. This process requires MARAD to make an affirmative, good-faith effort to preserve the NSS. The PA also established the PRG under Stipulation II. The PRG is the mechanism for continuing consultation during the effective period of the PA and its members consist of the signatories and concurring parties to the PA, as well as other consulting parties. The PRG members will provide individual input and guidance to MARAD regarding the implementation of stipulations in the PA. PRG members and members of the public are invited to provide input by attending bi-monthly meetings and reviewing and commenting on deliverables developed as part of the PA.
                </P>
                <HD SOURCE="HD1">II. Agenda</HD>
                <P>
                    The agenda will include (1) welcome and introductions; (2) program updates; (3) status of PA stipulations; (4) other business; and (5) date of the next meeting. The agenda topic entitled 
                    <E T="03">PA Stipulations</E>
                     involve deliverables identified in the PA. MARAD will provide status updates for the following items: the draft Disposition Alternatives Study; the draft Notice of Availability/Request for Information; potential mitigation strategies, such as architectural salvage; and the PRG charter and schedule. The agenda will also be posted on MARAD's website at 
                    <E T="03">www.maritime.dot.gov/outreach/history/maritime-administration-history-program</E>
                     and on the MARAD docket located at 
                    <E T="03">www.regulations.gov</E>
                     under docket id “MARAD-2020-0133.”
                </P>
                <HD SOURCE="HD1">III. Public Participation</HD>
                <P>
                    The meeting will be open to the public. Members of the public who wish to attend in person or online must RSVP to the person listed in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section with your name and affiliation. Members of the public may also call-in using the following number: 312-600-3163 and conference ID: 930 866 814#.
                </P>
                <P>
                    <E T="03">Special services.</E>
                     The NSS is not compliant with the Americans with Disabilities Act (ADA) but the ship has some capability to accommodate persons with impaired mobility. If you require accommodations to attend PRG meetings in-person, please contact the person listed in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section. The U.S. Department of Transportation is committed to providing all participants equal access to this meeting. If you need alternative formats or services such as sign language, interpretation, or other ancillary aids, please contact the person listed in the 
                    <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                     section.
                </P>
                <EXTRACT>
                    <FP>(Authority: 49 CFR 1.81 and 1.93; 36 CFR part 800; 5 U.S.C. 552b.)</FP>
                </EXTRACT>
                <SIG>
                    <P>By Order of the Maritime Administrator.</P>
                    <NAME>T. Mitchell Hudson, Jr.,</NAME>
                    <TITLE>Secretary, Maritime Administration.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14488 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4910-81-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF THE TREASURY</AGENCY>
                <SUBJECT>Debt Management Advisory Committee Meeting</SUBJECT>
                <P>Notice is hereby given, pursuant to 5 U.S.C. app. 2, section 10(a)(2), that a meeting will be held at the United States Treasury Department, 15th Street and Pennsylvania Avenue NW, Washington, DC, on August 1, 2023, at 10:45 a.m., of the following debt management advisory committee: Treasury Borrowing Advisory Committee.</P>
                <P>At this meeting, the Treasury is seeking advice from the Committee on topics related to the economy, financial markets, Treasury financing, and debt management. Following the working session, the Committee will present a written report of its recommendations. The meeting will be closed to the public, pursuant to 5 U.S.C. app. 2, section 10(d) and Public Law 103-202, section 202(c)(1)(B) (31 U.S.C. 3121 note).</P>
                <P>This notice shall constitute my determination, pursuant to the authority placed in heads of agencies by 5 U.S.C. app. 2, section10(d) and vested in me by Treasury Department Order No. 101-05, that the meeting will consist of discussions and debates of the issues presented to the Committee by the Secretary of the Treasury and the making of recommendations of the Committee to the Secretary, pursuant to  Public Law 103-202, section 202(c)(1)(B).</P>
                <P>Thus, this information is exempt from disclosure under that provision and 5 U.S.C. 552b(c)(3)(B). In addition, the meeting is concerned with information that is exempt from disclosure under 5 U.S.C. 552b(c)(9)(A). The public interest requires that such meetings be closed to the public because the Treasury Department requires frank and full advice from representatives of the financial community prior to making its final decisions on major financing operations. Historically, this advice has been offered by debt management advisory committees established by the several major segments of the financial community. When so utilized, such a committee is recognized to be an advisory committee under 5 U.S.C. app. 2, section 3.</P>
                <P>
                    Although the Treasury's final announcement of financing plans may not reflect the recommendations provided in reports of the Committee, premature disclosure of the Committee's deliberations and reports would be likely to lead to significant financial speculation in the securities market. Thus, this meeting falls within the 
                    <PRTPAGE P="43651"/>
                    exemption covered by 5 U.S.C. 552b(c)(9)(A).
                </P>
                <P>The Office of Debt Management is responsible for maintaining records of debt management advisory committee meetings and for providing annual reports setting forth a summary of Committee activities and such other matters as may be informative to the public consistent with the policy of 5 U.S.C. 552(b). The Designated Federal Officer or other responsible agency official who may be contacted for additional information is Fred Pietrangeli, Director for Office of Debt Management (202) 622-1876.</P>
                <SIG>
                    <DATED>Dated: July 5, 2023.</DATED>
                    <NAME>Frederick E. Pietrangeli,</NAME>
                    <TITLE>Director (for Office of Debt Management).</TITLE>
                </SIG>
            </PREAMB>
            <FRDOC>[FR Doc. 2023-14477 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 4810-25-P</BILCOD>
        </NOTICE>
        <NOTICE>
            <PREAMB>
                <AGENCY TYPE="N">DEPARTMENT OF VETERANS AFFAIRS</AGENCY>
                <DEPDOC>[OMB Control No. 2900-0165]</DEPDOC>
                <SUBJECT>Agency Information Collection Activity: Financial Status Report</SUBJECT>
                <AGY>
                    <HD SOURCE="HED">AGENCY:</HD>
                    <P>Debt Management Center, Department of Veterans Affairs.</P>
                </AGY>
                <ACT>
                    <HD SOURCE="HED">ACTION:</HD>
                    <P>Notice.</P>
                </ACT>
                <SUM>
                    <HD SOURCE="HED">SUMMARY:</HD>
                    <P>
                        Debt Management Center, Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the 
                        <E T="04">Federal Register</E>
                         concerning each proposed collection of information, including each proposed revision of a currently approved collection, and allow 60 days for public comment in response to the notice. 
                    </P>
                </SUM>
                <DATES>
                    <HD SOURCE="HED">DATES:</HD>
                    <P> Written comments and recommendations on the proposed collection of information should be received on or before September 8, 2023.</P>
                </DATES>
                <ADD>
                    <HD SOURCE="HED">ADDRESSES:</HD>
                    <P>
                        Submit written comments on the collection of information through Federal Docket Management System (FDMS) at 
                        <E T="03">www.Regulations.gov</E>
                         or to Young Gower, Debt Management Center (189), Department of Veterans Affairs, 1 Federal Drive, Fort Snelling, Minnesota 55111 or email to 
                        <E T="03">young.gower@va.gov.</E>
                         Please refer to “OMB Control No. 2900-0165” in any correspondence. During the comment period, comments may be viewed online through FDMS.
                    </P>
                </ADD>
                <FURINF>
                    <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                    <P>
                        Maribel Aponte, Office of Enterprise and Integration, Data Governance Analytics (008), 810 Vermont Ave. NW, Washington, DC 20006, (202) 266-4688 or email 
                        <E T="03">maribel.aponte@va.gov.</E>
                         Please refer to “OMB Control No. 2900-0165” in any correspondence.
                    </P>
                </FURINF>
            </PREAMB>
            <SUPLINF>
                <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                <P>Under the PRA of 1995, Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to section 3506(c)(2)(A) of the PRA.</P>
                <P>With respect to the following collection of information, DMC invites comments on: (1) whether the proposed collection of information is necessary for the proper performance of DMC's functions, including whether the information will have practical utility; (2) the accuracy of DMC's estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology.</P>
                <P>
                    <E T="03">Authority:</E>
                     Public Law 104-13; 5 U.S.C. 5514; 38 U.S.C. 5302; 38 U.S.C. 5314; 31 U.S.C. 3711; 38 U.S.C. 3716; 38 U.S.C. 3717; 38 U.S.C. 3718; 38 U.S.C. 5316.
                </P>
                <P>
                    <E T="03">Title:</E>
                     Financial Status Report, VA Form 5655.
                </P>
                <P>
                    <E T="03">OMB Control Number:</E>
                     2900-0165.
                </P>
                <P>
                    <E T="03">Type of Review:</E>
                     Revision of a currently approved collection.
                </P>
                <P>
                    <E T="03">Abstract:</E>
                     The major use of the form is to document and support eligibility determinations for waivers of collection, for the consideration of compromise offers, or to document information to assist in developing repayment plans.
                </P>
                <P>
                    <E T="03">Affected Public:</E>
                     Individuals and households.
                </P>
                <P>
                    <E T="03">Estimated Annual Burden:</E>
                     33,335.
                </P>
                <P>
                    <E T="03">Estimated Average Burden per Respondent:</E>
                     60 minutes.
                </P>
                <P>
                    <E T="03">Frequency of Response:</E>
                     Annual.
                </P>
                <P>
                    <E T="03">Estimated Number of Respondents:</E>
                     33,335.
                </P>
                <SIG>
                    <P>By direction of the Secretary.</P>
                    <NAME>Dorothy Glasgow,</NAME>
                    <TITLE>VA PRA Clearance Officer, (Alt.), Office of Enterprise and Integration/Data Governance Analytics, Department of Veterans Affairs.</TITLE>
                </SIG>
            </SUPLINF>
            <FRDOC>[FR Doc. 2023-14448 Filed 7-7-23; 8:45 am]</FRDOC>
            <BILCOD>BILLING CODE 8320-01-P</BILCOD>
        </NOTICE>
    </NOTICES>
    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Proposed Rules</UNITNAME>
    <NEWPART>
        <PTITLE>
            <PRTPAGE P="43653"/>
            <PARTNO>Part II</PARTNO>
            <AGENCY TYPE="P">Department of Health and Human Services</AGENCY>
            <SUBAGY> Centers for Medicare &amp; Medicaid Services</SUBAGY>
            <HRULE/>
            <CFR>42 CFR Parts 409, 410, 414, et al.</CFR>
            <TITLE>Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements; Proposed Rule</TITLE>
        </PTITLE>
        <PRORULES>
            <PRORULE>
                <PREAMB>
                    <PRTPAGE P="43654"/>
                    <AGENCY TYPE="S">DEPARTMENT OF HEALTH AND HUMAN SERVICES</AGENCY>
                    <SUBAGY>Centers for Medicare &amp; Medicaid Services</SUBAGY>
                    <CFR>42 CFR Parts 409, 410, 414, 424, 484, 488, and 489</CFR>
                    <DEPDOC>[CMS-1780-P]</DEPDOC>
                    <RIN>RIN 0938-AV03</RIN>
                    <SUBJECT>Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements</SUBJECT>
                    <AGY>
                        <HD SOURCE="HED">AGENCY:</HD>
                        <P>Centers for Medicare &amp; Medicaid Services (CMS), Department of Health and Human Services (HHS).</P>
                    </AGY>
                    <ACT>
                        <HD SOURCE="HED">ACTION:</HD>
                        <P>Proposed rule.</P>
                    </ACT>
                    <SUM>
                        <HD SOURCE="HED">SUMMARY:</HD>
                        <P>This proposed rule would set forth routine updates to the Medicare home health payment rates for calendar year (CY) 2024 in accordance with existing statutory and regulatory requirements. This rule would—provide information on home health utilization trends and solicits comments regarding access to home health aide services; implement home health payment-related changes; rebase and revise the home health market basket and revise the labor-related share; codify statutory requirements for disposable negative pressure wound therapy (dNPWT); and implement the new items and services payment for the home intravenous immune globulin (IVIG) benefit. In addition, it proposes—changes to the Home Health Quality Reporting Program (HH QRP) requirements and the expanded Home Health Value-Based Purchasing (HHVBP) Model; to implement the new Part B benefit for lymphedema compression treatment items, codify the Medicare definition of brace, and make other codification changes based on recent legislation; to add an informal dispute resolution (IDR) and special focus program (SFP) for hospice programs; to codify DMEPOS refill policy; and to revise Medicare provider and supplier enrollment requirements.</P>
                    </SUM>
                    <EFFDATE>
                        <HD SOURCE="HED">DATES:</HD>
                        <P>
                            To be assured consideration, comments must be received at one of the addresses provided in the 
                            <E T="02">ADDRESSES</E>
                             section, no later than 5 p.m. EDT on August 29, 2023.
                        </P>
                    </EFFDATE>
                    <ADD>
                        <HD SOURCE="HED">ADDRESSES:</HD>
                        <P>In commenting, please refer to file code CMS-1780-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission.</P>
                        <P>Comments, including mass comment submissions, must be submitted in one of the following three ways (please choose only one of the ways listed):</P>
                        <P>
                            1. 
                            <E T="03">Electronically.</E>
                             You may (and we encourage you to) submit electronic comments on this regulation to 
                            <E T="03">https://www.regulations.gov.</E>
                             Follow the instructions under the “submit a comment” tab.
                        </P>
                        <P>
                            2. 
                            <E T="03">By regular mail.</E>
                             You may mail written comments to the following address ONLY: Centers for Medicare &amp; Medicaid Services, Department of Health and Human Services, Attention: CMS-1780-P, P.O. Box 8013, Baltimore, MD 21244-8013.
                        </P>
                        <P>Please allow sufficient time for mailed comments to be received before the close of the comment period.</P>
                        <P>
                            3. 
                            <E T="03">By express or overnight mail.</E>
                             You may send written comments via express or overnight mail to the following address ONLY: Centers for Medicare &amp; Medicaid Services, Department of Health and Human Services, Attention: CMS-1780-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
                        </P>
                        <P>
                            For information on viewing public comments, we refer readers to the beginning of the 
                            <E T="02">SUPPLEMENTARY INFORMATION</E>
                             section.
                        </P>
                    </ADD>
                    <FURINF>
                        <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                        <P/>
                        <P>Brian Slater, (410) 786-5229, for home health and home IVIG payment inquiries.</P>
                        <P>
                            For general information about the Home Health Prospective Payment System (HH PPS), send your inquiry via email to 
                            <E T="03">HomeHealthPolicy@cms.hhs.gov.</E>
                        </P>
                        <P>
                            For information about the Home Health Quality Reporting Program (HH QRP), send your inquiry via email to 
                            <E T="03">HHQRPquestions@cms.hhs.gov</E>
                            .
                        </P>
                        <P>Frank Whelan (410) 786-1302, for Medicare provider and supplier enrollment inquiries.</P>
                        <P>
                            For more information about the expanded Home Health Value-Based Purchasing Model, please visit the Expanded HHVBP Model web page at 
                            <E T="03">https://innovation.cms.gov/innovation-models/expanded-home-health-value-based-purchasing-model.</E>
                        </P>
                        <P>
                            For more information about the hospice informal dispute resolution and special focus program, send your inquiry to 
                            <E T="03">QSOG_hospice@cms.hhs.gov.</E>
                        </P>
                    </FURINF>
                </PREAMB>
                <SUPLINF>
                    <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                    <P/>
                    <P>
                        <E T="03">Inspection of Public Comments:</E>
                         All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. We post all comments received before the close of the comment period on the following website as soon as possible after they have been received: 
                        <E T="03">https://www.regulations.gov/.</E>
                         Follow the search instructions on that website to view public comments.
                    </P>
                    <HD SOURCE="HD1">Table of Contents</HD>
                    <EXTRACT>
                        <FP SOURCE="FP-2">I. Executive Summary</FP>
                        <FP SOURCE="FP1-2">A. Purpose and Legal Authority</FP>
                        <FP SOURCE="FP1-2">B. Summary of the Provisions of This Proposed Rule</FP>
                        <FP SOURCE="FP1-2">C. Summary of Costs, Transfers, and Benefits</FP>
                        <FP SOURCE="FP-2">II. Home Health Prospective Payment System</FP>
                        <FP SOURCE="FP1-2">A. Overview of the Home Health Prospective Payment System</FP>
                        <FP SOURCE="FP1-2">B. Monitoring the Effects of the Implementation of PDGM</FP>
                        <FP SOURCE="FP1-2">C. Proposed Provisions for CY 2024 Payment Under the HH PPS</FP>
                        <FP SOURCE="FP-2">III. Home Health Quality Reporting Program (HH QRP)</FP>
                        <FP SOURCE="FP1-2">A. Background and Statutory Authority</FP>
                        <FP SOURCE="FP1-2">B. General Considerations Used for the Selection of Quality Measures for the HH QRP</FP>
                        <FP SOURCE="FP1-2">C. Quality Measures Currently Adopted for the CY 2024 HH QRP</FP>
                        <FP SOURCE="FP1-2">D. HH QRP Quality Measure Proposals Beginning With the CY 2025 HH QRP</FP>
                        <FP SOURCE="FP1-2">E. Form, Manner, and Timing of Data Submission Under the HH QRP</FP>
                        <FP SOURCE="FP1-2">F. Policies Regarding Public Display of Measure Data for the HH QRP</FP>
                        <FP SOURCE="FP1-2">G. Health Equity Update</FP>
                        <FP SOURCE="FP1-2">H. Proposal To Codify HH QRP Data Completion Thresholds</FP>
                        <FP SOURCE="FP1-2">I. Principles for Selecting and Prioritizing HH QRP Quality Measures and Concepts Under Consideration for Future Years: Request for Information (RFI)</FP>
                        <FP SOURCE="FP-2">IV. Proposed Changes to the Expanded Home Health Value-Based Purchasing (HHVBP) Model</FP>
                        <FP SOURCE="FP1-2">A. Background</FP>
                        <FP SOURCE="FP1-2">B. Proposed Changes to the Applicable Measure Set</FP>
                        <FP SOURCE="FP1-2">C. Proposed Changes to the Appeals Process</FP>
                        <FP SOURCE="FP1-2">D. Public Reporting Reminder</FP>
                        <FP SOURCE="FP1-2">E. Health Equity Update</FP>
                        <FP SOURCE="FP-2">V. Medicare Home Intravenous Immune Globulin (IVIG) Items and Services</FP>
                        <FP SOURCE="FP1-2">A. General Background</FP>
                        <FP SOURCE="FP1-2">B. Proposed Scope of Expanded IVIG Benefit</FP>
                        <FP SOURCE="FP1-2">C. Proposed IVIG Administration Items and Services Payment</FP>
                        <FP SOURCE="FP1-2">D. Proposed Home IVIG Items and Services Payment Rate</FP>
                        <FP SOURCE="FP1-2">E. Billing Procedures for Home IVIG Items and Services</FP>
                        <FP SOURCE="FP-2">
                            VI. Hospice Informal Dispute Resolution and Special Focus Program
                            <PRTPAGE P="43655"/>
                        </FP>
                        <FP SOURCE="FP1-2">A. Background and Statutory Authority</FP>
                        <FP SOURCE="FP1-2">B. Proposed Regulatory Provisions</FP>
                        <FP SOURCE="FP-2">VII. Proposed Changes Regarding Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)</FP>
                        <FP SOURCE="FP1-2">A. Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP)</FP>
                        <FP SOURCE="FP1-2">B. Scope of the Benefit and Payment for Lymphedema Compression Treatment Items</FP>
                        <FP SOURCE="FP1-2">C. Definition of Brace</FP>
                        <FP SOURCE="FP1-2">D. Documentation Requirements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Products Supplied as Refills to the Original Order</FP>
                        <FP SOURCE="FP-2">VIII. Proposed Changes to the Provider and Supplier Enrollment Requirements</FP>
                        <FP SOURCE="FP1-2">A. Background</FP>
                        <FP SOURCE="FP1-2">B. Proposed Provisions</FP>
                        <FP SOURCE="FP-2">IX. Collection of Information Requirements</FP>
                        <FP SOURCE="FP1-2">A. Statutory Requirement for Solicitation of Comments</FP>
                        <FP SOURCE="FP1-2">B. Information Collection Requirements (ICRs)</FP>
                        <FP SOURCE="FP1-2">C. Submission of PRA-Related Comments</FP>
                        <FP SOURCE="FP-2">X. Regulatory Impact Analysis</FP>
                        <FP SOURCE="FP1-2">A. Statement of Need</FP>
                        <FP SOURCE="FP1-2">B. Overall Impact</FP>
                        <FP SOURCE="FP1-2">C. Detailed Economic Analysis</FP>
                        <FP SOURCE="FP1-2">D. Regulatory Review Cost Estimation</FP>
                        <FP SOURCE="FP1-2">E. Alternatives Considered</FP>
                        <FP SOURCE="FP1-2">F. Accounting Statements and Tables</FP>
                        <FP SOURCE="FP1-2">G. Regulatory Flexibility Act (RFA)</FP>
                        <FP SOURCE="FP1-2">H. Unfunded Mandates Reform Act (UMRA)</FP>
                        <FP SOURCE="FP1-2">I. Federalism</FP>
                        <FP SOURCE="FP1-2">J. Conclusion</FP>
                        <FP SOURCE="FP-2">Regulations Text</FP>
                    </EXTRACT>
                    <HD SOURCE="HD1">I. Executive Summary</HD>
                    <HD SOURCE="HD2">A. Purpose and Legal Authority</HD>
                    <HD SOURCE="HD3">1. Home Health Prospective Payment System (HH PPS)</HD>
                    <P>As required under section 1895(b) of the Social Security Act (the Act), this proposed rule would update the payment rates for home health agencies (HHAs) for CY 2024. In this proposed rule we include analysis on home health utilization and solicit comments related to access to home health aide services. This rule also provides analysis determining the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health payments as result of the change in the unit of payment to 30 days and the implementation of the PDGM case-mix adjustment methodology, and proposes a permanent prospective adjustment to the CY 2024 home health payment rate. In addition, this rule proposes to recalibrate the PDGM case-mix weights and update the LUPA thresholds, functional impairment levels, and comorbidity adjustment subgroups under section 1895(b)(4)(A)(i) and (b)(4)(B) of the Act for 30-day periods of care in CY 2024. This rule proposes to rebase and revise the home health market basket and proposes to revise the labor-related share. Additionally, this rule proposes to codify statutory requirements for dNPWT and updates the CY 2024 fixed-dollar loss ratio (FDL) for outlier payments (so that outlier payments as a percentage of estimated total payments are not to exceed 2.5 percent, as required by section 1895(b)(5)(A) of the Act).</P>
                    <HD SOURCE="HD3">2. Home Health (HH) Quality Reporting Program (QRP)</HD>
                    <P>In accordance with the statutory authority at section 1895(b)(3)(B)(v) of the Act, we are proposing updated policies, the codification of the previously finalized 90 percent Outcome and Assessment Information Set (OASIS) data completion threshold policy in the Code of Federal Regulations (CFR) and the public reporting of four measures. We are also including a request for information on future HH QRP measure concepts and an update on health equity in the HH QRP.</P>
                    <HD SOURCE="HD3">3. Expanded Home Health Value-Based Purchasing (HHVBP) Model</HD>
                    <P>In accordance with the statutory authority at section 1115A of the Act, we are proposing updated policies, including the codification of previously finalized measure removal factors, changes to the applicable measure set, updating the Model baseline year, and an amendment to the appeals process for the expanded HHVBP Model. We are also including updates on health equity and public reporting.</P>
                    <HD SOURCE="HD3">4. Home Intravenous Immune Globulin (IVIG) Items and Services</HD>
                    <P>As required under Division FF, section 4134 of the Consolidated Appropriations Act, 2023 (CAA, 2023), this proposed rule would implement coverage and payment for items and services related to the administration of IVIG in the home of a patient with a diagnosed primary immune deficiency disease (PIDD).</P>
                    <HD SOURCE="HD3">5. Hospice Informal Dispute Resolution and Special Focus Program</HD>
                    <P>As required under Division CC, section 407 of the Consolidated Appropriations Act of 2021 (CAA 2021), this proposed rule would implement a special focus program (SFP) for poor performing hospices that includes the SFP algorithm (including data sources) to identify indicators of hospice poor performance, the criteria for selection and completion of the SFP, hospice termination from Medicare, and public reporting of the SFP. We are also proposing regulations to implement an informal dispute resolution (IDR) process to provide hospice programs an informal opportunity to resolve disputes related to condition-level survey findings for those hospice programs that are seeking recertification for continued participation in Medicare.</P>
                    <HD SOURCE="HD3">6. Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Products and CAA 2023-Related Changes</HD>
                    <P>
                        Section 3712 of the Coronavirus Aid, Relief, and Economic Security Act (CARES) Act (Pub. L. 116-136, March 27, 2020) 
                        <E T="03">https://www.govinfo.gov/link/plaw/116/public/136</E>
                         requires that Medicare payment rates for durable medical equipment (DME) in areas other than rural and noncontiguous areas during the coronavirus disease 2019 (COVID-19) public health emergency (PHE) be equal to 75 percent of the adjusted payment amounts (based on the DME competitive bidding program information), and 25 percent of the unadjusted fee schedule amounts. The regulations at § 414.210(g)(9)(v) codified these payment rates for the duration of the PHE. Section 4139 of the Consolidated Appropriations Act (CAA), 2023 (Pub. L. 117-328, December 29, 2022) requires payment based on these rates through the end of the COVID-19 PHE or December 31, 2023, whichever is later. We are proposing to make changes to the regulations to codify these payment rates through the end of the COVID-19 PHE or unless otherwise specified by law.
                    </P>
                    <P>The scope of the benefit and payment for lymphedema compression treatment items in section 4133 of the CAA, 2023 adds section 1861(s)(2)(JJ) to the Act, adding the Medicare Part B benefit for lymphedema compression treatment items effective January 1, 2024. This rule would address the scope of the new benefit by defining what constitutes a standard or custom fitted gradient compression garment and determining what other compression items may exist that are used for the treatment of lymphedema and would fall under the new benefit.</P>
                    <P>This rule would also implement section 1834(z) of the Act in establishing payment amounts for items covered under the new benefit and frequency limitations for lymphedema compression treatment items. CMS expects to conduct outreach for individuals with Medicare and issue provider education regarding this benefit.</P>
                    <P>
                        The definition of brace in section 1861(s)(9) of the Act provides coverage 
                        <PRTPAGE P="43656"/>
                        under Part B for leg, arm, back, and neck braces. This rule would codify the existing definition of a brace found in the Medicare Benefit Policy Manual (CMS 100-02) and clarify that this definition encompasses newer, technology-powered devices.
                    </P>
                    <HD SOURCE="HD3">7. Documentation Requirements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Products Supplied as Refills to the Original Order</HD>
                    <P>Section 1893(b)(1) of the Act, authorizes “[r]eview of activities of providers of services or other individuals and entities furnishing items and services for which payment may be made under this title . . . including medical and utilization review . . .”. The requirement for documentation to support DMEPOS refills originally arose in response to concerns related to auto-shipments and delivery of DMEPOS products that may no longer be needed or not needed at the same level of frequency/volume. We are proposing to codify our long-standing refill policy, with some changes. We propose to require documentation indicating that the beneficiary confirmed the need for the refill within the 30-day period prior to the end of the current supply. We propose to codify our requirement that delivery of DMEPOS items (that is, date of service) be no sooner than 10 calendar days before the expected end of the current supply. We seek comments for consideration in future rulemaking on ways to balance beneficiary burden with the potential risks/burdens of not verifying the beneficiary's actual need for recurring supplies for certain individuals with permanent conditions.</P>
                    <HD SOURCE="HD3">8. Provider and Supplier Enrollment Requirements</HD>
                    <P>The purpose of our provider enrollment provisions is to strengthen and clarify certain aspects of the provider enrollment process. This includes, but is not limited to: (1) subjecting a greater number of providers and suppliers, such as hospices, to the highest level of screening, which includes fingerprinting all 5 percent or greater owners of these providers and suppliers; (2) applying the change in majority ownership (CIMO) provisions in 42 CFR 424.550(b) to hospices; and (3) reducing the period of Medicare non-billing for which a provider or supplier can be deactivated under § 424.540(a)(1) from 12 months to 6 months. These changes are necessary to help ensure that payments are made only to qualified providers and suppliers and/or that owners of these entities are carefully screened. We believe that fulfilling both of these objectives would assist in protecting the Trust Funds and Medicare beneficiaries.</P>
                    <HD SOURCE="HD2">B. Summary of the Provisions of This Proposed Rule</HD>
                    <HD SOURCE="HD3">1. Home Health Prospective Payment System (HH PPS)</HD>
                    <P>In section II.B.1. of this proposed rule, we provide monitoring and data analysis on PDGM utilization for CYs 2020, 2021, and 2022. In this section we also solicit comments related to access to home health aide services. In section II.C.1. of this rule, we provide analysis determining the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health payments as result of the change in the unit of payment to 30 days and the implementation of the PDGM case-mix adjustment methodology; and a proposal to apply a permanent prospective adjustment of −5.653 percent to the CY 2024 home health payment rate.</P>
                    <P>In section II.C.2. of this proposed rule, we explain plans to recalibrate the PDGM case-mix weights, LUPA thresholds, functional levels, and comorbidity adjustment subgroups for CY 2024.</P>
                    <P>In section II.C.3. of this rule we set out proposals to rebase and revise the home health market basket to reflect a 2021 base year. We propose to use this 2021-based home health market basket to calculate the home health payment update percentage for CY 2024 as well as to revise the labor-related share.</P>
                    <P>In section II.C.4. of this rule, we detail proposals to update the home health wage index, the CY 2024 national, standardized 30-day period payment rates, and the CY 2024 national per-visit payment amounts by the home health payment update percentage. The proposed home health payment update percentage for CY 2024 is 2.7 percent. Additionally, this rule proposes the CY 2024 FDL ratio to ensure that aggregate outlier payments do not exceed 2.5 percent of the total aggregate payments, as required by section 1895(b)(5)(A) of the Act.</P>
                    <P>In section II.C.5 of this rule, we discuss our proposal to codify statutory payment changes for negative pressure wound therapy using a disposable device (dNPWT).</P>
                    <HD SOURCE="HD3">2. Home Health Quality Reporting Program (HH QRP)</HD>
                    <P>In section III. of this proposed rule, we are proposing the adoption of the measure “COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date” (Patient/Resident COVID-19 Vaccine) to the HH QRP beginning with the CY 2025 HH QRP. CMS also proposes to adopt the “Functional Discharge Score” (DC Function) measure to the HH QRP beginning with the CY 2025 HH QRP. With the addition of the Discharge Function measure, we propose to remove the measure “Application of Percent of Long-Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function” (Application of Functional Assessment/Care Plan) from the HH QRP beginning with the CY 2025 HH QRP. CMS additionally propose the removal of two OASIS items no longer necessary for collection, the M0110—Episode Timing and M2220—Therapy Needs items. We are also proposing technical changes to § 484.245(b) to codify our requirement that HHAs must meet or exceed a data submission threshold set at 90 percent of all required OASIS and submit the data through the CMS designated data submission systems. Lastly, we seek input on future HH QRP measure concepts and provide updates on HH QRP health equity initiatives.</P>
                    <HD SOURCE="HD3">3. Expanded Home Health Value Based Purchasing (HHVBP) Model</HD>
                    <P>
                        In section IV. of this proposed rule, we discuss our proposal to codify the HHVBP measure removal factors at § 484.380. We are proposing to remove five and add three quality measures to the applicable measure set. Along with the proposed revisions to the current measure set, we propose to revise the weights of the individual measures within the OASIS-based measure category and within the claims-based measure category starting in the CY 2025 performance year. We are proposing to update the Model baseline year from CY 2022 to CY 2023 starting in the CY 2025 performance year to enable CMS to measure competing HHAs performance on benchmarks and achievement thresholds that are more current for all applicable measures. Additionally, we are amending the appeals process such that reconsideration decisions may be reviewed by the Administrator. We are including an update to the RFI, 
                        <E T="03">Future Approaches to Health Equity in the Expanded HHVBP Model,</E>
                         that was published in the CY 2023 HH PPS rule. We will also include an update that reminds stakeholders that we will begin public reporting of HHVBP performance data on or after December 1, 2024.
                        <PRTPAGE P="43657"/>
                    </P>
                    <HD SOURCE="HD3">4. Home Intravenous Immune Globulin (IVIG) Items and Services</HD>
                    <P>As required under Division FF, section 4134 of the Consolidated Appropriations Act, 2023 (CAA, 2023), section V. of this rule proposes regulations to implement coverage and payment of items and services related to administration of IVIG in a patient's home for a patient with PIDD.</P>
                    <HD SOURCE="HD3">5. Hospice Informal Dispute Resolution and Special Focus Program</HD>
                    <P>In section VI. of this proposed rule, we discuss our proposal for a new hospice informal dispute resolution (IDR) process at § 488.1130 to align with the process that is available for home health agencies (HHAs). We are proposing the hospice IDR to address disputes related to condition-level survey findings following a hospice program's receipt of the official survey statement of deficiencies. The IDR will provide hospice programs an informal opportunity to resolve disputes in the survey findings for those hospice programs that are seeking recertification from the State Survey Agency (SA) or reaccreditation from an accrediting organization (AO) for continued participation in Medicare. Additionally, the IDR may be initiated for those hospice programs that are currently under SA monitoring (either through a complaint investigation or validation survey) and those in the SFP. In section VII we discuss our proposal to add the hospice Special Focus Program (SFP) at § 488.1135. In the proposed rule, we include the SFP algorithm (including data sources) to identify indicators of hospice poor performance, the criteria for selection and completion of the SFP, hospice termination from Medicare, and public reporting of the SFP. In response to previous comments urging CMS to seek technical expert panel (TEP) recommendations to better inform the development of the SFP, a TEP was convened to gain input from key stakeholders on various aspects of the SFP proposed in this rule. We propose the hospice SFP will commence beginning the effective date of the rule with implementation during CY 2024. We propose to periodically review the effectiveness of the methodology and the algorithm.</P>
                    <HD SOURCE="HD3">6. Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Products and CAA 2023 Related Changes</HD>
                    <P>In section VII.A.3. of this rule, we discuss our proposal to make conforming changes to § 414.210(g)(9), consistent with section 4139(a) and 4139(b) of the CAA, 2023. First, section 4139 of the CAA, 2023 does not change the current policy under § 414.210(g)(9)(iii) of paying for DMEPOS items and services furnished in rural and non-contiguous non-competitive bidding areas (CBAs) based on a 50/50 blend of adjusted and unadjusted fee schedule amounts through the duration of the PHE for COVID-19.</P>
                    <P>As a result, we are proposing to revise § 414.210(g)(9)(iii), to state that for items and services furnished in rural areas and non-contiguous areas (Alaska, Hawaii, and U.S. territories) with dates of service from June 1, 2018 through the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)) or December 31, 2023, whichever is later, based on the fee schedule amount for the area is equal to 50 percent of the adjusted payment amount established under this section and 50 percent of the unadjusted fee schedule amount.</P>
                    <P>We are proposing to revise § 414.210(g)(9)(v) to state that for items and services furnished in areas other than rural or noncontiguous areas with dates of service from March 6, 2020 through December 31, 2023 or through the remainder of the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)), whichever is later, the fee schedule amount for the area is equal to 75 percent of the adjusted payment amount established under this section and 25 percent of the unadjusted fee schedule amount.</P>
                    <P>We are proposing to remove outdated text from § 414.210(g)(9)(v) that states “for items and services furnished in areas other than rural or noncontiguous areas with dates of service from the expiration date of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)), through December 31, 2020, the fee schedule amount for the area is equal to 100 percent of the adjusted payment amount established under this section.”</P>
                    <P>We are proposing to revise § 414.210(g)(9)(vi) to state that for items and services furnished in all areas with dates of service on or after January 1, 2024, or the date immediately following the duration of the emergency period described in section 1135(g)(1)(B) of the Act, whichever is later, the fee schedule amount for the area is equal to the adjusted payment amount established under paragraph (g) of this section.</P>
                    <P>We are proposing to make conforming changes to § 414.210(g)(2) for the rural and non-contiguous areas in order to specify the December 31, 2023 date specified in section 4139 of the CAA, 2023.</P>
                    <P>In section VII.B.8. of this rule, we discuss our proposal to amend 42 CFR 410.36(a) to add paragraph (4) and the following new category of medical supplies, appliances, and devices covered under Medicare Part B; Lymphedema compression items including: standard and custom fitted gradient compression garments; gradient compression wraps with adjustable straps; compression bandaging systems; and other items determined to be lymphedema compression treatment items under the process established under § 414.1670. Other covered items would include accessories such as zippers in garments, liners worn under garments or wraps with adjustable straps, and padding or fillers that are necessary for the effective use of a gradient compression garment or wrap with adjustable straps.</P>
                    <P>We are proposing to modify and add to the existing HCPCS codes for lymphedema compression treatment items.</P>
                    <P>We are proposing to add § 414.1670 under new subpart Q and use the same process described in § 414.240 to obtain public consultation on preliminary benefit category determinations and payment determinations for new lymphedema compression treatment items.</P>
                    <P>We are proposing to add a new subpart Q under the regulations at 42 CFR part 414 titled, “Payment for Lymphedema Compression Treatment Items” to implement the provisions of section 1834(z) of the Act.</P>
                    <P>We are proposing to add § 414.1600 to explain the purpose and definitions found in subpart Q.</P>
                    <P>We are also proposing to add § 414.1660 to address continuity of pricing when HCPCS codes for lymphedema compression treatment items are divided or combined.</P>
                    <P>We are proposing to add § 414.1680 and the following frequency limitations for lymphedema compression treatment items</P>
                    <P>
                        We are proposing to revise the regulations for competitive bidding under at 42 CFR part 414, subpart F to include lymphedema compression treatment items under the competitive bidding program as mandated by section 1847(a)(2)(D) of the Act. We propose to add lymphedema compression treatment items to the definition of item at § 414.402. We are proposing to revise § 414.408 to indicate that payment for these items would be calculated on a lump sum purchase basis and payment under the program would be made in accordance with any frequency 
                        <PRTPAGE P="43658"/>
                        limitations established under subpart Q in accordance with section 1834(z)(2) of the Act. We are also proposing to add lymphedema compression treatment items to § 414.412 to address limiting bids submitted under the program using the payment established under subpart Q.
                    </P>
                    <P>We are proposing to add § 414.1690 indicating that the payment amounts established under § 414.1650(b) may be adjusted using information on the payment determined for lymphedema compression treatment items as part of implementation of the competitive bidding programs under subpart F using the methodologies set forth at § 414.210(g).</P>
                    <P>In section VII.C.3. of this rule, we discuss our proposal to amend the regulations at 42 CFR 410.2 to add the definition of brace and to add clarification at § 410.36(a)(3)(i) for the purpose of determining the Medicare Part B benefit and scope for leg, arm, back, and neck braces and making benefit category determinations regarding specific items in accordance with the review process for benefit category and payment determinations under § 414.240.</P>
                    <HD SOURCE="HD3">7. Documentation Requirements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Products Supplied as Refills to the Original Order</HD>
                    <P>We propose updating the refill documentation requirements such that a beneficiary affirmation would need to be documented by the supplier. We propose to require documentation indicating that the beneficiary confirmed the need for the refill within the 30-day period prior to the end of the current supply. We propose to codify our requirement that delivery of DMEPOS items (that is, date of service) be no sooner than 10 calendar days before the expected end of the current supply. There is no associated paperwork burden as the burden is already accounted for and approved by the Office of Management and Budget under OMB control number 0938-0969 (CMS-10417).</P>
                    <HD SOURCE="HD3">8. Provider and Supplier Enrollment Requirements</HD>
                    <P>We are proposing a number of changes to our Medicare provider and supplier enrollment requirements. These include, but are not limited to: (1) provisions related to hospice enrollment and ownership; and (2) deactivation of providers and suppliers.</P>
                    <HD SOURCE="HD2">C. Summary of Costs, Transfers, and Benefits</HD>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="543">
                        <PRTPAGE P="43659"/>
                        <GID>EP10JY23.003</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="491">
                        <PRTPAGE P="43660"/>
                        <GID>EP10JY23.004</GID>
                    </GPH>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <HD SOURCE="HD1">II. Home Health Prospective Payment System</HD>
                    <HD SOURCE="HD2">A. Overview of the Home Health Prospective Payment System</HD>
                    <HD SOURCE="HD3">1. Statutory Background</HD>
                    <P>
                        Section 1895(b)(1) of the Act requires the Secretary to establish a Home Health Prospective Payment System (HH PPS) for all costs of home health services paid under Medicare. Section 1895(b)(2) of the Act requires that, in defining a prospective payment amount, the Secretary will consider an appropriate unit of service and the number, type, and duration of visits provided within that unit, potential changes in the mix of services provided within that unit and their cost, and a general system design that provides for continued access to quality services. In accordance with the statute, as amended by the Balanced Budget Act of 1997 (BBA), (Pub. L. 105-33, enacted August 5, 1997) we published a final rule in the July 3, 2000 
                        <E T="04">Federal Register</E>
                         (65 FR 41128) to implement the HH PPS legislation.
                    </P>
                    <P>
                        Section 5201(c) of the Deficit Reduction Act of 2005 (DRA) (Pub. L. 109-171, enacted February 8, 2006) added new section 1895(b)(3)(B)(v) to the Act, requiring home health agencies (HHAs) to submit data for purposes of measuring health care quality, and linking the quality data submission to the annual applicable home health payment update percentage increase. This data submission requirement is applicable for CY 2007 and each subsequent year. If an HHA does not submit quality data, the home health market basket percentage increase is reduced by 2 percentage points. In the November 9, 2006 
                        <E T="04">Federal Register</E>
                         (71 FR 65935), we published a final rule to implement the pay-for-reporting requirement of the DRA, which was codified at § 484.225(h) and (i) in 
                        <PRTPAGE P="43661"/>
                        accordance with the statute. The pay-for-reporting requirement was implemented on January 1, 2007.
                    </P>
                    <P>Section 51001(a)(1)(B) of the Bipartisan Budget Act of 2018 (BBA of 2018) (Pub. L. 115-123) amended section 1895(b) of the Act to require a change to the home health unit of payment to 30-day periods beginning January 1, 2020. Section 51001(a)(2)(A) of the BBA of 2018 added a new subclause (iv) under section 1895(b)(3)(A) of the Act, requiring the Secretary to calculate a standard prospective payment amount (or amounts) for 30-day units of service furnished that end during the 12-month period beginning January 1, 2020, in a budget neutral manner, such that estimated aggregate expenditures under the HH PPS during CY 2020 are equal to the estimated aggregate expenditures that otherwise would have been made under the HH PPS during CY 2020 in the absence of the change to a 30-day unit of service. Section 1895(b)(3)(A)(iv) of the Act requires that the calculation of the standard prospective payment amount (or amounts) for CY 2020 be made before the application of the annual update to the standard prospective payment amount as required by section 1895(b)(3)(B) of the Act.</P>
                    <P>Additionally, section 1895(b)(3)(A)(iv) of the Act requires that in calculating the standard prospective payment amount (or amounts), the Secretary must make assumptions about behavior changes that could occur as a result of the implementation of the 30-day unit of service under section 1895(b)(2)(B) of the Act and case-mix adjustment factors established under section 1895(b)(4)(B) of the Act. Section 1895(b)(3)(A)(iv) of the Act further requires the Secretary to provide a description of the behavior assumptions made in notice and comment rulemaking. CMS finalized these behavior assumptions in the CY 2019 HH PPS final rule with comment period (83 FR 56461).</P>
                    <P>Section 51001(a)(2)(B) of the BBA of 2018 also added a new subparagraph (D) to section 1895(b)(3) of the Act. Section 1895(b)(3)(D)(i) of the Act requires the Secretary annually to determine the impact of differences between assumed behavior changes, as described in section 1895(b)(3)(A)(iv) of the Act, and actual behavior changes on estimated aggregate expenditures under the HH PPS with respect to years beginning with 2020 and ending with 2026. Section 1895(b)(3)(D)(ii) of the Act requires the Secretary, at a time and in a manner determined appropriate, through notice and comment rulemaking, to provide for one or more permanent increases or decreases to the standard prospective payment amount (or amounts) for applicable years, on a prospective basis, to offset for such increases or decreases in estimated aggregate expenditures, as determined under section 1895(b)(3)(D)(i) of the Act. Additionally, section 1895(b)(3)(D)(iii) of the Act requires the Secretary, at a time and in a manner determined appropriate, through notice and comment rulemaking, to provide for one or more temporary increases or decreases to the payment amount for a unit of home health services for applicable years, on a prospective basis, to offset for such increases or decreases in estimated aggregate expenditures, as determined under section 1895(b)(3)(D)(i) of the Act. Such a temporary increase or decrease shall apply only with respect to the year for which such temporary increase or decrease is made, and the Secretary shall not take into account such a temporary increase or decrease in computing the payment amount for a unit of home health services for a subsequent year. Finally, section 51001(a)(3) of the BBA of 2018 amends section 1895(b)(4)(B) of the Act by adding a new clause (ii) to require the Secretary to eliminate the use of therapy thresholds in the case-mix system for CY 2020 and subsequent years.</P>
                    <P>Division FF, section 4136 of the Consolidated Appropriations Act, 2023 (CAA, 2023) amended section 1834(s)(3)(A) of the Act to require that, beginning with 2024, the separate payment for furnishing negative pressure wound therapy (NPWT) be for just the device and not for nursing and therapy services. Payment for nursing and therapy services are to be included as part of payments under the HH PPS. The separate payment for 2024 is to be equal to the supply price used to determine the relative value for the service under the Medicare Physician Fee Schedule (as of January 1, 2022) for the applicable disposable device updated by the percentage increase in the Consumer Price Index for All Urban Consumers (CPI-U). The separate payment for 2025 and each subsequent year is to be the payment amount for the previous year updated by the percentage increase in the CPI-U (United States city average) for the 12-month period ending in June of the previous year minus the productivity adjustment as described in section 1886(b)(3)(B)(xi)(II) for such year. The CAA, 2023 also added section 1834(s)(4) of the Act to require that beginning with 2024, as part of submitting claims for the separate payment, the Secretary shall accept and process claims submitted using the type of bill that is most commonly used by home health agencies to bill services under a home health plan of care.</P>
                    <HD SOURCE="HD3">2. Current System for Payment of Home Health Services</HD>
                    <P>For home health periods of care beginning on or after January 1, 2020, Medicare makes payment under the HH PPS on the basis of a national, standardized 30-day period payment rate that is adjusted for case-mix and area wage differences in accordance with section 51001(a)(1)(B) of the BBA of 2018. The national, standardized 30-day period payment rate includes payment for the six home health disciplines (skilled nursing, home health aide, physical therapy, speech-language pathology, occupational therapy, and medical social services). Payment for non-routine supplies (NRS) is also part of the national, standardized 30-day period rate. Durable medical equipment (DME) provided as a home health service, as defined in section 1861(m) of the Act, is paid the fee schedule amount or is paid through the competitive bidding program and such payment is not included in the national, standardized 30-day period payment amount. Additionally, the 30-day period payment rate does not include payment for certain injectable osteoporosis drugs and negative pressure wound therapy (NPWT) using a disposable device (though this rule is proposing changes to this provision pursuant to section 4136 of the CAA, 2023), but such drug and services must be billed by the HHA while a patient is under a home health plan of care, as the law requires consolidated billing of osteoporosis drugs and NPWT using a disposable device.</P>
                    <P>
                        To better align payment with patient care needs and to better ensure that clinically complex and ill beneficiaries have adequate access to home health care, in the CY 2019 HH PPS final rule with comment period (83 FR 56406), we finalized case-mix methodology refinements through the Patient-Driven Groupings Model (PDGM) for home health periods of care beginning on or after January 1, 2020. The PDGM did not change eligibility or coverage criteria for Medicare home health services, and as long as the individual meets the criteria for home health services as described at 42 CFR 409.42, the individual can receive Medicare home health services, including therapy services. For more information about the role of therapy services under the PDGM, we refer readers to the Medicare Learning Network (MLN) Matters article SE20005 available at 
                        <E T="03">
                            https://www.cms.gov/
                            <PRTPAGE P="43662"/>
                            regulations-and-guidanceguidancetransmittals2020-transmittals/se20005.
                        </E>
                         To adjust for case-mix for 30-day periods of care beginning on and after January 1, 2020, the HH PPS uses a 432-category case-mix classification system to assign patients to a home health resource group (HHRG) using patient characteristics and other clinical information from Medicare claims and the Outcome and Assessment Information Set (OASIS) assessment instrument. These 432 HHRGs represent the different payment groups based on five main case-mix categories under the PDGM, as shown in Figure B1. Each HHRG has an associated case-mix weight that is used in calculating the payment for a 30-day period of care. For periods of care with visits less than the low-utilization payment adjustment (LUPA) threshold for the HHRG, Medicare pays national per-visit rates based on the discipline(s) providing the services. Medicare also adjusts the national standardized 30-day period payment rate for certain intervening events that are subject to a partial payment adjustment. For certain cases that exceed a specific cost threshold, an outlier adjustment may also be available.
                    </P>
                    <P>Under this case-mix methodology, case-mix weights are generated for each of the different PDGM payment groups by regressing resource use for each of the five categories (admission source, timing, clinical grouping, functional impairment level, and comorbidity adjustment) using a fixed effects model. A detailed description of each of the case-mix variables under the PDGM have been described previously, and we refer readers to the CY 2021 HH PPS final rule (85 FR 70303 through 70305).</P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="462">
                        <GID>EP10JY23.005</GID>
                    </GPH>
                    <PRTPAGE P="43663"/>
                    <HD SOURCE="HD2">B. Monitoring the Effects of the Implementation of PDGM</HD>
                    <HD SOURCE="HD3">1. Routine PDGM Monitoring</HD>
                    <P>CMS routinely analyzes Medicare home health benefit utilization, including but not limited to, overall total 30-day periods of care and average periods of care per HHA user; distribution of the type of visits in a 30-day period of care; the percentage of periods that receive the LUPA; estimated costs; the percentage of 30-day periods of care by clinical group, comorbidity adjustment, admission source, timing, and functional impairment level; and the proportion of 30-day periods of care with and without any therapy visits, nursing visits, and/or aide/social worker visits. For the monitoring included in this rule, we examine simulated data for CYs 2018 and 2019 and actual data for CYs 2020, 2021, and 2022 for 30-day periods of care. We refer readers to the CY 2022 HH PPS final rule (86 FR 35881) for discussion about simulated data for CYs 2018 and 2019.</P>
                    <HD SOURCE="HD3">(a) Utilization</HD>
                    <P>Table B1 shows the overall utilization of home health services and Table B2 shows the average utilization of visits per 30-day period of care by home health discipline. This data indicates the average number of 30-day periods of care per unique HHA user is similar between CY 2021 and CY 2022. The data also indicates that the number of 30-day periods of care decreased between CY 2018 and CY 2022. Table B3 shows the proportion of 30-day periods of care that are LUPAs and the average number of visits per discipline of those LUPA 30-day periods of care over time.</P>
                    <GPH SPAN="3" DEEP="400">
                        <GID>EP10JY23.006</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="277">
                        <PRTPAGE P="43664"/>
                        <GID>EP10JY23.007</GID>
                    </GPH>
                    <HD SOURCE="HD3">(b) Analysis of 2021 Cost Report Data for 30-Day Periods of Care</HD>
                    <P>
                        In the CY 2023 HH PPS proposed rule (87 FR 37607), we provided a summary of analysis on FY 2020 HHA Medicare cost report data, as this was the most recent and complete cost report data at the time of rulemaking, and CY 2021 home health claims to estimate 30-day period of care costs. Our analysis showed that the CY 2021 national, standardized 30-day period payment rate of $1,901.12 was approximately 34 percent more than the estimated CY 2021 estimated 30-day period cost of $1,420.35. In MedPAC's March 2023 Report to Congress,
                        <SU>1</SU>
                        <FTREF/>
                         their review of home health payment adequacy found that “access is more than adequate in most areas and that Medicare payments are substantially in excess of costs”.
                    </P>
                    <FTNT>
                        <P>
                            <SU>1</SU>
                             Report to Congress, Medicare Payment Policy. Home Health Care Services, Chapter 8. MedPAC. March 2023 
                            <E T="03">https://www.medpac.gov/wp-content/uploads/2023/03/Ch8_Mar23_MedPAC_Report_To_Congress_SEC.pdf.</E>
                        </P>
                    </FTNT>
                    <P>Using this same process in this proposed rule to compare home health payment to costs, we examined 2021 HHA Medicare cost reports (CMS Form 1728-20, OMB No. 0938-0222), as this is the most recent and complete cost report data at the time of rulemaking, and CY 2022 home health claims, to estimate 30-day period of care costs. We excluded LUPAs and partial payment adjustments in the average number of visits. The 2021 average NRS costs per visit is $6.71. To update the estimated 30-day period of care costs, we begin with the 2021 average costs per visit with NRS for each discipline and multiply that amount by the CY 2022 home health payment update percentage of 2.6 percent. That amount for each discipline is then multiplied by the 2022 average number of visits by discipline to determine the 2022 estimated 30-day period costs. Table B4 shows the estimated average costs for 30-day periods of care by discipline with NRS and the total 30-day period of care costs with NRS for CY 2022.</P>
                    <GPH SPAN="3" DEEP="169">
                        <GID>EP10JY23.008</GID>
                    </GPH>
                    <PRTPAGE P="43665"/>
                    <P>
                        The CY 2022 national, standardized 30-day period payment rate was $2,031.64, which is approximately 45 percent more than the estimated CY 2022 estimated 30-day period cost of $1,402.27. Note that in the CY 2023 HH PPS proposed rule (87 FR 37608), the average number of visits for non-LUPA, non- partial payment adjustments 30-day periods of care in 2021 was 8.81 visits. Using actual CY 2022 claims data, the average number of visits for a non-LUPA, non-partial payment adjustments 30-day periods of care was 8.6 visits—a decrease of approximately 2.4 percent. Note that in the CY 2020 HH PPS final rule with comment period (84 FR 60484), the average number of visits for non-LUPA, non- partial payment adjustments 30-day periods of care in 2017 was estimated to be 10.5 visits. Therefore, the average number of visits for non-LUPA, non- partial payment adjustments, 30-day periods of care in CY 2022 represents a decrease of 18 percent from the average number of visits for non-LUPA, non- partial payment adjustments 30-day periods of care in CY 2017. In its March 2023 Report to Congress, MedPAC assumed a cost growth of 4.1 percent for CY 2023.
                        <SU>2</SU>
                        <FTREF/>
                         Furthermore, MedPAC noted that for more than a decade, payments under the HH PPS have significantly exceeded HHAs' costs primarily due to two factors. First, agencies have reduced the average number of visits per period to reduce period costs. Second, cost growth in recent years has been lower than the annual home health payment update percentages. As shown in Table B4 in this proposed rule, HHAs have reduced visits under the PDGM in CY 2022.
                    </P>
                    <FTNT>
                        <P>
                            <SU>2</SU>
                             Report to Congress, Medicare Payment Policy. Home Health Care Services, Chapter 8. MedPAC. March 2023 
                            <E T="03">https://www.medpac.gov/wp-content/uploads/2023/03/Ch8_Mar23_MedPAC_Report_To_Congress_SEC.pdf</E>
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">(c) Clinical Groupings and Comorbidities</HD>
                    <P>Each 30-day period of care is grouped into one of 12 clinical groups, which describe the primary reason for which a patient is receiving home health services under the Medicare home health benefit. The clinical grouping is based on the principal diagnosis reported on the home health claim. Table B5 shows the distribution of the 12 clinical groups over time.</P>
                    <GPH SPAN="3" DEEP="300">
                        <GID>EP10JY23.009</GID>
                    </GPH>
                    <P>Thirty-day periods of care will receive a comorbidity adjustment category based on the presence of certain secondary diagnoses reported on home health claims. These diagnoses are based on a home health specific list of clinically and statistically significant secondary diagnosis subgroups with similar resource use. We refer readers to section II.B.4.c. of this proposed rule and the CY 2020 HH PPS final rule with comment period (84 FR 60493) for further information on the comorbidity adjustment categories. Home health 30-day periods of care can receive a low or a high comorbidity adjustment, or no comorbidity adjustment. Table B6 shows the distribution of 30-day periods of care by comorbidity adjustment category for all 30-day periods.</P>
                    <GPH SPAN="3" DEEP="189">
                        <PRTPAGE P="43666"/>
                        <GID>EP10JY23.010</GID>
                    </GPH>
                    <HD SOURCE="HD3">(d) Admission Source and Timing</HD>
                    <P>Each 30-day period of care is classified into one of two admission source categories—community or institutional—depending on what healthcare setting was utilized in the 14 days prior to receiving home health care. Thirty-day periods of care for beneficiaries with any inpatient acute care hospitalizations, inpatient psychiatric facility (IPF) stays, skilled nursing facility (SNF) stays, inpatient rehabilitation facility (IRF) stays, or long-term care hospital (LTCH) stays within 14-days prior to a home health admission will be designated as institutional admissions. The institutional admission source category will also include patients that had an acute care hospital stay during a previous 30-day period of care and within 14 days prior to the subsequent, contiguous 30-day period of care and for which the patient was not discharged from home health and readmitted.</P>
                    <P>Thirty-day periods of care are classified as “early” or “late” depending on when they occur within a sequence of 30-day periods of care. The first 30-day period of care is classified as early and all subsequent 30-day periods of care in the sequence (second or later) are classified as late. A subsequent 30-day period of care would not be considered early unless there is a gap of more than 60 days between the end of one previous period of care and the start of another. Information regarding the timing of a 30-day period of care comes from Medicare home health claims data and not the OASIS assessment to determine if a 30-day period of care is “early” or “late”. Table B7 shows the distribution of 30-day periods of care by admission source and period timing.</P>
                    <GPH SPAN="3" DEEP="200">
                        <GID>EP10JY23.011</GID>
                    </GPH>
                    <HD SOURCE="HD3">(e) Functional Impairment Level</HD>
                    <P>
                        Each 30-day period of care is placed into one of three functional impairment levels (low, medium, or high) based on responses to certain OASIS functional items associated with grooming, bathing, dressing, ambulating, transferring, and risk for hospitalization. The specific OASIS items that are used for the functional impairment level are found in Table B7 in the CY 2020 HH PPS final rule with comment period (84 FR 60490).
                        <SU>3</SU>
                        <FTREF/>
                         Responses to these OASIS items are grouped together into response categories with similar resource use and each response category has associated points. A more detailed description as to how these response categories were 
                        <PRTPAGE P="43667"/>
                        established can be found in the technical report, “Overview of the Home Health Groupings Model” posted on the HHA webpage.
                        <SU>4</SU>
                        <FTREF/>
                         The sum of these points results in a functional impairment score used to group 30-day periods of care into a functional impairment level with similar resource use. The scores associated with the functional impairment levels vary by clinical group to account for differences in resource utilization. A patient's functional impairment level will remain the same for the first and second 30-day periods of care unless there is a significant change in condition that warrants an “other follow-up” assessment prior to the second 30-day period of care. For each 30-day period of care, the Medicare claims processing system will look for occurrence code 50 on the claim to correspond to the M0090 date of the applicable assessment. Table B8 shows the distribution of 30-day periods by functional impairment level.
                    </P>
                    <FTNT>
                        <P>
                            <SU>3</SU>
                             CMS continues to use the M1800-1860 items to determine functional impairment level for case-mix purposes while we continue to analyze the relationship between the analogous GG items (required as standardized patient assessment data) and the M1800 items used for payment.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>4</SU>
                             
                            <E T="03">https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/HH-PDGM.</E>
                        </P>
                    </FTNT>
                    <GPH SPAN="3" DEEP="192">
                        <GID>EP10JY23.012</GID>
                    </GPH>
                    <HD SOURCE="HD3">(f) Therapy Visits</HD>
                    <P>
                        Beginning in CY 2020, section 1895(b)(4)(B)(ii) of the Act eliminated the use of therapy thresholds in calculating payments for CY 2020 and subsequent years. Prior to implementation of the PDGM, HHAs could receive an adjustment to payment based on the number of therapy visits provided during a 60-day episode of care. We examined the proportion of actual 30-day periods of care with and without therapy visits. To be covered as skilled therapy, the services must require the skills of a qualified therapist (that is, PT, OT, or SLP) or qualified therapist assistant and must be reasonable and necessary for the treatment of the patient's illness or injury.
                        <SU>5</SU>
                        <FTREF/>
                         As shown in Table B2, we monitor the number of visits per 30-day period of care by each home health discipline. Any 30-day period of care can include both therapy and non-therapy visits. If any 30-day period of care consisted of only visits for PT, OT, or SLP, then this 30-day period of care is considered “therapy only”. If any 30-day period of care consisted of only visits for skilled nursing, home health aide, or social worker, then this 30-day period of care is considered “no therapy”. If any 30-day period of care consisted of at least one therapy visit and one non-therapy, then this 30-day period of care is considered “therapy + non-therapy”. Table B9 shows the proportion of 30-day periods of care with only therapy visits, at least one therapy visit and one non-therapy visit, and no therapy visits. Figure B2 shows the proportion of 30-day periods of care by the number of therapy visits (excluding zero) provided during 30-day periods of care.
                    </P>
                    <FTNT>
                        <P>
                            <SU>5</SU>
                             Medicare Benefit Policy Manual, Chapter 7 Home Health Services, Section 40.2 Skilled Therapy Services 
                            <E T="03">https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c07.pdf.</E>
                        </P>
                    </FTNT>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="198">
                        <PRTPAGE P="43668"/>
                        <GID>EP10JY23.013</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="372">
                        <GID>EP10JY23.014</GID>
                    </GPH>
                    <P>Both Table B9 and Figure B2, as previously discussed, indicate there have been changes in the distribution of both therapy and non-therapy visits in CY 2022 compared to CY 2021. For example, the percent of 30-day periods with one through seven therapy visits during a 30-day period increased in CY 2022 compared to CY 2021. Comparing therapy utilization from before the PDGM (CYs 2018 and 2019) to after the implementation of the PDGM (CYs 2020-2022), we have also seen a decline in therapy visits across all clinical groups, as shown in Figure B3.</P>
                    <GPH SPAN="3" DEEP="485">
                        <PRTPAGE P="43669"/>
                        <GID>EP10JY23.015</GID>
                    </GPH>
                    <P>We also examined the proportion of 30-day periods of care with and without skilled nursing, social work, or home health aide visits. Table B10 shows the number of 30-day periods of care with only skilled nursing visits, at least one skilled nursing visit and one other visit type (therapy or non-therapy), and no skilled nursing visits. Table B11 shows the number of 30-day periods of care with and without home health aide or social worker visits.</P>
                    <GPH SPAN="3" DEEP="450">
                        <PRTPAGE P="43670"/>
                        <GID>EP10JY23.016</GID>
                    </GPH>
                    <P>Finally, we looked at home health aide utilization during CYs 2018-2022. Figure B4 shows the total and average of home health aide visits by 30-day periods of care.</P>
                    <GPH SPAN="3" DEEP="360">
                        <PRTPAGE P="43671"/>
                        <GID>EP10JY23.017</GID>
                    </GPH>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <P>We will continue to monitor the provision of home health services, including any changes in the number and duration of home health visits, composition of the disciplines providing such services, and overall home health payments to determine if refinements to the case-mix adjustment methodology may be needed in the future.</P>
                    <HD SOURCE="HD3">2. Request for Information (RFI) for Access to Home Health Aide Services</HD>
                    <P>
                        Medicare covers intermittent/part-time personal care services and assistance with activities of daily living (ADL) provided by home health aides if a Medicare beneficiary is certified as needing a skilled
                        <FTREF/>
                         service 
                        <SU>6</SU>
                         (§ 409.45). All home health services, including aide services, are to be furnished in accordance with a physician-established plan of care. For home health services to be covered, the individualized plan of care must specify the services necessary to meet the patient-specific needs identified in the comprehensive assessment. In addition, the plan of care must include the identification of the responsible discipline(s) and the frequency and duration of all visits as well as those items listed in § 484.60(a) that establish the need for such services. As the population ages, the prevalence of chronic disease increases and the need for home-based dependent services is on the rise.
                        <SU>7</SU>
                        <FTREF/>
                         For eligible beneficiaries, home health aides can provide a necessary adjunct to medical care in managing medical conditions; assisting with ADLs (help with tasks such as bathing, grooming, dressing and toileting allows beneficiaries, particularly those with physical disabilities or chronic health conditions, to maintain their independence); assisting with medication management and adherence (help with reminders for beneficiaries to take their medications as prescribed and monitoring for adverse reactions or side effects); taking vital signs (home health aides can take vital signs such as blood pressure and heart rate, and report changes to the beneficiary's health care provider); and supplementing socialization (instances of social interaction during prescribed visits can help to improve the mental health and well-being of beneficiaries).
                        <SU>8</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>6</SU>
                             Intermittent skilled nursing care, physical therapy, speech language pathology, or a continuing need for occupational therapy.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>7</SU>
                             Maresova, P., Javanmardi, E., Barakovic, S. et al. Consequences of chronic diseases and other limitations associated with old age—a scoping review. BMC Public Health 19, 1431 (2019).
                            <E T="03">https://doi.org/10.1186/s12889-019-7762-5</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>8</SU>
                             Russell D, Rosati RJ, Peng TR, Barrón Y, Andreopoulos E. Continuity in the Provider of Home Health Aide Services and the Likelihood of Patient Improvement in Activities of Daily Living. Home Health Care Management &amp; Practice. 2013;25(1):6-12. doi:10.1177/1084822312453046
                        </P>
                    </FTNT>
                    <P>
                        Anecdotally, CMS has heard that beneficiaries have had difficulty receiving home health aide visits under the Medicare home health benefit. Additionally, our monitoring has shown that home health aide visits have decreased, as exhibited in Table B2 and Figure B4. CMS wants to ensure that all Medicare beneficiaries receiving care under the home health benefit are afforded all covered services for which they qualify. Therefore, in an effort to better understand any challenges facing Medicare beneficiaries in accessing home health aide services, CMS solicits public comment on the following:
                        <PRTPAGE P="43672"/>
                    </P>
                    <P>• Why is utilization of home health aides continuing to decline as shown in Table B2 and Figure B4 if the need for these services remains strong?</P>
                    <P>• To what extent are higher acuity individuals eligible for Medicare (for example, individuals with multiple co-morbidities or impairments of multiple activities of daily living) having more difficulty accessing home health care services, specifically home health aide services?</P>
                    <P>• What are notable barriers or obstacles that home health agencies experience relating to recruiting and retaining home health aides? What steps could home health agencies take to improve the recruitment and retention of home health aides?</P>
                    <P>• Are HHAs paying home health aides less than equivalent positions in other care settings (for example, are aides in the inpatient hospital setting or nursing home setting paid more than in home health)? What are the reasons for the disparity in hourly wages or total pay for equivalent services?</P>
                    <P>• In what ways could HHAs ensure that home health aides are consistently paid wages that are commensurate with the impact they have on patient care that they provide to Medicare beneficiaries?</P>
                    <P>• How effective is the coordination between Medicare and Medicaid to ensure adequate access to home health aide services? Please share insights on the level of utilization of Medicaid benefits by dually eligible beneficiaries for additional home health aide services that are not being provided by Medicare.</P>
                    <P>• Are physicians' plans of care less reliant on home health aide services in the past, or are HHAs less willing/able to provide these services? If so, what are the primary reasons for why such services are not provided?</P>
                    <P>• What are the consequences of beneficiary difficulty in accessing home health aide services?</P>
                    <HD SOURCE="HD2">C. Proposed Provisions for CY 2024 Payment Under the HH PPS</HD>
                    <HD SOURCE="HD3">1. Proposed Behavior Assumption Adjustments Under the HH PPS</HD>
                    <HD SOURCE="HD3">(a) Background</HD>
                    <P>As discussed in section II.A.1. of this rule, starting in CY 2020, the Secretary was statutorily required by Section 1895 (b)(2)(B) of the Act, to change the unit of payment under the HH PPS from a 60-day episode of care to a 30-day period of care. CMS was also required to make assumptions about behavior changes that could occur as a result of the implementation of the 30-day unit of payment and the case-mix adjustment factors that eliminated the use of therapy thresholds. In the CY 2019 HH PPS final rule with comment period (83 FR 56455), we finalized three behavior change assumptions which were also described in the CY 2022 and 2023 HH PPS rules (86 FR 35890, 87 FR 37614, and 87 FR 66795 through 66796). In the CY 2020 HH PPS final rule with comment period (84 FR 60519), we included these behavior change assumptions in the calculation of the 30-day budget neutral payment amount for CY 2020, finalizing a negative 4.36 percent behavior change assumption adjustment (“assumed behaviors”). We did not propose any changes for CYs 2021 and 2022 relating to the behavior assumptions finalized in the CY 2019 HH PPS final rule with comment period, or to the negative 4.36 percent behavior change assumption adjustment, finalized in the CY 2020 HH PPS final rule with comment period.</P>
                    <P>In the CY 2023 HH PPS final rule (87 FR 66796), we stated, based on our annual monitoring at that time, the three assumed behavior changes did occur as a result of the implementation of the PDGM and that other behaviors, such as changes in the provision of therapy and changes in functional impairment levels also occurred. We also reminded readers that in the CY 2020 HH PPS final rule with comment period (84 FR 60513) we stated we interpret actual behavior changes to encompass both behavior changes that were previously outlined as assumed by CMS, and other behavior changes not identified at the time the budget-neutral 30-day payment rate for CY 2020 was established. In the CY 2023 HH PPS final rule (87 FR 66796) we provided supporting evidence that indicated the number of therapy visits declined in CYs 2020 and 2021, as well as a slight decline in therapy visits beginning in CY 2019 after the finalization of the removal of therapy thresholds, but prior to implementation of the PDGM. In section II.B.1. of this rule, our analysis continues to show overall the actual 30-day periods are similar to the simulated 30-day periods and there continues to be a decline in therapy visits, indicating that HHAs changed their behavior to reduce therapy visits. Although the analysis demonstrates evidence of individual behavior changes (for example, in the volume of visits for LUPAs, therapy sessions, etc.), we use the entirety of the behaviors in order to calculate estimated aggregate expenditures. The law instructs us to ensure that estimated aggregate expenditures under the PDGM are equal to the estimated aggregate expenditures that otherwise would have been made under the prior system.</P>
                    <P>
                        Section 4142(a) of the CAA, 2023, required CMS to present, to the extent practicable, a description of the actual behavior changes occurring under the HH PPS from CYs 2020-2026. This subsection of the CAA, 2023, also required CMS to provide datasets underlying the simulated 60-day episodes, and discuss and provide time for stakeholders to provide input and ask questions on the payment rate development for CY 2023. CMS complied with these requirements by posting online both the supplemental LDS and descriptive files and the description of actual behavior changes that affected CY 2023 payment rate development. Additionally, on March 29, 2023, CMS conducted a webinar entitled 
                        <E T="03">Medicare Home Health Prospective Payment System (HH PPS) Calendar Year (CY) 2023 Behavior Change Recap, 60-Day Episode Construction Overview, and Payment Rate Development.</E>
                         The webinar was open to the public and discussed the actual behavior changes that occurred upon implementation of the PDGM, our approach used to construct simulated 60-day episodes using 30-day periods, payment rate development for CY 2023, and information on the supplemental data files containing information on the simulated 60-day episodes and actual 30-day periods used in calculating the permanent adjustment to the payment rate. Materials from the webinar, including the presentation and the CY 2023 descriptive statistics from the supplemental LDS files, containing information on the number of simulated 60-day episodes and actual 30-day periods in CY 2021 that were used to construct the permanent adjustment to the payment rate, as well as information such as the number of episodes and periods by case-mix group, case-mix weights, and simulated payments, can be found on the Home Health Patient-Driven Groupings Model web page at 
                        <E T="03">https://www.cms.gov/medicare/medicare-fee-for-service-payment/homehealthpps/hh-pdgm.</E>
                    </P>
                    <HD SOURCE="HD3">(b) Method To Annually Determine the Impact of Differences Between Assumed Behavior Changes and Actual Behavior Changes on Estimated Aggregate Expenditures</HD>
                    <P>
                        In the CY 2023 HH PPS final rule (87 FR 66804), we finalized the methodology to evaluate the impact of the differences between assumed and actual behavior changes on estimated aggregate expenditures. For CYs 2020 through 2026, we will evaluate if the 30-day budget neutral payment rate and resulting aggregate expenditures are equal under the PDGM to what they 
                        <PRTPAGE P="43673"/>
                        would have been under the 153-group case-mix system and 60-day unit of payment. An overview of the methodology is listed in this section, followed by detailed instructions on each step.
                    </P>
                    <FP SOURCE="FP-1">• Create simulated 60-day episodes from 30-day periods</FP>
                    <FP SOURCE="FP-1">• Price out the simulated 60-day episodes and determine aggregate expenditures</FP>
                    <FP SOURCE="FP-1">• Price out only the 30-day periods which were used to create the simulated 60-day episodes and determine aggregate expenditures</FP>
                    <FP SOURCE="FP-1">• Compare aggregate expenditures between the simulated 60-day episodes and actual 30-day periods</FP>
                    <FP SOURCE="FP-1">• Determine what the 30-day payment rate should have been to equal aggregate expenditures</FP>
                    <HD SOURCE="HD3">(1) Create Simulated 60-Day Episodes From 30-Day Periods</HD>
                    <P>The first step in our methodology is to determine which PDGM 30-day periods of care could be grouped together to form simulated 60-day episodes of care. To facilitate grouping, we made some exclusions and assumptions as described later in this section prior to pricing out the simulated 60-day episodes of care. We note in the early months of CY 2020, there were 60-day episodes which started in 2019 and ended in 2020 and therefore, some of these exclusions and assumptions may be specific to the first year of the PDGM. We identify, through footnotes, if an exclusion or assumption is specific to CY 2020 only.</P>
                    <HD SOURCE="HD3">(a) Exclusions</HD>
                    <P>
                        • Claims where the claim occurrence code 50 date (OASIS assessment date) occurred on or after October 31 of that year. This exclusion was applied to ensure the simulated 60-day episodes contained both 30-day periods from the same year and would not overlap into the following year (for example, 2021, 2022, 2023). This is done because any 30-day periods with an OASIS assessment date in November or December might be part of a simulated 60-day episode that would continue into the following year and where payment would have been made based on the “through” date. For CYs 2021 through 2026, we also excluded claims with an OASIS assessment date before January 1 of that year.
                        <SU>9</SU>
                        <FTREF/>
                         Again, this is to ensure a simulated 60-day episode (simulated from two 30-day periods) does not overlap years.
                    </P>
                    <FTNT>
                        <P>
                            <SU>9</SU>
                             There are no 30-day PDGM claims which started in CY 2019 and ended in CY 2020, and therefore this exclusion would not apply to the CY 2020 dataset.
                        </P>
                    </FTNT>
                    <P>
                        • Beneficiaries and all of their claims if they have overlapping claims from the same provider (as identified by CCN).
                        <SU>10</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>10</SU>
                             Claims are dropped from the same provider that extend into the following calendar year to ensure episode timing is accurate for simulated 60-day episodes. All of a beneficiary's claims are dropped, rather then only a subset, so as not to create a conflict in assigning episode timing.
                        </P>
                    </FTNT>
                    <P>
                        • Beneficiaries and all of their claims if three or more claims from the same provider are linked to the same occurrence code 50 date.
                        <SU>11</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>11</SU>
                             This is done because if three or more claims link to the same OASIS it would not be clear which claims should be joined to simulate a 60-day episode.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">(b) Assumptions</HD>
                    <P>• If two 30-day periods of care from the same provider reference the same OASIS assessment date (using occurrence code 50), then we assume those two 30-day periods of care would have been billed as a 60-day episode of care under the 153-group system.</P>
                    <P>• If two 30 day-periods of care reference different OASIS assessment dates and each of those assessment dates is referenced by a single 30-day period of care, and those two 30-day periods of care occur together close in time (that is, the “from”date of the later 30-day period of care is between 0 to 14 days after the “through”date of the earlier 30-day period of care), then we assume those two 30-day periods of care also would have been billed as a 60-day episode of care under the 153-group system.</P>
                    <P>• For all other 30-day periods of care, we assume that they would not be combined with another 30-day period of care and would have been billed as a single 30-day period.</P>
                    <HD SOURCE="HD3">(2) Price Out the Simulated 60-Day Episodes and Determine Aggregate Expenditures</HD>
                    <P>
                        After application of the exclusions and assumptions described previously, we have the simulated 60-day episodes dataset for each year. We assign each simulated 60-day episode of care as a normal episode, PEP, LUPA, or outlier based on the payment parameters established in the CY 2020 HH PPS final rule with comment period (84 FR 60478) for 60-day episodes of care. Next, using the October 2019 3M Home Health Grouper (v8219) 
                        <SU>12</SU>
                        <FTREF/>
                         we assign a HIPPS code to each simulated 60-day episode of care using the 153-group methodology. Finally, we price the simulated 60-day episodes of care using the payment parameters described in the CY 2020 final rule with comment period (84 FR 60537) for 60-day episodes of care.
                    </P>
                    <FTNT>
                        <P>
                            <SU>12</SU>
                             
                            <E T="03">https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/CaseMixGrouperSoftware.</E>
                        </P>
                    </FTNT>
                    <P>For CYs 2021 through 2026, we adjust the simulated 60-day base payment rate to align with current payments for the analysis year (that is, wage index budget neutrality factor and home health payment update). For example, to calculate the CY 2021 simulated 60-day episode base payment rate, we started with the final CY 2020 60-day base payment rate ($3,220.79) and multiplied by the final CY 2021 wage index budget neutrality factor (0.9999) and the CY 2021 home health payment update (1.020) to get an adjusted 60-day base payment rate ($3,284.88) for CY 2021. We used that adjusted 60-day base payment rate ($3,284.88) to price out the CY 2021 simulated 60-day claims. Once each claim is priced under the pre-PDGM HH PPS, that is each claim is adjusted from the base payment rate by case-mix, wage index, etc., we calculate the estimated aggregate expenditures for all simulated 60-day episodes in CY 2021. This method is then replicated to price out the simulated 60-day episodes for each year of claims data through CY 2026.</P>
                    <HD SOURCE="HD3">(3) Price Out the 30-Day Periods and Determine Aggregate Expenditures</HD>
                    <P>Next, we calculated the PDGM aggregate expenditures for CY 2020 using those specific 30-day periods that were used to create the simulated 60-day episodes. Therefore, both the actual PDGM expenditures and the simulated pre-PDGM aggregate expenditures are based on the exact same claims for the permanent adjustment calculation.</P>
                    <HD SOURCE="HD3">(4) Compare Aggregate Expenditures Between the Simulated 60-Day Episodes and Actual 30-Day Periods</HD>
                    <P>
                        We determine if the total aggregate expenditures under the PDGM were higher or lower than under the 153-case mix group system in each year beginning with CY 2020 through CY 2026. If expenditures were higher under the PDGM (that is, we paid more than we would have if the 153-group payment system was in place), then the actual base payment rate we implemented was too high. If the expenditures were lower under the PDGM (that is, we paid less than we would have if the 153-group payment system was in place), then the actual base payment rate we implemented was too low.
                        <PRTPAGE P="43674"/>
                    </P>
                    <HD SOURCE="HD3">(5) Determine What the 30-Day Payment Rate Should Have Been</HD>
                    <P>Using an iterative process, we determine what the 30-day base payment rate should have been, in order to achieve the same estimated aggregate expenditures as obtained from the simulated 60-day episodes. This is our recalculated (“repriced”) base payment rate.</P>
                    <HD SOURCE="HD3">(c) Calculating Permanent and Temporary Payment Adjustments</HD>
                    <P>To offset prospectively for such increases or decreases in estimated aggregate expenditures as a result of the impact of differences between assumed behavior changes and actual behavior changes, in any given year, we calculate a permanent prospective adjustment by calculating the percent change between the actual 30-day base payment rate and the recalculated 30-day base payment rate. This percent change is converted into a behavior adjustment factor and applied in the annual rate update process.</P>
                    <P>To offset retrospectively for such increases or decreases in estimated aggregate expenditures as a result of the impact of differences between assumed behavior changes and actual behavior changes in any given year, we calculate a temporary prospective adjustment by calculating the dollar amount difference between the estimated aggregate expenditures from all 30-day periods using the recalculated 30-day base payment rate, and the aggregate expenditures for all 30-day periods using the actual 30-day base payment rate for the same year. In other words, when determining the temporary retrospective dollar amount, we use the full dataset of actual 30-day periods using both the actual and recalculated 30-day base payment rates to ensure that the utilization and distribution of claims are the same. In accordance with section 1895(b)(3)(D)(iii) of the Act, the temporary adjustment is to be applied on a prospective basis and shall apply only with respect to the year for which such temporary increase or decrease is made. Therefore, after we determine the dollar amount to be reconciled in any given year, we calculate a temporary adjustment factor to be applied to the base payment rate for that year. The temporary adjustment factor is based on an estimated number of 30-day periods in the next year using historical data trends, and as applicable, we control for a permanent adjustment factor, case-mix weight recalibration neutrality factor, wage index budget neutrality factor, and the home health payment update. The temporary adjustment factor is applied last.</P>
                    <HD SOURCE="HD3">(d) CY 2020 Results</HD>
                    <P>This section discusses the final results CMS determined from CY 2020 claims data that was previously published in the CY 2023 final rule (87 FR 66804 through 66805). CMS did not do any recalculations for CY 2020 data and this section simply reiterates what was done previously for informative purposes only. Using the methodology described previously, we simulated 60-day episodes using actual CY 2020 30-day periods to determine what the CY 2020 permanent and temporary payment adjustments should be to offset for such increases or decreases in estimated aggregate expenditures. For CY 2020, we began with 8,423,688 30-day periods and dropped 603,157 30-day periods that had a claim occurrence code 50 date after October 31, 2020. We also eliminated 79,328 30-day periods that didn't appear to group with another 30-day period to form a 60-day episode if the 30-day period had a “from date” before January 15, 2020 or a “through date” after November 30, 2020. This was done to ensure a 30-day period would not have been part of a 60-day episode that would have overlapped into CY 2021. Applying the additional exclusions and assumptions as described previously, an additional 14,062 30-day periods were excluded from this analysis. Additionally, we excluded 66,469 simulated 60-day episodes of care where no OASIS information was available in the CCW VRDC or could not be grouped to a HIPPS due to a missing primary diagnosis or other reason. Our simulated 60-day episodes of care produced a distribution of two 30-day periods of care (70.6 percent) and single 30-day periods of care (29.4 percent). This distribution is similar to what we found when we simulated 30-day periods of care for implementation of the PDGM. After all exclusions and assumptions were applied, the final dataset included 7,618,061 actual 30-day periods of care and 4,463,549 simulated 60-day episodes of care for CY 2020.</P>
                    <P>Using the final dataset for CY 2020 (7,618,061 actual 30-day periods which made up the 4,463,549 simulated 60-day episodes) we determined the estimated aggregate expenditures under the pre-PDGM HH PPS were lower than the actual estimated aggregate expenditures under the PDGM HH PPS. This indicates that aggregate expenditures under the PDGM were higher than if the 153-group payment system was still in place in CY 2020. As described previously in the methodology, we needed to calculate what the actual CY 2020 30-day base payment rate ($1,864.03) should have been to equal the aggregate expenditures that we calculated using the simulated CY 2020 60-day episodes. We determined the CY 2020 30-day base payment rate should have been $1,742.52 based on actual behavior rather than the $1,864.03 based on assumed behaviors. The percent change between the two payment rates (actual and recalculated) would be the permanent adjustment. Next, we calculated the difference in aggregate expenditures for all CY 2020 PDGM 30-day claims using the actual and recalculated payment rates. This difference is the retrospective dollar amount needed to offset payment. Our results are shown in Table B12.</P>
                    <GPH SPAN="3" DEEP="187">
                        <PRTPAGE P="43675"/>
                        <GID>EP10JY23.018</GID>
                    </GPH>
                    <P>As shown in Table B12 and in the CY 2023 HH PPS final rule (87 FR 66805), a permanent prospective adjustment of −6.52 percent to the CY 2023 30-day payment rate would be required to offset for such increases in estimated aggregate expenditures in future years. Additionally, we determined that our initial estimate of base payment rates required to achieve budget neutrality resulted in excess expenditures of HHAs of approximately $873 million in CY 2020. This would require a temporary adjustment to offset for such increase in estimated aggregate expenditures for CY 2020.</P>
                    <HD SOURCE="HD3">(e) CY 2021 Results</HD>
                    <P>This section discusses the final results CMS determined from CY 2021 claims data that was previously published in the CY 2023 final rule (87 FR 66805 through 66806). CMS did not do any recalculations for CY 2021 data and this section simply reiterates what was done previously for informative purposes only. Using the methodology described previously, we simulated 60-day episodes using actual CY 2021 30-day periods to determine what the permanent and temporary payment adjustments should be to offset for such increases or decreases in estimated aggregate expenditures as a result of the impact of differences between assumed behavior changes and actual behavior changes. For CY 2021, we began with 9,269,971 30-day periods of care and dropped 570,882 30-day periods of care that had claim occurrence code 50 date after October 31, 2021. We also excluded 968,434 30-day periods of care that had claim occurrence code 50 date before January 1, 2021 to ensure the 30-day period would not be part of a simulated 60-day episode that began in CY 2020. Applying the additional exclusions and assumptions as described previously, an additional 5,868 30-day periods were excluded.</P>
                    <P>Additionally, we excluded 14,302 simulated 60-day episodes of care where no OASIS information was available in the CCW VRDC or could not be grouped to a HIPPS due to a missing primary diagnosis or other reason. Our simulated 60-day episodes of care produced a distribution of two 30-day periods of care (70.0 percent) and single 30-day periods of care (30.0 percent) that was similar to what we found when we simulated two 30-day periods of care for implementation of the PDGM. After all exclusions and assumptions were applied, the final dataset included 7,703,261 actual 30-day periods of care and 4,529,498 simulated 60-day episodes of care for CY 2021.</P>
                    <P>Using the final dataset for CY 2021 (7,703,261 actual 30-day periods which made up the 4,529,498 simulated 60-day episodes) we determined the estimated aggregate expenditures under the pre-PDGM HH PPS were lower than the actual estimated aggregate expenditures under the PDGM HH PPS. This indicates that aggregate expenditures under the PDGM were higher than if the 153-group payment system was still in place in CY 2021. As described previously in the methodology, we needed to calculate what the actual CY 2021 30-day base payment rate ($1,901.12) should have been to equal aggregate expenditures that we calculated using the simulated CY 2021 60-day episodes. We determined the CY 2021 30-day base payment rate should have been $1,751.90 based on actual behavior rather than the $1,901.12 based on assumed behaviors. The actual CY 2021 base payment rate of $1,901.12 does not account for any behavior adjustments needed for CY 2020, and therefore to evaluate changes for only CY 2021 we would need to control for the −6.52 percent prospective adjustment that we determined for CY 2020. Therefore, using the recalculated CY 2020 base payment rate of $1,742.52, multiplied by the CY 2021 wage index budget neutrality factor (0.9999) and the CY 2021 home health payment update (1.020), the CY 2021 base payment rate for assumed behaviors would have been $1,777.19. The percent change between the two payment rates would be the annual permanent adjustment for CY 2021 (assuming the −6.52 percent adjustment was already taken). Next, we calculated the difference in aggregate expenditures for all CY 2021 PDGM 30-day claims using the actual ($1,901.12, as this was what CMS actually paid in CY 2021) and recalculated ($1,751.90) payment rates. This difference is the retrospective dollar amount needed to offset payment. Our results are shown in Table B13.</P>
                    <GPH SPAN="3" DEEP="220">
                        <PRTPAGE P="43676"/>
                        <GID>EP10JY23.019</GID>
                    </GPH>
                    <P>As shown in Table B13 and in the CY 2023 HH PPS final rule (87 FR 66806), a permanent prospective adjustment of −1.42 percent (assuming the −6.52 percent adjustment was already taken) would be required to offset for such increases in estimated aggregate expenditures in future years. Additionally, we determined that our initial estimate of base payment rates required to achieve budget neutrality resulted in excess expenditures of approximately $1.2 billion in CY 2021. This would require a one-time temporary adjustment factor to offset for such increases in estimated aggregate expenditures for CY 2021.</P>
                    <HD SOURCE="HD3">(f) CY 2022 Preliminary Results</HD>
                    <P>
                        We will continue the practice of using the most recent complete home health claims data at the time of rulemaking. The HH PPS limited data set (LDS) file released with this proposed rule includes two files: the actual CY 2022 30-day periods and the CY 2022 simulated 60-day episodes. We remind readers a data use agreement (DUA) is required to purchase the CY 2024 proposed HH PPS LDS file. Access will be granted for both the 30-day periods and the simulated 60-day episodes under one DUA. Visit the HH PPS LDS web page for more information.
                        <SU>13</SU>
                        <FTREF/>
                         In addition, the proposed CY 2024 Home Health Descriptive Statistics from the LDS Files spreadsheet is available on the Home Health Prospective Payment System Regulations and Notices web page,
                        <SU>14</SU>
                        <FTREF/>
                         does not require a DUA, and is available at no cost to interested parties. The spreadsheet contains information on the number of simulated 60-day episodes and actual 30-day periods in CY 2022 that were used to determine the behavior adjustments. The spreadsheet also provides information such as the number of episodes and periods by case-mix group, case-mix weights, and simulated payments. The CY 2022 analysis presented in this proposed rule is considered preliminary and, as more data become available from the latter half of CY 2022, we will update our results in the final rule. The CY 2024 final rule will utilize the CY 2022 finalized data for determining any behavior adjustment needed to the CY 2024 payment rate. However, while the claims data and the permanent and temporary behavior adjustment results will be considered complete, any adjustments to future payment rates may be subject to additional considerations such as permanent adjustments taken in previous years.
                    </P>
                    <FTNT>
                        <P>
                            <SU>13</SU>
                             
                            <E T="03">https://www.cms.gov/research-statistics-data-and-systems/files-for-order/limiteddatasets/home_health_pps_lds.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>14</SU>
                             
                            <E T="03">https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/Home-Health-Prospective-Payment-System-Regulations-and-Notices.</E>
                        </P>
                    </FTNT>
                    <P>Using the methodology described previously, we simulated 60-day episodes using actual CY 2022 30-day periods to determine what the permanent and temporary payment adjustments should be to offset for such increases or decreases in estimated aggregate expenditures as a result of the impact of differences between assumed behavior changes and actual behavior changes. For CY 2022, we began with 8,386,706 30-day periods of care and dropped 476,889 30-day periods of care that had claim occurrence code 50 date after October 31, 2022. We also excluded 894,319 30-day periods of care that had claim occurrence code 50 date before January 1, 2022 to ensure the 30-day period would not be part of a simulated 60-day episode that began in CY 2021. Applying the additional exclusions and assumptions as described previously, an additional 5,452 30-day periods were excluded.</P>
                    <P>Additionally, we excluded 17,054 simulated 60-day episodes of care where no OASIS information was available in the CCW VRDC or could not be grouped to a HIPPS due to a missing primary diagnosis or other reason. Our simulated 60-day episodes of care produced a distribution of two 30-day periods of care (69.1 percent) and single 30-day periods of care (30.9 percent) that was similar to what we found when we simulated two 30-day periods of care for implementation of the PDGM. After all exclusions and assumptions were applied, the final dataset for this proposed rule included 6,982,837 actual 30-day periods of care and 4,127,754 simulated 60-day episodes of care for CY 2022.</P>
                    <P>
                        Using the final dataset for CY 2022 (6,982,837 actual 30-day periods which made up the 4,127,754 simulated 60-day episodes) we determined the estimated aggregate expenditures under the pre-PDGM HH PPS were lower than the actual estimated aggregate expenditures under the PDGM HH PPS as shown in Table B14. This indicates that aggregate expenditures under the PDGM were higher than if the 153-group payment system was still in place in CY 2022. As described previously in the methodology, we needed to calculate 
                        <PRTPAGE P="43677"/>
                        what the actual CY 2022 30-day base payment rate ($2,031.64) should have been to equal aggregate expenditures that we calculated using the simulated CY 2022 60-day episodes. We determined the CY 2022 30-day base payment rate should have been $1,841.55 based on actual behavior rather than the $2,031.64 based on assumed behaviors. We note, the actual CY 2022 base payment rate of $2,031.64 does not account for any behavior adjustments needed for CYs 2020 and 2021, and therefore to evaluate changes for only CY 2022 we need to account for the −7.85 percent prospective adjustment that we determined for CYs 2020 and 2021. Therefore, using the recalculated CY 2021 base payment rate of $1,751.90 (shown in Table B13), multiplied by the CY 2022 case-mix weights recalibration neutrality factor (1.0396), the CY 2022 wage index budget neutrality factor (1.0019) and the CY 2022 home health payment update (1.026), the CY 2022 base payment rate for assumed behavior would have been $1,872.18. The percent change between the two payment rates would be the additional permanent adjustment (assuming the −7.85 percent adjustment was already taken). Next, we calculated the difference in aggregate expenditures for all CY 2022 PDGM 30-day claims using the actual ($2,031.64) and recalculated ($1,841.55) payment rates. This difference is the retrospective dollar amount needed to offset payment. Our results are shown in Table B14.
                    </P>
                    <GPH SPAN="3" DEEP="198">
                        <GID>EP10JY23.020</GID>
                    </GPH>
                    <P>As shown in Table B14, a permanent prospective adjustment of −1.636 percent to the CY 2024 30-day payment rate (assuming the −7.85 percent adjustment was already taken) would be required to offset for such increases in estimated aggregate expenditures in future years. Additionally, we determined that our initial estimate of base payment rates required to achieve budget neutrality resulted in excess expenditures of approximately $1.4 billion in CY 2022. This would require a one-time temporary adjustment factor to offset for such increases in estimated aggregate expenditures for CY 2022.</P>
                    <HD SOURCE="HD3">(g) Proposed CY 2024 Permanent Adjustment and Temporary Adjustment Calculations</HD>
                    <P>To offset the increase in estimated aggregate expenditures for CYs 2020 and 2021 based on the impact of the differences between assumed and actual behavior changes, CMS needed to apply a −7.85 percent permanent adjustment to the CY 2023 base payment rate, as well as implement a temporary adjustment of approximately $2.1 billion to reconcile retrospective overpayments in CYs 2020 and 2021. We recognized that applying the full permanent and temporary adjustment immediately would result in a significant negative adjustment in a single year. However, if the PDGM 30-day base payment rate remains higher than it should be, then there would likely be a compounding effect, potentially creating the need for an even larger reduction to adjust for behavioral changes in future years. Therefore, we proposed to apply only the permanent adjustment to the CY 2023 base payment rate. We believed this could mitigate the need for a larger permanent adjustment and could reduce the amount of any additional temporary adjustments in future years.</P>
                    <P>We also recognized the potential hardship to some providers of implementing the full −7.85 percent permanent adjustment in a single year. As we have the discretion to implement any adjustment in a time and manner determined appropriate, in accordance with section 1895(b)(3)(D) of the Act, we finalized only a −3.925 percent (half of the −7.85 percent) permanent adjustment for CY 2023. However, we emphasized that the permanent adjustment needed in CY 2023 to account fully for actual behavior changes in CYs 2020 and 2021 was −7.85 percent, and applying a −3.925 percent permanent adjustment to the CY 2023 30-day payment rate would not fully account for differences in behavior changes on estimated aggregate expenditures during those years, as well as CYs 2022 and 2023. We stated we would need to account for that difference in future rulemaking, and any additional adjustments needed to the base payment rate, to account for behavior change based on more recent data analysis.</P>
                    <P>The percent change between the actual CY 2022 base payment rate of $2,031.64 (based on assumed behaviors) and the CY 2022 recalculated base payment rate of $1,841.55 (based on actual behaviors) (shown in Table B14) is the total (cumulative) permanent adjustment for CY 2022. The summation of the dollar amount for CYs 2020, 2021, and 2022 is the amount that represents the temporary payment adjustment to offset for increased aggregate expenditures in CYs 2020, 2021, and 2022. Our results are shown in Table B15 and B16.</P>
                    <GPH SPAN="3" DEEP="291">
                        <PRTPAGE P="43678"/>
                        <GID>EP10JY23.021</GID>
                    </GPH>
                    <P>We remind readers adjustment factors are multiplied in this payment system and therefore individual numbers (that is, percentages) do not sum precisely to the permanent adjustment needed to account for the total permanent adjustment in that year. Additionally, as we stated in the CY 2023 HH PPS final rule (87 FR 66808), applying a −3.925 percent permanent adjustment to the CY 2023 30-day payment rate would not adjust the rate fully to account for differences in behavior changes on estimated aggregate expenditures in CYs 2020 and 2021. Therefore, we cannot determine the CY 2024 proposed permanent adjustment by simply subtracting −3.925 percent from the total permanent adjustment of −9.356 percent.</P>
                    <P>Instead, we look at the total permanent adjustment needed for the current year of data and account for any prior permanent adjustments through multiplication and division of factors. In other words, we determined the total permanent adjustment based on CY 2022 data (which had no prior adjustments) is −9.356 percent, which is converted to a 0.90644 factor. We recognize that in CY 2023 we implemented a −3.925 percent permanent behavior adjustment, converted to a 0.96075 factor, and we must account for it in the proposed CY 2024 permanent adjustment. Next, we calculated the CY 2024 permanent adjustment factor by solving (1−x) = 0.90644 (9.356 percent) divided by 0.96075 (3.925 percent). The resulting factor (1−x) is 0.94347, which is converted to a 5.653 percent reduction to the CY 2024 national, standardized base payment rate. In other words, 1 minus the factor 0.94347 equals 0.05653 which is equal to 5.653 percent reduction. Therefore, to offset the increase in estimated aggregate expenditures for CY 2022 based on the impact of the differences between assumed and actual behavior changes, and to account for the permanent adjustment of −3.925 percent taken in CY 2023 rulemaking, CMS would need to apply a −5.653 percent permanent adjustment to the CY 2024 base payment rate. We are proposing to apply a −5.653 percent permanent adjustment to the CY 2024 national, standardized 30-day payment rate.</P>
                    <P>We acknowledge that, as previously discussed, we finalized, in the CY 2023 HH PPS final rule, half of the −7.85 percent permanent adjustment, noting that the full permanent adjustment may be burdensome for some providers. However, we believe applying the full permanent adjustment of −5.635 in CY 2024 would potentially reduce any future permanent adjustments, stem the accrual of the temporary payment adjustment dollar amount, and would help fulfill the statutory requirements at section 1895(b)(3)(D) of the Act to offset any increases or decreases on the impact of differences between assumed behavior and actual behavior changes on estimated aggregate expenditures. We previously explained when reducing the permanent adjustment in CY 2023 that we would need to implement a greater rate reduction in future years, therefore home health agencies have had some time to consider this proposed rate reduction.</P>
                    <P>
                        In order to calculate the temporary adjustment, we would add the CY 2022 temporary adjustment dollar amount of $1,355,208,655 to the previously finalized CYs 2020 and 2021 dollar amounts for a total of $3,439,284,729. We stated in the CY 2023 HH PPS final rule (87 FR 66804) and in this proposed rule, after we determine the dollar amount to be reconciled we will calculate a temporary adjustment factor to be applied to the base payment rate for that year. That is, the dollar amount will be converted to a factor. However, as we noted in the CY 2023 HH PPS proposed rule (87 FR 37682), we recognize that implementing both the permanent and temporary adjustments may adversely affect HHAs. Given that the magnitude of both the temporary and permanent adjustments for CY 2024 rate setting may result in a significant reduction of the payment rate, we are not proposing to take the temporary adjustment in CY 2024. We will propose a temporary adjustment factor to the 
                        <PRTPAGE P="43679"/>
                        national, standardized base payment rate when we propose this temporary payment adjustment in future rulemaking. As noted previously, we will update these permanent and temporary adjustments in the final rule to reflect more complete claims data for CY 2022. We solicit comments on the proposal to apply a −5.653 percent permanent adjustment to the CY 2024 base payment rate.
                    </P>
                    <HD SOURCE="HD3">2. Proposed CY 2024 PDGM LUPA Thresholds and PDGM Case-Mix Weights</HD>
                    <HD SOURCE="HD3">(a) Proposed CY 2024 PDGM LUPA Thresholds</HD>
                    <P>Under the HH PPS, LUPAs are paid when a certain visit threshold for a payment group during a 30-day period of care is not met. In the CY 2019 HH PPS final rule with comment period (83 FR 56492), we finalized that the LUPA thresholds would be set at the 10th percentile of visits or 2 visits, whichever is higher, for each payment group. This means the LUPA threshold for each 30-day period of care varies depending on the PDGM payment group to which it is assigned. If the LUPA threshold for the payment group is met under the PDGM, the 30-day period of care will be paid the full 30-day period case-mix adjusted payment amount (subject to any partial payment adjustment or outlier adjustments). If a 30-day period of care does not meet the PDGM LUPA visit threshold, then payment will be made using the CY 2024 per-visit payment amounts as described in section II.C.4.f.2 of this proposed rule. For example, if the LUPA visit threshold is four, and a 30-day period of care has four or more visits, it is paid the full 30-day period payment amount; if the period of care has three or less visits, payment is made using the per-visit payment amounts.</P>
                    <P>In the CY 2019 HH PPS final rule with comment period (83 FR 56492), we finalized our policy that the LUPA thresholds for each PDGM payment group would be reevaluated every year based on the most current utilization data available at the time of rulemaking. However, as CY 2020 was the first year of the new case-mix adjustment methodology, we stated in the CY 2021 HH PPS final rule (85 FR 70305, 70306) that we would maintain the LUPA thresholds that were finalized and shown in Table 17 of the CY 2020 HH PPS final rule with comment period (84 FR 60522) for CY 2021 payment purposes. We stated that at that time, we did not have sufficient CY 2020 data to reevaluate the LUPA thresholds for CY 2021.</P>
                    <P>In the CY 2022 HH PPS final rule with comment period (86 FR 62249), we finalized the proposal to recalibrate the PDGM case-mix weights, functional impairment levels, and comorbidity subgroups while maintaining the LUPA thresholds for CY 2022. We stated that because there are several factors that contribute to how the case-mix weight is set for a particular case-mix group (such as the number of visits, length of visits, types of disciplines providing visits, and non-routine supplies) and the case-mix weight is derived by comparing the average resource use for the case-mix group relative to the average resource use across all groups, we believe the COVID-19 PHE would have impacted utilization within all case-mix groups similarly. Therefore, the impact of any reduction in resource use caused by the PHE on the calculation of the case-mix weight would be minimized since the impact would be accounted for both in the numerator and denominator of the formula used to calculate the case-mix weight. However, in contrast, the LUPA thresholds are based on the number of overall visits in a particular case-mix group (the threshold is the 10th percentile of visits or 2 visits, whichever is greater) instead of a relative value (like what is used to generate the case-mix weight) that would control for the impacts of the COVID-19 PHE. We noted that visit patterns and some of the decrease in overall visits in CY 2020 may not be representative of visit patterns in CY 2022. Therefore, to mitigate any potential future and significant short-term variability in the LUPA thresholds due to the COVID-19 PHE, we finalized the proposal to maintain the LUPA thresholds finalized and displayed in Table 17 in the CY 2020 HH PPS final rule with comment period (84 FR 60522) for CY 2022 payment purposes.</P>
                    <P>For CY 2023, we proposed to update the LUPA thresholds using CY 2021 Medicare home health claims (as of March 21, 2022) linked to OASIS assessment data. After reviewing the CY 2022 home health claims utilization data we determined that visit patterns have stabilized. Our data analysis indicated that visits in 2022 were similar to visits in 2020. We believed that CY 2021 data will be more indicative of visit patterns in CY 2023 rather than continuing to use the LUPA thresholds derived from the CY 2018 data pre-PDGM. Therefore, we finalized a policy to update the LUPA thresholds for CY 2023 using data from CY 2021.</P>
                    <P>For CY 2024, we are proposing to update the LUPA thresholds using CY 2022 home health claims utilization data (as of March 17, 2023), in accordance with our policy to annually recalibrate the case-mix weights and update the LUPA thresholds, functional impairment levels and comorbidity subgroups. The proposed LUPA thresholds for the CY 2024 PDGM payment groups with the corresponding Health Insurance Prospective Payment System (HIPPS) codes and the case-mix weights are listed in Table B22 We solicit public comments on the proposed updates to the LUPA thresholds for CY 2024.</P>
                    <HD SOURCE="HD3">(b) CY 2024 Functional Impairment Levels</HD>
                    <P>Under the PDGM, the functional impairment level is determined by responses to certain OASIS items associated with activities of daily living and risk of hospitalization; that is, responses to OASIS items M1800-M1860 and M1033. A home health period of care receives points based on each of the responses associated with these functional OASIS items, which are then converted into a table of points corresponding to increased resource use. The sum of all of these points results in a functional score which is used to group home health periods into a functional level with similar resource use. That is, the higher the points, the higher the response is associated with increased resource use. The sum of all of these points results in a functional impairment score which is used to group home health periods into one of three functional impairment levels with similar resource use. The three functional impairment levels of low, medium, and high were designed so that approximately one-third of home health periods from each of the clinical groups fall within each level. This means home health periods in the low impairment level have responses for the functional OASIS items that are associated with the lowest resource use, on average. Home health periods in the high impairment level have responses for the functional OASIS items that are associated with the highest resource use on average.</P>
                    <P>
                        For CY 2024, we propose to use CY 2022 claims data to update the functional points and functional impairment levels by clinical group. The CY 2018 HH PPS proposed rule (82 FR 35320) and the technical report from December 2016, posted on the Home Health PPS Archive web page located at: 
                        <E T="03">https://www.cms.gov/medicare/home-health-pps/home-health-pps-archive,</E>
                         provides a more detailed explanation as to the construction of these functional impairment levels using the OASIS items. We are proposing to use this 
                        <PRTPAGE P="43680"/>
                        same methodology previously finalized to update the functional impairment levels for CY 2024. The updated OASIS functional points table and the table of functional impairment levels by clinical group for CY 2024 are listed in Tables B17 and B18, respectively. We solicit public comments on the updates to functional points and the functional impairment levels by clinical group.
                    </P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="454">
                        <GID>EP10JY23.022</GID>
                    </GPH>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <GPH SPAN="3" DEEP="524">
                        <PRTPAGE P="43681"/>
                        <GID>EP10JY23.023</GID>
                    </GPH>
                    <HD SOURCE="HD3">(c) CY 2024 Comorbidity Subgroups</HD>
                    <P>Thirty-day periods of care receive a comorbidity adjustment category based on the presence of certain secondary diagnoses reported on home health claims. These diagnoses are based on a home-health specific list of clinically and statistically significant secondary diagnosis subgroups with similar resource use, meaning the diagnoses have at least as high as the median resource use and are reported in more than 0.1 percent of 30-day periods of care. Home health 30-day periods of care can receive a comorbidity adjustment under the following circumstances:</P>
                    <P>
                        • 
                        <E T="03">Low comorbidity adjustment:</E>
                         There is a reported secondary diagnosis on the home health-specific comorbidity subgroup list that is associated with higher resource use.
                    </P>
                    <P>
                        • 
                        <E T="03">High comorbidity adjustment:</E>
                         There are two or more secondary diagnoses on the home health-specific comorbidity subgroup interaction list that are associated with higher resource use when both are reported together compared to when they are reported separately. That is, the two diagnoses may interact with one another, resulting in higher resource use.
                    </P>
                    <P>
                        • 
                        <E T="03">No comorbidity adjustment:</E>
                         A 30-day period of care receives no comorbidity adjustment if no secondary diagnoses exist or do not meet the criteria for a low or high comorbidity adjustment.
                    </P>
                    <P>
                        In the CY 2019 HH PPS final rule with comment period (83 FR 56406), we stated that we would continue to 
                        <PRTPAGE P="43682"/>
                        examine the relationship of reported comorbidities on resource utilization and make the appropriate payment refinements to help ensure that payment is in alignment with the actual costs of providing care. For CY 2024, we propose to use the same methodology used to establish the comorbidity subgroups to update the comorbidity subgroups using CY 2022 home health data.
                    </P>
                    <P>
                        For CY 2024, we propose to update the comorbidity subgroups to include 21 low comorbidity adjustment subgroups as identified in Table B19 and 101 high comorbidity adjustment interaction subgroups as identified in Table B20. The proposed CY 2024 low comorbidity adjustment subgroups and the high comorbidity adjustment interaction subgroups including those diagnoses within each of these comorbidity adjustments will also be posted on the HHA Center web page at 
                        <E T="03">https://www.cms.gov/Center/Provider-Type/Home-Health-Agency-HHA-Center.</E>
                    </P>
                    <P>We invite comments on the proposed updates to the low comorbidity adjustment subgroups and the high comorbidity adjustment interactions for CY 2024.</P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
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                        <GID>EP10JY23.024</GID>
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                    <GPH SPAN="3" DEEP="640">
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                        <GID>EP10JY23.025</GID>
                    </GPH>
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                        <PRTPAGE P="43684"/>
                        <GID>EP10JY23.026</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43685"/>
                        <GID>EP10JY23.027</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43686"/>
                        <GID>EP10JY23.028</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43687"/>
                        <GID>EP10JY23.029</GID>
                    </GPH>
                    <PRTPAGE P="43688"/>
                    <HD SOURCE="HD3">(d) CY 2024 PDGM Case-Mix Weights</HD>
                    <P>As finalized in the CY 2019 HH PPS final rule with comment period (83 FR 56502), the PDGM places patients into meaningful payment categories based on patient and other characteristics, such as timing, admission source, clinical grouping using the reported principal diagnosis, functional impairment level, and comorbid conditions. The PDGM case-mix methodology results in 432 unique case-mix groups called home health resource groups (HHRGs). We also finalized a policy in the CY 2019 HH PPS final rule with comment period (83 FR 56515) to recalibrate annually the PDGM case-mix weights using a fixed effects model with the most recent and complete utilization data available at the time of annual rulemaking. Annual recalibration of the PDGM case-mix weights ensures that the case-mix weights reflect, as accurately as possible, current home health resource use and changes in utilization patterns. To generate the proposed recalibrated CY 2024 case-mix weights, we used CY 2022 home health claims data with linked OASIS data (as of March 17, 2023). These data are the most current and complete data available at this time. We believe that recalibrating the case-mix weights using data from CY 2022 would be reflective of PDGM utilization and patient resource use for CY 2024. The proposed recalibrated case-mix weights will be updated based on more complete CY 2022 claims data for the final rule.</P>
                    <P>The claims data provide visit-level data and data on whether non-routine supplies (NRS) were provided during the period and the total charges of NRS. We determine the case-mix weight for each of the 432 different PDGM payment groups by regressing resource use on a series of indicator variables for each of the categories using a fixed effects model as described in the following steps:</P>
                    <P>
                        <E T="03">Step 1</E>
                        : Estimate a regression model to assign a functional impairment level to each 30-day period. The regression model estimates the relationship between a 30-day period's resource use and the functional status and risk of hospitalization items included in the PDGM, which are obtained from certain OASIS items. We refer readers to Table B17 for further information on the OASIS items used for the functional impairment level under the PDGM. We measure resource use with the cost-per-minute + NRS approach that uses information from 2021 home health cost reports. We use 2021 home health cost report data because it is the most complete cost report data available at the time of rulemaking. Other variables in the regression model include the 30-day period's admission source, clinical group, and 30-day period timing. We also include home health agency level fixed effects in the regression model. After estimating the regression model using 30-day periods, we divide the coefficients that correspond to the functional status and risk of hospitalization items by 10 and round to the nearest whole number. Those rounded numbers are used to compute a functional score for each 30-day period by summing together the rounded numbers for the functional status and risk of hospitalization items that are applicable to each 30-day period. Next, each 30-day period is assigned to a functional impairment level (low, medium, or high) depending on the 30-day period's total functional score. Each clinical group has a separate set of functional thresholds used to assign 30-day periods into a low, medium or high functional impairment level. We set those thresholds so that we assign roughly a third of 30-day periods within each clinical group to each functional impairment level (low, medium, or high).
                    </P>
                    <P>
                        <E T="03">Step 2:</E>
                         A second regression model estimates the relationship between a 30-day period's resource use and indicator variables for the presence of any of the comorbidities and comorbidity interactions that were originally examined for inclusion in the PDGM. Like the first regression model, this model also includes home health agency level fixed effects and includes control variables for each 30-day period's admission source, clinical group, timing, and functional impairment level. After we estimate the model, we assign comorbidities to the low comorbidity adjustment if any comorbidities have a coefficient that is statistically significant (p-value of 0.05 or less) and which have a coefficient that is larger than the 50th percentile of positive and statistically significant comorbidity coefficients. If two comorbidities in the model and their interaction term have coefficients that sum together to exceed $150 and the interaction term is statistically significant (p-value of 0.05 or less), we assign the two comorbidities together to the high comorbidity adjustment.
                    </P>
                    <P>
                        <E T="03">Step 3:</E>
                         After Step 2, each 30-day period is assigned to a clinical group, admission source category, episode timing category, functional impairment level, and comorbidity adjustment category. For each combination of those variables (which represent the 432 different payment groups that comprise the PDGM), we then calculate the 10th percentile of visits across all 30-day periods within a particular payment group. If a 30-day period's number of visits is less than the 10th percentile for their payment group, the 30-day period is classified as a Low Utilization Payment Adjustment (LUPA). If a payment group has a 10th percentile of visits that is less than two, we set the LUPA threshold for that payment group to be equal to two. That means if a 30-day period has one visit, it is classified as a LUPA and if it has two or more visits, it is not classified as a LUPA.
                    </P>
                    <P>
                        <E T="03">Step 4:</E>
                         Take all non-LUPA 30-day periods and regress resource use on the 30-day period's clinical group, admission source category, episode timing category, functional impairment level, and comorbidity adjustment category. The regression includes fixed effects at the level of the home health agency. After we estimate the model, the model coefficients are used to predict each 30-day period's resource use. To create the case-mix weight for each 30-day period, the predicted resource use is divided by the overall resource use of the 30-day periods used to estimate the regression.
                    </P>
                    <P>The case-mix weight is then used to adjust the base payment rate to determine each 30-day period's payment. Table B21 shows the coefficients of the payment regression used to generate the weights, and the coefficients divided by average resource use.</P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="581">
                        <PRTPAGE P="43689"/>
                        <GID>EP10JY23.031</GID>
                    </GPH>
                    <P>
                        The case-mix weights proposed for CY 2024 are listed in Table B22 and will also be posted on the HHA Center web page 
                        <SU>15</SU>
                         upon display
                        <FTREF/>
                         of this proposed rule.
                    </P>
                    <FTNT>
                        <P>
                            <SU>15</SU>
                             HHA Center web page: 
                            <E T="03">https://www.cms.gov/Center/Provider-Type/Home-Health-Agency-HHA-Center</E>
                            .
                        </P>
                    </FTNT>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43690"/>
                        <GID>EP10JY23.032</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43691"/>
                        <GID>EP10JY23.033</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43692"/>
                        <GID>EP10JY23.034</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43693"/>
                        <GID>EP10JY23.035</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43694"/>
                        <GID>EP10JY23.036</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43695"/>
                        <GID>EP10JY23.037</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43696"/>
                        <GID>EP10JY23.038</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43697"/>
                        <GID>EP10JY23.039</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43698"/>
                        <GID>EP10JY23.040</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43699"/>
                        <GID>EP10JY23.041</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43700"/>
                        <GID>EP10JY23.042</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43701"/>
                        <GID>EP10JY23.043</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43702"/>
                        <GID>EP10JY23.044</GID>
                    </GPH>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <P>
                        Changes to the PDGM case-mix weights are implemented in a budget neutral manner by multiplying the CY 2024 national standardized 30-day 
                        <PRTPAGE P="43703"/>
                        period payment rate by a case-mix budget neutrality factor. Typically, the case-mix weight budget neutrality factor is also calculated using the most recent, complete home health claims data available. For CY 2024, we will continue the practice of using the most recent complete home health claims data at the time of rulemaking, which is CY 2022 data. The case-mix budget neutrality factor is calculated as the ratio of 30-day base payment rates such that total payments when the CY 2024 PDGM case-mix weights (developed using CY 2022 home health claims data) are applied to CY 2022 utilization (claims) data are equal to total payments when CY 2023 PDGM case-mix weights (developed using CY 2021 home health claims data) are applied to CY 2022 utilization data. This produces a case-mix budget neutrality factor for CY 2024 of 1.0121.
                    </P>
                    <P>We invite public comments on the CY 2024 proposed case-mix weights and proposed case-mix weight budget neutrality factor.</P>
                    <HD SOURCE="HD3">3. Proposal To Rebase and Revise the Home Health Market Basket and Revise the Labor-Related Share</HD>
                    <HD SOURCE="HD3">(a) Background</HD>
                    <P>Section 1895(b)(3)(B) of the Act requires that the standard prospective payment amounts for CY 2024 be increased by a factor equal to the applicable home health market basket update for those HHAs that submit quality data as required by the Secretary. Effective for cost reporting periods beginning on or after July 1, 1980, we developed and adopted an HHA input price index (that is, the home health “market basket”). Although “market basket” technically describes the mix of goods and services used to produce home health care, this term is also commonly used to denote the input price index derived from that market basket. Accordingly, the term “home health market basket” used in this document refers to the HHA input price index.</P>
                    <P>
                        The percentage change in the home health market basket reflects the average change in the price of goods and services purchased by HHAs in providing an efficient level of home health care services. We first used the home health market basket to adjust HHA cost limits by an amount that reflected the average increase in the prices of the goods and services used to furnish reasonable cost home health care. This approach linked the increase in the cost limits to the efficient utilization of resources. For a greater discussion on the home health market basket, see the notice with comment period published in the February 15, 1980 
                        <E T="04">Federal Register</E>
                         (45 FR 10450, 10451), the notice with comment period published in the February 14, 1995 
                        <E T="04">Federal Register</E>
                         (60 FR 8389, 8392), and the notice with comment period published in the July 1, 1996 
                        <E T="04">Federal Register</E>
                         (61 FR 34344, 34347). Beginning with the FY 2002 HH PPS payments, we have used the growth in a home health market basket to update payments under the HH PPS.
                    </P>
                    <P>We have rebased and revised the home health market basket periodically through the years since FY 2002. We rebased the home health market basket effective with the FY 2005 update (69 FR 31251-31255), with the CY 2008 update (72 FR 25435-25442), and with the CY 2013 update (77 FR 67081). We last rebased and revised the home health market basket effective with the CY 2019 update (83 FR 56425 through 56435) reflecting a 2016 base year. Beginning with CY 2024, we are proposing to rebase and revise the home health market basket to reflect a 2021 base year. In the following discussion, we provide an overview of the proposed home health market basket and describe the methodologies used to determine the proposed 2021-based home health market basket.</P>
                    <P>The home health market basket is a fixed-weight, Laspeyres-type price index. A Laspeyres-type price index measures the change in price, over time, of the same mix of goods and services purchased in the base period. Any changes in the quantity or mix of goods and services (that is, intensity) purchased over time relative to the base period are not measured.</P>
                    <P>The index itself is constructed in three steps. First, a base period is selected (for the proposed home health market basket, we are proposing to use 2021 as the base period) and total base period costs are estimated for a set of mutually exclusive and exhaustive cost categories. Each category is calculated as a proportion of total costs. These proportions are called cost weights. Second, each expenditure category is matched to an appropriate price or wage variable, referred to as a price proxy. In almost every instance, these price proxies are derived from publicly available statistical series that are published on a consistent schedule (preferably at least on a quarterly basis). Finally, the cost weight for each cost category is multiplied by the level of its respective price proxy. The sum of these products (that is, the cost weights multiplied by their price index levels) for all cost categories yields the composite index level of the market basket in a given period. Repeating this step for other periods produces a series of market basket levels over time. Dividing an index level for a given period by an index level for an earlier period produces a rate of growth in the input price index over that timeframe.</P>
                    <P>As noted previously, the market basket is described as a fixed-weight index because it represents the change in price over time of a constant mix (quantity and intensity) of goods and services needed to provide HHA services. The effects on total costs resulting from changes in the mix of goods and services purchased subsequent to the base period are not measured. For example, an HHA hiring more nurses after the base period to accommodate the needs of patients would increase the volume of goods and services purchased by the HHA, but would not be factored into the price change measured by a fixed-weight home health market basket. Only when the index is rebased would changes in the quantity and intensity be captured, with those changes being reflected in the cost weights. Therefore, we rebase the home health market basket periodically so that the cost weights reflect recent changes in the mix of goods and services that HHAs purchase to furnish inpatient care between base periods.</P>
                    <HD SOURCE="HD3">(b) Proposed Rebasing and Revising of the Home Health Market Basket</HD>
                    <P>
                        We believe that it is technically appropriate to rebase the home health market basket periodically so that the cost category weights reflect changes in the mix of goods and services that HHAs purchase in furnishing home health care. For the CY 2024 HH PPS proposed rule, we propose to rebase and revise the home health market basket to reflect a 2021 base year using 2021 Medicare cost report data for Medicare-participating freestanding HHAs, the latest available and most complete data on the actual structure of HHA costs at the time of this rulemaking. In prior rulemaking, commenters have expressed concern that recent cost pressures and the impact of the COVID-19 PHE have impacted input price inflation in providing home health services. We are proposing to use 2021 as the base year because we believe that the Medicare cost reports for this year represent the most recent, complete set of Medicare cost report data available for developing the proposed home health market basket that captures recent cost trends. Given the potential impact of the COVID-19 PHE on the Medicare cost report data, we will continue to monitor these data going forward and any changes to the 
                        <PRTPAGE P="43704"/>
                        home health market basket will be proposed in future rulemaking.
                    </P>
                    <P>The terms “rebasing” and “revising,” while often used interchangeably, denote different activities. The term “rebasing” means moving the base year for the structure of costs of an input price index (that is, in this exercise, we are proposing to move the base year cost structure from 2016 to 2021) without making any other major changes to the methodology. The term “revising” means changing data sources, cost categories, and price proxies used in the input price index. For the CY 2024 HH PPS proposed rule, we propose to rebase and revise the home health market basket to reflect a 2021 base year.</P>
                    <HD SOURCE="HD3">(c) Derivation of the Proposed 2021-Based Home Health Market Basket Major Cost Weights</HD>
                    <P>The major cost weights for the proposed revised and rebased home health market basket are derived from the Medicare cost reports (CMS Form 1728-20, OMB No. 0938-0022) for freestanding HHAs whose cost reporting period began on or after October 1, 2020 and before October 1, 2021. Of the 2021 Medicare cost reports for freestanding HHAs, approximately 84 percent of the reports had a begin date on January 1, 2021, approximately 5 percent had a begin date on July 1, 2021, and approximately 3 percent had a begin date on October 1, 2020. The remaining 8 percent had a begin date within the specified range. Using this methodology allowed our sample to include HHAs with varying cost report years including, but not limited to, the Federal fiscal or calendar year.</P>
                    <P>We propose to maintain our policy of using data from freestanding HHAs, which account for about 93 percent of HHAs (87 FR 66882), as our analysis has determined that they better reflect HHAs' actual cost structure. Cost data for hospital-based HHAs can be affected by the allocation of overhead costs over the entire institution.</P>
                    <P>We are proposing to derive seven major cost categories (Wages and Salaries, Benefits, Transportation, Professional Liability Insurance (PLI), Fixed Capital, Movable Capital, and Medical Supplies) from the 2021 HHA Medicare cost reports. The residual cost category, “All Other”, reflects all remaining costs not captured in the seven major cost categories. These costs are based on those cost centers that are reimbursable under the HH PPS, specifically cost centers 16 through 25 (Skilled Nursing Care—RN, Skilled Nursing Care—LPN, Physical Therapy, Physical Therapy Assistant, Occupational Therapy, Certified Occupational Therapy Assistant, Speech-Language Pathology, Medical Social Services, Home Health Aide, and Medical Supplies Charged to Patients). While the cost centers have changed in CMS Form 1728-20, these generally coincide with those cost centers from CMS Form 1728-94 that were used to derive the 2016-based home health market basket (83 FR 56425). The cost centers used from CMS Form 1728-94 were cost centers 6 through 12 (Skilled Nursing Care, Physical Therapy, Occupational Therapy, Speech Pathology, Medical Social Services, Home Health Aide, and Supplies). Total costs for the HH PPS reimbursable services reflect overhead allocation. We note that Medical Supplies was not considered to be a major cost category in the 2016-based home health market basket because it was not derived directly from Medicare cost report data, and was instead derived from the residual “All Other” category using Benchmark Input-Output (I-O) data published by the Bureau of Economic Analysis (BEA). Next, we provide details on the proposed calculations for the total Medicare allowable costs and each of the proposed seven major cost categories derived from the Medicare cost report data. Unless otherwise specified, proposed calculations are consistent with 2016 methodology.</P>
                    <HD SOURCE="HD3">(1) Total Medicare Allowable Costs</HD>
                    <P>We propose that total Medicare allowable costs for HHAs would be equal to the sum of total costs for the Medicare allowable cost centers as reported on Worksheet B, column 10, lines 16 through 25. We propose that these total Medicare allowable costs for the HHA will be the denominator for the cost weight calculations for the Wages and Salaries, Benefits, Transportation, Professional Liability Insurance, Fixed Capital, Movable Capital, and Medical Supplies cost weights. With this work complete, we then set about deriving cost levels for the seven major cost categories.</P>
                    <HD SOURCE="HD3">(2) Costs for the Seven Major Cost Categories Derived From the Medicare Cost Report Data</HD>
                    <HD SOURCE="HD3">(a) Wages and Salaries</HD>
                    <P>We propose that wages and salaries costs reflect direct patient care wage and salary costs, overhead wage and salary costs (associated with the following overhead cost centers: Plant Operations and Maintenance, Transportation, Telecommunications Technology, Administrative and General, Nursing Administration, Medical Records, and Other General Service cost centers), and a portion of direct patient care contract labor costs. The estimation of the wage and salary costs is derived using a similar methodology to that which was implemented for the 2016-based home health market basket, with the primary difference being the specific cost report line items now available on the HHA cost report form.</P>
                    <HD SOURCE="HD3">(i) Direct Patient Care</HD>
                    <P>We are proposing to calculate direct patient care wages and salaries by summing costs from Worksheet A, column 1, lines 16 through 25.</P>
                    <HD SOURCE="HD3">(ii) Overhead</HD>
                    <P>We are proposing to calculate overhead wages and salaries by summing costs from Worksheet B, columns 3 through 9, lines 16 through 25 multiplied by the percentage of costs in the overhead cost centers that were reported as salaries. This ratio is calculated as the sum of costs on Worksheet A, column 1, lines 3 through 9, divided by the sum of costs on Worksheet A, columns 1 through 5, lines 3 through 9.</P>
                    <HD SOURCE="HD3">(iii) Wages and Salaries Portion of Direct Patient Care Contract Labor</HD>
                    <P>Contract labor costs allocated to wages and salaries costs reflect a portion of the direct patient care contract labor costs. Specifically, we are proposing to calculate direct patient care contract labor costs by first summing costs from Worksheet A, column 4, lines 16 through 25. These contract labor costs are then multiplied by each provider's ratio of direct patient care wages and salaries costs to total direct patient care wages and salaries and benefits costs. This ratio is calculated as the sum of costs on Worksheet A, column 1, lines 16 through 25, divided by the sum of costs on Worksheet A, columns 1 and 2, lines 16 through 25. Similarly, the 2016 method for deriving the wages and salaries costs multiplied the combined salaries and benefits (both Direct Patient Care (DPC) and non-DPC) and DPC contract labor, by the ratio of combined DPC and non-DPC salaries to total DPC and non-DPC salaries and benefits.</P>
                    <HD SOURCE="HD3">(b) Benefits</HD>
                    <P>
                        Benefits costs reflect direct patient care benefit costs, overhead benefit costs (associated with the following overhead cost centers: Plant Operations and Maintenance, Transportation, Telecommunications Technology, Administrative and General, Nursing Administration, Medical Records, and Other General Service) and a portion of direct patient care contract labor costs. Similarly, the 2016 method for deriving 
                        <PRTPAGE P="43705"/>
                        the benefits costs multiplied the combined salaries and benefits (both DPC and non-DPC) and DPC contract labor, by the ratio of combined DPC and non-DPC benefits to total DPC and non-DPC salaries and benefits.
                    </P>
                    <HD SOURCE="HD3">(i) Direct Patient Care</HD>
                    <P>We are proposing to calculate the cost of the direct patient care benefit costs by summing costs from Worksheet A, column 2, lines 16 through 25.</P>
                    <HD SOURCE="HD3">(ii) Overhead</HD>
                    <P>We are proposing to calculate overhead benefit costs by summing costs from Worksheet B, columns 3 through 9, lines 16 through 25 multiplied by the percentage of costs in the overhead cost centers that were reported as benefits. This percentage is calculated as the sum of costs on Worksheet A, column 2, lines 3 through 9, divided by the sum of costs on Worksheet A, columns 1 through 5, lines 3 through 9.</P>
                    <HD SOURCE="HD3">(iii) Benefits Portion of Direct Patient Care Contract Labor</HD>
                    <P>Contract labor costs allocated to Benefits costs reflect a portion of the direct patient care contract labor costs. Specifically, we are proposing to first calculate direct patient care contract labor costs by summing costs from Worksheet A, column 4, lines 16 through 25. These contract labor costs are then multiplied by each provider's ratio of direct patient care benefits costs to total direct patient care wages and salaries and benefits costs. This ratio is calculated as the sum of costs on Worksheet A, column 2, lines 16 through 25, divided by the sum of costs on Worksheet A, columns 1 and 2, lines 16 through 25.</P>
                    <HD SOURCE="HD3">(c) Transportation</HD>
                    <P>Transportation costs reflect direct patient care costs as well as transportation costs associated with Capital Expenses, Plant Operations and Maintenance, and Administrative and General cost centers. Specifically, we are proposing to calculate transportation costs by summing costs from Worksheet A, column 3, lines 16 through 25; Worksheet A, column 3, lines 1 through 3; and costs on Worksheet B, column 4, lines 16 through 25 multiplied by a ratio that reflects the non-salary and benefits portion of these costs. Specifically, this ratio was calculated as 1 minus the sum of costs on Worksheet A, columns 1 and 2, line 4, divided by the sum of costs on Worksheet A, columns 1 through 5, line 4.</P>
                    <HD SOURCE="HD3">(d) Professional Liability Insurance</HD>
                    <P>Professional Liability Insurance reflects premiums, paid losses, and self-insurance costs. Specifically, we are proposing to calculate Professional Liability Insurance by summing costs from Worksheet S-2 Part I, line 14, columns 1 through 3.</P>
                    <HD SOURCE="HD3">(e) Fixed Capital</HD>
                    <P>Fixed Capital-related costs reflect the portion of Medicare-allowable costs reported in Capital Related Buildings and Fixtures (Worksheet A, column 5, line 1). We are proposing to calculate this Medicare allowable portion by first calculating a ratio for each provider that reflects fixed capital costs as a percentage of HHA reimbursable services. Specifically, this ratio was calculated as the sum of costs from Worksheet B, column 1, lines 16 through 25 divided by the sum of costs from Worksheet B, column 1, line 1 minus lines 3 through 9. This percentage is then applied to the costs from Worksheet A, column 5, line 1.</P>
                    <HD SOURCE="HD3">(f) Movable Capital</HD>
                    <P>Movable Capital-related costs reflect the portion of Medicare-allowable costs reported in Capital Related Movable Equipment (Worksheet A, column 5, line 2). We are proposing to calculate this Medicare allowable portion by first calculating a ratio for each provider that reflects movable capital costs as a percentage of HHA reimbursable services. Specifically, this ratio was calculated as the sum of costs from Worksheet B, column 2, lines 16 through 25 divided by the sum of costs from Worksheet B, column 2, line 2 minus lines 3 through 9. This percentage is then applied to the costs from Worksheet A, column 5, line 2.</P>
                    <HD SOURCE="HD3">(g) Medical Supplies</HD>
                    <P>Medical Supplies costs reflect the cost of supplies furnished to individual patients and for which a separate charge is made, as well as minor medical and surgical supplies not expected to be specifically identified in the plan of treatment or for which a separate charge is not made. Specifically, we propose to calculate Medical Supplies as the sum of Worksheet A, column 5, line 25; and Worksheet B, column 6, line 25 multiplied by a ratio that reflects the non-salary and benefits portion of these costs. Specifically, this ratio was calculated as 1 minus the sum of costs on Worksheet A, columns 1 and 2, line 6, divided by the sum of costs on Worksheet A, columns 1 through 5, line 6. We note that in the 2016-based home health market basket, the Medical Supplies cost weight was derived from the “All Other” residual cost weight.</P>
                    <HD SOURCE="HD3">(3) Derivation of the Major Cost Weights</HD>
                    <P>After we derive costs for each of the seven major cost categories and total Medicare allowable costs for each provider using the Medicare cost report data, we propose to address data outliers using the following steps. First, for each of the seven major cost categories, we divide the costs in that category by total Medicare allowable costs calculated for the provider to obtain cost weights for the universe of HHA providers. We propose to trim the data to remove outliers (a standard statistical process) by: (1) requiring that major costs (such as wages and salaries costs) and total Medicare allowable costs be greater than zero and requiring that category costs are less than the total Medicare allowable costs; and (2) excluding the top and bottom five percent of the major cost weight (for example, wages and salaries costs as a percent of total Medicare allowable costs). We note that missing values are assumed to be zero consistent with the methodology for how missing values were treated in the 2016-based home health market basket. After these outliers have been excluded, we sum the costs for each category across all remaining providers. We then divide this by the sum of total Medicare allowable costs across all remaining providers to obtain a cost weight for the proposed 2021-based home health market basket for the given category.</P>
                    <P>Finally, we propose to calculate the residual “All Other” cost weight that reflects all remaining costs that are not captured in the other categories listed by subtracting the major cost weight percentages (Wages and Salaries, Benefits, Transportation, Professional Liability Insurance, Fixed Capital, Movable Capital, and Medical Supplies) from 1. We note that non-direct patient care contract labor costs (such as contract labor costs reported in the Administrative and General cost center of the Medicare cost report) are captured in the “All Other” residual cost weight and later disaggregated into more detail as described later in this section.</P>
                    <P>Table B23 shows the major cost categories and their respective cost weights as derived from the Medicare cost reports for this proposed rule.</P>
                    <GPH SPAN="3" DEEP="211">
                        <PRTPAGE P="43706"/>
                        <GID>EP10JY23.045</GID>
                    </GPH>
                    <P>The decrease in the proposed wages and salaries cost weight of 0.9 percentage point and the decrease in the proposed benefits cost weight of 0.2 percentage point is primarily attributable to direct patient care contract labor costs as reported on the Medicare cost report data, as shown in Table B24. Our analysis of the Medicare cost report data shows that a decrease in the compensation cost weight from 2016 to 2021 occurred, in aggregate, among for-profit, nonprofit, and government providers and among providers serving only rural beneficiaries, only urban beneficiaries, or both rural and urban beneficiaries.</P>
                    <GPH SPAN="3" DEEP="166">
                        <GID>EP10JY23.046</GID>
                    </GPH>
                    <P>Our analysis of the Medicare cost report data shows that decreased contract labor utilization has occurred over most occupational categories, including higher-paid specialties in particular, and that utilization of direct patient care contract labor has been trending downward since 2010. We also note that over the 2016 to 2021 time period, the average number of full-time equivalents per provider decreased considerably.</P>
                    <HD SOURCE="HD3">(4) Derivation of the Detailed Cost Weights</HD>
                    <P>
                        We propose to divide the “All Other” residual cost weight estimated from the 2021 Medicare cost report data into more detailed cost categories. To divide this cost weight, we are proposing to use the 2012 Benchmark I-O “Use Tables/Before Redefinitions/Purchaser Value” for North American Industrial Classification System (NAICS) 621600, Home Health Agencies, published by the BEA. These data are publicly available at 
                        <E T="03">http://www.bea.gov/industry/io_annual.htm.</E>
                         For the 2016-based home health market basket, we used the 2007 Benchmark I-O data, the most recent data available at the time (83 FR 56427).
                    </P>
                    <P>
                        The BEA Benchmark I-O data are generally scheduled for publication every five years with the most recent data available for 2012. The 2012 Benchmark I-O data are derived from the 2012 Economic Census and are the building blocks for BEA's economic accounts. Therefore, they represent the most comprehensive and complete set of data on the economic processes or mechanisms by which output is produced and distributed.
                        <SU>16</SU>
                        <FTREF/>
                         Besides Benchmark I-O estimates, BEA also produces Annual I-O estimates. While based on a similar methodology, the Annual I-O estimates reflect less comprehensive and less detailed data sources and are subject to revision when benchmark data become available. Instead of using the less detailed Annual I-O data, we are proposing to inflate the detailed 2012 Benchmark 
                    </P>
                    <FTNT>
                        <P>
                            <SU>16</SU>
                             
                            <E T="03">http://www.bea.gov/papers/pdf/IOmanual_092906.pdf.</E>
                        </P>
                    </FTNT>
                    <PRTPAGE P="43707"/>
                    <FP>I-O data forward to 2021 by applying the annual price changes from the respective price proxies to the appropriate market basket cost categories that are obtained from the 2012 Benchmark I-O data. We repeated this practice for each year. Then, we calculated the cost shares that each cost category represents of the 2012 I-O data inflated to 2021. These resulting 2021 cost shares were applied to the “All Other” residual cost weight to obtain the detailed cost weights for the proposed 2021-based home health market basket. For example, the cost for Utilities represents 11.0 percent of the sum of the “All Other” 2012 Benchmark I-O HHA costs inflated to 2021. Therefore, the Utilities cost weight represents 11.0 percent of the proposed 2021-based home health market basket's “All Other” cost category (18.6 percent), yielding a Utilities proposed cost weight of 2.0 percent in the proposed 2021-based home health market basket (0.110 × 18.6 percent = 2.0 percent). For the 2016-based home health market basket, we used the same methodology utilizing the 2007 Benchmark I-O data (aged to 2016).</FP>
                    <P>Using this methodology, we propose to derive eight detailed cost categories from the proposed 2021-based home health market basket “All Other” residual cost weight (18.6 percent). These categories are: (1) Utilities; (2) Administrative Support; (3) Financial Services; (4) Rubber and Plastics; (5) Telephone; (6) Professional Fees; (7) Other Products; and (8) Other Services. We note that the proposed Utilities cost category is currently referred to as Operations &amp; Maintenance in the 2016-based home health market basket; however, the methodology and data sources underlying this cost category remain the same.</P>
                    <P>Table B25 compares the cost categories and weights for the proposed 2021-based home health market basket compared to the 2016-based home health market basket. In cases where a cost category has been recategorized in the proposed 2021-based home health market basket, we have entered “n/a” to maintain correct totals as they appear in the CY 2019 HH PPS final rule with comment period (83 FR 56428).</P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="438">
                        <GID>EP10JY23.047</GID>
                    </GPH>
                    <PRTPAGE P="43708"/>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <HD SOURCE="HD3">(d) Selection of Price Proxies</HD>
                    <P>After developing the cost weights for the proposed 2021-based home health market basket, we select the most appropriate wage and price proxies currently available to represent the rate of price change for each cost category. With the exception of the price index for Professional Liability Insurance costs, the proposed price proxies are based on Bureau of Labor Statistics (BLS) data and are grouped into one of the following BLS categories:</P>
                    <P>
                        • 
                        <E T="03">Employment Cost Indexes.</E>
                         Employment Cost Indexes (ECIs) measure the rate of change in employment wage rates and employer costs for employee benefits per hour worked. These indexes are fixed-weight indexes and strictly measure the change in wage rates and employee benefits per hour. ECIs are superior to Average Hourly Earnings (AHE) as price proxies for input price indexes because they are not affected by shifts in occupation or industry mix, and because they measure pure price change and are available by both occupational group and by industry. The industry ECIs are based on the NAICS and the occupational ECIs are based on the Standard Occupational Classification System (SOC).
                    </P>
                    <P>
                        • 
                        <E T="03">Producer Price Indexes.</E>
                         Producer Price Indexes (PPIs) measure the average change over time in the selling prices received by domestic producers for their output. The prices included in the PPI are from the first commercial transaction for many products and some services (
                        <E T="03">https://www.bls.gov/ppi/</E>
                        ).
                    </P>
                    <P>
                        • 
                        <E T="03">Consumer Price Indexes.</E>
                         Consumer Price Indexes (CPIs) measure the average change over time in the prices paid by urban consumers for a market basket of consumer goods and services (
                        <E T="03">https://www.bls.gov/cpi/</E>
                        ). CPIs are only used when the purchases are similar to those of retail consumers rather than purchases at the producer level, or if no appropriate PPIs are available.
                    </P>
                    <P>We evaluate the price proxies using the criteria of reliability, timeliness, availability, and relevance:</P>
                    <P>
                        • 
                        <E T="03">Reliability.</E>
                         Reliability indicates that the index is based on valid statistical methods and has low sampling variability. Widely accepted statistical methods ensure that the data were collected and aggregated in a way that can be replicated. Low sampling variability is desirable because it indicates that the sample reflects the typical members of the population. (Sampling variability is variation that occurs by chance because only a sample was surveyed rather than the entire population.)
                    </P>
                    <P>
                        • 
                        <E T="03">Timeliness.</E>
                         Timeliness implies that the proxy is published regularly, preferably at least once a quarter. The market baskets are updated quarterly, and therefore, it is important for the underlying price proxies to be up-to-date, reflecting the most recent data available. We believe that using proxies that are published regularly (at least quarterly, whenever possible) helps to ensure that we are using the most recent data available to update the market basket. We strive to use publications that are disseminated frequently, because we believe that this is an optimal way to stay abreast of the most current data available.
                    </P>
                    <P>
                        • 
                        <E T="03">Availability.</E>
                         Availability means that the proxy is publicly available. We prefer that our proxies are publicly available because this will help ensure that our market basket updates are as transparent to the public as possible. In addition, this enables the public to be able to obtain the price proxy data on a regular basis.
                    </P>
                    <P>
                        • 
                        <E T="03">Relevance.</E>
                         Relevance means that the proxy is applicable and representative of the cost category weight to which it is applied. The CPIs, PPIs, and ECIs that we have selected to propose in this regulation meet these criteria. Therefore, we believe that they continue to be the best measure of price changes for the cost categories to which they would be applied.
                    </P>
                    <P>The following is a detailed explanation of the price proxies we are proposing for each cost category weight.</P>
                    <HD SOURCE="HD3">(e) Proposed 2021-Based Home Health Market Basket Price Proxies</HD>
                    <P>As part of the revising and rebasing of the home health market basket, we are proposing to rebase and revise the home health blended Wages and Salaries index and the home health blended Benefits index. We propose to use these blended indexes as price proxies for the Wages and Salaries and the Benefits categories of the proposed 2021-based home health market basket, as we did in the 2016-based home health market basket. The following is a more detailed discussion.</P>
                    <HD SOURCE="HD3">(1) Wages and Salaries</HD>
                    <P>For measuring price growth in the 2021-based home health market basket, we are proposing to apply six price proxies to six occupational subcategories within the Wages and Salaries cost weight, which would reflect the 2021 occupational mix in HHAs. This is a similar approach that was used for the 2016-based market basket. We propose to use a blended wage proxy because there is not a published wage proxy specific to the home health industry.</P>
                    <P>
                        We are proposing to continue to use the National Industry-Specific Occupational Employment and Wage estimates for NAICS 621600, Home Health Care Services, published by the BLS Office of Occupational Employment and Wage Statistics (OEWS) as the data source for the cost shares of the home health blended wage and benefits proxy. We note that in the spring of 2021, the Occupational Employment Statistics (OES) program began using the name Occupational Employment and Wage Statistics (OEWS) to better reflect the range of data available from the program. Data released on or after March 31, 2021 reflect the new program name. This is the same data source that was used for the 2016-based HHA blended wage and benefit proxies; however, we are proposing to use the May 2021 estimates in place of the May 2016 estimates. Detailed information on the methodology for the national industry-specific occupational employment and wage estimates survey can be found at 
                        <E T="03">http://www.bls.gov/oes/current/oes_tec.htm.</E>
                    </P>
                    <P>The six occupational subcategories (Health-Related Professional and Technical, Non-Health-Related Professional and Technical, Management, Administrative, Health and Social Assistance Service, and Other Service Occupations) for the Wages and Salaries cost weight were tabulated from the May 2021 OEWS data for NAICS 621600, Home Health Care Services. Table B26 compares the proposed 2021 occupational assignments to the 2016 occupational assignments of the six CMS designated subcategories. Data that are unavailable in the OEWS occupational classification for 2016 or 2021 are shown in Table B26 as “n/a.”</P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="626">
                        <PRTPAGE P="43709"/>
                        <GID>EP10JY23.048</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="77">
                        <PRTPAGE P="43710"/>
                        <GID>EP10JY23.049</GID>
                    </GPH>
                    <P>
                        Total costs by occupation were calculated by taking the OEWS number of employees multiplied by the OEWS annual average salary for each subcategory, and then calculating the proportion of total wage costs that each subcategory represents of the total industry wage costs. The proportions listed in Table B27 represent the proposed 2021 wages and salaries blend weights, and the proposed ECIs for each occupational category within the Wages and Salaries price proxy blend. We note that the ECIs reflect the 2021 occupational mix of workers. We also note that 2018 updates to the Standard Occupational Classification (SOC) system included a reclassification of Personal Care Aides from SOC code 39-9021 to 31-1122, which is reflected in the updated weights and represents the major reason for the higher weight for health care and social assistance services and lower weight for other service occupations.
                        <SU>17</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>17</SU>
                             
                            <E T="03">https://www.bls.gov/soc/2018/soc_2018_whats_new.pdf.</E>
                        </P>
                    </FTNT>
                    <GPH SPAN="3" DEEP="357">
                        <GID>EP10JY23.050</GID>
                    </GPH>
                    <P>A comparison of the yearly changes from CY 2021 to CY 2024 for the 2016-based home health Wages and Salaries proxy blend and the proposed 2021-based home health Wages and Salaries proxy blend is shown in Table B28. The annual increases in the wages and salaries proposed price proxy is 0.3 percentage point lower in 2021 and 2022 relative to the 2016-based price proxy, and 0.1 to 0.2 percentage point higher in 2023 and 2024. These differences are primarily driven by the aforementioned reclassification of Personal Care Aides, which caused a shift in the relative share from the Other Service Occupations to Health and Social Assistance Services as illustrated previously in Table B27.</P>
                    <GPH SPAN="3" DEEP="96">
                        <PRTPAGE P="43711"/>
                        <GID>EP10JY23.051</GID>
                    </GPH>
                    <HD SOURCE="HD3">(2) Benefits</HD>
                    <P>For measuring Benefits price growth in the proposed 2021-based home health market basket, we are proposing to apply applicable price proxies to the six occupational subcategories that are used for the proposed Wages and Salaries price proxy blend. The proposed six categories in Table B29 are the same as those in the 2016-based home health market basket and include the same occupational mix as listed in Table B27.</P>
                    <GPH SPAN="3" DEEP="348">
                        <GID>EP10JY23.052</GID>
                    </GPH>
                    <P>There is no available data source that exists for benefit costs by occupation for the home health industry. Thus, to construct weights for the home health benefits blend we calculated the ratio of benefits to wages and salaries for 2021 for the six ECI series we are proposing to use in the blended `wages and salaries' and `benefits' indexes. To derive the relevant benefits weight, we applied the benefit-to-wage ratios to the 2021 OEWS wage and salary weights for each of the six occupational subcategories, and normalized. For example, the 2021 ECI data shows a ratio of benefits to wages for the health-related professional &amp; technical category of 1.010. We applied this ratio to the 2021 OEWS weight for wages and salaries for health-related professional &amp; technical (9.7 percent) to get an unnormalized weight of 30.0 (29.7 times 1.010), and then normalized those weights relative to the other five benefit occupational categories to obtain a final benefit weight for health-related professional &amp; technical (30.1 percent).</P>
                    <P>A comparison of the yearly changes from CY 2021 to CY 2024 for the 2016-based home health Benefits proxy blend and the proposed 2021-based home health Benefits proxy blend is shown in Table B30. With the exception of a 0.2 percentage point difference in 2022, the annual increases in the two price proxies are the same when rounded to one decimal place.</P>
                    <GPH SPAN="3" DEEP="109">
                        <PRTPAGE P="43712"/>
                        <GID>EP10JY23.053</GID>
                    </GPH>
                    <HD SOURCE="HD3">(3) Medical Supplies</HD>
                    <P>We are proposing to use a 75/25 blend of the PPI Commodity data for Surgical and Medical Instruments (BLS series code #WPU1562) and the PPI Commodity data for Personal Safety Equipment and Clothing (BLS series code #WPU1571), which would replace the current price proxy of the PPI for Medical, Surgical, and Personal Aid Devices (BLS series code #WPU156). The PPI Commodity data for Personal Safety Equipment and Clothing would reflect personal protective equipment (PPE) including but not limited to face shields and protective clothing. The 2012 Benchmark I-O data does not provide specific costs for the two categories we are proposing to blend. In absence of such data, we have based the weights of this blend on the change in the medical supplies weight as reported in the Medicare cost reports in the years prior to and after the COVID-19 PHE. Specifically, analysis of Medicare cost report data found that the average weight for medical supplies for the 2016-2019 period (stable around 1.5 percent) was about 75 percent of the weight observed for the 2020-2021 period (roughly 2.0 percent). Thus, we believe that it was likely that the increase in the cost weight was mainly attributable to costs such as those associated with personal safety equipment and clothing, and are basing the proposed 75/25 blend on that analysis. We believe this change will more closely proxy the rate of change of the underlying costs, including increased utilization of personal protective equipment.</P>
                    <HD SOURCE="HD3">(4) Professional Liability Insurance</HD>
                    <P>We are proposing to use the CMS Physician Professional Liability Insurance price index to measure price growth of this cost category. To generate this index, we collect commercial insurance premiums for a fixed level of coverage while holding non-price factors constant (such as a change in the level of coverage). The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(5) Transportation</HD>
                    <P>We are proposing to use the CPI U.S. city average for Transportation (BLS series code #CUUR0000SAT) to measure price growth of this category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(6) Administrative and Support</HD>
                    <P>We are proposing to use the ECI for Total compensation for Private industry workers in Office and administrative support (BLS series code #CIU2010000220000I) to measure price growth of this cost category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(7) Financial Services</HD>
                    <P>We are proposing to use the ECI for Total compensation for Private industry workers in Financial activities (BLS series code #CIU201520A000000I) to measure price growth of this cost category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(8) Rubber and Plastics</HD>
                    <P>We are proposing to use the PPI Commodity data for Rubber and plastic products (BLS series code #WPU07) to measure price growth of this cost category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(9) Telephone</HD>
                    <P>We are proposing to use CPI U.S. city average for Telephone services (BLS series code #CUUR0000SEED) to measure price growth of this cost category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(10) Professional Fees</HD>
                    <P>We are proposing to use the ECI for Total compensation for Private industry workers in Professional and related (BLS series code #CIS2010000120000I) to measure price growth of this category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(11) Utilities</HD>
                    <P>We are proposing to use CPI-U U.S. city average for Fuel and utilities (BLS series code #CUUR0000SAH2) to measure price growth of this cost category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(12) Other Products</HD>
                    <P>We are proposing to use the PPI Commodity data for Final demand-Finished goods less foods and energy (BLS series code #WPUFD4131) to measure price growth of this category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(13) Other Services</HD>
                    <P>We are proposing to use the ECI for Total compensation for Private industry workers in Service occupations (BLS series code #CIU2010000300000I) to measure price growth of this category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(14) Fixed Capital</HD>
                    <P>We are proposing to use the CPI U.S. city average for Owners' equivalent rent of residences (BLS series code #CUUS0000SEHC) to measure price growth of this cost category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(15) Movable Capital</HD>
                    <P>We are proposing to use the PPI Commodity data for Machinery and equipment (BLS series code #WPU11) to measure price growth of this cost category. The same proxy was used for the 2016-based home health market basket.</P>
                    <HD SOURCE="HD3">(f) Summary of Price Proxies of the Proposed 2021-Based Home Health Market Basket</HD>
                    <P>Table B31 shows the price proxies for the proposed 2021-based home health market basket.</P>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43713"/>
                        <GID>EP10JY23.054</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="93">
                        <PRTPAGE P="43714"/>
                        <GID>EP10JY23.055</GID>
                    </GPH>
                    <P>We invite public comment on our proposal to rebase and revise the home health market basket to reflect a 2021 base year.</P>
                    <HD SOURCE="HD3">4. Proposed CY 2024 Home Health Payment Rate Updates</HD>
                    <HD SOURCE="HD3">(a) Proposed CY 2024 Home Health Market Basket Percentage Increase</HD>
                    <P>A comparison of the yearly percent changes from CY 2019 to CY 2026 for the 2016-based home health market basket and the proposed 2021-based home health market basket based on IHS Global Inc.'s (IGI's) first quarter 2023 forecast, with historical data through the fourth quarter of 2022, is shown in Table B32. IGI is a nationally recognized economic and financial forecasting firm with which CMS contracts to forecast the components of the market baskets. Based on IGI's first quarter 2023 forecast, the proposed CY 2024 home health market basket percentage increase is 3.0 percent based on the proposed 2021-based home health market basket. We propose that if more recent data subsequently become available (for example, a more recent estimate of the market basket), we would use such data, if appropriate, to determine the market basket percentage increase in the final rule.</P>
                    <GPH SPAN="3" DEEP="276">
                        <GID>EP10JY23.056</GID>
                    </GPH>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <P>Table B32 shows that the forecasted percentage increase for CY 2024 of the proposed 2021-based home health market basket is 3.0 percent; 0.1 percentage point lower growth as estimated using the 2016-based home health market basket. The average historical estimates of the growth in the proposed 2021-based and 2016-based home health market baskets over CY 2019 through CY 2022 differ by an average of 0.1 percentage point. As discussed previously, this is primarily driven by a reclassification of Personal Care Aides, which caused a shift in the relative weight of the Wages and Salaries and Benefits blended price proxies from Other Service Occupations to Health and Social Assistance Services, which over this period grew relatively slower. Forecasted updates from CY 2023 through CY 2026 are the same on average; however, there is year to year variation of ±0.1 percentage point for any given year.</P>
                    <HD SOURCE="HD3">(b) Proposed CY 2024 Productivity Adjustment</HD>
                    <P>
                        In the CY 2015 HH PPS final rule (79 FR 38384), we finalized our methodology for calculating and applying the multifactor productivity adjustment. As we explained in that rule, section 1895(b)(3)(B)(vi) of the Act, requires that, in CY 2015 (and in subsequent calendar years, except CY 2018 (under section 411(c) of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) (Pub. L. 114-10, enacted April 16, 
                        <PRTPAGE P="43715"/>
                        2015)), the market basket percentage under the HH PPS as described in section 1895(b)(3)(B) of the Act be annually adjusted by changes in economy-wide productivity. Section 1886(b)(3)(B)(xi)(II) of the Act defines the productivity adjustment to be equal to the 10-year moving average of change in annual economy-wide private nonfarm business multifactor productivity (as projected by the Secretary for the 10-year period ending with the applicable fiscal year, calendar year, cost reporting period, or other annual period). The BLS publishes the official measures of productivity for the United States economy. We note that previously the productivity measure referenced in section 1886(b)(3)(B)(xi)(II) of the Act was published by BLS as private nonfarm business multifactor productivity. Beginning with the November 18, 2021 release of productivity data, BLS replaced the term “multifactor productivity” with “total factor productivity” (TFP). BLS noted that this is a change in terminology only and will not affect the data or methodology. As a result of the BLS name change, the productivity measure referenced in section 1886(b)(3)(B)(xi)(II) of the Act is now published by BLS as “private nonfarm business total factor productivity”. We refer readers to 
                        <E T="03">https://www.bls.gov</E>
                         for the BLS historical published TFP data. A complete description of IGI's TFP projection methodology is available on the CMS website at 
                        <E T="03">https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareProgramRatesStats/MarketBasketResearch.</E>
                         Based on IGI's first quarter 2023 forecast, the proposed productivity adjustment (the 10-year moving average of TFP for the period ending December 31, 2024) for CY 2024 is 0.3 percent. We also propose that if more recent data subsequently become available (for example, a more recent estimate of the productivity adjustment), we would use such data, if appropriate, to determine the productivity adjustment in the CY 2024 HH PPS final rule.
                    </P>
                    <HD SOURCE="HD3">(c) Proposed CY 2024 Annual Update for HHAs</HD>
                    <P>In accordance with section 1895(b)(3)(B)(iii) of the Act, we propose to base the CY 2024 market basket percentage increase, which is used to determine the applicable percentage increase for HHA payments, on the most recent estimate of the proposed 2021-based home health market basket percentage increase. Based on IGI's first quarter 2023 forecast with history through the fourth quarter of 2022, the projected increase of the proposed 2021-based home health market basket for CY 2024 is 3.0 percent. We propose to then reduce this percentage increase by the current estimate of the productivity adjustment for CY 2024 of 0.3 percentage point in accordance with section 1895(b)(3)(B)(vi) of the Act. Therefore, the proposed CY 2024 home health payment update percentage is 2.7 percent (3.0 percent market basket percentage increase, reduced by 0.3 percentage point productivity adjustment). Furthermore, we propose that if more recent data subsequently become available (for example, a more recent estimate of the market basket and productivity adjustment), we would use such data, if appropriate, to determine the CY 2024 market basket percentage increase and productivity adjustment in the final rule.</P>
                    <P>Section 1895(b)(3)(B)(v) of the Act requires that the home health percentage update be decreased by 2 percentage points for those HHAs that do not submit quality data as required by the Secretary. For HHAs that do not submit the required quality data for CY 2024, the proposed home health payment update percentage is 0.7 percent (2.7 percent minus 2 percentage points).</P>
                    <P>We invite public comment on our proposals for the CY 2024 home health market basket percentage increase and productivity adjustment.</P>
                    <HD SOURCE="HD3">(d) Labor-Related Share</HD>
                    <P>Effective for CY 2024, we are proposing to update the labor-related share to reflect the proposed 2021-based home health market basket Compensation (Wages and Salaries plus Benefits, which include direct patient care contract labor costs) cost weight. The current labor-related share is based on the Compensation cost weight of the 2016-based home health market basket. Based on the proposed 2021-based home health market basket, the proposed labor-related share is 74.9 percent and the proposed non-labor-related share is 25.1 percent. The labor-related share for the 2016-based home health market basket was 76.1 percent and the non-labor-related share was 23.9 percent. As explained earlier, the decrease in the compensation cost weight of 1.2 percentage points is primarily attributable to a lower cost weight of direct patient care contract labor costs as reported in the Medicare cost report data. Table B33 details the components of the labor-related share for the 2016-based and proposed 2021-based home health market baskets.</P>
                    <GPH SPAN="3" DEEP="116">
                        <GID>EP10JY23.057</GID>
                    </GPH>
                    <P>The revised labor-related share will be implemented in a budget neutral manner through the use of labor-related share budget neutrality factor (as described in section II.C.4.f.(2) below) so that the aggregate payments do not increase or decrease due to changes in the labor-related share values. We invite public comments on the proposed labor-related share and the use of a labor-related share budget neutrality factor.</P>
                    <HD SOURCE="HD3">(e) Proposed CY 2024 Home Health Wage Index</HD>
                    <P>
                        Sections 1895(b)(4)(A)(ii) and (b)(4)(C) of the Act require the Secretary to provide appropriate adjustments to the proportion of the payment amount under the HH PPS that account for area 
                        <PRTPAGE P="43716"/>
                        wage differences, using adjustment factors that reflect the relative level of wages and wage-related costs applicable to the furnishing of home health services. Since the inception of the HH PPS, we have used inpatient hospital wage data in developing a wage index to be applied to home health payments. We propose to continue this practice for CY 2024, as it is our belief that, in the absence of home health-specific wage data that accounts for area differences, using inpatient hospital wage data is appropriate and reasonable for the HH PPS.
                    </P>
                    <P>In the CY 2021 HH PPS final rule (85 FR 70298), we finalized our proposal to adopt the revised OMB delineations with a 5-percent cap on wage index decreases, where the estimated reduction in a geographic area's wage index would be capped at 5-percent in CY 2021 only, meaning no cap would be applied to wage index decreases for the second year (CY 2022). Therefore, we proposed and finalized the use of the FY 2022 pre-floor, pre-reclassified hospital wage index with no 5-percent cap on decreases as the CY 2022 wage adjustment to the labor portion of the HH PPS rates (86 FR 62285). However, as described in the CY 2023 HH PPS final rule (87 FR 66851 through 66853), for CY 2023 and each subsequent year, we finalized that the CY HH PPS wage index would include a 5-percent cap on wage index decreases. Specifically, we finalized for CY 2023 and subsequent years, the application of a permanent 5-percent cap on any decrease to a geographic area's wage index from its wage index in the prior year, regardless of the circumstances causing the decline. That is, we finalized that a geographic area's wage index for CY 2023 would not be less than 95 percent of its final wage index for CY 2022, regardless of whether the geographic area is part of an updated CBSA, and that for subsequent years, a geographic area's wage index would not be less than 95 percent of its wage index calculated in the prior CY. For CY 2024, we propose to base the HH PPS wage index on the FY 2024 hospital pre-floor, pre-reclassified wage index for hospital cost reporting periods beginning on or after October 1, 2019 and before October 1, 2020 (FY 2020 cost report data). The proposed CY 2024 HH PPS wage index would not take into account any geographic reclassification of hospitals, including those in accordance with section 1886(d)(8)(B) or 1886(d)(10) of the Act but would include the 5-percent cap on wage index decreases. We will apply the appropriate wage index value to the revised labor portion of the HH PPS rates based on the site of service for the beneficiary (defined by section 1861(m) of the Act as the beneficiary's place of residence).</P>
                    <P>To address those geographic areas in which there are no inpatient hospitals, and thus, no hospital wage data on which to base the calculation of the CY 2024 HH PPS wage index, we propose to continue to use the same methodology discussed in the CY 2007 HH PPS final rule (71 FR 65884) to address those geographic areas in which there are no inpatient hospitals. For rural areas that do not have inpatient hospitals, we propose to use the average wage index from all contiguous Core Based Statistical Areas (CBSAs) as a reasonable proxy. Currently, the only rural area without a hospital from which hospital wage data could be derived is Puerto Rico. However, for rural Puerto Rico, we do not apply this methodology due to the distinct economic circumstances that exist there (for example, due to the close proximity to one another of almost all of Puerto Rico's various urban and non-urban areas, this methodology would produce a wage index for rural Puerto Rico that is higher than that in half of its urban areas). Instead, we propose to continue to use the most recent wage index previously available for that area. The most recent wage index previously available for rural Puerto Rico is 0.4047, which is what we propose to use. For urban areas without inpatient hospitals, we use the average wage index of all urban areas within the State as a reasonable proxy for the wage index for that CBSA. For CY 2024, the only urban area without inpatient hospital wage data is Hinesville, GA (CBSA 25980). Using the average wage index of all urban areas in Georgia as proxy, we propose the CY 2024 wage index value for Hinesville, GA to be 0.8601.</P>
                    <P>On February 28, 2013, OMB issued Bulletin No. 13-01, announcing revisions to the delineations of MSAs, Micropolitan Statistical Areas, and CBSAs, and guidance on uses of the delineation of these areas. In the CY 2015 HH PPS final rule (79 FR 66085 through 66087), we adopted OMB's area delineations using a 1-year transition.</P>
                    <P>
                        On August 15, 2017, OMB issued Bulletin No. 17-01 in which it announced that one Micropolitan Statistical Area, Twin Falls, Idaho, now qualifies as a Metropolitan Statistical Area. The new CBSA (46300) comprises the principal city of Twin Falls, Idaho in Jerome County, Idaho and Twin Falls County, Idaho. The CY 2022 HH PPS wage index value for CBSA 46300, Twin Falls, Idaho, will be 0.8707. Bulletin No. 17-01 is available at 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/bulletins/2017/b-17-01.pdf.</E>
                    </P>
                    <P>
                        On April 10, 2018 OMB issued OMB Bulletin No. 18-03, which superseded the August 15, 2017 OMB Bulletin No. 17-01. On September 14, 2018, OMB issued OMB Bulletin No. 18-04 which superseded the April 10, 2018 OMB Bulletin No. 18-03. These bulletins established revised delineations for Metropolitan Statistical Areas, Micropolitan Statistical Areas, and Combined Statistical Areas, and provided guidance on the use of the delineations of these statistical areas. A copy of OMB Bulletin No. 18-04 may be obtained at: 
                        <E T="03">https://www.bls.gov/bls/omb-bulletin-18-04-revised-delineations-of-metropolitan-statistical-areas.pdf.</E>
                    </P>
                    <P>
                        On March 6, 2020, OMB issued Bulletin No. 20-01, which provided updates to and superseded OMB Bulletin No. 18-04 that was issued on September 14, 2018. The attachments to OMB Bulletin No. 20-01 provided detailed information on the update to statistical areas since September 14, 2018, and were based on the application of the 2010 Standards for Delineating Metropolitan and Micropolitan Statistical Areas to Census Bureau population estimates for July 1, 2017 and July 1, 2018. (For a copy of this bulletin, we refer readers to 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/2020/03/Bulletin-20-01.pdf</E>
                        ). In OMB Bulletin No. 20-01, OMB announced one new Micropolitan Statistical Area, one new component of an existing Combined Statistical Area and changes to New England City and Town Area (NECTA) delineations. In the CY 2021 HH PPS final rule (85 FR 70298), we stated that if appropriate, we would propose any updates from OMB Bulletin No. 20-01 in future rulemaking. After reviewing OMB Bulletin No. 20-01, we have determined that the changes in Bulletin 20-01 encompassed delineation changes that would not affect the Medicare home health wage index for CY 2022. Specifically, the updates consisted of changes to NECTA delineations and the re-designation of a single rural county into a newly created Micropolitan Statistical Area. The Medicare home health wage index does not utilize NECTA definitions, and, as most recently discussed in the CY 2021 HH PPS final rule (85 FR 70298) we include hospitals located in Micropolitan Statistical areas in each State's rural wage index. In other words, these OMB updates did not affect any geographic areas for purposes of the HH PPS wage index calculation.
                        <PRTPAGE P="43717"/>
                    </P>
                    <P>
                        The proposed CY 2024 wage index is available on the CMS website at: 
                        <E T="03">https://www.cms.gov/Center/Provider-Type/Home-Health-Agency-HHA-Center.</E>
                    </P>
                    <HD SOURCE="HD3">(f) Proposed CY 2024 Home Health Payment Update</HD>
                    <HD SOURCE="HD3">(1) Background</HD>
                    <P>The HH PPS has been in effect since October 1, 2000. As set forth in the July 3, 2000 final rule (65 FR 41128), the base unit of payment under the HH PPS was a national, standardized 60-day episode payment rate. As finalized in the CY 2019 HH PPS final rule with comment period (83 FR 56406), and as described in the CY 2020 HH PPS final rule with comment period (84 FR 60478), the unit of home health payment changed from a 60-day episode to a 30-day period effective for those 30-day periods beginning on or after January 1, 2020.</P>
                    <P>As set forth in § 484.220, we adjust the national, standardized prospective payment rates by a case-mix relative weight and a wage index value based on the site of service for the beneficiary. To provide appropriate adjustments to the proportion of the payment amount under the HH PPS to account for area wage differences, we apply the appropriate wage index value to the labor portion of the HH PPS rates. In the CY 2019 HH PPS final rule with comment period (83 FR 56435), we finalized rebasing the home health market basket to reflect 2016 Medicare cost report data. We also finalized a revision to the labor-related share to reflect the 2016-based home health market basket Compensation (Wages and Salaries plus Benefits) cost weight. We finalized that for CY 2019 and subsequent years, the labor-related share would be 76.1 percent and the non-labor related share would be 23.9 percent. As discussed earlier in section II.C.3, for CY 2024 we are proposing to rebase the home health market basket using 2021 Medicare cost report data. We are also proposing that the labor-related share based on the proposed 2021-based home health market basket would be 74.9 percent and the non-labor-related share would be 25.1 percent. The following are the steps we take to compute the case-mix and wage-adjusted 30-day period payment amount for CY 2024:</P>
                    <P>• Multiply the national, standardized 30-day period rate by the patient's applicable case-mix weight.</P>
                    <P>• Divide the case-mix adjusted amount into a labor (74.9 percent) and a non-labor portion (25.1 percent).</P>
                    <P>• Multiply the labor portion by the applicable wage index based on the site of service of the beneficiary.</P>
                    <P>• Add the wage-adjusted portion to the non-labor portion, yielding the case-mix and wage adjusted 30-day period payment amount, subject to any additional applicable adjustments.</P>
                    <P>We provide annual updates of the HH PPS rate in accordance with section 1895(b)(3)(B) of the Act. Section 484.225 sets forth the specific annual percentage update methodology. In accordance with section 1895(b)(3)(B)(v) of the Act and § 484.225(i), for an HHA that does not submit home health quality data, as specified by the Secretary, the unadjusted national prospective 30-day period rate is equal to the rate for the previous calendar year increased by the applicable home health payment update percentage, minus 2 percentage points. Any reduction of the percentage change would apply only to the calendar year involved and would not be considered in computing the prospective payment amount for a subsequent calendar year.</P>
                    <P>The final claim that the HHA submits for payment determines the total payment amount for the period and whether we make an applicable adjustment to the 30-day case-mix and wage-adjusted payment amount. The end date of the 30-day period, as reported on the claim, determines which calendar year rates Medicare will use to pay the claim.</P>
                    <P>We may adjust a 30-day case-mix and wage-adjusted payment based on the information submitted on the claim to reflect the following:</P>
                    <P>• A LUPA is provided on a per-visit basis as set forth in §§ 484.205(d)(1) and 484.230.</P>
                    <P>• A partial payment adjustment as set forth in §§ 484.205(d)(2) and 484.235.</P>
                    <P>• An outlier payment as set forth in §§ 484.205(d)(3) and 484.240.</P>
                    <HD SOURCE="HD3">(2) CY 2024 National, Standardized 30-Day Period Payment Amount</HD>
                    <P>Section 1895(b)(3)(A)(i) of the Act requires that the standard prospective payment rate and other applicable amounts be standardized in a manner that eliminates the effects of variations in relative case-mix and area wage adjustments among different home health agencies in a budget-neutral manner. To determine the CY 2024 national, standardized 30-day period payment rate, we will continue our practice of using the most recent, complete utilization data at the time of rulemaking; that is, we are using CY 2022 claims data for CY 2024 payment rate updates. We apply a permanent behavioral adjustment factor, a case-mix weights recalibration budget neutrality factor, a wage index budget neutrality factor, a labor-related share budget neutrality factor and the home health payment update percentage to update the CY 2024 payment rate. As discussed in section II.C.1 of this proposed rule, we are proposing to implement a permanent behavior adjustment of -5.653 percent to ensure that payments under the PDGM do not exceed what payments would have been under the 153-group payment system as required by law. The proposed permanent behavior adjustment factor is 0.94347. As discussed previously, to ensure the changes to the PDGM case-mix weights are implemented in a budget neutral manner, we apply a case-mix weight budget neutrality factor to the CY 2024 national, standardized 30-day period payment rate. The proposed case-mix weight budget neutrality factor for CY 2024 is 1.0121.</P>
                    <P>
                        Additionally, we apply a wage index budget neutrality factor to ensure that wage index updates and revisions are implemented in a budget neutral manner. To calculate the wage index budget neutrality factor, we first determine the payment rate needed for non-LUPA 30-day periods using the CY 2024 wage index so those total payments are equivalent to the total payments for non-LUPA 30-day periods using the CY 2023 wage index and the CY 2023 national standardized 30-day period payment rate adjusted by the case-mix weights recalibration neutrality factor. Then, by dividing the payment rate for non-LUPA 30-day periods using the CY 2024 wage index with a 5-percent cap on wage index decreases by the payment rate for non-LUPA 30-day periods using the CY 2023 wage index with a 5-percent cap on wage index decreases, we obtain a wage index budget neutrality factor of 1.0015. We then apply the wage index budget neutrality factor of 1.0015 to the 30-day period payment rate. After we apply the wage index budget neutrality factor, we will also apply a labor-related share budget neutrality factor so that aggregate payments do not increase or decrease due to changes in the labor-related share values. In order to calculate the labor-related share budget neutrality factor, we simulate total payments using CY 2022 home health utilization claims data with the CY 2024 HH PPS wage index and the proposed labor-related share (labor-related share of 74.9 percent and non-labor-related share of 25.1 percent) and compare it to our simulation of total payments using the CY 2024 HH PPS wage index with the current labor-related share (labor-related share of 76.1 percent and non-labor-related share of 23.9 percent). By dividing the base payment amount using the proposed labor-related share 
                        <PRTPAGE P="43718"/>
                        and CY 2024 wage index and payment rate by the base payment amount using the current labor-related share and CY 2024 wage index and payment rate, we obtain a labor-related share budget neutrality factor of 0.9998.
                    </P>
                    <P>Next, we propose to update the 30-day period payment rate by the proposed CY 2024 home health payment update percentage of 2.7 percent. The CY 2024 national, standardized 30-day period payment rate is calculated in Table B34.</P>
                    <GPH SPAN="3" DEEP="141">
                        <GID>EP10JY23.058</GID>
                    </GPH>
                    <P>The CY 2024 national, standardized 30-day period payment rate for an HHA that does not submit the required quality data is updated by the proposed CY 2024 home health payment update percentage of 0.7 percent (2.7 percent minus 2 percentage points) and is shown in Table B35.</P>
                    <GPH SPAN="3" DEEP="154">
                        <GID>EP10JY23.059</GID>
                    </GPH>
                    <HD SOURCE="HD3">(3) CY 2024 National Per-Visit Rates for 30-Day Periods of Care</HD>
                    <P>The national per-visit rates are used to pay LUPAs and are also used to compute imputed costs in outlier calculations. The per-visit rates are paid by type of visit or home health discipline. The six home health disciplines are as follows:</P>
                    <P>• Home health aide (HH aide).</P>
                    <P>• Medical Social Services (MSS).</P>
                    <P>• Occupational therapy (OT).</P>
                    <P>• Physical therapy (PT).</P>
                    <P>• Skilled nursing (SN).</P>
                    <P>• Speech-language pathology (SLP).</P>
                    <P>To calculate the proposed CY 2024 national per-visit rates, we started with the CY 2023 national per-visit rates. Then we applied a wage index budget neutrality factor to ensure budget neutrality for LUPA per-visit payments. We calculated the wage index budget neutrality factor by simulating total payments for LUPA 30-day periods of care using the CY 2024 wage index with a 5-percent cap on wage index decreases and comparing it to simulated total payments for LUPA 30-day periods of care using the CY 2023 wage index with 5-percent cap. By dividing the total payments for LUPA 30-day periods of care using the CY 2024 wage index by the total payments for LUPA 30-day periods of care using the CY 2023 wage index, we obtained a wage index budget neutrality factor of 1.0015. We apply the wage index budget neutrality factor in order to calculate the CY 2024 national per-visit rates. In order to calculate the labor-related share budget neutrality factor for the national per visit amounts, we simulate total payments for LUPA 30-day periods using CY 2022 home health utilization claims data with the CY 2024 HH PPS wage index and the proposed labor-related share (labor-related share of 74.9 percent and non-labor-related share of 25.1 percent) and compare it to our simulation of total payments for LUPA 30-day periods using the CY 2024 HH PPS wage index with the current labor-related share (labor-related share of 76.1 percent and non-labor-related share of 23.9 percent). By dividing the payment amounts for LUPA 30-day periods using the proposed labor-related share and CY 2024 wage index and payment rate by the payment amounts for LUPA 30-day periods using the current labor-related share and CY 2024 wage index and payment rate, we obtain a labor-related share budget neutrality factor of 0.9999.</P>
                    <P>
                        The LUPA per-visit rates are not calculated using case-mix weights. Therefore, no case-mix weight budget neutrality factor is needed to ensure budget neutrality for LUPA payments. Additionally, we are not applying the 
                        <PRTPAGE P="43719"/>
                        permanent adjustment to the per visit payment rates but only to the case-mix adjusted 30-day payment rate. Lastly, the per-visit rates for each discipline are updated by the proposed CY 2024 home health payment update percentage of 2.7 percent. The national per-visit rates are adjusted by the wage index based on the site of service of the beneficiary. The per-visit payments for LUPAs are separate from the LUPA add-on payment amount, which is paid for episodes that occur as the only episode or initial episode in a sequence of adjacent episodes. The CY 2024 national per-visit rates for HHAs that submit the required quality data are updated by the proposed CY 2024 home health payment update percentage of 2.7 percent and are shown in Table B36.
                    </P>
                    <GPH SPAN="3" DEEP="168">
                        <GID>EP10JY23.060</GID>
                    </GPH>
                    <P>The CY 2024 per-visit payment rates for HHAs that do not submit the required quality data are updated by the proposed CY 2024 home health payment update percentage of 2.7 percent minus 2 percentage points and are shown in Table B37.</P>
                    <GPH SPAN="3" DEEP="220">
                        <GID>EP10JY23.061</GID>
                    </GPH>
                    <HD SOURCE="HD3">(4) LUPA Add-On Factors</HD>
                    <P>Prior to the implementation of the 30-day unit of payment, LUPA episodes were eligible for a LUPA add-on payment if the episode of care was the first or only episode in a sequence of adjacent episodes. As stated in the CY 2008 HH PPS final rule, the average visit lengths in these initial LUPAs are 16 to 18 percent higher than the average visit lengths in initial non-LUPA episodes (72 FR 49848). LUPA episodes that occur as the only episode or as an initial episode in a sequence of adjacent episodes are adjusted by applying an additional amount to the LUPA payment before adjusting for area wage differences. In the CY 2014 HH PPS final rule (78 FR 72305), we changed the methodology for calculating the LUPA add-on amount by finalizing the use of three LUPA add-on factors: 1.8451 for SN; 1.6700 for PT; and 1.6266 for SLP. We multiply the per-visit payment amount for the first SN, PT, or SLP visit in LUPA episodes that occur as the only episode or an initial episode in a sequence of adjacent episodes by the appropriate factor to determine the LUPA add-on payment amount.</P>
                    <P>
                        In the CY 2019 HH PPS final rule with comment period (83 FR 56440), in addition to finalizing a 30-day unit of payment, we finalized our policy of continuing to multiply the per-visit 
                        <PRTPAGE P="43720"/>
                        payment amount for the first skilled nursing, physical therapy, or speech-language pathology visit in LUPA periods that occur as the only period of care or the initial 30-day period of care in a sequence of adjacent 30-day periods of care by the appropriate add-on factor (1.8451 for SN, 1.6700 for PT, and 1.6266 for SLP) to determine the LUPA add-on payment amount for 30-day periods of care under the PDGM. For example, using the proposed CY 2024 per-visit payment rates for HHAs that submit the required quality data, for LUPA periods that occur as the only period or an initial period in a sequence of adjacent periods, if the first skilled visit is SN, the payment for that visit would be $309.85 (1.8451 multiplied by $167.93), subject to area wage adjustment.
                    </P>
                    <HD SOURCE="HD3">(5) Occupational Therapy LUPA Add-On Factor</HD>
                    <P>In order to implement Division CC, section 115, of CAA, 2021, CMS finalized changes to regulations at § 484.55(a)(2) and (b)(3) that allowed occupational therapists to conduct initial and comprehensive assessments for all Medicare beneficiaries under the home health benefit when the plan of care does not initially include skilled nursing care, but either PT or SLP (86 FR 62351). This change, led to us establishing a LUPA add-on factor for calculating the LUPA add-on payment amount for the first skilled occupational therapy (OT) visit in LUPA periods that occurs as the only period of care or the initial 30-day period of care in a sequence of adjacent 30-day periods of care.</P>
                    <P>As stated in the CY 2022 HH PPS final rule with comment period (86 FR 62289) since there was not sufficient data regarding the average excess of minutes for the first visit in LUPA periods when the initial and comprehensive assessments are conducted by occupational therapists we finalized the use of the PT LUPA add-on factor of 1.6700 as a proxy. We also stated that we would use the PT LUPA add-on factor as a proxy until we have CY 2022 data to establish a more accurate OT add-on factor for the LUPA add-on payment amounts (86 FR 62289). At this time, we are analyzing the CY 2022 data and will continue to use the PT LUPA add-on factor for OT LUPAs and plan to propose a LUPA add-on factor specific to OT in future rulemaking.</P>
                    <HD SOURCE="HD3">(6) Payments for High-Cost Outliers Under the HH PPS</HD>
                    <HD SOURCE="HD3">(a) Background</HD>
                    <P>Section 1895(b)(5) of the Act allows for the provision of an addition or adjustment to the home health payment amount otherwise made in the case of outliers because of unusual variations in the type or amount of medically necessary care. Under the HH PPS and the previous unit of payment (that is, 60-day episodes), outlier payments were made for 60-day episodes whose estimated costs exceed a threshold amount for each HHRG. The episode's estimated cost was established as the sum of the national wage-adjusted per visit payment amounts delivered during the episode. The outlier threshold for each case-mix group or PEP adjustment defined as the 60-day episode payment or PEP adjustment for that group plus a fixed-dollar loss (FDL) amount. For the purposes of the HH PPS, the FDL amount is calculated by multiplying the home health FDL ratio by a case's wage-adjusted national, standardized 60-day episode payment rate, which yields an FDL dollar amount for the case. The outlier threshold amount is the sum of the wage and case-mix adjusted PPS episode amount and wage-adjusted FDL amount. The outlier payment is defined to be a proportion of the wage-adjusted estimated cost that surpasses the wage-adjusted threshold. The proportion of additional costs over the outlier threshold amount paid as outlier payments is referred to as the loss-sharing ratio.</P>
                    <P>As we noted in the CY 2011 HH PPS final rule (75 FR 70397 through 70399), section 3131(b)(1) of the Affordable Care Act amended section 1895(b)(3)(C) of the Act to require that the Secretary reduce the HH PPS payment rates such that aggregate HH PPS payments were reduced by 5 percent. In addition, section 3131(b)(2) of the Affordable Care Act amended section 1895(b)(5) of the Act by redesignating the existing language as section 1895(b)(5)(A) of the Act and revised the language to state that the total amount of the additional payments or payment adjustments for outlier episodes could not exceed 2.5 percent of the estimated total HH PPS payments for that year. Section 3131(b)(2)(C) of the Affordable Care Act also added section 1895(b)(5)(B) of the Act, which capped outlier payments as a percent of total payments for each HHA for each year at 10 percent.</P>
                    <P>As such, beginning in CY 2011, we reduced payment rates by 5 percent and targeted up to 2.5 percent of total estimated HH PPS payments to be paid as outliers. To do so, we first returned the 2.5 percent held for the target CY 2010 outlier pool to the national, standardized 60-day episode rates, the national per visit rates, the LUPA add-on payment amount, and the NRS conversion factor for CY 2010. We then reduced the rates by 5 percent as required by section 1895(b)(3)(C) of the Act, as amended by section 3131(b)(1) of the Affordable Care Act. For CY 2011 and subsequent calendar years we targeted up to 2.5 percent of estimated total payments to be paid as outlier payments, and apply a 10-percent agency-level outlier cap.</P>
                    <P>In the CY 2017 HH PPS proposed and final rules (81 FR 43737 through 43742 and 81 FR 76702), we described our concerns regarding patterns observed in home health outlier episodes. Specifically, we noted the methodology for calculating home health outlier payments may have created a financial incentive for providers to increase the number of visits during an episode of care in order to surpass the outlier threshold; and simultaneously created a disincentive for providers to treat medically complex beneficiaries who require fewer but longer visits. Given these concerns, in the CY 2017 HH PPS final rule (81 FR 76702), we finalized changes to the methodology used to calculate outlier payments, using a cost-per-unit approach rather than a cost-per-visit approach. This change in methodology allows for more accurate payment for outlier episodes, accounting for both the number of visits during an episode of care and the length of the visits provided. Using this approach, we now convert the national per-visit rates into per 15-minute unit rates. These per 15-minute unit rates are used to calculate the estimated cost of an episode to determine whether the claim will receive an outlier payment and the amount of payment for an episode of care. In conjunction with our finalized policy to change to a cost-per-unit approach to estimate episode costs and determine whether an outlier episode should receive outlier payments, in the CY 2017 HH PPS final rule we also finalized the implementation of a cap on the amount of time per day that would be counted toward the estimation of an episode's costs for outlier calculation purposes (81 FR 76725). Specifically, we limit the amount of time per day (summed across the six disciplines of care) to 8 hours (32 units) per day when estimating the cost of an episode for outlier calculation purposes.</P>
                    <P>
                        In the CY 2017 HH PPS final rule (81 FR 76724), we stated that we did not plan to re-estimate the average minutes per visit by discipline every year. 
                        <PRTPAGE P="43721"/>
                        Additionally, the per unit rates used to estimate an episode's cost were updated by the home health update percentage each year, meaning we would start with the national per visit amounts for the same calendar year when calculating the cost-per-unit used to determine the cost of an episode of care (81 FR 76727). We will continue to monitor the visit length by discipline as more recent data becomes available, and may propose to update the rates as needed in the future.
                    </P>
                    <P>In the CY 2019 HH PPS final rule with comment period (83 FR 56521), we finalized a policy to maintain the current methodology for payment of high-cost outliers upon implementation of PDGM beginning in CY 2020 and calculated payment for high-cost outliers based upon 30-day period of care. Upon implementation of the PDGM and 30-day unit of payment, we finalized the FDL ratio of 0.56 for 30-day periods of care in CY 2020. Given that CY 2020 was the first year of the PDGM and the change to a 30-day unit of payment, we finalized maintaining the same FDL ratio of 0.56 in CY 2021 as we did not have sufficient CY 2020 data at the time of CY 2021 rulemaking to propose a change to the FDL ratio for CY 2021. In the CY 2022 HH PPS final rule with comment period (86 FR 62292), we estimated that outlier payments would be approximately 1.8 percent of total HH PPS final rule payments if we maintained an FDL of 0.56 in CY 2022. Therefore, in order to pay up to, but no more than, 2.5 percent of total payments as outlier payments we finalized an FDL of 0.40 for CY 2022. In the CY 2023 HH PPS final rule (87 FR 66875), using CY 2021 claims utilization data, we finalized an FDL of 0.35 in order to pay up to, but no more than, 2.5 percent of the total payment as outlier payments in CY 2023.</P>
                    <HD SOURCE="HD3">(b) Proposed FDL Ratio for CY 2024</HD>
                    <P>For a given level of outlier payments, there is a trade-off between the values selected for the FDL ratio and the loss-sharing ratio. A high FDL ratio reduces the number of periods that can receive outlier payments, but makes it possible to select a higher loss-sharing ratio, and therefore, increase outlier payments for qualifying outlier periods. Alternatively, a lower FDL ratio means that more periods can qualify for outlier payments, but outlier payments per period must be lower.</P>
                    <P>The FDL ratio and the loss-sharing ratio are selected so that the estimated total outlier payments do not exceed the 2.5 percent aggregate level (as required by section 1895(b)(5)(A) of the Act). Historically, we have used a value of 0.80 for the loss-sharing ratio, which, we believe, preserves incentives for agencies to attempt to provide care efficiently for outlier cases. With a loss-sharing ratio of 0.80, Medicare pays 80 percent of the additional estimated costs that exceed the outlier threshold amount. Using CY 2022 claims data (as of March 17, 2023) and given the statutory requirement that total outlier payments do not exceed 2.5 percent of the total payments estimated to be made under the HH PPS, we are proposing an FDL ratio of 0.31 for CY 2024. CMS will update the FDL, if needed, once we have more complete CY 2022 claims data.</P>
                    <HD SOURCE="HD3">5. Proposal for Disposable Negative Pressure Wound Therapy</HD>
                    <HD SOURCE="HD3">(1) Background</HD>
                    <P>Negative pressure wound therapy (NPWT) is a medical procedure in which a vacuum dressing is used to enhance and promote healing in acute, chronic, and burn wounds. The therapy involves using a sealed wound dressing attached to a pump to create a negative pressure environment in the wound. Applying continued or intermittent vacuum pressure helps to increase blood flow to the area and draw out excess fluid from the wound. Moreover, the therapy promotes wound healing by preparing the wound bed for closure, reducing edema, promoting granulation tissue formation and perfusion, and removing exudate and infectious material. The wound type and the location of the wound determine whether the vacuum can either be applied continuously or intermittently. NPWT can be utilized for varying lengths of time, as indicated by the severity of the wound, from a few days of use up to a span of several months.</P>
                    <P>The therapy can be administered using the conventional NPWT system, classified as durable medical equipment (DME), or can be administered using a disposable device. A disposable NPWT (dNPWT) device is a single-use integrated system that consists of a non-manual vacuum pump, a receptacle for collecting exudate, and wound dressings. Unlike conventional NPWT systems classified as DME, dNPWT devices have preset continuous negative pressure, no intermittent setting, are pocket-sized and easily transportable, and are generally battery-operated with disposable batteries.</P>
                    <P>In order for a beneficiary to receive dNPWT under the home health benefit, the beneficiary must qualify for the home health benefit in accordance with existing eligibility requirements. To be eligible for Medicare home health services, as set out in sections 1814(a) and 1835(a) of the Act, a physician must certify that the Medicare beneficiary (patient) meets the following criteria:</P>
                    <P>• Is confined to the home.</P>
                    <P>• Needs skilled nursing care on an intermittent basis or physical therapy or speech-language pathology; or have a continuing need for occupational therapy.</P>
                    <P>• Is under the care of a physician.</P>
                    <P>• Receive services under a plan of care established and reviewed by a physician.</P>
                    <P>• Has had a face-to-face encounter related to the primary reason for home health care with a physician or allowed Non-Physician Practitioner (NPP) within a required timeframe.</P>
                    <P>Coverage for dNPWT is determined based upon a doctor's order as well as patient preference. Treatment decisions as to whether to use a dNPWT system versus a conventional NPWT DME system are determined by the characteristics of the wound, as well as patient goals and preferences discussed with the ordering physician to best achieve wound healing.</P>
                    <HD SOURCE="HD3">(2) Current Payment for Negative Pressure Wound Therapy Using a Disposable Device</HD>
                    <P>Prior to CY 2017, a dNPWT system was considered a non-routine supply and thus payment for the disposable device was included in the episode payment amount under the previous home health payment system. However, section 504 of the CAA, 2016 (Pub. L. 114-113) amended both section 1834 of the Act (42 U.S.C. 1395m) and section 1861(m)(5) of the Act (42 U.S.C. 1395x(m)(5)), and required a separate payment for an applicable disposable device when furnished on or after January 1, 2017, to an individual who receives home health services for which payment is made under the Medicare home health benefit. Therefore, in the CY 2017 HH PPS final rule (81 FR 76736), we finalized the implementation of several changes in payment for furnishing dNPWT for a patient under a home health plan of care beginning in CY 2017, and each subsequent year. These payment changes included the implementation of a separate payment amount for dNPWT that was set equal to the amount of the payment that would be made under the Medicare Hospital Outpatient Prospective Payment System (OPPS) using the CPT codes 97607 and 97608. This separate payment amount included furnishing the service as well as the dNPWT device. As a reminder, codes 97607 and 97608 are defined as follows:</P>
                    <P>
                        • HCPCS 97607—Negative pressure wound therapy, (for example, vacuum 
                        <PRTPAGE P="43722"/>
                        assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters.
                    </P>
                    <P>• HCPCS 97608—Negative pressure wound therapy, (for example, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters.</P>
                    <P>We also finalized that for instances where the sole purpose of a home health visit is to furnish dNPWT, Medicare does not pay for the visit under the HH PPS. Visits performed solely for the purposes of furnishing a new dNPWT device are not reported on the HH PPS claim (TOB 32x). Where a home health visit is exclusively for the purpose of furnishing dNPWT, the HHA submits only a TOB 34x. However, if the home health visit includes the provision of other home health services in addition to, and separate from, furnishing dNPWT, the HHA submits both a TOB 32x and TOB 34x—the TOB 32x for other home health services and the TOB 34x for furnishing NPWT using a disposable device. Payment for home health visits related to wound care, but not requiring the furnishing of an entirely new dNPWT device, are covered by the HH PPS 30-day period payment and must be billed using the home health claim.</P>
                    <HD SOURCE="HD3">(3) CAA, 2023</HD>
                    <P>Division FF, section 4136 of the CAA, 2023 (Pub. L.117-328) amends section 1834 of the Act (42 U.S.C. 1395m(s)), and mandates several amendments to the Medicare separate payment for dNPWT devices beginning in CY 2024. Section 4136(a) of the CAA, 2023 amends 1834(s)(3) of the Act by adding subparagraph (A) which outlines the calculation of the payment amounts for (i) years prior to CY 2024, (ii) CY 2024, (iii) CY 2025; and each subsequent year. As discussed previously, for a year prior to CY 2024, the amount of the separate payment was set equal to the amount of the payment that would be made under the Medicare Hospital OPPS using the CPT codes 97607 and 97608 and included the professional service as well as the furnishing of the device. For CY 2024, the CAA, 2023 requires that the separate payment amount for an applicable dNPWT device would be set equal to the supply price used to determine the relative value for the service under the Physician Fee Schedule (PFS) under section 1848 as of January 1, 2022 (CY 2022) updated by the specified adjustment described in subparagraph (B) for such year. For 2025 and each subsequent year, the CAA, 2023 requires that the separate payment amount will be set equal to the payment amount established for the device in the previous year, updated by the specified adjustment described in subparagraph (B) for such year.</P>
                    <P>Division FF section 4136 of the CAA, 2023 also adds a new subparagraph 1834(s)(3)(B), which requires that the separate payment amount to be adjusted by the percent increase in the CPI-U for the 12-month period ending with June of the preceding year minus the productivity adjustment described in section 1886(b)(3)(B)(xi)(II) for such year. Accordingly, this may result in a percentage being less than 0.0 for a year, and may result in payment being less than such payment rates for the preceding year.</P>
                    <P>Section 1834(s)(3)(C) of the Act, as added by Division FF, section 4136 of the CAA, 2023, specifies that the separate payment amount for applicable devices furnished on or after January 1, 2024, would no longer include payment for nursing or therapy services described in section 1861(m) of the Act. Payment for such nursing or therapy services would now be made under the prospective payment system established under section 1895 of the Act, the HH PPS, and is no longer separately billable.</P>
                    <P>Division FF, section 4136 of the CAA, 2023 also added a new paragraph 1834(s)(4) of the Act that mandates a change in claims processing for the separate payment amount for an applicable disposable device. Beginning in CY 2024 and each subsequent year, claims for the separate payment amount of an applicable dNPWT device would now be accepted and processed on claims submitted using the type of bill that is most commonly used by home health agencies to bill services under a home health plan of care (TOB 32X). That is, claims with a date of service on or after January 1, 2024 for an applicable dNPWT device will no longer be submitted on TOB 34X.</P>
                    <HD SOURCE="HD3">(4) Proposed Payment Policies for dNPWT Devices</HD>
                    <P>For the purposes of paying for a dNPWT device for a patient under a Medicare home health plan of care, CMS is proposing that the payment amount for CY 2024 would be equal to the supply price of the applicable disposable device under the Medicare PFS (as of January 1, 2022) updated by the specified adjustment as mandated by the CAA, 2023. The supply price of an applicable disposable device under the Medicare PFS for January 1, 2022 is $263.25. Therefore, the payment amount for CY 2024 would be set equal to the amount of $263.25 updated by the percent increase in the CPI-U for the 12-month period ending in June of 2023 minus the productivity adjustment. We note that the CPI-U for the 12-month period ending with June of 2023 is not available at the time of this proposed rulemaking. The CPI-U for the 12-month period ending in June of 2023 and the corresponding productivity adjustment will be updated in the final rule. We are also proposing that the separate payment for CY 2025 and each subsequent year would be based on the established payment amount for the previous calendar year updated by the percentage increase in the CPI-U minus the productivity adjustment for the 12-month period ending in June of the previous year. The application of productivity adjustment may result in a net update that may be less than 0.0 for a year, and may result in the separate payment amount under this subsection for an applicable device for a year being less than such separate payment amount for such device for the preceding year.</P>
                    <P>In accordance with the changes made by the CAA, 2023, we are also proposing that claims reported for a dNPWT device would no longer be reported on TOB 34x. Instead, for dates of service beginning on or after January 1, 2024, the HHA would report the Healthcare Common Procedure Coding System (HCPCS) code A9272 (for the device only) on the home health type of bill TOB 32. The code HCPCS A9272 is defined as a wound suction, disposable, includes dressing, all accessories and components, any type, each. We will provide education and develop materials outlining the new billing procedures for dNPWT under the home health benefit including MLN Matters® articles and manual guidance after publication of the CY 2024 HH PPS final rule.</P>
                    <P>We are also proposing that the services related to the application of the device would be included in the HH PPS and would be excluded from the separate payment amount for the device. In addition, only the home health services for the administration of the device would be geographically adjusted and the payment amount for HCPCS A9272 would not be subject to geographic adjustment.</P>
                    <P>
                        We are soliciting public comment on all aspects of the proposed payment 
                        <PRTPAGE P="43723"/>
                        policies for furnishing a dNPWT device as articulated in this section as well as the corresponding proposed regulations text changes at § 409.50 and § 484.202.
                    </P>
                    <HD SOURCE="HD1">III. Home Health Quality Reporting Program (HH QRP)</HD>
                    <HD SOURCE="HD2">A. Background and Statutory Authority</HD>
                    <P>The HH QRP is authorized by section 1895(b)(3)(B)(v) of the Act. Section 1895(b)(3)(B)(v)(II) of the Act requires that, for 2007 and subsequent years, each home health agency (HHA) submit to the Secretary in a form and manner, and at a time, specified by the Secretary, such data that the Secretary determines are appropriate for the measurement of health care quality. To the extent that an HHA does not submit data in accordance with this clause, the Secretary shall reduce the home health market basket percentage increase applicable to the HHA for such year by 2 percentage points. As provided at section 1895(b)(3)(B)(vi) of the Act, depending on the market basket percentage increase applicable for a particular year, as further reduced by the productivity adjustment (except in 2018 and 2020) described in section 1886(b)(3)(B)(xi)(II) of the Act, the reduction of that increase by 2 percentage points for failure to comply with the requirements of the HH QRP may result in the home health market basket percentage increase being less than 0.0 percent for a year, and may result in payment rates under the Home Health PPS for a year being less than payment rates for the preceding year. Section 1890A of the Act requires that the Secretary establish and follow a pre-rulemaking process, in coordination with the consensus-based entity (CBE) with a contract under section 1890 of the Act, to solicit input from certain groups regarding the selection of quality and efficiency measures for the HH QRP. The HH QRP regulations can be found at 42 CFR 484.245 and 484.250.</P>
                    <P>In this proposed rule, we are proposing to adopt two new measures and remove one existing measure. Second, we propose the removal of two OASIS items. Third, we are proposing to begin public reporting of four measures in the HH QRP. Fourth, we are providing an update on our efforts to close the health equity gap. Fifth, we propose codifying of our 90 percent data submission threshold policy in the Code of Federal Regulations. Lastly, we are seeking information on principles we could use to select and prioritize HH QRP quality measures in future years. These proposals are further specified in the following sections.</P>
                    <HD SOURCE="HD2">B. General Considerations Used for the Selection of Quality Measures for the HH QRP</HD>
                    <P>For a detailed discussion of the considerations we historically use for measure selection for the HH QRP quality, resource use, and other measures, we refer readers to the CY 2016 HH PPS final rule (80 FR 68695 through 68696). In the CY 2019 HH PPS final rule with comment period (83 FR 56548 through 56550) we finalized the factors we consider for removing previously adopted HH QRP measures.</P>
                    <HD SOURCE="HD2">C. Quality Measures Currently Adopted for the CY 2024 HH QRP</HD>
                    <P>The HH QRP currently includes 20 measures for the CY 2023 program year, as described in Table C1.</P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="633">
                        <PRTPAGE P="43724"/>
                        <GID>EP10JY23.062</GID>
                    </GPH>
                    <PRTPAGE P="43725"/>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <HD SOURCE="HD2">D. HH QRP Quality Measure Proposals Beginning With the CY 2025 HH QRP</HD>
                    <HD SOURCE="HD3">1. Discharge Function Score Measure Beginning With the CY 2025 HH QRP</HD>
                    <HD SOURCE="HD3">a. Background</HD>
                    <P>
                        Eligibility for Medicare's home health benefit stipulates that beneficiaries must need part-time (fewer than eight hours per day) or intermittent skilled care for their medical conditions and be unable to leave their homes without considerable effort. Unlike skilled nursing facilities, a proceeding hospital stay is not required for beneficiaries to access the Medicare home health benefit.
                        <SU>18</SU>
                        <FTREF/>
                         HH patients frequently have complex medical issues, including cardiac, circulatory and respiratory conditions, and between 30-40 percent of HH patients begin their episode of care with a high level of functional debility.
                        <SU>19</SU>
                        <FTREF/>
                         Measuring functional status of HH patients can provide valuable information about an HHA's quality of care. A patient's functional status is associated with institutionalization,
                        <SU>20</SU>
                        <FTREF/>
                         higher risk of falls and falls-related hip fracture and death,
                        <E T="51">21 22</E>
                        <FTREF/>
                         greater risk of undernutrition,
                        <SU>23</SU>
                        <FTREF/>
                         higher emergency department admissions,
                        <SU>24</SU>
                        <FTREF/>
                         higher risk of readmissions following home care 
                        <E T="51">25 26</E>
                        <FTREF/>
                         and higher prevalence of hypertension and diabetes.
                        <SU>27</SU>
                        <FTREF/>
                         Predictors of poorer recovery in function include greater age, complications after hospital discharge, and residence in a nursing home.
                        <SU>28</SU>
                        <FTREF/>
                         Understanding factors associated with poorer functional recovery facilitates the ability to estimate expected functional outcome recovery for patients, based on their personal characteristics.
                    </P>
                    <FTNT>
                        <P>
                            <SU>18</SU>
                             Medicare Payment Advisory Commission. (2022). March 2022 report to the congress: Medicare payment policy. 
                            <E T="03">Washington, DC: Medicare Payment Advisory Commission.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>19</SU>
                             Medicare Payment Advisory Commission. (2022). March 2022 report to the congress: Medicare payment policy. 
                            <E T="03">Washington, DC: Medicare Payment Advisory Commission.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>20</SU>
                             Hajek, A., Brettschneider, C., Lange, C., Posselt, T., Wiese, B., Steinmann, S., Weyerer, S., Werle, J., Pentzek, M., Fuchs, A., Stein, J., Luck, T., Bickel, H., Mösch, E., Wagner, M., Jessen, F., Maier, W., Scherer, M., Riedel-Heller, S.G., König, H.H., &amp; AgeCoDe Study Group. (2015). Longitudinal Predictors of Institutionalization in Old Age. PLoS One, 10(12):e0144203.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>21</SU>
                             Akahane, M., Maeyashiki, A., Yoshihara, S., Tanaka, Y., &amp; Imamura, T. (2016). Relationship between difficulties in daily activities and falling: loco-check as a self-assessment of fall risk. Interactive Journal of Medical Research, 5(2), e20.
                        </P>
                        <P>
                            <SU>22</SU>
                             Zaslavsky, O., Zelber-Sagi, S., Gray, S.L., LaCroix, A.Z., Brunner, R.L., Wallace, R.B., . . . Woods, N.F. (2016). Comparison of Frailty Phenotypes for Prediction of Mortality, Incident Falls, and Hip Fracture in Older Women. Journal of the American Geriatrics Society, 64(9), 1858-1862.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>23</SU>
                             van der Pols-Vijlbrief, R., Wijnhoven, H.A.H., Bosmans, J.E., Twisk, J.W.R., &amp; Visser, M. (2016). Targeting the underlying causes of undernutrition. Cost-effectiveness of a multifactorial personalized intervention in community-dwelling older adults: A randomized controlled trial. Clinical Nutrition (Edinburgh, Scotland).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>24</SU>
                             Hominick, K., McLeod, V., &amp; Rockwood, K. (2016). Characteristics of older adults admitted to hospital versus those discharged home, in emergency department patients referred to internal medicine. Canadian Geriatrics Journal: CGJ, 19(1), 9-14.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>25</SU>
                             Knox, S., Downer, B., Haas, A., Middleton, A., &amp; Ottenbacher, K.J. (2020). Function and caregiver support associated with readmissions during home health for individuals with dementia. 
                            <E T="03">Archives of physical medicine and rehabilitation, 101</E>
                            (6), 1009-1016.
                        </P>
                        <P>
                            <SU>26</SU>
                             Middleton, A. Downer, B., Haas, A., Knox, S., &amp; Ottenbacher, K.J. (2019) Functional status ss associated with 30-day potentially preventable readmissions following home health Care. Medical Care, 57(2):145-151.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>27</SU>
                             Halaweh, H., Willen, C., Grimby-Ekman, A., &amp; Svantesson, U. (2015). Physical activity and health-related quality of life among community dwelling elderly. J Clin Med Res, 7(11), 845-52.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>28</SU>
                             Córcoles-Jiménez, M.P., Villada-Munera, A., Del Egido-Fernandez, M.A., Candel-Parra, E., Moreno-Moreno, M., Jimenez-Sanchez, M.D., &amp; Pina-Martinez, A. (2015). Recovery of activities of daily living among older people one year after hip fracture. Clinical Nursing Research, 24(6), 604-623.
                        </P>
                    </FTNT>
                    <P>
                        Home health care can positively impact functional outcomes. There is evidence the provision of home care services can lead to statistically significant improvements in function and successful discharge into the community.
                        <SU>29</SU>
                        <FTREF/>
                         In stroke patients, home-based rehabilitation programs administered by home health clinicians significantly improved function.
                        <SU>30</SU>
                        <FTREF/>
                         Home health services, delivered by a registered nurse positively impacted patient Quality of Life (QOL) and clinical outcomes, including significant improvement in dressing lower body and bathing activities of daily living, meal preparation, shopping, and housekeeping instrumental activities of daily living.
                        <SU>31</SU>
                        <FTREF/>
                         In addition, a retrospective study, using data abstracted from the Minimum Data Set and OASIS, reported that nursing home admissions were delayed in the study population receiving home health services by an average of eight months 
                        <SU>32</SU>
                        <FTREF/>
                         and for a similar population, community dwelling adults receiving community-based services supporting aging in place, health and functional outcomes were enhanced, and improved cognition and lower rates of depression, function assistance, and incontinence were noted.
                        <SU>33</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>29</SU>
                             Bowles, K.H., McDonald, M., Barron, Y., Kennedy, E., O'Connor, M., &amp; Mikkelsen, M. (2021). Surviving COVID-19 after hospital discharge: symptom, functional, and adverse outcomes of home health recipients. 
                            <E T="03">Annals of internal medicine, 174</E>
                            (3), 316-325.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>30</SU>
                             Asiri, F.Y., Marchetti, G.F., Ellis, J.L., Otis, L., Sparto, P.J., Watzlaf, V., &amp; Whitney, S.L. (2014). Predictors of functional and gait outcomes for persons poststroke undergoing home-based rehabilitation. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of National Stroke Association, 23(7), 1856-1864.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>31</SU>
                             Córcoles-Jiménez, M.P., Villada-Munera, A., Del Egido-Fernandez, M.A., Candel-Parra, E., Moreno-Moreno, M., Jimenez-Sanchez, M.D., &amp; Pina-Martinez, A. (2015). Recovery of activities of daily living among older people one year after hip fracture. Clinical Nursing Research, 24(6), 604-623.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>32</SU>
                             Asiri, F.Y., Marchetti, G.F., Ellis, J.L., Otis, L., Sparto, P.J., Watzlaf, V., &amp; Whitney, S.L. (2014). Predictors of functional and gait outcomes for persons poststroke undergoing home-based rehabilitation. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of National Stroke Association, 23(7), 1856-1864.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>33</SU>
                             Han, S.J., Kim, H.K., Storfjell, J., &amp; Kim, M.J. (2013). Clinical outcomes and quality of life of home health care patients. 
                            <E T="03">Asian Nursing Research, 7</E>
                            (2), 53-60.
                        </P>
                    </FTNT>
                    <P>To satisfy the requirement of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (Pub. L. 113-185) to develop and implement standardized quality measures from five quality measure domains, including the domain of functional status, cognitive function, and changes in function and cognitive function, across the post-acute care (PAC) settings, CMS adopted the “Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function” (Application of Functional Assessment/Care Plan) measure in the CY 2018 HH PPS final rule (82 FR 51722 through 51725). This cross-setting process measure allowed for the standardization of functional assessments across assessment instruments and facilitated cross-setting data collection, quality measurement, and interoperable data exchange.</P>
                    <P>
                        However, performance on this measure across the PAC settings, including the range of HHAs, is so high and unvarying across most HH providers that the measure no longer offers meaningful distinctions in performance. Several measures addressing functional status are currently part of the PAC QRPs. None of the existing functional outcome measures are cross-setting in nature, in that they are either (a) not implemented in all four settings (for instance, the “Discharge Mobility and Self-Care Score” measures are reported for SNFs and IRFs but not for LTCHs and HHAs); or (b) rely on functional status items not collected in all settings (for instance, the “Discharge Mobility and Self-Care Score” measures rely on items not collected in LTCHs). In contrast, a cross-setting functional outcome measure would include the HH setting. Moreover, the measure specifications would be aligned across settings, including the use of a common set of standardized functional assessment data 
                        <PRTPAGE P="43726"/>
                        elements, thereby satisfying the requirements of the IMPACT Act.
                    </P>
                    <HD SOURCE="HD3">(1) Measure Importance</HD>
                    <P>
                        Maintenance or improvement of physical function among older adults is increasingly an important focus of healthcare. Worldwide, close to 20 percent of older adults living at home report needing some form of assistance with their ADLs, and in the US 29 percent of older adults report difficulties completing their activities of daily living (ADLs).
                        <SU>34</SU>
                        <FTREF/>
                         Adults aged 65 years and older constitute the most rapidly growing population in the United States, and functional capacity in physical (non-psychological) domains has been shown to decline with age.
                        <SU>35</SU>
                        <FTREF/>
                         Moreover, impaired functional capacity is associated with poorer quality of life and an increased risk of all-cause mortality, postoperative complications, and cognition, the latter of which can complicate the return of a patient to the community from post-acute care if the patient exhibits cognitive deficits.
                        <E T="51">36 37 38</E>
                        <FTREF/>
                         Nonetheless, evidence suggests that physical functional abilities, including mobility and self-care, are modifiable predictors of patient outcomes across PAC settings, including functional recovery or decline after post-acute care,
                        <E T="51">39 40 41 42 43</E>
                        <FTREF/>
                         rehospitalization rates,
                        <E T="51">44 45 46</E>
                        <FTREF/>
                         discharge to community,
                        <E T="51">47 48</E>
                        <FTREF/>
                         and falls.
                        <SU>49</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>34</SU>
                             Chen, S., Jones, L.A., Jiang, S., Jin, H., Dong, D., Chen, X., . . . Zhu, A. (2022). Difficulty and help with activities of daily living among older adults living alone during the COVID-19 pandemic: a multi-country population-based study. 
                            <E T="03">BMC geriatrics, 22</E>
                            (1), 1-14.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>35</SU>
                             High KP, Zieman S, Gurwitz J, Hill C, Lai J, Robinson T, Schonberg M, Whitson H. Use of Functional Assessment to Define Therapeutic Goals and Treatment. J Am Geriatr Soc. 2019 Sep;67(9):1782-1790. doi: 10.1111/jgs.15975. Epub 2019 May 13. PMID: 31081938; PMCID: PMC6955596.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>36</SU>
                             Clouston SA, Brewster P, Kuh D, Richards M, Cooper R, Hardy R, Rubin MS, Hofer SM. The dynamic relationship between physical function and cognition in longitudinal aging cohorts. Epidemiol Rev. 2013;35(1):33-50. doi: 10.1093/epirev/mxs004. Epub 2013 Jan 24. PMID: 23349427; PMCID: PMC3578448.
                        </P>
                        <P>
                            <SU>37</SU>
                             Michael YL, Colditz GA, Coakley E, Kawachi I. Health Behaviors, Social Networks, and Healthy Aging: Cross-Sectional Evidence from the Nurses' Health Study. Qual Life Res. 1999 Dec;8(8):711-22. doi: 10.1023/a:1008949428041. PMID: 10855345.
                        </P>
                        <P>
                            <SU>38</SU>
                             High KP, Zieman S, Gurwitz J, Hill C, Lai J, Robinson T, Schonberg M, Whitson H. Use of Functional Assessment to Define Therapeutic Goals and Treatment. J Am Geriatr Soc. 2019 Sep;67(9):1782-1790. doi: 10.1111/jgs.15975. Epub 2019 May 13. PMID: 31081938; PMCID: PMC6955596.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>39</SU>
                             Deutsch A, Palmer L, Vaughan M, Schwartz C, McMullen T. Inpatient Rehabilitation Facility Patients' Functional Abilities and Validity Evaluation of the Standardized Self-Care and Mobility Data Elements. Arch Phys Med Rehabil. 2022 Feb 11:S0003-9993(22)00205-2. doi: 10.1016/j.apmr.2022.01.147. Epub ahead of print. PMID: 35157893.
                        </P>
                        <P>
                            <SU>40</SU>
                             Hong I, Goodwin JS, Reistetter TA, Kuo YF, Mallinson T, Karmarkar A, Lin YL, Ottenbacher KJ. Comparison of Functional Status Improvements Among Patients With Stroke Receiving Postacute Care in Inpatient Rehabilitation vs Skilled Nursing Facilities. JAMA Netw Open. 2019 Dec 2;2(12):e1916646. doi: 10.1001/jamanetworkopen.2019.16646. PMID: 31800069; PMCID: PMC6902754.
                        </P>
                        <P>
                            <SU>41</SU>
                             Alcusky M, Ulbricht CM, Lapane KL. Postacute Care Setting, Facility Characteristics, and Poststroke Outcomes: A Systematic Review. Arch Phys Med Rehabil. 2018;99(6):1124-1140.e9. doi: 10.1016/j.apmr.2017.09.005. PMID: 28965738; PMCID: PMC5874162.
                        </P>
                        <P>
                            <SU>42</SU>
                             Chu CH, Quan AML, McGilton KS. Depression and Functional Mobility Decline in Long Term Care Home Residents with Dementia: a Prospective Cohort Study. Can Geriatr J. 2021;24(4):325-331. doi:10.5770/cgj.24.511. PMID: 34912487; PMCID: PMC8629506.
                        </P>
                        <P>
                            <SU>43</SU>
                             Lane NE, Stukel TA, Boyd CM, Wodchis WP. Long-Term Care Residents' Geriatric Syndromes at Admission and Disablement Over Time: An Observational Cohort Study. J Gerontol A Biol Sci Med Sci. 2019;74(6):917-923. doi: 10.1093/gerona/gly151. PMID: 29955879; PMCID: PMC6521919.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>44</SU>
                             Li CY, Haas A, Pritchard KT, Karmarkar A, Kuo YF, Hreha K, Ottenbacher KJ. Functional Status Across Post-Acute Settings is Associated With 30-Day and 90-Day Hospital Readmissions. J Am Med Dir Assoc. 2021 Dec;22(12):2447-2453.e5. doi: 10.1016/j.jamda.2021.07.039. Epub 2021 Aug 30. PMID: 34473961; PMCID: PMC8627458.
                        </P>
                        <P>
                            <SU>45</SU>
                             Middleton A, Graham JE, Lin YL, Goodwin JS, Bettger JP, Deutsch A, Ottenbacher KJ. Motor and Cognitive Functional Status Are Associated with 30-day Unplanned Rehospitalization Following Post-Acute Care in Medicare Fee-for-Service Beneficiaries. J Gen Intern Med. 2016 Dec;31(12):1427-1434. doi: 10.1007/s11606-016-3704-4. Epub 2016 Jul 20. PMID: 27439979; PMCID: PMC5130938.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>46</SU>
                             Gustavson AM, Malone DJ, Boxer RS, Forster JE, Stevens-Lapsley JE. Application of High-Intensity Functional Resistance Training in a Skilled Nursing Facility: An Implementation Study. Phys Ther. 2020;100(10):1746-1758. doi: 10.1093/ptj/pzaa126. PMID: 32750132; PMCID: PMC7530575.
                        </P>
                        <P>
                            <SU>47</SU>
                             Minor M, Jaywant A, Toglia J, Campo M, O'Dell MW. Discharge Rehabilitation Measures Predict Activity Limitations in Patients with Stroke Six Months after Inpatient Rehabilitation. Am J Phys Med Rehabil. 2021 Oct 20. doi: 10.1097/PHM.0000000000001908. Epub ahead of print. PMID: 34686630.
                        </P>
                        <P>
                            <SU>48</SU>
                             Dubin R, Veith JM, Grippi MA, McPeake J, Harhay MO, Mikkelsen ME. Functional Outcomes, Goals, and Goal Attainment among Chronically Critically Ill Long-Term Acute Care Hospital Patients. Ann Am Thorac Soc. 2021;18(12):2041-2048. doi: 10.1513/AnnalsATS.202011-1412OC. PMID: 33984248; PMCID: PMC8641806.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>49</SU>
                             Hoffman GJ, Liu H, Alexander NB, Tinetti M, Braun TM, Min LC. Posthospital Fall Injuries and 30-Day Readmissions in Adults 65 Years and Older. JAMA Netw Open. 2019 May 3;2(5):e194276. doi: 10.1001/jamanetworkopen.2019.4276. PMID: 31125100; PMCID: PMC6632136.
                        </P>
                    </FTNT>
                    <P>
                        The implementation of interventions that improve patients' functional outcomes and reduce the risks of associated undesirable outcomes as a part of a patient-centered care plan is essential to maximizing functional improvement. For many people, the overall goals of HH care may include optimizing functional improvement, returning to a previous level of independence, maintaining functional abilities, or avoiding institutionalization. Studies have suggested that HH care has the potential to improve patients' functional abilities including the performance of ADLs at discharge through the provision of physical and occupational therapy services for community dwelling older adult patients with various diagnoses, including dementia.
                        <E T="51">50 51 52 53 54 55</E>
                        <FTREF/>
                         Assessing functional status as a health outcome in HH can thus provide valuable information in determining treatment decisions throughout the care continuum, the need for therapy service, and discharge planning,
                        <E T="51">56 57 58</E>
                        <FTREF/>
                         as well as provide information to consumers about the effectiveness of the care delivered. Because evidence shows that older adults experience aging heterogeneously and require individualized and comprehensive health care, functional status can serve as a vital component in informing the provision of health care 
                        <PRTPAGE P="43727"/>
                        and thus indicate HH quality of care.
                        <E T="51">59 60 61 62</E>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>50</SU>
                             Knox, S., Downer, B., Haas, A., &amp; Ottenbacher, K.J. (2022). Home health utilization association with discharge to community for people with dementia. 
                            <E T="03">Alzheimer's &amp; Dementia: Translational Research &amp; Clinical Interventions, 8</E>
                            (1), e12341.
                        </P>
                        <P>
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                             Prvu Bettger, J., McCoy, L., Smith, E.E., Fonarow, G.C., Schwamm, L.H., &amp; Peterson, E.D. (2015). Contemporary trends and predictors of postacute service use and routine discharge home after stroke. 
                            <E T="03">Journal of the American Heart Association, 4</E>
                            (2), e001038.
                        </P>
                        <P>
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                             Golding-Day M, Whitehead P, Radford K, Walker M. Interventions to reduce dependency in bathing in community dwelling older adults: a systematic review. Syst Rev. 2017 Oct 11;6(1):198. doi: 10.1186/s13643-017-0586-4. PMID: 29020974; PMCID: PMC5637353.
                        </P>
                        <P>
                            <SU>53</SU>
                             Foster, E.R., Carson, L. G., Archer, J., &amp; Hunter, E.G. (2021). Occupational therapy interventions for instrumental activities of daily living for adults with Parkinson's disease: A systematic review. 
                            <E T="03">The American Journal of Occupational Therapy, 75</E>
                            (3).
                        </P>
                        <P>
                            <SU>54</SU>
                             Anderson, W.L., &amp; Wiener, J.M. (2015). The impact of assistive technologies on formal and informal home care. 
                            <E T="03">The Gerontologist, 55</E>
                            (3), 422-433.
                        </P>
                        <P>
                            <SU>55</SU>
                             Knox, S., Downer, B., Haas, A., Middleton, A., &amp; Ottenbacher, K.J. (2020). Function and caregiver support associated with readmissions during home health for individuals with dementia. 
                            <E T="03">Archives of physical medicine and rehabilitation, 101</E>
                            (6), 1009-1016.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>56</SU>
                             Dubin R, Veith JM, Grippi MA, McPeake J, Harhay MO, Mikkelsen ME. Functional Outcomes, Goals, and Goal Attainment among Chronically Critically Ill Long-Term Acute Care Hospital Patients. Ann Am Thorac Soc. 2021;18(12):2041-2048. doi:10.1513/AnnalsATS.202011-1412OC. PMID: 33984248; PMCID: PMC8641806.
                        </P>
                        <P>
                            <SU>57</SU>
                             Warren M, Knecht J, Verheijde J, Tompkins J. Association of AM-PAC “6-Clicks” Basic Mobility and Daily Activity Scores With Discharge Destination. Phys Ther. 2021 Apr 4;101(4): pzab043. doi: 10.1093/ptj/pzab043. PMID: 33517463.
                        </P>
                        <P>
                            <SU>58</SU>
                             Cogan AM, Weaver JA, McHarg M, Leland NE, Davidson L, Mallinson T. Association of Length of Stay, Recovery Rate, and Therapy Time per Day With Functional Outcomes After Hip Fracture Surgery. JAMA Netw Open. 2020 Jan 3;3(1):e1919672. doi: 10.1001/jamanetworkopen.2019.19672. PMID: 31977059; PMCID: PMC6991278.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>59</SU>
                             Chase, J.-A. D., Huang, L., Russell, D., Hanlon, A., O'Connor, M., Robinson, K.M., &amp; Bowles, K.H. (2018). Racial/ethnic disparities in disability outcomes among post-acute home care patients. 
                            <E T="03">Journal of aging and health, 30</E>
                            (9), 1406-1426.
                        </P>
                        <P>
                            <SU>60</SU>
                             Fashaw-Walters, S.A., Rahman, M., Gee, G., Mor, V., White, M., &amp; Thomas, K.S. (2022). Out Of Reach: Inequities In The Use Of High-Quality Home Health Agencies: Study examines inequities in the use of high-quality home health agencies. 
                            <E T="03">Health Affairs, 41</E>
                            (2), 247-255.
                        </P>
                        <P>
                            <SU>61</SU>
                             Criss MG, Wingood M, Staples WH, Southard V, Miller KL, Norris TL, Avers D, Ciolek CH, Lewis CB, Strunk ER. APTA Geriatrics' Guiding Principles for Best Practices in Geriatric Physical Therapy: An Executive Summary. J Geriatr Phys Ther. 2022 Apr-June;45(2):70-75. doi: 10.1519/JPT.0000000000000342. PMID: 35384940.
                        </P>
                        <P>
                            <SU>62</SU>
                             Cogan AM, Weaver JA, McHarg M, Leland NE, Davidson L, Mallinson T. Association of Length of Stay, Recovery Rate, and Therapy Time per Day With Functional Outcomes After Hip Fracture Surgery. JAMA Netw Open. 2020 Jan 3;3(1):e1919672. doi: 10.1001/jamanetworkopen.2019.19672. PMID: 31977059; PMCID: PMC6991278.
                        </P>
                    </FTNT>
                    <P>
                        We are proposing to adopt the Discharge Function Score (DC Function) measure 
                        <SU>63</SU>
                        <FTREF/>
                         in the HH QRP beginning with the CY 2025 HHQRP. This assessment-based outcome measure evaluates functional status by calculating the percentage of HH patients who meet or exceed an expected discharge function score. We are proposing that this measure would replace the topped-out, cross-setting Application of Functional Assessment/Care Plan process measure. Like the cross-setting process measure it is replacing, the proposed measure is calculated using standardized patient assessment data from the current HH assessment tool.
                    </P>
                    <FTNT>
                        <P>
                            <SU>63</SU>
                             Discharge Function Score for Home Health Agencies (HHAs) Technical Report, which is available at 
                            <E T="03">https://www.cms.gov/files/document/hh-discharge-function-score-measure-technical-report.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        In addition to meeting the requirements of the Act, the DC Function measure supports current CMS priorities. Specifically, the measure aligns with the Streamline Quality Measurement domain in CMS's Meaningful Measures 2.0 framework 
                        <SU>64</SU>
                        <FTREF/>
                         in two ways. First, the proposed outcome measure would further CMS's objective to increase the proportion of outcome measures in the HH QRP by replacing the Application of Functional Assessment/Care Plan cross-setting process measure with an outcome measure (see Section III.2 of this proposed rule). Second, this measure adds no additional provider burden since it would be calculated using data from the OASIS that are already reported to the Medicare program for payment and quality reporting purposes.
                    </P>
                    <FTNT>
                        <P>
                            <SU>64</SU>
                             
                            <E T="03">https://www.cms.gov/medicare/meaningful-measures-framework/meaningful-measures-20-moving-measure-reduction-modernization,</E>
                             accessed February 1, 2023.
                        </P>
                    </FTNT>
                    <P>
                        The proposed DC Function measure would also follow a calculation approach similar to the existing functional outcome measures. Specifically, the measure (1) considers two dimensions of function (that is, self-care and mobility activities) and (2) accounts for missing data by using statistical imputation to improve the validity of measure performance. The statistical imputation recodes missing functional status data to a 
                        <E T="03">likely value</E>
                         had the status been assessed, whereas the current imputation approach implemented in existing function outcome measures recodes missing data to the 
                        <E T="03">lowest</E>
                         functional status.
                    </P>
                    <HD SOURCE="HD3">(b) Measure Testing</HD>
                    <P>
                        Measure testing was conducted on the DC Function measure to assess validity, reliability, and reportability, all of which informed stakeholder feedback and Technical Expert Panel (TEP) input (See the 
                        <E T="03">Stakeholder and Technical Expert Panel (TEP) Input</E>
                         section of this proposed rule). Validity was assessed for the measure performance, the risk adjustment model, face validity, and statistical imputation models. Validity testing of measure performance entailed determining Spearman's rank correlations between the proposed measure's performance and the performance of other publicly reported HH quality measures. Results indicated that the measure captures the most probable determination of actual outcomes based on the directionalities and strengths of correlation coefficients and are further detailed in Table C2.
                    </P>
                    <GPH SPAN="3" DEEP="111">
                        <GID>EP10JY23.063</GID>
                    </GPH>
                    <P>
                        Validity testing of the risk adjustment model showed good model discrimination, as the measure model has the predictive ability to distinguish patients with low expected functional capabilities from those with high expected functional capabilities.
                        <SU>65</SU>
                        <FTREF/>
                         The ratios of observed-to-predicted discharge function score across eligible episodes, by deciles of expected functional capabilities, ranged from 0.98 to 1.01. Both the Cross-Setting Discharge Function TEPs and patient-family feedback showed strong support for the face validity and importance of the proposed measure as an indicator of quality of care. Lastly, validity testing of the measure's statistical imputation models indicated that the models demonstrate good discrimination and produce more precise and accurate estimates of function scores for items with missing scores when compared to adopting the current imputation approach implemented in the SNF QRP functional outcome measures, specifically Change in Self-Care Score measure, Change in Mobility Score measure, Application of IRF Functional Outcome Measure: Discharge Self-Care Score for Medical Rehabilitation Patients (CBE ID #2635) (Discharge Self-Care Score) measure, and Application of IRF Functional Outcome Measure: Discharge Mobility Score for Medical Rehabilitation Patients (CBE ID #2636) (Discharge Mobility Score) measure. The current imputation approach involves recoding “Activity Not Attempted” (ANA) codes to “1” or “most dependent.”
                    </P>
                    <FTNT>
                        <P>
                            <SU>65</SU>
                             “Expected functional capabilities” is defined as the predicted discharge function score.
                        </P>
                    </FTNT>
                    <PRTPAGE P="43728"/>
                    <P>
                        Reliability and reportability testing also yielded results that support the measure's scientific acceptability. Split-half testing revealed the proposed measure's excellent reliability, indicating an intraclass correlation coefficient value of 0.94. Reportability testing indicated good reportability (79 percent) of providers meeting the public reporting threshold of 20 eligible episodes. For additional measure testing details, we refer readers to the document titled 
                        <E T="03">Discharge Function Score for Home Health Agencies (HHAs) Technical Report,</E>
                         which is available at 
                        <E T="03">https://www.cms.gov/files/document/hh-discharge-function-score-measure-technical-report.pdf</E>
                        .
                    </P>
                    <HD SOURCE="HD3">b. Competing and Related Measures</HD>
                    <P>Section 1899B(e)(2)(A) of the Act requires that, absent an exception under section 1899B(e)(2)(B) of the Act, measures specified under section 1899B of the Act be endorsed by the entity with a contract under section 1890(a). In the case of a specified area or medical topic determined appropriate by the Secretary for which a feasible and practical measure has not been endorsed, section 1899B(e)(2)(B) permits the Secretary to specify a measure that is not so endorsed, as long as due consideration is given to measures that have been endorsed or adopted by a consensus organization identified by the Secretary.</P>
                    <P>The proposed DC Function measure is not CBE-endorsed, so we considered whether there are other available measures that (1) assess both functional domains of self-care and mobility in HHs and (2) satisfy the requirement of the Act to develop and implement standardized quality measures from the quality measure domain of functional status, cognitive function, and changes in function and cognitive function across the PAC settings. While the Application of Functional Assessment/Care Plan measure assesses both functional domains and satisfies the Act's requirement, this cross-setting process measure is not CBE-endorsed and the performance on this measure among HHs is so high and unvarying across most providers that the measure does not offer meaningful distinctions in performance. Additionally, after review of the CBE's consensus-endorsed measures, we were unable to identify any CBE-endorsed measures for HHs that meet the aforementioned requirements.</P>
                    <P>Therefore, after consideration of other available measures, we find that the exception under section 1899B(e)(2)(B) of the Act applies and are proposing to adopt the DC Function measure beginning with the CY 2025 HH QRP. We intend to submit the proposed measure to the CBE for consideration of endorsement when feasible.</P>
                    <HD SOURCE="HD3">c. Interested Parties and Technical Expert Panel (TEP) Input</HD>
                    <P>In our development and specification of this measure, we employed a transparent process in which we sought input from stakeholders and national experts and engaged in a process that allowed for pre-rulemaking input, in accordance with section 1890A of the Act. To meet this requirement, we provided the following opportunities for stakeholder input: a Patient and Family Engagement Listening Session, two TEPs, and public comments through a request for information (RFI).</P>
                    <P>First, the measure development contractor convened a Patient and Family Engagement Listening Session, during which patients and caregivers provided views on the proposed measure concept. Participants expressed support and emphasized the importance of measuring functional outcomes and found self-care and mobility to be critical aspects of care. Additionally, they expressed a strong interest in metrics assessing the number of patients discharged from particular agencies or facilities with improvements in self-care and mobility, and their views of self-care and mobility aligned with the functional domains captured by the proposed measure. All feedback was used to inform measure development efforts.</P>
                    <P>The measure development contractor subsequently convened TEPs on July 14-15, 2021 and January 26-27, 2022 to obtain expert input on the development of DC Function measure for use in the HH QRP. The TEPs consisted of stakeholders with a diverse range of expertise, including HH and PAC subject matter knowledge, clinical expertise, patient and family perspectives, and measure development experience. The TEPs supported the proposed measure concept and provided substantive feedback regarding the measure's specifications and measure testing data. First, the TEP was asked whether they prefer a cross-setting measure that is modeled after the Inpatient Rehabilitation Facility (IRF) Functional Outcome Measure: Discharge Mobility Score for Medical Rehabilitation Patients (CBE ID #2636) (Discharge Mobility Score) and IRF Functional Outcome Measure: Discharge Self-Care Score for Medical Rehabilitation Patients (CBE ID #2635) (Discharge Self-Care Score) measures, or one that is modeled after the IRF Functional Outcome Measure: Change in Mobility for Medical Rehabilitation Patients (CBE ID #2634) (Change in Mobility Score) and IRF Functional Outcome Measure: Change in Self-Care Score for Medical Rehabilitation Patients (CBE ID #2633) (Change in Self-Care Score). With the Discharge Mobility Score and Change in Mobility Score measures and the Discharge Self-Care Score and Change in Self-Care Score measures being both highly correlated and not appearing to measure unique concepts, the TEP favored the Discharge Mobility Score and Discharge Self-Care Score measures over the Change in Mobility Score and Change in Self-Care Score measures and recommended moving forward with the Discharge Mobility Score and Discharge Self-Care Score measures for the cross-setting measure. Second, in deciding on the standardized functional assessment data elements to include in the cross-setting measure, the TEP recommended removing redundant data elements. Strong correlations between scores of functional items within the same functional domain suggested that certain items may be redundant in eliciting information about patient function and inclusion of these items could lead to overrepresentation of a particular functional area. Subsequently, our measure development contractor focused on the Discharge Mobility Score measure as a starting point for cross-setting development due to the greater number of cross-setting standardized functional assessment data elements for mobility while also identifying redundant functional items that could be removed from a cross-setting functional measure.</P>
                    <P>
                        Additionally, the TEP supported including the cross-setting self-care items such that the cross-setting function measure captures both self-care and mobility. Panelists agreed that self-care items added value to the measure and are clinically important to function. Lastly, the TEP provided refinements to imputation strategies to more accurately represent function performance across all PAC settings, including the support of using statistical imputation over the current imputation approach implemented in existing functional outcome measures in the PAC QRPs. We considered all the TEP's recommendations for developing a cross-setting function measure and applied those recommendations where technically feasible and appropriate. Summaries of the TEP proceedings titled 
                        <E T="03">
                            Technical Expert Panel (TEP) for the Refinement of Long-Term Care Hospital (LTCH), Inpatient Rehabilitation Facility (IRF), Skilled 
                            <PRTPAGE P="43729"/>
                            Nursing Facility (SNF)/Nursing Facility (NF), and Home Health (HH) Function Measures Summary Report
                        </E>
                         (July 2021 TEP) available at 
                        <E T="03">https://mms-test.battelle.org/sites/default/files/TEP-Summary-Report-PAC-Function.pdf</E>
                         and 
                        <E T="03">Technical Expert Panel (TEP) for Cross-Setting Function Measure Development Summary Report</E>
                         (January 2022 TEP) available at 
                        <E T="03">https://mms-test.battelle.org/sites/default/files/PAC-Function-TEP-Summary-Report-Jan2022-508.pdf.</E>
                    </P>
                    <HD SOURCE="HD3">d. Measure Application Partnership (MAP) Review</HD>
                    <P>Our pre-rulemaking process includes making publicly available a list of quality and efficiency measures, called the MUC List, that the Secretary is considering adopting through the Federal rulemaking process for use in Medicare programs. This allows multi-stakeholder groups to provide recommendations to the Secretary on the measures included on the list.</P>
                    <P>
                        We included the DC Function measure under the HH QRP in the publicly available MUC List for December 1, 2022,
                        <SU>66</SU>
                        <FTREF/>
                         and the CBE received five comments by industry interested parties on the 2022 MUC List. Three commenters were supportive of the measure and two were not. Among the commenters in support of the measure, one commenter stated that function scores are the most meaningful outcome measure in the HH setting, as they not only assess patient outcomes but also can be used for clinical improvement processes. Additionally, the commenter noted the measure's good reliability and validity and that the measure is feasible to implement. The second commenter supported the measure; however, the comments did not appear to be directly related to any aspect of the measure itself. The third commenter supported the measure without providing additional detailed comments.
                    </P>
                    <FTNT>
                        <P>
                            <SU>66</SU>
                             Centers for Medicare &amp; Medicaid Services. Overview of the List of Measures Under Consideration for December 1, 2022. 
                            <E T="03">https://mmshub.cms.gov/sites/default/files/2022-MUC-List-Overview.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <P>Among the two commenters who did not support the DC Function measure, one commenter raised the following concerns: the “gameability” of the expected discharge score, the measure's complexity, and the difficulty of implementing a composite functional score. CMS was able to address these concerns during the MAP PAC/LTC Workgroup Meeting held on December 12, 2022. Specifically, CMS clarified that the expected discharge scores are not calculated using self-reported functional goals and are simply calculated by risk-adjusting the observed discharge scores (see the Quality Measure Calculation section III.C.1.e of this proposed rule). Therefore, CMS believes that these scores cannot be “gamed” by reporting less-ambitious functional goals. CMS also pointed out that the measure is highly usable as it is similar in design and complexity to existing function measures (for example, Discharge Mobility Score and Discharge Self-Care Score for IRF) and that the data elements used in this measure are already in use.</P>
                    <P>The other commenter who did not support the DC Function measure raised the following concerns: its performance for stabilization patients and its ability to account for patients that change payer during a HH episode. CMS was able to address the first concern during the MAP PAC/LTC Workgroup Meeting held on December 12, 2022. Specifically, CMS clarified that an episode will contribute to the numerator of DC Function if the observed discharge score meets or exceeds the expected discharge score, a value determined using clinical comorbidity and setting-specific parameters at the start or resumption of care. These parameters can and do predict no improvement among stabilization patients, that is, the expected discharge score can and does occasionally equal the observed admission score if clinical comorbidity and setting-specific parameters indicate no expected improvement in the risk adjustment model.</P>
                    <P>The second concern was not raised during the MAP PAC/LTC Workgroup Meeting; however, we do not find any convincing evidence that it influences HHA-level performance for the majority of HHAs. Payer changes will only affect episodes ending between December 31 and March 31. By comparing HHA-level performance calculated using the full calendar year versus using a dataset that excludes the dates with possibly affected episodes (January 1 through March 31 and December 31), we assessed the degree to which this requirement influences performance. The Spearman correlation coefficient between the two scenarios is 0.97, and the changes in reliability and validity are smaller than one percentage point. The results imply that including or excluding affected episodes does not appear to influence HHA-level performance for the majority of HHAs. We will continue to monitor this concern in the future, and we will address it accordingly in the future if necessary.</P>
                    <P>Shortly after, several CBE-convened MAP workgroups met virtually to provide input on the proposed DC Function measure. First, the MAP Health Equity workgroup convened on December 6-7, 2022. The workgroup did not share any health equity concerns related to the implementation of the DC Function measure, and only asked for clarification regarding measure specifications from measure developers. The MAP Rural Health workgroup met on December 8-9, 2022, during which two members provided support for the DC Function measure and other workgroup members did not express rural health concerns regarding the measure. The MAP Post-Acute Care/Long-Term Care (PAC-LTC) workgroup met virtually on December 12, 2022 and provided input on the proposed DC Function measure. The workgroup voted to support the staff recommendation of conditional support for rulemaking.</P>
                    <P>In response to the MAP PAC/LTC Workgroup's preliminary recommendation, the CBE received one comment in support and one comment not in support of the DC Function measure. The commenter in support of the DC Function measure supported the measure under the condition that it be reviewed and refined such that its implementation supports patient autonomy and results in care that aligns with patients' personal functional goals. The commenter who did not support the DC Function measure raised concern with the applicability of the DC Function measure considering the different patient populations served by the various PAC settings. CMS clarified that the DC Function measure is not designed to compare function across PAC settings, and that this feature is not a requirement of the IMPACT Act.</P>
                    <P>
                        Finally, the MAP Coordinating Committee convened on January 24-25, 2023, during which the CBE received no comment on the PAC/LTC workgroup's preliminary recommendation for conditional support of the DC Function measure. The MAP Coordinating Committee upheld the PAC/LTC workgroup's recommendation of conditional support for rulemaking with 20 votes in support and one against. We refer readers to the final MAP recommendations, titled 
                        <E T="03">2022-2023 MAP Final Recommendations</E>
                         available at 
                        <E T="03">https://mmshub.cms.gov/measure-lifecycle/measure-implementation/pre-rulemaking/lists-and-reports</E>
                        .
                    </P>
                    <HD SOURCE="HD3">e. Quality Measure Calculation</HD>
                    <P>
                        The proposed outcome measure estimates the percentage of HH patients who meet or exceed an expected 
                        <PRTPAGE P="43730"/>
                        discharge score during the reporting period. The proposed measure's numerator is the number of HH episodes with an observed discharge function score that is equal to or higher than the calculated expected discharge function score. The observed discharge function score is the sum of individual function items at discharge. The expected discharge function score is computed by risk adjusting the observed discharge function score for each HH episode. Risk adjustment controls for patient characteristics such as admission function score, age, and clinical conditions. The denominator is the total number of HH episodes in the measure target period (four rolling quarters) that do not meet the measure exclusion criteria. For additional details regarding the numerator, denominator, risk adjustment, and exclusion criteria, refer to the 
                        <E T="03">Discharge Function Score for Home Health Agencies (HHAs) Technical Report</E>
                         available at 
                        <E T="03">https://www.cms.gov/files/document/hh-discharge-function-score-measure-technical-report.pdf</E>
                        .
                    </P>
                    <P>
                        The proposed measure implements a statistical imputation approach for handling “missing” standardized functional assessment data elements. The coding guidance for standardized functional assessment data elements allows for using ANA codes, resulting in “missing” information about a patient's functional ability on at least some items, at admission and/or discharge, for a substantive portion of HH patients. Statistical imputation replaces these missing values with a variable based on the values of other, non-missing variables in the data and which are otherwise similar to the assessment with a missing value. Specifically, in this proposed DC Function measure statistical imputation allows missing values (for example, the ANA codes) to be replaced with any value from 1 to 6, based on a patient's clinical characteristics and codes assigned on other standardized functional assessment data element. The measure implements separate imputation models for each standardized functional assessment data element used in measure construction at admission and discharge. Relative to the current simple imputation method, this statistical imputation approach increases precision and accuracy and reduces the bias in estimates of missing item scores. We refer readers to the 
                        <E T="03">Discharge Function Score for Home Health Agencies (HHAs) Technical Report</E>
                         available at 
                        <E T="03">https://www.cms.gov/files/document/hh-discharge-function-score-measure-technical-report.pdf</E>
                         for measure specifications and additional details on measure testing, including the method for comparing the statistical imputation approach to the current simple imputation method.
                    </P>
                    <P>We invite public comment on our proposal to adopt the DC Function measure, beginning with the CY 2025 HH QRP.</P>
                    <HD SOURCE="HD3">2. Proposed Removal of the “Application of Percent of Long-Term Care Hospital Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function” Beginning With the CY 2025 HH QRP</HD>
                    <P>We are proposing to remove the “Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function” (Application of Functional Assessment/Care Plan) measure from the HH QRP beginning with the CY 2025 HH QRP. Section 42 CFR 484.245(b)(3) of our regulations specifies eight factors we consider for measure removal from the HH QRP, and we believe this measure should be removed because it satisfies two of these factors.</P>
                    <P>
                        First, the Application of Functional Assessment/Care Plan measure meets the conditions for measure removal factor one: measure performance among HHAs is so high and unvarying that meaningful distinctions in improvements in performance can no longer be made.
                        <SU>67</SU>
                        <FTREF/>
                         Second, this measure meets the conditions for measure removal factor six: there is an available measure that is more strongly associated with desired patient functional outcomes. We believe the proposed DC function measure discussed in section XX of this proposed rule better measures functional outcomes than the current Application of Functional Assessment/Care Plan measure. We discuss each of these reasons in more detail later in this proposed rule.
                    </P>
                    <FTNT>
                        <P>
                            <SU>67</SU>
                             For more information on the factors the Centers for Medicare &amp; Medicaid Services (CMS) uses to base decisions for measure removal, we refer readers to the Code of Federal Regulations, § 484.245(b)(3) 
                            <E T="03">https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-E/section-484.245</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        In regards to removal factor one, the Application of Functional Assessment/Care Plan measure has become topped out, with average performance rates reaching nearly 100 percent over the past 3 years (ranging from 96-98 percent during calendar years (CYs) 2019-2021).
                        <SU>68</SU>
                        <FTREF/>
                         For the 12-month period of third quarter of CY 2021, HHAs had an average score for this measure of 98 percent, with nearly 75 percent of HHAs scoring 100 percent. The proximity of these mean rates to the maximum score of 100 percent suggests a ceiling effect and a lack of variation that restricts distinction among HHAs.
                    </P>
                    <FTNT>
                        <P>
                            <SU>68</SU>
                             CMS. Home Health Agency Data Archive, 2019—2021, Annual Files National Data. PDC, 
                            <E T="03">https://data.cms.gov/provider-data/archived-data/home-health-services</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        In regards to measure removal factor six, the DC Function measure is more strongly associated with desired patient functional outcomes than this current process measure, the Application of Functional Assessment/Care Plan measure. As described in section IIII.C.1 of this proposed rule, the DC Function measure has the predictive ability to distinguish patients with low expected functional capabilities from those with high expected functional capabilities.
                        <SU>69</SU>
                        <FTREF/>
                         We have been collecting standardized functional assessment elements across PAC settings since 2016 which has allowed for the development of the proposed DC Function measure and meets the statutory requirements to submit standardized patient assessment data and other necessary data with respect to the domain of functional status, cognitive function, and changes in function and cognitive function. In light of this development, this process measure, the Application of Functional Assessment/Care Plan measure which measures only whether a functional assessment is completed and a functional goal is included in the care plan, is no longer necessary, and can be replaced with a measure that evaluates the HHA's outcome of care on a patient's function.
                    </P>
                    <FTNT>
                        <P>
                            <SU>69</SU>
                             “Expected functional capabilities” is defined as the predicted discharge function score.
                        </P>
                    </FTNT>
                    <P>Because the Application of Functional Assessment/Care Plan measure meets measure removal factors one and six, we are proposing to remove it from the HH QRP beginning with the CY 2025 HH QRP. We are also proposing that public reporting of the Application of Functional Assessment/Care Plan measure would end by January 2025 or as soon as technically feasible when public reporting of the proposed DC Function measure would begin (see section III.F.2. of this proposed rule).</P>
                    <P>
                        Under our proposal, HHAs would no longer be required to report a Self-Care Discharge Goal (that is, GG0130, Column 2) or a Mobility Discharge Goals (that is, GG0170, Column 2) on the OASIS beginning with patients admitted on April 1, 2024. We would remove the items for Self-Care Discharge Goals (that is, GG0130, Column 2) and Mobility Discharge Goals (that is, GG0170, 
                        <PRTPAGE P="43731"/>
                        Column 2) with the next release of the OASIS. Under our proposal, these items would not be required to meet HH QRP requirements beginning with the CY 2025 HH QRP.
                    </P>
                    <P>We invite public comment on our proposal to remove the Application of Functional Assessment/Care Plan measure from the HH QRP beginning with the CY 2025 HH QRP.</P>
                    <HD SOURCE="HD3">3. COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date Beginning With the CY 2025 HH QRP</HD>
                    <HD SOURCE="HD3">a. Background</HD>
                    <P>
                        COVID-19 has been and continues to be a major challenge for PAC facilities, including HHAs. The Secretary first declared COVID-19 a PHE on January 31, 2020. As of March 15, 2023, the U.S. has reported 103,801,821 cumulative cases of COVID-19, and 1,121,512 total deaths due to COVID-19.
                        <SU>70</SU>
                        <FTREF/>
                         Although all age groups are at risk of contracting COVID-19, older persons are at a significantly higher risk of mortality and severe disease following infection, with those over age 80 dying at five times the average rate.
                        <SU>71</SU>
                        <FTREF/>
                         Older adults, in general, are prone to both acute and chronic infections owing to reduced immunity, and are a high-risk population.
                        <SU>72</SU>
                        <FTREF/>
                         Adults age 65 and older comprise over 75% of total COVID-19 deaths despite representing 13.4% of reported cases.
                        <SU>73</SU>
                        <FTREF/>
                         Restrictions on freedom of movement and physical distancing can lead to a disruption of essential care and support for older persons. Physical distancing measures that restrict visitors and group activities can negatively affect the physical and mental health and well-being of older persons, particularly those with cognitive decline or dementia, and who are highly care-dependent.
                        <SU>74</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>70</SU>
                             Centers for Disease Control and Prevention. COVID Data Tracker. 2023, January 20. Last accessed March 23, 2023. 
                            <E T="03">https://covid.cdc.gov/covid-data-tracker/#cases_totalcases</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>71</SU>
                             United Nations. Policy Brief: The impact of COVID-19 on older persons. May 2020. 
                            <E T="03">https://unsdg.un.org/sites/default/files/2020-05/Policy-Brief-The-Impact-of-COVID-19-on-Older-Persons.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>72</SU>
                             Lekamwasam R, Lekamwasam S. Effects of COVID-19 pandemic on health and wellbeing of older people: a comprehensive review. 
                            <E T="03">Ann Geriatr Med Res</E>
                            . 2020;24(3):166-172. 
                            <E T="03">http://dx.doi.org/10.4235/agmr.20.0027. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533189/</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>73</SU>
                             Centers for Disease Control and Prevention. Demographic trends of COVID-19 cases and deaths in the US reported to CDC. COVID Data Tracker. 2023, March 15. Last accessed March 23, 2023. 
                            <E T="03">https://covid.cdc.gov/covid-data-tracker/#demographics</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>74</SU>
                             United Nations. Policy Brief: The impact of COVID-19 on older persons. May 2020. 
                            <E T="03">https://unsdg.un.org/sites/default/files/2020-05/Policy-Brief-The-Impact-of-COVID-19-on-Older-Persons.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        Since the development of the vaccines to combat COVID-19, studies have shown that being up to date on these vaccines continues to provide strong protection against severe disease, hospitalization, and death in adults, including during the predominance of Omicron BA.4 and BA.5 variants.
                        <SU>75</SU>
                        <FTREF/>
                         Initial studies showed the efficacy of FDA-approved COVID-19 vaccines in reducing the risk of severe outcomes caused by COVID-19. Further, residents at skilled nursing facilities (SNF) with high rates of staff testing for COVID-19 were less likely to be hospitalized or die due to COVID-19 than their counterparts in SNFs with low rates of staff testing. Prior to the emergence of the Delta variant of the virus, vaccine effectiveness against COVID-19-associated hospitalization among adults age 65 and older was 91% for those receiving a full mRNA vaccination (Pfizer-BioNTech or Moderna), and 84% for those receiving a viral vector vaccination (Janssen). Adults age 65 and older who were fully vaccinated with an mRNA COVID-19 vaccine had a 94% reduction in risk of COVID-19 hospitalization; those who were partially vaccinated had a 64% reduction in risk.
                        <SU>76</SU>
                        <FTREF/>
                         Further, after the emergence of the Delta variant, vaccine effectiveness against COVID-19-associated hospitalization for adults who received the primary series of the vaccine was 76% among adults age 75 and older.
                        <SU>77</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>75</SU>
                             Chalkias S, Harper C, Vrbicky K, et al. A bivalent omicron-containing booster vaccine against COVID-19. 
                            <E T="03">N Engl J Med</E>
                            . 2022;387(14):1279-1291. doi: 10.0156/NEJMoa2208343. 
                            <E T="03">https://www.nejm.org/doi/full/10.1056/NEJMoa2208343</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>76</SU>
                             Centers for Disease Control and Prevention. Press Release, April 28, 2021. Fully Vaccinated Adults 65 and Older are 94% Less Likely to Be Hospitalized with COID-19. 
                            <E T="03">https://www.cdc.gov/media/releases/2021/p0428-vaccinated-adults-less-hospitalized.html</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>77</SU>
                             Vaccine effectiveness after the emergence of the Delta variant is based on data from CDC's VISION Network, which examined 32,867 medical encounters from 187 hospitals and 221 emergency departments and urgent care clinics across nine states during June-August 2021, beginning on the date the Delta variant accounted for over 50% of sequenced isolates in each medical facility's state (Grannis SJ, et al. 
                            <E T="03">MMWR Morb Mortal Wkly Rep.</E>
                             2021;70(37):1291-1293. doi: 
                            <E T="03">http://dx.doi.org/10.15585/mmwr.mm7037e2</E>
                            ).
                        </P>
                    </FTNT>
                    <P>
                        More recently, since the emergence of the Omicron variants and availability of booster doses, multiple studies have shown that while vaccine effectiveness against infection has waned, protection is higher among those receiving booster doses than among those only receiving the primary series.
                        <E T="51">78 79 80</E>
                        <FTREF/>
                         CDC data show that, among people age 50 and older, those who have received both a primary vaccination series and booster shots have a lower risk of hospitalization and dying from COVID-19 than their non-vaccinated counterparts.
                        <SU>81</SU>
                        <FTREF/>
                         Additionally, a second vaccine booster has been shown to be effective against severe outcomes related to COVID-19, such as hospitalization or death.
                        <SU>82</SU>
                        <FTREF/>
                         Furthermore, more recent vaccination and booster doses can decrease the rate of COVID-19 transmission between individuals in close contact.
                        <SU>83</SU>
                        <FTREF/>
                         Early evidence also demonstrates that the bivalent booster, specifically aimed to combat the prevalent BA.4/BA.5 Omicron subvariants, provokes a superior antibody response against Omicron than the initial COVID-19 vaccines, underscoring, the role of up-to-date vaccination protocols in effectively countering the spread of COVID-19.
                        <SU>84</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>78</SU>
                             Surie D, Bonnell L, Adams K, et al. Effectiveness of monovalent mRNA vaccines against COVID-19-associated hospitalization among immunocompetent adults during BA.1/BA.2 and BA.4/BA.5 predominant periods of SARS-CoV-2 Omicron variant in the United States — IVY Network, 18 states, December 26, 2021-August 31, 2022. 
                            <E T="03">MMWR Morb Mortal Wkly Rep.</E>
                             2022;71(42):1327-1334. 
                            <E T="03">http://dx.doi.org/10.15585/mmwr.mm7142a3</E>
                            .
                        </P>
                        <P>
                            <SU>79</SU>
                             Andrews N, Stowe J, Kirsebom F, et al. Covid-19 vaccine effectiveness against the Omicron (B.1.1.529) variant. 
                            <E T="03">N Engl J Med.</E>
                             2022;386(16):1532-1546. 
                            <E T="03">https://www.nejm.org/doi/full/10.1056/NEJMoa2119451</E>
                            .
                        </P>
                        <P>
                            <SU>80</SU>
                             Buchan SA, Chung H, Brown KA, et al. Estimated effectiveness of COVID-19 vaccines against Omicron or Delta symptomatic infection and severe outcomes. 
                            <E T="03">JAMA Netw Open</E>
                            . 2022;5(9):e2232760. 
                            <E T="03">http://dx.doi.org/10.1001/jamanetworkopen.2022.32760. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796615</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>81</SU>
                             Centers for Disease Control and Prevention. Daily update for the United States. COVID Data Tracker. 2023, January 20. Last accessed January 17, 2023. 
                            <E T="03">https://covid.cdc.gov/covid-data-tracker</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>82</SU>
                             Centers for Disease Control and Prevention. COVID-19 vaccine effectiveness monthly update. COVID Data Tracker. March 23, 2023. 
                            <E T="03">https://covid.cdc.gov/covid-data-tracker/#vaccine-effectiveness</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>83</SU>
                             Tan ST., Kwan AT, Rodriguez-Barraquer I, et al. Infectiousness of SARS-CoV-2 breakthrough infections and reinfections during the Omicron wave. Preprint at medRxiv:
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>84</SU>
                             Chalkias S, Harper C, Vrbicky K, et al. A bivalent Omicron-containing booster vaccine against COVID-19. 
                            <E T="03">N Engl J Med</E>
                            2022;387(14):1279-1291. doi: 10.0156/NEJMoa2208343. 
                            <E T="03">https://www.nejm.org/doi/full/10.1056/NEJMoa2208343</E>
                            .
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">(1) Measure Importance</HD>
                    <P>
                        Despite the availability and demonstrated effectiveness of COVID-19 vaccinations, significant gaps continue to exist in vaccination rates.
                        <SU>85</SU>
                        <FTREF/>
                         As of March 15, 2023, vaccination rates among people age 65 and older are generally high for the primary vaccination series (94.3%) but lower for 
                        <PRTPAGE P="43732"/>
                        the first booster (73.6%) among those who received a primary series) and even lower for the second booster (59.9%) among those who received a first booster).
                        <SU>86</SU>
                        <FTREF/>
                         Additionally, though the uptake in boosters among people age 65 and older has been much higher than among people of other ages, booster uptake still remains relatively low compared to primary vaccination among older adults.
                        <SU>87</SU>
                        <FTREF/>
                         Variations are also present when examining vaccination rates by race, gender, and geographic location.
                        <SU>88</SU>
                        <FTREF/>
                         For example, 66.2% of the Asian, non-Hispanic population have completed the primary series and 21.2% have received the bivalent booster dose, whereas 44.9% of the Black, non-Hispanic population have completed the primary series and only 8.9% have received the bivalent booster dose. Among Hispanic populations, 57.1% of the population have completed the primary series, with 8.5% receiving the bivalent booster dose, while in White, non-Hispanic populations, 51.9% have completed the primary series and 16.2% have received the bivalent booster dose.
                        <SU>89</SU>
                        <FTREF/>
                         Disparities have been found in vaccination rates between rural and urban areas, with lower vaccination rates found in rural areas.
                        <E T="51">90 91</E>
                        <FTREF/>
                         Data show that 55.1% of the population in rural areas have completed the primary vaccination series, as compared to 66.2% of the population in urban areas.
                        <SU>92</SU>
                        <FTREF/>
                         Receipt of first booster doses was similar between urban (50.4%) and rural (49.7%) counties.
                        <SU>93</SU>
                        <FTREF/>
                         Receipt of bivalent booster doses has been lower, with 16.9% of urban population having received the booster dose, and 10.9% of the rural population having received the booster dose.
                        <SU>94</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>85</SU>
                             Centers for Disease Control and Prevention. COVID-19 vaccinations in the United States. COVID Data Tracker. March 23, 2023. 
                            <E T="03">https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-booster-percent-pop5</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>86</SU>
                             Centers for Disease Control and Prevention. COVID-19 vaccination age and sex trends in the United States, national and jurisdictional. Last accessed March 24, 2023. Vaccination Trends.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>87</SU>
                             Freed M, Neuman T, Kates J, Cubanski J. Deaths among older adults due to COVID-19 jumped during the summer of 2022 before falling somewhat in September. Kaiser Family Foundation. October 6, 2022. 
                            <E T="03">https://www.kff.org/coronavirus-covid-19/issue-brief/deaths-among-older-adults-due-to-covid-19-jumped-during-the-summer-of-2022-before-falling-somewhat-in-september/</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>88</SU>
                             Saelee R, Zell E, Murthy BP, et al. Disparities in COVID-19 vaccination coverage between urban and rural counties—United States, December 14, 2020-January 31, 2022. 
                            <E T="03">MMWR Morb Mortal Wkly Rep</E>
                            . 2022;71:335-340. 
                            <E T="03">http://dx.doi.org/10.15585/mmwr.mm7109a2</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>89</SU>
                             Centers for Disease Control and Prevention. Trends in Demographic Characteristics of People Receiving COVID-19 Vaccinations in the United States. COVID Data Tracker. 2023, January 20. Last accessed March 23, 2023. 
                            <E T="03">https://covid.cdc.gov/covid-data-tracker/#vaccination-demographics-trends</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>90</SU>
                             Saelee R, Zell E, Murthy BP, et al. Disparities in COVID-19 vaccination coverage between urban and rural counties—United States, December 14, 2020-January 31, 2022. 
                            <E T="03">MMWR Morb Mortal Wkly Rep</E>
                            . 2022;71:335-340. DOI: 
                            <E T="03">http://dx.doi.org/10.15585/mmwr.mm7109a2</E>
                            .
                        </P>
                        <P>
                            <SU>91</SU>
                             Sun Y, Monnat SM. Rural-urban and within-rural differences in COVID-19 vaccination rates. 
                            <E T="03">J Rural Health</E>
                            . 2022;38(4):916-922. 
                            <E T="03">http://dx.doi.org/10.1111/jrh.12625. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8661570/</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>92</SU>
                             Centers for Disease Control and Prevention. Vaccination Equity. COVID Data Tracker; 2023, January 20. Last accessed January 17, 2023. 
                            <E T="03">https://covid.cdc.gov/covid-data-tracker/#vaccination-equity</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>93</SU>
                             Saelee R, Zell E, Murthy BP, et al. Disparities in COVID-19 vaccination coverage between urban and rural counties—United States, December 14, 2020-January 31, 2022. 
                            <E T="03">MMWR Morb Mortal Wkly Rep</E>
                            . 2022;71:335-340. 
                            <E T="03">http://dx.doi.org/10.15585/mmwr.mm7109a2</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>94</SU>
                             Centers for Disease Control and Prevention. Vaccination Equity. COVID Data Tracker; 2023, January 20. Last accessed January 17, 2023. 
                            <E T="03">https://covid.cdc.gov/covid-data-tracker/#vaccination-equity</E>
                            .
                        </P>
                    </FTNT>
                    <P>We are proposing to adopt the COVID-19 Vaccine: Percent of Patients/Residents who are Up to Date (Patient/Resident COVID-19 Vaccine) measure for the HH QRP beginning with the CY 2025 HH QRP. This proposed measure has the potential to increase COVID-19 vaccination coverage of patients in HHAs. This proposed measure also has the potential to prevent the spread of the virus within the HHA patient population. Although this population receives services within their own homes, they can transfer the virus to their caretakers and home healthcare workers, who could then potentially infect other home health patients. The proposed Patient/Resident COVID-19 Vaccine measure would also support the goal of the CMS Meaningful Measure Initiative 2.0 to “Empower consumers to make good health care choices through patient-directed quality measures and public transparency objectives.” The Patient/Resident COVID-19 Vaccine measure would be reported on Care Compare and would provide patients, including those who are at high risk for developing serious complications from COVID-19, and their caregivers, with valuable information they can consider when choosing a HHA. The proposed Patient/Resident COVID-19 vaccine measure would also facilitate patient care and care coordination during the hospital discharge planning process. For example, a discharging hospital, in collaboration with the patient and family, could use this measure to coordinate care and ensure patient preferences are considered in the discharge plan. Additionally, the proposed Patient/Resident COVID-19 Vaccine measure would be an indirect measure of HHA action. Since the patient's COVID-19 vaccination status would be reported at discharge from the HHA, if a patient is not up to date with their COVID-19 vaccination per applicable CDC guidance at the time they are admitted, the HHA has the opportunity to educate the patient and provide information on why they should become up to date with their COVID-19 vaccination. HHAs may also choose to administer the vaccine to the patient prior to their discharge from the HHA or coordinate a follow up visit for the patient to obtain the vaccine at their physician's office or local pharmacy.</P>
                    <HD SOURCE="HD3">(2) Item Testing</HD>
                    <P>Item testing was conducted for the proposed Patient/Resident COVID-19 Vaccine measure using patient scenarios and cognitive interviews to assess HHA providers' comprehension of the item and the associated guidance. The patient scenarios were developed in collaboration with a team of clinical experts and represented the most common scenarios HHA providers encounter. The results of the item testing supported its reliability, and provided information to improve the item itself, as well as the accompanying guidance.</P>
                    <HD SOURCE="HD3">b. Competing and Related Measures</HD>
                    <P>Section 1899B(e)(2)(A) of the Act requires that, absent an exception under section 1899B(e)(2)(B) of the Act, each measure specified under section 1899B of the Act be endorsed by the entity with a contract under section 1890(a) of the Act. In the case of a specified area or medical topic determined appropriate by the Secretary for which a feasible and practical measure has not been endorsed, section 1899B(e)(2)(B) of the Act permits the Secretary to specify a measure that is not so endorsed, as long as due consideration is given to the measures that have been endorsed or adopted by a consensus organization identified by the Secretary.</P>
                    <P>
                        The proposed Patient/Resident COVID-19 Vaccine measure is not consensus-based entity (CBE) endorsed. After review of other CBE endorsed measures, we were unable to identify any CBE endorsed measures for HHAs focused on capturing COVID-19 vaccination coverage of HHA patients, and found no related measures in the HH QRP addressing COVID-19 vaccination. There have been COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measures adopted by the Skilled Nursing Facility (SNF) QRP, the Intermediate Rehabilitation Facility (QRP) and the Long-term Care Hospital (LTCH) QRP that captures the percentage of HCPs who receive a complete COVID-19 vaccination course. We also identified Nursing Home (NH) COVID-19 vaccine rates posted on Care Compare. However, these data are 
                        <PRTPAGE P="43733"/>
                        obtained from CDC's NHSN and report rates of vaccination for the NH resident population. HHAs do not report patient/resident or HCP COVID-19 vaccination to the NHSN.
                    </P>
                    <P>Therefore, after consideration of other available measures that assess COVID-19 vaccination rates, we believe the exception under section 1899B(e)(2)(B) of the Act applies. We intend to submit the measure for CBE endorsement when feasible.</P>
                    <HD SOURCE="HD3">c. Interested Parties and Technical Expert Panel (TEP) Input</HD>
                    <P>
                        In the development and specification of this measure, a transparent process was employed to seek input from interested parties and national experts and engage in a process that allows for pre-rulemaking input in accordance with section 1890A of the Act. First, the measure development contractor convened a focus group of patient and family/caregiver advocates (PFAs) to solicit input. The PFAs felt a measure capturing raw vaccination rate, irrespective of HHA action, would be most helpful in patient and family/caregiver decision-making. Next, TEP meetings were held on November 19, 2021 and December 15, 2021 to solicit feedback on the development of Patient/Resident COVID-19 vaccination measures and assessment items for the PAC settings. The TEP panelists voiced their support for PAC Patient/Resident COVID-19 vaccination measures and agreed that developing a measure to report the rate of vaccination in an HHA setting without denominator exclusions was an important goal. All recommendations from the TEP were taken into consideration and applied appropriately where technically feasible and appropriate. A summary of the TEP proceedings titled 
                        <E T="03">Technical Expert Panel (TEP) for the Development of Long-Term Care Hospital (LTCH), Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF)/Nursing Facility (NF), and Home Health (HH) COVID-19 Vaccination-Related Items and Measures Summary Report</E>
                         is available on the CMS Measures Management System (MMS) Hub. at 
                        <E T="03">https://mmshub.cms.gov/sites/default/files/COVID19-Patient-Level-Vaccination-TEP-Summary-Report-NovDec2021.pdf</E>
                        .
                    </P>
                    <HD SOURCE="HD3">d. Measures Applications Partnership Review</HD>
                    <P>
                        The pre-rulemaking process includes making publicly available a list of quality and efficiency measures, called the Measures Under Consideration (MUC) List that the Secretary is considering adopting, through Federal rulemaking process, for use in Medicare programs. This allows interested parties to provide recommendations to the Secretary on the measures included on the list. The Patient/Resident COVID-19 Vaccine measure was included on the publicly available 2022 MUC List for the HH QRP.
                        <SU>95</SU>
                        <FTREF/>
                         Shortly after, several CBE-convened MAP workgroups met virtually to provide input on the proposed measure. First, the MAP Health Equity advisory group convened on December 6, 2022. One MAP member noted that the percentage of true contraindications for the COVID-19 vaccine is low, and the lack of exclusions on the measure makes sense to avoid varying interpretations of valid contraindications.
                        <SU>96</SU>
                        <FTREF/>
                         Similarly, the MAP Rural Health advisory group met on December 8, 2022 and publicly stated that the measure is important for rural communities.
                        <SU>97</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>95</SU>
                             CMS Measures Management System (MMS). Measure Implementation: Pre-rulemaking MUC Lists and MAP reports. Last accessed March 23, 2023 
                            <E T="03">https://mmshub.cms.gov/measure-lifecycle/measure-implementation/pre-rulemaking/lists-and-reports</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>96</SU>
                             National Quality Forum MAP Health Equity Advisory Group Materials. Meeting Summary—MUC Review Meeting. Last accessed March 23, 2023. 
                            <E T="03">https://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&amp;ItemID=97943</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>97</SU>
                             National Quality Forum MAP Rural Health Advisory Group Materials. Meeting Summary—MUC Review Meeting. Last accessed March 23, 2023. 
                            <E T="03">https://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&amp;ItemID=97964</E>
                            .
                        </P>
                    </FTNT>
                    <P>Prior to convening the MAP PAC/LTC workgroup, the CBE received seven comments by industry interested parties during the proposed measure's MAP pre-rulemaking process. Interested parties were mostly supportive of the measure and recognized that it is important that patients be vaccinated against COVID-19, and that measurement and reporting is one important method to help healthcare organizations assess their performance in achieving high rates of “up-to-date” vaccination. One interested party noted that patient engagement is critical at this stage of the pandemic because best available information indicates COVID-19 variants will continue to require additional boosters to avert case surges. Another interested party noted the benefit of less-specific criteria for inclusion in the numerator and denominator of the proposed Patient/Resident COVID-19 Vaccine measure, which would provide flexibility for the measure to remain relevant to current circumstances. Other interested parties raised concerns about the proposed measure not including measuring the HHA's action in the numerator and excluding patient refusals from the denominator, and noted that there could be unintended consequences to patient access to care should the measure be adopted.</P>
                    <P>
                        Subsequently, the MAP Post-Acute Care/Long-Term Care (PAC/LTC) workgroup met on December 12, 2022. The voting workgroup members noted the importance of reporting patients' vaccination status but raised concerns that (1) the proposed Patient/Resident COVID-19 Vaccine measure does not account for patient refusals or those who are unable to respond, and (2) the difficulty of implementing “up to date.” CMS clarified during the MAP PAC/LTC workgroup that the proposed Patient/Resident COVID-19 Vaccine measure does not have exclusions for patient refusals because the proposed measure was intended to report raw rates of vaccination and this information is important for consumer choice. Additionally, CMS believes that PAC providers, including HHAs, are in a unique position to leverage their care processes to increase vaccination coverage in their settings to protect patients and prevent negative outcomes. CMS also clarified that the measure defines “up to date” in a manner that provides flexibility to reflect future changes in CDC guidance. However, the MAP PAC/LTC workgroup reached a 60 percent consensus on the vote of “Do not support for rulemaking” for this measure.
                        <SU>98</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>98</SU>
                             National Quality Forum MAP Post-Acute Care/Long Term Care Workgroup Materials. Meeting Summary—MUC Review Meeting. Last accessed March 23, 2023. 
                            <E T="03">https://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&amp;ItemID=97960</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        The MAP received 10 comments by interested parties in response to the MAP PAC/LTC workgroup recommendations. Interested parties generally understood the importance of COVID-19 vaccinations in preventing the spread of COVID-19 infections, however, a majority of commenters did not recommend the inclusion of this measure for HH QRP and raised several concerns. Specifically, several commenters were concerned about vaccine hesitancy, HHAs' inability to influence measure results based on factors outside of their control. Commenters also noted that the proposed Patient/Resident COVID-19 Vaccine measure has not been fully tested, and encouraged CMS to monitor the measure for unintended consequences and ensure that the measure has meaningful results. One commenter was in support of the proposed Patient/Resident COVID-19 Vaccine measure and provided recommendations for CMS to consider. including an exclusion for medical 
                        <PRTPAGE P="43734"/>
                        contraindications and submitting the measure for CBE endorsement.
                    </P>
                    <P>Finally, the MAP Coordinating Committee convened on January 24, 2023, and raised concerns which were previously discussed in the PAC/LTC workgroup, such as potential for selection bias based on the patient's vaccination status. CMS noted that this measure does not have exclusions for patient refusals since this is a process measure intended to report raw rates of vaccination, and is not intended to be an HHA action measure. CMS acknowledged that a measure accounting for variables (such as HHA actions to vaccinate patients) could be important, but CMS is focused on a measure which would provide and publicly report vaccination rates for consumers given the importance of this information to patients and their caregivers.</P>
                    <P>
                        The MAP Coordinating Committee recommended three changes to make the Patient/Resident COVID-19 Vaccine measure acceptable to the Committee: (i) reconsider exclusions for medical contraindications, (ii) complete reliability and validity measure testing, and (iii) seek CBE endorsement. The MAP Coordinating Committee ultimately reached consensus on its voted recommendation of `Do not support with potential for mitigation.' We refer readers to the final MAP recommendations, titled 
                        <E T="03">2022-2023 MAP Final Recommendations</E>
                         
                        <SU>99</SU>
                        <FTREF/>
                         and the 
                        <E T="03">MAP Final Report</E>
                        .
                        <SU>100</SU>
                        <FTREF/>
                         Despite the Coordinating Committee's vote, we believe it is still important to propose the Patient/Resident COVID-19 Vaccine measure for the HH QRP. As we stated in section III.C.3.e of this proposed rule, we did not include exclusions for medical contraindications because the PFAs we met with told us that a measure capturing raw vaccination rate, irrespective of any medical contraindications, would be most helpful in patient and family/caregiver decision-making. We do plan to conduct reliability and validity measure testing once we have collected enough data, and we intend to submit the proposed measure to the CBE for consideration of endorsement when feasible.
                    </P>
                    <FTNT>
                        <P>
                            <SU>99</SU>
                             
                            <E T="03">2022-2023 MAP Final Recommendations,</E>
                             can be found at 
                            <E T="03">https://www.qualityforum.org/map/</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>100</SU>
                             The Final MAP Report is available at 
                            <E T="03">https://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&amp;ItemID=98102</E>
                            .
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">e. Quality Measure Calculation</HD>
                    <P>
                        The proposed Patient/Resident COVID-19 Vaccine measure is an assessment-based process measure that reports the percent of home health patients that are up to date on their COVID-19 vaccinations per CDC's latest guidance.
                        <SU>101</SU>
                        <FTREF/>
                         This measure has no exclusions, and is not risk adjusted.
                    </P>
                    <FTNT>
                        <P>
                            <SU>101</SU>
                             The definition of “up to date” may change based on CDC's latest guidelines and can be found on the CDC web page, “Stay Up to Date with COVID-19 Vaccines Including Boosters,” at 
                            <E T="03">https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html</E>
                             (updated March 2, 2023).
                        </P>
                    </FTNT>
                    <P>The numerator for this proposed measure would be the total number of home health patients that are up to date with the COVID-19 vaccine during the reporting period. The denominator for the measure would be the total number of home health stays with an End of Care OASIS (Discharge, Transfer or Death at Home) during the reporting period.</P>
                    <P>
                        The data source for the proposed Patient/Resident COVID-19 Vaccine measure is the OASIS assessment instrument for home health patients. For more information about the proposed data submission requirements, we refer readers to section III.E.2 of this proposed rule. For additional technical information about this proposed measure, we refer readers to the draft measure specifications document titled 
                        <E T="03">Patient-Resident-COVID-Vaccine-Draft-Specs.pdf</E>
                         available at: 
                        <E T="03">https://www.cms.gov/files/document/patient-covid-vaccine-measure-hh-qrp-specifications.pdf</E>
                        .
                    </P>
                    <P>We invite public comments on our proposal to adopt the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date measure beginning with the CY 2025 HH QRP.</P>
                    <HD SOURCE="HD2">E. Form, Manner, and Timing of Data Submission Under the HH QRP</HD>
                    <HD SOURCE="HD3">1. Proposed Schedule for Data Submission of the Discharge Function Score Measure Beginning With the FY 2025 LTCH QRP</HD>
                    <P>As discussed in section III.C.1. of the proposed rule, we are proposing to adopt the Discharge Function Score quality measure beginning with the CY 2025 HH QRP. If finalized as proposed, HHAs would be required to report these OASIS assessment data beginning with patients discharged between January 1, 2024 and March 31, 2024 for the CY 2025 HH QRP. Starting in CY 2024, HHAs would be required to submit data for the entire calendar year beginning with the CY 2026 HH QRP. Because the Discharge Function Score quality measure is calculated based on data that are currently submitted to the Medicare program, there would be no additional information collection required from HHAs.</P>
                    <P>We invite public comments on this proposal to require HHAs to report OASIS assessment data for the Discharge Function Score quality measure beginning with patients discharged between January 1, 2024 and March 31, 2024 for the CY 2025 HH QRP.</P>
                    <HD SOURCE="HD3">2. Proposed Schedule for Data Submission of the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date Beginning With the CY 2026 HH QRP</HD>
                    <P>As discussed in section III.C.3 of the proposed rule, we are proposing to adopt the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date quality measure beginning with the CY 2025HH QRP. If finalized as proposed, HHAs would be required to report these OASIS assessment data beginning with patients discharged between January 1, 2025 and March 31, 2025 for the CY 2025 HH QRP. Starting in CY 2025, HHAs would be required to submit data for the entire calendar year beginning with the CY 2026 HH QRP.</P>
                    <P>
                        If finalized as proposed, we would revise the OASIS in order for HHAs to submit data pursuant to this finalized policy. A new item would be added to the current item set to collect information on whether a patient is up to date with their COVID-19 vaccine at the time of discharge from the HHA. A draft of the new item is available in the 
                        <E T="03">COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date</E>
                         Draft Measure Specifications at 
                        <E T="03">https://www.cms.gov/files/document/patient-covid-vaccine-measure-hh-qrp-specifications.pdf</E>
                        .
                    </P>
                    <P>We invite public comments on this proposal to require HHAs to report OASIS assessment data for the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date quality measure. HHAs would be required to submit data beginning with patients discharged between January 1, 2025 and March 31, 2025 for public reporting of this QM in the CY 2025 HH QRP.</P>
                    <HD SOURCE="HD3">3. Data Elements Proposed for Removal From OASIS-E</HD>
                    <P>CMS plans to remove two OASIS items, the M0110—Episode Timing and M2220—Therapy Needs effective January 1, 2025. These items are no longer used in the calculation of quality measures already adopted in the HH QRP, nor are they being used currently for previously established purposes unrelated to the HH QRP, including payment, survey, the HH VBP Model or care planning.</P>
                    <P>CMS proposes the removal of items from OASIS-E from the specific time points during a home health episode as outlined in Table C3.</P>
                    <GPH SPAN="3" DEEP="162">
                        <PRTPAGE P="43735"/>
                        <GID>EP10JY23.064</GID>
                    </GPH>
                    <P>For a discussion in the reduction in burden associated with the removal of these items, see section IX of this proposed rule.</P>
                    <P>We invite public comment on our proposal to remove the M0110—Episode Timing and M2220—Therapy Needs items from OASIS-E, effective January 1, 2025.</P>
                    <HD SOURCE="HD2">F. Policies Regarding Public Display of Measure Data for the HH QRP</HD>
                    <HD SOURCE="HD3">1. Background</HD>
                    <P>
                        Section 1899B(g)(1) of the Act requires, in part, that the Secretary provide for public reporting of PAC provider performance, including HHAs, on quality measures under section 1899B(c)(1) of the Act, including by establishing procedures for making available to the public information regarding the performance of individual PAC providers with respect to such measures. Section 1899B(g)(2) requires, in part, that CMS give HHAs opportunity to review and submit corrections to the data and information to be made public under section 1899B(g)(1) prior to such data being made public. Section 1899B(g)(3) of the Act requires that such procedures provide that the data and information with respect to a measure and PAC provider is made publicly available beginning not later than 2 years after the applicable specified application date applicable to such measure and provider. Measure data are currently publicly displayed on the Care Compare website, an interactive web tool that assists individuals by providing information on quality of care. For more information on Care Compare, we refer readers to our website at: 
                        <E T="03">https://www.medicare.gov/care-compare/</E>
                        .
                    </P>
                    <HD SOURCE="HD3">2. Public Reporting of the Cross-Setting Functional Discharge Measure Beginning With the CY 2025 HH QRP</HD>
                    <P>We are proposing to begin publicly displaying data for the DC Function measure beginning with the January 2025 refresh of Care Compare, or as soon as technically feasible, using data collected from April 1, 2023 through March 31, 2024 (Quarter 2 2023 through Quarter 1 2024). If finalized as proposed, an HHAs DC Function score would be displayed based on four quarters of data. Provider preview reports would be distributed in October 2024, or as soon as technically feasible. Thereafter, an HHA's DC Function score would be publicly displayed based on four quarters of data and updated quarterly. To ensure the statistical reliability of the data, we are proposing that we would not publicly report an HHAs performance on the measure if the HHA had fewer than 20 eligible cases in any quarter. HHAs that have fewer than 20 eligible cases would be distinguished with a footnote that notes that the number of cases/patient stays is too small to report.</P>
                    <P>We invite public comment on the proposal for the public display of the Discharge Function Score measure beginning with the January 2025 refresh of Care Compare, or as soon as technically feasible.</P>
                    <HD SOURCE="HD3">3. Public Reporting of the Transfer of Health Information to the Patient Post-Acute Care and Transfer of Health Information to the Provider Post-Acute Care Measures Beginning With the CY 2025 HH QRP</HD>
                    <P>We are proposing to begin publicly displaying data for the measures: (1) Transfer of Health (TOH) Information to the Provider—Post-Acute Care (PAC) Measure (TOH-Provider); and (2) Transfer of Health (TOH) Information to the Patient—Post-Acute Care (PAC) Measure (TOH-Patient). We would begin displaying data with the January 2025 Care Compare refresh or as soon as technically feasible. We adopted these measures in the fiscal year (FY) 2020 IPPS)/LTCH Prospective Payment System (PPS) final rule (84 FR 42525 through 42535). In response to the COVID-19 public health emergency (PHE), we released an interim final rule (85 FR 27595 through 27597) which delayed the compliance date for the collection and reporting of the TOH-Provider and TOH-Patient measures. The compliance date for the collection and reporting of the TOH-Provider and TOH-Patient measures was revised to October 1, 2022 in the calendar year (CY) 2022 Home Health PPS Rate Update final rule (86 FR 62386 through 62390). Data collection for these two assessment-based measures began with patients admitted and discharged on or after October 1, 2022.</P>
                    <P>We are proposing to publicly display data for these two assessment-based measures based on four rolling quarters, initially using discharges from April 1, 2023 through March 31, 2024 (Quarter 2 2023 through Quarter 1 2024), and to begin publicly reporting these measures with the January 2025 refresh of Care Compare, or as soon as technically feasible. To ensure the statistical reliability of the data, we are proposing that we would not publicly report an HHAs performance on the measure if the HHA had fewer than 20 eligible cases in any quarter. HHAs that have fewer than 20 eligible cases would be distinguished with a footnote that notes that the number of cases/patient stays is too small to report.</P>
                    <P>
                        We invite public comment on our proposal for the public display of the (1) Transfer of Health (TOH) Information to the Provider—Post-Acute Care (PAC) Measure (TOH-Provider) and (2) Transfer of Health (TOH) Information to the Patient—Post-Acute Care (PAC) 
                        <PRTPAGE P="43736"/>
                        Measure (TOH-Patient) assessment-based measures.
                    </P>
                    <HD SOURCE="HD3">4. Public Reporting of the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date Beginning With the CY 2026 HH QRP</HD>
                    <P>We are proposing to begin publicly displaying data for the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date measure beginning with the January 2026 refresh of Care Compare or as soon as technically feasible using data collected for Q2 2024 (April 1, 2024 through June 30, 2024). If finalized as proposed, an HHA's Patient/Resident level COVID-19 Vaccine percent of patients who are up to date would be displayed based on one quarter of data. Provider preview reports would be distributed in October 2025, or as soon as technically feasible. Thereafter, the percent of HHA patients who are up to date with their COVID-19 vaccinations would be publicly displayed based on one quarter of data and updated quarterly. To ensure the statistical reliability of the data, we are proposing that we would not publicly report an HHAs performance on the measure if the HHA had fewer than 20 eligible cases in any quarter. HHAs that have fewer than 20 eligible cases would be distinguished with a footnote that notes that the number of cases/patient stays is too small to report.</P>
                    <P>We invite public comment on the proposal for the public display of the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date measure beginning with the January 2026 refresh of Care Compare, or as soon as technically feasible.</P>
                    <HD SOURCE="HD2">G. Health Equity Update</HD>
                    <HD SOURCE="HD3">1. Background</HD>
                    <P>
                        In the CY 2023 Home Health Payment Rate Update proposed rule (87 FR 66866), we included a Request for Information (RFI) on several questions related to a proposed health equity measure concept. CMS defines health equity as “the attainment of the highest level of health for all people, where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, or other factors that affect access to care and health outcomes.” 
                        <SU>102</SU>
                        <FTREF/>
                         CMS is working to advance health equity by designing, implementing, and operationalizing policies and programs that support health for all the people served by our programs and models, eliminating avoidable differences in health outcomes experienced by people who are disadvantaged or underserved, and providing the care and support that our beneficiaries need to thrive. CMS's goals outlined in the 
                        <E T="03">CMS Framework for Health Equity 2022-2023</E>
                         
                        <SU>103</SU>
                        <FTREF/>
                         are in line with Executive Order 13985, on Advancing Racial Equity and Support for Underserved Communities Through the Federal Government (January 25, 2021).
                        <SU>104</SU>
                        <FTREF/>
                         The goals included in the CMS Framework for Health Equity include: strengthening CMS's infrastructure for assessment, creating synergies across the health care system to drive structural change, and identifying and working to eliminate barriers to CMS-supported benefits, services, and coverage.
                    </P>
                    <FTNT>
                        <P>
                            <SU>102</SU>
                             Centers for Medicare and Medicaid Services. Available at 
                            <E T="03">https://www.cms.gov/pillar/health-equity.</E>
                             Accessed February 1, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>103</SU>
                             
                            <E T="03">https://www.cms.gov/files/document/cms-framework-health-equity-2022.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>104</SU>
                             Executive Order 13985, on “Advancing Racial Equity and Support for Underserved Communities Through the Federal Government,” can be found at: 
                            <E T="03">https://www.whitehouse.gov/briefing-room/presidential-actions/2021/01/20/executive-order-advancing-racial-equity-and-support-for-underserved-communities-through-the-federal-government/.</E>
                        </P>
                    </FTNT>
                    <P>
                        In addition to the CMS Framework for Health Equity, CMS seeks to “advance health equity and whole-person care” as one of eight goals comprising the CMS National Quality Strategy (NQS).
                        <SU>105</SU>
                        <FTREF/>
                         The NQS identifies a wide range of potential quality levers that can support our advancement of equity, including: (1) establishing a standardized approach for resident-reported data and stratification; (2) employing quality and value-based programs to publicly report and incentivize closing equity gaps; and, (3) developing equity-focused performance metrics, regulations, oversight strategies, and quality improvement initiatives. The NQS also acknowledges the contribution of structural racism and other systemic injustices to the persistent disparities that underlie our healthcare system.
                    </P>
                    <FTNT>
                        <P>
                            <SU>105</SU>
                             Centers for Medicare &amp; Medicaid Services. What is the CMS Quality Strategy? Available at 
                            <E T="03">https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy.</E>
                        </P>
                    </FTNT>
                    <P>
                        Racial disparities in health, in particular, are estimated to cost the U.S. an estimated $93 billion in excess medical costs and $42 billion in lost productivity per year, in addition to economic losses due to premature deaths.
                        <SU>106</SU>
                        <FTREF/>
                         Racial and ethnic diversity has increased. An increase in the percentage of people who identify as two or more races accounts for most of the increase in diversity, rising from 2.9 percent to 10.2 percent between 2010 and 2020.
                        <SU>107</SU>
                        <FTREF/>
                         Social determinants of health, including social, economic, environmental, and community conditions, may have a stronger influence on the population's health and well-being than services delivered by practitioners and healthcare delivery organizations.
                        <SU>108</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>106</SU>
                             Ani Turner, The Business Case for Racial Equity, A Strategy for Growth, W.K. Kellogg Foundation and Altarum, April 2018.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>107</SU>
                             2022 National Healthcare Quality and Disparities Report, page 15. Content last reviewed November 2022. Agency for Healthcare Research and Quality, Rockville, MD. 
                            <E T="03">https://www.ahrq.gov/research/findings/nhqrdr/nhqdr22/index.html.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>108</SU>
                             2022 National Healthcare Quality and Disparities Report. Content last reviewed November 2022, page 2. Agency for Healthcare Research and Quality, Rockville, MD. 
                            <E T="03">https://www.ahrq.gov/research/findings/nhqrdr/nhqdr22/index.html.</E>
                        </P>
                    </FTNT>
                    <P>
                        Measure stratification helps identify disparities by calculating quality measure outcomes separately for different beneficiary subpopulations. By looking at measure results for different populations separately, CMS and providers can see how care outcomes may differ between certain patient populations in a way that would not be apparent from an overall score (that is, a score averaged over all beneficiaries). This helps CMS to better fulfill their health equity goals. For example, certain quality measures related to oral healthcare outcomes for children, when stratified by race, ethnicity, and income, show how important health disparities have been narrowed, because outcomes for children in the lowest income households and for Black and Hispanic children improved faster than outcomes for children in the highest income households or for White children.
                        <SU>109</SU>
                        <FTREF/>
                         These differences in outcomes would not be apparent without stratification.
                    </P>
                    <FTNT>
                        <P>
                            <SU>109</SU>
                             2022 National Healthcare Quality and Disparities Report, page 6. Content last reviewed November 2022. Agency for Healthcare Research and Quality, Rockville, MD. 
                            <E T="03">https://www.ahrq.gov/research/findings/nhqrdr/nhqdr22/index.html</E>
                            .
                        </P>
                    </FTNT>
                    <P>Additionally, the RFI solicited public comments on a potential health equity structural composite measure. We refer readers to the CY 2023 Home Health Payment Rate Update final rule (87 FR 66866) for a summary of the public comments and suggestions received in response to the health equity RFI.</P>
                    <P>
                        We took these comments into account, and we continue to work to develop policies, quality measures, and measurement strategies on this important topic. After considering public comments, CMS decided to convene a health equity technical expert panel to provide additional input to inform the development of health equity quality measures. The work of this technical expert panel is described in detail in the following section.
                        <PRTPAGE P="43737"/>
                    </P>
                    <HD SOURCE="HD3">2. Home Health and Hospice Health Equity Technical Expert Panel</HD>
                    <P>
                        To support new health equity measure development, the Home Health and Hospice Health Equity Technical Expert Panel (Home Health &amp; Hospice HE TEP) was convened by a CMS contractor in Fall 2022. The Home Health &amp; Hospice HE TEP comprised health equity experts from hospice and home health settings, specializing in quality assurance, patient advocacy, clinical work, and measure development. The TEP was charged with providing input on a potential cross-setting health equity structural composite measure concept as set forth in the CY 2023 Home Health Payment Rate Update proposed rule (87 FR 66866) as part of an RFI related to the HH QRP Health Equity Initiative. In specific, the TEP assessed the face validity and feasibility of the potential structural measure. The TEP also provided input on possible confidential feedback report options to be used for monitoring health equity. TEP members also had the opportunity to provide ideas for additional health equity measure concepts or approaches to addressing health equity in hospice and home health settings. A summary of the Home Health and Hospice HE TEP meetings and final TEP recommendations are available at 
                        <E T="03">https://mmshub.cms.gov/sites/default/files/HomeHealth-Hospice-Health-Equity-TEP-Report-508c.pdf</E>
                        .
                    </P>
                    <HD SOURCE="HD3">3. Anticipated Future Health Equity Activities</HD>
                    <P>
                        CMS is committed to developing approaches to meaningfully incorporate the advancement of health equity into the HH QRP. We are considering health equity measures used in other settings like those in acute care that further health equity in post-acute care. We realize that the social determinants of health data items in post-acute care under the IMPACT Act of 2014 differ from the SDOH data items in the acute care health equity quality measures. We could consider a future health equity measure like screening for social needs and intervention. With 30 to 55 percent of health outcomes attributed to SDOH,
                        <SU>110</SU>
                        <FTREF/>
                         a measure capturing and addressing SDOH could encourage providers to identify specific needs and connect residents with the community resources necessary to overcome social barriers to their wellness. We could specify it using the SDOH data items that we currently collect as SPADEs on the OASIS. These SDOH data items assess health literacy, social isolation, transportation problems, preferred language (including need or want of an interpreter), race, and ethnicity. These SDOH data items differ from data elements considered as screening items in the acute care settings, which are housing instability, food instability, transportation needs, utility difficulties, and interpersonal safety. This means that we might consider in the future adding the SDOH data items used by acute care providers into the HH QRP as we develop future health equity quality measures under our HH QRP statutory authority. This supports our desire to align quality measures across CMS consistent with the CMS path forward for advancing health equity solutions.
                        <SU>111</SU>
                        <FTREF/>
                         Consistent with “The Path Forward: Improving Data to Advance Health Equity Solutions” (CMS OMH, November 2022) we also see value in aligning SDOH data items across all care settings and to the United States Core Data for Interoperability (USCDI) where applicable and appropriate. The USCDI is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange, including data elements and associated vocabulary standards to support computerized, interoperable use of SDOH data.
                        <SU>112</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>110</SU>
                             World Health Organization (WHO). (n.d.). Social Determinants of Health. 
                            <E T="03">https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1,</E>
                             accessed February 1, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>111</SU>
                             
                            <E T="03">https://www.nejm.org/doi/full/10.1056/NEJMp2215539,</E>
                             February 1, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>112</SU>
                             
                            <E T="03">https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        As we move this important work forward, we will continue to take input from interested parties. As of this publication, the Initial Proposals for Updating OMB's Race and Ethnicity Statistical Standards, (88 FR 5375), has collected public comment. Additionally, the Office of the National Coordinator for Health IT (ONC) welcomes submissions proposing additional data classes and data elements via the USCDI ONC New Data Element and Class (ONDEC) submission system for future versions of the USCDI.
                        <SU>113</SU>
                        <FTREF/>
                         In addition, while some of the anticipated health equity efforts will proceed through the rulemaking process, other activities may be pursued through subregulatory channels, such as Open-Door Forums (ODF), Medicare Learning Network (MLN), and public summary reports such as TEP reports or information gathering reports (IGR).
                    </P>
                    <FTNT>
                        <P>
                            <SU>113</SU>
                             
                            <E T="03">https://www.healthit.gov/isa/ONDEC</E>
                            .
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">H. Proposal To Codify HH QRP Data Completion Thresholds</HD>
                    <HD SOURCE="HD3">1. Compliance</HD>
                    <P>Section 1895(b)(3)(B)(v)(I) of the Act requires that, for the CY 2007 payment determination and subsequent years, each HHA submit to the Secretary quality data specified by the Secretary in a form and manner, and at a time, specified by the Secretary. As required in accordance with subclause (II) for such a year, for any HHA that does not submit data in accordance with section 1895(b)(3)(B)(v)(I) of the Act with respect to a given calendar year will result in the reduction of the annual home health market basket percentage increase otherwise applicable to an HHA for that calendar year by 2 percentage points. In the CY 2016 HH PPS final rule (80 FR 68703 through 68705), we finalized a proposal to define the quantity of OASIS assessments each HHA must submit to meet the pay-for reporting requirement. We finalized a proposal that would increase the reporting threshold for HHAs over three years, starting with the CY 2017 reporting period. HHAs were required to score at least 70 percent on the Quality Assessment Only (QAO) metric of pay-for-reporting performance requirement for CY 2017 (reporting period July 1, 2015 to June 30, 2016), 80 percent for CY 2018 (reporting period July 1, 2016 to June 30, 2017) and 90 percent for CY 2019 (reporting period July 1, 2017 to June 30, 2018) or be subject to a 2 percentage point reduction to their market basket update for that reporting period. In the 2018 HH PPS final rule (82 FR 51737 through 51738), we proposed to apply the 90 percent threshold requirements established in the CY 2016 HH PPS rule to the submission of standardized patient assessment data beginning with the CY 2019 HH QRP.</P>
                    <HD SOURCE="HD3">2. Proposal To Codify HH QRP Data Completion Thresholds</HD>
                    <P>
                        We propose to codify these data completeness thresholds at § 484.245(b)(2)(ii)(A) for measures data collected using the OASIS. Under this section, we propose to codify our requirement that HHAs must meet or exceed a data submission threshold set at 90 percent of all required OASIS and submit the data through the CMS designated data submission systems. This threshold would apply to required quality measures data and standardized patient assessment data collected adopted into the HH QRP. We also propose to codify our policy at § 484.245(b)(2)(ii)(B) that a HHA must meet or exceed this threshold to avoid 
                        <PRTPAGE P="43738"/>
                        receiving a 2-percentage point reduction to its annual payment update for a given CY as codified at § 484.225(b).
                    </P>
                    <P>We invite public comment on our proposal to codify in regulations text the HH QRP data completion thresholds at § 484.245(b)(2)(ii)(A) for measures and standardized patient assessment elements collected using the OASIS and compliance threshold to avoid receiving 2 percentage point reduction as described under § 484.245(b)(2)(ii)(B).</P>
                    <HD SOURCE="HD2">I. Principles for Selecting and Prioritizing HH QRP Quality Measures and Concepts Under Consideration for Future Years: Request for Information (RFI)</HD>
                    <HD SOURCE="HD3">1. Background</HD>
                    <P>
                        CMS has established a National Quality Strategy 
                        <SU>114</SU>
                        <FTREF/>
                         for its quality programs which support a resilient, high-value health care system promoting quality outcomes, safety, equity and accessibility for all individuals. The CMS National Quality Strategy is foundational for contributing to improvements in health care, enhancing patient outcomes, and informing consumer choice. To advance these goals, CMS leaders from across the Agency have come together to move towards a building-block approach to streamline quality measures across CMS quality programs for the adult and pediatric populations. This “Universal Foundation” 
                        <SU>115</SU>
                        <FTREF/>
                         of quality measures will focus provider attention, reduce burden, identify disparities in care, prioritize development of interoperable, digital quality measures, allow for cross-comparisons across programs, and help identify measurement gaps. The development and implementation of the Preliminary Adult and Pediatric Universal Foundation Measures will promote the best, safest, and most equitable care for individuals as we all come together on these critical quality areas.
                    </P>
                    <FTNT>
                        <P>
                            <SU>114</SU>
                             Schreiber M, Richards A, Moody-Williams J, Fleisher L. The CMS National Quality Strategy: a person-centered approach to improving quality. Centers for Medicare and Medicaid Services. June 6, 2022. Available at: 
                            <E T="03">https://www.cms.gov/blog/cms-national-quality-strategy-person-centered-approach-improving-quality.</E>
                             opens in new tab.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>115</SU>
                             Jacobs D, Schreiber M, Seshamani M, Tsai D, Fowler E, Fleisher L. Aligning Quality Measures across CMS—The Universal Foundation. 
                            <E T="03">N Engl J Med</E>
                             2023; 338:776-779. DOI: 10.1056/NEJMp2215539.
                        </P>
                    </FTNT>
                    <P>In alignment with the CMS National Quality Strategy, the HH QRP endeavors to move towards a more parsimonious set of measures while continually improving the quality of health care for beneficiaries. The purpose of this RFI is to gather input on existing gaps in HH QRP measures and to solicit public comment on either fully developed HH measures, fully developed measures in other programs that may be appropriate for the HH QRP, and measurement concepts that could be developed into HH QRP measures, to fill these measurement gaps. While we will not be responding to specific comments submitted in response to this RFI in the CY2024 HH PPS final rule, we intend to use this input to inform future policies.</P>
                    <P>This RFI consists of four sections. The first section is the background. The second section discusses a general framework or set of principles that CMS utilizes to identify future HH QRP measures. The third section draws from an environmental scan conducted to identify HH QRP measurement gaps, and measures or measure concepts that could be used to fill these gaps. The final section solicits public comment on (a) the set of principles for selecting measures for the HH QRP, (b) identified measurement gaps, and (c) measures that are available for immediate use, or that may be adapted or developed for use in the HH QRP.</P>
                    <HD SOURCE="HD3">2. Guiding Principles for Selecting and Prioritizing Measures</HD>
                    <P>CMS has identified a set of principles to guide future HH QRP measure set development and maintenance. These principles are intended to ensure that measures resonate with beneficiaries and caregivers, do not impose undue burden on providers, align with CMS' post-acute care (PAC) program goals, and can be readily operationalized. Specifically, measures incorporated into the HH QRP should meet the following four objectives:</P>
                    <P>
                        <E T="03">• Actionability</E>
                        —Optimally, HH QRP measures should focus on structural elements, healthcare processes, and outcomes of care that have been demonstrated, such as through clinical evidence or best practices, to be amenable to improvement. In other words, activities or approaches that contribute to improvement on a measure have been established and are feasible for providers to implement.
                    </P>
                    <P>
                        <E T="03">• Comprehensiveness and Conciseness</E>
                        —QRP measures should assess performance of all HH core services using the smallest number of measures that comprehensively assess the value of care provided in HH settings. Parsimony in the QRP measure set minimizes provider burden resulting from data collection and submission.
                    </P>
                    <P>
                        <E T="03">• Focus on Provider Responses to Payment</E>
                        —The HH PPS shapes incentives for care delivery. HH performance measures should neither exacerbate nor induce unwanted responses to the payment systems. As feasible, measures should identify and mitigate adverse incentives of the payment system.
                    </P>
                    <P>
                        <E T="03">• Alignment with CMS Statutory Requirements and Key Program Goals</E>
                        —Measures must align with CMS statutory requirements, such as the IMPACT Act of 2014 and the Meaningful Measures Framework as well as align across PAC programs where possible.
                    </P>
                    <HD SOURCE="HD3">3. Gaps in HH QRP Measure Set Identified by Environmental Scan and Potential New Measures</HD>
                    <P>CMS conducted an environmental scan that utilized the previous-listed principles to guide the identification of gaps in the HH QRP. Measurement gaps were identified in the domains of cognitive function, behavioral and mental health, and chronic conditions and pain management. We discuss each of these in more detail in the next section.</P>
                    <HD SOURCE="HD3">a. Cognitive Function</HD>
                    <P>Conditions associated with limitations in cognitive function, which may include stroke, traumatic brain injuries, dementia, and Alzheimer's disease, as well as intellectual and developmental disabilities (I/DD) affect an individual's ability to think, reason, remember, problem-solve, and make decisions. The IMPACT Act identifies cognitive function as a key quality measure domain, and an area for inclusion as a standardized assessment data element.</P>
                    <P>
                        Two sources of information on cognitive function currently collected in HHAs are the Brief Interview for Mental Status (BIMS) and Confusion Assessment Method (CAM©).
                        <SU>116</SU>
                        <FTREF/>
                         Both the BIMS and CAM have been incorporated into the OASIS. Scored by providers via direct observation, the BIMS is used to determine orientation and the ability to register and recall new information. The CAM assesses the presence of inattention, disorganized thinking, and level of consciousness.
                    </P>
                    <FTNT>
                        <P>
                            <SU>116</SU>
                             Centers for Medicare &amp; Medicaid Services. Outcome and Assessment Information Set (OASIS-E) Data Set. Effective January 1, 2023. 
                            <E T="03">https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/homehealthqualityinits/oasis-data-sets</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        The BIMS and CAM include items representing different aspects of cognitive function, from which quality measures may be constructed. Although these instruments have been subjected to feasibility, reliability, and validity testing, additional development and testing would be required prior to transforming the concepts reflected in the BIMS and CAM (for example, 
                        <PRTPAGE P="43739"/>
                        temporal orientation, recall) into fully specified measures for implementation in the HH QRP.
                    </P>
                    <P>
                        This RFI is requesting comment on cognitive functioning measures that may be available for immediate use, or that may be adapted or developed for use in the HH QRP, using the BIMS or the CAM. In addition to comment on specific measures and instruments, CMS seeks input on the feasibility of measuring improvement in cognitive functioning during a HH stay, which typically averages 56 days; 
                        <SU>117</SU>
                        <FTREF/>
                         the cognitive skills (for example, executive functions) that are more likely to improve during an HHA stay; conditions for which measures of maintenance—rather than improvement in cognitive functioning—are more practical; and the types of intervention that have been demonstrated to assist in improving or maintaining cognitive functioning.
                    </P>
                    <FTNT>
                        <P>
                            <SU>117</SU>
                             Based on home health episodes ending in CY2021 (the most recent year for which complete data are available).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">b. Behavioral and Mental Health</HD>
                    <P>
                        Estimates suggest that one in five Medicare beneficiaries have a “common mental health disorder” and nearly 8% have a serious mental illness.
                        <SU>118</SU>
                        <FTREF/>
                         Behavioral and mental health includes substance use disorders (SUD), which are understudied in PAC.
                        <SU>119</SU>
                        <FTREF/>
                         Research using National Survey on Drug Use and Health 2015-2019 data estimated that 1.7 million Medicare beneficiaries, or 8 percent of those aged less than 65 years and 2 percent of those aged 65 years and older, had a past-year substance use disorder, 77 percent attributed to alcohol and 16 percent attributed to prescription drugs.
                        <SU>120</SU>
                        <FTREF/>
                         In some instances, such as following an ischemic stroke or a new diagnosis of a chronic condition such as diabetes, patients may develop depression, anxiety, or SUD. In other instances, patients may have been dealing with mental or behavioral health issues long before their post-acute admission. Left unmanaged, however, these conditions make it difficult for affected patients to actively participate in their rehabilitation and treatment regimen, thereby contributing to poor health outcomes.
                    </P>
                    <FTNT>
                        <P>
                            <SU>118</SU>
                             Figueroa J, Phelan J, Orav E, Patel V, Jha A. Association of mental health disorders with health care spending in the Medicare population. 
                            <E T="03">JAMA Network Open</E>
                             2020;3(3):e201210.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>119</SU>
                             Desai A, Grossberg G. Substance Use Disorders in Postacute and Long-Term Care Settings. Psychiatr Clin North Am. 2022 Sep;45(3):467-482.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>120</SU>
                             Parish W, Mark T, Weber E, Steinberg D. Substance Use Disorders Among Medicare Beneficiaries: Prevalence, Mental and Physical Comorbidities, and Treatment Barriers. 
                            <E T="03">Am J Prev Med</E>
                             2022 Aug;63(2):225-232. Doi: 10.1016/j.amepre.2022.01.021.
                        </P>
                    </FTNT>
                    <P>
                        Information on the availability and appropriateness of behavioral and mental health measures in PAC is limited, and the 2021 National Impact Assessment of the CMS Quality Measures Report 
                        <SU>121</SU>
                        <FTREF/>
                         identified PAC program measurement gaps in the areas of behavioral and mental health. Among the mental health quality measures in current use, the HH QRP uses a quality measure, “Depression Assessment Conducted” which is described as “How often the home health team check patients for depression” (CMS ID 0198-10). The measure was removed from Care Compare—Home Health in July 2021. Although it may be possible to adapt this measure for use in other PAC settings, this process measure does not directly assess performance in the management of depression and related mental health concerns.
                    </P>
                    <FTNT>
                        <P>
                            <SU>121</SU>
                             Centers for Medicare &amp; Medicaid Services. 2021 National Impact Assessment of the Centers for Medicare &amp; Medicaid Services (CMS) Quality Measures Report. June 2021. 
                            <E T="03">https://www.cms.gov/files/document/2021-national-impact-assessment-report.pdf.</E>
                        </P>
                    </FTNT>
                    <P>Information on behavioral and mental health currently collected in HHAs is the Patient Mood Interview (PHQ-2 to 9), a validated interview that screens for symptoms of depression, and provides a standardized severity score and a rating for evidence of a depressive disorder. The PHQ-2 to 9 identifies signs and symptoms of mood distress, a serious condition that is underdiagnosed and undertreated in home health and is associated with significant morbidity. There is currently no information on substance use disorder collected in HHAs.</P>
                    <P>The PHQ-2 to 9 represents one mental health condition, from which quality measures may be constructed. Although this instrument has been subjected to feasibility, reliability, and validity testing, additional development and testing would be required prior to transforming the concepts reflected in the PHQ-2 to 9 into fully specified measures for implementation in the HH QRP.</P>
                    <P>
                        This RFI is requesting comment on behavioral and mental health measures that may be available for immediate use, or that may be adapted or developed for use in the HH QRP, using the PHQ-2 to 9. In addition to comment on specific measures and instruments, CMS seeks input on the feasibility of measuring improvement in depressive symptoms during a HH stay, which typically averages 56 days; 
                        <SU>122</SU>
                        <FTREF/>
                         the symptoms that are more likely to improve during an HHA stay; and the types of intervention that have been demonstrated to assist in improving depressive symptoms.
                    </P>
                    <FTNT>
                        <P>
                            <SU>122</SU>
                             Based on home health episodes ending in CY2021 (the most recent year for which complete data are available).
                        </P>
                    </FTNT>
                    <P>CMS seeks feedback on behavioral and mental health, including substance use disorder, measures or instruments that may be directly applied, adapted, or developed for use in the HH QRP. Further, CMS seeks comment on the degree to which measures have been or will require validation and testing prior to application in the HH QRP. Input on the availability of data, the manner in which data could be collected and reported to CMS, and the burden imposed on providers is also sought.</P>
                    <HD SOURCE="HD3">c. Chronic Conditions and Pain Management</HD>
                    <P>Despite the availability of measures focused on core HHA clinical care services and, specifically, Improvement in Management of Oral Medications CBE #0176 (CMS ID 0189-11) and Improvement on Dyspnea CBE #0179 (CMS ID 0187-11). HH QRP measures do not directly address aspects of care rendered to populations with chronic conditions, such as chronic kidney disease or cardiovascular disease. Another example of a service area for which existing measures could more adequately capture HHA actions concisely is pain management. Even though pain has been demonstrated to contribute to falls with major injury and restrictions in mobility and daily activity, a host of other factors also contribute to these measure domains, making it difficult to directly link provider actions to performance. Instead, a measure of provider actions in reducing pain interference in daily activities, including the ability to sleep, would be a more concise measure of pain management. Beginning January 1, 2023, HHAs began collecting new standardized patient assessment data elements, including items that assess pain interference with (1) daily activities, (2) sleep, and (3) participation in therapy, providing an opportunity to develop more concise measures of provider performance.</P>
                    <P>
                        Through this RFI CMS is seeking input on measures of chronic condition and pain management that may be used to assess HHA performance. Additionally, CMS seeks general comment on the feasibility and challenges of measuring and reporting HHA performance on existing QRP measures, such as Discharge to the 
                        <PRTPAGE P="43740"/>
                        Community (CBE #3479) and Potentially Preventable 30-day post-discharge readmissions, for subgroups of patients defined by type of chronic condition. For example, measures could assess rates of discharge to community or 30-day post-discharge readmissions among patients admitted to an HHA with chronic obstructive pulmonary disease (COPD) or chronic renal failure.
                    </P>
                    <HD SOURCE="HD3">e. Solicitation of Public Comment</HD>
                    <P>We invite general comment on the principles for identifying HH QRP measures, as well as additional beliefs about measurement gaps, and suitable measures for filling these gaps. Specifically, we solicit comment on the following questions:</P>
                    <P>• Principles for Selecting and Prioritizing HH QRP Measures</P>
                    <P>++ To what extent do you agree with the principles for selecting and prioritizing measures?</P>
                    <P>++ Are there principles that you believe CMS should eliminate from the measure selection criteria?</P>
                    <P>++ Are there principles that you believe CMS should add to the measure selection criteria?</P>
                    <P>++ How can CMS best consider equity in measures?</P>
                    <P>• HH QRP Measurement Gaps</P>
                    <P>++ CMS requests input on the identified measurement gaps, including in the areas of cognitive function, behavioral and mental health, and chronic conditions and pain management.</P>
                    <P>++ Are there gaps in the HH QRP measures that have not been identified in this RFI?</P>
                    <P>• Measures and Measure Concepts Recommended for Use in the HH QRP</P>
                    <P>++ Are there measures that you believe are either currently available for use, or that could be adapted or developed for use in the HH QRP program to assess performance in the areas of: (1) cognitive functioning; (2) behavioral and mental health; (3) chronic conditions; (4) pain management; or (5) other areas not mentioned in this RFI?</P>
                    <P>CMS also seeks input on data available to develop measures, approaches for data collection, perceived challenges, or barriers, and approaches for addressing challenges.</P>
                    <HD SOURCE="HD1">IV. Proposed Changes to the Expanded Home Health Value-Based Purchasing (HHVBP) Model</HD>
                    <HD SOURCE="HD2">A. Background</HD>
                    <P>As authorized by section 1115A of the Act and finalized in the CY 2016 HH PPS final rule (80 FR 68624), the Center for Medicare and Medicaid Innovation (Innovation Center) implemented the Home Health Value-Based Purchasing (HHVBP) Model (“original Model”) in nine states on January 1, 2016. The design of the original HHVBP Model leveraged the successes and lessons learned from other CMS value-based purchasing programs and demonstrations to shift from volume-based payments to a model designed to promote the delivery of higher quality care to Medicare beneficiaries. The specific goals of the original HHVBP Model were to—</P>
                    <P>• Provide higher incentives for better quality care with greater efficiency;</P>
                    <P>• Study new potential quality and efficiency measures for appropriateness in the home health setting; and,</P>
                    <P>• Enhance the current public reporting process.</P>
                    <P>
                        The original HHVBP Model resulted in an average 4.6 percent improvement in HHAs' total performance scores (TPS) and an average annual savings of $141 million to Medicare without evidence of adverse risks.
                        <SU>123</SU>
                        <FTREF/>
                         The evaluation of the original Model also found reductions in unplanned acute care hospitalizations and skilled nursing facility (SNF) stays, resulting in reductions in inpatient and SNF spending. The U.S. Secretary of Health and Human Services determined that expansion of the original HHVBP Model would further reduce Medicare spending and improve the quality of care. In October 2020, the CMS Chief Actuary certified that expansion of the HHVBP Model would produce Medicare savings if expanded to all states.
                        <SU>124</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>123</SU>
                             
                            <E T="03">https://innovation.cms.gov/data-and-reports/2020/hhvbp-thirdann-rpt</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>124</SU>
                             
                            <E T="03">https://www.cms.gov/files/document/certificationhome-health-value-based-purchasing-hhvbpmodel.pdf.</E>
                        </P>
                    </FTNT>
                    <P>
                        On January 8, 2021, CMS announced the certification of the HHVBP Model for expansion nationwide, as well as the intent to expand the Model through notice and comment rulemaking.
                        <SU>125</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>125</SU>
                             
                            <E T="03">https://www.cms.gov/newsroom/press-releases/cms-takes-action-improve-home-health-care-seniors-announces-intent-expand-home-health-value-based</E>
                            .
                        </P>
                    </FTNT>
                    <P>In the CY 2022 HH PPS final rule (86 FR 62292 through 62336) and codified at 42 CFR part 484 subpart F, we finalized the decision to expand the HHVBP Model to all Medicare certified HHAs in the 50 States, territories, and District of Columbia beginning January 1, 2022. CY 2022 was a pre-implementation year. During CY 2022, CMS provided HHAs with resources and training, to allow HHAs time to prepare and learn about the expectations and requirements of the expanded HHVBP Model without risk to payments. We finalized that the expanded Model will generally use benchmarks, achievement thresholds, and improvement thresholds based on CY 2019 data to assess achievement or improvement of HHA performance on applicable quality measures and that HHAs will compete nationally in their applicable size cohort, smaller-volume HHAs or larger-volume HHAs, as defined by the number of complete unique beneficiary episodes for each HHA in the year prior to the performance year. All HHAs certified to participate in the Medicare program prior to January 1, 2022, will be required to participate and will be eligible to receive an annual Total Performance Score based on their CY 2023 performance.</P>
                    <P>We finalized the quality measure set for the expanded Model, as well as policies related to the removal, modification, and suspension of applicable measures, and the addition of new measures and the form, manner and timing of the OASIS-based, Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) survey-based, and claims-based measures submission in the applicable measure set beginning in CY 2022 and subsequent years. We also finalized an appeals process, an extraordinary circumstances exception policy, and public reporting of annual performance data under the expanded Model.</P>
                    <P>Additionally, in the CY 2022 HH PPS final rule (86 FR 62312), we summarized and responded to comments received on the challenges unique to value-based purchasing frameworks in terms of health equity and ways in which we could incorporate health equity goals into the expanded HHVBP Model. Comments received were related to the use of stabilization measures to promote access to care for individuals with chronic illness or limited ability to improve; collection of patient level demographic information for existing measures; and stratification of outcome measures by various patient populations to determine how they are affected by social determinants of health (SDOH).</P>
                    <P>
                        In the CY 2023 HH PPS final rule (87 FR 66869 through 66876), we finalized our policy to replace the term 
                        <E T="03">baseline year</E>
                         with the terms 
                        <E T="03">HHA baseline year</E>
                         and 
                        <E T="03">Model baseline year,</E>
                         and to change the calendar years associated with each of those baseline years. Specifically, we changed the HHA baseline year for the CY 2023 performance year from 2021 to 2022 for “new” HHAs with CMS certification numbers (CCNs) with effective dates prior 2022, and the Model baseline year from CY 2019 to CY 
                        <PRTPAGE P="43741"/>
                        2022 starting in CY 2023. Additionally, we summarized the comments received on future approaches to health equity (HE) in the expanded HHVBP Model. Comments received were related to the support of addressing health equity, potential unintended consequences, thorough consideration and testing of potential HE measures, data collection and, applying HE data to the expanded Model's cohorts and risk adjustment models.
                    </P>
                    <HD SOURCE="HD2">B. Proposed Changes to the Applicable Measure Set</HD>
                    <P>We are proposing to make changes to the applicable measure set. First, we are proposing to codify the HHVBP measure removal factors effective in CY 2024. Second, we are proposing to remove five measures from the current applicable measure set and add three measures starting in CY 2025. Third, due to the net change in the number of measures proposed, we are proposing to adjust the weights for the measures in the OASIS-based and claims-based measure categories starting in CY 2025. Lastly, we are proposing to update the Model baseline year for all measures starting in CY 2025.</P>
                    <HD SOURCE="HD3">1. Codification of the HHVBP Measure Removal Factors</HD>
                    <P>In the CY 2022 HH PPS final rule (86 FR 62312), we stated that removal of an expanded HHVBP Model measure would take place through notice and comment rulemaking. In that same final rule (86 FR 62311 through 62312), we adopted eight measure removal factors that we consider when determining whether to remove measures from the expanded HHVBP Model's applicable measure set:</P>
                    <P>• Factor 1. Measure performance among HHAs is so high and unvarying that meaningful distinctions in improvements in performance can no longer be made (that is, topped out).</P>
                    <P>• Factor 2. Performance or improvement on a measure does not result in better patient outcomes.</P>
                    <P>• Factor 3. A measure does not align with current clinical guidelines or practice.</P>
                    <P>• Factor 4. A more broadly applicable measure (across settings, populations, or conditions) for the particular topic is available.</P>
                    <P>• Factor 5. A measure that is more proximal in time to desired patient outcomes for the particular topic is available.</P>
                    <P>• Factor 6. A measure that is more strongly associated with desired patient outcomes for the particular topic is available.</P>
                    <P>• Factor 7. Collection or public reporting of a measure leads to negative unintended consequences other than patient harm.</P>
                    <P>• Factor 8. The costs associated with a measure outweigh the benefit of its continued use in the program.</P>
                    <P>To be consistent with the HH QRP and other quality reporting programs (that is SNF QRP, IRF QRP, and LTCH QRP) we propose to codify the eight HHVBP measure removal factors for the expanded Model at § 484.380.</P>
                    <P>We invite public comments on this proposal.</P>
                    <HD SOURCE="HD3">2. Changes to the Applicable Measure Set</HD>
                    <HD SOURCE="HD3">a. Background</HD>
                    <P>In the CY 2022 HH PPS final rule (86 FR 66308 through 66310), we finalized the applicable measure set effective in the CY 2022 pre-implementation year and subsequent years, which includes five OASIS-based measures, two claims-based measures, and five HHCAHPS Survey-based measures (see Table D1). Details of these measures were included in Tables 26 and 27 of the CY 2022 HH PPS proposed rule (86 FR 35923 through 35926).</P>
                    <GPH SPAN="3" DEEP="168">
                        <GID>EP10JY23.065</GID>
                    </GPH>
                    <P>In that same final rule (86 FR 62310 through 62313), we finalized that, during the expanded Model, we would address any needed adjustments or modifications to the applicable measure set; this process involves notice and comment rulemaking for removing or adding measures and for adopting changes to measures that we consider to substantially change the nature of the measure. We also post the names of any measures added to the expanded Model finalized through the rulemaking process on the CMS website by the first December 1 upon publication of the applicable final rule. Examples of changes that we might consider to be substantive would be those in which the changes are so significant that the measure is no longer the same measure, or when a standard of performance assessed by a measure becomes more stringent, such as changes in acceptable timing of medication, procedure/process, test administration, or expansion of the measure to a new setting. If an update to a measure is necessary in a manner that we consider to not substantially change the nature of the measure, we will use a subregulatory process to incorporate those updates to the measure specifications that apply to the program. Specifically, we would revise the information that is posted on the CMS website so that it clearly identifies the updates and provides links to where additional information on where the updates can be found.</P>
                    <P>
                        We have determined that five of the measures finalized in the CY 2022 HH PPS final rule require further 
                        <PRTPAGE P="43742"/>
                        consideration. Specifically, we are proposing to remove the following measures from the applicable measure set: (1) OASIS-based Discharged to Community (DTC); (2) OASIS-based Total Normalized Composite Change in Self-Care (TNC Self-Care); (3) OASIS-based Total Normalized Composite Change in Mobility (TNC Mobility); (4) claims-based Acute Care Hospitalization During the First 60 Days of Home Health Use (ACH); and (5) claims-based Emergency Department Use without Hospitalization During the First 60 Days of Home Health (ED Use).
                    </P>
                    <P>We propose to replace these five measures with three measures (see Table D2). Specifically, we are proposing to add the following measures: (1) the claims-based Discharge to Community-Post Acute Care (DTC-PAC) Measure for Home Health Agencies; (2) the OASIS-based Discharge Function Score (DC Function) measure; and (3) the claims-based Home Health Within-Stay Potentially Preventable Hospitalization (PPH) measure. The claims-based DTC-PAC measure would replace the OASIS-based DTC measure. The OASIS-based DC Function measure would replace the two OASIS-based TNC measures (Self-Care and Mobility). The claims-based PPH measure would replace the claims-based ACH and ED Use measures.</P>
                    <P>We are proposing to make these changes to the applicable measure set beginning with the CY 2025 performance year and subsequent performance years. The proposed changes will align the measures used in the expanded HHVBP Model with the measures in the HH QRP and publicly reported on Home Health Care Compare. This alignment will support comparisons of provider quality and streamline home health providers' data capture and reporting processes. Table D2 summarizes the proposed applicable measure set that would be effective for the CY 2025 performance year (CY 2027 payment year).</P>
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                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
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                    <HD SOURCE="HD3">b. Changes to the Applicable Measure Set</HD>
                    <P>We propose to make all changes to the applicable measure set discussed in this rule beginning with the CY 2025 performance year, thus all changes will affect the same payment year beginning with the CY 2027 payment year.</P>
                    <HD SOURCE="HD3">(1) Proposal To Replace the OASIS-Based DTC Measure With the Claims-Based DTC-PAC Measure Beginning CY 2025</HD>
                    <P>We propose to replace the current OASIS-based DTC measure with the claims-based DTC-PAC measure. The claims-based DTC-PAC measure assesses successful discharge to the community from an HHA, with successful discharge to the community including no unplanned re-hospitalizations and no death in the 31 days following discharge. This measure was adopted as part of the Home Health Quality Reporting Program (HH QRP) in the CY 2017 HH PPS final rule (81 FR 76765 through 76770). Details about the measure can be found in the CY 2017 HH PPS final rule (81 FR 76765 through 76770) and the CY 2018 HH PPS final rule (84 FR 60564 through 60566). One difference between the current OASIS-based DTC measure and the proposed claims-based DTC-PAC measure is the time period of the measure. The proposed claims-based DTC-PAC measure uses two years of claims data, whereas the current OASIS-based DTC measure uses one year of OASIS data. Furthermore, the claims-based DTC-PAC measure is aligned across PAC settings in terms of risk-adjustment, exclusions, numerator, and measure intent, whereas the OASIS-based DTC measure is not aligned. Therefore, making the replacement is in accordance with Measure Removal Factor 4: A more broadly applicable measure (across settings, populations, or conditions) for the particular topic is available. Additionally, the replacement would further align the expanded HHVBP Model applicable measure set with the HH QRP measures. The HH QRP added the claims-based DTC measure in 2017 and stopped publicly reporting the OASIS-based DTC measure in 2017. The proposed use of the claims-based DTC-PAC measure has additional benefits as compared to the current OASIS-based DTC measure in that it assesses broader outcomes by assessing post-discharge hospitalization and mortality. Specifically, it first examines whether a patient was discharged to the community from the PAC setting. For patients discharged to the community, this measure examines whether they remained alive in the community without an unplanned admission to an acute care hospital or LTCH in the 31-day post-discharge observation window following discharge to the community.</P>
                    <HD SOURCE="HD3">(2) Proposal to Jointly Replace the OASIS-Based TNC Self-Care and TNC Mobility Measures With the OASIS-Based Discharge Function Score Measure Beginning CY 2025</HD>
                    <P>We propose to jointly replace the TNC Self-Care and TNC Mobility measures with the DC Function measure. We adopted the TNC Self-Care and TNC Mobility measures in the CY 2019 HH PPS final rule (83 FR 56529 through 56535) for use in the original Model beginning with performance year 4 (CY 2019). The TNC measures, which are composite measures, replaced three individual measures (Improvement in Bathing, Improvement in Bed Transferring, and Improvement in Ambulation-Locomotion). For these composite measures, HHA performance on the three mobility OASIS-items are included in the TNC measures. The TNC measures also include six additional activities of daily living (ADL) measures to create a more comprehensive assessment of HHA performance across a broader range of patient ADL outcomes. The TNC measures report the magnitude of patient change (either improvement, no change, or decline) across six self-care and three mobility patient functional activities. This methodology accounts for changes to the scores on individual OASIS items while also considering that not all patients are able to improve on all aspects of each composite measure. The DC Function measure determines how successful each HHA is at achieving an expected level of functional ability for its patients at discharge. An expectation for discharge function score is built for each HHA episode by accounting for patient characteristics that impact their functional status. The final DC Function measure for a given HHA is the proportion of that HHA's episodes where a patient's observed discharge score meets or exceeds their expected discharge score. Functional status is measured through Section GG of OASIS assessments, which are cross-setting items. Section GG evaluates a patient's capacity to perform daily activities related to three self-care (GG0130) activities and eight mobility (GG0170) activities.</P>
                    <P>
                        The DC Function measure has been proposed for adoption in all PAC settings. We included the proposed DC Function measure on the 2022 Measure Under Consideration (MUC) list for the Inpatient Rehabilitation Facility QRP, Home Health QRP, Long Term Care Hospital QRP, SNF QRP, and SNF VBP.
                        <SU>126</SU>
                        <FTREF/>
                         It is proposed for the Skilled Nursing Facility (SNF) Value-Based Purchasing program in the FY 2024 SNF PPS proposed rule and in this CY 2024 HH PPS proposed rule for adoption in the HH QRP beginning CY 2025; details about the measure can be found in section III.D. of this proposed rule. We propose adopting the measure for the expanded HHVBP Model on the same timeline as the HH QRP (CY 2025) given that the GG items used in the measure have gone through extensive testing, and the measure has received conditional support for rulemaking as part of the most recent Measure Applications Partnership (MAP) process. While the DC Function measure is not yet implemented in the HH QRP or other PAC programs, the OASIS data elements used to calculate this measure have been collected since 2019. As such, we believe HHAs have had sufficient time to ensure successful reporting of the data elements needed for this measure.
                    </P>
                    <FTNT>
                        <P>
                            <SU>126</SU>
                             
                            <E T="03">See</E>
                             CMS, Measures Under Consideration List for 2022 (Dec. 1, 2022), available at 
                            <E T="03">https://mmshub.cms.gov/sites/default/files/2022-MUC-List.xlsx.</E>
                        </P>
                    </FTNT>
                    <P>Replacement of the TNC measures with the DC Function measure would further align the expanded HHVBP Model measure set with the HH QRP measures, as well as with other PAC settings. For these reasons, this replacement is in accordance with Measure Removal Factor 4. Additionally, the DC Function measure addresses self-care and mobility through a single measure rather than two measures, thereby streamlining the calculation and reporting of measure results.</P>
                    <HD SOURCE="HD3">(3) Proposal to Jointly Replace the Acute Care Hospitalization During the First 60 Days of Home Health Measure and Emergency Department Use Without Hospitalization During the First 60 Days of Home Health Measure With the Home Health Within Stay Potentially Preventable Hospitalization (PPH) Measure Beginning CY 2025</HD>
                    <P>
                        We propose to jointly replace the Acute Care Hospitalization During the First 60 Days of Home Health Measure (“ACH” measure) and Emergency Department Use Without Hospitalization During the First 60 Days of Home Health Measure (“ED Use” measure) with the Home Health Within Stay Potentially Preventable Hospitalization (PPH) Measure. The 
                        <PRTPAGE P="43745"/>
                        current specifications for the PPH measure are available on the CMS website at 
                        <E T="03">https://www.cms.gov/files/document/hh-qrp-specificationspotentiallypreventablehospitalizations.pdf.</E>
                    </P>
                    <P>The CY 2022 HH PPS final rule (86 FR 62340 through 62345) finalized the joint replacement of the ACH measure and ED Use measure with the PPH measure in the HH QRP beginning CY 2023. This replacement under the HH QRP was made under Measure Removal Factor 6: A measure that is more strongly associated with desired patient outcomes for the particular topic is available. Additional details of the reason for replacement are found in the CY 2022 HH PPS final rule (86 FR 62340 through 62345). Because these measures have been finalized to be jointly replaced with the PPH measure in the HH QRP beginning CY 2023, we are proposing to remove them from the expanded HHVBP Model.</P>
                    <P>In the CY 2022 HH PPS proposed rule (86 FR 35929), we requested comments on whether we should align the expanded HHVBP Model with the proposed changes for the HH QRP by proposing to remove the same two measures (“ACH” and “ED Use” measures) from the expanded Model in a future year. As summarized in the CY 2022 HH PPS final rule (86 FR 62312), the feedback was generally supportive, recommending that the expanded HHVBP Model's applicable measure set align with the HH QRP measures. Replacing ACH and ED Use with PPH would further align the expanded Model's applicable measure set with the HH QRP measures.</P>
                    <P>We propose no changes to the five HHCAHPS Survey-based measures used for the expanded HHVBP Model.</P>
                    <P>We invite public comments on these proposals.</P>
                    <HD SOURCE="HD3">3. Measure Categories</HD>
                    <P>As shown in Table D3, the expanded Model utilizes established measure categories that represent the data sources including OASIS-based, claims-based, and HHCAHPS Survey-based. Although measures in the original Model have been added, removed or substituted in the past, the measure category weights have remained constant, maintaining the weighting proportions of 35 percent, 35 percent and 30 percent for OASIS-based, claims-based and HHCAHPS Survey-based measures for the larger-volume cohort, respectively. For HHAs in the smaller-volume cohort, the weighting proportions of the OASIS-based and claims-based measures are 50 percent and 50 percent, respectively. Weights for individual measures within these categories have changed in the past due to changes to the applicable measure set (for example, replacing three individual OASIS-based measures with the two TNC measures) and to encourage improvement in the claims-based measures. With the proposed changes to the applicable measures in this proposed rule, the number of measures within the OASIS-based measure category would change. Table D3 illustrates the change in the measure set including the removal of the OASIS-based DTC measure, the replacement of the two OASIS-based TNC change measures to the OASIS-based DC Function measure, and the replacement of the claims-based Acute Hospitalization Measure and claims-based ED Use Measure for the claims-based PPH measure. Despite the changes to the applicable measure set, we intend to maintain the existing measure categories and their relative weights. For example, for the larger-volume cohort, the claims-based measures would continue to have a total weight of 35 percent. The relatively higher weight given to the claims-based measures reflects our belief in the importance of those measures relative to OASIS-based measures, which use self-reported data and that the incentive to reduce hospital utilization is maintained. We continually monitor the effects of weighting and will propose changes if we determine there is a need through future rulemaking.</P>
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                    <HD SOURCE="HD3">4. Weighting and Redistribution of Weights Within the Measure Categories</HD>
                    <HD SOURCE="HD3">a. Background</HD>
                    <P>As finalized in the CY 2022 HH PPS final rule (86 FR 62240), the expanded HHVBP Model uses the same policies regarding the weighting of measures and the redistribution of weights when measures or measure categories are missing as under the original Model (83 FR 56536).</P>
                    <P>As previously discussed in section IV.B.2.b of this proposed rule, to align with quality measures used in the HH QRP, CMS proposes to replace the OASIS-based DTC measure with the claims-based DTC measure, jointly replace the claims-based ACH and ED Use measures with the claims-based PPH measure, and jointly replace the OASIS-based TNC Change in Mobility and TNC Change in Self-Care measures with the OASIS-based DC Function measure in CY 2025 and subsequent performance years. Due to these changes to the applicable measure set and the data sources, CMS proposes changes in weights and redistribution of weights within the measure categories accordingly.</P>
                    <HD SOURCE="HD3">b. Quality Measure Weights Within Measure Categories</HD>
                    <P>Along with the proposed revisions to the current measure set, we propose to revise the weights of the individual measures within the OASIS-based measure category and within the claims-based measure category. Currently, the OASIS-based, claims-based, and HHCAHPS Survey-based measures contribute 35 percent, 35 percent, and 30 percent, respectively, to the Total Performance Score (TPS) for HHAs in the larger-volume cohort. For HHAs in the smaller-volume cohort, the OASIS-based and claims-based measures contribute 50 percent and 50 percent, respectively, to the TPS. The weights of the measure categories, when one category is missing, are based on the relative weight of each category when all measures are used. For example, if an HHA is missing the HHCAHPS Survey-based measure category, the remaining two measure categories (OASIS-based and claims-based) each represent 50 percent. Table 28 in the CY 2022 HH PPS final rule (86 FR 62323 through 62324) presents the current weights for measures and measure categories under various reporting scenarios.</P>
                    <P>Table D4 shows the measure weights by quality measure in the expanded HHVBP Model currently in place and proposed for CY 2025 and subsequent performance years for HHAs in the larger-volume and smaller-volume cohort, respectively.</P>
                    <P>
                        As discussed in section IV.B.3 of this proposed rule, for HHAs in the larger-volume cohort, we are keeping the measure category weights unchanged at 35 percent, 35 percent, and 30 percent for OASIS-based, claims-based, and HHCAHPS Survey-based measure categories, respectively. Similarly, for HHAs in the smaller-volume cohort, we are keeping the measure category weights unchanged at 50 percent and 50 percent for OASIS-based and claims-based measure categories, respectively. By keeping these measure category weights unchanged, the number of individual measures in each measure category will affect the magnitude of the individual measure weights. As proposed, changes to the applicable measure set would decrease the OASIS-based measures from five measures to three, while the number of individual 
                        <PRTPAGE P="43747"/>
                        measures for the claims-based measures and HHCAHPS Survey-based measures will remain unchanged. Given these proposals, the individual measure weights within the proposed OASIS-based measure category would be higher than those under the current applicable OASIS-based measure category. The subsequent sections discuss in more detail the proposed measure weight redistributions for each measure category.
                    </P>
                    <HD SOURCE="HD3">(1) Proposal To Redistribute Weights Within the OASIS-Based Measure Category</HD>
                    <P>Because we propose to replace the two TNC measures jointly with the DC Function measure, we propose that the sum of the TNC measure weights be given to the DC Function measure. This will maintain the same relative weight for functional measures. Due to the proposed removal of the OASIS-based DTC measure, we also propose to distribute the weight for that measure across the remaining three OASIS-based measures. In addition, we propose to maintain a relatively small weight for Improvement in Dyspnea compared to the other measures in the applicable measure set. Under the current measure set, Improvement in Dyspnea is weighted at 5.833 for larger-volume HHAs and 8.333 for smaller-volume HHAs. Similarly, under the proposed applicable measure set, Improvement in Dyspnea would be weighted at 6.000 for the larger-volume cohort and 8.571 for the smaller-volume cohort. This approach aims to encourage improvement in quality of care, while reducing its importance relative to other quality measures that encourage both improvement and maintenance of quality care for all home health patients. These proposed changes would be effective in CY 2025. Table D4 describes the proposed measure weight redistributions for all measure categories by larger-volume and smaller-volume cohort, respectively. In addition to increasing the individual measure weight for Improvement in Dyspnea to 6.000, CMS proposes to increase the individual measure weight for Improvement in Management of Oral Medications to 9.000 and to assign the individual measure weight for DC Function to 20.000 for HHAs in the larger-volume cohort. These changes maintain the overall weight of the OASIS-based measures at 35 percent for the larger-volume cohort and 50 percent for the smaller-volume cohort.</P>
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                    <HD SOURCE="HD3">(2) Proposal To Redistribute Weights Within the Claims-Based Measure Category</HD>
                    <P>
                        Because we propose to remove the ACH and ED Use measures, we propose to allot an individual measure weight of 26.000 to the proposed PPH measure. The redistribution to the PPH measure is intended to give this measure approximately the same combined weight as the ACH and ED Use measures had previously. In addition, CMS proposes to allot an individual measure weight of 9.000 to the claims-based DTC-PAC measure for the larger-volume cohort. The slight increase in weight for the claims-based DTC-PAC measure maintains the same overall weight of 35.000 for claims-based measures for the larger-volume cohort. Table D4 lists the corresponding individual claims-based measure weight redistributions applicable to HHAs in the smaller-volume cohort.
                        <PRTPAGE P="43748"/>
                    </P>
                    <HD SOURCE="HD3">(3) Weights Within the HHCAHPS-Based Measure Category</HD>
                    <P>Given there are no changes proposed to the measures within the HHCAHPS Survey-based measure category, we propose to keep the individual measure weights for measures in this measure category unchanged. Specifically, each HHCAHPS Survey-based measure will continue to have an individual measure weight of 6.000 for HHAs in the larger-volume cohort. Given that HHAs in the smaller-volume cohort are not assessed based on their HHCAHPS Survey-based measure performance, the individual measure weight is set to zero (0.000) for the smaller-volume cohort (see Table D4).</P>
                    <P>We invite public comments on these proposals.</P>
                    <HD SOURCE="HD3">(4) Alternatives Considered</HD>
                    <P>Several measure weighting alternatives were considered prior to choosing the previously discussed proposals. Tables D5 describes these alternative options for HHAs in the larger-volume cohort, including weights proportional to the weights for the initial measure set (Option 1), maintaining measure category weights consistent with current measure set weights and equal within-category weights (Option 2), using equal measure category weights and maintaining within-category weight proportions (Option 3), using equal measure category weights and equal within-category weights (Option 4), and having equal weights for all measures (Option 5). We also considered these options for the smaller-volume cohort and came to the same conclusions. Therefore, we only provide a table with measure weighting alternatives for the larger-volume cohort.</P>
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                    <P>Of these alternatives, Option 1 is most consistent with the proposed weights and most consistent with the weights used for the current measure set; however, it fails to apply the minimal weight possible for Improvement in Dyspnea. Similarly, Options 2-4 do not reduce the weight for Improvement in Dyspnea and deviate more substantially than Option 1 from the current weighting scheme. By attributing equal weight to all measures in the proposed measure set, Option 5 satisfies the minimal weight criterion for Improvement in Dyspnea; however, it does so at the expense of applying the same weight, which is inconsistent with previous decisions about apply differential weighting to measures to incentivize HHAs to act on improving measures with higher weights in the applicable measure set as outlined in the CY 2022 HH PPS final rule (86 FR 62322).</P>
                    <HD SOURCE="HD3">5. Updates to the Model Baseline Year</HD>
                    <HD SOURCE="HD3">a. Background</HD>
                    <P>
                        In the CY 2022 HH PPS final rule, we finalized that the first Model baseline year for the expanded HHVBP Model would be CY 2019 (January 1, 2019 through December 31, 2019), the first performance year would be CY 2023, and the first payment year would be CY 2025 (86 FR 62294 through 62300). We decided on CY 2019 as the Model baseline year, as opposed to CY 2020 or CY 2021, due to the potentially de-stabilizing effects of the public health emergency (PHE) on the CY 2020 data and because it was the most recent full year of data available prior to CY 2020. The performance year and payment year were finalized after originally proposing CY 2022 to be the first performance year and CY 2024 to be the first payment year. We decided to delay implementation by 1 year to allow additional time for HHAs to prepare and learn about the expanded Model, thus CY 2022 was defined as the pre-
                        <PRTPAGE P="43749"/>
                        implementation year. In the CY 2023 HH PPS final rule, we changed the Model baseline year to CY 2022 (87 FR 66869 through 66874). We decided to use more recent data from the CY 2022 time period because it is more likely to be aligned with performance years' data under the expanded Model, and provide a more appropriate baseline for assessing HHA improvement for all measures under the Model as compared to both the pre-PHE CY 2019 data, as previously finalized for existing HHAs, and the CY 2021 data, as previously finalized for new HHAs certified between January 1, 2019 and December 31, 2020.
                    </P>
                    <P>Additionally, in the CY 2022 HH PPS final rule (86 FR 62308 through 62309), we finalized the current measure set, as indicated in Table 25 of that final rule. The removal and replacement of measures from the current measure set necessitates an updated implementation and data reporting timeline, which will be applied to all applicable measures so that the Model baseline year is consistent across measures.</P>
                    <HD SOURCE="HD3">b. Proposal To Update the Model Baseline Year</HD>
                    <P>Beginning with performance year CY 2025, we propose to update the Model baseline year to CY 2023 for all applicable measures in the proposed measure set, including those measures included in the current measure set. The one exception is the new claims-based DTC-PAC measure, which uses two years of data. As such, the Model baseline year for the claims-based DTC-PAC measure will be CY 2022 and CY 2023 for the 2-year performance year spanning CY 2024 and CY 2025. For performance years CY 2023 and CY 2024, the Model baseline year will continue to be CY 2022. Table D6 lists the data periods for each measure and respective Model baseline, performance year, and payment years.</P>
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                    <P>If we finalize our proposal to use CY 2023 for the Model baseline year, we would provide HHAs with the final achievement thresholds and benchmarks in the July 2024 Interim Performance Report (IPR). For all measures but the claims-based DTC-PAC measure, this timeline allows for one year of performance between the first performance year and the proposed updated Model baseline year. Because the claims-based DTC-PAC measure is a two-year measure, there will be no gap between the proposed updated Model baseline year and the first performance year, which would be consistent with the rollout of the original HHVBP Model, in which benchmarks and achievement thresholds using CY 2015 data were made available to HHAs during the summer of the first performance year (CY 2016).</P>
                    <P>Furthermore, because the claims-based DTC-PAC measure is a 2-year measure, there will be an overlap in how discharge to community is measured for the expanded Model. Specifically, CY 2024 performance will be based on the current measure set, which includes the OASIS-based DTC measure. For the OASIS-based DTC measure, CY 2024 performance will be compared to baseline year CY 2022. CY 2025 performance would be based on the proposed measure set, which includes the claims-based DTC-PAC measure and thus replaces the OASIS-based DTC measure. Because the DTC-PAC measure is a two-year measure, CY 2025 performance for the claims-based DTC-PAC measure will be calculated based on two years of performance data (CY 2024/2025) and compared to two years of baseline year data (CY 2022/2023). Thus, for both the OASIS-based DTC measure and the claims-based DTC-PAC measure, CY 2022 data will be used to calculate performance in a Model baseline year, and CY 2024 data will be used to calculate performance in a performance year. Beyond CY 2025, data for calculating DTC-PAC performance will continue to overlap. For example, CY 2026 DTC-PAC (claims-based) performance will be based on data from CY 2025/2026, which overlaps by one year with the CY 2025 DTC-PAC (claims-based) performance year data. See Table D7. The DTC-PAC measure was designed as a 2-year measure to optimize reliability. In addition, each performance year will consist of 1 year of performance data that does not overlap with the prior performance year data, which provides sufficient opportunity to capture quality improvement over time. Finally, the DTC-PAC (claims-based) will provide a smoother performance trend over time compared to 1-year measures by reflecting performance across a longer reporting period.</P>
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                    <HD SOURCE="HD3">c. Alternatives Considered</HD>
                    <P>We considered several alternative timelines for updating the Model baseline year. First, we considered leaving the baseline year at CY 2022 for those measures on the previously finalized measure set. We opted against this alternative because it uses less recent data and makes it more difficult for HHAs to track which achievement thresholds and benchmarks are based on which years of baseline data.</P>
                    <P>Second, because of the time between the Model baseline year and the performance year, we considered delaying the implementation of the claims-based DTC-PAC measure by one year. Under this scenario, the measure's baseline year would remain CY 2022/2023, but the measure's first performance year would be CY 2025/2026. The first payment year that uses the claims-based DTC-PAC measure would then be CY 2028. As such, CY 2025 would be a transition year in between the current applicable measure set and the proposed applicable measure set. During this transition year, the OASIS-based DTC measure could be retained through CY 2025 or removed. Retaining the OASIS-based DTC measure during the transition year would ensure that the concept of being discharged to the community will be reflected in all performance and payment years, while removing it before the transition year would better align with the removal of the other measures as proposed. Because we view the concept of being discharged to the community as an important aspect of home health quality, we favor retaining the OASIS-based DTC measure during the transition year over removing it, assuming we delay implementation of the claims-based DTC measure. We rejected delayed implementation, however, because it temporarily increases the complexity of the expanded Model and requires that the Model uses the legacy OASIS-based DTC measure for another year, despite its removal from the HH QRP.</P>
                    <P>Third, we considered delaying implementation of the OASIS-based DC Function measure, which is proposed for CY 2025 implementation in the HH QRP as indicated in section III. D.1. of this proposed rule. Although a delay would allow more time to evaluate the measure's performance prior to HHVBP implementation, data utilized in this measure have been a part of the HH QRP's OASIS assessment tool since CY 2019. We prefer the proposed timeline for the OASIS-based DC Function measure because it expedites alignment with the HH QRP, SNF VBP, and the other PAC programs and the timing corresponds with the proposed removal and replacement of other measures in the Model.</P>
                    <P>Lastly, we considered delaying implementation for all replacement measures, such that their Model baseline years would end on December 31, 2023 and their first performance years would end on December 31, 2026 (CY 2026 for the OASIS-based DC Function and claims-based PPH measures and CY 2025/2026 for the claims-based DTC-PAC measure). Under this alternative, the first payment year to use the proposed applicable measure set would be CY 2028. We favor the proposed timeline because we prefer aligning more closely with the HH QRP measure set as early as possible.</P>
                    <HD SOURCE="HD3">6. Future Topics for Measure Considerations</HD>
                    <P>We will take into consideration opportunities for further alignment with measures in the HH QRP and publicly reported on Home Health Care Compare because alignment will facilitate comparative assessments of provider quality and streamline home health providers' data capture and reporting processes. If we consider adding new measures that require data that is not already collected through existing quality measure data reporting systems, we will propose that option in future rulemaking while being mindful of provider burden.</P>
                    <P>
                        To further the goals of the CMS National Quality Strategy, CMS leaders from across the Agency have come together to move towards a building-block approach to streamline quality measure across CMS quality programs for the adult and pediatric populations. This “Universal Foundation” 
                        <SU>127</SU>
                        <FTREF/>
                         of quality measures will focus provider attention, reduce burden, identify disparities in care, prioritize development of interoperable, digital quality measures, allow for cross-comparisons across programs, and help identify measurement gaps. The development and implementation of the Preliminary Adult and Pediatric Universal Foundation Measures will promote the best, safest, and most equitable care for individuals as we all come together on these critical quality areas. As CMS moves forward with the Universal Foundation, we will be working to identify foundational measures in other specific settings and populations to support further measure alignment across CMS programs as applicable.
                    </P>
                    <FTNT>
                        <P>
                            <SU>127</SU>
                             Jacobs, D.B., Schreiber, M., Seshamani, M., Tsai, D., Fowler, E., &amp; Fleisher, L.A. (2023). Aligning quality measures across CMS—the universal foundation. 
                            <E T="03">New England Journal of Medicine, 388</E>
                            (9), 776-779. 
                            <E T="03">https://www.nejm.org/doi/full/10.1056/NEJMp2215539</E>
                            .
                        </P>
                    </FTNT>
                    <P>In recognition of persistent health disparities and the importance of closing the health equity gap, we will consider future modifications that promote health equity and ways in which we could incorporate health equity goals into the Model. Any changes would be proposed in future notice and comment rulemaking.</P>
                    <P>While we are not making any specific proposals here, we invite stakeholders to suggest future measures and the value they may provide to the expanded HHVBP Model.</P>
                    <HD SOURCE="HD2">C. Proposed Changes to the Appeals Process</HD>
                    <HD SOURCE="HD3">1. Background</HD>
                    <P>
                        As codified at § 484.375, the appeals process under the expanded HHVBP 
                        <PRTPAGE P="43751"/>
                        Model allows HHAs to submit recalculation requests for the interim performance reports and the Annual Total Performance Score (TPS) and Payment Adjustment Report (Annual Performance Report or APR). Under this process, an HHA may also make a reconsideration request if it disagrees with the results of a recalculation request for the APR. We refer the reader to the CY 2022 HH PPS final rule (86 FR 62331 through 62332) for details of the appeals process. We also finalized (86 FR 62329) that we would make available the Final APR after all reconsideration requests are processed and no later than 30 calendar days before the payment adjustment takes effect annually, both for those HHAs that requested a reconsideration and all other competing HHAs.
                    </P>
                    <HD SOURCE="HD3">2. Proposed Revisions</HD>
                    <P>We are proposing revisions to the policy at § 484.375(b)(5) to acknowledge the ability of the CMS Administrator to review reconsideration decisions, and to change the time for filing a request for reconsideration. In particular, we are proposing to amend § 484.375(b)(5) to specify that an HHA may request Administrator review of a reconsideration decision within 7 days from CMS' notification to the HHA contact of the outcome of the reconsideration request. We propose to amend § 484.375(b)(5) to state that the CMS reconsideration official issues a written decision that is final and binding 7 calendar days after the decision unless the CMS Administrator renders a final determination reversing or modifying the reconsideration decision. And, that An HHA may request within 7 calendar days of the decision that the CMS Administrator review the reconsideration decision. The CMS Administrator may decline to review the reconsideration decision, render a final determination, or choose to take no action on the request for administrative review. Reconsideration decisions are considered final if the CMS Administrator declines an HHA's request for review or if the CMS Administrator does not take any action on the HHA's request for review within 14 days.</P>
                    <P>This proposed change would ensure that accountability for the decisions of CMS is vested in a principal officer and brings the reconsideration review process to a more similar posture as other CMS appeals entities that provide Administrator review. This revision also ensures that HHAs are aware that administrative review is available to those HHAs who wish to seek additional review of a reconsideration decision.</P>
                    <P>We seek comment on these proposals.</P>
                    <HD SOURCE="HD2">D. Public Reporting Reminder</HD>
                    <P>In the CY 2022 HH PPS final rule (86 FR 62332 through 62333), we finalized that we would publicly report the following information for the expanded HHVBP Model:</P>
                    <P>• Applicable measure benchmarks and achievement thresholds for each small- and large-volume cohort.</P>
                    <P>• For each HHA that qualified for a payment adjustment based on the data for the applicable performance year—</P>
                    <P>• Applicable measure results and improvement thresholds;</P>
                    <P>• The HHA's Total Performance Score (TPS);</P>
                    <P>• The HHA's TPS Percentile Ranking; and</P>
                    <P>• The HHA's payment adjustment for a given year.</P>
                    <P>In that same rule, we stated that we anticipate this information would be made available to the public on a CMS website on or after December 1, 2024, the date by which we would intend to complete the CY 2023 Annual Report appeals process and issuance of the Final Annual Report to each competing HHA. For each year thereafter, we anticipate following the same approximate timeline for publicly reporting the payment adjustment for the upcoming calendar year. This policy is codified at § 484.355(c). We are not proposing any changes to this policy. This simply serves as a reminder of our existing policy.</P>
                    <HD SOURCE="HD2">E. Health Equity Update</HD>
                    <HD SOURCE="HD3">1. Background</HD>
                    <P>
                        In the Calendar Year 2023 Home Health Prospective Payment System Proposed Rule (CMS-1766-P), we included a Request for Information (RFI) on a future approach to health equity in the expanded HHVBP Model. We define health equity as “the attainment of the highest level of health for all people, where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, or other factors that affect access to care and health outcomes.” 
                        <SU>128</SU>
                        <FTREF/>
                         We are working to advance health equity by designing, implementing, and operationalizing policies and programs that support health for all the people served by our programs and models, eliminating avoidable differences in health outcomes experienced by people who are disadvantaged or underserved, and providing the care and support that our enrollees need to thrive. Our goals outlined in the 
                        <E T="03">CMS Framework for Health Equity 2022-2032</E>
                         
                        <SU>129</SU>
                        <FTREF/>
                         are in line with Executive Order 13985, “Advancing Racial Equity and Support for Underserved Communities Through the Federal Government.” 
                        <SU>130</SU>
                        <FTREF/>
                         The goals included in the CMS Framework for Health Equity serve to further advance health equity, expand coverage, and improve health outcomes for the more than 170 million individuals supported by our programs, and sets a foundation and priorities for our work including: strengthening our infrastructure for assessment, creating synergies across the health care system to drive structural change, and identifying and working to eliminate barriers to CMS-supported benefits, services, and coverage.
                    </P>
                    <FTNT>
                        <P>
                            <SU>128</SU>
                             Centers for Medicare and Medicaid Services. Available at 
                            <E T="03">https://www.cms.gov/pillar/health-equity.</E>
                             Accessed February 1, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>129</SU>
                             
                            <E T="03">https://www.cms.gov/files/document/cms-framework-health-equity-2022.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>130</SU>
                             
                            <E T="03">https://www.whitehouse.gov/briefing-room/presidential-actions/2021/01/20/executive-order-advancing-racial-equity-and-support-for-underserved-communities-through-the-federal-government/</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        In addition to the CMS Framework for Health Equity, CMS seeks to “advance health equity and whole-person care” as one of eight goals comprising the CMS National Quality Strategy (NQS).
                        <SU>131</SU>
                        <FTREF/>
                         The NQS identifies a wide range of potential quality levers that can support our advancement of equity, including: (1) establishing a standardized approach for patient-reported data and stratification; (2) employing quality and value-based programs to address closing equity gaps; and, (3) developing equity-focused data collection, analysis, regulations, and quality improvement initiatives.
                    </P>
                    <FTNT>
                        <P>
                            <SU>131</SU>
                             Centers for Medicare &amp; Medicaid Services. What is the CMS Quality Strategy? Available at 
                            <E T="03">https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy.</E>
                        </P>
                    </FTNT>
                    <P>
                        A goal of this NQS is to address persistent disparities that underly our healthcare system. Racial disparities, in particular, are estimated to cost the U.S. $93 billion in excess medical costs and $42 billion in lost productivity per year, in addition to economic losses due to premature deaths.
                        <SU>132</SU>
                        <FTREF/>
                         At the same time, racial and ethnic diversity has increased in recent years, with an increase in the percentage of people who identify as two or more races accounting for most of the change, rising from 2.9 percent to 
                        <PRTPAGE P="43752"/>
                        10.2 percent between 2010 and 2020.
                        <FTREF/>
                        <SU>133</SU>
                         Therefore, we need to consider ways to reduce disparities, achieve equity, and support our diverse beneficiary population through the way we measure quality and display the data.
                    </P>
                    <FTNT>
                        <P>
                            <SU>132</SU>
                             Ani Turner, The Business Case for Racial Equity, A Strategy for Growth, W.K. Kellogg Foundation and Altarum, April 2018.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>133</SU>
                             2022 National Healthcare Quality and Disparities Report. Content last reviewed November 2022. Agency for Healthcare Research and Quality, Rockville, MD 
                            <E T="03">https://www.ahrq.gov/research/findings/nhqrdr/nhqdr22/index.html.</E>
                        </P>
                    </FTNT>
                    <P>We solicited public comments via the previously discussed RFI on policy changes that we should consider on the topic of health equity. We specifically requested input on whether we should explore incorporating adjustments into the expanded HHVBP Model to reflect the varied patient populations that HHAs serve around the country and tie equity-focused outcomes to the payment adjustments we make based on HHA performance under the Model. We refer readers to the CY 2023 HH PPS final rule (87 FR 66876), for a summary of the public comments and suggestions we received in response to the health equity RFI. We will take these comments into account as we continue to work to develop policies and quality measures on this important topic.</P>
                    <HD SOURCE="HD3">2. Anticipated Future State</HD>
                    <P>We are committed to developing approaches to meaningfully incorporate the advancement of health equity into the expanded HHVBP Model. As we move this important work forward, we will continue to take input from interested parties. We also note that there are proposals being made to implement a health equity adjustment in the Hospital Inpatient Quality Reporting Program and the SNF Value-Based Purchasing Program. At this time, however, we would like to give HHAs time to learn the requirements of the expanded Model, gather at least 2 years of performance data, and study effects of the expanded Model on health equity outcomes before incorporating any potential changes to the expanded Model regarding health equity.</P>
                    <HD SOURCE="HD1">V. Medicare Home Intravenous Immune Globulin (IVIG) Items and Services</HD>
                    <HD SOURCE="HD2">A. General Background</HD>
                    <HD SOURCE="HD3">1. Statutory Background</HD>
                    <P>Division FF, section 4134 of the CAA, 2023 added coverage and payment of items and services related to administration of IVIG in a patient's home of a patient with a diagnosed primary immune deficiency disease furnished on or after January 1, 2024. Division FF, section 4134(a) of the CAA, 2023 amended the existing IVIG benefit category at section 1861(s)(2)(Z) of the Act by adding coverage for IVIG administration items and services in a patient's home of a patient with a diagnosed primary immune deficiency disease. This benefit covers items and services related to administration of IVIG in a patient's home of a patient with a diagnosed primary immune deficiency disease. In addition, section 4134(b) of Division FF of the CAA, 2023 amended section 1842(o) of the Act by adding a new paragraph (8) that established the payment for IVIG administration items and services. Under the CAA, 2023 provision, payment for these IVIG administration items and services is required to be a bundled payment separate from the payment for the IVIG product, made to a supplier for all items and services related to administration of IVIG furnished in the home during a calendar day.</P>
                    <HD SOURCE="HD3">2. Overview</HD>
                    <P>
                        Primary immune deficiency diseases (PIDD) are conditions triggered by genetic defects that cause a lack of and/or impairment in antibody function, resulting in the body's immune system not being able to function in a normal way. Immune globulin (Ig) therapy is used to temporarily replace some of the antibodies (that is, immunoglobulins) that are missing or not functioning properly in people with PIDD.
                        <SU>134</SU>
                        <FTREF/>
                         The goal of Ig therapy is to use Ig obtained from normal donor plasma to maintain a sufficient level of antibodies in the blood of individuals with PIDD to fight off bacteria and viruses. Ig is formulated for both intravenous and subcutaneous administration (SCIg). Clinicians can prescribe either product to the beneficiary with PIDD according to clinical need and preference, and beneficiaries can switch between intravenous and subcutaneous administration of Ig.
                    </P>
                    <FTNT>
                        <P>
                            <SU>134</SU>
                             Perez EE, Orange JS, Bonilla F, et al. (2017) Update on the use of immunoglobulin in human disease: A review of evidence; Journal Allergy Clin Immunol. 139(3S): S1-S46.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">3. Legislative Summary</HD>
                    <P>Section 642 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Pub. L. 108-173), amended section 1861 of the Act to provide Medicare Part B coverage of the IVIG product for the treatment of PIDD in the home, but not the items and services involved with administration.</P>
                    <P>
                        Section 101 of the Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012 (Medicare IVIG Access Act) (Pub. L. 112-242), mandated the establishment, implementation, and evaluation of a 3-year Medicare Intravenous Immune Globulin (IVIG) Demonstration Project (the Demonstration) under Part B of title XVIII of the Act. The Demonstration was implemented to evaluate the benefits of providing coverage and payment for items and services needed for the home administration of IVIG for the treatment of PIDD, and to determine if it would improve access to home IVIG therapy for patients with PIDD. The Medicare IVIG Access Act mandated that Medicare would establish a per visit payment amount for the items and services necessary for the home administration of IVIG therapy for beneficiaries with specific PIDD diagnoses. The Demonstration did not include Medicare payment for the IVIG product which continues to be paid under Part B in accordance with section 1842(o) and 1847(A) of the Act. The Demonstration covered and paid a per visit payment amount for the items and services needed for the administration of IVIG in the home. Items may include infusion set and tubing, and services include nursing services to complete an infusion of IVIG lasting on average three to five hours.
                        <SU>135</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>135</SU>
                             Updated Interim Report to Congress: Evaluation of the Medicare Patient Intravenous Immunoglobulin Demonstration Project, 2022: 
                            <E T="03">https://innovation.cms.gov/data-and-reports/2022/ivig-updatedintrtc</E>
                            .
                        </P>
                    </FTNT>
                    <P>On September 28, 2017, Congress passed the Disaster Tax Relief and Airport and Airway Extension Act of 2017 (Pub. L. 115-63). Section 302 of Public Law 115-63 extended the Demonstration through December 31, 2020.</P>
                    <P>Division CC, section 104, of the Consolidated Appropriations Act, 2021 (CAA, 2021) (Pub. L. 116-260), further extended the Demonstration for another 3 years through December 31, 2023.</P>
                    <P>
                        Division FF, section 4134 of the CAA, 2023 (CAA, 2023) (Pub. L. 117-328) mandated that CMS establish permanent coverage and payment for items and services related to administration of IVIG in a patient's home of a patient with PIDD. The permanent home IVIG items and services payment is effective for home IVIG administration furnished on or after January 1, 2024. Payment for these items and services is required to be a separate bundled payment made to a supplier for all administration items and services furnished in the home during a calendar day. The statute provides that payment amount may be based on the amount established under the Demonstration. The standard Part B coinsurance and the Part B deductible is required to apply. In addition, that statute states that the separate bundled 
                        <PRTPAGE P="43753"/>
                        payment for these IVIG administration items and services does not apply for individuals receiving services under the Medicare home health benefit. The CAA, 2023 provision clarifies that a supplier who furnishes these services meet the requirements of a supplier of medical equipment and supplies.
                    </P>
                    <HD SOURCE="HD3">4. Demonstration Overview</HD>
                    <P>Under the Demonstration, Medicare provides a bundled payment under Part B, that is separate from the IVIG product, for items and services that are necessary to administer IVIG in the home to enrolled beneficiaries who are not otherwise homebound and receiving services under the home health benefit. The Demonstration only applies to situations where the beneficiary requires IVIG for the treatment of certain PIDD diagnoses, or was receiving SCIg to treat PIDD and wishes to switch to IVIG.</P>
                    <P>Services covered under the Demonstration are required to be provided and billed by specialty pharmacies enrolled as durable medical equipment (DME) suppliers, that provide the Medicare Part B-covered Ig. The covered items and services under the Demonstration are paid as a single bundle and are subject to coinsurance and deductible in the same manner as other Part B services. HHAs are not eligible to bill for services covered under the Demonstration, but can bill for services related to the administration of IVIG if the patient is receiving services under a home health episode of care, in which case the home health payment covers the items and services.</P>
                    <P>In order to participate in the Demonstration, beneficiaries must meet the following requirements:</P>
                    <P>• Be eligible to have the IVIG paid for at home under Part B FFS</P>
                    <P>• Have a diagnosis of PIDD</P>
                    <P>• Not be enrolled in a Medicare Advantage plan</P>
                    <P>• Cannot be in a home health episode of care on the date of service (in such circumstances, the home health payment covers the services)</P>
                    <P>• Must receive the service in their home or a setting that is “home like”.</P>
                    <P>To participate in the Demonstration, the beneficiary must submit an application, signed by their physician.</P>
                    <P>DME suppliers billing for the items and services covered under the Demonstration must meet the following requirements:</P>
                    <P>• Meet all Medicare, as well as other national, state, and local standards and regulations applicable to the provision of services related to home infusion of IVIG.</P>
                    <P>• Be enrolled and current with the National Supplier Clearinghouse.</P>
                    <P>• Be able to bill the DME Medicare Administrative Contractors (MACs).</P>
                    <P>CMS implemented a bundled per visit payment amount under the Demonstration, statutorily required to be based on the national per visit low-utilization payment adjustment (LUPA) for skilled nursing services used under the Medicare HH PPS established under section 1895 of the Act. The payment amount is subject to coinsurance and deductible.</P>
                    <P>For billing under the Demonstration, CMS established a “Q” code for services, supplies, and accessories used in the home under the IVIG Demonstration:</P>
                    <P>• Q2052—(Long Description)—Services, supplies, and accessories used in the home under Medicare Intravenous immune globulin (IVIG) Demonstration.</P>
                    <P>• Q2052—(Short Description)—IVIG demo, services/supplies.</P>
                    <P>The code is used for the IVIG Demonstration only. Suppliers must bill Q2052 as a separate claim line on the same claim for the IVIG drug.</P>
                    <HD SOURCE="HD2">B. Proposed Scope of Expanded IVIG Benefit</HD>
                    <P>As discussed previously, Division FF, section 4134 of the CAA, 2023, added coverage of items and services related to the administration of IVIG in a patient's home, to the existing IVIG benefit category at section 1861(s)(2)(Z) of the Act, effective January 1, 2024. Currently, IVIG is covered in the home under Part B if all of the following criteria are met:</P>
                    <P>• It is an approved pooled plasma derivative for the treatment of primary immune deficiency disease.</P>
                    <P>• The patient has a diagnosis of primary immune deficiency disease.</P>
                    <P>• The IVIG is administered in the home.</P>
                    <P>• The treating practitioner has determined that administration of the IVIG in the patient's home is medically appropriate.</P>
                    <P>Therefore, as section 4134(a)(1) of the CAA, 2023, adds the items and services (furnished on or after January 1, 2024) related to the administration of IVIG to the benefit category defined under section 1861(s)(2)(Z) of the Act (the Social Security Act provision requiring coverage of the IVIG product in the home), the same beneficiary eligibility requirements for the IVIG product would apply for the IVIG administration items and services described in section V.A.4. of this proposed rule. Subpart B of Part 410 of the regulations set out the medical and other health services requirements under Part B. The regulations at § 410.10 identify the services that are subject to the conditions and limitations specified in this subpart. Section 410.10(y) includes intravenous immune globulin administered in the home for the treatment of primary immune deficiency diseases. Section 410.12 outlines general basic conditions and limitations for coverage of medical and other health services under Part B, as identified in section 410.10. Section 410.12(a) includes the conditions that must be met in order for these services to be covered, and include the following:</P>
                    <P>
                        • 
                        <E T="03">When the services must be furnished.</E>
                         The services must be furnished while the individual is in a period of entitlement.
                    </P>
                    <P>
                        • 
                        <E T="03">By whom the services must be furnished.</E>
                         The services must be furnished by a facility or other entity as specified in §§ 410.14 through 410.69.
                    </P>
                    <P>
                        • 
                        <E T="03">Physician certification and recertification requirements.</E>
                         If the services are subject to physician certification requirements, they must be certified as being medically necessary, and as meeting other applicable requirements, in accordance with subpart B of part 424.
                    </P>
                    <P>
                        As the definition of IVIG at section 1861(zz) of the Act now includes the items and services necessary to administer IVIG in the home, we propose to add the term “items and services” to the regulation at § 410.10(y). Furthermore, sub-regulatory guidance documents (that is, IVIG LCD (33610) 
                        <SU>136</SU>
                        <FTREF/>
                         and IVIG Policy Article (A52509) 
                        <SU>137</SU>
                        <FTREF/>
                        ) provide direction on coding and coverage for the IVIG product at home. Through the Local Coverage Determination (LCD) for Intravenous Immune Globulin (L33610),
                        <SU>138</SU>
                        <FTREF/>
                         the Durable Medical Equipment Medicare administrative contractors (DME MACs) specify the Healthcare Common Procedure Coding System (HCPCS) codes for which IVIG derivatives are covered under this benefit. Therefore, a beneficiary must be receiving one of the IVIG derivatives specified under the LCD for IVIG in order to qualify to receive the items and services covered under section 1861(s)(2)(Z) of the Act. Furthermore, for any item (including IVIG) to be covered by Medicare, it must (1) be eligible for a defined Medicare benefit category, (2) be reasonable and 
                        <PRTPAGE P="43754"/>
                        necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, and (3) meet all other applicable Medicare statutory and regulatory requirements. Policy guidance for the LCD for IVIG 
                        <SU>139</SU>
                        <FTREF/>
                         identifies the ICD-10-CM codes that support medical necessity for the provision of IVIG in the home. These diagnosis codes are listed in Table E1.
                    </P>
                    <FTNT>
                        <P>
                            <SU>136</SU>
                             
                            <E T="03">https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33610.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>137</SU>
                             
                            <E T="03">https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52509.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>138</SU>
                             Local Coverage Determination (LCD): IVIG (L33610) 
                            <E T="03">https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33610&amp;ContrId=389</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>139</SU>
                             
                            <E T="03">https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52509</E>
                            .
                        </P>
                    </FTNT>
                    <GPH SPAN="3" DEEP="351">
                        <GID>EP10JY23.073</GID>
                    </GPH>
                    <P>In accordance with this guidance, a beneficiary must be diagnosed with one of the primary immune deficiencies identified by the ICD-10-CM codes, set out in Table E1 and as updated in subregulatory guidance, in order to qualify to receive the items and services covered under section 1861(s)(2)(Z) of the Act. This policy guidance is revised as needed by the DME MACs. And finally, in order to qualify to receive IVIG in the home, section 1861(zz) of the Act requires that a treating practitioner must have determined that administration of the IVIG in the patient's home is medically appropriate. Accordingly, we intend to update the sub-regulatory guidance pursuant to the CAA, 2023 to reflect the expansion of the benefit to the items and services related to the administration of IVIG at home. Leveraging the existing regulations and sub-regulatory guidance would maintain one set of standards across the entire IVIG benefit (that is, for the product and for the related items and services). This would result in seamless implementation from the existing IVIG Demonstration, thereby ensuring immediate access for beneficiaries requiring such items and services. We solicit comments on our proposal to add “items and services” to the regulation at § 410.10(y).</P>
                    <HD SOURCE="HD3">1. Items and Services Related to the Home Administration of IVIG</HD>
                    <P>
                        Section 101(c) of the Medicare IVIG Access Act established coverage for items and services needed for the in-home administration of IVIG for the treatment of primary immunodeficiencies under a Medicare demonstration program. We interpret section 4134 of the CAA, 2023 to make permanent coverage of the same items and services under the existing IVIG Demonstration in order to ensure continuous and comprehensive coverage for beneficiaries who choose to receive home IVIG therapy. Under the Demonstration, the bundled payment for the items and services necessary to administer the drug intravenously in the home includes the infusion set and tubing, and nursing services to complete an infusion of IVIG lasting on average three to five hours.
                        <SU>140</SU>
                        <FTREF/>
                         Although “items and services” are not explicitly defined under section 4134 of the CAA, 2023, we believe the items and services covered under the Demonstration are inherently the same items and services that would be covered under the payment added to the benefit category at section 1861(s)(2)(Z) of the Act. While 
                        <PRTPAGE P="43755"/>
                        we are not enumerating a list of services that must be included in the separate bundled payment, we anticipate that the nursing services would include such professional services as IVIG administration, assessment and site care, and education. Moreover, it is up the provider to determine the services and supplies that are appropriate and necessary to administer the IVIG for each individual. This may or may not include the use of a pump. Because IVIG does not have to be administered through a pump (although it can be), external infusion pumps are not covered under the DME benefit for the administration of IVIG. An external infusion pump is only covered under the DME benefit if the infusion pump is necessary to safely administer the drug. The Local Coverage Determination (LCD) for External Infusion Pumps identify the drugs and biologicals that the DME Medicare Administrative Contractors (MACs) have determined require the use of such pumps and cannot be administered via a disposable elastomeric pump or the gravity drip method.
                        <SU>141</SU>
                        <FTREF/>
                         As such, under the IVIG Demonstration, coverage does not extend to the DME pump, and thereby, would not be covered separately under the home IVIG items and services payment.
                    </P>
                    <FTNT>
                        <P>
                            <SU>140</SU>
                             Updated Interim Report to Congress: Evaluation of the Medicare Patient Intravenous Immunoglobulin Demonstration Project, August 2022 found at: 
                            <E T="03">https://innovation.cms.gov/data-and-reports/2022/ivig-updatedintrtc.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>141</SU>
                             
                            <E T="03">https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33794.</E>
                        </P>
                    </FTNT>
                    <P>We invite comments on any additional interpretations of items and services that may be considered under the scope of the home IVIG benefit.</P>
                    <HD SOURCE="HD3">2. Home IVIG Items and Services and the Relationship to/Interaction With Home Health and Home Infusion Therapy Services</HD>
                    <P>Prior to enactment of the CAA, 2023, IVIG administration items and services were explicitly excluded from coverage under the Part B IVIG benefit. However, if a beneficiary was considered homebound and qualified for the home health benefit, the items and services needed to administer IVIG in the home could be covered as home health services. Section 4134(b) of the CAA, 2023 excludes the IVIG items and services bundled payment in the case of an individual receiving home health services under section 1895 of the Act. Therefore, a beneficiary does not have to be considered confined to the home (that is, homebound) in order to be eligible for the home IVIG benefit; however, homebound beneficiaries requiring items and services related to the administration of home IVIG, and who are receiving services under a home health plan of care, may continue to receive services related to the administration of home IVIG as covered home health services. As such, in the case that a beneficiary is receiving home health services under the home health benefit, the home health agency could continue to bill for these items and services under the home health benefit and the drug would be continued to be paid under Part B. A separate payment for the IVIG items and services under the IVIG benefit would be prohibited.</P>
                    <P>
                        With regard to the home infusion therapy (HIT) services benefit, Medicare payment for home infusion therapy services is for services furnished in coordination with the furnishing of intravenous and subcutaneous infusion drugs and biologicals specified on the DME LCD for External Infusion Pumps (L33794),
                        <SU>142</SU>
                        <FTREF/>
                         with the exception of insulin pump systems and certain drugs and biologicals on a self-administered drug exclusion list. In order for the drugs and biologicals to be covered under the Part B DME benefit they must require infusion through an external infusion pump. If the drug or biological can be infused through a disposable pump or by a gravity drip, it does not meet this criterion. IVIG does not require an external infusion pump for administration purposes and therefore, is explicitly excluded from the DME LCD for External Infusion Pumps. However, subcutaneous immunoglobulin (SCIg) is covered under the DME LCD for External Infusion Pumps, and items and services for administration in the home are covered under the HIT services benefit. While a DME supplier and a HIT supplier (or a DME supplier also enrolled as a HIT supplier) could not furnish services related to the administration of immunoglobulin (either IVIG or SCIg) to the same beneficiary on the same day, a beneficiary could potentially receive services under both benefits for services related to the infusion of different drugs. For example, a DME supplier also accredited and enrolled as a HIT supplier, could furnish HIT services to a beneficiary receiving intravenous acyclovir as well as IVIG, and bill both the IVIG and the HIT services benefits on the same date of service. We also recognize that a beneficiary may, on occasion, switch from receiving immunoglobulin subcutaneously to intravenously and vice versa, and as such, utilize both the HIT services and the IVIG benefits within the same month. We invite comments on how typical it is for a patient to alternate between receiving IVIG and SCIg and the frequency with which it may occur.
                    </P>
                    <FTNT>
                        <P>
                            <SU>142</SU>
                             Local Coverage Determination (LCD): External Infusion Pumps (L33794) 
                            <E T="03">https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33794</E>
                            .
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">C. Proposed IVIG Administration Items and Services Payment</HD>
                    <P>As discussed previously, section 101 of the Medicare IVIG Access Act established the authority for a Demonstration providing payment for items and services needed for the in-home administration of IVIG. We believe the provisions established under that law serve as the basis for the conditions for payment with respect to the requirements that must be met for Medicare payment to be made to suppliers for the items and services covered under section 1861(s)(2)(Z) of the Act.</P>
                    <HD SOURCE="HD3">1. Home IVIG Administration Items and Services Supplier Type</HD>
                    <P>
                        Section 4134(b) of the CAA, 2023 amends section 1842(o) of the Act by adding a new paragraph (8) that establishes a separate bundled payment to the supplier for all items and services related to the administration of such intravenous immune globulin, described in section 1861(s)(2)(Z) of the Act to such individual in the patient's home during a calendar day. Section 4134(c) of the CAA, 2023 amends section 1834(j)(5) of the Act, which are a requirement for supplier of medical equipment and supplies, by adding a new subparagraph (E), clarifying with respect to payment, that items and services related to the administration of intravenous immune globulin furnished on or after January 1, 2024, as described in section 1861(zz) of the Act, are included in the definition of medical equipment and supplies. This means that suppliers that furnish IVIG administration items and services must meet the existing DMEPOS supplier requirement for payment purposes under this benefit. Suppliers of IVIG administration items and services must enroll as a DMEPOS supplier and comply with the Medicare program's DMEPOS supplier standards (found at 42 CFR 424.57(c)) and DMEPOS quality standards to become accredited for furnishing medical equipment and supplies. Further, in order to receive payment for home IVIG items and services, the supplier must also meet the requirements under subpart A of Part 424—Conditions for Medicare Payment. The DMEPOS supplier may subcontract with a provider in order to meet the professional services identified in section V.B.1. of this proposed rule. All professionals who furnish services directly, under an individual contract, 
                        <PRTPAGE P="43756"/>
                        or under arrangements with a DMEPOS supplier to furnish services related to the administration of IVIG in the home, must be legally authorized (licensed, certified, or registered) in accordance with applicable Federal, State, and local laws, and must act only within the scope of their State license or State certification, or registration. A supplier may not contract with any entity that is currently excluded from the Medicare program, any State health care programs or from any other federal procurement or non-procurement programs.
                    </P>
                    <HD SOURCE="HD3">2. Home IVIG Administration</HD>
                    <P>
                        Section 1861(s)(2)(Z) of the Act defines benefit coverage of intravenous immune globulin for the treatment of primary immune deficiency diseases 
                        <E T="03">in the home.</E>
                         Under the IVIG Demonstration, beneficiaries are eligible to participate if they receive IVIG services in “their home or a setting that is `home
                        <FTREF/>
                         like' 
                        <SU>143</SU>
                         ”. Section 410.12(b) identifies the supplier types who can furnish the services identified at § 410.10. Section 410.38 provides the conditions for payment for DME suppliers and identifies the institutions that may not qualify as the patient's home. As such, the home administration of IVIG items and services must be furnished in the patient's home, defined as a place of residence used as the home of an individual, including an institution that is used as a home. An institution that is used as a home may not be a hospital, CAH, or SNF as defined in § 410.38(b).
                    </P>
                    <FTNT>
                        <P>
                            <SU>143</SU>
                             Intravenous Immune Globulin Demonstration MLN Fact Sheet: 
                            <E T="03">https://www.cms.gov/files/document/mln3191598-intravenous-immune-globulin-demonstration.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">D. Proposed Home IVIG Items and Services Payment Rate</HD>
                    <HD SOURCE="HD3">1. Proposed Payment Amount for Home IVIG Items and Services for CY 2024</HD>
                    <P>Section 1842(o) of the Act provides the authority for the development of a separate bundled payment for Medicare-covered items and services related to the administration of intravenous immune globulin to an individual in the patient's home during a calendar day, in an amount that the Secretary determines to be appropriate. This payment may be based on the payment established pursuant to section 101(d) of the Medicare IVIG Access Act. Section 4134(d) of the CAA, 2023, amends section 1833(a)(1) of the Act to provide that, with respect to items and services related to the administration of IVIG furnished on or after January 1, 2024, as described in section 1861(zz) of the Act, the amounts paid shall be the lesser of the 80 percent of the actual charge or the payment amount established under section 1842(o)(8).</P>
                    <P>In accordance with section 101(d) of the Medicare IVIG Access Act, the Secretary established a per visit payment amount for the items and services needed for the in-home administration of IVIG based on the national per visit low-utilization payment amount (LUPA) under the prospective payment system for home health services established under section 1895 of the Social Security Act. Per the Demonstration, the bundled payment amount for services needed for the home administration of IVIG includes infusion services provided by a skilled nurse. Therefore, the bundled payment is based on the LUPA amount for skilled nursing, based on an average 4-hour infusion. The initial payment rate for the first year of the Demonstration, was based on the full skilled nursing LUPA for the first 90 minutes of the infusion and 50 percent of the LUPA for each hour thereafter for an additional 3 hours. Thereafter, the payment rate is annually updated based on the nursing LUPA rate for such year. The service is subject to coinsurance and deductibles similar to other Part B services.</P>
                    <P>As we noted in sectionV.B.1. of this proposed rule, we believe that payment under section 1861(s)(2)(Z) of the Act covers the same items and services covered under the IVIG Demonstration. Likewise, we also agree that the professional services needed to safely administer IVIG in the home would be services furnished by a registered nurse. Therefore, we believe setting the CY 2024 payment rate for the home IVIG items and services under section 1861(s)(2)(Z) of the Act, based on the CY 2023 payment amount established under the Demonstration ($408.23) is appropriate. However, although the Demonstration used the LUPA rate, which is annually adjusted by the wage index budget neutrality factor, as well as the home health payment rate update percentage, we believe it is appropriate to propose to update the CY 2023 IVIG services Demonstration rate by only the CY 2024 home health payment rate update percentage and not include the wage index budget neutrality factor, as the IVIG items and services payment rate is not statutorily required to be geographically wage adjusted. Therefore, the proposed home IVIG items and services payment rate for CY 2024 would be $408.23*1.027 = $419.25.</P>
                    <P>
                        Further, although section 1842(o) of the Act states that payment is for the items and services furnished to an individual in the patient's home during a 
                        <E T="03">calendar day,</E>
                         we believe that, as the statute aligns the payment amount with such amount determined under the Demonstration, the best reading of “calendar day” is “per visit.” Additionally, we would expect a supplier to furnish only one visit per calendar day.
                    </P>
                    <P>We propose to establish a new Subpart R under the regulations at 42 CFR part 414 to incorporate payment provisions for the implementation of the IVIG items and services payment in accordance with section 1842(o) of the Act for home IVIG items and services furnished on or after January 1, 2024. We propose at § 414.1700(a), that a single payment amount is made for items and services furnished by a DMEPOS supplier per visit. We propose at § 414.1700(b), to set the initial payment amount equivalent to the CY 2023 “Services, Supplies, and Accessories Used in the home under the Medicare IVIG Demonstration” payment amount, updated by the proposed CY 2024 home health update percentage of 2.7 percent. We are soliciting comments on these payment proposals, including the proposed CY 2024 payment rate.</P>
                    <HD SOURCE="HD3">(a) Proposed Annual Payment Update</HD>
                    <P>As discussed previously, the IVIG Demonstration used the nursing LUPA rate, which is annually adjusted by the wage index budget neutrality factor, as well as the home health update percentage, as the payment rate for such year of services. Because the IVIG services payment is not geographically wage adjusted, we believe it is more appropriate to annually adjust the IVIG items and services payment rate only by the home health payment update percentage. As such we propose at § 414.1700(c), beginning in 2025, the per-visit payment amount from the prior year will be annually increased by the home health update percentage for the current calendar year. We solicit comments on the use of the home health update percentage to annually update the IVIG items and services payment beyond CY 2024.</P>
                    <HD SOURCE="HD2">E. Billing Procedures for Home IVIG Items and Services</HD>
                    <P>
                        In order to ensure a smooth transition for DME suppliers to bill for the items and services related to the home administration of IVIG, we will use the existing Q-code (Q2052) under the Demonstration, with a new descriptor (“Services, Supplies, and Accessories used in the Home for the Administration of Intravenous Immune Globulin”) in order to bill for items and services under Medicare FFS. The Q-
                        <PRTPAGE P="43757"/>
                        code would continue to be billed separately from, or on the same claim as, the J-code for the IVIG product and would be processed through the DME MACs. The Q-code should be billed as a separate claim line on the same claim for the same place of service as the J-code for the IVIG. In cases where the IVIG product is mailed or delivered to the patient prior to administration, the date of service for the administration of the IVIG (the Q-code) may be no more than 30 calendar days after the date of service on the IVIG product claim line. No more than one Q-code should be billed per claim line per date of service.
                    </P>
                    <P>If a provider is billing for multiple administrations of IVIG on a single claim, then the supplier would bill the Q-code for each date of service on a separate claim line, which would be payable per visit (that is, each time the IVIG is administered). There may be situations in which multiple units of IVIG are shipped to the patient and billed on a single “J” code claim line followed by more than one Q-code administration claim line, each with the date of service on which the IVIG was administered. However, only one Q-code shall be paid per infusion date of service. In order to implement the requirements for this separate bundled payment under section 1861(s)(2)(Z) of the Act, we would issue a Change Request (CR) prior to implementation of this payment, including the Q-code needed for billing, outlining the requirements for the claims processing changes needed to implement this payment.</P>
                    <HD SOURCE="HD1">VI. Hospice Informal Dispute Resolution and Special Focus Program</HD>
                    <HD SOURCE="HD2">A. Background and Statutory Authority</HD>
                    <P>Division CC, section 407 of the Consolidated Appropriations Act of 2021 (CAA), 2021, amended Part A of Title XVIII of the Act to add a new section 1822, and amended sections 1864(a) and 1865(b) of the Act, establishing new hospice program survey and enforcement requirements, required public reporting of survey information, and a new hospice hotline.</P>
                    <P>The provisions in the CAA, 2021 direct the Secretary to create a Special Focus Program (SFP) for poor-performing hospice programs, give authority for imposing enforcement remedies for noncompliant hospice programs, and require the development and implementation of a range of remedies as well as procedures for appealing determinations regarding these remedies. These enforcement remedies can be imposed instead of, or in addition to, termination of the hospice programs' participation in the Medicare program. The remedies include civil money penalties (CMP), directed in-service training, directed plan of correction, suspension of all or part of payments, and appointment of temporary management to oversee operations.</P>
                    <P>
                        In the CY 2022 HH PPS final rule (86 FR 62240), we addressed provisions related to hospice survey enforcement and other activities described in the rule. A summary of the finalized CAA, 2021 provisions regarding hospice survey and enforcement can be found in the CY 2022 HH PPS final rule (86 FR 62243), available at 
                        <E T="03">https://www.govinfo.gov/content/pkg/FR-2021-11-09/pdf/2021-23993.pdf.</E>
                         We finalized all the CAA, 2021 provisions related to hospice survey and enforcement in CY 2022 rulemaking except for the SFP. As outlined in the CY 2022 HH PPS final rule, we stated that we would consider public comments we received and seek additional collaboration with stakeholders to further develop a revised proposal and methodology for the SFP.
                    </P>
                    <P>
                        In the FY 2023 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements final rule (87 FR 4566) (Hospice rule), we affirmed our intention to initiate a hospice Technical Expert Panel (TEP) to provide input on the structure and methodology of the SFP. Public comments received in response to the FY 2023 Hospice rule generally supported CMS's efforts to establish an SFP and to convene a TEP as part of the SFP development. A 30-day call for nominations was held July 14 through August 14, 2022, and nine TEP members were selected, representing a diverse range of experience and expertise related to hospice care and quality. A CMS contractor convened a TEP in October and November 2022, which provided feedback and considerations on the preliminary SFP concepts, including developing a methodology to identify hospice poor-performers, criteria for completing the SFP and for termination from Medicare when a hospice cannot complete the SFP, and public reporting. Details from the TEP meetings, including their recommendations, are available in the TEP summary report 
                        <SU>144</SU>
                        <FTREF/>
                         on the CMS website at 
                        <E T="03">https://www.cms.gov/medicare/quality-safety-oversight-certification-compliance/hospice-special-focus-program.</E>
                    </P>
                    <FTNT>
                        <P>
                            <SU>144</SU>
                             2022 Technical Expert Panel and Stakeholder Listening Sessions: Hospice Special Focus Program Summary Report (April 28, 2023).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">B. Proposed Regulatory Provisions</HD>
                    <HD SOURCE="HD3">1. Overview</HD>
                    <P>In this proposed rule, we are proposing in Subpart M—Survey and Certification of Hospice Programs, to add new definitions of “Hospice Special Focus Program,” “IDR,” “SFP status,” and “SFP survey” at § 488.1105. We are also proposing a hospice informal dispute resolution process at § 488.1130 to provide hospice programs an informal opportunity to resolve disputes related to condition-level survey findings for those hospice programs that are seeking recertification from the State survey agency (SA), CMS, or reaccreditation from the accrediting organization (AO) for continued participation in Medicare. Informal dispute resolution would also be offered to hospice programs following a complaint or validation survey and those in the SFP. We are proposing the specific details on the hospice SFP at § 488.1135, which includes the criteria for selection and completion of the SFP, hospice termination from Medicare, and public reporting of the SFP. We are proposing that the hospice SFP will commence as of the effective date of the rule, and we anticipate selecting SFP hospices in CY 2024. We also propose to periodically review the effectiveness of the methodology and the algorithm.</P>
                    <HD SOURCE="HD3">2. Proposed Definitions (§ 488.1105)</HD>
                    <P>We propose to add four new definitions to § 488.1105, that would define the hospice SFP, IDR, SFP status, and SFP survey. The definitions proposed for hospice programs are as follows:</P>
                    <P>
                        <E T="03">• Hospice Special Focus Program (SFP)</E>
                         means a program conducted by CMS to identify hospices as poor performers, based on defined quality indicators, in which CMS selects hospices for increased oversight to ensure that they meet Medicare requirements. Selected hospices either successfully complete the SFP program or are terminated from the Medicare program.
                    </P>
                    <P>
                        <E T="03">• IDR</E>
                         stands for informal dispute resolution.
                    </P>
                    <P>
                        <E T="03">• SFP status</E>
                         means the status of a hospice provider in the SFP with respect to the provider's standing in the SFP, which is indicated by one of the following status levels: Level 1—in progress; Level 2—completed successfully; or Level 3—terminated from the Medicare program.
                    </P>
                    <P>
                        <E T="03">• SFP survey</E>
                         refers to a standard survey as defined in § 488.1105 and is performed after a hospice is selected for the SFP and is conducted every 6 months, up to three occurrences.
                        <PRTPAGE P="43758"/>
                    </P>
                    <HD SOURCE="HD3">3. Informal Dispute Resolution (§ 488.1130)</HD>
                    <P>We propose at new § 488.1130 to make an Informal Dispute Resolution (IDR) process available to hospice programs to address disputes related to condition-level survey findings following a hospice program's receipt of the official survey Statement of Deficiencies and Plan of Correction, Form CMS-2567. The proposed IDR for hospices would be similar to the process already in existence for home health agencies. The proposed IDR process for hospice programs, like that of HHAs, is for condition-level survey findings which may be the impetus for an enforcement action. Standard-level findings alone do not trigger an enforcement action and are not accompanied by appeal and hearing rights. The proposed IDR process would provide hospice programs an informal opportunity to resolve disputes regarding survey findings for those hospice programs seeking recertification from the SA, CMS, or reaccreditation from the AO for continued participation in Medicare. Additionally, proposed IDR may be initiated for programs under SA monitoring (either through a complaint investigation or validation survey) and those in the proposed SFP. For hospice programs deemed through a CMS-approved AO, the AO would receive the IDR request from their deemed facility program, following the same process and coordinating with CMS regarding any enforcement actions. In accordance with 42 CFR 488.5(a)(4), AOs must have a comparable survey process to the SAs. For deemed hospice programs, the AO communicates any condition-level findings to the applicable CMS Location. If a deemed hospice fails to meet the Medicare requirements or shows continued condition-level noncompliance, deemed status is generally removed and oversight is placed under the SA. The purpose of the proposed IDR process would be to provide an opportunity to settle disagreements at the earliest stage, prior to a formal hearing, and to conserve time and money resources potentially spent by the hospice, the SA, and CMS. The proposed IDR process may not be used to refute an enforcement action or selection into the SFP. Additionally, we propose that failure of CMS, or the State or the AO, as appropriate, to complete IDR must not delay the effective date of any enforcement action.</P>
                    <P>When survey findings indicate a condition-level deficiency (or deficiencies), the hospice program would be notified in writing of its opportunity to request an IDR for those deficiencies. This notice will would be provided to the hospice program when the CMS-2567 Statement of Deficiencies and Plan of Correction is issued to the hospice. We propose that the hospice's request for IDR must be submitted in writing (electronically or hard copy), include the specific survey findings that are disputed, and be submitted within the same 10 calendar days allowable for submitting an acceptable plan of correction.</P>
                    <P>The proposed IDR provision balances the need for hospice programs to avoid unnecessary disputes and protracted litigation using the most rapid mechanism for correcting deficiencies and aligning with the interests of hospice patients/caregivers. IDR is meant to be an informal process whereby the provider has an opportunity to address the surveyor's findings, either by disputing them or providing additional information.</P>
                    <P>We propose that if any survey findings are revised or removed by the State or CMS based on IDR, and if CMS accepts the IDR results, the CMS-2567 would be revised accordingly. If CMS accepts the IDR results and the revised Form CMS-2567, then CMS would adjust any enforcement actions imposed solely due to those cited and revised deficiencies. If the survey findings are upheld by CMS or the state following IDR, the Form CMS-2567 would not be revised based on the IDR and there would not be adjustments to the enforcement actions.</P>
                    <HD SOURCE="HD3">4. Special Focus Program (§ 488.1135)</HD>
                    <P>Section 1822(b) of the Act requires the Secretary to conduct a Special Focus Program for hospice programs that the Secretary has identified as having substantially failed to meet applicable requirements of the Act. We propose at § 488.1135 a hospice SFP to address issues that place hospice beneficiaries at risk for poor quality of care through increased oversight. We propose that specific criteria would be used to determine whether a hospice program participates in the SFP as outlined in the proposed rule. We also propose the proposed hospice SFP would commence as per the effective date of the final rule when published, and we anticipate selecting SFP hospices starting in CY 2024. We propose to periodically review the effectiveness of the methodology and the algorithm and make adjustments through rulemaking as necessary.</P>
                    <HD SOURCE="HD3">a. Proposed Hospice Special Focus Program Algorithm</HD>
                    <P>In establishing the proposed Hospice SFP, we examined the Special Focus Facility program for nursing homes and its methodology for facility selection. Although the proposed methodology for the hospice program SFP is similar in certain facets, the proposed SFP methodology is tailored specifically to this setting and to the data that is available to evaluate hospice performance.</P>
                    <P>We propose to identify a subset of 10 percent of hospice programs based on the highest aggregate scores determined by the algorithm. The hospices selected for the SFP from the 10 percent would be determined by CMS.</P>
                    <P>To identify “poor performance,” we have identified several indicators, namely, survey reports with Condition-Level Deficiencies (CLDs) and complaints with substantiated allegations, and CMS Medicare data sources from the Hospice Quality Reporting Program (HQRP) (Medicare claims and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey). These indicators, which can be used to identify potential poor performance, have been integrated into the proposed SFP algorithm to assist in identifying potential hospice providers for the SFP.</P>
                    <P>As discussed previously, we propose to use multiple data sources to provide a comprehensive view of the quality of care provided at the identified hospices. The compilation of these data sources illustrates areas of concern—validated/identified issues based on in-person/on-site review of a hospice to meet Medicare requirements; caregiver and public complaints about hospices not providing quality of care or not meeting Medicare requirements; and quality measures that inform the public of whether a hospice is providing expected care processes or outcomes. We believe these are indicators of poor quality hospice care. The proposed SFP algorithm is designed as an initial step in identifying poor quality indicators.</P>
                    <HD SOURCE="HD3">b. Proposed Use of Medicare Data Sources To Identify Poor Performing Hospices</HD>
                    <P>
                        To identify hospices with poor quality indicators, we propose using the most recent complete Medicare hospice data from two data sources: (1) hospice surveys; and (2) Medicare HQRP. Each source represents distinct dimensions of hospice care that we have identified as related to a hospice's performance or practices. From these data sources, we propose using multiple indicators of 
                        <PRTPAGE P="43759"/>
                        hospice care delivery to identify poor performing hospices (see Table 1). Hospices would be identified for potential SFP enrollment if they—(1) have data from any of the aforementioned data sources; (2) are listed as an active provider (that is, have billed at least one claim to Medicare FFS in the last 12 months); and (3) operate in the United States, including the District of Columbia and U.S. territories. Each data source and the proposed quality indicators are discussed further later in this preamble. Based on these proposed criteria, in CY 2019 through CY 2021 analytic file, 5,943 hospices would be eligible for participation in the SFP.
                    </P>
                    <GPH SPAN="3" DEEP="114">
                        <GID>EP10JY23.074</GID>
                    </GPH>
                    <HD SOURCE="HD3">(1) Hospice Survey Data</HD>
                    <HD SOURCE="HD3">(a) Quality-of-Care Condition-Level Deficiencies (CLDs)</HD>
                    <P>Hospices are surveyed for compliance with hospice program requirements prior to becoming certified as a hospice provider in Medicare (initial certification survey) and then at least once every 36 months (standard survey for recertification (§ 418.1110)), with roughly one-third of all hospices being surveyed each year. A post-survey revisit or follow-up survey may also occur to determine if the hospice corrected cited deficiencies. Hospice survey data (initial certification, standard recertification, and follow-up) is collected on the Certification And Survey Provider Enhanced Reports (CASPER) system. CMS will be posting publicly available hospice survey finding information to the Quality, Certification and Oversight Report (QCOR) website in CY 2023. For information related to the hospice survey process, we encourage the public to review the CMS State Operations Manual (SOM), Appendix M (internet Only Publication 100-07).</P>
                    <P>A CLD is cited on a survey when a hospice is found to be noncompliant with all or part of a condition of participation (CoP), which is one of the health and safety requirements all hospices are required to meet to participate in Medicare. As discussed in the QSOG memo (QSO-23-08-hospice) issued on January 27, 2023, a significant change in the hospice survey protocol was made to provide an enhanced approach to investigating the quality-of-care provided to hospice patients. While each of the 23 CoPs continues to have equal weight in the final certification decision, special attention is directed to those CoPs directly impacting patient care for purposes of the proposed SFP. Consistent with this enhanced survey process, we have identified 11 quality-of-care CoPs that directly contribute to the quality-of-care delivered to patients, their caregivers, and families, and believe that a cited CLD on any one of them may indicate a hospice is providing poor quality-of-care. Therefore, we propose to include the 11 quality-of-care CLDs noted in Table F2) as data indicators in the SFP algorithm. The SFP algorithm would focus on quality-of-care CLDs because they are based on observable quality concerns seen and reported by hospice surveyors to identify hospices that provide poorer quality-of-care to hospice patients. Additionally, we did not include all 23 hospice CoPs because we did not want to dilute the methodology's ability to identify quality concerns. However, we may explore incorporating other CoPs into the methodology, and we solicit comments on an alternative approach that would incorporate other CoPs in the calculation for the SFP algorithm.</P>
                    <GPH SPAN="3" DEEP="193">
                        <GID>EP10JY23.075</GID>
                    </GPH>
                    <PRTPAGE P="43760"/>
                    <P>We propose to count the total number of quality-of-care CLDs from the previous 3 consecutive years of data. Our analysis of data from CY 2019 through 2021 found that very few hospices are not present in the survey data, and that the overwhelming majority of hospices (88.3 percent of all proposed SFP-eligible hospices or 5,248 out of 5,943) had no quality-of-care CLDs cited over these 3 years. Of the 5,943 hospices identified that would be SFP-eligible under the CY 2019-2021 data, 5.7 percent (that is, 341 hospices) are not present in the survey data. This means that each of those 341 hospices has not yet received its standard survey or their survey results had not been recorded as of the time the data was accessed for analysis from the CASPER system and/or had no recorded substantiated complaint in the internet Quality Improvement and Evaluation System (iQIES). Considering public comments received on the CY 2022 HH PPS final rule (86 FR 62240) and the SFP TEP feedback, stakeholders expressed concern about inter-surveyor reliability and state-to-state variability in survey policy as potential drawbacks of including survey data as part of the SFP program methodology. However, the TEP also acknowledged the importance and value of survey data that identifies whether a hospice complies with Medicare requirements to support basic care quality. Furthermore, the TEP supported using the total count of quality-of-care CLDs to indicate significant noncompliance with multiple CoPs. To address the inter-surveyor reliability and variability concerns, we have implemented improvements to surveyor training guidelines to increase surveyor standardization between SAs and AOs. Based on our efforts to improve surveyor training, and considering the TEP and stakeholder concerns, we propose counting the total number of quality-of-care CLDs from the last 3 consecutive years of data.</P>
                    <HD SOURCE="HD3">(b) Substantiated Complaints</HD>
                    <P>In addition to quality-of-care CLDs, we propose to include the total number of substantiated complaints received against a hospice in the last 3 consecutive years of data before the release of the SFP selection list. Complaints against a hospice may be filed with the SA or Beneficiary and Family Centered Care Quality Improvement Organization at any time by a patient and/or caregiver(s) and hospice staff members (Medicare SOM Chapter 5). Once a complaint is filed with the SA, the SA can conduct an unannounced complaint investigation survey to substantiate or refute the complaint. If the allegation is found to be substantiated or confirmed, the SA informs the hospice and submits the findings to iQIES. A post-survey revisit or follow-up survey may also occur to determine if the hospice has made corrections and is in compliance with all requirements. A hospice may have many complaints filed against them, but not all complaints may be substantiated upon SA review. The results of the review of complaints are submitted to the iQIES system, which is not publicly available. Like quality-of-care CLDs, most hospices in our analysis currently have no substantiated complaints in the identified 3-year period. Our CY 2019-2021 survey data analysis found that currently 81.8 percent of hospice programs (that is,4,860 of the 5,943 SFP-eligible hospices) have had no substantiated complaints over the past 3 years. As noted previously, there are 5.7 percent of eligible hospices that have no survey data, or in other words, there is missingness in the survey data for those hospices. Unlike quality-of-care CLDs, where missingness is likely due to the absence of a recent survey, the absence of substantiated complaints from this data is likely because the hospice program has no substantiated complaints.</P>
                    <HD SOURCE="HD3">(2) Hospice Quality Reporting Program (HQRP) Data</HD>
                    <P>
                        In addition to survey data, we propose to use quality measures from the Hospice Quality Reporting Program (HQRP) to capture hospice care processes and beneficiary/caregiver care experiences. The HQRP includes data submitted by hospices via the Hospice Item Set (HIS), Medicare hospice claims, and the CAHPS Hospice Surveys. All Medicare-certified hospices must comply with these reporting requirements or face penalties for a failure to report, although some hospices may be exempt from reporting certain measures.
                        <SU>145</SU>
                        <FTREF/>
                         This ensures that most hospices have these data available for use in the SFP algorithm. These quality measure data are publicly available in the Provider Data Catalog (PDC) at 
                        <E T="03">https://data.cms.gov/provider-data/topics/hospice-care</E>
                         and Care Compare at 
                        <E T="03">https://www.medicare.gov/care-compare/?providerType=Hospice.</E>
                         A description of current HQRP measures and public reporting date
                        <E T="03">s</E>
                         is available online. We propose to include five publicly reported HQRP measures to identify poor performing hospices. The proposed measures are as follows:
                    </P>
                    <FTNT>
                        <P>
                            <SU>145</SU>
                             Information on the reporting requirements and Annual Payment Update payment penalties for the failure to report can be found on the HQRP Overview website or section 1814
                            <E T="03">(i)</E>
                             of the Act.
                        </P>
                    </FTNT>
                    <FP SOURCE="FP-1">• Medicare claims-based measure:—Hospice Care Index (HCI) Overall Score</FP>
                    <FP SOURCE="FP-1">• CAHPS Hospice Survey Data measures:</FP>
                    <FP SOURCE="FP-1">++ Help for Pain and Symptoms</FP>
                    <FP SOURCE="FP-1">++ Getting Timely Help</FP>
                    <FP SOURCE="FP-1">++ Willingness to Recommend this Hospice</FP>
                    <FP SOURCE="FP-1">++ Overall Rating of this Hospice</FP>
                    <HD SOURCE="HD3">(a) Hospice Care Index (HCI)</HD>
                    <P>We propose including the HCI overall score based on eight quarters of Medicare claims data. The HCI captures multiple aspects of care delivery across ten indicators that comprise a composite HCI overall score, with hospices earning a point for each indicator met (range: 0-10 such that a lower score indicates lower quality of care). The proposed HCI overall score indicates hospice care quality between admission and discharge (HCI Technical Report). Moreover, the HCI score is based on Medicare claims data, which provide direct evidence of care delivery decisions at a hospice that is readily available for all hospices. For public reporting, hospices with less than 20 claims over the eight quarters are excluded from reporting the measure. The HCI measure would also be suppressed if any 1 of the 10 indicators is not reported for any reason. Additional details of the HCI, such as the quality measure specifications, data period, and exclusion criteria, are available in the HQRP Quality Measure (QM) User's Manual posted on the HQRP Current Measures web page. The TEP and previous public comments generally supported the inclusion of HCI data in the preliminary methodology because the HCI captures a robust majority of hospices participating in Medicare and covers key aspects of the hospice care continuum. Our analysis of FYs 2019 to 2021 (excluding January through June 2020) HCI data found that 78.3 percent of hospice programs (that is, 4,656 of the 5,943 SFP-eligible hospices) had a publicly reported HCI score. The overwhelming majority of those hospices receive an HCI score of 8 or more out of 10—4,007 (86.1 percent) of the 4,656 SFP eligible hospices with an HCI score reported.</P>
                    <HD SOURCE="HD3">(b) CAHPS Hospice Survey</HD>
                    <P>
                        To represent decedent/caregiver experience of hospice care, and in consideration of TEP and stakeholder perspectives, we propose using four measures from the CAHPS Hospice Survey: (1) help for pain and symptoms; 
                        <PRTPAGE P="43761"/>
                        (2) getting timely help; (3) willingness to recommend the hospice; and (4) overall rating of the hospice. CAHPS Hospice Survey measure scores are calculated across eight rolling quarters for all hospices with at least 30 completed surveys. Some hospices do not participate in CAHPS as new hospices are exempt from reporting CAHPS measures for the calendar year in which they receive their CMS Certification Number (CCN), and hospices can apply for a CAHPS exemption if they serve fewer than 50 survey—eligible decedents/caregivers in a given calendar year. The CAHPS Hospice measures are publicly available from the Provider CAHPS Hospice Survey Data file on the Hospice PDC. Additional details are in the QM User's Manual on the HQRP Current Measures web page. These CAHPS Hospice Survey measure scores are also publicly reported on the Care Compare website at 
                        <E T="03">https://www.medicare.gov/care-compare/?providerType=Hospice.</E>
                         As discussed in the SFP TEP report, TEP and other stakeholders agreed that the algorithm is strengthened by including the four CAHPS Hospice Survey measures as they reflect caregiver-reported experiences in key areas of hospice quality not reflected in claims or inspection surveys.
                    </P>
                    <P>From the CAHPS Hospice Survey data, we propose to use adjusted bottom-box scores of the four measures described previously above to create a CAHPS Hospice Survey Index. As described in the CMS document, “Calculating CAHPS® Hospice Survey Top-, Middle-, and Bottom-Box Scores,” that summarizes the steps we use to calculate CAHPS Hospice Survey measure scores, “bottom-box” scores are calculated for each respondent as “100” if the respondent selected the least positive response categories for that question and “0” if the respondent selected a different response category; survey respondents who do not answer a question are not included in the scoring of that question. In the CAHPS Hospice Survey, different questions have different response scales, so the bottom-box responses vary across the survey. For example, for questions with response options of “Yes, definitely,” “Yes, somewhat,” and “No,” the bottom-box response is “No”; for questions with response options of “Never,” “Sometimes,” “Usually,” and “Always,” the bottom-box responses are both “Never” and “Sometimes”; Person-level bottom-box scores for each question are then adjusted for mode of survey administration and case-mix to produce hospice-level bottom-box scores. Bottom-box scores for a particular question can be interpreted as the percentage of respondents who selected the least positive response category(ies) after adjusting for mode of survey administration and differences in the mix of decedent/caregiver characteristics across hospices. Composite measure scores, such as those for Help for Pain and Symptoms and Getting Timely Help, are formed by taking the average of fully-adjusted hospice-level question scores within the composite. We propose using bottom-box scores for the SFP, because they quantify reported problematic care experiences. To create the CAHPS Hospice Survey Index, we propose to calculate a single score for each hospice by taking a weighted sum of the bottom-box scores for the four CAHPS measures, as described later in this section. Specifically, we propose that the two measures that represent overall assessments of hospice care (that is, Willingness to Recommend this Hospice and Overall Rating of this Hospice) each be given a weight of 0.5 as these measures assess similar concepts. We propose to weight the other two measures, Help for Pain and Symptoms and Getting Timely Help, at 1.0 each to reflect that these measures assess distinct aspects of care.</P>
                    <P>To illustrate, not including usually applied adjustments to the data for case mix and mode of survey administration, if Hospice A received a bottom-box score of 100 on the Overall Rating of this Hospice, that means that all the survey respondents responded to the question and gave the hospice an overall rating of zero to six, the least positive possible responses (middle-box options: 7-8; top-box option: 9-10). The hospice could then receive, a bottom-box score of 0 on the Help for Pain and Symptoms measure, meaning none of the survey respondents selected the least positive responses on any of the questions that make up this measure. If Hospice A also received a bottom-box score of 12 on the Willingness to Recommend this Hospice and a bottom-box score of 4.5 on the Getting Timely Help measure, meaning that approximately 12 percent and 4.5 percent of respondents, respectively, selected the bottom-box scores, then Hospice A's total CAHPS Hospice Survey Index would be 60.5, calculated as follows: ((100 + 12) * 0.5) + (0 + 4.5) = 60.5. The maximum value for the CAHPS Hospice Survey Index would be 300 points. For this index, a lower number of points would indicate a higher quality score.</P>
                    <P>Our analysis of CYs 2019 to 2021 (excluding January through June 2020) CAHPS Hospice Survey data found that 49.3 percent of eligible hospice programs (2,929 of the 5,943 SFP-eligible hospices) report the four CAHPS Hospice Survey measures. Compared to the other three indicators (quality-of-care CLDs, substantiated complaints, and HCI), the scores from the four CAHPS measures are more dispersed around their average value. The average CAHPS Hospice Survey Index value for these four measures combined is 24, with an overall range of 2 to 83 from the SFP-eligible hospices (lower scores indicate better performance; total possible range: 0-300). The distribution of these values is roughly symmetric and centered on an average such that the likelihood of observing a value different from the average value becomes smaller the further away the value is from the average.</P>
                    <HD SOURCE="HD3">c. Proposed Data Source Preparation</HD>
                    <P>We propose to compile the data for the algorithm indicators (quality-of-care CLDs, substantiated complaints, HCI, the four CAHPS Hospice measures) and remove hospices not eligible for SFP to create a single score for every hospice. A Medicare-certified hospice program would be included in the algorithm if it—(1) is an active provider that has billed at least one claim to Medicare FFS in the last 12 months as captured in iQIES; and (2) has data for at least one algorithm indicator.</P>
                    <P>For the HCI and CAHPS data, we propose pulling the latest HCI and CAHPS data from the Hospice PDC. For example, we would use data from November 2023 to identify the pool of hospices eligible to be in the SFP on or after January 1, 2024.</P>
                    <HD SOURCE="HD3">(1) Survey Data and HCI</HD>
                    <P>For the survey data, we propose the following steps to prepare data for the algorithm:</P>
                    <P>
                        • 
                        <E T="03">Step One:</E>
                         We propose to pull 3 consecutive years of survey data preceding the release of the SFP selection list, including data for all relevant hospice survey types (initial certification, standard, complaint, and follow-up surveys). For identifying the pool of hospices eligible to be in the SFP on or after January 1, 2024, we propose to use 2020-2023 survey data.
                    </P>
                    <P>
                        • 
                        <E T="03">Step Two:</E>
                         From the survey data in Step One, we propose to count the total number of quality-of-care CLDs for each hospice in the data file. Quality-of-care CLDs can be found in any hospice survey (initial certification, standard, complaint, follow-up). They are denoted within a survey under specific citation codes (Table F2).
                    </P>
                    <P>
                        • 
                        <E T="03">Step Three:</E>
                         From the data file in Step One, we propose to count the total 
                        <PRTPAGE P="43762"/>
                        number of substantiated complaints for each hospice in the data file. Substantiated complaints can be found in complaint and follow-up hospice surveys.
                    </P>
                    <P>Our initial analysis found that the proposed SFP-eligible hospices may have missing indicators from the survey data (quality-of-care CLDs, substantiated complaints,) and/or HCI. To address the algorithm's missing data for these indicators, we propose standardizing each indicator for quality-of-care CLDs, substantiated complaints, and HCI. Specifically, we propose that hospices missing any of these three indicators would be assigned a value of zero for that indicator after standardization (see section VI.B.4.d. of this proposed rule).</P>
                    <HD SOURCE="HD3">(2) CAHPS® Hospice Survey Data</HD>
                    <P>As discussed previously, CAHPS Hospice Survey data are not available for hospices that are exempt from participating due to size or newness, or for hospices for which there are fewer than 30 completed surveys over an eight-quarter reporting period. Since these hospices may differ systematically from hospices that do have publicly reported CAHPS Hospice Survey data, we do not believe it is appropriate to assign hospices the average value of the CAHPS Hospice Survey Index if they are missing these data. After standardizing the CAHPS Hospice Survey measures (using the same process for survey data and HCI as proposed in sections VI.B.4. and VI.B.4.d. of this proposed rule), we propose addressing missing CAHPS Hospice Survey data by averaging the total number of data indicators used to derive the score. The score for hospices with missing CAHPS Hospice Survey data would be based solely on all other indicators (CLDs, complaints, and HCI), and the score for hospices with available CAHPS Hospice Survey data includes the CAHPS Hospice Survey Index in addition to the other indicators (see section VI.B.4.d.(2) of this proposed ruled.</P>
                    <HD SOURCE="HD3">d. Proposed Data Source Standardization</HD>
                    <P>We propose standardizing each indicator (that is, quality-of-care CLDs, substantiated complaints, HCI, and the CAHPS Hospice Survey Index) to compare indicators equally despite each data source's different units of measurement. For example, both quality-of-care CLDs and substantiated complaints are continuous variables that have no ceiling to how many quality-of-care CLDs or substantiated complaints a single hospice can receive. In contrast, a hospice can only receive a maximum value of 10 from the HCI quality measure. Therefore, if we do not rescale HCI, we would be deemphasizing the importance of HCI for the SFP as a relevant dimension of care quality because the range of possible values for HCI is much smaller than the range of possible values for quality-of-care CLDs and substantiated complaints. By standardizing the data as proposed, we can understand how different the indicator is for a single hospice compared to the indicator from the average hospice and shift the unit to a magnitude of difference from the average across all indicators to compare the data source indicators under a shared measurement unit.</P>
                    <P>As a simplified example to illustrate the importance of standardization, Hospice A has one quality-of-care CLD and HCI score of 3. These two numbers' absolute differences are two (3 HCI−1 quality-of-care CLD = 2). However, examining the absolute difference in these numbers does not indicate that Hospice A delivers poor care quality. To better explain how these two indicators relate to one another and quality, we look at the likelihood that Hospice A would receive one quality-of-care CLD and the likelihood that it would receive an HCI score of 3. To determine this likelihood, we propose comparing these numbers to the respective averages of all other hospices for the indicators. The average number of quality-of-care CLDs for hospices is a little less than 0.5. Most hospices have zero quality-of-care CLDs. While a quality-of-care CLD of one is larger than the average (0.5), the magnitude of difference between the one quality-of-care CLD in Hospice A and the 0.5 quality-of-care CLDs for the average hospice is not very large. When considering HCI, the average HCI score for all hospices is 8.9 (a higher HCI score indicates better performance on the measure). An HCI score of three is a large difference from the average of 8.9, and as a result, it is unlikely that a hospice would receive this kind of score if it was an average HCI performer. The likelihood of observing a value different from the average is the type of information we propose to include to determine poor performers. By standardizing the indicators, we shift our interpretation from what value they received to an estimation of how likely they are to receive the value if they were an average hospice. We believe this approach would improve the proposed algorithm's ability to identify those hospice programs with the most unlikely values across our four indicators and those that are the poorest performers across indicators compared to all other active hospices in the SFP analytic file.</P>
                    <P>The previous fictitious example illustrates how indicators are standardized. We propose to adopt the most common standardization method, which would be applied to each of the indicators for a specific hospice (hospice indicators). For each indicator, this would be done by taking the indicator's observed value for the hospice and subtracting that indicator's average value for all hospices. We propose to then divide this number (the difference) by the standard deviation, a common measure of data variance, to tell us how clustered data are around the average (see the following equation).</P>
                    <GPH SPAN="3" DEEP="26">
                        <GID>EP10JY23.076</GID>
                    </GPH>
                    <P>As a function of this proposed approach, all indicators are centered with a mean of zero and a standard deviation of one. The transformed indicator tells us how likely a value for a given hospice would be observed and allows us to compare indicators (by adding them together) to determine which hospices have the most unlikely values compared to other hospices.</P>
                    <HD SOURCE="HD3">(1) Proposed Weighting of the Standardized Values</HD>
                    <P>The proposed standardization discussed earlier allows an indicator's data to be compared to another standardized indicator. Therefore, we would be comparing how different the observed value is from the average value to make all indicators mathematically equal. We propose to weight each indicator by multiplying an indicator by a constant value to account for their relative importance in the methodology.</P>
                    <P>
                        As part of our consideration for determining the weights for each indicator, the TEP and stakeholder listening sessions offered considerations related to weighting the data sources. In discussing the weighting of 
                        <PRTPAGE P="43763"/>
                        substantiated complaints, quality-of-care CLDs, and HCI, the TEP and stakeholders agreed that they represent relevant dimensions of care quality but did not raise concerns or discuss whether one of these indicators was more or less indicative of care quality relative to another. However, the TEP and stakeholders emphasized the importance of patient and caregiver perspectives represented by the CAHPS measures, noting they are the most integral dimension of hospice care quality. As discussed in the SFP TEP report on page 15, “some TEP members argued that the valuable perspectives of families and caregivers on the CAHPS Hospice Survey justified weighting it more than other data sources.” Based on the consistent feedback from the TEP and stakeholder listening sessions, we propose to weight the CAHPS Hospice Survey Index by twice that of the other measures (that is, multiply CAHPS Hospice Survey Index by two).
                    </P>
                    <HD SOURCE="HD3">(2) Proposed Approach for Missing CAHPS Data</HD>
                    <P>In three of the four indicators used in the algorithm, data exhibit an exceptional amount of concentration around the average value for the indicator. We propose replacing missing values in quality-of-care CLDs, substantiated complaints, and HCI with the average value for each of those indicators for an individual hospice to assign a score to that hospice (see section VI.B.4.d. of this proposed rule).</P>
                    <P>The CAHPS Hospice Survey, Index is distinct from these other three indicators for several reasons warranting separate treatment for its missingness. First, the CAHPS Hospice Survey Index does not exhibit the same high concentration around the average value as the other measures. This means that there is more variability in the CAHPS Hospice Survey Index than in the other indicators. As a result of this increased variability, it is increasingly unlikely that those values that are missing are close to the average value. Second, more hospices are missing CAHPS Hospice Survey data than are missing data for other indicators in the algorithm. In our review of the CY 2019-2021 analytic file (excluding January 1-June 30, 2020), there is CAHPS Hospice Survey data for only about 49 percent of all SFP-eligible hospices. Due to reporting exemptions for small and/or newer hospices, those missing values are disproportionately from that cohort of providers. Because of this trend, it is difficult to draw any conclusions about the missing values given that there are no data from small hospices by which we can compare if the smaller/newer hospice CAHPS average is similar to those for which we have observed data. Third, hospices with fewer than 50 distinct beneficiaries can file for an exemption from reporting CAHPS. If we replace missing CAHPS Hospice Survey measure values with the average value, poor performing small hospices could benefit from being small by opting into being treated as an average hospice by becoming exempt from reporting their poor CAHPS Hospice Survey measure values. For these reasons, we propose a different treatment for CAHPS Hospice Survey missingness. Instead of replacing missing CAHPS Hospice Survey measure scores with the average values for those measures, we propose to run hospices with data for CAHPS Hospice Survey measures through a version of the algorithm that considers the CAHPS Hospice Survey Index, and for those hospices that do not have CAHPS Hospice Survey data, through a version of the algorithm that does not consider the CAHPS Hospice Survey Index. To make the two resulting scores comparable, we then average the scores based on the total number of indicators used to calculate the score.</P>
                    <P>For the hospices without CAHPS Hospice Survey data, we would divide their scores by three because their score was calculated from three indicators: quality-of-care CLDs, substantiated complaints, and HCI. For the hospices with CAHPS Hospice Survey data, we would divide their scores by five because the weight on the CAHPS Hospice Survey Index means it is mathematically counted twice, so the indicators would be quality-of-care CLDs, substantiated complaints, HCI, and the CAHPS Hospice Survey Index, which is counted twice due to the weight of two on the indicator. This approach to handling missing CAHPS data is beneficial because it does not make assumptions about the values for missing CAHPS data.</P>
                    <P>
                        • 
                        <E T="03">With CAHPS Hospice Survey Index:</E>
                    </P>
                    <GPH SPAN="3" DEEP="25">
                        <GID>EP10JY23.077</GID>
                    </GPH>
                    <P>
                        • 
                        <E T="03">Without CAHPS Hospice Survey Index:</E>
                    </P>
                    <GPH SPAN="3" DEEP="25">
                        <GID>EP10JY23.078</GID>
                    </GPH>
                    <HD SOURCE="HD3">(3) Example Results</HD>
                    <P>To illustrate how the proposed algorithm would behave, we discuss later in this section how two example hospices' (Hospice A's and Hospice B's) algorithm scores would be produced based on their indicator values. As discussed previously, the methodology would be one step in determining whether a hospice is selected for the SFP.</P>
                    <P>
                        Hospice A is a large hospice, serving 500 beneficiaries on average over the last 3 years. Over the past 3 years, they received zero quality-of-care CLDs, two substantiated complaints, and an HCI score of nine. At the same time, their CAHPS Hospice Survey Index measure is 44.5, which is larger than the average value of 28, which may indicate a quality concern. When we standardize these values to examine how different they are from the average hospice, we find that their quality-of-care CLD standardized value is zero, their substantiated complaint standardized value is 0.6, their HCI is 0.1, and their CAHPS Hospice Survey Index is 2.4. As we suspected, three of their indicators are closely in line with the average hospice. Only their CAHPS Hospice Survey Index of 2.4 tells us that their bottom-box scores for the four quality measures is 2.4 standard deviations away from the average hospice. We would then include these four indicators in the algorithm: 0 + 0.6−0.1 + (2*2.4) = 5.3. As explained above, for hospices with CAHPS data, we would 
                        <PRTPAGE P="43764"/>
                        divide their scores by five, and since Hospice A has a CAHPS Hospice Survey Index, the final value would be divided by five. Hospital A's final algorithm score is: 5.3/5 = 1.06. We then take this score and compare it to all other scores generated from all hospices and put them in order from highest to lowest, and we find that Hospice A ranks at 331. Because of the algorithm's emphasis on CAHPS, Hospice A's poor CAHPS Hospice Survey Index would make it more likely to be identified as a candidate, but because Hospice A performed well on the other three indicators, it would be less likely to be selected as a SFP participant compared to other hospices.
                    </P>
                    <P>Hospice B is a mid-sized hospice serving an average of 120 distinct beneficiaries over the past 3 years. It has not reported CAHPS Hospice Survey data across the four measures. They received 42 substantiated complaints, 15 quality-of-care CLDs, and an HCI of 10. The number of substantiated complaints and quality-of-care CLDs are quite high even though they have achieved all 10 indicators of HCI. After we standardize, Hospice B's quality-of-care CLD value is 9.2, its complaint rate is 16.4, and its HCI is 0.9. We would calculate Hospice B's score in the following way: 9.2 + 16.4−0.9 = 24.7. As explained previously, for hospices without CAHPS® data, we would divide their scores by three, and since Hospice B does not have a CAHPS Hospice Survey Index, this final value would be divided by three: 24.7/3 = 8.2. When comparing this score of 8.2 to all other hospices, we would find that Hospice B has the highest algorithm score among all hospices, indicating it has the poorest quality indicator outcomes. Even though its HCI score is high and we do not know its CAHPS value, Hospice B's high substantiated complaint rate and high number of quality-of-care CLDs would make it a very likely candidate for the SFP.</P>
                    <HD SOURCE="HD3">e. Proposed Selection Criteria</HD>
                    <P>Based on public comment in the CY 2022 HH PPS final rule and recommendations from the SFP TEP and other stakeholders, we propose a SFP selection process that utilizes a no-stratification approach. In addition, we considered the input of the SFP TEP and stakeholders, who expressed that the selection approach should identify the poorest performing hospices, regardless of characteristics, such as size or location, and therefore favored an approach with no stratification by state or otherwise.</P>
                    <P>We propose at § 488.1135(b) that hospices with AO deemed status that are placed in the SFP would not retain deemed status and would be placed under CMS or, as needed, SA oversight jurisdiction until completion of the SFP or termination.</P>
                    <P>The number of hospices selected to participate in the SFP would be determined in the first quarter of each calendar year. The claims-based quality measure data used in the proposed algorithm is not available until November of each calendar year. This data is needed to run the algorithm, which is used to establish the aggregate score from which SFP participants are selected. As an SFP selectee, a hospice would not be removed from the SFP until they either meet the criteria for graduation or are terminated from the Medicare program.</P>
                    <HD SOURCE="HD3">f. Proposed Survey and Enforcement Criteria</HD>
                    <P>As indicated in the CAA, 2021 adding section 1822(b)(2) of the Act, once in the SFP, a hospice must be surveyed “not less than once every 6 months.” Based on the TEP discussion, TEP members agreed with the 6-month recertification survey frequency for hospices in the SFP, and we are proposing this frequency at proposed § 488.1135(c). Additionally, SFP hospices would be subject to one or more remedies specified in § 488.1220, and progressive enforcement remedies, as appropriate, at the discretion of CMS and consistent with 42 CFR part 488, subpart N. When CMS chooses to apply one or more remedies specified in § 488.1220, the remedies would be applied on the basis of noncompliance with one or more conditions of participation and may be based on failure to correct previous deficiency findings as evidenced by repeat condition-level deficiencies. The enforcement remedies could be imposed for an SFP hospice with condition-level deficiencies on a SFP survey or complaint survey while in the program. Furthermore, if subsequent surveys also result in the citation of a condition-level deficiency or deficiencies for an SFP hospice, the enforcement remedies imposed could be of increasing severity. Increasing severity could mean a higher CMP than was imposed for the earlier noncompliance or increasing from one remedy to more than one remedy being imposed. CMS would use its discretion to determine what remedies are most appropriate given the survey results, and the hospice may be subject to remedies of increasing severity.</P>
                    <HD SOURCE="HD3">g. Proposed SFP Completion Criteria</HD>
                    <P>
                        The TEP generally agreed that to complete and graduate from the SFP, SFP hospices should have no CLDs cited for two consecutive 6-month recertification surveys in an 18-month timeframe. TEP members also suggested that SFP hospices should have no substantiated complaints and less than a defined number of standard-level deficiencies (SLDs) on two consecutive 6-month recertification surveys within the 18-month timeframe to complete the SFP. TEP members recommended a stepwise completion process, with SFP hospices preliminarily graduating after completing two consecutive 6-month recertification surveys within the 18-month timeframe in accordance with all completion requirements as proposed at § 488.1135(d). We considered the TEP's recommendations. However, we are proposing that SFP hospices have no CLDs for 
                        <E T="03">any</E>
                         two SFP surveys in an 18-month period. Therefore, we propose in new § 488.1135(d) that a hospice will have completed the SFP if it has in an 18-month timeframe, no CLDs cited or IJ's for any two 6-month SFP surveys, and has no pending complaint survey triaged at an immediate jeopardy or condition level, or has returned to substantial compliance with all requirements. If there are complaint investigations or a 36-month recertification survey for a hospice while in the SFP, the SFP timeline may extend beyond the 18-month timeframe. The official completion date would be the date of the CMS notice letter informing the hospice of its removal from the SFP. After completing the SFP, hospice programs would receive a one-year post SFP survey and then would start a new standard 36-month survey cycle.
                    </P>
                    <HD SOURCE="HD3">h. Proposed Termination Criteria</HD>
                    <P>
                        A hospice in the SFP that fails any two SFP surveys, by having any CLDs on the surveys, in an 18-month period, or pending complaint investigations triaged at IJ or condition-level, would be considered for termination from the Medicare program as proposed at new § 488.1135(e). This criterion would apply to all hospices, regardless of geographical location, and reflects some TEP recommendations. CMS would issue the termination letter to the hospice program in accordance with 42 CFR 489.53. Depending on the deficiencies that brought a hospice into the SFP, CMS recognizes that a provider may need a reasonable period to achieve substantial compliance. But, if the hospice is not able to achieve substantial compliance at any time during the 18 months, they would be considered for termination from the Medicare program. Those providers that are unable to resolve the deficiencies that brought them into the SFP and 
                        <PRTPAGE P="43765"/>
                        cannot meet the proposed completion criteria of having no CLDs cited for any two SFP surveys during an 18-month period, would be placed on a termination track. If a hospice in the SFP has an IJ-level deficiency cited during a survey, CMS would follow the requirements at § 488.1225.
                    </P>
                    <HD SOURCE="HD3">i. Public Reporting of SFP Information</HD>
                    <P>Public reporting of the proposed SFP includes making accessible both general information about the SFP program and hospices selected for SFP. A guideline for communicating SFP information appears in the section 407 of CAA, 2021 (Pub. L. 116-260), which requires hospice survey findings to be “prominent, easily accessible, readily understandable, and searchable for the general public and allows for timely updates.”</P>
                    <P>
                        We propose in new § 488.1135(f) to publicly report, at least on an annual basis, the hospice programs selected for the SFP under proposed § 488.1135(b). Initially, this information would be posted on a CMS public-facing website at 
                        <E T="03">https://www.cms.gov/medicare/quality-safety-oversight-certification-compliance/hospice-special-focus-program,</E>
                         or a successor website. Specifically, we propose the website will include, at a minimum, general information, program guidance, a subset consisting of 10 percent of hospice programs based on the highest aggregate scores determined by the algorithm, and SFP selections from the 10 percent subset as determined by CMS, and SFP status as proposed in the definitions at § 488.1105.
                    </P>
                    <HD SOURCE="HD1">VII. Proposed Changes Regarding Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)</HD>
                    <HD SOURCE="HD2">A. Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP)</HD>
                    <HD SOURCE="HD3">1. Background</HD>
                    <HD SOURCE="HD3">a. Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program</HD>
                    <P>Section 1847(a) of the Act, as amended by section 302(b)(1) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Pub. L. 108-173, December 8, 2003), mandates the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) for contract award purposes to furnish certain competitively priced DMEPOS items and services subject to the CBP—</P>
                    <P>• Off-the-shelf (OTS) orthotics, for which payment would otherwise be made under section 1834(h) of the Act;</P>
                    <P>• Enteral nutrients, equipment, and supplies described in section 1842(s)(2)(D) of the Act; and</P>
                    <P>• Certain DME and medical supplies, which are covered items (as defined in section 1834(a)(13) of the Act) for which payment would otherwise be made under section 1834(a) of the Act.</P>
                    <P>
                        For a list of product categories included in the DMEPOS CBP, please refer to 
                        <E T="03">https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSCompetitiveBid/Round-2021/PCs.</E>
                         Areas in which the CBP are not implemented are known as non-competitive bidding areas (non-CBAs). We use the term “former CBAs” to refer to the areas that were formerly CBAs prior to a gap in the CBP, to distinguish those areas from “non-CBAs.” More information on why there was a gap in the CBP from January 1, 2019, through December 31, 2020, can be found in the November 14, 2018 final rule titled “Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments To Correct Existing Regulations Related to the CBP for Certain DMEPOS,” (83 FR 56922).
                    </P>
                    <HD SOURCE="HD3">b. Fee Schedule Adjustment Methodology for Non-CBAs</HD>
                    <P>Section 1834(a)(1)(F)(ii) of the Act requires the Secretary to use information on the payment determined under the Medicare DMEPOS CBP to adjust the fee schedule amounts for DME items and services furnished in all non-CBAs on or after January 1, 2016. Section 1834(a)(1)(F)(iii) of the Act requires the Secretary to continue to make these adjustments as additional covered items are phased in under the CBP or information is updated as new CBP contracts are awarded. Similarly, sections 1842(s)(3)(B) and 1834(h)(1)(H)(ii) of the Act authorize the Secretary to use payment information from the DMEPOS CBP to adjust the fee schedule amounts for enteral nutrition and OTS orthotics, respectively, furnished in all non-CBAs. Section 1834(a)(1)(G) of the Act requires the Secretary to specify the methodology to be used in making these fee schedule adjustments by regulation, and to consider, among other factors, the costs of items and services in non-CBAs (where the adjustments would be applied) compared to the single payment amounts for such items and services in the CBAs.</P>
                    <P>The methodologies set forth in § 414.210(g) account for regional variations in prices, including for rural and non-contiguous areas of the United States. In accordance with § 414.210(g)(1), regional adjustments to fee schedule amounts for each state in the contiguous United States and the District of Columbia, are determined based on the definition of region in § 414.202, which refers to geographic areas defined by the Bureau of Economic Analysis (BEA) in the Department of Commerce for economic analysis purposes (79 FR 66226). Under § 414.210(g)(1)(i) through (iv), adjusted fee schedule amounts for areas within the contiguous United States are determined based on regional prices limited by a national ceiling of 110 percent of the regional average price and a floor of 90 percent of the regional average price (79 FR 66225). Under § 414.210(g)(1)(v), adjusted fee schedule amounts for rural areas are based on 110 percent of the national average of regional prices. Under § 414.210(g)(2), fee schedule amounts for non-contiguous areas are adjusted based on the higher of the average of the single payment amounts for CBAs in non-contiguous areas in the United States, or the national ceiling amount.</P>
                    <P>Under existing rules, ZIP codes for rural, non-rural, and non-contiguous areas are used to establish geographic areas that are then used to define non-CBAs for the purposes of the DMEPOS fee schedule adjustments. A rural area is defined in §  414.202 as a geographic area represented by a postal ZIP code, if at least 50 percent of the total geographic area of the area included in the ZIP code is estimated to be outside any Metropolitan Statistical Area (79 FR 66228). A rural area also includes a geographic area represented by a postal ZIP code that is a low population density area excluded from a CBA in accordance with section 1847(a)(3)(A) of the Act at the time the rules in § 414.210(g) are applied. Non-contiguous areas refer to areas outside the contiguous United States—that is, areas such as Alaska, Guam, and Hawaii (81 FR 77936).</P>
                    <PRTPAGE P="43766"/>
                    <P>Section 3712 of the of the CARES Act (Pub. L. 116-136, as enacted on March 27, 2020) revised the fee schedule amounts for certain DME and enteral nutrients, supplies, and equipment furnished in non-CBAs through the duration of the emergency period described in section 1135(g)(1)(B) of the Act. Specifically, this emergency period is the Public Health Emergency (PHE) for COVID-19, including renewals of the PHE.</P>
                    <P>Section 3712(a) of the CARES Act directed the Secretary to implement § 414.210(g)(9)(iii) (or any successor regulation), to apply the transition rule described in such section to all applicable items and services as planned through December 31, 2020, and through the duration of the emergency period described in section 1135(g)(1)(B) of the Act, if longer. Therefore, section 3712(a) of the CARES Act continued our policy at § 414.210(g)(9)(iii) of paying for DMEPOS items and services furnished in rural and non-contiguous non-CBAs based on a 50/50 blend of adjusted and unadjusted fee schedule amounts through December 31, 2020, or through the duration of the emergency period, whichever is longer. This fee schedule adjustment in rural and non-contiguous areas results in fee schedule amounts that are approximately 66 percent higher than the fully adjusted fee schedule amounts previously paid for DMEPOS items and services furnished in non-rural areas in the contiguous United States.</P>
                    <P>Section 3712(b) of the CARES Act directed the Secretary to increase the fee schedule amounts for DMEPOS items and services furnished in non-CBAs other than rural and non-contiguous non-CBAs through the duration of the COVID-19 PHE (the emergency period described in section 1135(g)(1)(B) of the Act). Beginning March 6, 2020, the payment rates for DME and enteral nutrients, supplies, and equipment furnished in these areas was based on 75 percent of the adjusted fee schedule amount and 25 percent of the historic, unadjusted fee schedule amount until the end of the emergency period, which results in higher payment rates as compared to the fully adjusted fee schedule amounts under § 414.210(g)(9)(iv). This increased payments so that they are approximately 33 percent higher than the payments at the fully adjusted fee schedule amounts.</P>
                    <P>In the May 8, 2020, interim final rule with comment period (IFC) (85 FR 27550) titled “Medicare and Medicaid Programs, Basic Health Program, and Exchanges; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency and Delay of Certain Reporting Requirements for the Skilled Nursing Facility Quality Reporting Program” (hereinafter referred to as the “May 2020 COVID-19 IFC”), conforming changes were made to § 414.210(g)(9), consistent with section 3712(a) and (b) of the CARES Act.</P>
                    <P>
                        The final rule entitled, “Medicare Program; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Policy Issues, and Level II of the Healthcare Common Procedure Coding System (HCPCS); DME Interim Pricing in the CARES Act; Durable Medical Equipment Fee Schedule Adjustments To Resume the Transitional 50/50 Blended Rates To Provide Relief in Rural Areas and Non-Contiguous Areas” published in the December 28, 2021 
                        <E T="04">Federal Register</E>
                         (86 FR 73860) (hereinafter CY 2022 DMEPOS final rule), established fee schedule adjustment methodologies for items and services furnished in non-CBAs on or after February 28, 2022, or the date immediately following the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)), whichever is later.
                    </P>
                    <P>The CY 2022 DMEPOS final rule explained that the 50/50 blended rates in non-contiguous non-CBAs will continue to be paid, but the 50/50 blend would no longer be a transition rule under § 414.210(g)(9) and would instead be the fee schedule adjustment methodology for items and services furnished in these areas under § 414.210(g)(2) unless revised in future rulemaking. For items and services furnished in non-contiguous non-CBAs, the fee schedule amounts for such items and services furnished on or after the effective date of the CY 2022 DMEPOS final rule (February 28, 2022), or the date immediately following the duration of the emergency period described in section 1135(g)(1)(B) of the Act, whichever is later, would be adjusted so that they are equal to a blend of 50 percent of the greater of the average of the SPAs for the item or service for CBAs located in non-contiguous areas or 110 percent of the national average price for the item or service determined under § 414.210(g)(1)(ii) and 50 percent of the unadjusted fee schedule amount for the area, which is the fee schedule amount in effect on December 31, 2015, increased for each subsequent year beginning in 2016 by the annual update factors specified in sections 1834(a)(14), 1834(h)(4), and 1842(s)(1)(B) of the Act, respectively, for durable medical equipment and supplies, off-the-shelf orthotics, and enteral nutrients, supplies, and equipment (86 FR 73873).</P>
                    <P>As explained in the CY 2022 DMEPOS final rule, the 50/50 blended rates in rural contiguous areas will continue to be paid, but the 50/50 blend would no longer be a transition rule under § 414.210(g)(9) and would instead be the fee schedule adjustment methodology for items and services furnished in these areas under § 414.210(g)(2) unless revised in future rulemaking. For items and services furnished in rural contiguous areas on or after February 28, 2022, or the date immediately following the duration of the emergency period described in section 1135(g)(1)(B) of the Act, whichever is later, the fee schedule amounts would be adjusted so that they are equal to a blend of 50 percent of 110 percent of the national average price for the item or service determined under § 414.210(g)(1)(ii) and 50 percent of the fee schedule amount for the area in effect on December 31, 2015, increased for each subsequent year beginning in 2016 by the annual update factors specified in sections 1834(a)(14), 1834(h)(4), and 1842(s)(1)(B) of the Act, respectively, for DME and medical supplies, off-the-shelf orthotics, and enteral nutrients, supplies, and equipment (86 FR 73873).</P>
                    <P>Finally, for items and services furnished on or after February 28, 2022, or the date immediately following the termination of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)) (that is, the COVID-19 PHE), whichever is later, in all other non-rural, non-CBAs within the contiguous United States, the fee schedule amounts would be equal to 100 percent of the adjusted payment amount established under § 414.210(g)(1)(iv).</P>
                    <HD SOURCE="HD3">2. Current Issues</HD>
                    <P>Section 4139 of Division FF, Title IV, Subtitle D of the CAA, 2023 sets the fee schedule adjustment methodologies for non-competitive bidding areas through the remainder of the duration of the emergency period described in section 1135(g)(1)(B) of the Act or December 31, 2023, whichever is later. The federal PHE for COVID-19, declared by the Secretary under Section 319 of the Public Health Service Act, expired at the end of the day on May 11, 2023. We are proposing to make conforming changes to the regulation at 42 CFR 414.210(g)(9) to account for these changes.</P>
                    <P>
                        Specifically, section 4139(a) of the CAA, 2023 directs the Secretary to implement 42 CFR 414.210(g)(9)(v) (or any successor regulation), to apply the 
                        <PRTPAGE P="43767"/>
                        transition rule described in the first sentence of such section to all applicable items and services furnished in areas other than rural or noncontiguous areas through the remainder of the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)) or December 31, 2023, whichever is later. This continues the policy set forth by section 3712(b) of the CARES Act, which requires CMS to pay for these DMEPOS items and services furnished in areas other than rural or noncontiguous areas based on 75 percent of the adjusted fee schedule amount and 25 percent of the historic, unadjusted fee schedule amount until the end of the emergency period. This increases payments so that they are approximately 33 percent higher than the payments at the fully adjusted fee schedule amounts.
                    </P>
                    <P>Section 4139(b) of the CAA, 2023 directs the Secretary to not implement 42 CFR 414.210(g)(9)(vi) of title 42, Code of Federal Regulations (or any successor regulation) until the date immediately following the last day of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)), or January 1, 2024, whichever is later. This change has the effect of continuing the policy at § 414.210(g)(9)(vi), but changes the February 28, 2022 date in the regulation to January 1, 2024. That is, the fee schedule amount for all non-CBAs is equal to the adjusted payment amount established under paragraph (g) of this section only until the date immediately following the last day of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)), or January 1, 2024, whichever is later.</P>
                    <P>Additionally, section 4139 of the CAA, 2023 does not affect the current adjusted fee schedule amounts in former CBAs. In accordance with § 414.210(g)(10), the fee schedule amounts in the former CBAs will continue to be based on the single payment amounts from 2018 increased by update factors for subsequent calendar years until new competitive bidding contracts are in place.</P>
                    <HD SOURCE="HD3">3. Proposed Changes</HD>
                    <P>We are proposing to make conforming changes to § 414.210(g)(9), consistent with requirements in section 4139(a) and 4139(b) of the CAA, 2023. First, section 4139 of the CAA, 2023 does not change the current policy under § 414.210(g)(9)(iii) of paying for DMEPOS items and services furnished in rural and non-contiguous non-CBAs based on a 50/50 blend of adjusted and unadjusted fee schedule amounts through the duration of the PHE for COVID-19. While section 4139 of the CAA, 2023 does not specifically mention § 414.210(g)(9)(iii), we believe that section 4139(b) of the CAA, 2023 prohibits implementation of the regulation language in § 414.210(g)(vi) until the date immediately following the last day of the PHE, or January 1, 2024. This regulation applies the transition rules for the adjusted payment amount in the non-CBAs established under paragraph (g) of § 414.210 to items and services furnished in “all areas,” and it also provides for extension of the transition 50/50 blended rates in rural, non-contiguous areas and non-rural areas through December 31, 2023, if the PHE ends prior to that date. We are proposing to revise § 414.210(g)(9)(vi), as described in this rule. Further, we are proposing to revise § 414.210(g)(9)(iii), to state that for items and services furnished in rural areas and non-contiguous areas (Alaska, Hawaii, and U.S. territories) with dates of service from June 1, 2018 through the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)) or December 31, 2023, whichever is later, based on the fee schedule amount for the area is equal to 50 percent of the adjusted payment amount established under this section and 50 percent of the unadjusted fee schedule amount. We are proposing to make conforming changes to § 414.210(g)(2) for the rural and non-contiguous areas in order to reference the December 31, 2023 date specified in section 4139 of the CAA, 2023.</P>
                    <P>We are proposing to revise § 414.210(g)(9)(v) to state that for items and services furnished in areas other than rural or noncontiguous areas with dates of service from March 6, 2020 through the remainder of the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)) or December 31, 2023, whichever is later, the fee schedule amount for the area is equal to 75 percent of the adjusted payment amount established under this section and 25 percent of the unadjusted fee schedule amount. We are proposing to remove outdated text from § 414.210(g)(9)(v) that states “for items and services furnished in areas other than rural or noncontiguous areas with dates of service from the expiration date of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)), through December 31, 2020, the fee schedule amount for the area is equal to 100 percent of the adjusted payment amount established under this section.” This is text was added in the May 2020 COVID-19 IFC (85 FR 27571), as section 3712(b) of the CARES Act required CMS to pay the higher fee schedule amounts for the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)), but it did not specify the fee schedule amounts that should be in effect if the emergency period ends before December 31, 2020. If not for section 3712(b) of the CARES Act, CMS would have paid the fully adjusted fee schedule amounts for DME items and services furnished in non-rural and contiguous non-CBAs until December 31, 2020. As such, § 414.210(g)(9)(v) specified that the fee schedule amounts in non-rural and contiguous non-CBAs would again be based on 100 percent of the fee schedule amounts adjusted in accordance with § 414.210(g)(1)(iv) if the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)) ended before December 31, 2020. As this situation no longer applies and is in the past, we are proposing to remove this obsolete text from § 414.210(g)(9)(v).</P>
                    <P>We are proposing to revise § 414.210(g)(9)(vi) to state that for items and services furnished in all areas with dates of service on or after the date immediately following the duration of the emergency period described in section 1135(g)(1)(B) of the Act, or January 1, 2024, whichever is later, the fee schedule amount for the area is equal to the adjusted payment amount established under paragraph (g) of this section. Finally, we are proposing to make conforming changes to § 414.210(g)(2) for the rural and non-contiguous areas in order to specify the December 31, 2023 date specified in section 4139 of the CAA, 2023.</P>
                    <P>Finally, section 4139(c) of the CAA, 2023 authorizes the Secretary to implement the provisions of this section by program instruction or otherwise. Given that the PHE for COVID-19 ended on May 11, 2023, which is prior to when the proposed changes to the regulations would be finalized, we intend to issue program instructions or other subregulatory guidance to effectuate the changes, as previously described. We believe this approach will serve to ensure a smooth transition after the end of the PHE for COVID-19.</P>
                    <HD SOURCE="HD2">B. Scope of the Benefit and Payment for Lymphedema Compression Treatment Items</HD>
                    <HD SOURCE="HD3">1. Statutory Authority</HD>
                    <P>
                        Effective for items furnished on or after January 1, 2024, section 4133(a)(1) 
                        <PRTPAGE P="43768"/>
                        of Division FF, Title V, Subtitle D of the CAA, 2023 amends section 1861 of the Act, adding subparagraph (JJ) to subsection (s)(2) and coverage under a new benefit category under Medicare Part B for lymphedema compression treatment items as defined in new subsection (mmm) of section 1861 of the Act. Section 4133(a)(2) of the CAA, 2023 amends section 1833(a)(1) of the Act, adding subparagraph (GG) to indicate that the amount paid for lymphedema compression treatment items defined in section 1861(mmm) of the Act shall be equal to 80 percent of the lesser of the actual charge or the amount determined using the payment basis established by the Secretary under paragraph (1) of new subsection (z) of section 1834 of the Act. Paragraph (2) of new subsection (z) of section 1834 of the Act prohibits payments under Part B for lymphedema compression treatment items furnished other than at such frequency as the Secretary may establish. Paragraph (3) of new subsection (z) of section 1834 of the Act specifies that in the case of lymphedema compression treatment items that are included in a competitive bidding program under section 1847(a) of the Act, the payment basis under section 1847(a) of the Act shall be the payment basis determined under the competitive bidding program, and the Secretary may use information on the payment determined under the competitive bidding program to adjust the payment amount otherwise determined under section 1834(z) of the Act for an area that is not a competitive bidding area under section 1847 of the Act. Section 4133(a)(3) of the CAA, 2023 amends section 1847(a)(2) of the Act, adding lymphedema compression treatment items to the competitive bidding program under subparagraph (D) of section 1847(a)(2) of the Act. Finally, section 4133(b)(3) of the CAA, 2023 amends section 1834 of the Act under subsections (a)(20)(D) and (j)(5) to mandate application of the DMEPOS quality standards and accreditation and DMEPOS supplier enrollment and supplier standards requirements, respectively, to suppliers of lymphedema compression treatment items.
                    </P>
                    <HD SOURCE="HD3">2. Background</HD>
                    <P>Currently, Medicare Part B does not include coverage for lymphedema compression treatment items other than compression pumps and accessories that meet the definition of DME covered under the DME benefit category under section 1861(n) of the Act. Section 4133 of the CAA, 2023 amends the Act to establish a new Part B benefit category for lymphedema compression treatment items.</P>
                    <P>
                        The lymphatic system is an integral component of the human circulatory system and consists of lymphatic vessels, lymph nodes and associated lymphoid organs.
                        <E T="51">146 147</E>
                        <FTREF/>
                         The International Society of Lymphology defines lymphedema as “an external (and/or internal) manifestation of lymphatic system insufficiency and deranged lymph transport” and is “a symptom or sign resulting from underlying lymphatic disease.
                        <FTREF/>
                        <SU>148</SU>
                         ” The Centers for Disease Control and Prevention (CDC) defines lymphedema as swelling due to a buildup of lymph fluid in the body.
                        <SU>149</SU>
                        <FTREF/>
                         According to the National Institutes of Health (NIH) National Library of Medicine, lymphedema is a chronic disorder characterized by swelling under the skin caused by the inability of protein rich lymph fluid to drain, usually due to a blockage or damage to the lymph system.
                        <SU>150</SU>
                        <FTREF/>
                         Additionally, according to the National Lymphedema Network, this swelling commonly occurs in the arm or leg, but it may also occur in other body areas including the breast, chest, head and neck, and genitals.
                        <SU>151</SU>
                        <FTREF/>
                         Lymphedema develops when a body region, where lymphatic vessels and lymph nodes are missing or impaired, becomes overloaded with lymphatic fluid. Lymphedema is a chronic condition with no definitive curative treatment that can become progressive, so early detection and institution of decompressive measures are essential in avoiding its potentially disabling sequela.
                        <E T="51">152 153 154 155</E>
                        <FTREF/>
                         The gradual accumulation of plasma and cellular components into the interstitial tissue space leads to a chronic inflammatory process that can result in long-term tissue changes and permanent structural damage to the affected anatomical site and its overlying skin layer.
                        <E T="51">156 157 158</E>
                        <FTREF/>
                         These changes also make the patient more susceptible to skin and potentially disabling or life-threatening soft tissue infections.
                        <E T="51">159 160</E>
                        <FTREF/>
                         The physical manifestations of lymphedema are tissue swelling, pain, heaviness and difficulty using the affected body part.
                        <SU>161</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>146</SU>
                             Aspelund A, Robciuc MR, Karaman S, Makinen T, Alitalo K. Lymphatic System in Cardiovascular Medicine. Circulation Research. 2016. Volume 118(3). 515-530.
                        </P>
                        <P>
                            <SU>147</SU>
                             Suamia H, Scaglioni MF. Anatomy of the Lymphatic System and the Lymphosome Concept with Reference to Lymphedema. Seminars in Plastic Surgery. 2018 Feb; 32(1): 5-11.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>148</SU>
                             International Society of Lymphology Executive Committee. The Diagnosis and Treatment of Peripheral Lymphedema. Lymphology 28 (1995).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>149</SU>
                             
                            <E T="03">Lymphedema CDC.gov.</E>
                              
                            <E T="03">https://www.cdc.gov/cancer/survivors/patients/lymphedema.htm.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>150</SU>
                             Lymphedema. Bryan C. Sleigh; Biagio Manna, September 2018. Found at 
                            <E T="03">https://www.ncbi.nlm.nih.gov/books/NBK537239/.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>151</SU>
                             
                            <E T="03">https://lymphnet.org/what-is-lymphedema.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>152</SU>
                             Korpan MI, Crevenna R, Fialka-Moser V. Lymphedema a Therapeutic Approach in the Treatment and Rehabilitation of Cancer Patients. American Journal of Physical Medicine and Rehabilitation. 2011. May. 90(suppl). S69-S75.
                        </P>
                        <P>
                            <SU>153</SU>
                             Preston NJ, Seers K, Mortimer PS. Physical therapies for reducing and controlling lymphoedema of the limbs. Cochrane Database of Systematic Reviews 2004, Issue 4. Art. No.: CD003141.
                        </P>
                        <P>
                            <SU>154</SU>
                             The International Society of Lymphology. The Diagnosis and Treatment of Peripheral Lymphedema: 2020 Consensus Document of the International Society of Lymphology. Lymphology. 2020. 53: 3-19.
                        </P>
                        <P>
                            <SU>155</SU>
                             King M, Deveaux A, White H, Rayson. Compression garments versus compression bandaging in decongestive lymphatic therapy for breast cancer-related lymphedema: a randomized controlled trial. Support Care Cancer. 2012; 20: 1031-1036.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>156</SU>
                             Korpan MI, Crevenna R, Fialka-Moser V. Lymphedema a Therapeutic Approach in the Treatment and Rehabilitation of Cancer Patients. American Journal of Physical Medicine and Rehabilitation. 2011. May. 90(suppl). S69-S75.
                        </P>
                        <P>
                            <SU>157</SU>
                             Warren AG, Brorson H, Borud LJ, Slavin SA. Lymphedema A Comprehensive Review. Annals of Plastic Surgery. 2007. Vol 59, No. 4. 464-472.
                        </P>
                        <P>
                            <SU>158</SU>
                             Ly CL, Kataru RO, Mehrara B. Inflammatory Manifestations of Lymphedema. Int J Mol Scie. 2017. Jan; 18(1): 171.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>159</SU>
                             Grada AA, Phillips TJ. Lymphedema, Pathophysiology and clinical manifestations. J Am Academ Dermatol. 2017;77: 1009-20.
                        </P>
                        <P>
                            <SU>160</SU>
                             Bakar Y, Tugral A. Lower Extremity Lymphedema Management after Gynecologic Cancer Surgery: A Review of Current Management Strategies. Ann of Vasc Surg. 2017. Vol. 44; 442-450.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>161</SU>
                             Warren AG, Brorson H, Borud LJ, Slavin SA. Lymphedema A Comprehensive Review. Annals of Plastic Surgery. 2007. Vol 59, No. 4. 464-472.
                        </P>
                    </FTNT>
                    <P>
                        Lymphedema occurs in four stages. Stage one may have no outward signs or symptoms but is evidenced by abnormal flow through the lymphatic system. When stage two is reached, there is some swelling that may be alleviated by elevation or compression. Stage three is diagnosed by swelling of an area that does not resolve with elevation and there may be skin thickening and scarring. The fourth stage is characterized by severe swelling and skin abnormalities.
                        <SU>162</SU>
                        <FTREF/>
                         Infections such as cellulitis and sepsis may result from lymphedema due to the dense protein rich nature of the lymphatic fluid and requires treatment with antibiotics.
                        <SU>163</SU>
                        <FTREF/>
                         Studies have shown that gradient compression garments are effective in reducing and/or preventing progression 
                        <PRTPAGE P="43769"/>
                        of lymphedema in the arm and leg.
                        <FTREF/>
                        <SU>164</SU>
                         They have also shown to be effective in maintaining limb circumference.
                    </P>
                    <FTNT>
                        <P>
                            <SU>162</SU>
                             The Johns Hopkins Hospital 
                            <E T="03">https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/treating-lymphedema.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>163</SU>
                             
                            <E T="03">https://www.cancerresearchuk.org/about-cancer/coping/physically/lymphoedema-and-cancer/infection-lymphoedema#:~:text=Infection%20in%20people%20with%20lymphoedema,and%20will%20need%20antibiotic%20treatment.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>164</SU>
                             Yasuhara H, Shigematsu H, Muto T. A study of the advantages of elastic stockings for leg lymphedema. Int Angiol. 1996 Sep;15(3):272-7. PMID: 8971591. 
                            <E T="03">https://pubmed.ncbi.nlm.nih.gov/8971591/.</E>
                        </P>
                    </FTNT>
                    <P>
                        Gradient compression garments designed for daytime use, while an individual is awake, are different than those for nighttime use, when an individual is asleep. Gradient compression garments meant for daytime (waking) provide a higher level of compression, and use of them while sleeping could cause new or additional damage to the affected tissue.
                        <SU>165</SU>
                        <FTREF/>
                         Additionally, gradient compression garments appropriate for daytime use can inadvertently become repositioned at night while the individual is sleeping and cause a tourniquet effect, essentially cutting off circulation to the limb and resulting in further swelling.
                        <SU>165</SU>
                         In contrast, gradient compression garments made for nighttime use or times of low activity offer milder compression and are less snug against the skin.
                        <SU>166</SU>
                        <FTREF/>
                         Wearing gradient compression garments designed for nighttime use may also help with skin abnormalities resulting from lymphedema and can help prevent a phenomenon called “creeping refill,” where swelling reoccurs during sleep.
                        <SU>167</SU>
                        <FTREF/>
                         Generally, more serious cases require gradient compression garments for both daytime and nighttime use. Various types of nighttime garments have been designed as alternatives to the day time compression system garments. Nighttime garments apply gentle gradient pressure to the limb through a garment with a foam liner and a series of adjustable straps. The garments are non-elastic and provide low resting pressure on the limb, making them safe to wear while sleeping at night.
                        <SU>168</SU>
                        <FTREF/>
                         Many of these garments are custom-made, but there are ready-to-wear options available as well. The elastic fibers of daytime compression garments will break down with wear. Because nighttime garments are made of inelastic components, compared to the day-time garments, they do not commonly break down with wear and last longer. While proper care will increase the lifespan of garments, they will need to be replaced sometime within 1 to 3 years if used daily. Studies showed if the garments are used with aftercare regimen, that is, they are in minimum contact with moisturizer during use, they could last longer.
                        <SU>169</SU>
                        <FTREF/>
                         In meetings with CMS, some clinicians and lymphologists indicated that they believe that the nighttime garments are quite durable and can last for 2 to 3 years because the materials are more durable than the materials used with the daytime garments. They also indicated that previous versions used strapping in addition to more durable foam materials and could last for up to 5 years. In comparison, daytime garments are elastic garments that are typically made of breathable elastic fabrics such as nylon, cotton, spandex or natural rubber to provide compression and therefore have a much shorter lifespan of approximately 6 months.
                        <SU>170</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>165</SU>
                             Lymphedema Products, LLC. (2019, September 11). 
                            <E T="03">Day Compression</E>
                             vs 
                            <E T="03">Night Compression. Lymphedemaproducts.com. https://www.lymphedemaproducts.com/blog/day-vs-night-compression-wear/.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>166</SU>
                             Caring Touch Medical, Inc. 
                            <E T="03">Can You Sleep in a Lymphedema Sleeve? Caringtouchmed.com. https://www.caringtouchmed.com/can-you-sleep-in-a-lymphedema-sleeve/.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>167</SU>
                             Mastectomy Shop. 
                            <E T="03">Can You Sleep in a Lymphedema Sleeve? Mastectomyshop.com. https://www.mastectomyshop.com/blogs/can-you-sleep-in-a-lymphedema-sleeve/.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>168</SU>
                             McNeely, M. L. 
                            <E T="03">et al.</E>
                             Nighttime compression supports improved self‐management of breast cancer related lymphedema: A multicenter randomized controlled trial. 
                            <E T="03">Cancer</E>
                             128, 587-596 (2021).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>169</SU>
                             Macintyre, Lisa Ph.D.; Gilmartin, Sian BSc; Rae, Michelle BSc; Journal of Burn Care &amp; Research: September/October 2007—Volume 28—Issue 5—pp 725-733.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>170</SU>
                             Mukhopadhyay, A., &amp; Shaw, V. P. (2022). Reliability analysis of stretchable workwear fabric under abrasive damage: Influence of stretch yarn composition. 
                            <E T="03">Journal of Natural Fibers, 20</E>
                            (1).
                        </P>
                    </FTNT>
                    <P>
                        Gradient compression garments are either standard fit or custom-fit. Standard compression garments are also referred to as ready-made or ready-to-wear and are widely available pre-made, off-the-shelf and in a range of standard sizes. Individuals with mild or moderate lymphedema can often use standard fit garments. Standard gradient compression garments are easier to measure and are readily available at retailers without requiring a prescription, but they do not conform as well to limbs or provide homogenous compression. Standard fit compression wear for all gradient compression garments come in different compression classification ranges specified in mmHg. While there are no national standards for gradient compression hosiery,
                        <SU>171</SU>
                        <FTREF/>
                         the most common compression classification ranges for hosiery in the U.S. include: 8-15 mmHg (mild), 15-20 mmHg (medium or over the counter), 20-30 mmHg (firm or medical class 1), 30-40 mmHg (extra firm or medical class 2), and 40-50 mmHg (medical class 3).
                        <SU>172</SU>
                        <FTREF/>
                         For all compression ranges, the highest compression is at the ankle or wrist, and compression slowly decreases as it moves up the extremity. Some manufacturers' compression class pressure ranges for hosiery may be different from the compression class ranges used for upper limb gradient compression garment.
                        <SU>173</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>171</SU>
                             Lymphedema Framework. Best Practice for the Management of Lymphoedema. International Consensus. London. MEP Ltd, 2006. 
                            <E T="03">https://www.woundsme.com/uploads/resources/content_11160.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>172</SU>
                             Lymphedema Products, LLC. 
                            <E T="03">Determining Compression Levels. Lymphedemaproducts.com. https://www.lymphedemaproducts.com/blog/how-to-determine-compression-levels-for-your-garments/.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>173</SU>
                             Lympoedema Framework. Best Practice for the Management of Lymphoedema. International Consensus. London. MEP Ltd, 2006. 
                            <E T="03">https://www.woundsme.com/uploads/resources/content_11160.pdf.</E>
                        </P>
                    </FTNT>
                    <P>
                        Alternatively, custom-fit gradient compression garments are garments that are uniquely sized, shaped, and custom-made to fit the exact dimensions of the affected extremity (circumferential measurements are every one and a half to two inches) and provide more accurate and consistent gradient compression to manage the individual's symptoms.
                        <SU>174</SU>
                        <FTREF/>
                         The type of gradient compression garment prescribed is influenced by the site and extent of the swelling, together with the individual's comfort, lifestyle, preferences, and ability to apply and remove garments. Poorly fitting gradient compression garments may not contain or resolve the lymphedema, can cause tissue damage, may be uncomfortable, and can dissuade a patient from long-term usage.
                        <SU>175</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>174</SU>
                             
                            <E T="03">https://www.forwardhealth.wi.gov/kw/html/3485_Compression_Garments.html.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>175</SU>
                             Doherty DC, Morgan PA, &amp; Moffatt CJ (2009). Hosiery in Lower Limb Lymphedema. 
                            <E T="03">J Lymphoedema,</E>
                             4(1), 30-37. 
                            <E T="03">https://www.woundsme.com/uploads/resources/content_11160.pdf.</E>
                        </P>
                    </FTNT>
                    <P>
                        Custom-fit gradient compression garments are typically required when an individual has severe shape distortion and/or short, long, or bulky limbs.
                        <SU>176</SU>
                        <FTREF/>
                         In addition, individuals with complex lower limb and torso lymphedema often require custom-fit gradient compression garments, as do those who need special adaptations or when there is need for varying levels of pressure within the same garment.
                        <SU>177</SU>
                        <FTREF/>
                         Some studies indicate that approximately 50 percent of lymphedema patients require custom-fit gradient compression garments versus standard fit gradient compression 
                        <PRTPAGE P="43770"/>
                        garments for effective treatment, although estimates vary.
                        <E T="51">178 179</E>
                        <FTREF/>
                         Patients requiring custom-fit gradient compression garments must be properly evaluated and fitted by a qualified practitioner with appropriate training and specialized skills in the evaluation of gradient compression, such as a physical or occupational therapist, or a physician.
                    </P>
                    <FTNT>
                        <P>
                            <SU>176</SU>
                             Chang M-H, Chang DW, &amp; Patel KM (2022). “Lymphedema Risk Reduction and Management” in 
                            <E T="03">Principles and Practice of Lymphedema Surgery,</E>
                             2nd Ed., 78-90. 
                            <E T="03">https://www.sciencedirect.com/topics/medicine-and-dentistry/compression-garment.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>177</SU>
                             Doherty DC, Morgan PA, &amp; Moffatt CJ (2009). Hosiery in Lower Limb Lymphedema. 
                            <E T="03">J Lymphoedema,</E>
                             4(1), 30-37. 
                            <E T="03">https://www.woundsme.com/uploads/resources/content_11160.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>178</SU>
                             Lymphedema Advocacy Group (2021 Apr). “Cost and Utilization of Lymphedema Compression Garments.” 
                            <E T="03">https://lymphedematreatmentact.org/wp-content/uploads/2021/04/Cost-and-Utilization-of-Lymphedema-Compression-Garments.pdf.</E>
                        </P>
                        <P>
                            <SU>179</SU>
                             Boyages J, Xu Y, Kalfa S, Koelmeyer L, Parkinson B, Mackie H, Viveros H, Gollan P, &amp; Taksa L (2017). Financial cost of lymphedema borne by women with breast cancer. 
                            <E T="03">Psychooncology,</E>
                             26(6), 849-855. doi: 10.1002/pon.4239. 
                            <E T="03">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484300/.</E>
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">3. Current Issues: Scope of the Benefit for Lymphedema Compression Treatment Items</HD>
                    <P>This proposed rule would implement a new benefit category established at section 1861(s)(2)(JJ) of the Act for “lymphedema compression treatment items” defined at section 1861(mmm) of the Act as standard and custom fitted gradient compression garments and other items determined by the Secretary that are—</P>
                    <P>• Furnished on or after January 1, 2024, to an individual with a diagnosis of lymphedema for the treatment of such condition;</P>
                    <P>• Primarily and customarily used to serve a medical purpose and for the treatment of lymphedema, as determined by the Secretary; and</P>
                    <P>• Prescribed by a physician (or a physician assistant, nurse practitioner, or a clinical nurse specialist (as these terms are defined in section 1861(aa)(5)) to the extent authorized under State law).</P>
                    <P>We are proposing that any other items covered under this new benefit category in addition to gradient compression garments must also use compression in treating lymphedema since the specific category of medical items to be covered under section 1861(s)(2) of the Act are “lymphedema compression treatment items.” Similarly, we are proposing that this benefit category is limited to compression treatment items and does not include professional lymphedema treatment services or other services not directly related to the furnishing of the lymphedema compression treatment items. Payment for any covered professional service related to these items would be made under the Medicare Physician Fee Schedule. The statute limits the benefit to items used for the treatment of lymphedema as determined by the Secretary, and we are proposing that this includes items used to treat all types or diagnoses of lymphedema, but does not include the same items when used to treat injuries or illnesses other than lymphedema. In other words, if a gradient compression garment or other lymphedema compression treatment item is furnished to treat an injury or illness other than lymphedema, those items would not be classified under the Medicare benefit category for lymphedema compression treatment items.</P>
                    <P>We are proposing that other compression items used to treat lymphedema that would be covered under this benefit category in addition to gradient compression garments would include ready-to-wear, non-elastic, gradient compression wraps with adjustable straps such as the items described by HCPCS code A6545. In addition, we are proposing that compression bandaging systems applied in a clinical setting as part of phase one decongestive therapy would also be items covered under the new benefit category for lymphedema compression treatment items if this rule is finalized. However, as discussed in section VII.B.6. of this rule, section 1834(j) of the Act, as amended by section 4133(b)(2) of the CAA, 2023, requires the therapists that furnish these items to become enrolled and accredited DMEPOS suppliers in order to bill for these items as lymphedema compression treatment items per section 1834(j)(5) of the Act or payment for the items applied during phase one of decongestive therapy would not be allowed. We also note that while these items may be covered under the new Part B benefit for lymphedema compression treatment items, the professional services of applying these items would not and would need to be covered under a different Medicare benefit category in order for Medicare payments to be made for these services. We are specifically soliciting comments on the topic of coverage of compression bandaging items under the new benefit for lymphedema compression treatment items. We are also soliciting comments on whether the professional services of applying these bandages could be covered under another Medicare benefit category, such as outpatient physical therapy services under section 1861(p) of the Act or physician services under section 1861(s) of the Act.</P>
                    <P>
                        With regard to custom garments, we understand that therapists often take measurements of affected body areas and perform other fitting services related to the furnishing of these items. Since these measurements are necessary for the furnishing of the custom garments and are part of what makes the garments custom garments rather than standard garments, these measurements are an integral part of furnishing the custom garments and the suppliers of the garments are responsible for fitting the garments they furnish. Typically, DMEPOS suppliers are responsible for all aspects of furnishing the item. Following that approach, a supplier receiving payment for furnishing a lymphedema compression treatment item to a beneficiary has responsibility for ensuring that any necessary fitting, training (how to appropriately don/doff and maintain), and adjustment services are provided as part of furnishing the item. Payment for all services necessary for furnishing a gradient compression garment are included in the rates paid by the Medicaid State agencies and we are proposing to use the average Medicaid payment rate plus twenty percent as the payment basis for Medicare (when such Medicaid rates are available). Therefore, the Medicare payments would likewise include payment for all services necessary for furnishing the gradient compression garment; this is consistent with how Medicare payment is made for DMEPOS. We understand that in many cases a therapist may take measurements and provide other fitting services necessary for furnishing a gradient compression garment that is then furnished by a separate supplier. Under this scenario, the supplier receiving payment for the garment would be responsible for paying the therapist for the fitting component that is an integral part of furnishing the item. An alternative option, which we are not proposing but are seeking comment on, would be to pay separately for the fitting component furnished by the therapist and then back this payment out of the payment for the garment. If a separate Medicare payment amount was made to an entity other than the supplier of the garment for fitting services necessary for furnishing the garment, this amount would have to be subtracted from the payment to the supplier of the garment in order to avoid paying twice for these services. For example, if code Axxx1 describes a “Gradient compression arm sleeve and glove combination, custom, each,” with a payment amount of $350 established for each garment, a supplier furnishing two of these garments to a beneficiary for daytime use would receive $700 if the garments are furnished on an assignment basis, and part of this payment would cover the cost of the fitting of the garment that is furnished by the supplier or a separate 
                        <PRTPAGE P="43771"/>
                        therapist that is then paid by the supplier for the cost of taking the fitting measurements. Alternatively, a separate allowance and code could be established for the fitting component, such as $80 for Axxx2 for “Fitting of gradient compression arm sleeve and glove combination, custom, per two garments.” Under this scenario, it would be necessary to back out the payment for the cost of the separate fitting component from the payment for the two garments ($700−$80 = $620), since the payment for the garments already includes payment for all services necessary for furnishing the garment. As a result, the supplier furnishing the garments would be paid $310 for each garment rather than $350 since they did not conduct the fitting component that is paid for separately. We are not proposing this alternative because of many complexities. For example, the therapist providing the fitting component would be required to become an enrolled DMEPOS supplier, accredited for furnishing the garment fitting component, and responsible for meeting all of the requirements for being a DMEPOS supplier, such as meeting the DMEPOS supplier standards and quality standards, obtaining a surety bond, and submitting claims to the appropriate DME MAC. As part of the DMEPOS supplier standards, a supplier must accept return of substandard items. In cases where a mistake is made in measuring and fitting the beneficiary for two custom gradient compression garments, resulting in the furnishing and payment for custom gradient compression garments that do not properly fit the patient, the risk would be assumed by the fitter and not the supplier to accept return of the garments and cover the cost of two replacement garments. Again, we are not proposing to make separate payment for the fitting services under this benefit when furnished by a supplier other than the supplier of the garments; however, we are specifically soliciting comments on the topic and comments on options to resolve the issues we outlined previously. We recognize that there is not necessarily a standard industry practice for the fitting and training components for furnishing lymphedema compression garments and seek comment on whether there are best practices in this space that CMS should consider further in the future. We also welcome comment on whether any HCPCS level I (Current Procedural Terminology or CPT®) codes may describe the services of the therapist in these scenarios.
                    </P>
                    <P>Finally, there are accessories such as zippers in garments, liners worn under garments or wraps with adjustable straps, and padding or fillers that are not compression garments but may be necessary for the effective use of a gradient compression garment or wraps with adjustable straps. There are also accessories like donning and doffing aids for different body parts such as lower limb butlers or foot slippers that allow the patients to put on the compression stockings with minimum effort and are not used with compression bandaging systems or supplies. We are proposing that accessories necessary for the effective use of gradient compression garments and gradient compression wraps with adjustable straps would also fall under this new benefit for lymphedema compression treatment items. For example, a liner that is used with a garment because it is needed to prevent skin breakdown could be covered under the new benefit because it is necessary for the effective use of the garment. We are specifically soliciting comments on the topic of coverage of accessories necessary for the effective use of gradient compression garment or wraps with adjustable straps, including what HCPCS codes should be established to describe these items, as well as comments on whether there are additional items other than the gradient compression garments, gradient compression wraps with adjustable straps, and compression bandaging supplies that could potentially fall under the new benefit category for lymphedema compression treatment items.</P>
                    <HD SOURCE="HD3">4. Healthcare Common Procedure Coding System (HCPCS) Codes for Lymphedema Compression Treatment Items</HD>
                    <P>HCPCS codes are divided into two principal subsystems, referred to as Level I and Level II of the HCPCS. Level I of the HCPCS is comprised of Current Procedural Terminology (CPT), a numeric coding system maintained by the American Medical Association (AMA). HCPCS Level II is a standardized coding system that is used primarily to identify drugs, biologicals and non-drug and non-biological items, supplies, and services not included in the CPT codes, such as ambulance services and DMEPOS when used outside a physician's office. As shown in Table FF-A 1, there are currently Level II HCPCS codes for compression garments (stockings, sleeves, gloves, and gauntlets) and compression wraps with adjustable straps that may be used in the treatment of lymphedema and other conditions.</P>
                    <GPH SPAN="3" DEEP="311">
                        <PRTPAGE P="43772"/>
                        <GID>EP10JY23.079</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="144">
                        <GID>EP10JY23.080</GID>
                    </GPH>
                    <P>The items described by HCPCS codes A6531, A6532, and A6545 are covered by Medicare under the Part B benefit for surgical dressings at section 1861(s)(5) of the Act, when used in the treatment of an open venous stasis ulcer. Total allowed charges for these three codes in 2022 was approximately $2.5 million, with around $1.9 million for the non-elastic, below knee, gradient compression wrap with adjustable straps described by code A6545, $500,000 for the below knee, gradient compression stocking code A6531, and $100,000 for the below knee, gradient compression stocking code A6532. We are not proposing to change this policy with this rule, but we must address the codes for items when they are covered under Medicare Part B as surgical dressing versus when they are covered under Medicare Part B as lymphedema compression treatment for billing and claims processing purposes. We are therefore proposing to add three new HCPCS codes for use when billing for A6531, A6532, and A6545 items used as surgical dressings. The proposed codes are as follows:</P>
                    <FP SOURCE="FP-1">• A—Gradient compression stocking, below knee, 30-40 mmhg, used as surgical dressing in treatment of open venous stasis ulcer, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression stocking, below knee, 40-50 mmhg, used as surgical dressing in treatment of open venous stasis ulcer, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression wrap with adjustable straps, non-elastic, below knee, 30-50 mmhg, used as surgical dressing in treatment of open venous stasis ulcer, each</FP>
                    <P>The surgical dressing fee schedule amounts for codes A6531, A6532, and A6545 would be applied to the three new codes. The remaining discussion in this section addresses the coding for the lymphedema compression treatment items.</P>
                    <P>
                        For gradient compression stockings, we are proposing to use existing codes A6530 through A6541, and code A6549 from Table FFA-1. For codes A6530 
                        <PRTPAGE P="43773"/>
                        through A6541, we are soliciting comments on whether we should maintain the three pressure level differentiations in the codes and whether these differentiations should be something other than 18-30, 30-40, and 40-50 mmHg. We are also soliciting comments on whether there is a better way to describe the body areas these garments cover rather than “below knee,” “thigh-length,” “full-length/chap style,” and “waist-length.” For each code, we propose to add a matching code for the custom version of the garment. For example, if we continue to use codes A6530 through A6532 for below knee stockings with the current descriptions, we would add corresponding codes for the custom versions of these garments, such as the following:
                    </P>
                    <FP SOURCE="FP-1">• A—Gradient compression stocking, below knee, 18-30 mmhg, custom, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression stocking, below knee, 30-40 mmhg, custom, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression stocking, below knee, 40-50 mmhg, custom, each</FP>
                    <P>For gradient compression garments for the upper extremities and areas of the body, we propose to use existing codes A6549 and S8420 through S8428. We propose renumbering codes S8420 through S8428 as “A” codes rather than S codes. We also propose removing the words “ready-made” and revising “custom made” to “custom” for the codes for the upper extremity gradient compression garments and replacing the word “pressure” with “compression,” in order to be consistent with the wording for the codes for the lower extremity garments. We propose to add the word “arm” in front of the word “sleeve” for the upper extremity garments. We also propose to add a code for a custom gauntlet. Finally, we propose to add the word “each” to the description for each code. If no other changes are made, the new codes would be as follows:</P>
                    <FP SOURCE="FP-1">• —Gradient compression arm sleeve and glove combination, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression arm sleeve and glove combination, custom, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression arm sleeve, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression arm sleeve, custom, medium weight, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression arm sleeve, custom, heavy weight, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression glove, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression glove, custom, medium weight, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression glove, custom, heavy weight, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression gauntlet, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression gauntlet, custom, each</FP>
                    <P>We are soliciting comment on whether separate codes are needed for mastectomy sleeves or whether these items can be grouped together under the same codes used for other arm sleeves (S8422 thru S8424). We are soliciting comments on whether there is a need to retain codes S8420 through S8428, in addition to the renumbered A code versions, for use by other payers other than Medicare. If these codes are retained, they would be invalid for Medicare use, but could be used by other payers in lieu of the new A codes.</P>
                    <P>We are also proposing to add the following new codes for other upper body areas:</P>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, neck/head, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, neck/head, custom, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, torso and shoulder, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, torso/shoulder, custom, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, genital region, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, genital region, custom, each</FP>
                    <P>For all of the codes for the upper extremities and upper body areas, we are soliciting comments on whether we should establish codes for pressure level differentiations similar to the pressure level differentiations in codes A6530 through A6541, possibly replacing the words medium and heavy weight, as well as whether codes are needed for additional upper body areas.</P>
                    <P>We are proposing the following new codes for nighttime garments:</P>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, glove, padded, for nighttime use, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, arm, padded, for nighttime use, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, lower leg and foot, padded, for nighttime use, each</FP>
                    <FP SOURCE="FP-1">• A—Gradient compression garment, full leg and foot, padded, for nighttime use, each</FP>
                    <P>For gradient compression wraps with adjustable straps, we are proposing to use code A6545 in Table FF-A 1 for below knee wraps and solicit comments on whether additional codes or coding revisions are needed for the purpose of submitting claims for gradient compression wraps with adjustable straps. Regarding HCPCS codes for compression bandaging systems, we believe more codes are needed than existing codes S8430 (Padding for compression bandage, roll) and S8431 (Padding for compression bandage, roll), for example, to describe the supplies used in a compression bandaging system consisting of more than two layers. We also believe that specific base sizes should be added to the code, for example “10cm by 2.9m” rather than the vague unit of “roll” and are soliciting comments on HCPCS coding changes needed to adequately describe the various compression bandaging systems used for the treatment of lymphedema. Finally, as noted in section VII.B.3. of this rule, we are soliciting comments on HCPCS codes needed to describe accessories necessary for the effective use of gradient compression garments or wraps with adjustable straps.</P>
                    <HD SOURCE="HD3">5. Procedures for Making Benefit Category Determinations and Payment Determinations for New Lymphedema Compression Treatment Items</HD>
                    <P>We are proposing to implement the new Part B benefit for lymphedema compression treatment items and the initial set of HCPCS codes to identify these items for claims processing purposes, effective January 1, 2024. In the future, as new products come on the market and refinements are made to existing technology, there will be a need to determine whether these newer technology items are lymphedema compression treatment items covered under this new benefit and what changes to the HCPCS are needed to identify these items for claims processing purposes. There will also be a need to establish payment amounts for the newer items in accordance with the payment rules established as part of this rulemaking.</P>
                    <P>
                        Currently, CMS uses the procedures at 42 CFR 414.114 to make benefit category determinations and payment determinations for new splints and casts, parenteral and enteral nutrition (PEN) items and services covered under the prosthetic device benefit, and intraocular lenses (IOLs) inserted in a physician's office covered under the prosthetic device benefit. CMS uses the same procedures at 42 CFR 414.240 to make benefit category determinations and payment determinations for new DME items and services, prosthetics and orthotics, surgical dressings, therapeutic shoes and inserts, and other prosthetic devices other than PEN items and services and IOLs inserted in a physician's office. These procedures involve the use of the HCPCS public meetings where consultation from the public is obtained on preliminary HCPCS coding determinations for new items and services. Public consultation is also obtained at these meetings on 
                        <PRTPAGE P="43774"/>
                        preliminary benefit category determinations and preliminary payment determinations for the new items and services. To ensure appropriate and timely consideration of future items that may qualify as lymphedema compression treatment items, we are proposing to use these same procedures to make benefit category determinations and payment determinations for new lymphedema compression treatment items. Future changes to the HCPCS codes established in section 2 of this rule for lymphedema compression treatment items would also be made using this public meeting process.
                    </P>
                    <P>
                        We are proposing to use the same process described in § 414.240 to obtain public consultation on preliminary coding, benefit category, and payment determinations for new lymphedema compression treatment items. That is, when a request is received for a new HCPCS code or change to an existing HCPCS code(s) for a lymphedema compression treatment item, CMS would perform an analysis to determine if a new code or other coding change is warranted and if the item meets the definition of lymphedema compression treatment item at section 1861(mmm) of the Act. A preliminary payment determination would also be developed for items determined to be lymphedema compression treatment items and are implemented in April or October of each year. The preliminary determinations would be posted on 
                        <E T="03">CMS.gov</E>
                         approximately 2 weeks prior to a public meeting. As part of this coding and payment determination process, it may be necessary to combine or divide existing codes; in this situation, we are proposing to follow the same process as outlined in 42 CFR 414.236. After consideration of public input on the preliminary determinations, CMS would post final HCPCS coding decisions, benefit category determinations, and payment determinations on 
                        <E T="03">CMS.gov</E>
                        , and then issue program instructions to implement the changes.
                    </P>
                    <P>In addition to these proposals for initial payment determinations for lymphedema treatment items and the proposed process for addressing new lymphedema treatment items, as required by the Act, we also propose to revise the DMEPOS regulations to include lymphedema treatment items in the competitive bidding process. We are proposing changes to 42 CFR 414.402 to add lymphedema treatment items to the definition of “items” for competitive bidding, § 414.408 to include lymphedema treatment items in the list of items for which payment would be made on a lump sum purchase basis under the competitive bidding program in accordance with any frequency limitations established under proposed subpart Q in accordance with section 1834(z)(2) of the Act, and § 414.412 to add reference to the proposed subpart Q to the bid rules.</P>
                    <HD SOURCE="HD3">6. Enrollment, Quality Standards, and Accreditation Requirements for Suppliers of Lymphedema Compression Treatment Items and Medicare Claims Processing Contractors for These Items</HD>
                    <P>Section 1834(a)(20) of the Act requires the establishment of quality standards for suppliers of DMEPOS that are applied by independent accreditation organizations. Section 4133(b)(1) of the CAA, 2023 amends section 1834(a)(20)(D) of the Act to apply these requirements to lymphedema compression treatment items as medical equipment and supplies.</P>
                    <P>Section 1834(j) of the Act requires that suppliers of medical equipment and supplies obtain and continue to periodically renew a supplier number in order to be allowed to submit claims and receive payment for furnishing DMEPOS items and services. The suppliers must meet certain supplier standards in order to possess a supplier number and are also subject to other requirements specified in section 1834(j) of the Act. Section 4133(b)(2) of the CAA, 2023 amends section 1834(j)(5) of the Act to include lymphedema compression treatment items as medical equipment and supplies subject to the requirements of section 1834(j) of the Act.</P>
                    <P>
                        Suppliers of DMEPOS meeting the requirements of sections 1834(a)(20) and 1834(j) of the Act, and related implementing regulations at 42 CFR 424.57 must enroll in Medicare or change their enrollment using the paper application Medicare Enrollment Application for DMEPOS Suppliers (CMS-855S) or through the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). For more information on supplier enrollment, go to: 
                        <E T="03">https://www.cms.gov/medicare/provider-enrollment-and-certification/become-a-medicare-provider-or-supplier.</E>
                    </P>
                    <P>Regulations at 42 CFR 421.210 establish regional contractors to process Medicare claims for DMEPOS items and services. These contractors are known as Durable Medical Equipment Medicare Administrative Contractors (DME MACs). We are proposing to include lymphedema compression treatment items as DMEPOS items that fall within the general text of section 421.210(b)(7) for other items or services which are designated by CMS. Thus, claims for these items would be processed by the DME MACs.</P>
                    <HD SOURCE="HD3">7. Payment Basis and Frequency Limitations for Lymphedema Compression Treatment Items</HD>
                    <P>Section 1834(z)(1) of the Act mandates an appropriate payment basis for lymphedema compression treatment items defined in section 1861(mmm) of the Act and specifically identifies payment rates from other government and private sector payers that may be taken into account in establishing the payment basis for these items. These sources include payment rates used by Medicaid state plans, the Veterans Health Administration (VHA), group health plans, and health insurance coverage (as defined in section 2791 of the Public Health Service Act). Section 1834(z)(1) of the Act also indicates that other information determined to be appropriate may be taken into account in establishing the payment basis for lymphedema compression treatment items.</P>
                    <P>
                        Based on our research, Medicaid state plans generally classify and provide lymphedema compression treatment items in the same manner as other durable medical equipment and supplies for home health. While State Medicaid Director Letter #18-001 focuses on how states may demonstrate compliance with the restriction on claiming federal financial participation for “excess” durable medical equipment spending, it describes how Medicaid state plan payment for the broader category of such items (outside of a managed care contract) is usually made either through established fee schedules, a competitive bidding process of the state's design, or through a manual pricing methodology based on the invoice submitted with each claim.
                        <SU>180</SU>
                        <FTREF/>
                         For the purpose of this proposed rule, we took into account the average Medicaid fee schedule payment amounts across all states that have published fee schedule amounts for these items in developing, in part, an appropriate payment basis for lymphedema compression treatment items under Medicare.
                    </P>
                    <FTNT>
                        <P>
                            <SU>180</SU>
                             Available at 
                            <E T="03">https://www.medicaid.gov/federal-policy-guidance/downloads/smd18001.pdf</E>
                        </P>
                    </FTNT>
                    <P>
                        The VHA does not have established fee schedules for lymphedema compression treatment items, but rather follows a policy of paying for these items based on the reasonableness of vendor pricing. Based on our conversations with the VHA, we understand that for these items, vendor prices at or below acquisition cost plus 50 percent is typically considered 
                        <PRTPAGE P="43775"/>
                        reasonable, while Medicaid state plans typically pay for DMEPOS items that do not have fee schedule amounts at acquisition cost plus 20 to 30 percent. Given this difference in the allowed supplier margin, the amounts determined to be reasonable payment rates for these items by the VHA may be approximated by increasing the average Medicaid payment rate by 20 to 30 percent. While the VHA may not have fee schedule amounts for these items, the Department of Defense's TRICARE system maintains fee schedule amounts for lower-extremity lymphedema compression garments. These amounts are approximately equal to the average Medicaid fee schedule amount plus 20 percent. We therefore believe that the average Medicaid fee schedule amount plus 20 percent represents what other government payers such as the VHA and TRICARE consider an appropriate payment basis for these items and a slightly higher payment basis than the average payment rates established by Medicaid state plans that have fee schedule amounts for these items; we are specifically soliciting comments on this. We also conducted a search of internet prices for lymphedema compression treatment items and found these prices to be in line with the TRICARE fee schedule amounts and average Medicaid fee schedule amounts plus 20 percent. We believe that appropriate payment amounts for Medicare for lymphedema compression treatment items would be payment amounts that approximate the payment rates determined to be reasonable by other government payers such as TRICARE, State Medicaid agencies, and, as previously explained, estimates of the payment rates determined to be reasonable by the VHA based on 120 percent of the average Medicaid state plan rates. Because these rates are in line with internet retail prices, we have not closely examined non-government payers.
                    </P>
                    <P>Having taken into account the payment amounts from the various sources, as previously described, as required by Act, we propose to set payment amounts for lymphedema compression treatment items using the following methodology. Where Medicaid state plan payment amounts are available for a lymphedema compression treatment item, we propose to set payment amounts at 120 percent of the average of the Medicaid payment amounts for the lymphedema compression treatment item. Where Medicaid payment amounts are not available for an item, we propose to set payment amounts at 100 percent of the average of internet retail prices and payment amounts for that item from TRICARE. Where payment amounts are not available from Medicaid state plans or TRICARE for a given lymphedema compression treatment item, we propose to base payment amounts based on 100 percent of average internet retail prices for that item. We seek comment on these payment methodologies and whether further adjustments are appropriate.</P>
                    <P>As previously noted, payment rates for the supply of these items includes payment for fitting services and any other services necessary for furnishing the item. As noted earlier, taking measurements of affected body areas and other fitting services necessary for furnishing lymphedema compression treatment items are an integral part of furnishing the items and the suppliers receiving payment for furnishing lymphedema compression treatment items are responsible for ensuring that any necessary fitting services are provided as part of furnishing the items.</P>
                    <P>The following table presents a preliminary example of what payment amounts may be, based on the proposed methodology described, as previously detailed, and certain HCPCS codes that we are proposing to be classified under the Medicare Part B benefit category for lymphedema treatment items.</P>
                    <GPH SPAN="3" DEEP="238">
                        <GID>EP10JY23.081</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="106">
                        <PRTPAGE P="43776"/>
                        <GID>EP10JY23.082</GID>
                    </GPH>
                    <P>Where new items are added to this benefit category, following the process outlined in section 3 of this section of this rule, the data sources (Medicaid, TRICARE, VHA, or internet prices) may not initially be available for establishing an appropriate payment amount. We are proposing that in this situation, until the data necessary for establishing the payment amount becomes available, the DME MACs would consider what an appropriate payment amount would be for each item on an individual, claim-by-claim basis and may consider using pricing for similar items that already have established payment amounts.</P>
                    <P>Section 1834(z)(2) of the Act authorizes the establishment of frequency limitations for lymphedema compression treatment items and specifies that no payment may be made for lymphedema compression treatment items furnished other than at a frequency established in accordance with this provision of the Act. Gradient compression garments are designed differently depending on whether for daytime or nighttime use. Those meant for daytime provide a higher level of compression while those for nighttime offer milder compression and are less snug against the skin. We are seeking comment on our proposal to cover and make payment for two garments or wraps with adjustable straps for daytime use (one to wear while another is being washed), per affected extremity, or part of the body, to be replaced every 6 months or when the items is lost, stolen, or irreparably damaged, or if needed based on a change in the beneficiary's medical or physical condition such as an amputation, complicating injury or illness, or a significant change in body weight. In order to maintain mobility, patients may require separate garments or wraps above and below the joint of the affected extremity or part of the body. As discussed in section B of this section of this rule, nighttime garments are inelastic and more durable than the elastic daytime garments and we believe it would be appropriate to replace these garments once per year. We are proposing to cover one nighttime garment per affected extremity or part of the body to be replaced once a year or when the garment is lost, stolen, or irreparably damaged, or if needed based on a change in the beneficiary's medical or physical condition such as an amputation, complicating injury or illness, or a significant change in body weight. Lymphedema is a chronic condition that can be stabilized if properly treated. It may also worsen as the result of infection, radiation and chemotherapy, or progression of comorbid conditions such as obesity. At this point, patients may require changes in their garment prescription. Such changes due to medical necessity will not be subject to the frequency limitations, as previously described. In addition, as with other DMEPOS items, payment could be made for replacement of garments and other items when they are lost, stolen, or irreparably damaged. Examples of lost items include items left behind after evacuating due to a disaster like a hurricane or tornado. Examples of irreparably damaged items include items that burn in a fire, are exposed to toxic chemicals, or are damaged by some other event and does not include items that wear out over time.</P>
                    <P>With regard to replacement frequencies for compression bandaging systems and supplies, the weekly frequency and overall length of phase one (active) treatment is dependent on the severity of lymphedema. Some patients may require treatment 4 to 5 days per week in phase one while others may only need treatment 2 to 3 days per week. Bandages are used following some form of hands-on decompression to maintain the reduction. Therefore, we are not proposing specific replacement frequencies for the compression bandaging systems and supplies. We are proposing that the DME MACs would make determinations regarding whether the quantities of compression bandaging supplies furnished and billed during phase one of treatment of the beneficiary's lymphedema are reasonable and necessary.</P>
                    <P>As previously discussed, section 4133(a)(3) of the CAA, 2023 adds subparagraph D to section 1847(a)(2) of the Act to add lymphedema compression treatment items to the DMEPOS competitive bidding program. Section 1834(z)(3)(A) of the Act specifies that the payment basis under section 1847(a) of the Act becomes the payment basis for lymphedema compression treatment items furnished under the competitive bidding program. Section 1834(z)(3)(B) of the Act provides authority to use information on the payment determined for these items under the competitive bidding program to adjust the payment amounts otherwise determined under section 1834(z) for an area that is not a competitive bidding area under section 1847 of the Act, and in the case of such adjustment, section 1842(b)(8) and (9) of the Act shall not be applied.</P>
                    <HD SOURCE="HD3">8. Proposed Changes</HD>
                    <P>
                        We are proposing to amend 42 CFR 410.36 to add paragraph (a)(4) for lymphedema compression treatment items as a new category of medical supplies, appliances, and devices covered and payable under Medicare Part B, including: standard and custom fitted gradient compression garments; gradient compression wraps with adjustable straps; compression bandaging systems; other items determined to be lymphedema compression treatment items under the process established under § 414.1670; and accessories such as zippers in garments, liners worn under garments or wraps with adjustable straps, and padding or fillers that are necessary for the effective use of a gradient compression garment or wrap with adjustable straps. In order to maintain mobility, patients may require separate garments or wraps above and below the joint of the affected extremity or part of the body, and we are proposing that payment may be made in these circumstances. We are proposing that payment may be made for multiple garments used on different parts of the body when the multiple garments are determined to be reasonable and necessary for the treatment of lymphedema. For example, if it is determined that a beneficiary needs three daytime garments to cover one 
                        <PRTPAGE P="43777"/>
                        affected area for the treatment of lymphedema, Medicare would pay for two sets of those three garments for that specific affected area, as well as any other areas of the body affected by lymphedema. For the purpose of establishing the scope of the benefit for these items, we are seeking comment on the following definitions we are proposing to add to 42 CFR 410.2 as they apply to lymphedema compression treatment items:
                    </P>
                    <P>
                        <E T="03">Gradient compression</E>
                         means the ability to apply a higher level of compression or pressure to the distal (farther) end of the limb or body part affected by lymphedema with lower, decreasing compression or pressure at the proximal (closer) end of the limb or body part affected by lymphedema.
                    </P>
                    <P>
                        <E T="03">Custom fitted gradient compression garment</E>
                         means a garment that is uniquely sized and shaped to fit the exact dimensions of the affected extremity or part of the body of an individual to provide accurate gradient compression to treat lymphedema.
                    </P>
                    <P>The proposed definition of “gradient compression” would apply to all lymphedema compression treatment items (garments, wraps, etc.) that utilize gradient compression in treating lymphedema. The proposed definition of “custom fitted gradient compression garment” would apply to custom fitted gradient compression garments covered under the new benefit category for lymphedema compression treatment items. We believe these definitions are necessary for establishing the scope of this new benefit.</P>
                    <P>
                        <E T="03">Lymphedema compression treatment item</E>
                         means standard and custom fitted gradient compression garments and other items specified under § 410.36(a)(4) that are—
                    </P>
                    <P>• Furnished on or after January 1, 2024, to an individual with a diagnosis of lymphedema for treatment of such condition;</P>
                    <P>• Primarily and customarily used to serve a medical purpose and for the treatment of lymphedema; and</P>
                    <P>• Prescribed by a physician (or a physician assistant, nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1861(aa)(5) of the Social Security Act) to the extent authorized under State law.</P>
                    <P>
                        We are proposing to modify and add to the existing HCPCS codes for surgical dressings and lymphedema compression treatment items as explained in section VII.B.4. of this rule. We are proposing that future changes to the HCPCS codes for these items based on external requests for changes to the HCPCS or internal CMS changes would be made through the HCPCS public meeting process described at: 
                        <E T="03">https://www.cms.gov/medicare/coding/medhcpcsgeninfo/hcpcspublicmeetings.</E>
                    </P>
                    <P>
                        We are proposing to add § 414.1670 under new subpart Q and use the same process described in § 414.240 to obtain public consultation on preliminary benefit category determinations and payment determinations for new lymphedema compression treatment items. The preliminary determinations would be posted on CMS.gov in advance of a public meeting. After consideration of public input on the preliminary determinations, CMS would post final HCPCS coding decisions, benefit category determinations, and payment determinations on 
                        <E T="03">CMS.gov,</E>
                         and then issue program instructions to implement the changes.
                    </P>
                    <P>We are proposing to add a new subpart Q under the regulations at 42 CFR part 414 titled, “Payment for Lymphedema Compression Treatment Items” to implement the provisions of section 1834(z) of the Act. We are proposing to add § 414.1600 to our regulations explaining the purpose and definitions under the new subpart Q. We are proposing to add § 414.1650 and paragraph (a) to establish the payment basis equal to 80 percent of the lesser of the actual charge for the item or the payment amounts established for the item under paragraph (b). We are proposing under § 414.1650(b) to establish the payment amounts for lymphedema compression treatment items based on the average of state Medicaid fee schedule amounts plus 20 percent. Where Medicaid rates are not available, we are proposing to use the average of average internet retail prices and payment amounts established by TRICARE (or, where there is no TRICARE fee schedule rate, the average of internet retail prices alone). We propose under § 414.1650(c) that, beginning January 1, 2025, and on January 1 of each subsequent year, the Medicare payment rates established for these items in accordance with section 1834(z)(1) of the Act and § 414.1650(b) would be increased by the percentage change in the Consumer Price Index for All Urban Consumers (CPI-U) for the 12-month period ending June of the preceding year. For example, effective beginning January 1, 2025, the payment rates that were in effect on January 1, 2024 would be increased by the percentage change in the CPI-U from June 2023 to June 2024.</P>
                    <P>We are also proposing to add § 414.1660 to address continuity of pricing when HCPCS codes for lymphedema compression treatment items are divided or combined. Similar to current regulations at 42 CFR 414.110 and 414.236, we propose that when there is a single HCPCS code that describes two or more distinct complete items (for example, two different but related or similar items), and separate codes are subsequently established for each item, the payment amounts that applied to the single code continue to apply to each of the items described by the new codes. We propose that when the HCPCS codes for several different items are combined into a single code, the payment amounts for the new code are established using the average (arithmetic mean), weighted by allowed services, of the payment amounts for the formerly separate codes.</P>
                    <P>We are proposing to add § 414.1680 and the following frequency limitations for lymphedema compression treatment items established in accordance with section 1834(z)(2) of the Act under new subpart Q:</P>
                    <P>• Two daytime garments or wraps with adjustable straps for each affected limb or area of the body, replaced every 6 months.</P>
                    <P>• One nighttime garment for each affected limb or area of the body, replaced once a year.</P>
                    <P>We are soliciting comments on whether two nighttime garments should be allowed, with both garments being replaced once every 2 years, to allow for more than 1 day for washing and drying of the garment(s). We are also proposing to cover replacements of garments or wraps that are lost, stolen, irreparably damaged, or when needed due to a change in the patient's medical or physical condition. We are not proposing specific replacement frequencies for compression bandaging systems or supplies. We are proposing that determinations regarding the quantity of compression bandaging supplies covered for each beneficiary during phase one of decongestive therapy would be made by the DME MAC that processes the claims for the supplies.</P>
                    <P>
                        We are proposing to revise the regulations for competitive bidding under subpart F at 42 CFR 414 to include lymphedema compression treatment items under the competitive bidding program as mandated by section 1847(a)(2)(D) of the Act. We propose to modify the list of items that may be included in competitive bidding described in § 414.402 to include lymphedema treatment items and revise § 414.408 to include lymphedema treatment items in the list of items for which payment would be made on a lump sum purchase basis under the competitive bidding program in accordance with any frequency limitations established under proposed 
                        <PRTPAGE P="43778"/>
                        subpart Q in accordance with section 1834(z)(2) of the Act. Finally, we propose to add reference the proposed subpart Q to the bid rules described at § 414.412.
                    </P>
                    <P>The methodologies for adjusting DMEPOS payment amounts for items included in the DMEPOS Competitive Bidding Program (CBP) that are furnished in non-CBAs based on the payments determined under the DMEPOS CBP are set forth at § 414.210(g). Section 4133(a)(3) of the CAA, 2023 amended section 1847(a)(2) of the Act to include lymphedema compression treatment items under the DMEPOS CBP, and section 4133(a)(2) of the CAA, 2023 amended section 1834 of the Act to provide authority to adjust the payment amounts established for lymphedema compression treatment items in accordance with new subsection z based on the payments determined for these items under the DMEPOS CBP. We believe the methodologies for adjusting DMEPOS payment amounts at § 414.210(g) should also be used to adjust the payment amounts for lymphedema compression treatment items included in the DMEPOS CBP that are furnished in non-CBAs. We see no reason why different methodologies for adjusting payment amounts based on payments determined under the DMEOPS CBP would need to be established for lymphedema compression treatment items. We are therefore proposing to add § 414.1690 indicating that the payment amounts established under § 414.1650(b) for lymphedema compression treatment items may be adjusted using information on the payment determined for lymphedema compression treatment items as part of implementation of the DMEPOS CBP under subpart F using the methodologies set forth at § 414.210(g).</P>
                    <HD SOURCE="HD2">C. Definition of Brace</HD>
                    <HD SOURCE="HD3">1. Background</HD>
                    <P>The Social Security Act of 1965 (the Act) defines the scope of benefits available to eligible Medicare beneficiaries under Medicare Part B, the voluntary supplementary medical insurance program defined by section 1832 of the Act. Section 1832(a)(1) of the Act establishes the Medicare Part B benefit for “medical and other health services.” Section 1861(s) of the Act further defines “medical and other health services” to include under paragraph (9) leg, arm, back, and neck braces, and artificial legs, arms, and eyes. Artificial legs, arms, and eyes are artificial replacements for missing legs, arms, and eyes and this rule does not address the scope of the Medicare benefit for these items. Section 1834(h)(4)(C) of the Act details the payment rules for particular items and services including specifying that “the term `orthotics and prosthetics' has the meaning given to such term in section 1861(s)(9).” Regulations at 42 CFR 410.36(a)(3) include leg, arm, back, and neck braces under the list of medical supplies, appliances, and devices in the scope of items paid for under Part B of Medicare. However, the term “brace” is not defined in the Act or in regulation. Specifically, the term brace is not defined in 42 CFR 410.2 Definitions for supplementary medical insurance benefits for Medicare.</P>
                    <P>The Medicare program instruction that defines the term brace is located at CMS Pub. 100-02, Chapter 15, § 130 of the Medicare Benefit Policy Manual for Part B coverage of “Leg, Arm, Back, and Neck Braces, Trusses, and Artificial Legs, Arms, and Eyes.” Within this instruction, braces are defined as “rigid and semi-rigid devices which are used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body.” The Medicare definition of brace in program instructions dates back to the 1970s and was previously located in the Medicare Carriers Manual, HCFA Pub. 14, Part III, Chapter 2, § 2133. This longstanding definition of brace in our program instructions is used for the purpose of making benefit category determinations in accordance with the procedures located at 42 CFR 414.240 (86 FR 73911) regarding when a device constitutes or does not constitute a leg, arm, back, or neck brace for Medicare program purposes.</P>
                    <HD SOURCE="HD3">2. Current Issues</HD>
                    <P>We believe that adding the definition of brace to the regulations at 42 CFR 410.2 is necessary for describing the scope of the Medicare Part B benefit for leg, arm, back, and neck braces. We believe that codifying the definition that is currently located in Medicare program instructions would continue the efficiency of the administration of the Medicare program by providing clarity and transparency regarding the scope of the benefit, for example, whether a specific device is a leg, arm, back, or neck brace as defined in section 1861(s)(9) of the Act, and consequently, payment determinations for such items. We also believe that adding the definition of brace to the regulations would support our benefit category determination process described in 42 CFR 414.240 (86 FR 73911).</P>
                    <P>
                        The orthopedic industry has long established the attributes of a “brace.” We believe the definition of a brace in CMS Pub 100-02, Chapter 15, § 130 adequately captures the attributes of a brace. The words “rigid” and “semi-rigid” are used to describe the stiffness of a material. Rigid materials are used to eliminate motion but also to support underload. Components of a brace can use semi-rigid materials, which intentionally allow some amount of motion as compared to materials that completely immobilize a part of the body. Braces are typically prescribed to patients during the process of recovery and rehabilitation in order to stop limbs, joints, or specific body segments from moving for a pre-determined period. Braces may also be prescribed for ongoing medical problems that require restriction or limitation of joint movement; removal of weight or pressure from healing or injured joints, muscles, or body parts; or reduction of misalignment and function to reduce pain and facilitate improvedmobility. 
                        <E T="51">181 182</E>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>181</SU>
                             Webster, J., Murphy, D., 2019, 
                            <E T="03">Atlas of Orthoses and Assistive Devices,</E>
                             5th Edition, Elsevier, Philadelphia, PA. (Chapter 1) 
                            <E T="03">https://www.sciencedirect.com/book/9780323483230/atlas-of-orthoses-and-assistive-devices</E>
                        </P>
                        <P>
                            <SU>182</SU>
                             CHAMPVA OPERATIONAL POLICY MANUAL: CHAPTER: 2, SECTION: 17.4. 
                            <E T="03">https://www.vha.cc.va.gov/system/templates/selfservice/va_ssnew/help/customer/locale/en-US/portal/554400000001036/content/554400000008979/021704-ORTHOTICS</E>
                        </P>
                    </FTNT>
                    <P>
                        In order for a brace to properly function, it must utilize a three-point pressure system to provide angular control over anatomical joints.
                        <E T="51">183 184 185</E>
                        <FTREF/>
                         A three-point pressure system places a single force at the area of the deformity, while two counter forces act in the opposing direction. This pressure system requires that a brace be rigid or semi-rigid in structure to apply sufficient relevant force to support, restrict, or eliminate motion of the joint or specific body part. The rigidity level of a brace is dependent on the body part and purpose for which the brace is used. For example, a fully rigid brace is used to eliminate motion and support underload. We believe the definition of brace in CMS Pub 100-02, Chapter 15, § 130, and our proposed definition of 
                        <PRTPAGE P="43779"/>
                        brace, adequately captures the various attributes of a brace.
                    </P>
                    <FTNT>
                        <P>
                            <SU>183</SU>
                             Webster, J., Murphy, D., 2019, 
                            <E T="03">Atlas of Orthoses and Assistive Devices,</E>
                             5th Edition, Elsevier, Philadelphia, PA. (Chapter 18). 
                            <E T="03">https://www.sciencedirect.com/book/9780323483230/atlas-of-orthoses-and-assistive-devices</E>
                        </P>
                        <P>
                            <SU>184</SU>
                             Chalmers, D. D., &amp; Hamer, G. P. (1985). Three-point dynamic orthosis. 
                            <E T="03">Prosthetics and Orthotics International, 9</E>
                            (2), 115-116. 
                            <E T="03">https://journals.sagepub.com/doi/pdf/10.3109/03093648509164718. https://journals.sagepub.com/doi/pdf/10.3109/03093648509164718. https://journals.sagepub.com/doi/pdf/10.3109/03093648509164718. https://journals.sagepub.com/doi/pdf/10.3109/03093648509164718.</E>
                        </P>
                        <P>
                            <SU>185</SU>
                             Article—Spinal Orthoses: TLSO and LSO—Policy Article (A52500) (
                            <E T="03">cms.gov</E>
                            ).
                        </P>
                    </FTNT>
                    <P>It is important to note that a rigid or semi-rigid device may look like a brace in that it has metal struts, joints, and cuffs that go over a limb, but may be used for purposes other than bracing the limb. We believe that devices used for purposes other than supporting a weak or deformed body member or restricting or eliminating motion of a diseased or injured part of the body do not fall within the definition of a brace in accordance with Pub 100-02, Chapter 15, § 130 Medicare Benefit Policy Manual, and would not fall within our proposed definition of brace. However, items that are not braces may meet the Medicare Part B definition for durable medical equipment (DME) at 42 CFR 414.202. For example, continuous passive motion devices are covered as DME in accordance with CMS Pub 100-03, Chapter 1, Part 4, § 280.1 of the Medicare National Coverage Determinations Manual to rehabilitate the knee to increase range of motion following surgery. During continuous passive motion therapy, the joint area is secured to the device, which then moves the affected joint through a prescribed range of motion for an extended period of time. Continuous passive motion devices have metal struts, joints, and cuffs that go over a limb but are not used for the purpose of restricting or eliminating motion in a diseased or injured part of the body or to support a weak or deformed body member. While these devices do not meet the definition of a brace in accordance with Pub 100-02, Chapter 15, § 130 of the Medicare Benefit Policy Manual, they are covered by Medicare as DME. Similarly, dynamic adjustable extension/flexion devices and static progressive stretch devices are used to stretch an arm or leg or other part of the body to treat contractures and increase range of motion. While these devices may look similar to a brace, they are used for the purpose of treating contractures and are not used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body. As a result, dynamic adjustable extension/flexion devices and static progressive stretch devices do not fall under the definition of brace in accordance with CMS Pub 100-02, Chapter 15, § 130, but are covered by Medicare as DME.</P>
                    <P>
                        It is also important to note that although braces in the past have typically not included powered devices or devices with power features, technology has evolved to include newer technology devices with power features designed to assist with traditional bracing functions. For example, effective January 1, 2020, code L2006 was added to the HCPCS for a knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (for example, sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated). CMS classified this device as a brace because it supports a weak or deformed knee by preventing it from buckling under the patient. This brace includes a microprocessor controlled hydraulic swing and stance control knee joint that restricts/affects knee joint kinematics during the swing and stance phases of the gait cycle. There are also powered brace exoskeleton devices that support a patient's weak arms or legs and have been classified as DME in the past. We determined that these devices should be classified as braces due to their use in stabilizing, positioning, supporting and restoring the function of a patient's weak limbs. In addition, upper extremity powered exoskeleton devices used by patients with chronic arm weakness such as from complications of stroke or other neurological/neuromuscular injury and illness to support and assist movement of weak arms were recently introduced to the market. HCPCS codes L8701 (Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated) and L8702 (Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated)) were added to the HCPCS effective January 1, 2019 to describe two categories of these items. These devices support the arm of the patient and allows them to use volitional, intact electromyographic signals in weak muscles to control the device through a normal range of motion. A lower extremity powered exoskeleton device that supports the weak legs of a patient with spinal cord injury (SCI) at levels T7 to L5 to enable the patient to perform ambulatory functions was also recently introduced to the market. Code K1007 (Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors)) was added to the HCPCS effective January 1, 2020 to describe this category of items. The device uses motion sensors with an exoskeleton frame and onboard computer system. Patients using all of the devices, as previously described, are better able to elongate and flex their limbs using the respective device, sometimes in a braced manner and sometimes in a controlled manner of motion, thus improving the functioning of the malformed body member and supporting the weak limbs. Additional information on the items, as previously discussed, can be found at: 
                        <E T="03">www.cms.gov/files/document/2022-hcpcs-application-summary-biannual-1-2022-non-drug-and-non-biological-items-and-services.pdf.</E>
                    </P>
                    <P>One additional issue related to leg braces with shoes that are an integral part of the brace. Section 1862(a)(8) of the Act generally excludes orthopedic shoes or other supportive devices for the feet from coverage under the Medicare program. However, longstanding policy at CMS Pub 100-02, Chapter 15, § 290 of the Medicare Benefit Policy Manual indicates that this exclusion does not apply to such a shoe if it is an integral part of a leg brace, and if that shoe or other supportive device for the feet is an integral part of a leg brace, then the cost of that shoe or device is included as part of the cost of the brace. We are proposing to include this exception in the proposed definition of a brace at § 410.2.</P>
                    <HD SOURCE="HD3">3. Proposed Regulation Changes</HD>
                    <P>We are proposing to amend the regulations at 42 CFR 410.2 to add the definition of brace to improve clarity and transparency regarding coverage and payment for the term brace as defined in section 1861(s)(9) of the Act. Also, we believe adding the definition in regulations will improve the efficiency of the administration of the Medicare program when considering whether a new device is a leg, arm, back, or neck brace for benefit category and payment determinations under our review procedures at § 414.240. In addition, we believe that adding the definition of a brace in regulation would expedite coverage and payment for newer technology and powered devices, potentially providing faster access to these new healthcare technologies for Medicare beneficiaries.</P>
                    <P>
                        We are proposing that the definition of brace at 42 CFR 410.2 would be consistent with CMS's longstanding brace policy and information at section 130 of chapter 15 of the Medicare Benefit Policy Manual (CMS Pub 100-02). Thus, we are proposing to specify in the definition that a brace is rigid or 
                        <PRTPAGE P="43780"/>
                        semi-rigid and that the stiffness of the material used in making the device is essential to the definition of a brace for purposes of the scope of this Medicare benefit. Rigid refers to material used to eliminate motion but also to support underload. Components of a brace will use semi-rigid materials, which intentionally allow some amount of motion as compared to materials that completely immobilize. Also, we are proposing at 42 CFR 410.2 to specify in the definition that a brace is used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body. In addition, we are proposing to specify at § 410.36(a)(3)(i)(A) that a brace may include a shoe if it is an integral part of a leg brace and its expense is included as part of the cost of the brace.
                    </P>
                    <P>
                        We note three HCPCS codes were established to permit billing of the powered upper extremity devices and powered lower extremity exoskeleton devices. Two HCPCS codes were established effective October 1, 2019 which are: L8701 (Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated) and L8702 (Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated). One HCPCS was established effective October 1, 2020 which is K1007 (Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors). However, corresponding Medicare benefit category and Medicare payment determinations were not finalized for these HCPCS codes to permit more time for evaluation. As a result of the proposal to amend the regulations at 42 CFR 410.2 to add the definition of brace, if finalized, these codes would be classified under the definition of brace. Using the processes outlined in regulations at 42 CFR 414.240, we intend to obtain public consultation on the payment determinations for these codes at an upcoming HCPCS Level II public meeting. Additional information on these HCPCS codes can be found in the HCPCS Level II Final Coding, Benefit Category and Payment Determinations First Biannual (B1), 2022 HCPCS Coding Cycle at 
                        <E T="03">www.cms.gov/files/document/2022-hcpcs-application-summary-biannual-1-2022-non-drug-and-non-biological-items-and-services.pdf.</E>
                         The agenda and dates for a public meeting will be available on the CMS HCPCS website: 
                        <E T="03">https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings.</E>
                    </P>
                    <HD SOURCE="HD2">D. Documentation Requirements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Products Supplied as Refills to the Original Order</HD>
                    <HD SOURCE="HD3">1. Background</HD>
                    <P>Durable medical equipment (DME) is covered as a benefit category under Part B under medical or other health services as described in section1861(s)(6) of the Act and defined under section 1861(n) of the Act. We further defined DME in regulations at § 414.202 as equipment that can withstand repeated use, is primarily and customarily used to serve a medical purpose, is not generally useful to a person in the absence of an illness or injury, is appropriate for use in the home, and effective with respect to items classified as DME after January 1, 2012, has an expected life of at least 3 years. Certain items of DME require supplies for effective use. Supplies include, but are not limited to, drugs and biologicals that must be put directly into the equipment to achieve the therapeutic benefit or to assure the proper functioning of the equipment. Examples include oxygen, tumor chemotherapy agents transfused via an infusion pump, or diabetic test strips used with a home glucose monitor.</P>
                    <P>Prosthetics and orthotics are defined under section 1861(s)(9) of the Act and include leg, arm, back, and neck braces and artificial legs, arms, and eyes—including replacements if required because of a change in the patient's physical condition. These items are referred to collectively as Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS).</P>
                    <P>DMEPOS items and supplies may be furnished on a recurring basis to beneficiaries with chronic or longer-term conditions. For such items, the practitioner may be able to forecast and prescribe, at the time of the beneficiary's initial need or during later clinical interaction, the ongoing medical need for DMEPOS items and/or supplies. In other words, the practitioner may be able to determine the beneficiary's expected, ongoing medical need both at the time of the interaction and as anticipated need for later dates of service. In such cases, the practitioner may write an order for immediate use and refills for later dates of service.</P>
                    <P>
                        Section 1893(a) of the Act authorized the Secretary to promote the program integrity of the Medicare program by entering into contracts with eligible entities to carry out activities specified in subsection (b) of such section. Section 1893(b)(1) of the Act, authorizes “[r]eview of activities of providers of services or other individuals and entities furnishing items and services for which payment may be made under this title . . . including medical and utilization review [emphasis added] . . .”. In response to concerns related to auto-shipments and delivery of DMEPOS supplies that may no longer be needed or not needed at the same level of frequency/volume (for example, stockpiling), CMS instituted policies to require suppliers to contact the beneficiary prior to dispensing DMEPOS refills. In CY 2004, we updated our Medicare Program Integrity Manual to include timeframes related to refillable DMEPOS items.
                        <SU>186</SU>
                        <FTREF/>
                         This was done to ensure that the refilled item was necessary and to confirm any changes/modifications to the order. At that time, CMS stated that contact with the beneficiary or designee regarding refills should take place no sooner than 7 days prior to the delivery/shipping date. CMS further stated that subsequent deliveries of refills of DMEPOS products should occur no sooner than 5 days prior to the end of the usage for the current product. This change intended to allow for shipping of refills on “approximately” the 25th day of the month in the case of a month's supply, as later clarified and emphasized in preamble discussion in the CY 2005 Physician Fee Schedule final rule (69 FR 66235).
                    </P>
                    <FTNT>
                        <P>
                            <SU>186</SU>
                             internet Only Manual 100-08, Program Integrity Manual (2004), available at: 
                            <E T="03">https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R61PI.pdf.</E>
                        </P>
                    </FTNT>
                    <P>
                        In 2011, due to stakeholder concerns related to burden, we amended the Medicare Program Integrity Manual to state that contact with the beneficiary or designee regarding refills must take place no sooner than 14 calendar days prior to the delivery/shipping date, and that delivery of the DMEPOS product occur no sooner than 10 calendar days prior to the end of usage for the current product.
                        <SU>187</SU>
                        <FTREF/>
                         This is the current policy on DMEPOS refills as described in the Medicare Program Integrity Manual.
                        <SU>188</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>187</SU>
                             internet Only Manual 100-08, Program Integrity Manual (2011), available at: 
                            <E T="03">https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R378PI.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>188</SU>
                             internet Only Manual 100-08, Program Integrity Manual, Chapter 5, Section 5.2.6—Refills of DMEPOS Items Provided on a Recurring Basis (2022), available at: 
                            <E T="03">https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c05.pdf.</E>
                        </P>
                    </FTNT>
                    <PRTPAGE P="43781"/>
                    <P>We note that while the timeframes are applicable to all refillable items, they are most pertinent to the mail/delivery model because those beneficiaries could potentially be most at risk for receiving unnecessary or unsolicited items and supplies. For beneficiaries calling, texting, or otherwise contacting their pharmacy or retail store and picking up their refills, we note the decreased potential for providing supplies that may not be medically necessary or for which the beneficiary has sufficient supply. For items that the beneficiary obtains in-person at a retail store, the signed delivery slip or a copy of the itemized sales receipt is sufficient documentation of a request for refill.</P>
                    <P>Both delivery models are intended to allow for uninterrupted supply of the necessary item(s), and allow for the processing of claims for refills delivered/shipped prior to the beneficiary's complete exhaustion of their supply. We note that prior guidance related to this policy referred to this sort of permissible overlap as refills for items “pending exhaustion”.</P>
                    <P>
                        Despite the long-standing programmatic safeguards, compliance with refill procedures continues to cause concerns. As recently as 2019, the HHS Office of Inspector General (HHS OIG) did a national study demonstrating that suppliers did not maintain sufficient refill documentation.
                        <SU>189</SU>
                        <FTREF/>
                         In fact, one national DMEPOS supplier was recently revoked from the Medicare program due to billing for refills for beneficiaries that were deceased.
                        <SU>190</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>189</SU>
                             Medicare Improperly Paid Suppliers an Estimated $92.5 Million for Inhalation Drugs, (October 2019), 
                            <E T="03">https://oig.hhs.gov/oas/reports/region9/91803018.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>190</SU>
                             Press Release: Mail-Order Diabetic Testing Supplier and Parent Company Agree to Pay $160 Million to Resolve Alleged False Claims to Medicare (August 2, 2021), available at: 
                            <E T="03">https://www.justice.gov/opa/pr/mail-order-diabetic-testing-supplier-and-parent-company-agree-pay-160-million-resolve-alleged.</E>
                        </P>
                    </FTNT>
                    <P>Due to ongoing compliance concerns, and in efforts to promote transparency, we propose to codify our refill documentation requirements. At the same time, we are continuing our efforts to reduce administrative burden. We have worked to identify many obsolete and burdensome regulations that could be eliminated or reformed to improve effectiveness. We have also examined our longstanding policies and practices that are not codified in regulations but could be changed or streamlined to achieve better outcomes and reduce provider and supplier burden. Additionally, we are requesting comment on whether there are ways to reduce burden for certain beneficiary populations for future rulemaking.</P>
                    <P>Our refill policy has primarily been maintained in the Medicare Program Integrity Manual, Local Coverage Determinations, and related articles. We propose to codify and update our refill policy, in this proposed rule, to maintain program integrity controls while being mindful of supplier burden.</P>
                    <HD SOURCE="HD3">2. Provisions of the Proposed Regulations</HD>
                    <HD SOURCE="HD3">a. Overview</HD>
                    <P>At this time, we believe it is appropriate to codify policies related to refills of DMEPOS items; taking into consideration the need to balance program integrity concerns (for example, stockpiling) against supplier burden concerns. While we continue to believe it appropriate to confirm the medical need for the refill prior to disbursement, we have found that minor deviations in timing are not always reflective of medical need. Therefore, we are proposing to strengthen our program integrity requirements to not only require beneficiary contact, but to specify that such contact must result in affirmative response from the beneficiary or designee. We propose to eliminate the 14-day timeframe, for beneficiary contact, and to rather rely upon a single 30-day timeframe for contact and confirmation of the need for refill. That is, beneficiary contact and confirmation of need for the refill must occur within the 30-day period prior to the end of the current supply. We propose to remove the term “pending exhaustion”, which may be subject to interpretation, and instead use the phrase “the expected end of the current supply.”</P>
                    <P>We note that documentation of the need for refill, as obtained from the Medicare beneficiary or designee, is not expected to require specific quantities remaining—but rather to simply confirm their need for the next refillable item. Suppliers contacting the beneficiaries to confirm their need for the refill, shall confirm both that the beneficiary is using the item and requires the refill, as evidenced by the supplier documentation of an affirmative need for the refill. We believe this type of generalized affirmation, in conjunction with our claims processing controls, will provide sufficient program integrity controls.</P>
                    <P>
                        We believe the refill policy ensures that beneficiaries are participating in their health care to confirm they get the DMEPOS item(s) ordered and needed, which prevents individuals from receiving unnecessary supplies. It also protects the Trust Fund from the unnecessary provision of DMEPOS. We elongated the timeframe to 30-days and clarified that the beneficiary need not provide specific remaining quantities to comply. We believe this helps mitigate potential burden. However, we are seeking comment on if, due to beneficiary burdens, there are certain diagnosis/device combinations that a beneficiary should not need to confirm the need for a refill or confirm the need for refill with the same frequency. In other words, are there beneficiary populations for which we would not expect any fluctuations in the type or quantity of device, due to a permanent disability or health condition, for which the supplier verification of need would prove burdensome? Are there ways that Medicare could better balance the beneficiary burden of responding to supplier outreach (for example, text messaging, phone call to affirm need for recurring supply) when contrasted with the burden of receiving potentially unnecessary items (
                        <E T="03">e.g.,</E>
                         co-insurance payments)? We would take these comments into consideration for potential future policy changes to our DMEPOS refill policies.
                    </P>
                    <P>We propose to codify our longstanding requirement that delivery of DMEPOS items (that is, date of service) be no sooner than 10 calendar days before the expected end of the current supply. We note that the shipping timeframes have been relied upon for approximately 20 years—to help both suppliers and Medicare Fee-for-Service contractors prevent overlapping billings and unnecessary refills. For example, contractors may use this timeframe to set up claims processing edits and alert suppliers when an item is being rendered/billed that was previously rendered and is not yet eligible for refill. We propose that date of service may be defined as either the date of delivery of the DMEPOS item, or for items rendered via delivery or shipping service, the supplier may use the shipping date as the date of delivery. We propose the shipping date may be defined as either the date the delivery/shipping service label is created or the date the item is retrieved for shipment by the mail carrier/delivering party; however, such dates should not demonstrate significant variation.</P>
                    <HD SOURCE="HD3">b. Documentation To Support Refill</HD>
                    <P>
                        We propose to revise § 410.38, paragraph (d), by adding paragraph (d)(4) which outlines the documentation needed to support refill requirements. In paragraph (d)(4)(i), we define refills, date of service, and shipping date for purposes of this section. In paragraph (d)(4)(ii), we propose that 
                        <PRTPAGE P="43782"/>
                        documentation must include the following:
                    </P>
                    <P>• Evidence of the beneficiary or their representative's affirmative response of the need for supplies, which should be obtained as close to the expected end of the current supply as possible; Contact and affirmative response shall be within 30 calendar days from the expected end of the current supply.</P>
                    <P>• For shipped items, the beneficiary name, date of contact, the item requested, and an affirmative response from the beneficiary, indicative of the need for refill, prior to dispensing the product.</P>
                    <P>• For items obtained in-person from a retail store, the delivery slip signed by the beneficiary or their representative or a copy of the itemized sales receipt is sufficient documentation of a request for refill.</P>
                    <P>In paragraph (d)(4)(iii), we propose the date of service for DMEPOS items provided on a recurring basis be no sooner than 10 calendar days prior to the expected end of the current supply.</P>
                    <HD SOURCE="HD1">VIII. Proposed Changes to the Provider and Supplier Enrollment Requirements</HD>
                    <HD SOURCE="HD2">A. Background</HD>
                    <HD SOURCE="HD3">1. Overview of Medicare Provider Enrollment</HD>
                    <P>Section 1866(j)(1)(A) of the Act requires the Secretary to establish a process for the enrollment of providers and suppliers into the Medicare program. The overarching purpose of the enrollment process is to help confirm that providers and suppliers seeking to bill Medicare for services and items furnished to Medicare beneficiaries meet all applicable federal and state requirements to do so. The process is, to an extent, a “gatekeeper” that prevents unqualified and potentially fraudulent individuals and entities from entering and inappropriately billing Medicare. Since 2006, we have undertaken rulemaking efforts to outline our enrollment procedures. These regulations are generally codified in 42 CFR part 424, subpart P (currently §§ 424.500 through 424.575 and hereafter occasionally referenced as subpart P). They address, among other things, requirements that providers and suppliers must meet to obtain and maintain Medicare billing privileges.</P>
                    <P>As outlined in § 424.510, one such requirement is that the provider or supplier must complete, sign, and submit to its assigned Medicare Administrative Contractor (MAC) the appropriate enrollment form, typically the Form CMS-855 (OMB Control No. 0938-0685). The Form CMS-855, which can be submitted via paper or electronically through the internet-based Provider Enrollment, Chain, and Ownership System (PECOS) process (SORN: 09-70-0532, PECOS), collects important information about the provider or supplier. Such data includes, but is not limited to, general identifying information (for example, legal business name), licensure and/or certification data, and practice locations. The application is used for a variety of provider enrollment transactions, including the following:</P>
                    <P>• Initial enrollment—The provider or supplier is—(1) enrolling in Medicare for the first time; (2) enrolling in another Medicare contractor's jurisdiction; or (3) seeking to enroll in Medicare after having previously been enrolled.</P>
                    <P>• Change of ownership—The provider or supplier is reporting a change in its ownership.</P>
                    <P>• Revalidation—The provider or supplier is revalidating its Medicare enrollment information in accordance with § 424.515. (Suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) must revalidate their enrollment every 3 years); all other providers and suppliers must do so every 5 years.)</P>
                    <P>• Reactivation—The provider or supplier is seeking to reactivate its Medicare billing privileges after it was deactivated in accordance with § 424.540.</P>
                    <P>• Change of information—The provider or supplier is reporting a change in its existing enrollment information in accordance with § 424.516.</P>
                    <P>After receiving the provider's or supplier's initial enrollment application, CMS or the MAC reviews and confirms the information thereon and determines whether the provider or supplier meets all applicable Medicare requirements. We believe this screening process has greatly assisted CMS in executing its responsibility to prevent Medicare fraud, waste, and abuse.</P>
                    <P>As previously discussed, over the years we have issued various final rules pertaining to provider enrollment. These rules were intended not only to clarify or strengthen certain components of the enrollment process but also to enable us to take action against providers and suppliers: (1) engaging (or potentially engaging) in fraudulent or abusive behavior; (2) presenting a risk of harm to Medicare beneficiaries or the Medicare Trust Funds; or (3) that are otherwise unqualified to furnish Medicare services or items. Consistent with this, and as we discuss in section VIII.B. of this proposed rule, we propose several changes to our existing Medicare provider enrollment regulations.</P>
                    <HD SOURCE="HD3">2. Legal Authorities</HD>
                    <P>There are two principal categories of legal authorities for our proposed Medicare provider enrollment provisions:</P>
                    <P>• Section 1866(j) of the Act furnishes specific authority regarding the enrollment process for providers and suppliers.</P>
                    <P>• Sections 1102 and 1871 of the Act provide general authority for the Secretary to prescribe regulations for the efficient administration of the Medicare program.</P>
                    <HD SOURCE="HD2">B. Proposed Provisions</HD>
                    <HD SOURCE="HD3">1. Provisional Period of Enhanced Oversight</HD>
                    <P>Section 1866(j)(3)(A) of the Act states that the Secretary shall establish procedures to provide for a provisional period of between 30 days and 1 year during which new providers and suppliers—as the Secretary determines appropriate, including categories of providers or suppliers—would be subject to enhanced oversight. (Per section 1866(j)(3)(A) of the Act, such oversight can include, but is not limited to, prepayment review and payment caps). As authorized by section 1866(j)(3)(B) of the Act, CMS previously implemented such procedures through sub-regulatory guidance with respect to newly enrolling HHAs' requests for anticipated payments (RAP). RAPs were upfront payments that HHAs received from Medicare before the beginning of a 30-day period of home health services. “New” HHAs were subject to a suppression of RAPs for a period between 30 days to 1 year (as determined by CMS) during the timeframe they were in the provisional period of enhanced oversight (PPEO). Each new HHA received notice of the length of time for which it was to be in the PPEO with RAP suppression. (CMS eliminated the use of RAPs for HHAs; beginning January 1, 2022, CMS replaced RAP submissions with a Notice of Admission.)</P>
                    <P>
                        During this prior PPEO, CMS received inquiries regarding the scope of the term “new HHA” as well as when the provisional period commenced. Although section 1866(j)(3)(B) of the Act states that we may implement procedures by program instruction, we believe in this particular instance (and based partly on our experience with the aforementioned HHA PPEO) that rulemaking is appropriate, though not statutorily required. This would help clarify: (1) what constitutes a “new” 
                        <PRTPAGE P="43783"/>
                        provider or supplier for purposes of section 1866(j)(3) of the Act; and (2) when the PPEO begins. Such elucidation is important because we may, in the future, elect to apply our PPEO statutory authority to other categories of providers or suppliers per section 1866(j)(3)(A) of the Act. Accordingly, we propose the following provisions, both of which, we emphasize, would apply to PPEOs irrespective of the provider or supplier type involved.
                    </P>
                    <P>First, we propose in new § 424.527(a) to define a “new” provider or supplier (exclusively for purposes of our PPEO authority under section 1866(j)(3) of the Act) as any of the following:</P>
                    <P>++ A newly enrolling Medicare provider or supplier. (This includes providers that must enroll as a new provider in accordance with the change in majority ownership provisions in § 424.550(b).)</P>
                    <P>++ A certified provider or certified supplier undergoing a change of ownership consistent with the principles of 42 CFR 489.18. (This includes providers that qualify under § 424.550(b)(2) for an exception from the change in majority ownership requirements in § 424.550(b)(1) but which are undergoing a change of ownership under 42 CFR 489.18).</P>
                    <P>++ A provider or supplier (including an HHA or hospice) undergoing a 100 percent change of ownership via a change of information request under § 424.516.</P>
                    <P>We are including these transactions within our proposed definition because they have historically and generally involved the effective establishment of a new provider or supplier for purposes of Medicare enrollment. (To illustrate, CMS typically treats suppliers such as ambulance companies that are undergoing 100 percent ownership changes as new suppliers because of our uncertainty about the new owner's compliance with enrollment regulations, its billing behavior, etc.) Including such situations within proposed § 424.527(a) is therefore necessary for CMS to exercise enhanced oversight, when warranted, of such entities. CMS would rely on the codified version of this policy once it becomes effective.</P>
                    <P>Second, we propose in § 424.527(b) that the effective date of the PPEO's commencement is the date on which the new provider or supplier submits its first claim (rather than, for example, the date the first service was performed or the effective date of the ownership change). There are two reasons for this proposal. One is that § 424.527(b) would align with our current practice as outlined in sub-regulatory guidance. Also, we found during the previously-referenced HHA PPEO that certain affected HHAs refrained from billing after their placement in the PPEO to circumvent the enhanced oversight mechanism; then, once their PPEO lapsed, the HHA engaged in improper billing without the intended oversight. We believe § 424.527(b) would help stem this practice via the PPEO's commencement upon the provider's or supplier's first claim submission. The provider or supplier would be unable to avoid the PPEO by delaying billing until the PPEO's expiration, as was the case with the HHA PPEO.</P>
                    <P>Although we have elected to address the issues in proposed § 424.527 via rulemaking, we note that we retain the authority under section 1866(j)(3)(B) of the Act to establish and implement PPEO procedures via sub-regulatory guidance.</P>
                    <HD SOURCE="HD3">2. Retroactive Provider Agreement Terminations</HD>
                    <P>Under section 1866(a)(1) of the Act, all Medicare providers (as that term is defined in section 1866(e) of the Act) must enter into a provider agreement with the Secretary. Subparts A, B, and E of 42 CFR part 489 contain regulations concerning provider agreements. In accordance with § 489.52, a provider may voluntarily terminate its provider agreement and thus depart the Medicare program. In doing so, and under existing sub-regulatory policy, the provider may request a retroactive termination effective date (for example, retroactive to the date the provider's facility closed). To incorporate this practice into regulation, we propose in new § 489.52(b)(4) that a provider may request a retroactive termination date, but only if no Medicare beneficiary received services from the facility on or after the requested termination date. This latter caveat would financially protect beneficiaries by helping to ensure that Medicare may still cover the services furnished to them near the end of the provider's operations.</P>
                    <HD SOURCE="HD3">3. Hospice-Specific Provisions</HD>
                    <HD SOURCE="HD3">a. Categorical Risk Screening</HD>
                    <HD SOURCE="HD3">(1) Background</HD>
                    <P>Under the authority granted to us by section 6401(a) of the Affordable Care Act (which amended section 1866(j) to the Act), § 424.518 outlines levels of screening by which CMS and its MACs review initial applications, revalidation applications, applications to add a practice location, and applications to report any new owner. These screening categories and requirements are based on a CMS assessment of the level of risk of fraud, waste, and abuse posed by a particular type of provider or supplier. In general, the higher the level of risk a certain provider or supplier type poses, the greater the level of scrutiny with which CMS will screen and review providers or suppliers within that category.</P>
                    <P>There are three levels of screening in § 424.518: high, moderate, and limited. Irrespective of which level a provider or supplier type falls within, the MAC performs the following screening functions upon receipt of an initial enrollment application, a revalidation application, an application to add a new location, or an application to report a new owner:</P>
                    <P>• Verifies that the provider or supplier meets all applicable federal regulations and state requirements for their provider or supplier type.</P>
                    <P>• Conducts state license verifications.</P>
                    <P>• Conducts database checks on a pre- and post-enrollment basis to ensure that providers and suppliers continue to meet the enrollment criteria for their provider or supplier type.</P>
                    <P>Providers and suppliers at the moderate and high categorical risk levels must also undergo a site visit. Furthermore, for those at the high screening level, the MAC performs two additional functions under § 424.518(c)(2). First, the MAC requires the submission of a set of fingerprints for a national background check from all individuals who have a 5 percent or greater direct or indirect ownership interest in the provider or supplier. Second, it conducts a fingerprint-based criminal history record check of the Federal Bureau of Investigation's Integrated Automated Fingerprint Identification System on these 5 percent or greater owners. These additional verification activities are meant to correspond to the heightened risk involved.</P>
                    <P>
                        There currently are only five provider and supplier types that fall within the high categorical risk level under § 424.518(c)(1): newly/initially enrolling OTPs that have not been fully and continuously certified by SAMHSA since October 23, 2018 (hereafter collectively referenced as simply “OTPs” unless specified otherwise); newly/initially enrolling HHAs; newly/initially enrolling DMEPOS suppliers; newly/initially enrolling Medicare diabetes prevention program (MDPP) suppliers; and newly/initially enrolling skilled nursing facilities (SNFs). These five provider and supplier types are also subject to high-risk level screening if, as previously indicated, they are submitting a change of ownership 
                        <PRTPAGE P="43784"/>
                        application under 42 CFR 489.18 or reporting any new owner (regardless of ownership percentage) in accordance with a change of information or other enrollment transaction under Title 42. They are subject to moderate level screening (rather than high) if they are revalidating their enrollment under § 424.518.
                    </P>
                    <HD SOURCE="HD3">(2) Categorical Risk Designation—Hospices</HD>
                    <P>Hospices are currently in the moderate-risk screening category under § 424.518. However, CMS in recent years has become increasingly concerned about program integrity issues within the hospice community, particularly (though not exclusively) potential and actual criminal behavior, fraud schemes, and improper billing. There have been a number of criminal and False Claims Act cases involving hospice owners and overseers that have arisen since our initial designation of hospices as moderate risk in 2011. These include, but are by no means limited to, the following:</P>
                    <P>
                        • In May 2014, a Pennsylvania hospice owner was sentenced to 176 months in prison for organizing a scheme to defraud Medicare via his home hospice business. He had been found guilty of conspiracy to commit health care fraud, 21 counts of health care fraud, 11 counts of money laundering, and two counts of mail fraud. The owner's hospice had submitted to Medicare approximately $16.2 million in false claims for patients who were ineligible for hospice services and/or never received the level of hospice services for which the hospice billed. Other activities included the owner and co-owner: (1) directing staff to alter patient files and rewrite nursing documentation to make patients appear sicker than they actually were; and (2) paying doctors and other health care professionals for referring patients to the hospice even when the patients were neither eligible nor appropriate for hospice care.
                        <SU>191</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>191</SU>
                             
                            <E T="03">https://www.justice.gov/usao-edpa/pr/hospice-owner-sentenced-more-14-years-health-care-fraud-scheme.</E>
                        </P>
                    </FTNT>
                    <P>
                        • In 2020, the owner and the chief executive officer (CEO) of a Texas-based group of hospices and HHAs were sentenced to 20 and 15 years in prison, respectively. Both had falsely told thousands of patients with long-term incurable illnesses that they had under 6 months left to live so as to enroll them in hospice programs for which they did not qualify.
                        <SU>192</SU>
                        <FTREF/>
                         The OIG Dallas Region's special agent in charge stated that the owner's scheme, which involved over $150 million in false and fraudulent claims, included “paying kickbacks to physicians and fraudulently enrolling vulnerable beneficiaries in hospice care that prevented them from accessing curative care—all done to steal millions of dollars from Medicare to fund lavish personal spending.” 
                        <SU>193</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>192</SU>
                             
                            <E T="03">https://www.justice.gov/opa/pr/ceo-sentenced-150-million-health-care-fraud-and-money-laundering-scheme; https://www.justice.gov/opa/pr/owner-texas-chain-hospice-companies-sentenced-150-million-health-care-fraud-and-money</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>193</SU>
                             
                            <E T="03">https://www.justice.gov/opa/pr/owner-texas-chain-hospice-companies-sentenced-150-million-health-care-fraud-and-money</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        • A California hospice administrator in February 2021 was sentenced to 30 months in prison for his part in a multimillion-dollar Medicare fraud scheme. The administrator and others paid illegal kickbacks to patient recruiters for referring beneficiaries to the hospice. When hospice staff informed the administrator that these referred individuals did not qualify for hospice care, the administrator overruled them and caused the beneficiaries to receive hospice services.
                        <SU>194</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>194</SU>
                             
                            <E T="03">https://www.justice.gov/opa/pr/hospice-administrator-sentenced-role-hospice-fraud-scheme.</E>
                        </P>
                    </FTNT>
                    <P>
                        • In 2015, an Oklahoma hospice owner was convicted of Medicare fraud for submitting millions of dollars in fraudulent claims to Medicare. This included directing that certain medical documents be changed or written in a manner to: (1) give the appearance that nurses had visited patients or conducted assessments when they had not; and (2) make it appear that patients were sicker than they actually were.
                        <SU>195</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>195</SU>
                             
                            <E T="03">https://www.fbi.gov/news/stories/hospice-owner-falsified-numerous-claims.</E>
                        </P>
                    </FTNT>
                    <P>
                        • A Georgia hospice owner in December 2021 pled guilty to one felony count of Medicaid fraud. State investigators found that the owner “frequently took flights out of the country on dates that the defendant claimed she had personally provided hospice care here in Georgia.” 
                        <SU>196</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>196</SU>
                             
                            <E T="03">https://law.georgia.gov/press-releases/2021-12-22/carr-medicaid-fraud-control-unit-secures-guilty-plea-dekalb-county.</E>
                        </P>
                    </FTNT>
                    <P>
                        • In August 2020, a New York hospice agreed to pay the United States $4,850,000 to resolve civil allegations that it billed Medicare and Medicaid for services furnished to hospice beneficiaries at heightened levels of care for which the patients did not qualify.
                        <SU>197</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>197</SU>
                             
                            <E T="03">https://www.justice.gov/usao-edny/pr/new-york-hospice-provider-settles-civil-healthcare-fraud-allegations</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        • A Florida hospice in July 2020 agreed to pay the United States $3.2 million to resolve allegations that it knowingly submitted false claims to Medicare, Medicaid, and TRICARE for hospice care furnished to patients who did not qualify for it. According to the Department of Justice, the hospice “billed Medicare for four or more years of hospice care for certain patients who were not terminally ill for at least a portion of their greater than four-year hospice stay.” 
                        <SU>198</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>198</SU>
                             
                            <E T="03">https://www.justice.gov/usao-mdfl/pr/hope-hospice-agrees-pay-32-million-settle-false-claims-act-liability.</E>
                        </P>
                    </FTNT>
                    <P>
                        • A multi-state hospice provider in December 2021 agreed to pay $5.5 million to the federal government to resolve allegations that it knowingly violated the False Claims Act by submitting claims to Medicare for hospice services furnished to beneficiaries who were not terminally ill.
                        <SU>199</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>199</SU>
                             
                            <E T="03">https://www.justice.gov/usao-wdtn/pr/crossroads-hospice-agrees-pay-55-million-settle-false-claims-act-liability.</E>
                        </P>
                    </FTNT>
                    <P>
                        • In December 2018, a Pennsylvania hospice agreed to pay over $5.8 million to the federal government to resolve allegations that it violated the False Claims Act by submitting Medicare claims for hospice services that were medically unnecessary or lacked documentation.
                        <SU>200</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>200</SU>
                             
                            <E T="03">https://www.justice.gov/usao-edpa/pr/hospice-care-provider-pays-nearly-6-million-resolve-false-claims-act-allegations</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        • Another Pennsylvania hospice and its owner and CEO agreed in February 2018 to pay the United States $1.24 million to resolve allegations that the hospice: (1) fraudulently billed Medicare and Medicaid for hospice services furnished to beneficiaries who were not eligible for them; and (2) falsified records to support the false claims.
                        <SU>201</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>201</SU>
                             
                            <E T="03">https://www.justice.gov/usao-wdpa/pr/hospice-company-and-owner-agree-pay-124-million-settle-two-false-claims-act.</E>
                        </P>
                    </FTNT>
                    <P>
                        • The founders of a Texas hospice and related HHA in January 2021 paid over $1.8 million following an investigation into improper payments to physicians for referrals.
                        <SU>202</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>202</SU>
                             
                            <E T="03">https://www.justic.gov/usao-sdtx/pr/hospice-home-health-agency-and-owners-pay-over-18m-resolve-claims-concerning-physician</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        • A Florida-headquartered hospice in December 2021 agreed to pay the federal government over $5 million to resolve allegations that it knowingly billed Medicare and Medicaid for medically unnecessary and undocumented hospice services, including for at least 63 patients who had lengths of stays of more than 3 years. According to the government, for the 63 patients in question, the hospice either knowingly or recklessly did not document a 
                        <PRTPAGE P="43785"/>
                        legitimate reason for the initial commencement of hospice care and/or subsequent hospice coverage. The government added that “(m)any patients failed to demonstrate objective indications of decline throughout their time in the company's care, despite some being in hospice for nearly six years. Some patients had their hospice diagnoses changed after several years when they did not show decline under their original `terminal' diagnosis.” 
                        <SU>203</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>203</SU>
                             
                            <E T="03">https://www.justice.gov/usao-mdfl/pr/united-states-settles-false-claims-allegations-against-haven-hospice-more-5-million.</E>
                        </P>
                    </FTNT>
                    <P>
                        • A Minnesota-based hospice in July 2016 agreed to pay $18 million to resolve False Claims Act allegations that it billed Medicare for services for non-terminally ill patients. The federal government alleged that the hospice aimed to maximize the number of its Medicare patients “without regard to whether the patients were eligible for and needed hospice. These business practices allegedly included discouraging doctors from recommending that ineligible patients be discharged from hospice.” 
                        <SU>204</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>204</SU>
                             
                            <E T="03">https://www.justice.gov/opa/pr/minnesota-based-hospice-provider-pay-18-million-alleged-false-claims-medicare-patients-who.</E>
                        </P>
                    </FTNT>
                    <P>
                        • In February 2015, a multi-state hospice company agreed to pay $4 million to resolve allegations that it knowingly submitted or caused to be submitted false claims for hospice beneficiaries who were not terminally ill. The federal government contended that the company “engaged in certain business practices that contributed to claims being submitted for patients who did not have a terminal prognosis of six months or less by. . . paying bonuses to staff, including hospice marketers, admission nurses and executive directors, based on the number of patients enrolled.” 
                        <SU>205</SU>
                        <FTREF/>
                         The government also alleged that the hospice “hired medical directors based on their ability to refer patients, focusing particularly on medical directors with ties to nursing homes, which were seen as an easy source of patient referrals.” 
                        <SU>206</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>205</SU>
                             
                            <E T="03">https://www.justice.gov/opa/pr/united-states-settles-false-claims-act-suit-against-good-shepherd-hospice-inc-and-related.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>206</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <P>
                        • A Mississippi-based hospice chain in September 2015 agreed to pay the United States over $5.8 million to resolve False Claims Act allegations that it submitted false claims for continuous home care hospice services to beneficiaries who were not eligible to receive them.
                        <SU>207</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>207</SU>
                             
                            <E T="03">https://www.justice.gov/usao-sdms/pr/hospice-facility-and-its-managermajority-owner-pay-approximately-586-million-resolve</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        One recent and especially disturbing case involved the sentencing in January 2022 of the CEO of a Texas hospice agency to over 13 years in prison after pleading guilty to conspiracy to commit Medicare and Medicaid fraud. The CEO admitted that he: (1) billed Medicare and Medicaid for hospice services that were not provided, not directed by a medical professional, or provided to patients who were ineligible for hospice care; and (2) used blank, pre-signed controlled substance prescriptions to prescribe potent drugs even though the CEO was not a medical professional.
                        <SU>208</SU>
                        <FTREF/>
                         The CEO's scheme involved other individuals, thirteen of whom (including physicians) also pled guilty to crimes such as conspiracy to commit health care fraud.
                        <SU>209</SU>
                        <FTREF/>
                         The acting United States Attorney for the case stated that the CEO “scammed federal healthcare programs out of millions of dollars, and worse yet, denied vulnerable patients the medical oversight they deserved, writing pain prescriptions without physician input and allowing terminally ill patients to go unexamined.” 
                        <SU>210</SU>
                        <FTREF/>
                         The Federal Bureau of Investigation special agent in charge added: “In addition to causing fraudulent billing for tens of millions of dollars, [the CEO] preyed upon patients and families that did not have a true understanding of [the company] and hospice services. The core of the company was rooted in deception, and the lack of physician oversight allowed [the defendant] to make medical decisions for his own financial benefit.” 
                        <SU>211</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>208</SU>
                             
                            <E T="03">https://www.justice.gov/usao-ndtx/pr/novus-hospice-ceo-sentenced-13-years-healthcare-fraud.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>209</SU>
                             
                            <E T="03">https://www.justice.gov/usao-ndtx/pr/13-novus-healthcare-fraud-defendants-sentenced-combined-84-years-prison#:~:text=Bradley%20Harris%2C%20Novus%20CEO%2C%20pleaded,Dr.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>210</SU>
                             
                            <E T="03">https://www.justice.gov/usao-ndtx/pr/novus-hospice-ceo-pleads-guilty-healthcare-fraud</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>211</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <P>
                        The OIG, too, has noted the prevalence of hospice fraud schemes, issuing a July 2018 study titled “Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity” (OEI-02-16-00570). According to this report, Medicare in 2016 spent about $16.7 billion for hospice care for 1.4 million beneficiaries, an increase from $9.2 billion for less than 1 million beneficiaries in 2006; with this growth, the OIG stated that “significant vulnerabilities” have arisen, one of which involves improper activity.
                        <SU>212</SU>
                        <FTREF/>
                         The report noted that some such schemes involved: (1) paying recruiters to target beneficiaries who were ineligible for hospice services; and (2) physicians falsely certifying beneficiaries as terminally ill when they were not. The OIG cited several of the cases discussed in this section VIII.B.3.a.(2) of this proposed rule as examples of this behavior.
                        <SU>213</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>212</SU>
                             
                            <E T="03">https://oig.hhs.gov/oei/reports/oei-02-16-00570.pdf,</E>
                             p. 1.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>213</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <P>Given all of the foregoing, we believe that certain provider enrollment measures are necessary to help address these issues. One of these measures involves closer screening of the owners of hospices. We previously cited criminal convictions of hospice owners and overseers. Although not every case of hospice fraud involves or can be attributable to the hospice's owner, we believe the owner can set the tone for the hospice's operations as a whole. If, accordingly, an owner has a criminal background involving fraud or patient abuse, this could lead to similar activity within the hospice. We believe that the increasing number of fraud cases warrants a revisiting of our original assignment of hospices to the moderate risk category. With our obligation to protect the Trust Funds and vulnerable Medicare beneficiaries, we believe more thorough scrutiny of hospice owners is required.</P>
                    <P>To this end, we propose to revise § 424.518 to move initially enrolling hospices and those submitting applications to report any new owner (as described in § 424.518's opening paragraph) into the “high” level of categorical screening; revalidating hospices would be subject to moderate risk-level screening. Requiring all hospice owners with 5 percent or greater direct or indirect ownership to submit fingerprints for a criminal background check would help us detect parties potentially posing a risk of fraud, waste, or abuse before it begins. Indeed, we have found our fingerprint-based criminal background checks to be of great assistance in detecting felonious behavior by the owners of high-risk providers and suppliers.</P>
                    <P>
                        We note that there is precedent for performing criminal background reviews on hospice personnel. Under the hospice conditions of participation at 42 CFR 418.114(d): (1) the hospice must obtain a criminal background check on all hospice employees who have direct patient contact or access to patient records; and (2) hospice contracts must require that all contracted entities obtain criminal background checks on contracted employees who have direct patient contact or access to patient records. Considering that hospice owners generally have oversight authority or 
                        <PRTPAGE P="43786"/>
                        responsibility for all the hospice's operations, we believe it is important that the owner be subject to similar scrutiny.
                    </P>
                    <P>Initially enrolling hospices would be incorporated within revised paragraph (c)(1)(vi). The current language in paragraph (c)(1)(vi) would be included within new proposed paragraph (c)(1)(vii), to which would be added hospices disclosing a new owner.</P>
                    <HD SOURCE="HD3">b. 36-Month Rule</HD>
                    <P>The general purpose of a state survey or accreditation review for any Medicare provider or supplier type subject thereto is to determine whether the provider or supplier is in compliance with its regulatorily prescribed conditions of participation or conditions of coverage (hereafter collectively referenced as CoPs). CoPs are federal requirements that a provider or supplier must meet to participate in the Medicare program, and they generally focus on health and safety protections. Although they can vary by provider and supplier type, they address matters such as, but not limited to, the following:</P>
                    <FP SOURCE="FP-1">• Personnel qualifications</FP>
                    <FP SOURCE="FP-1">• Infection prevention and control</FP>
                    <FP SOURCE="FP-1">• Emergency preparedness</FP>
                    <FP SOURCE="FP-1">• Staffing ratios</FP>
                    <FP SOURCE="FP-1">• Patient safety</FP>
                    <FP SOURCE="FP-1">• Patients' bill of rights</FP>
                    <FP SOURCE="FP-1">• Licensure</FP>
                    <FP SOURCE="FP-1">• Fire prevention</FP>
                    <FP SOURCE="FP-1">• Adherence to federal, state, and local requirements</FP>
                    <P>CoPs are critical to ensuring that providers and suppliers are legitimate, bona fide entities capable of furnishing quality care and following safety requirements.</P>
                    <P>Though it is a provider enrollment provision, § 424.550(b)(1) recognizes the importance of the HHA survey and accreditation processes (hereafter sometimes collectively referenced as the “survey process”), which help confirm the HHA's compliance with the CoPs and the quality and safety requirements they entail. Section 424.550(b)(1) states if an HHA undergoes a change in majority ownership (occasionally referenced as a “CIMO”) by sale within 36 months after the effective date of the HHA's initial enrollment in Medicare or within 36 months after the HHA's most recent CIMO, the provider agreement and Medicare billing privileges do not convey to the HHA's new owner. The prospective provider/owner of the HHA must instead: (1) enroll in Medicare as a new (initial) HHA; and (2) obtain a state survey or an accreditation from an approved accreditation organization. As defined in 42 CFR 424.502, a “change in majority ownership” occurs when an individual or organization acquires more than a 50 percent direct ownership interest in an HHA during the 36 months following the HHA's initial enrollment or most recent CIMO; this includes an acquisition of majority ownership through the cumulative effect of asset sales, stock transfers, consolidations, or mergers. Under § 424.550(b)(1), a 42 CFR 489.18-level change of ownership and/or 100 percent ownership transfer is not necessary to trigger this “36-month rule.” Only crossing the 50 percent ownership threshold is required.</P>
                    <P>Section 424.550(b)(1) was promulgated in 2009 and modified in 2010. There were two principal objectives behind its establishment.</P>
                    <P>First, there was a trend in the HHA community whereby an HHA applied for Medicare certification, underwent a survey, and became enrolled in Medicare, but then immediately sold the HHA without having seen a Medicare beneficiary or hired an employee. These brokers, in other words, enrolled in Medicare exclusively to sell the HHA rather than to provide services to beneficiaries. This practice enabled a purchaser of an HHA from the broker to enter Medicare with no survey, which, in turn, sometimes led that owner to soon sell the business to another party. The “flipping” or “turn-key” mechanism, in short, was used to circumvent the survey process.</P>
                    <P>
                        Second, we were more broadly concerned about the lack of scrutiny of new owners as a whole, not merely in cases of flipping. We made clear in the CY 2010 HH PPS final rule (74 FR 58078), in which we promulgated § 424.550(b)(1), that the intent of § 424.550(b)(1) goes beyond the issue of ”turn-key” operations.
                        <SU>214</SU>
                        <FTREF/>
                         We explained that if an HHA undergoes a change of ownership, CMS—at the current time—generally does not perform a survey pursuant thereto. Consequently, CMS has no sure way of knowing whether the HHA, under its new ownership and management, is in compliance with the HHA CoPs. Unless CMS can make this determination, there is a risk that the newly-purchased HHA, without having been appropriately vetted, will bill for services when it is out of compliance with the CoPs.
                        <SU>215</SU>
                        <FTREF/>
                         We added that in light of a GAO report we cited in the CY 2010 HH PPS proposed rule that outlined problematic activities involving HHAs, we believed it was imperative that we ensure that a newly-purchased HHA be subjected to an appropriate level of review.
                        <SU>216</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>214</SU>
                             74 FR 58118.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>215</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>216</SU>
                             74 FR 58118-58119; “Improvements Needed to Address Improper Payments in Home Health” (GAO-09-185).
                        </P>
                    </FTNT>
                    <P>We previously outlined in this section VIII.B.3.a.(2). of this proposed rule our growing concerns about improper behavior within the hospice community. Yet, we are equally concerned about the quality of care furnished in some of these facilities. Indeed, we have seen an increase in the number of hospice changes of ownership (including the types of CIMOs described in 42 CFR 424.550(b)(1)) in recent years, and a number of these ownership changes have occurred within the applicable 36-month timeframe. In fact, some such changes have taken place within only a few months after enrollment or the previous CIMO, akin to what we saw with the “flipping” practice outlined in the CY 2010 HH PPS proposed and final rules; specifically, we have received reports that hospices are being sold quickly after enrollment or purchase so that the new owner can avoid any survey. This is because, as had been our concern with HHAs, hospice ownership changes generally do not result in a state survey or accreditation review.</P>
                    <P>
                        Aside from the July 2018 OIG report referenced earlier, which, as noted by its title, stated that vulnerabilities in the Medicare hospice program impact quality care, the Government Accountability Office (GAO) in October 2019 issued a report titled, “Medicare Hospice Care: Opportunities Exist to Strengthen CMS Oversight of Hospice Providers” (GAO-20-10).
                        <SU>217</SU>
                        <FTREF/>
                         The GAO observed therein that the number of: (1) Medicare hospice beneficiaries had almost tripled from 2000 to nearly 1.5 million by 2017; and (2) Medicare hospice providers had doubled.
                        <SU>218</SU>
                        <FTREF/>
                         The GAO stated that in light of this growth: “It is imperative that CMS's oversight of the quality of Medicare hospice care keeps pace with changes so that the agency can ensure the health and safety of these terminally ill beneficiaries.” 
                        <SU>219</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>217</SU>
                             
                            <E T="03">https://www.gao.gov/assets/gao-20-10.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>218</SU>
                             Ibid., p. 25.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>219</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <P>
                        In sum, hundreds of hospice ownership changes have occurred since 2018 for which CMS may not know whether the facility under its new ownership and leadership is compliant with the hospice CoPs. This is a significant vulnerability. Many millions of dollars could be improperly paid to newly purchased hospices that are not adhering to Medicare requirements. More crucially, it is unknown whether 
                        <PRTPAGE P="43787"/>
                        newly purchased hospices are furnishing quality care to the facility's beneficiaries, which, if they are not, can put patients' lives in danger; we previously saw in this section VIII.B.3.a.(2). of this proposed rule the great risks associated with uncommitted ownership. We believe that a comprehensive survey would be the most effective means of confirming that newly purchased hospices are meeting the CoPs and are positioned to provide quality care and protect beneficiaries.
                    </P>
                    <P>Consequently, we are proposing to expand the scope of § 424.550(b)(1) to include hospice CIMOs within its purview. (The aforementioned definition of “change in majority ownership” in § 424.502 would also be expanded to incorporate hospices therein.) We believe that our previously detailed concerns about hospices, such as fraud schemes, patient abuse, and improper billing, require the level of scrutiny that a survey can furnish. Although surveys cannot by themselves entirely halt all of these issues, we are confident that a survey's thoroughness can greatly assist the vetting of the new owner to help ensure the latter's commitment to quality care.</P>
                    <P>We note that § 424.550(b)(2) contains several exceptions to the 36-month rule. Specifically, even if an HHA undergoes a CIMO, the requirement in § 424.550(b)(1) that the HHA enroll as a new HHA and undergo a survey or accreditation does not apply if any of the following four exceptions are implicated:</P>
                    <P>• The HHA submitted 2 consecutive years of full cost reports since initial enrollment or the last CIMO, whichever is later.</P>
                    <P>• An HHA's parent company is undergoing an internal corporate restructuring, such as a merger or consolidation.</P>
                    <P>• The owners of an existing HHA are changing the HHA's existing business structure (for example, from a corporation to a partnership (general or limited)), and the owners remain the same.</P>
                    <P>• An individual owner of an HHA dies.</P>
                    <P>
                        These exceptions were added to § 424.550(b) in a final rule published in the 
                        <E T="04">Federal Register</E>
                         on November 17, 2010 titled, “Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2011; Changes in Certification Requirements for Home Health Agencies and Hospices” (75 FR 70372). We promulgated them because the HHA community had expressed concerns that the 36-month rule could inhibit bona fide HHA ownership transactions; for example, prospective new owners may not wish to have to enroll as a new HHA and will therefore decline to purchase the entity. We believed that our exceptions struck a solid balance between the need for more scrutiny of new owners via the survey process while not inadvertently obstructing legitimate transactions involving legitimate parties. As an illustration, a CIMO resulting from an internal restructuring can frequently pose less of a risk of “flipping” than an HHA that—2 months after initial enrollment—is sold to another party strictly to circumvent the survey process. These exceptions, in our view, still soundly balance the two aforementioned considerations, and we therefore are not proposing to exempt hospices from them.
                    </P>
                    <HD SOURCE="HD3">c. Additional Hospice Ownership Matters</HD>
                    <P>CMS is taking additional provider enrollment steps to address (either wholly or in part) hospice ownership and program integrity. To illustrate, we proposed in a December 15, 2022 Paperwork Reduction Act submission (87 FR 76626) to revise the Form CMS-855A Medicare provider enrollment application (Medicare Enrollment Application—Institutional Providers; OMB Control No. 0938-0685) to collect from providers/suppliers (including hospices) that complete this form important data such as, but not limited to:</P>
                    <P>• Requiring the provider/supplier/hospice to specifically identify via a checkbox whether a reported organizational owner is itself owned by another organization or individual.</P>
                    <P>• Requiring the provider/supplier/hospice to explicitly identify whether a listed organizational owner/manager does or does not fall within the categories of entities listed on the application (for example, holding company, investment firm, etc.), with “private-equity company” and “real estate investment trust” being added to this list of organization types.</P>
                    <P>This information will assist CMS in better understanding the provider/supplier/hospice's indirect ownership relationships and the types of entities that own it.</P>
                    <P>
                        In addition, in a proposed rule published in the 
                        <E T="04">Federal Register</E>
                         on April 4, 2023 titled “Medicare Program; FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements” (88 FR 20022), we proposed to require physicians who order or certify hospice services for Medicare beneficiaries to be enrolled in or validly opted-out of Medicare as a prerequisite for the payment of the hospice service in question. We stated therein our belief that the careful screening the enrollment process entails would help us determine whether the physician meets all federal and state requirements (such as licensure) or presents any program integrity risks (for example, final adverse actions).
                    </P>
                    <P>Our aforementioned hospice high-risk screening and 36-month rule proposals represent further steps towards addressing hospice ownership and payment safeguard issues, and we are considering additional measures regarding these topics.</P>
                    <HD SOURCE="HD3">4. Deactivation for 12-Months of Non-Billing</HD>
                    <P>Regulatory policies regarding the provider enrollment concept of deactivation are addressed in § 424.540. Deactivation means that the provider's or supplier's billing privileges are stopped but can be restored (or “reactivated”) upon the submission of information required under § 424.540. A deactivated provider or supplier is not revoked from Medicare and remains enrolled. Also, per § 424.540(c), deactivation does not impact the provider's or supplier's existing provider or supplier agreement; the deactivated provider or supplier may also file a rebuttal to the action in accordance with § 424.546. Nonetheless, the provider's or supplier's ability to bill Medicare is halted pending its compliance with § 424.540's requirements for reactivation.</P>
                    <P>To reactivate its billing privileges, the affected provider or supplier per § 424.540(b) must recertify that its current enrollment information on file with Medicare is correct, furnish any missing information as appropriate, and be in compliance with all applicable enrollment requirements in Title 42. CMS reserves the right, though, to require the submission of a complete Form CMS-855 application prior to any reactivation. The reactivation process is designed to confirm that the deactivated provider or supplier is adherent to all applicable Title 42 provider enrollment provisions.</P>
                    <P>
                        There are currently eight reasons under § 424.540(a) for which CMS can deactivate a provider or supplier, one of which is that the provider or supplier has not submitted any Medicare claims for 12 consecutive months. (The 12-month period begins the first day of the first month without a claims submission through the last day of the 12th month 
                        <PRTPAGE P="43788"/>
                        without a submitted claim.) This particular deactivation ground was established via a final rule published in the 
                        <E T="04">Federal Register</E>
                         on April 21, 2006 titled “Medicare Program; Requirements for Providers and Suppliers to Establish and Maintain Medicare Enrollment” (71 FR 20754). In the April 25, 2003 proposed rule associated with this final rule, we proposed to have the authority to deactivate a provider or supplier after 6 months of Medicare non-billing.
                        <SU>220</SU>
                        <FTREF/>
                         Although, at the time per subregulatory guidance, our policy was to permit deactivation after 12 months, we proposed 6 months due to several program integrity issues related to inactive billing numbers. We outlined in that proposed rule our desire to prevent, for instance: (1) questionable businesses from deliberately obtaining multiple numbers so they could keep one `in reserve' [for future use] if their active billing number is subject to a payment suspension; and (2) fraudulent entities from obtaining information about discontinued providers or suppliers and then, for example, using the Medicare billing number of a deceased physician.
                        <SU>221</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>220</SU>
                             Medicare Program; Requirements for Establishing and Maintaining Medicare Billing Privileges (68 FR 22064).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>221</SU>
                             Ibid. (68 FR 22072).
                        </P>
                    </FTNT>
                    <P>Based on feedback from commenters, we did not finalize our proposed reduction to 6 months in the April 21, 2006 final rule. Yet we remained concerned about situations where a provider or supplier does not bill for 6 months, as this could indicate, for instance, that the provider or supplier is no longer operational and that its billing number thus could be accessed by another party intent on improper billing. More importantly, we have recently detected fraud schemes involving extended periods of non-billing. A common situation involves a provider that: (1) establishes multiple enrollments with multiple billing numbers; (2) abusively or inappropriately bills under one billing number; (3) receives an overpayment demand letter or becomes the subject of investigation; (4) voluntary terminates the billing number in question; and then (5) begins to bill via another of its billing numbers that is dormant (for example, 6 consecutive months without billing) but nonetheless active, repeating the same improper conduct as before. The problem in this case is that we cannot deactivate the dormant billing number (hence rendering it unusable and inaccessible pending a reactivation) under § 424.540(a)(1) because the applicable 12-month period has not yet expired.</P>
                    <P>This type of “whack-a-mole” activity is similar to that which we cited previously in the April 25, 2003 proposed rule as justification for the proposed 6-month deactivation threshold therein. The difference, though, is that these fraud schemes have become increasingly prevalent in recent years such that we must revisit the current 12-month timeframe in § 424.540(a)(1). We do not believe we can or should wait for a year to elapse before taking deactivation action against these providers and suppliers. To protect the Trust Funds against improper payments, we must be able to move more promptly to deactivate these “spare” billing numbers so the latter cannot be inappropriately used or accessed.</P>
                    <P>However, we emphasize that our concerns are not limited to the aforementioned scenarios regarding fraudulent activity. A lack of billing for an extended period can, as previously discussed, indicate that the provider or supplier has ceased operations without notifying CMS. Deactivating the number enables CMS to not only prevent it from being accessed by other parties but also confirm via the deactivation process whether the provider or supplier is in fact operational—specifically, whether the provider or supplier responds with a reactivation application. In other words, action under § 424.540(a)(1) helps protect the Medicare program by deactivating the number while verifying whether the provider or supplier remains in existence; if it does, and it subsequently submits a reactivation application, CMS can validate the data thereon to ensure the provider's or supplier's continued credentials and compliance with Medicare requirements. This protective process, we believe, should be available to us upon the expiration of a 6-month non-billing period, for our earlier-referenced concerns exist whenever any extensive timeframe of non-billing occurs. The sooner we can address these non-billing cases, the better we can protect the Trust Funds. For these reasons, we propose to revise § 424.540(a)(1) to change the 12-month time therein to 6 months.</P>
                    <P>We certainly recognize that there are lengthy periods of non-billing that do not involve any improper activity. To illustrate, we know that some providers are required to be enrolled in Medicare in order to enroll in another health care program; as the provider does not intend to bill Medicare but only the other program, an extended period of Medicare non-billing can result. While CMS retains the discretion, as it always has, to deactivate a provider or supplier if the contingency in § 424.540(a)(1) is triggered, providers and suppliers that are not typically deactivated for 12 months of non-billing should not assume they would be more likely to be so deactivated under our proposed change to 6 months.</P>
                    <HD SOURCE="HD3">5. Definition of “Managing Employee”</HD>
                    <P>
                        Consistent with sections 1124 and 1124A of the Act, providers and suppliers are required to report their managing employees via the applicable Medicare enrollment application in order to enroll in Medicare. We currently define a “managing employee” in § 424.502 as a “general manager, business manager, administrator, director, or other individual that exercises operational or managerial control over, or who directly or indirectly conducts, the day-to-day operation of the provider or supplier (either under contract or through some other arrangement), whether or not the individual is a W-2 employee of the provider or supplier.” In a proposed rule published in the 
                        <E T="04">Federal Register</E>
                         on February 15, 2023 titled “Medicare and Medicaid Programs; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities” (88 FR 9820), we proposed to revise this definition under our proposed implementation via that rule of section 1124(c) of the Act. We specifically proposed that, for purposes of 42 CFR 424.516(g) and with respect to a SNF, a managing employee also includes a general manager, business manager, administrator, director, or consultant, who directly or indirectly manages, advises, or supervises any element of the practices, finances, or operations of the facility. As proposed, this SNF-exclusive definition would be in a new paragraph (2) of the managing employee definition in § 424.502; the existing version of the definition would be included within new paragraph (1).
                    </P>
                    <P>
                        We are proposing to further revise this definition in the present proposed rule. We have received questions from the hospice and SNF communities regarding whether hospice and SNF facility administrators and medical directors must be disclosed as managing employees on the enrollment application. It has been our experience in overseeing the Medicare provider enrollment process that such individuals indeed exercise managing control over the hospice or SNF, and we have long required that they be reported as managing employees.
                        <PRTPAGE P="43789"/>
                    </P>
                    <P>Accordingly, we propose to further revise the managing employee definition in § 424.502 by adding the following language immediately after (and in the same paragraph as) the current definition: For purposes of this definition, this includes, but is not limited to, a hospice or skilled nursing facility administrator and a hospice or skilled nursing facility medical director. This change would be reflected in the first paragraph of the revised definition of this term as proposed in the February 15, 2023 proposed rule. That is, the revision described in this section VIII.(B)(5) would be added to the end of new paragraph (1) as the latter was proposed in the February 15, 2023 proposed rule.</P>
                    <P>We stress that this clarification regarding hospice and SNF facility administrators and medical directors should in no manner be construed as CMS' establishment of a minimum threshold for reporting managing employees of hospices, SNFs, or any other provider or supplier type. Put otherwise, simply because an individual has less managing control within a particular organization than a facility administrator or medical director does not mean that the person need not be disclosed. Any individual who meets the definition of managing employee in § 424.502 must be reported irrespective of the precise amount of managing control the person has. The exclusive purpose of our proposed elucidation is to address specific questions raised by hospices and SNFs concerning whether the individuals at issue must be reported. It is not meant to change existing reporting requirements regarding managing employees and who must be disclosed as such.</P>
                    <HD SOURCE="HD3">6. Previously Waived Fingerprinting of High-Risk Providers and Suppliers</HD>
                    <P>During the recent COVID-19 public health emergency (PHE), CMS temporarily waived the requirement for fingerprint-based criminal background checks (FBCBCs) for 5 percent or greater owners of newly enrolling providers and suppliers falling within the high-risk screening category in § 424.518(c). The principal purpose was to facilitate beneficiary access to services by potentially increasing the number of health care providers and suppliers. Given the scope of the emergency, we believed this had to take priority. To reduce the program integrity risks of this waiver, we continuously monitored criminal alerts produced via our internal screening mechanism. Nevertheless, we remained concerned during the waiver period about the lack of FBCBCs being performed. Although the criminal alerts were useful, we have found FBCBCs to be the best and surest means of detecting felonious behavior by the owners of high-risk providers and suppliers.</P>
                    <P>With this in mind, we wish to perform FBCBCs for high-risk providers and suppliers that initially enrolled during the PHE upon their revalidation once the PHE ends. Yet this is not possible under our existing regulations because the revalidation applications would only be screened at the moderate-risk level. To remedy this, we propose to add new § 424.518(c)(1)(viii) that would incorporate within the high-screening category revalidating DMEPOS suppliers, HHAs, OTPs, MDPPs, and SNFs for which CMS waived the FBCBC requirement when they initially enrolled in Medicare. However, given the potential for future emergencies for which CMS might waive FBCBCs under applicable legal authority (such as that for the PHE), we more specifically propose in new § 424.518(c)(1)(viii) that this high-risk category (which would include hospices with respect to future waivers) would apply to situations where CMS waived FBCBCs, in accordance with applicable legal authority, due to a national, state, or local emergency declared under existing law. We emphasize that our proposal does not obligate CMS to waive the FBCBC requirement in any such emergency. Any decision to do so rests with CMS, and such waivers would, if they occur at all in the future, would be reserved for the most exceptional of circumstances.</P>
                    <P>Along with adding new § 424.518(c)(1)(viii), we propose to delete current § 424.518(b)(1)(iv), (ix), (x), (xi), (xiii), and (xiv), which individually identify the six previously discussed provider and supplier types (including hospices) as moderate-risk if they are revalidating their enrollment. We would redesignate existing paragraphs (b)(1)(v) through (b)(1)(viii) as revised paragraphs (b)(1)(iv) through (b)(1)(vii). We would also redesignate existing paragraph (b)(1)(xii) as revised (b)(1)(viii), with the former paragraph being deleted.  Revised paragraph (b)(1)(viii) would include both prospective and revalidating OTPs that have been fully and continuously certified by SAMHSA since October 23, 2018. Furthermore, we would establish a revised paragraph (b)(1)(ix) that would include within the moderate-risk category revalidating DMEPOS suppliers, HHAs, OTPs, MDPPs, SNFs, and hospices that underwent FBCBCs: (1) when they initially enrolled in Medicare; or (2) upon revalidation after CMS waived the FBCBC requirement (under the circumstances described in paragraph (c)(1)(viii)) when the provider or supplier initially enrolled in Medicare. This second provision is to clarify that the providers and suppliers referenced in paragraph (c)(1)(viii) do not remain in the high-screening category in perpetuity solely because they were not fingerprinted upon initial enrollment. Once the provider or supplier is fingerprinted upon revalidation, it would move to the moderate-risk category unless another basis exists under paragraph (c) for retaining it within the high-risk category.</P>
                    <P>As indicated previously, DMEPOS suppliers are required to revalidate their Medicare enrollment every 3 years; HHAs, OTPs, MDPPs, SNFs, and hospices must do so every 5 years. We note, though, that CMS under § 424.515(d) can perform off-cycle revalidations; that is, we can revalidate a provider or supplier at any time and need not wait until the arrival of their 5-year (or, for DMEPOS suppliers, 3-year) revalidation cycle. Should this proposed rule be finalized, CMS would accordingly reserve the right to conduct off-cycle revalidations of the previously discussed FBCBC-waived high-risk providers and suppliers.</P>
                    <HD SOURCE="HD3">7. Expansion of Reapplication Bar</HD>
                    <P>Section 424.530(f) permits CMS to prohibit a prospective provider or supplier from enrolling in Medicare for up to 3 years if its enrollment application is denied because the provider or supplier submitted false or misleading information on or with (or omitted information from) its application in order to enroll. The purpose of § 424.530(f) is to prevent dishonest providers and suppliers from submitting false information on their initial application and, after being denied enrollment on this ground under § 424.530(a)(4), simply submitting a new application with correct data.</P>
                    <P>
                        The existing maximum length of a reapplication bar under § 424.530(f) is 3 years. We propose to expand this to 10 years to account for provider or supplier conduct of particular severity. We must be able to prevent such problematic parties from repeatedly submitting applications over many years with the goal of somehow getting into the program. We note that there is precedent for this 10-year period. Section 424.530(a)(3)(ii) states that a denial based on a felony conviction is for a period not less than 10 years from the date of conviction if the individual has been convicted on one previous occasion of one or more offenses. Too, reenrollment bars under 
                        <PRTPAGE P="43790"/>
                        § 424.535(c)(1)(i) are for a maximum 10-year timeframe. Although reenrollment bars are different from reapplication bars in terms of how and when they are applied, the aim of both is to protect Medicare and its beneficiaries. We believe it is largely immaterial from a program integrity standpoint whether a denial or revocation and subsequent bar stemming from the submission of false or misleading data involved a prospective or an enrolled provider, for the underlying conduct in either case is the same.
                    </P>
                    <HD SOURCE="HD3">8. Ordering, Referring, Certifying, and Prescribing Restrictions</HD>
                    <P>We discussed previously: (1) the need to increase the maximum reapplication bar to keep dishonest providers and suppliers out of Medicare for longer than 3 years; and (2) our concerns about felonious provider and supplier activity. We believe such provider and supplier behavior should result in restrictions regarding the ordering, referring, certifying, or prescribing of Medicare services, items, and drugs, too. Indeed, such ordering, referring, certifying, or prescribing can involve improper conduct that is as harmful to Medicare beneficiaries as the actual furnishing of services; this includes, for example, the over-prescribing of opioids and the unnecessary ordering of potentially dangerous tests. Consequently, and using our general rulemaking authority under sections 1102 and 1871 of the Act, we propose the following two provisions.</P>
                    <P>First, we propose to add a new paragraph (3) to § 424.530(f) stating that a provider or supplier that is currently subject to a reapplication bar under paragraph (f) may not order, refer, certify, or prescribe Medicare-covered services, items, or drugs. To enforce this policy, we would further state in proposed § 424.530(f)(3) that Medicare does not pay for any otherwise covered service, item, or drug that is ordered, referred, certified, or prescribed by a provider or supplier that is currently under a reapplication bar.</P>
                    <P>Second, we propose in paragraph (a) of new § 424.542 that a physician or other eligible professional (regardless of whether he or she is or was enrolled in Medicare) who has had a felony conviction within the previous 10 years that CMS determines is detrimental to the best interests of the Medicare program and its beneficiaries may not order, refer, certify, or prescribe Medicare-covered services, items, or drugs. Akin to proposed § 424.530(f)(3), we would state in § 424.542(b) that Medicare does not pay for any otherwise covered service, item, or drug that is ordered, referred, certified, or prescribed by a physician or other eligible professional (as that term is defined in section 1848(k)(3)(B) of the Act) who has had a felony conviction within the previous 10 years that CMS determines is detrimental to the best interests of the Medicare program and its beneficiaries.</P>
                    <P>These provisions would apply regardless of whether the provider or supplier has opted-out of Medicare. This is because the conduct associated with a reapplication bar and a felony conviction presents a risk irrespective of the provider's or supplier's opt-out status.</P>
                    <HD SOURCE="HD1">IX. Collection of Information Requirements</HD>
                    <HD SOURCE="HD2">A. Statutory Requirement for Solicitation of Comments</HD>
                    <P>
                        Under the Paperwork Reduction Act of 1995, we are required to provide a 60-day notice in the 
                        <E T="04">Federal Register</E>
                         and solicit public comment before a collection of information requirement is submitted to the Office of Management and Budget (OMB) for review and approval. In order to fairly evaluate whether an information collection should be approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 requires that we solicit comment on the following issues:
                    </P>
                    <P>• The need for the information collection and its usefulness in carrying out the proper functions of our agency.</P>
                    <P>• The accuracy of our estimate of the information collection burden.</P>
                    <P>• The quality, utility, and clarity of the information to be collected.</P>
                    <P>• Recommendations to minimize the information collection burden on the affected public, including automated collection techniques.</P>
                    <HD SOURCE="HD2">B. Information Collection Requirements (ICRs)</HD>
                    <P>In the CY 2023 HH PPS rule, we solicited public comment on each of these issues for the following sections of this document that contain information collection requirements (ICRs).</P>
                    <HD SOURCE="HD3">1. ICRs for HH QRP</HD>
                    <P>As discussed in section III. of this proposed rule, we propose that HHAs would collect data on one new quality measure, the Discharge Function Score (DC Function) measure, beginning with assessments completed on January 1, 2024. However, the DC Function measure utilizes data items that HHAs already report to CMS for quality reporting purposes, and therefore, the burden is accounted for in the PRA package approved under OMB control number 0938-1279 (expiration November 30, 2025).</P>
                    <P>As discussed in section III.C.2. of this proposed rule, we propose to remove a measure from the HH QRP, the Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (Application of Functional Assessment/Care Plan) measure, beginning with admission assessments completed on January 1, 2025. We have also proposed to remove OASIS items for Self-Care Discharge Goals (that is, GG0130, Column 2) and Mobility Discharge Goals (that is, GG0170, Column 2) at the start of care and resumption of care timepoints with the next release of the OASIS in 2025. This amounts to a net reduction in 2 data elements. We assume that each data element requires 0.3 minutes of clinician time to complete. Therefore, we estimate that there would be a reduction in clinician burden per OASIS assessment of 0.3 minutes at start of care and 0.3 minutes at resumption of care.</P>
                    <P>As stated in section III.C.3. of this proposed rule, we propose to adopt the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date (Patient/Resident COVID-19 Vaccine) measure beginning with the CY 2025 HH QRP. This proposed assessment-based quality measure would be collected using the OASIS. The OASIS-E is currently approved under OMB control number 0938-1279 (CMS-10387). One data element would need to be added to the OASIS at the transfer of care, death at home, and discharge time points in order to allow for the collection of the Patient/Resident COVID-19 Vaccine measure. We assume this would result in an increase 0.3 minutes of clinician staff time at the transfer of care, death at home, and discharge time points starting with the CY 2025 HH QRP.</P>
                    <P>As stated in section III.E.3. of this proposed rule, we propose to remove the M0110—Episode Timing and M2220- Therapy Needs OASIS items, effective January 1, 2025. These items are no longer used by the HH QRP, nor are they intended for use by CMS payment, survey or the expanded HHVBP model. The removal of these two items would result in the removal of two data elements at start of care, two at resumption of care, and one data element at follow-up for a total reduction of five data elements.</P>
                    <P>
                        The net effect of the proposals outlined in this proposed rule is a reduction in four data elements collected across all time points for the OASIS implemented on January 1, 2025. 
                        <PRTPAGE P="43791"/>
                        Table G1 outlines the net change in data elements.
                    </P>
                    <GPH SPAN="3" DEEP="135">
                        <GID>EP10JY23.083</GID>
                    </GPH>
                    <P>The OASIS is completed by RNs or PTs, or very occasionally by occupational therapists (OT) or speech language pathologists (SLP/ST). Data from 2021 show that the SOC/ROC OASIS is completed by RNs (approximately 77.14 percent of the time), PTs (approximately 22.16 percent of the time), and other therapists, including OTs and SLP/STs (approximately 0.7 percent of the time). Based on this analysis, we estimated a weighted clinician average hourly wage of $87.52, inclusive of fringe benefits, using the hourly wage data in Table G1. Individual providers determine the staffing resources necessary.</P>
                    <P>
                        For purposes of calculating the costs associated with the information collection requirements, we obtained mean hourly wages for these from the U.S. Bureau of Labor Statistics' May 2022 National Occupational Employment and Wage Estimates (
                        <E T="03">https://www.bls.gov/oes/current/oes_nat.htm</E>
                        ). To account for other indirect costs such as overhead and fringe benefits (100 percent), we have doubled the hourly wage. These amounts are detailed in Table G2.
                    </P>
                    <GPH SPAN="3" DEEP="118">
                        <GID>EP10JY23.084</GID>
                    </GPH>
                    <P>For purposes of estimating burden, we utilize item-level burden estimates for OASIS-E that will be released on January 1, 2025 compared to the OASIS-E as currently implemented as of January 1, 2023. Table G3 shows the total number of OASIS assessments that HHAs actually completed in CY 2021, as well as how those numbers would have decreased if non-Medicare and non-Medicaid OASIS assessments had been required at that time.</P>
                    <GPH SPAN="3" DEEP="133">
                        <GID>EP10JY23.085</GID>
                    </GPH>
                    <P>
                        Table G4 summarizes the estimated clinician hourly burden for the current OASIS and the OASIS in 2025 with the net removal of four data elements for each OASIS assessment type using CY 2021 assessment totals. We estimate a 
                        <PRTPAGE P="43792"/>
                        net reduction of 58,540.1 hours of clinician burden across all HHAs or 5 hours for each of the 11,700 active HHAs.
                    </P>
                    <GPH SPAN="3" DEEP="142">
                        <GID>EP10JY23.086</GID>
                    </GPH>
                    <P>Table G5 summarizes the estimated clinician costs for the current OASIS and the OASIS in 2025 with the net removal of four data elements for each OASIS assessment type using CY 2021 assessment totals. We estimate a reduction in costs of $5,123,429.55 related to the implementation of the proposals outlined in this proposed rule across all HHAs or a $437 reduction for each of the 11,700 active HHAs. This reduction in burden would begin with January 1, 2025 HHA discharges.</P>
                    <GPH SPAN="3" DEEP="130">
                        <GID>EP10JY23.087</GID>
                    </GPH>
                    <HD SOURCE="HD3">2. ICRs for HHVBP</HD>
                    <P>The proposals for the expanded HHVBP Model included in this proposed rule do not result in an increase in costs to HHAs. Section 1115A(d)(3) of the Act exempts Innovation Center model tests and expansions, which include the expanded HHVBP Model, from the provisions of the PRA. Specifically, this section provides that the provisions of the PRA do not apply to the testing and evaluation of Innovation Center models or to the expansion of such models.</P>
                    <HD SOURCE="HD3">3. ICRs for Hospice Information Dispute Resolution (IDR) and Hospice Special Focus Program (SFP)</HD>
                    <P>In accordance with 5 CFR 1320.4(a)(2) and (c), the following information collection activities are exempt from the requirements of the Paperwork Reduction Act since they are associated with administrative actions: (1) proposed § 488.1130 Hospice IDR; and (2) proposed § 488.1135 Hospice SFP.</P>
                    <HD SOURCE="HD3">4. ICRs for DMEPOS Refills</HD>
                    <P>In section VII.E. of this proposed rule, we are proposing to codify our refill policy, with some changes. The policy originally arose in response to concerns related to auto-shipments and delivery of DMEPOS products that may no longer be needed or not needed at the same level of frequency/volume. The policy has been historically maintained in the Medicare Program Integrity Manual, sporadically mentioned in certain Local Coverage Determinations (LCDs), and detailed in articles. We propose to require documentation indicating that the beneficiary confirmed the need for the refill within the 30-day period prior to the end of the current supply. We propose to codify our requirement that delivery of DMEPOS items (that is, date of service) must be no sooner than 10 calendar days before the expected end of the current supply.</P>
                    <HD SOURCE="HD3">5. ICRs for Provider Enrollment Provisions</HD>
                    <P>Except as explained in this section IX. of this proposed rule, we do not anticipate that any of our proposed provider enrollment provisions would implicate an ICR burden.</P>
                    <HD SOURCE="HD3">a. High-Risk Screening and Fingerprinting</HD>
                    <P>
                        We are proposing to revise § 424.518 to: (1) move initially enrolling hospices (and those undergoing an ownership change as described in § 424.518) into the high-risk screening category; and (2) include within the high-risk screening category revalidating DMEPOS suppliers, HHAs, OTPs, MDPPs, and SNFs for whom CMS legally waived the fingerprint-based criminal background check requirement in § 424.518 when they initially enrolled in Medicare. These changes would result in an increase in the annual number of providers and suppliers that must submit the fingerprints for a national 
                        <PRTPAGE P="43793"/>
                        criminal background check (via FBI Applicant Fingerprint Card FD-258) of all individuals with a 5 percent or greater direct or indirect ownership interest in the provider or supplier. The burden is currently approved by OMB under control number 1110-0046. We are not scoring the burden under this ICR section since the fingerprint card is not owned by CMS. However, an analysis of the impact of this requirement can be found in the RIA section of this proposed rule.
                    </P>
                    <HD SOURCE="HD3">b. Hospice 36-Month Rule</HD>
                    <P>We are proposing to expand § 424.550(b) to apply the 36-month rule provisions therein to hospices. This would require a hospice undergoing a change in majority ownership (as defined in § 424.502 and assuming no exceptions apply) to: (1) enroll in Medicare as a new hospice; and (2) undergo a state survey or accreditation. The principal ICR burden of this requirement would involve the completion of an initial Form CMS-855A application rather than a Form CMS-855A change of ownership (CHOW) application or a Form CMS-855A change of information application. Consistent with the general time estimates for these three categories of applications, it typically takes a provider approximately 4 hours to complete an initial Form CMS-855A, 4 hours for a CHOW application, and 1 hour for a change of information application. The key ICR burden difference, therefore, would be between submitting an initial application and submitting a change of information (since there is no burden difference between an initial application and a CHOW application).</P>
                    <P>
                        Based on internal CMS data, we estimate that each year approximately 50 hospices would be required to initially enroll in Medicare due to a change in majority ownership as opposed to simply reporting the sale via a change of information. This would result in an additional Form CMS-855A hour burden of 150 hours (50 × 3 hours), with the 3-hour figure reflecting the difference between initial applications and changes of information. In terms of cost, it has been our experience that Form CMS-855A applications are completed by the provider's office staff. Consequently, we will use the following wage category and hourly rate from the U.S. Bureau of Labor Statistics' (BLS) May 2022 National Occupational Employment and Wage Estimates for all salary estimates (
                        <E T="03">http://www.bls.gov/oes/current/oes_nat.htm</E>
                        ):
                    </P>
                    <GPH SPAN="3" DEEP="98">
                        <GID>EP10JY23.088</GID>
                    </GPH>
                    <P>This results in an additional Form CMS-855A annual cost burden of $6,225 (150 hours × $41.50).</P>
                    <P>We anticipate the following additional costs associated with our 36-month rule expansion:</P>
                    <P>
                        •
                        <E T="03"> Fingerprinting:</E>
                         As we proposed that hospices would be subject to high-risk level screening under § 424.518, hospices that must initially enroll under § 424.550(b) would have to submit a set of fingerprints for a national criminal background check (via FBI Applicant Fingerprint Card FD-258) from each individual with a 5 percent or greater direct or indirect ownership interest in the hospice. An analysis of the impact of this requirement can be found in section X.C.8.of this proposed rule.
                    </P>
                    <P>
                        •
                        <E T="03"> Application Fee:</E>
                         Under § 424.514, an institutional provider (as that term is defined in § 424.502) that is initially enrolling in Medicare must pay the required application fee. Hospices that are initially enrolling in accordance with the 36-month rule would accordingly have to pay this fee. The application fee does not meet the definition of a “collection of information” and, as such, is not subject to the requirements of the PRA. However, the cost is scored under section X.C.8. of this proposed rule.
                    </P>
                    <P>
                        •
                        <E T="03"> Provider Agreement:</E>
                         A hospice that is initially enrolling in Medicare (which would include those doing so in accordance with § 424.550(b)) must also sign a provider agreement per 42 CFR part 489 (Health Insurance Benefits Agreement—CMS Form 1561 (OMB control number 0938-0832)). The applicable May 2022 BLS categories and hourly wage rates for completing this form are as follows:
                    </P>
                    <GPH SPAN="3" DEEP="109">
                        <GID>EP10JY23.089</GID>
                    </GPH>
                    <P>
                        We anticipate that 100 hospices per year would have to sign this provider agreement due to our revision to § 424.550(b): the 50 previously referenced hospices that would otherwise have reported the ownership 
                        <PRTPAGE P="43794"/>
                        change via a Form CMS-855A change of information and another 50 that would have done so via a Form CMS-855A CHOW application. We anticipate that it would take the hospice 5 minutes at $236.96/hr for a chief executive to review and sign the Form CMS-1561 and an additional 5 minutes at $39.68/hr for a medical secretary to file the document when fully executed. This results in an annual hour burden of 17 hours (100 × 0.166 hours) and a cost of $2,305 (or (($236.96 × 0.0833) + ($39.68 × 0.0833)) × 100).
                    </P>
                    <P>Combining these initial enrollment application and provider agreement ICR costs associated with a hospice's change in majority ownership results in an annual burden of 167 hours (150 + 17) and a cost of $8,530 ($6,225 + $2,305).</P>
                    <P>We solicit comment from stakeholders, including hospices, regarding any other ICR costs that may be associated with our proposed expansion of the 36-month rule to incorporate hospices. This could include ICR costs incurred during the survey, accreditation, or certification processes.</P>
                    <HD SOURCE="HD3">c. Remaining Provider Enrollment Provisions</HD>
                    <P>With one exception, we do not believe our other provider enrollment proposals would result in an information collection burden. Concerning the proposal in revised § 424.540(a)(1) to reduce the timeframe in which CMS can deactivate a provider or supplier for non-billing from 12 months to 6 months, an increase in the number of deactivations on this basis could result. However, we are unable to establish an estimate of this number or any associated burden for two reasons. First, fraud schemes change and fluctuate, meaning that CMS cannot predict the number of instances in which it would apply § 424.540(a)(1) to address such situations. Second, a deactivation is a purely discretionary action by CMS; that is, CMS can, but is not required to, impose a deactivation if a basis for doing so exists. Accordingly, we are unable to quantify the increase, if any, of cases where we would invoke revised § 424.540(a)(1).</P>
                    <HD SOURCE="HD2">C. Submission of PRA-Related Comments</HD>
                    <P>We have submitted a copy of this final rule to OMB for its review of the rule's information collection requirements. The requirements are not effective until they have been approved by OMB.</P>
                    <P>
                        To obtain copies of the supporting statement and any related forms for the proposed collections, as previously discussed, please visit the CMS website at 
                        <E T="03">https://www.cms.hhs.gov/PaperworkReductionActof1995,</E>
                         or call the Reports Clearance Office at 410-786-1326.
                    </P>
                    <P>We invite public comments on these potential information collection requirements.</P>
                    <HD SOURCE="HD1">X. Regulatory Impact Analysis</HD>
                    <HD SOURCE="HD2">A. Statement of Need</HD>
                    <HD SOURCE="HD3">1. HH PPS</HD>
                    <P>Section 1895(b)(1) of the Act requires the Secretary to establish a HH PPS for all costs of home health services paid under Medicare. In addition, section 1895(b) of the Act requires: (1) the computation of a standard prospective payment amount include all costs for home health services covered and paid for on a reasonable cost basis and that such amounts be initially based on the most recent audited cost report data available to the Secretary; (2) the prospective payment amount under the HH PPS to be an appropriate unit of service based on the number, type, and duration of visits provided within that unit; and (3) the standardized prospective payment amount be adjusted to account for the effects of case-mix and wage levels among HHAs. Section 1895(b)(3)(B) of the Act addresses the annual update to the standard prospective payment amounts by the home health applicable percentage increase. Section 1895(b)(4) of the Act governs the payment computation. Sections 1895(b)(4)(A)(i) and (b)(4)(A)(ii) of the Act requires the standard prospective payment amount be adjusted for case-mix and geographic differences in wage levels. Section 1895(b)(4)(B) of the Act requires the establishment of appropriate case-mix adjustment factors for significant variation in costs among different units of services. Lastly, section 1895(b)(4)(C) of the Act requires the establishment of wage adjustment factors that reflect the relative level of wages, and wage-related costs applicable to home health services furnished in a geographic area compared to the applicable national average level.</P>
                    <P>Section 1895(b)(3)(B)(iv) of the Act provides the Secretary with the authority to implement adjustments to the standard prospective payment amount (or amounts) for subsequent years to eliminate the effect of changes in aggregate payments during a previous year or years that were the result of changes in the coding or classification of different units of services that do not reflect real changes in case-mix. Section 1895(b)(5) of the Act provides the Secretary with the option to make changes to the payment amount otherwise paid in the case of outliers because of unusual variations in the type or amount of medically necessary care. Section 1895(b)(3)(B)(v) of the Act requires HHAs to submit data for purposes of measuring health care quality, and links the quality data submission to the annual applicable percentage increase.</P>
                    <P>Sections 1895(b)(2) and 1895(b)(3)(A) of the Act, as amended by section 51001(a)(1) and 51001(a)(2) of the BBA of 2018 respectively, required the Secretary to implement a 30-day unit of service, for 30-day periods beginning on and after January 1, 2020. Section 1895(b)(3)(D)(i) of the Act, as added by section 51001(a)(2)(B) of the BBA of 2018, requires the Secretary to annually determine the impact of differences between assumed behavior changes, as described in section 1895(b)(3)(A)(iv) of the Act, and actual behavior changes on estimated aggregate expenditures under the HH PPS with respect to years beginning with 2020 and ending with 2026. Section 1895(b)(3)(D)(ii) of the Act requires the Secretary, at a time and in a manner determined appropriate, through notice and comment rulemaking, to provide for one or more permanent increases or decreases to the standard prospective payment amount (or amounts) for applicable years, on a prospective basis, to offset for such increases or decreases in estimated aggregate expenditures, as determined under section 1895(b)(3)(D)(i) of the Act. Additionally, 1895(b)(3)(D)(iii) of the Act requires the Secretary, at a time and in a manner determined appropriate, through notice and comment rulemaking, to provide for one or more temporary increases or decreases to the payment amount for a unit of home health services for applicable years, on a prospective basis, to offset for such increases or decreases in estimated aggregate expenditures, as determined under section 1895(b)(3)(D)(i) of the Act. The HH PPS wage index utilizes the wage adjustment factors used by the Secretary for purposes of sections 1895(b)(4)(A)(ii) and (b)(4)(C) of the Act for hospital wage adjustments.</P>
                    <HD SOURCE="HD3">2. HH QRP</HD>
                    <P>
                        Section 1895(b)(3)(B)(v) of the Act authorizes the HH QRP, which requires HHAs to submit data in accordance with the requirements specified by CMS. Failure to submit data required under section 1895(b)(3)(B)(v) of the Act with respect to a program year will result in the reduction of the annual home health market basket percentage increase otherwise applicable to an HHA for the corresponding calendar year by 2 percentage points.
                        <PRTPAGE P="43795"/>
                    </P>
                    <HD SOURCE="HD3">3. Expanded HHVBP Model</HD>
                    <P>In the CY 2022 HH PPS final rule (86 FR 62292 through 62336) and codified at 42 CFR part 484 subpart F, we finalized our policy to expand the HHVBP Model to all Medicare certified HHAs in the 50 States, territories, and District of Columbia beginning January 1, 2022. CY 2022 was a pre-implementation year. CY 2023 is the first performance year in which HHAs individual performance on the applicable measures will affect their Medicare payments in CY 2025. In this proposed rule, we are proposing to remove five quality measures from the current applicable measure set and add three quality measures to the applicable measure set. Along with the proposed revisions to the current measure set, we propose to revise the weights of the individual measures within the OASIS-based measure category and within the claims-based measure category starting in the CY 2025 performance year. In addition, we are proposing to update the Model baseline year from CY 2022 to CY 2023 starting in the CY 2025 performance year to enable CMS to measure competing HHAs performance on benchmarks and achievement thresholds that are more current for the proposed applicable measure set. Additionally, we are amending the appeals process such that reconsideration decisions may be reviewed by the Administrator. We are including an update to the RFI, Future Approaches to Health Equity in the Expanded HHVBP Model, that was published in the CY 2023 HH PPS rule. We will also include an update that reminds interested parties that we will begin public reporting of HHVBP performance data on or after December 1, 2024.</P>
                    <HD SOURCE="HD3">4. Home IVIG Items and Services</HD>
                    <P>Division FF, section 4134 of the CAA, 2023 (CAA, 2023) (Pub. L. 117-328) mandated that CMS establish a permanent, bundled payment for items and services related to administration of IVIG in a patient's home. The permanent, bundled home IVIG items and services payment is effective for home IVIG infusions furnished on or after January 1, 2024. Payment for these items and services is required to be a separate bundled payment made to a supplier for all items and services furnished in the home during a calendar day. This payment amount may be based on the amount established under the Demonstration. The standard Part B coinsurance and the Part B deductible apply. The separate bundled payment does not apply for individuals receiving services under the Medicare home health benefit. The CAA, 2023 provision clarifies that a supplier who furnishes these services meet the requirements of a supplier of medical equipment and supplies.</P>
                    <HD SOURCE="HD3">5. Informal Dispute Resolution (IDR) and Hospice Special Focus Program (SFP)</HD>
                    <P>The proposed hospice IDR would be an administrative process offered to hospice programs that is conducted by CMS, the SAs, or the accrediting organizations (AOs) as applicable, as part of their survey activities to provide an informal opportunity to address survey findings. The proposed Hospice SFP would be implementing a part of the hospice provisions required under the CAA 2021 directing the Secretary to create an SFP for poor-performing hospice programs.</P>
                    <HD SOURCE="HD3">6. DMEPOS CAA, 2023-Related Requirements</HD>
                    <HD SOURCE="HD3">a. Conforming Changes to Regulations To Codify Change Mandated by Section 4139 of the Consolidated Appropriations Act, 2023</HD>
                    <P>The purpose of the provision related to adjusted fees is to extend the 75/25 blend in non-rural, non-CBAs as described in 42 CFR 414.210(g)(9)(v). The statutory language for this provision is found in section 4139 of the CAA, 2023.</P>
                    <HD SOURCE="HD3">b. Scope of the Benefit and Payment for Lymphedema Compression Treatment Items</HD>
                    <P>The purpose of the provision related to lymphedema compression treatment items is to define in regulation section 4133 of the CAA, 2023 that adds section 1861(s)(2)(JJ) to the Act establishing a Medicare Part B benefit for lymphedema compression treatment item. This provision would address the scope of the new benefit by defining what constitutes a standard or custom fitted gradient compression garment and determining what other compression items may exist that are used for the treatment of lymphedema and would fall under the new benefit. This rule would also implement section 1834(z) of the Act in establishing payment amounts for items covered under the new benefit and frequency limitations for lymphedema compression treatment items.</P>
                    <HD SOURCE="HD3">c. Definition of Brace</HD>
                    <P>The purpose of the provision related to the definition of a brace is to codify in regulations the longstanding definition of brace that exists in Medicare program instructions.</P>
                    <HD SOURCE="HD3">7. Requirements for Refillable DMEPOS</HD>
                    <P>This provision is needed to require documentation indicating that the beneficiary confirmed the need for the refill within the 30-day period prior to the end of the current supply and to codify our requirement that the delivery of DMEPOS items (that is, date of service) must be no sooner than 10 calendar days before the expected end of the current supply.</P>
                    <HD SOURCE="HD3">8. Provider Enrollment Provisions</HD>
                    <P>This proposed rule is needed to make regulatory enhancements to our provider enrollment policies. These provisions focus on, but are not limited to: (1) subjecting a greater number of providers and suppliers, such as hospices, to the highest level of screening, which includes fingerprinting all 5 percent or greater owners of these providers and suppliers; and (2) applying the change in majority ownership (CIMO) provisions in 42 CFR 424.550(b) to hospices. These changes are necessary to help ensure that payments are made only to qualified providers and suppliers and that owners of these entities are carefully screened. As explained in section VIII. of this proposed rule, we believe that fulfilling both of these objectives would assist in protecting the Trust Funds and Medicare beneficiaries.</P>
                    <HD SOURCE="HD2">B. Overall Impact</HD>
                    <P>We have examined the impacts of this rule as required by Executive Order 12866 on Regulatory Planning and Review (September 30, 1993), Executive Order 13563 on Improving Regulation and Regulatory Review (January 18, 2011), Executive Order 14094 on Modernizing Regulatory Review (April 6, 2023), the Regulatory Flexibility Act (RFA) (September 19, 1980, Pub. L. 96 354), section 1102(b) of the Act, section 202 of the Unfunded Mandates Reform Act of 1995 (March 22, 1995; Pub. L. 104-4), Executive Order 13132 on Federalism (August 4, 1999), and the Congressional Review Act (5 U.S.C. 804(2)).</P>
                    <P>
                        Executive Orders 12866 and 13563 direct agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). Executive Order 14094 amends section 3(f) of Executive Order 12866 to define a “significant regulatory action” as an action that is likely to result in a rule: (1) having an annual effect on the 
                        <PRTPAGE P="43796"/>
                        economy of $200 million or more in any 1 year, or adversely affect in a material way the economy, productivity, competition, jobs, the environment, public health or safety, or State, local or tribal governments or communities; (2) creating a serious inconsistency or otherwise interfering with an action taken or planned by another agency; (3) materially altering the budgetary impacts of entitlement grants, user fees, or loan programs or the rights and obligations of recipients thereof; or (4) raising legal or policy issues for which centralized review would meaningfully further the President's priorities or the principles set forth in this Executive Order.
                    </P>
                    <P>A regulatory impact analysis (RIA) must be prepared for major rules with significant regulatory action/s and/or with significant effects as per section 3(f)(1) of $200 million or more in any 1 year. Based on our estimates, OMB'S Office of Information and Regulatory Affairs has determined this rulemaking is significant per section 3(f)(1) as measured by the $200 million or more in any 1 year. According we have prepared a regulatory impact analysis that to the best of our ability presents the costs and benefits of the rulemaking. Therefore, OMB has reviewed this proposed rule, and the Departments have provided the following assessment of their impact. We solicit comments on the regulatory impact analysis provided.</P>
                    <HD SOURCE="HD2">C. Detailed Economic Analysis</HD>
                    <HD SOURCE="HD3">1. Effects of the Proposed Changes for the CY 2024 HH PPS</HD>
                    <P>This rule proposes to update Medicare payments under the HH PPS for CY 2024. The net transfer impact related to the changes in payments under the HH PPS for CY 2024 is estimated to be −$375 million (−2.2 percent). The $375 million decrease in estimated payments for CY 2024 reflects the effects of the proposed CY 2024 home health payment update percentage of 2.7 percent ($460 million increase), an estimated 5.1 percent decrease that reflects the effects of the permanent behavior adjustment ($870 million decrease) and an estimated 0.2 percent increase that reflects the effects of an updated FDL ($35 million increase).</P>
                    <P>We use the latest data and analysis available. However, we do not adjust for future changes in such variables as number of visits or case-mix. This analysis incorporates the latest estimates of growth in service use and payments under the Medicare home health benefit, based primarily on Medicare claims data for periods that ended on or before December 31, 2022. We note that certain events may combine to limit the scope or accuracy of our impact analysis, because such an analysis is future-oriented and, thus, susceptible to errors resulting from other changes in the impact time period assessed. Some examples of such possible events are newly-legislated general Medicare program funding changes made by the Congress or changes specifically related to HHAs. In addition, changes to the Medicare program may continue to be made as a result of new statutory provisions. Although these changes may not be specific to the HH PPS, the nature of the Medicare program is such that the changes may interact, and the complexity of the interaction of these changes could make it difficult to predict accurately the full scope of the impact upon HHAs.</P>
                    <P>Table GG 1 represents how HHA revenues are likely to be affected by the finalized policy changes for CY 2024. For this analysis, we used an analytic file with linked CY 2022 OASIS assessments and home health claims data for dates of service that ended on or before December 31, 2022. The first column of Table GG 1 classifies HHAs according to a number of characteristics including provider type, geographic region, and urban and rural locations. The second column shows the number of facilities in the impact analysis. The third column shows the payment effects of the permanent behavior assumption adjustment on all payments. The aggregate impact of the permanent BA adjustment reflected in the third column does not equal the proposed −5.653 percent permanent BA adjustment because the adjustment only applies to the national, standardized 30-day period payments and does not impact payments for 30-day periods which are LUPAs. The fourth column shows the payment effects of the recalibration of the case-mix weights offset by the case-mix weights budget neutrality factor. The fifth column shows the payment effects of updating the CY 2024 wage index with a 5-percent cap on wage index decreases. The sixth column shows the effect of the proposed CY 2024 labor-related share. The aggregate impact of the changes in the fifth and sixth columns is zero percent, due to the wage index budget neutrality factor and the labor-related share budget neutrality factor. The seventh column shows the payment effects of the proposed CY 2024 home health payment update percentage. The eighth column shows the payment effects of the revised FDL, and the last column shows the combined effects of all the proposed provisions.</P>
                    <P>Overall, it is projected that aggregate payments in CY 2024 would decrease by 2.2 percent which reflects the 5.1 percent decrease from the permanent behavior adjustment, the 2.7 payment update percentage increase, and the 0.2 percent increase from decreasing the FDL. As illustrated in Table GG 1, the combined effects of all of the changes vary by specific types of providers and by location. We note that some individual HHAs within the same group may experience different impacts on payments than others due to the distributional impact of the CY 2024 wage index, the percentage of total HH PPS payments that were subject to the LUPA or paid as outlier payments, and the degree of Medicare utilization.</P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="597">
                        <PRTPAGE P="43797"/>
                        <GID>EP10JY23.090</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="219">
                        <PRTPAGE P="43798"/>
                        <GID>EP10JY23.091</GID>
                    </GPH>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <HD SOURCE="HD3">2. Effects of the Proposed Changes for the HH QRP for CY 2024</HD>
                    <P>Failure to submit HH QRP data required under section 1895(b)(3)(B)(v) of the Act with respect to a program year will result in the reduction of the annual home health market basket percentage increase otherwise applicable to an HHA for the corresponding calendar year by 2 percentage points. For the CY 2023 program year, 820 of the 11,549 active Medicare-certified HHAs, or approximately 7.1 percent, did not receive the full annual percentage increase because they did not meet assessment submission requirements. The 820 HHAs that did not satisfy the reporting requirements of the HH QRP for the CY 2023 program year represent $149 million in home health claims payment dollars during the reporting period out of a total $16.4 billion for all HHAs.</P>
                    <P>This proposed rule proposes the adoption of the “COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date” (Patient/Resident COVID-19 Vaccine) measure to the HH QRP beginning with the CY 2025 HH QRP. CMS also proposes to adopt the “Functional Discharge Score” (DC Function) measure to the HH QRP beginning with the CY 2025 HH QRP. With the addition of the Discharge Function measure, we propose to remove the “Application of Percent of Long-Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function” (Application of Functional Assessment/Care Plan) measure from the HH QRP beginning with the CY 2025 HH QRP. CMS additionally propose the removal of two OASIS items no longer necessary for collection, the M0110—“Episode Timing” and M2220—“Therapy Needs” items. The net effect of these proposals is a reduction of four data elements across all OASIS data collection time points and a net reduction in burden.</P>
                    <P>Section IX.B.1. of this proposed rule provides a detailed description of the net decrease in burdens associated with the proposed changes. We proposed that additions and removal of data elements associated with the HH QRP proposals would begin with January 1, 2025 discharges. The cost impact of this proposed changes was estimated to be a net decrease of $5,123,429 in annualized cost to HHAs, discounted at 7 percent relative to year 2021, over a perpetual time horizon beginning in CY 2025. We described the estimated burden and cost reductions for these measures in section IX of this proposed rule. In summary, the implementation of proposals outlined in this proposed rule for the HH QRP is estimated to decrease the burden on HHAs by $437 per HHA annually, or $5,123,429 for all HHAs annually.</P>
                    <HD SOURCE="HD3">3. Effects of the Proposed Changes for the Expanded HHVBP Model</HD>
                    <P>In the CY 2023 HH PPS final rule (87 FR 66883), we estimated that the expanded HHVBP Model would generate a total projected 5-year gross FFS savings for CYs 2023 through 2027 of $3,376,000,000. The proposed changes to the applicable measure set and the Model baseline year in this proposed rule will not change those estimates because they do not change the number of HHAs in the Model or the payment methodology.</P>
                    <P>Based on proposed policies discussed in this proposed rule, Tables GG2A and GG2B display the distribution of possible payment adjustments using CY 2021 data as the performance year and CY 2019 for the baseline year. Note that due to limited data availability, this impact analysis does not account for improvement points for the PPH measure because this measure is not available based on CY 2022 data at the time of the release of this proposed rule.</P>
                    <P>
                        Table GG2A and GG2B shows the value-based incentive payment adjustments for the estimated 6,750 HHAs that would qualify to compete in the expanded Model based on CY 2021 performance data stratified by volume-based cohort, as defined in section III.F. of the CY 2022 HH PPS final rule (86 FR 62312). This impact analysis used CY 2019 to determine HHA size instead of the calendar year prior to the performance year (that is, CY 2020) to avoid using data impacted by the Public Health Emergency (PHE). Using CY 2021 performance year data and the finalized payment adjustment of 5 percent, based on the 10 proposed quality measures, the 6,504 HHAs in the larger-volume cohort would have an average payment adjustment of positive 0.164 percent (+0.164 percent). Furthermore, 246 HHAs have fewer than 60 unique beneficiaries in CY 2019 and are, therefore, included in the smaller-volume cohort. Overall, smaller-volume HHAs would have an average payment adjustment of negative 0.114 percent (−0.114 percent). Twenty-four states/territories do not have any HHAs in the smaller-volume cohort, including 
                        <PRTPAGE P="43799"/>
                        Alabama, District of Columbia, and Georgia. The remaining states/territories have HHAs in both volume-based cohorts. Florida, for example, has 622 HHAs in the larger-volume cohort with an average payment adjustment of positive 1.154 percent (+1.154 percent) and 17 HHAs in the smaller-volume cohort with an average payment adjustment of positive 0.102 percent (+0.102 percent). The next columns provide the distribution of payment adjustment by percentile. Specifically, 10 percent of HHAs in the larger-volume cohort would receive downward payment adjustments of more than negative 3.851 percent (−3.851 percent). Among smaller-volume HHAs, 10 percent of HHAs would receive downward payment adjustments of more than negative 4.120 percent (−4.120 percent). For larger-volume HHAs in Florida, the payment adjustments range from negative 3.161 percent (−3.161 percent) at the 10th percentile to positive 5.000 percent (+5.000 percent) at the 90th percentile, while the median (50th percentile) payment adjustment is positive 1.160 percent (+1.160 percent).
                    </P>
                    <P>Table GG3 provides the payment adjustment distribution based on the proportion of dual-eligible beneficiaries, average case mix using Hierarchical Condition Category (HCC) scores, proportion of beneficiaries that reside in rural areas, and HHA organizational status. To define cutoffs for the “percentage of dual eligible beneficiaries,” low through high percentage dual-eligible are based on the 20th, 40th, 60th, and 80th percentiles of percent dual eligible beneficiaries, respectively, across HHAs in CY 2021. To define case mix cutoffs, low, medium, or high acuity are based on less than the 25th percentile, between the 25th and 75th percentiles, and greater than the 75th percentile of average HCC scores, respectively, across HHAs in CY 2021. To define cutoffs for percentage of rural beneficiaries, all non-rural, up to 50 percent rural, and over 50 percent rural are based on the home health beneficiaries' core-based statistical area (CBSA) urban versus rural designation. Based on CY 2021 data, HHAs with the highest proportion of dual-eligible beneficiaries served have a positive average payment adjustment (+0.035 percent). In addition, a higher proportion of rural beneficiaries served is associated with better performance. Specifically, HHAs serving over 50 percent rural beneficiaries have an average payment adjustment of positive 0.728 percent (+0.728 percent), compared to HHAs serving only rural beneficiaries or HHAs serving up to 50 percent rural beneficiaries. Among organizational type, proprietary HHAs have a slightly negative average payment adjustment of 0.092, whereas HHAs in other organizational type categories have a positive average payment adjustment.</P>
                    <BILCOD>BILLING CODE 4120-01-P</BILCOD>
                    <GPH SPAN="3" DEEP="612">
                        <PRTPAGE P="43800"/>
                        <GID>EP10JY23.092</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="568">
                        <PRTPAGE P="43801"/>
                        <GID>EP10JY23.093</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="611">
                        <PRTPAGE P="43802"/>
                        <GID>EP10JY23.094</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="539">
                        <PRTPAGE P="43803"/>
                        <GID>EP10JY23.095</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="640">
                        <PRTPAGE P="43804"/>
                        <GID>EP10JY23.096</GID>
                    </GPH>
                    <BILCOD>BILLING CODE 4120-01-C</BILCOD>
                    <PRTPAGE P="43805"/>
                    <HD SOURCE="HD3">4. Impacts of Home IVIG Items and Services</HD>
                    <P>The following analysis applies to the home IVIG items and services payment rate as set forth in section V.D.1. of this rule as added by section 4134 of the CAA, 2023 and accordingly, describes the impact for CY 2024 only. Table GG 5 represents the estimated costs of home IVIG users for CY 2024. We used CY 2022 data to identify beneficiaries actively enrolled in the IVIG demonstration (that is, beneficiaries with Part B claims that contain the Q2052 HCPCS code) to estimate the number of potential CY 2024 active enrollees in the new benefit, which are shown in column 2. In column 3, CY 2022 claims for IVIG visits under the Demonstration were again used to estimate potential utilization under the new benefit in CY 2024. Column 4 shows the proposed CY 2024 home IVIG items and services rate. The fifth column estimates the cost to Medicare for CY 2024 ($8,779,095). The estimated cost for CY 2023 under the Demonstration is $8,543,520 (not shown in chart) resulting in an increase of $235,575 in payments to providers under the permanent benefit. Table GG 6 represents the estimated impacts of the home IVIG items and services payment for CY 2024 by census region.</P>
                    <GPH SPAN="3" DEEP="95">
                        <GID>EP10JY23.097</GID>
                    </GPH>
                    <GPH SPAN="3" DEEP="179">
                        <GID>EP10JY23.098</GID>
                    </GPH>
                    <HD SOURCE="HD3">5. Effects of the Proposed Changes for Hospice IDR and SFP</HD>
                    <P>The proposed hospice IDR is an administrative process to be conducted by CMS, SAs, or AOs as part of their survey activities, and is separate from the SFP. SAs and AOs may already have existing IDR processes in place for the HHA IDR requirements. The hospice IDR requirements will align with HHA. The Congress has already allocated $10 million annually to CMS to implement the CAA 2021 hospice survey and enforcement provisions, which includes the SFP. Additionally, CMS obligates monies to the SAs to carry out survey and certification responsibilities under their agreement with the Secretary under section 1864 of the Act. Therefore, no additional burden will be incurred by CMS, SAs, or AOs.</P>
                    <HD SOURCE="HD3">6. Effects of the Proposed Changes for DMEPOS CAA, 2023-Related Provisions</HD>
                    <HD SOURCE="HD3">a. Conforming Changes to Regulations To Codify Change Mandated by Section 4139 of the Consolidated Appropriations Act, 2023</HD>
                    <P>One benefit of this provision is that it provides additional revenue to DMEPOS suppliers. One cost of this provision is that it increases the copayments of the Medicare beneficiaries. The transfer from the Medicare program to the DMEPOS suppliers of $100 million for CY 2023 paid in CY 2023 and CY 2024. The amount of copayments from Medicare beneficiaries over the same period is expected to be $30 million. The Federal share of Medicaid for the copayments for dual eligibles is expected to be $5 million and the State share of the Medicare payments for this populations is expected to be $4 million.</P>
                    <HD SOURCE="HD3">b. Scope of the Benefit and Payment for Lymphedema Compression Treatment Items</HD>
                    <P>
                        The benefits of this provision are that Medicare enrollees suffering from lymphedema will have Medicare pay 80 percent off the cost of the lymphedema compression treatment items. This Medicare payment should enable more Medicare enrollees suffering from lymphedema to access treatment items in the home, reducing both the financial burden of lymphedema and, by encouraging earlier treatment, the frequency of institutional care for infections or other complications of lymphedema. The transfer from the Medicare program to the lymphedema compression treatment suppliers is estimated to be $230 million from CY 
                        <PRTPAGE P="43806"/>
                        2024 to CY 2028. The amount of copayments from Medicare beneficiaries over the same period is expected to be $50 million. The Federal share of Medicaid expenditures for the copayments of dual eligibles is expected to be $9 million and the State share for this population is expected to be $6 million.
                    </P>
                    <HD SOURCE="HD3">c. Definition of Brace</HD>
                    <P>The benefit of this provision is to add the definition of brace in regulation to more clearly identify what is included in the definition of a brace. This is purely an administrative effort with no impact on Medicare coverage or expenditure, and, for this reason, has no cost or transfer associated with it.</P>
                    <HD SOURCE="HD3">7. Effects of the Proposed Changes to the Requirements for Refillable DMEPOS</HD>
                    <P>This rule proposes to codify and clarify our requirements for refillable DMEPOS items. The fiscal impact of these requirements cannot be estimated as claims often deny for multiple reasons, which may include non-compliance with our refill requirements; creating an inability for us to accurately demonstrate a causal relationship. In addition, to demonstrate impacts we would have to be able to predict behaviors and anticipated non-compliance in future claim submissions, which are unknown variables to us.</P>
                    <HD SOURCE="HD3">8. Effects of the Proposed Changes Regarding for Provider Enrollment Requirements</HD>
                    <P>There are four principal impacts of our provider enrollment proposals outlined in section VIII. of this proposed rule.</P>
                    <P>The first was addressed in section IX. and involves the ICR burden associated with a hospice's completion of an initial Form CMS-855A application and Form CMS-1561 provider agreement in accordance with a § 424.550(b) change in majority ownership for which an exception does not apply. The combined annual burden was estimated to be 167 hours at a cost of $8,530.</P>
                    <P>The second involves moving hospices from the moderate-risk screening category to the high-risk screening level.</P>
                    <P>The third involves incorporating within the high-risk screening category revalidating DMEPOS suppliers, HHAs, OTPs, MDPP suppliers, and SNFs for which CMS waived the fingerprint-based criminal background check requirement when they initially enrolled in Medicare.</P>
                    <P>The fourth involves the fingerprinting and application fee requirements (referenced in section IX. of this proposed rule) associated with a § 424.550(b) change in majority ownership.</P>
                    <P>We address the second, third, and fourth impacts as follows:</P>
                    <HD SOURCE="HD3">a. Moving Hospices to High-Risk</HD>
                    <P>With this change to § 424.518, hospices that are initially enrolling in Medicare or reporting any new owner would have to submit the fingerprints of their 5 percent or greater direct or indirect owners for a Federal Bureau of Investigation criminal background check. Based on enrollment statistics and our experience, we project that 1,782 hospices per year (425 initially enrolling + 1,357 reporting a new 5 percent or greater owner) would be required to submit these fingerprints. (This figure does not include hospices initially enrolling pursuant to § 424.550(b); this matter is addressed in section X.C.8.d. of this proposed rule). Using an estimate of one owner per hospice (which aligns with previous fingerprinting projections we have made), 1,782 sets of fingerprints per year would be submitted.</P>
                    <P>Consistent with prior burden estimates, we project that it would take each owner approximately 2 hours to be fingerprinted. According to the most recent BLS wage data for May 2022, the mean hourly wage for the general category of “Top Executives” (the most appropriate BLS category for owners) is $62.04. With fringe benefits and overhead, the figure is $124.08. This would result in an estimated annual burden of this proposed change of 3,564 hours (1,782 × 2) at a cost of $442,221 (3,564 × $124.08).</P>
                    <HD SOURCE="HD3">b. Providers and Suppliers Previously Waived From Fingerprinting</HD>
                    <P>Approximately 6,388 high-risk level providers and suppliers were waived from fingerprinting when they initially enrolled in Medicare during the PHE. We are proposing that these providers and suppliers, upon their revalidation, be subject to high-risk category screening and, consequently, fingerprinting. Using our estimates from section X.C.8.a. of this proposed rule, we project the total burden of this proposal to be 12,776 hours (6,388 × 2 hr) and $1,585,246 (12,776 × $124.08). Calculated as annual figures over a 3-year period, this results in a burden of 4,259 hours and $528,415.</P>
                    <HD SOURCE="HD3">c. Hospice Changes in Majority Ownership</HD>
                    <P>Hospices that are initially enrolling in Medicare due to a change in majority ownership under § 424.550(b) would be subject to fingerprinting and must pay an application fee in accordance with § 424.514. Using the fingerprinting estimates already referenced in section X.C.8. of this proposed rule, we estimate an annual fingerprinting burden to hospices per § 424.550(b) of 200 hours (100 × 2 hr) at a cost of $24,816 (200 hr × $124.08).</P>
                    <P>The application fees for each of the past 3 calendar years were or are $599 (CY 2021), $631 (CY 2022), and $688 (CY 2023). Consistent with § 424.514, the differing fee amounts were predicated on changes/increases in the CPI for all urban consumers (all items; United States city average, CPI-U) for the 12-month period ending on June 30 of the previous year. While we cannot predict future changes to the CPI, the fee amounts between 2021 and 2023 increased by an average of $45 per year. We believe this is a reasonable barometer with which to establish estimates (strictly for purposes of this proposed rule) of the fee amounts in the first 3 calendar years of the proposed provision (that is, 2024, 2025, and 2026). Thus, we project a fee amount of $733 in 2024, $778 for 2025, and $823 for 2026.</P>
                    <P>Applying these prospective fee amounts to the annual number of projected hospices impacted by our change in majority ownership proposal, this results in a cost of $73,300 (or 100 × $733) in the first year, $77,800 in the second year, and $82,300 in the third year.</P>
                    <P>Applying these prospective fee amounts to the annual number of projected hospices impacted by our change in majority ownership proposal, this results in a cost of $73,300 (or 100 × $733) in the first year, $77,800 in the second year, and $82,300 in the third year.</P>
                    <HD SOURCE="HD3">d. Totals</HD>
                    <P>The following table outlines the total annual costs associated with the proposals addressed in section X.C.8. of this proposed rule for each of the first 3 years.</P>
                    <GPH SPAN="3" DEEP="120">
                        <PRTPAGE P="43807"/>
                        <GID>EP10JY23.099</GID>
                    </GPH>
                    <P>We solicit comment from stakeholders, including hospices, regarding any other RIA costs that may be associated with our proposed expansion of the 36-month rule to incorporate hospices. This could include costs incurred during the survey, accreditation, and/or certification processes.</P>
                    <HD SOURCE="HD2">D. Regulatory Review Cost Estimation</HD>
                    <P>If regulations impose administrative costs on private entities, such as the time needed to read and interpret this proposed or final rule, we should estimate the cost associated with regulatory review. Due to the uncertainty involved with accurately quantifying the number of entities that will review the rule, we assume that the total number of unique commenters on last year's proposed rule will be the number of reviewers of this proposed rule. We acknowledge that this assumption may understate or overstate the costs of reviewing this rule. It is possible that not all commenters reviewed last year's rule in detail, and it is also possible that some reviewers chose not to comment on the proposed rule. For these reasons we thought that the number of past commenters would be a fair estimate of the number of reviewers of this rule. We seek comments on the approach used in estimating the number of entities reviewing this proposed rule. We also recognize that different types of entities are in many cases affected by mutually exclusive sections of this proposed rule, and therefore for the purposes of our estimate we assume that each reviewer reads approximately 50 percent of the rule. We seek comments on this assumption.</P>
                    <P>
                        Using the wage information from the BLS for medical and health service managers (Code 11-9111), we estimate that the cost of reviewing this rule is $115.22 per hour, including overhead and fringe benefits 
                        <E T="03">https://www.bls.gov/oes/current/oes_nat.htm.</E>
                         Assuming an average reading speed, we estimate that it would take approximately 1.98 hours for the staff to review half of this proposed rule. For each entity that reviews the rule, the estimated cost is $228.14 (1.98 hours × $115.22). Therefore, we estimate that the total cost of reviewing this regulation is $205,554.14 ($228.14 × 901) [901 is the number of estimated reviewers, which is based on the total number of unique commenters from last year's proposed rule].
                    </P>
                    <HD SOURCE="HD2">E. Alternatives Considered</HD>
                    <HD SOURCE="HD3">1. HH PPS</HD>
                    <P>For the CY 2024 HH PPS proposed rule, we considered alternatives to the provisions articulated in section II.C. of this proposed rule. As described in section II.C.1.g. of this rule, to help prevent future over or underpayments, we calculated a permanent prospective adjustment by determining what the 30-day base payment amount should have been in CYs 2020, 2021, and 2022 in order to achieve the same estimated aggregate expenditures as obtained from the simulated 60-day episodes. One alternative to the proposed −5.653 percent permanent payment adjustment included halving the proposed adjustment similar to how we finalized the permanent adjustment for CY 2023. Another alternative would be a phase-in approach, where we could reduce the permanent adjustment, by spreading out the CY 2024 permanent adjustment over a specified period of years, rather than halving the adjustment in CY 2024 and adjusting the CY 2025 rate by the rest of that amount. Another alternative would be to delay the permanent adjustment to a future year. However, we believe that a reduction, a phase-in approach, or delay in the permanent adjustment would not be appropriate, as reducing, phasing in, or delaying the permanent adjustment would further impact budget neutrality and likely lead to a compounding effect creating the need for a larger reduction to the payment rate in future years.</P>
                    <P>We also considered proposing to implement the one-time temporary adjustment to reconcile retrospective overpayments in CYs 2020, 2021, and 2022. However, as stated previously in this rule, we believe that implementing both the permanent and temporary adjustments to the CY 2024 payment rate may adversely affect HHAs given the magnitude of the adjustment to the payment rate in a single year. Likewise, section 1895(b)(3)(D)(iii) of the Act gives CMS the authority to make any temporary adjustment in a time and manner appropriate though notice and comment rulemaking. Therefore, we believe it is best to propose only the implementation of the permanent decrease of 5.653 percent to the CY 2024 base payment rate.</P>
                    <HD SOURCE="HD3">2. HH QRP</HD>
                    <P>We considered alternative measures to the Discharge Function measure and determined this measure was the strongest. No appropriate alternative was available for the COVID-19 Patient Vaccination measure.</P>
                    <HD SOURCE="HD3">3. Expanded HHVBP Model</HD>
                    <P>We discuss the alternatives we considered to the proposed weights of the individual measures within the OASIS-based measure category and within the claims-based measure category starting in the CY 2025 performance year for the expanded HHVBP Model in section IV.B.2. of this proposed rule.</P>
                    <HD SOURCE="HD3">4. Home IVIG Items and Services</HD>
                    <P>
                        For the CY 2024 HH PPS proposed rule, we did not consider alternatives to implementing the home IVIG items and services payment for CY 2024 because section 1842(o)(8) of the Act requires the Secretary to establish a separate bundled payment to the supplier for all items and services related to the administration of intravenous immune globulin to an individual in the patient's home during a calendar day effective January 1, 2024. We did consider alternatives to annually updating this payment rate, as articulated in section II.V.D. of this proposed rule. We considered updating the annual rate using the LUPA rate for skilled nursing in accordance with the demonstration 
                        <PRTPAGE P="43808"/>
                        program update. However, as the IVIG services payment is not geographically wage adjusted, and the LUPA rate incorporates a wage index budget neutrality factor, we believe it is more appropriate to annually adjust the IVIG items and services payment rate only by the home health payment update percentage. We also considered annually updating the rate by the CPI-U percentage increase in accordance with the annual update to the home infusion therapy services payment rate. However, the Demonstration has never used the CPI-U percentage increase to update the payment rate, and we believe it is more beneficial to keep the permanent payment as closely aligned with the Demonstration rate as possible.
                    </P>
                    <HD SOURCE="HD3">5. IDR and Hospice SFP</HD>
                    <P>We did not consider any alternatives in this proposed rule for either proposal. An initial alternative proposal was published in CY 22 Home Health PPS proposed rule (86 FR 35874) but was not finalized due to public comments and requests that CMS establish a Technical Expert Panel (TEP) to inform the development of the SFP. We believe the new proposed methodology, based on feedback provided by the TEP, is the best way to identify and remedy the issue of poor-performing hospices.</P>
                    <HD SOURCE="HD3">6. DMEPOS CAA, 2023-Related Provisions</HD>
                    <HD SOURCE="HD3">a. Scope of the Benefit and Payment for Lymphedema Compression Treatment Items</HD>
                    <P>As this provision is statutorily mandated, CMS needed to consider no alternatives for implementation. Similarly, the statutory language provided a definition for the lymphedema compression treatment items to be covered by this benefit, so CMS did not consider any alternative to coverage of a list of items meeting the statutory requirements. Regarding the payment methodology, CMS considered numerous sources for prices as suggested in statute. Different combinations of internet and insurer prices were alternatives considered. Ultimately, CMS decided on a payment methodology that CMS considered reasonable given the market for these items.</P>
                    <HD SOURCE="HD3">b. Conforming Changes to Regulations To Codify Change Mandated by Section 4139 of the Consolidated Appropriations Act, 2023</HD>
                    <P>This is a conforming change to a statutory mandate and therefore required no alternatives be considered.</P>
                    <HD SOURCE="HD3">c. Definition of Brace</HD>
                    <P>This is a codification of an existing definition and therefore required no alternatives be considered.</P>
                    <HD SOURCE="HD3">7. Refillable DMEPOS</HD>
                    <P>At this time, we did not consider alternatives as this is existing policy that is being codified with additional leniencies based on prior experiences. We welcome the submission of comments.</P>
                    <HD SOURCE="HD3">8. Provider Enrollment Provisions</HD>
                    <P>We considered several alternatives for addressing our provider enrollment-related concerns regarding hospice program integrity and quality of care. We concluded that moving hospices to the high-risk screening category and expanding § 424.550(b) to include hospices were the most appropriate provider enrollment regulatory means of addressing these issues.</P>
                    <HD SOURCE="HD2">F. Accounting Statements and Tables</HD>
                    <HD SOURCE="HD3">1. HH PPS</HD>
                    <P>
                        As required by OMB Circular A-4 (available at 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/circulars/A4/a-4.pdf,</E>
                         in Table GG 8, we have prepared an accounting statement showing the classification of the transfers and benefits associated with the CY 2024 HH PPS provisions of this rule.
                    </P>
                    <GPH SPAN="3" DEEP="85">
                        <GID>EP10JY23.100</GID>
                    </GPH>
                    <HD SOURCE="HD3">2. HH QRP</HD>
                    <P>
                        As required by OMB Circular A-4 (available at 
                        <E T="03">https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/circulars/A4/a-4.pdf</E>
                        ), in Table GG 9, we have prepared an accounting statement showing the classification of the expenditures associated with this final rule as they relate to HHAs. Table GG 9 provides our best estimate of the increase in burden for OASIS submission.
                    </P>
                    <GPH SPAN="3" DEEP="91">
                        <GID>EP10JY23.101</GID>
                    </GPH>
                    <PRTPAGE P="43809"/>
                    <HD SOURCE="HD3">3. Expanded HHVBP Model</HD>
                    <P>
                        As required by OMB Circular A-4 (available at 
                        <E T="03">https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/circulars/A4/a-4.pdf</E>
                        ), in Table GG 10 we have prepared an accounting statement. Table GG 10 provides our best estimate of the decrease in Medicare payments under the expanded HHVBP Model.
                    </P>
                    <GPH SPAN="3" DEEP="86">
                        <GID>EP10JY23.102</GID>
                    </GPH>
                    <HD SOURCE="HD3">4. Home IVIG Items and Services</HD>
                    <P>
                        As required by OMB Circular A-4 (available at 
                        <E T="03">https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/circulars/A4/a-4.pdf,</E>
                         in Table GG 11, we have prepared an accounting statement showing the classification of the transfers and benefits associated with the CY 2024 IVIG provisions of this rule.
                    </P>
                    <GPH SPAN="3" DEEP="85">
                        <GID>EP10JY23.103</GID>
                    </GPH>
                    <HD SOURCE="HD3">5. DMEPOS</HD>
                    <HD SOURCE="HD3">a. Conforming Changes to Regulations To Codify Change Mandated by Section 4139 of the Consolidated Appropriations Act, 2023</HD>
                    <P>
                        As required by OMB Circular A-4 (available at 
                        <E T="03">https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/circulars/A4/a-4.pdf</E>
                        ), in Table GG 12, we have prepared an accounting statement showing the classification of the expenditures associated with this provision. Table GG 12 provides our best estimate of the transfers.
                    </P>
                    <GPH SPAN="3" DEEP="144">
                        <GID>EP10JY23.104</GID>
                    </GPH>
                    <HD SOURCE="HD3">b. Scope of the Benefit and Payment for Lymphedema Compression Treatment Items</HD>
                    <P>
                        As required by OMB Circular A-4 (available at 
                        <E T="03">https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/circulars/A4/a-4.pdf</E>
                        ), in Table GG 13, we have prepared an accounting statement showing the classification of the expenditures associated with this provision. Table GG 13 provides our best estimate of the transfers.
                    </P>
                    <GPH SPAN="3" DEEP="173">
                        <PRTPAGE P="43810"/>
                        <GID>EP10JY23.105</GID>
                    </GPH>
                    <HD SOURCE="HD2">G. Regulatory Flexibility Act (RFA)</HD>
                    <P>The RFA requires agencies to analyze options for regulatory relief of small entities, if a rule has a significant impact on a substantial number of small entities. For purposes of the RFA, small entities include small businesses, nonprofit organizations, and small governmental jurisdictions. In addition, HHAs are small entities, as that is the term used in the RFA. Individuals and States are not included in the definition of a small entity.</P>
                    <P>
                        The NAICS was adopted in 1997 and is the current standard used by the Federal statistical agencies related to the U.S. business economy. We utilized the NAICS U.S. industry title “Home Health Care Services” and corresponding NAICS code 621610 in determining impacts for small entities. The NAICS code 621610 has a size standard of $19 million 
                        <SU>222</SU>
                        <FTREF/>
                         and approximately 96 percent of HHAs are considered small entities. Table GG 14 shows the number of firms, revenue, and estimated impact per home health care service category.
                    </P>
                    <FTNT>
                        <P>
                            <SU>222</SU>
                             
                            <E T="03">https://www.sba.gov/sites/sbagov/files/2023-03/Table%20of%20Size%20Standards_Effective%20March%2017%2C%202023.xlsx</E>
                            .
                        </P>
                    </FTNT>
                    <GPH SPAN="3" DEEP="234">
                        <GID>EP10JY23.106</GID>
                    </GPH>
                    <P>
                        The economic impact assessment is based on estimated Medicare payments (revenues) and HHS's practice in interpreting the RFA is to consider effects economically “significant” only if greater than 5 percent of providers reach a threshold of 3 to 5 percent or more of total revenue or total costs. The majority of HHAs' visits are Medicare paid visits and therefore the majority of HHAs' revenue consists of Medicare payments. Based on our analysis, we conclude that the policies finalized in this rule would result in an estimated total impact of 3 to 5 percent or more on Medicare revenue for greater than 5 percent of HHAs. Therefore, the Secretary has determined that this HH PPS final rule will have significant economic impact on a substantial number of small entities. We estimate that the net impact of the policies in this rule is approximately $375 million in decreased payments to HHAs in CY 2024. The $375 million in decreased payments are reflected in the last column of the first row in Table GG 14 
                        <PRTPAGE P="43811"/>
                        as a 2.2 percent decrease in expenditures when comparing CY 2024 payments to estimated CY 2023 payments. The 2.2 percent decrease is mostly driven by the impact of the permanent behavior assumption adjustment reflected in the third column of Table GG 1. Further detail is presented in Table GG 1, by HHA type and location.
                    </P>
                    <P>With regards to options for regulatory relief, we note that section 1895(b)(3)(D)(i) of the Act requires CMS to annually determine the impact of differences between the assumed behavior changes finalized in the CY 2019 HH PPS final rule with comment period (83 FR 56455) and actual behavior changes on estimated aggregate expenditures under the HH PPS with respect to years beginning with 2020 and ending with 2026. Additionally, section 1895(b)(3)(D)(ii) and (iii) of the Act requires us to make permanent and temporary adjustments to the payment rate to offset for such increases or decreases in estimated aggregate expenditures through notice and comment rulemaking. While we find that the −5.653 percent permanent payment adjustment, described in section II.C.1.g. of this proposed rule, is necessary to offset the increase in estimated aggregate expenditures for CYs 2020 through 2022 based on the impact of the differences between assumed behavior changes and actual behavior changes, we will also continue to reprice claims, per the finalized methodology, and make any additional adjustments at a time and manner deemed appropriate in future rulemaking. As discussed previously, we also explored alternatives to the proposed −5.653 percent permanent payment adjustment including a phase-in approach, where we could reduce the permanent adjustment, by spreading out the CY 2024 permanent adjustment over a period of years. Another alternative would be to delay the permanent adjustment to a future year. However, we believe that a reduction to the permanent adjustment, a phase-in approach, or delay in the permanent adjustment would not be appropriate, as reducing, phasing in, or delaying the permanent adjustment would further impact budget neutrality and likely lead to a compounding effect creating the need for a larger reduction to the payment rate in future years. We also considered proposing to implement the one-time temporary adjustment to reconcile retrospective overpayments in CYs 2020, 2021, and 2022. However, as stated previously in this rule, we recognize that applying the full permanent and temporary adjustments to the CY 2024 payment rate may adversely affect HHAs, including small entities. We are soliciting comments on the overall HH PPS RFA analysis.</P>
                    <P>Guidance issued by HHS interpreting the Regulatory Flexibility Act considers the effects economically `significant' only if greater than 5 percent of providers reach a threshold of 3 to 5 percent or more of total revenue or total costs. Among the over 7,500 HHAs that are estimated to qualify to compete in the expanded HHVBP Model, we estimate that the percent payment adjustment resulting from this rule would be larger than 3 percent, in magnitude, for about 28 percent of competing HHAs (estimated by applying the proposed 5-percent maximum payment adjustment under the expanded Model to CY 2019 data). As a result, more than the RFA threshold of 5-percent of HHA providers nationally would be significantly impacted. We refer readers to Tables 43 and 44 in the CY 2022 HH PPS final rule (86 FR 62407 through 62410) for our analysis of payment adjustment distributions by State, HHA characteristics, HHA size, and percentiles.</P>
                    <P>Thus, the Secretary has certified that this final rule would have a significant economic impact on a substantial number of small entities. Though the RFA requires consideration of alternatives to avoid economic impacts on small entities, the intent of the rule, itself, is to encourage quality improvement by HHAs through the use of economic incentives. As a result, alternatives to mitigate the payment reductions would be contrary to the intent of the rule, which is to test the effect on quality and costs of care of applying payment adjustments based on HHAs' performance on quality measures.</P>
                    <P>In addition, section 1102(b) of the Act requires us to prepare an RIA if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside of a metropolitan statistical area and has fewer than 100 beds. This rule is not applicable to hospitals. Therefore, the Secretary has certified that this proposed rule would not have a significant economic impact on the operations of small rural hospitals.</P>
                    <HD SOURCE="HD2">H. Unfunded Mandates Reform Act (UMRA)</HD>
                    <P>Section 202 of UMRA of 1995 UMRA also requires that agencies assess anticipated costs and benefits before issuing any rule whose mandates require spending in any 1 year of $100 million in 1995 dollars, updated annually for inflation. In 2023, that threshold is approximately $177 million. This proposed rule would not impose a mandate that will result in the expenditure by State, local, and Tribal Governments, in the aggregate, or by the private sector, of more than $177 million in any one year.</P>
                    <HD SOURCE="HD2">I. Federalism</HD>
                    <P>Executive Order 13132 establishes certain requirements that an agency must meet when it promulgates a proposed rule (and subsequent final rule) that imposes substantial direct requirement costs on State and local governments, preempts State law, or otherwise has Federalism implications. We have reviewed this final rule under these criteria of Executive Order 13132 and have determined that it would not impose substantial direct costs on State or local governments.</P>
                    <HD SOURCE="HD2">J. Conclusion</HD>
                    <P>In conclusion, we estimate that the provisions in this proposed rule will result in an estimated net decrease in home health payments of 2.2 percent for CY 2024 (−$375 million). The $375 million decrease in estimated payments for CY 2024 reflects the effects of the CY 2024 home health payment update percentage increase of 2.7 percent ($460 million increase), a 0.2 percent increase in payments due to the new lower FDL ratio, which will increase outlier payments in order to target to pay no more than 2.5 percent of total payments as outlier payments ($35 million increase) and an estimated 5.1 percent decrease in payments that reflects the effects of the permanent behavior adjustment ($870 million decrease).</P>
                    <P>Chiquita Brooks-LaSure, Administrator of the Centers for Medicare &amp; Medicaid Services, approved this document on June 26, 2023.</P>
                    <LSTSUB>
                        <HD SOURCE="HED">List of Subjects</HD>
                        <CFR>42 CFR Part 409</CFR>
                        <P>Health facilities, Medicare.</P>
                        <CFR>42 CFR Part 410</CFR>
                        <P>Diseases, Health facilities, Health professions, Laboratories, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays.</P>
                        <CFR>42 CFR Part 414</CFR>
                        <P>
                            Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Medicare, 
                            <PRTPAGE P="43812"/>
                            Reporting and recordkeeping requirements.
                        </P>
                        <CFR>42 CFR Part 424</CFR>
                        <P>Emergency medical services, Health facilities, Health professions, Medicare, Reporting and recordkeeping requirements.</P>
                        <CFR>42 CFR Part 484</CFR>
                        <P>Administrative practice and procedure, Grant programs-health, Health facilities, Health professions, Home health care, Medicare, Reporting and recordkeeping requirements.</P>
                        <CFR>42 CFR Part 488</CFR>
                        <P>Administrative practice and procedure, Health facilities, Health professions, Medicare, Reporting and recordkeeping requirements.</P>
                        <CFR>42 CFR Part 489</CFR>
                        <P>Health facilities, Medicare, Reporting and recordkeeping requirements.</P>
                    </LSTSUB>
                    <P>For the reasons stated in the preamble, the Centers for Medicare &amp; Medicaid Services proposes to amend 42 CFR Chapter IV as follows:</P>
                    <PART>
                        <HD SOURCE="HED">PART 409—HOSPITAL INSURANCE BENEFITS</HD>
                    </PART>
                    <AMDPAR>1. The authority citation for part 409 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P>42 U.S.C. 1302 and 1395hh.</P>
                    </AUTH>
                    <SECTION>
                        <SECTNO>§ 409.50</SECTNO>
                        <SUBJECT>[Amended]</SUBJECT>
                    </SECTION>
                    <AMDPAR>2. In § 409.50 amend paragraph (b) by removing the phrase “for furnishing the Negative Pressure Wound Therapy (NPWT) using a disposable device” and adding in its place the phrase “for the disposable Negative Pressure Wound Therapy (NPWT) device”.</AMDPAR>
                    <PART>
                        <HD SOURCE="HED">PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS</HD>
                    </PART>
                    <AMDPAR>3. The authority citation for part 410 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P>42 U.S.C. 1302, 1395m, 1395hh, 1395rr, and 1395ddd.</P>
                    </AUTH>
                    <AMDPAR>4. Amend § 410.2 by adding the definitions of “Brace”, “Custom fitted gradient compression garment”, “gradient compression”, and “lymphedema compression treatment item” in alphabetical order to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 410.2</SECTNO>
                        <SUBJECT>Definitions</SUBJECT>
                        <STARS/>
                        <P>
                            <E T="03">Brace</E>
                             means a rigid or semi-rigid device used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body.
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">Custom fitted gradient compression garment</E>
                             means a garment that is uniquely sized and shaped to fit the exact dimensions of the affected extremity or part of the body, of an individual to provide accurate gradient compression to treat lymphedema.
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">Gradient compression</E>
                             means the ability to apply a higher level of compression or pressure to the distal (farther) end of the limb or body part affected by lymphedema with lower, decreasing compression or pressure at the proximal (closer) end of the limb or body part affected by lymphedema.
                        </P>
                        <P>
                            <E T="03">Lymphedema compression treatment item</E>
                             means standard and custom fitted gradient compression garments and other items specified under § 410.36(a)(4) that are—
                        </P>
                        <P>(1) Furnished on or after January 1, 2024, to an individual with a diagnosis of lymphedema for treatment of such condition;</P>
                        <P>(2) Primarily and customarily used to serve a medical purpose and for the treatment of lymphedema; and</P>
                        <P>(3) Prescribed by a physician (or a physician assistant, nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1861(aa)(5) of the Act) to the extent authorized under State law.</P>
                        <STARS/>
                    </SECTION>
                    <SECTION>
                        <SECTNO>§ 410.10</SECTNO>
                        <SUBJECT>[Amended]</SUBJECT>
                    </SECTION>
                    <AMDPAR>5. In § 410.10 amend paragraph (y) by removing the phrase “globulin administered” and adding in its place the phrase “globulin, including items and services, administered”.</AMDPAR>
                    <AMDPAR>6. Amend § 410.36 by revising paragraph (a)(3) and adding paragraph (a)(4) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 410.36</SECTNO>
                        <SUBJECT>Medical supplies, appliances, and devices: Scope.</SUBJECT>
                        <STARS/>
                        <P>(a) * * *</P>
                        <P>(3)(i) Leg, arm, back, and neck braces.</P>
                        <P>(A) A leg brace may include a shoe if it is an integral part of the brace (necessary for the leg brace to function properly) and its expense is included as part of the cost of the brace.</P>
                        <P>(ii) Artificial legs, arms, and eyes; and</P>
                        <P>(iii) Replacements for the devices specified in paragraphs (a)(3)(i) and (ii) if required because of a change in the individual's physical condition.</P>
                        <P>(4) Lymphedema compression treatment items, including the following:</P>
                        <P>(i) Standard and custom fitted gradient compression garments.</P>
                        <P>(ii) Gradient compression wraps with adjustable straps.</P>
                        <P>(iii) Compression bandaging systems.</P>
                        <P>(iv) Other items determined to be lymphedema compression treatment items under the process established under § 414.1670.</P>
                        <P>(v) For the purposes of paragraphs (i) and (ii) of this paragraph, the scope of the benefit for lymphedema compression treatment items includes accessories such as zippers in garments, liners worn under garments or wraps with adjustable straps, and padding or fillers that are necessary for the effective use of a gradient compression garment or wrap with adjustable straps.</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>7. Section 410.38 is amended by adding paragraph (d)(4) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 410.38</SECTNO>
                        <SUBJECT>Durable medical equipment, prosthetics, orthotics and supplies (DMEPOS): Scope and conditions.</SUBJECT>
                        <STARS/>
                        <P>(d) * * *</P>
                        <P>
                            (4) 
                            <E T="03">Refills</E>
                            —(i) 
                            <E T="03">Definitions</E>
                            . As used in this paragraph (d):
                        </P>
                        <P>
                            <E T="03">Date of service</E>
                             (for refilled items) means either—
                        </P>
                        <P>
                            (
                            <E T="03">1</E>
                            ) The date of delivery for the DMEPOS item; or
                        </P>
                        <P>
                            (
                            <E T="03">2</E>
                            ) For items rendered via delivery or shipping service, the shipping date.
                        </P>
                        <P>
                            <E T="03">Refills</E>
                             mean DMEPOS products that are provided on a recurring basis secondary to a medically necessary DMEPOS order.
                        </P>
                        <P>
                            <E T="03">Shipping date</E>
                             means—
                        </P>
                        <P>
                            (
                            <E T="03">1</E>
                            ) The date the delivery/shipping service label is created; or
                        </P>
                        <P>
                            (
                            <E T="03">2</E>
                            ) The date that the item is retrieved for delivery. These dates must not demonstrate significant variation.
                        </P>
                        <P>
                            (ii) 
                            <E T="03">Documentation.</E>
                             The DMEPOS supplier must document contact with the beneficiary or their representative to verify the refill is needed. This documentation must include both of the following:
                        </P>
                        <P>(A) Evidence of the beneficiary or their representative's affirmative response of the need for supplies, which should be obtained as close to the expected end of the current supply as possible. Contact and affirmative response must be within 30 calendar days from the expected end of the current supply.</P>
                        <P>
                            (B)(
                            <E T="03">1</E>
                            ) For shipped items, the beneficiary name, date of contact, the item requested, and an affirmative response from the beneficiary, indicative of the need for refill, prior to dispensing the product; or
                        </P>
                        <P>
                            (
                            <E T="03">2</E>
                            ) For items obtained in-person from a retail store, the delivery slip signed by the beneficiary or their representative or 
                            <PRTPAGE P="43813"/>
                            a copy of the itemized sales receipt is sufficient documentation of a request for refill.
                        </P>
                        <P>
                            (iii) 
                            <E T="03">Delivery of DMEPOS items provided on a recurring basis.</E>
                             The date of service for DMEPOS items provided on a recurring basis must be no earlier than 10 calendar days before the expected end of the current supply.
                        </P>
                        <STARS/>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES</HD>
                    </PART>
                    <AMDPAR>8. The authority citation for part 414 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P>42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).</P>
                    </AUTH>
                    <AMDPAR>9. Section 414.210 is amended by—</AMDPAR>
                    <AMDPAR>a. In paragraph (g)(2)(ii) introductory text, removing the phrase “(42 U.S.C. 1320b-5(g)(1)(B)), whichever is later” and adding in its place the phrase “(42 U.S.C. 1320b-5(g)(1)(B)), or December 31, 2023, whichever is later”;</AMDPAR>
                    <AMDPAR>b. In paragraph (g)(2)(iii) introductory text, removing the phrase “(42 U.S.C. 1320b-5(g)(1)(B)), whichever is later” and adding in its place the phrase “(42 U.S.C. 1320b-5(g)(1)(B)), or December 31, 2023, whichever is later”;</AMDPAR>
                    <AMDPAR>c. In paragraph (g)(9)(iii) removing the phrase “from June 1, 2018 through December 31, 2020 or through the duration” and adding in its place the phrase “from June 1, 2018 through the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)) or December 31, 2023”;</AMDPAR>
                    <AMDPAR>d. Revising paragraph (g)(9)(v); and</AMDPAR>
                    <AMDPAR>e. In paragraph (g)(9)(vi), removing the date “February 28, 2022” and adding in its place the date “January 1, 2024”.</AMDPAR>
                    <P>The revision reads as follows:</P>
                    <SECTION>
                        <SECTNO>§  414.210</SECTNO>
                        <SUBJECT>General payment rules.</SUBJECT>
                        <STARS/>
                        <P>(g) * * *</P>
                        <P>(9) * * *</P>
                        <P>(v) For items and services furnished in areas other than rural or noncontiguous areas with dates of service from March 6, 2020, through the remainder of the duration of the emergency period described in section 1135(g)(1)(B) of the Act (42 U.S.C. 1320b-5(g)(1)(B)) or December 31, 2023, whichever is later, based on the fee schedule amount for the area is equal to 75 percent of the adjusted payment amount established under this section and 25 percent of the unadjusted fee schedule amount.</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>10. Amend § 414.402 by revising the definition of “Item” to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 414.402</SECTNO>
                        <SUBJECT>Definitions.</SUBJECT>
                        <STARS/>
                        <P>
                            <E T="03">Item</E>
                             means a product included in a competitive bidding program that is identified by a HCPCS code, which may be specified for competitive bidding (for example, a product when it is furnished through mail order), or a combination of codes with or without modifiers, and includes the services directly related to the furnishing of that product to the beneficiary. Items that may be included in a competitive bidding program are as follows:
                        </P>
                        <P>(1) DME other than class III devices under the Federal Food, Drug and Cosmetic Act, as defined in § 414.402, group 3 complex rehabilitative power wheelchairs, complex rehabilitative manual wheelchairs, manual wheelchairs described by HCPCS codes E1235, E1236, E1237, E1238, and K0008, and related accessories when furnished in connection with such wheelchairs, and further classified into the following categories:</P>
                        <P>(i) Inexpensive or routinely purchased items, as specified in § 414.220(a).</P>
                        <P>(ii) Items requiring frequent and substantial servicing, as specified in § 414.222(a).</P>
                        <P>(iii) Oxygen and oxygen equipment, as specified in § 414.226(c)(1).</P>
                        <P>(iv) Other DME (capped rental items), as specified in § 414.229.</P>
                        <P>(2) Supplies necessary for the effective use of DME other than inhalation and infusion drugs.</P>
                        <P>(3) Enteral nutrients, equipment, and supplies.</P>
                        <P>(4) Off-the-shelf orthotics, which are orthotics described in section 1861(s)(9) of the Act that require minimal self-adjustment for appropriate use and do not require expertise in trimming, bending, molding, assembling or customizing to fit a beneficiary.</P>
                        <P>(5) Lymphedema compression treatment items.</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>11. Amend § 414.408 by adding paragraph (g)(5) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 414.408</SECTNO>
                        <SUBJECT>Payment rules.</SUBJECT>
                        <STARS/>
                        <P>(g) * * *</P>
                        <P>(5) Lymphedema compression treatment items.</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>12. Amend § 414.412 by revising paragraph (b)(2) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 414.412</SECTNO>
                        <SUBJECT>Submission of bids under a competitive bidding program.</SUBJECT>
                        <STARS/>
                        <P>(b) * * *</P>
                        <P>(2) The bid submitted for each lead item and product category cannot exceed the payment amount that would otherwise apply to the lead item under—</P>
                        <P>(i) Subpart C of this part, without the application of § 414.210(g);</P>
                        <P>(ii) Subpart D of this part, without the application of § 414.105; or</P>
                        <P>(iii) Subpart Q of this part, without the application of § 414.1690.</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>13. Add subpart Q, consisting of §§ 414.1600 through 414.1690, to read as follows:</AMDPAR>
                    <CONTENTS>
                        <SUBPART>
                            <HD SOURCE="HED">Subpart Q—Payment for Lymphedema Compression Treatment Items</HD>
                            <SECHD>Sec.</SECHD>
                            <SECTNO>414.1600</SECTNO>
                            <SUBJECT>Purpose and definitions.</SUBJECT>
                            <SECTNO>414.1650</SECTNO>
                            <SUBJECT>Payment basis for lymphedema compression treatment items.</SUBJECT>
                            <SECTNO>414.1660</SECTNO>
                            <SUBJECT>Continuity of pricing when HCPCS codes are divided or combined.</SUBJECT>
                            <SECTNO>414.1670</SECTNO>
                            <SUBJECT>Procedures for making benefit category determinations and payment determinations for new lymphedema compression treatment items.</SUBJECT>
                            <SECTNO>414.1680</SECTNO>
                            <SUBJECT>Frequency limitations.</SUBJECT>
                            <SECTNO>414.1690</SECTNO>
                            <SUBJECT>Application of competitive bidding information.</SUBJECT>
                        </SUBPART>
                    </CONTENTS>
                    <SUBPART>
                        <HD SOURCE="HED">Subpart Q—Payment for Lymphedema Compression Treatment Items</HD>
                        <SECTION>
                            <SECTNO>§ 414.1600</SECTNO>
                            <SUBJECT>Purpose and definitions.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">Purpose.</E>
                                 This subpart implements section 1834(z) of the Act and establishes procedures for making benefit category determinations and payment determinations for lymphedema compression treatment items.
                            </P>
                            <P>
                                (b) 
                                <E T="03">Definitions.</E>
                                 For purposes of this subpart the following definitions apply:
                            </P>
                            <P>
                                <E T="03">Benefit category determination</E>
                                 means a national determination regarding whether an item or service meets the Medicare definition of lymphedema compression treatment item at section 1861(mmm) of the Act and the rules of this subpart and is not otherwise excluded from coverage by statute.
                            </P>
                            <P>
                                <E T="03">Lymphedema compression treatment item</E>
                                 means an item as described in § 410.2.
                            </P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 414.1650</SECTNO>
                            <SUBJECT>Payment basis for lymphedema compression treatment items.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">General payment rule.</E>
                                 For items furnished on or after January 1, 2024, Medicare pays for lymphedema compression treatment items on the basis of 80 percent of the lesser of -
                            </P>
                            <P>(1) The actual charge for the item; or</P>
                            <P>(2) The payment amount for the item, as determined in accordance with paragraph (b) of this section.</P>
                            <P>
                                (b) 
                                <E T="03">Payment amounts.</E>
                                 The payment amounts for covered lymphedema compression treatment items paid for under this subpart are established based on one of the following:
                            </P>
                            <P>
                                (1) If payment amounts are available from Medicaid state plans, then 120 
                                <PRTPAGE P="43814"/>
                                percent of the average of the Medicaid payment amounts.
                            </P>
                            <P>(2) If payment amounts are not available from Medicaid state plans, then 100 percent of the average of average internet retail prices and payment amounts from TRICARE (Department of Defense).</P>
                            <P>(3) If payment amounts are not available from Medicaid state plans or TRICARE, then 100 percent of average internet retail prices.</P>
                            <P>
                                (c) 
                                <E T="03">Updates to payment amounts.</E>
                                 The payment amounts for covered lymphedema compression treatment items established in accordance with paragraph (b) of this section are increased on an annual basis beginning on January 1 of the year subsequent to the year in which the payment amounts are initially established based on the percent change in the Consumer Price Index for all Urban Consumers (CPI-U) for the 12-month period ending with June of the previous year.
                            </P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 414.1660</SECTNO>
                            <SUBJECT>Continuity of pricing when HCPCS codes are divided or combined.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">General rule.</E>
                                 If HCPCS codes for lymphedema compression treatment items are divided or combined, the payment amounts for the old codes are mapped to the new codes to ensure continuity of pricing.
                            </P>
                            <P>
                                (b) 
                                <E T="03">Mapping of payment amounts.</E>
                                 (1) If there is a single code that describes two or more distinct complete items (for example, two different but related or similar items), and separate codes are subsequently established for each item, then the payment amounts that applied to the single code continue to apply to each of the items described by the new codes.
                            </P>
                            <P>(2) If the codes for several different items are combined into a single code, then the payment amounts for the new code are established using the average (arithmetic mean), weighted by allowed services, of the payment amounts for the formerly separate codes.</P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 414.1670</SECTNO>
                            <SUBJECT>Procedures for making benefit category determinations and payment determinations for new lymphedema compression treatment items.</SUBJECT>
                            <P>The procedures for determining whether new items and services addressed in a request for a HCPCS Level II code(s) or by other means meet the definition of items and services paid for in accordance with this subpart are as follows:</P>
                            <P>(a) At the start of a HCPCS coding cycle, CMS performs an analysis to determine if the item is statutorily excluded from coverage under Medicare under section 1862 of the Act.</P>
                            <P>(1) If not excluded by statute, then CMS determines whether the item is a lymphedema compression treatment item as defined under section 1861(mmm) of the Act.</P>
                            <P>(2) If excluded by statute, the analysis is concluded.</P>
                            <P>(b) If a preliminary determination is made that the item is a lymphedema compression treatment item, CMS makes a preliminary payment determination for the item or service.</P>
                            <P>
                                (c) CMS posts preliminary benefit category determinations and payment determinations on 
                                <E T="03">CMS.gov</E>
                                 approximately 2 weeks prior to a public meeting.
                            </P>
                            <P>(d) After consideration of public consultation provided at a public meeting on preliminary benefit category determinations and payment determinations for items, CMS establishes the benefit category determinations and payment determinations for items through program instructions.</P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 414.1680</SECTNO>
                            <SUBJECT>Frequency limitations.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">General rule.</E>
                                 With the exception of replacements of items that are lost, stolen, or irreparably damaged, or if needed due to a change in the patient's medical or physical condition, no payment may be made for gradient compression garments or wraps with adjustable straps furnished other than at the frequencies established in paragraphs (b) and (c) of this section.
                            </P>
                            <P>
                                (b) 
                                <E T="03">Initial furnishing of lymphedema compression treatment items.</E>
                                 The following frequency limitations apply to items initially furnished to the beneficiary if determined to be reasonable and necessary for the treatment of lymphedema:
                            </P>
                            <P>(1) Two units of daytime gradient compression garments or wraps with adjustable straps per affected extremity or part of the body.</P>
                            <P>(2) One garment for nighttime use per affected extremity or part of the body.</P>
                            <P>
                                (c) 
                                <E T="03">Replacements of lymphedema compression treatment items.</E>
                                 The following frequency limitations apply to replacements of lymphedema compression treatment items if determined to be reasonable and necessary for the treatment of lymphedema:
                            </P>
                            <P>(1) Payment for the replacement of gradient compression garments or wraps with adjustable straps per each affected extremity or part of the body can be made once every 6 months.</P>
                            <P>(2) Payment for the replacement of nighttime garments per each affected extremity or part of the body can be made once a year.</P>
                            <P>
                                (d) 
                                <E T="03">Replacements of lymphedema compression bandaging systems or supplies.</E>
                                 Specific frequency limitations are not established for these items. Determinations regarding the quantity of compression bandaging supplies needed by each beneficiary during phase one of decongestive therapy are made by the DME MAC that processes the claims for the supplies.
                            </P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 414.1690</SECTNO>
                            <SUBJECT>Application of competitive bidding information.</SUBJECT>
                            <P>The payment amounts for lymphedema compression treatment items under § 414.1650(b) may be adjusted using information on the payment determined as part of implementation of the programs under subpart F using the methodologies set forth at § 414.210(g).</P>
                        </SECTION>
                    </SUBPART>
                    <AMDPAR>14. Add subpart R, consisting of § 141.1700, to read as follows:</AMDPAR>
                    <SUBPART>
                        <HD SOURCE="HED">Subpart R—Home Intravenous Immunoglobulin (IVIG) Items and Services Payment</HD>
                        <SECTION>
                            <SECTNO>§ 414.1700</SECTNO>
                            <SUBJECT>Basis of payment.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">General rule.</E>
                                 For home intravenous immunoglobulin (IVIG) items or services furnished on or after January 1, 2024, Medicare payment is made on the basis of 80 percent of the lesser of the following:
                            </P>
                            <P>(1) The actual charge for the item or service.</P>
                            <P>(2) The fee schedule amount for the items and services, as determined in accordance with the provisions of this section.</P>
                            <P>
                                (b) 
                                <E T="03">Per visit amount.</E>
                                 A single payment amount is made for items and services furnished by a DME supplier per visit.
                            </P>
                            <P>
                                (c) 
                                <E T="03">Initial establishment of the payment amount.</E>
                                 In establishing the initial per visit IVIG items and services payment amount for CY 2024, CMS used the CY 2023 bundled payment rate under the IVIG Demonstration updated by the home health payment percentage update for CY 2024.
                            </P>
                            <P>
                                (d) 
                                <E T="03">Annual payment adjustment.</E>
                                 The per visit payment amount represents payment in full for all costs associated with the furnishing of home IVIG items and services and is subject to the following adjustment:
                            </P>
                            <P>(1) Beginning in 2025, an annual increase in the per-visit payment amount from the prior year by the home health update percentage increase for the current calendar year.</P>
                            <P>(2) [Reserved]</P>
                        </SECTION>
                    </SUBPART>
                    <PART>
                        <HD SOURCE="HED">PART 424—CONDITIONS FOR MEDICARE PAYMENT</HD>
                    </PART>
                    <AMDPAR>15. The authority for part 424 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P>42 U.S.C. 1302 and 1395hh.</P>
                    </AUTH>
                    <SUBPART>
                        <PRTPAGE P="43815"/>
                        <HD SOURCE="HED">Subpart P—Requirements for Establishing and Maintaining Medicare Billing Privileges</HD>
                    </SUBPART>
                    <AMDPAR>16. Further amend § 424.502 (as proposed to be amended at 88 FR 9829, February 15, 2023) by—</AMDPAR>
                    <AMDPAR>a. In the definition of “Change in majority ownership” removing the term “HHA” and in its place the phrase “HHA or hospice” wherever it appears.</AMDPAR>
                    <AMDPAR>b. Revising paragraph (1) of the proposed definition of “Managing employee”.</AMDPAR>
                    <P>The revision reads as follows:</P>
                    <SECTION>
                        <SECTNO>§ 424.502</SECTNO>
                        <SUBJECT>Definitions.</SUBJECT>
                        <STARS/>
                        <P>
                            <E T="03">Managing employee means</E>
                            —(1) A general manager, business manager, administrator, director, or other individual that exercises operational or managerial control over, or who directly or indirectly conducts, the day-to-day operation of the provider or supplier, either under contract or through some other arrangement, whether or not the individual is a W-2 employee of the provider or supplier. For purposes of this definition, this includes a hospice or skilled nursing facility administrator and a hospice or skilled nursing facility medical director.
                        </P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>17. Amend § 424.518 by—</AMDPAR>
                    <AMDPAR>a. Removing paragraph (b)(1)(iv);</AMDPAR>
                    <AMDPAR>b. Redesignating paragraphs (b)(1)(v) through (b)(1)(viii) as paragraphs (b)(1)(iv) through (b)(1)(vii);</AMDPAR>
                    <AMDPAR>c. Redesignating paragraph (b)(1)(xii) as paragraph (b(1)(viii);</AMDPAR>
                    <AMDPAR>d. Revising newly redesignated paragraph (b)(1)(viii) and paragraph (b)(1)(ix);</AMDPAR>
                    <AMDPAR>e. Removing paragraphs (b)(1)(x) through (b)(1)(xiv);</AMDPAR>
                    <AMDPAR>f. Revising (c)(1)(vi); and</AMDPAR>
                    <AMDPAR>g. Adding paragraphs (c)(1)(vii) and (viii).</AMDPAR>
                    <P>The revisions and additions read as follows:</P>
                    <SECTION>
                        <SECTNO>§ 424.518</SECTNO>
                        <SUBJECT>Screening levels for Medicare providers and suppliers.</SUBJECT>
                        <STARS/>
                        <P>(b) * * *</P>
                        <P>(1) * * *</P>
                        <P>(viii) Prospective (newly enrolling) and revalidating opioid treatment programs that have been fully and continuously certified by the Substance Abuse and Mental Health Services Administration (SAMHSA) since October 23, 2018.</P>
                        <P>(ix) Revalidating opioid treatment programs that have not been fully and continuously certified by SAMHSA since October 23, 2018, revalidating DMEPOS suppliers, revalidating MDPP suppliers, revalidating HHAs, revalidating SNFs, and revalidating hospices to which CMS applied the fingerprinting requirements outlined in paragraph (c)(2)(ii) of this section upon the provider's or supplier's—</P>
                        <P>(A) New/initial enrollment; or</P>
                        <P>(B) Revalidation after CMS waived the fingerprinting requirements, under the circumstances described in paragraph (c)(1)(viii) of this section, when the provider or supplier initially enrolled in Medicare.</P>
                        <STARS/>
                        <P>(c) * * *</P>
                        <P>(1) * * *</P>
                        <P>(vi) Prospective (newly enrolling) hospices.</P>
                        <P>(vii) Enrolled opioid treatment programs that have not been fully and continuously certified by SAMHSA since October 23, 2018, DMEPOS suppliers, MDPP suppliers, HHAs, SNFs, and hospices that are submitting a change of ownership application under 42 CFR 489.18 or reporting any new owner (regardless of ownership percentage) in accordance with a change of information or other enrollment transaction under title 42.</P>
                        <P>(viii) Except as stated in paragraph (b)(1)(ix) of this section, revalidating opioid treatment programs that have not been fully and continuously certified by SAMHSA since October 23, 2018, revalidating DMEPOS suppliers, revalidating MDPP suppliers, revalidating HHAs, revalidating SNFs, and revalidating hospices for which, upon their new/initial enrollment, CMS waived the fingerprinting requirements outlined in paragraph (c)(2)(ii) of this section in accordance with applicable legal authority due to a national, state, or local emergency declared under existing law.</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>18. Add § 424.527 to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 424.527</SECTNO>
                        <SUBJECT>Provisional period of oversight.</SUBJECT>
                        <P>
                            (a) 
                            <E T="03">New provider or supplier.</E>
                             Exclusively for purposes of both section 1866(j)(3) of the Act and this § 424.527, the term “new provider or supplier” is defined as any of the following:
                        </P>
                        <P>(1) A newly enrolling Medicare provider or supplier. (This includes providers that are required to enroll as a new provider in accordance with the change in majority ownership provisions in § 424.550(b).)</P>
                        <P>(2) A certified provider or certified supplier undergoing a change of ownership consistent with the principles of 42 CFR 489.18. (This includes providers that qualify under § 424.550(b)(2) for an exception from the change in majority ownership requirements in § 424.550(b)(1) but which are undergoing a change of ownership under 42 CFR 489.18).</P>
                        <P>(3) A provider or supplier (including an HHA or hospice) undergoing a 100 percent change of ownership via a change of information request under § 424.516.</P>
                        <P>
                            (b) 
                            <E T="03">Effective date.</E>
                             The effective date of a provisional period of enhanced oversight that is commenced under section 1866(j)(3) of the Act is the date on which the new provider or supplier submits its first claim.
                        </P>
                    </SECTION>
                    <AMDPAR>19. Amend § 424.530 by—</AMDPAR>
                    <AMDPAR>a. In paragraph (f) introductory text removing the phrase “3 years” and adding in its place “10 years”.</AMDPAR>
                    <AMDPAR>b. Adding paragraph (f)(3).</AMDPAR>
                    <P>The revision and additions read as follows:</P>
                    <SECTION>
                        <SECTNO>§ 424.530</SECTNO>
                        <SUBJECT>Denial of enrollment in the Medicare program.</SUBJECT>
                        <STARS/>
                        <P>(f)  * * * </P>
                        <P>(3)(i) A provider or supplier that is currently subject to a reapplication bar under paragraph (f) of this section may not order, refer, certify, or prescribe Medicare-covered services, items, or drugs.</P>
                        <P>(ii) Medicare does not pay for any otherwise covered service, item, or drug that is ordered, referred, certified, or prescribed by a provider or supplier that is currently under a reapplication bar.</P>
                    </SECTION>
                    <AMDPAR>20. Section 424.540(a)(1) is amended by removing the number “12” and adding in its place the number “6” wherever it appears.</AMDPAR>
                    <AMDPAR>21 Add § 424.542 to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 424.542</SECTNO>
                        <SUBJECT>Prohibition on ordering, certifying, referring, or prescribing based on felony conviction.</SUBJECT>
                        <P>
                            (a) 
                            <E T="03">General prohibition.</E>
                             A physician or other eligible professional (regardless of whether he or she is or was enrolled in Medicare) who has had a felony conviction within the previous 10 years that CMS determines is detrimental to the best interests of the Medicare program and its beneficiaries may not order, refer, certify, or prescribe Medicare-covered services, items, or drugs.
                        </P>
                        <P>
                            (b) 
                            <E T="03">Payment.</E>
                             Medicare does not pay for any otherwise covered service, item, or drug that is ordered, referred, certified, or prescribed by a physician or other eligible professional (as that term is defined in section 1848(k)(3)(B) of the Act) who has had a felony conviction within the previous 10 years that CMS determines is detrimental to the best interests of the Medicare program and its beneficiaries.
                        </P>
                    </SECTION>
                    <AMDPAR>
                        22. Amend § 424.550 by—
                        <PRTPAGE P="43816"/>
                    </AMDPAR>
                    <AMDPAR>a. Revising paragraph (b)(1) introductory text;</AMDPAR>
                    <AMDPAR>b. In paragraph (b)(1)(i) removing the term “HHA” and adding in its place the phrase “HHA or hospice”;</AMDPAR>
                    <AMDPAR>c. In paragraph (b)(2)(i) removing the phrase “The HHA submitted two consecutive years” and adding in its place the phrase “The HHA or hospice submitted 2 consecutive years”;</AMDPAR>
                    <AMDPAR>d. In paragraph (b)(2)(ii), removing the term “HHA's” and adding in its place the phrase “HHA's or hospice's”;</AMDPAR>
                    <AMDPAR>e. In paragraph (b)(2)(iii), removing the phrase “The owners of an existing HHA are changing the HHA's” and adding in its place the phrase “The owners of an existing HHA or hospice are changing the HHA's or hospice's”;</AMDPAR>
                    <AMDPAR>f. In paragraph (b)(2)(iv) removing the term “HHA” and adding in its place the phrase “HHA or hospice”.</AMDPAR>
                    <P>The revision reads as follows:</P>
                    <SECTION>
                        <SECTNO>§ 424.550</SECTNO>
                        <SUBJECT>Prohibitions on the sale or transfer of billing privileges.</SUBJECT>
                        <STARS/>
                        <P>(b) * * *</P>
                        <P>(1) Unless an exception in paragraph (b)(2) of this section applies, if there is a change in majority ownership of a home health agency (HHA) or hospice by sale (including asset sales, stock transfers, mergers, and consolidations) within 36 months after the effective date of the HHA's or hospice's initial enrollment in Medicare or within 36 months after the HHA's or hospice's most recent change in majority ownership, the provider agreement and Medicare billing privileges do not convey to the new owner. The prospective provider/owner of the HHA or hospice must instead do both of the following:</P>
                        <STARS/>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 484—HOME HEALTH SERVICES</HD>
                    </PART>
                    <AMDPAR>23. The authority citation for part 484 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P>42 U.S.C. 1302 and 1395hh.</P>
                    </AUTH>
                    <AMDPAR>24. Section 484.202 is amended by revising the definition of “Furnishing Negative Pressure Wound Therapy (NPWT) using a disposable device” to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 484.202</SECTNO>
                        <SUBJECT>Definitions.</SUBJECT>
                        <STARS/>
                        <P>
                            <E T="03">Furnishing Negative Pressure Wound Therapy (NPWT) using a disposable device</E>
                             means the device is paid separately (specified by the assigned CPT® code) and does not include payment for the professional services. The nursing and therapy services are to be included as part of the payment under the home health prospective payment system.
                        </P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>25. Section 484.245 is amended by redesignating paragraph (b)(2) as paragraph (b)(2)(i) and adding paragraph (b)(2)(ii) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 484.245</SECTNO>
                        <SUBJECT>Data submission requirements under the home health quality reporting program.</SUBJECT>
                        <STARS/>
                        <P>(b) * * *</P>
                        <P>(2) * * *</P>
                        <P>
                            (ii) 
                            <E T="03">Data completion thresholds.</E>
                             (A) A home health agency must meet or exceed the data submission threshold set at 90 percent of all required OASIS or successor instrument records within 30-days of the beneficiary's admission or discharge and submitted through the CMS designated data submission systems.
                        </P>
                        <P>(B) A home health agency must meet or exceed the data submission compliance threshold described in paragraph (b)(2)(ii)(A) of this section to avoid receiving a 2-percentage point reduction to its annual payment update for a given fiscal year described under § 484.225(b).</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>26. Add § 484.358 to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 484.358</SECTNO>
                        <SUBJECT>HHVBP Measure removal factors.</SUBJECT>
                        <P>CMS may remove a quality measure from the expanded HHVBP Model based on one or more of the following factors:</P>
                        <P>(a) Measure performance among HHAs is so high and unvarying that meaningful distinctions in improvements in performance can no longer be made (that is, topped out).</P>
                        <P>(b) Performance or improvement on a measure does not result in better patient outcomes.</P>
                        <P>(c) A measure does not align with current clinical guidelines or practice.</P>
                        <P>(d) A more broadly applicable measure (across settings, populations, or conditions) for the particular topic is available.</P>
                        <P>(e) A measure that is more proximal in time to desired patient outcomes for the particular topic is available.</P>
                        <P>(f) A measure that is more strongly associated with desired patient outcomes for the particular topic is available.</P>
                        <P>(g) Collection or public reporting of a measure leads to negative unintended consequences other than patient harm.</P>
                        <P>(h) The costs associated with a measure outweigh the benefit of its continued use in the program.</P>
                    </SECTION>
                    <AMDPAR>27. Amend § 484.375 by revising paragraph (b)(5) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 484.375</SECTNO>
                        <SUBJECT>Appeals process for the Expanded Home Health Value-Based Purchasing (HHVBP) Model.</SUBJECT>
                        <STARS/>
                        <P>(b) * * *</P>
                        <P>
                            (5) 
                            <E T="03">Reconsideration decision.</E>
                             (i) CMS reconsideration officials issue a written decision that is final and binding upon issuance unless the CMS Administrator—
                        </P>
                        <P>(A) Renders a final determination reversing or modifying the reconsideration decision; or</P>
                        <P>(B) Does not review the reconsideration decision within 14 days of the request.</P>
                        <P>(ii) An HHA may request that the CMS Administrator review the reconsideration decision within 7 calendar days of the decision.</P>
                        <P>(iii) If the CMS Administrator receives a request to review, the CMS Administrator must do one of the following:</P>
                        <P>(A) Render a final determination based on his or her review of the reconsideration decision.</P>
                        <P>(B) Decline to review a reconsideration decision made by CMS.</P>
                        <P>(C) Choose to take no action.</P>
                        <P>(iv) If the CMS Administrator does not review an HHA's request within 14 days (as described in paragraph (b)(5)(iii)(B) or (C) of this section), the reconsideration official's written reconsideration decision is final.</P>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 488—SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES</HD>
                    </PART>
                    <AMDPAR>28. The authority citation for part 488 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P> 42 U.S.C. 1302 and 1395hh.</P>
                    </AUTH>
                    <SUBPART>
                        <HD SOURCE="HED">Subpart M—Survey and Certification of Hospice Programs</HD>
                    </SUBPART>
                    <AMDPAR>29. Amend § 488.1105 by adding the definitions of “Hospice Special Focus Program”, “IDR”, “SFP status”, and “SFP survey” in alphabetical order to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 488.1105</SECTNO>
                        <SUBJECT>Definitions.</SUBJECT>
                        <STARS/>
                        <P>
                            <E T="03">Hospice Special Focus Program (SFP)</E>
                             means a program conducted by CMS to identify hospices as poor performers, based on defined quality indicators, in which CMS selects hospices for increased oversight to ensure that they meet Medicare requirements. Selected hospices either successfully complete the SFP program or are terminated from the Medicare program.
                        </P>
                        <P>
                            <E T="03">IDR</E>
                             stands for informal dispute resolution.
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">SFP status</E>
                             means the status of a hospice provider in the SFP with 
                            <PRTPAGE P="43817"/>
                            respect to the provider's progress in the SFP, which is indicated by one of the following status levels:
                        </P>
                        <P>(1) Level 1—in progress.</P>
                        <P>(2) Level 2—completed successfully.</P>
                        <P>(3) Level 3—terminated from the Medicare program.</P>
                        <P>
                            <E T="03">SFP survey</E>
                             means a standard survey as defined in this section that is applied after a hospice is selected for the SFP. The survey is conducted every 6 months, up to 3 occurrences.
                        </P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>30. Add § 488.1130 to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 488.1130</SECTNO>
                        <SUBJECT>Informal dispute resolution (IDR).</SUBJECT>
                        <P>
                            (a) 
                            <E T="03">Opportunity to refute survey findings.</E>
                             Upon the provider's receipt of an official statement of deficiencies, hospice programs can request an informal opportunity to dispute condition-level survey findings.
                        </P>
                        <P>
                            (b) 
                            <E T="03">Failure to conduct IDR timely.</E>
                             Failure of CMS, the State, or the AO, as appropriate, to complete IDR must not delay the effective date of any enforcement action.
                        </P>
                        <P>
                            (c) 
                            <E T="03">Revised statement of deficiencies as a result of IDR.</E>
                             If any findings are revised or removed by CMS, the State, or the AO based on IDR, the official statement of deficiencies is revised accordingly and any enforcement actions imposed solely as a result of those cited deficiencies are adjusted accordingly.
                        </P>
                        <P>
                            (d) 
                            <E T="03">Notification.</E>
                             (1) If the survey findings indicate a condition-level deficiency, the hospice program is notified in writing of its opportunity for participating in an IDR process at the time the official statement of deficiencies is issued.
                        </P>
                        <P>(2) The request for IDR must—</P>
                        <P>(i) Be submitted in writing;</P>
                        <P>(ii) Include the specific deficiencies that are disputed; and</P>
                        <P>(iii) Be made within the same 10 calendar day period that the hospice program has for submitting an acceptable plan of correction.</P>
                    </SECTION>
                    <AMDPAR>31. Add § 488.1135 to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 488.1135</SECTNO>
                        <SUBJECT>Hospice Special Focus Program (SFP).</SUBJECT>
                        <P>
                            (a) 
                            <E T="03">Applicability.</E>
                             (1) The provisions of this section are effective on or after [the effective date of the final rule]; and
                        </P>
                        <P>(2) SFP selection begins in CY 2024.</P>
                        <P>
                            (b) 
                            <E T="03">Selection criteria.</E>
                             (1) Selection of hospices for the SFP is made based on the highest aggregate scores based on the algorithm used by CMS.
                        </P>
                        <P>(2) Hospice programs with accrediting organization deemed status placed in the SFP—</P>
                        <P>(i) Do not retain deemed status; and</P>
                        <P>(ii) Are placed under CMS or State survey agency jurisdiction until completion of the SFP or termination.</P>
                        <P>
                            (c) 
                            <E T="03">Survey and enforcement criteria.</E>
                             A hospice in the SFP—
                        </P>
                        <P>(1) Is surveyed not less than once every 6 months by CMS or the State agency; and</P>
                        <P>(2) With condition level deficiencies on any survey is subject to standard enforcement actions and may be subject to progressive enforcement remedies at the discretion of CMS.</P>
                        <P>
                            (d) 
                            <E T="03">Completion criteria.</E>
                             A hospice in the SFP that has two SFP surveys within 18 months with no condition-level deficiencies, and that has no pending complaint survey triaged at an immediate jeopardy or condition level, or that has returned to substantial compliance with all requirements may complete the SFP.
                        </P>
                        <P>
                            (e) 
                            <E T="03">Termination criteria.</E>
                             (1) A hospice in the SFP that does not meet the SFP completion requirements in paragraph (d) of this section is considered for termination from the Medicare program in accordance with 42 CFR 489.53.
                        </P>
                        <P>(2) CMS may consider termination from the Medicare program in accordance with § 488.1225 if any survey results in an immediate jeopardy citation while the hospice is in the SFP.</P>
                        <P>
                            (f) 
                            <E T="03">Public reporting.</E>
                             CMS posts all of the following at least annually on a CMS public-facing website:
                        </P>
                        <P>(1) A subset of 10 percent of hospice programs based on the highest aggregate scores as determined by the algorithm used by CMS.</P>
                        <P>(2) Hospice SFP selection from the list in paragraph (f)(1) of this section as determined by CMS.</P>
                        <P>(3) SFP status as defined in § 488.1105.</P>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL</HD>
                    </PART>
                    <AMDPAR>32. The authority citation for part 489 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 42 U.S.C. 1302, 1395i-3, 1395x, 1395aa(m), 1395cc, 1395ff, and 1395(hh).</P>
                    </AUTH>
                    <AMDPAR>33. Section 489.52 is amended by adding paragraph (b)(4) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 489.52</SECTNO>
                        <SUBJECT>Termination by the provider.</SUBJECT>
                        <STARS/>
                        <P>(b) * * *</P>
                        <P>(4) A provider may request a retroactive termination date if no Medicare beneficiary received services from the facility on or after the requested termination date.</P>
                        <STARS/>
                    </SECTION>
                    <SIG>
                        <DATED>Dated: June 28, 2023.</DATED>
                        <NAME>Xavier Becerra,</NAME>
                        <TITLE>Secretary, Department of Health and Human Services.</TITLE>
                    </SIG>
                </SUPLINF>
                <FRDOC>[FR Doc. 2023-14044 Filed 6-30-23; 4:15 pm]</FRDOC>
                <BILCOD>BILLING CODE 4120-01-P</BILCOD>
            </PRORULE>
        </PRORULES>
    </NEWPART>
    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Rules and Regulations</UNITNAME>
    <NEWPART>
        <PTITLE>
            <PRTPAGE P="43819"/>
            <PARTNO>Part III</PARTNO>
            <AGENCY TYPE="P">Department of Education</AGENCY>
            <CFR>34 CFR Parts 682 and 685</CFR>
            <HRULE/>
            <TITLE>Improving Income Driven Repayment for the William D. Ford Federal Direct Loan Program and the Federal Family Education Loan (FFEL) Program; Final Rule</TITLE>
        </PTITLE>
        <RULES>
            <RULE>
                <PREAMB>
                    <PRTPAGE P="43820"/>
                    <AGENCY TYPE="S">DEPARTMENT OF EDUCATION</AGENCY>
                    <CFR>34 CFR Parts 682 and 685</CFR>
                    <RIN>RIN 1840-AD81</RIN>
                    <SUBJECT>Improving Income Driven Repayment for the William D. Ford Federal Direct Loan Program and the Federal Family Education Loan (FFEL) Program</SUBJECT>
                    <AGY>
                        <HD SOURCE="HED">AGENCY:</HD>
                        <P>Office of Postsecondary Education, Department of Education.</P>
                    </AGY>
                    <ACT>
                        <HD SOURCE="HED">ACTION:</HD>
                        <P>Final regulations.</P>
                    </ACT>
                    <SUM>
                        <HD SOURCE="HED">SUMMARY:</HD>
                        <P>The U.S. Department of Education issues final regulations governing income-contingent repayment plans by amending the Revised Pay as You Earn (REPAYE) repayment plan and restructuring and renaming the repayment plan regulations under the William D. Ford Federal Direct Loan (Direct Loan) Program, including combining the Income Contingent Repayment (ICR) and the Income-Based Repayment (IBR) plans under the umbrella term of “Income-Driven Repayment” (IDR) plans, and providing conforming edits to the FFEL Program.</P>
                    </SUM>
                    <EFFDATE>
                        <HD SOURCE="HED">DATES:</HD>
                        <P>
                            These regulations are effective July 1, 2024. For the implementation dates of the regulatory provisions, see the Implementation Date of These Regulations in 
                            <E T="02">SUPPLEMENTARY INFORMATION.</E>
                        </P>
                    </EFFDATE>
                    <FURINF>
                        <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                        <P>
                            Bruce Honer, U.S. Department of Education, 400 Maryland Avenue SW, 5th Floor, Washington, DC 20202. Telephone: (202) 987-0750. Email: 
                            <E T="03">Bruce.Honer@ed.gov.</E>
                        </P>
                        <P>If you are deaf, hard of hearing, or have a speech disability and wish to access telecommunications relay services, please dial 7-1-1.</P>
                    </FURINF>
                </PREAMB>
                <SUPLINF>
                    <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                    <P/>
                    <HD SOURCE="HD1">Executive Summary</HD>
                    <P>The Secretary amends the regulations governing the income contingent repayment (ICR) and income-based repayment (IBR) plans and renames the categories of repayment plans available in the Department's Direct Loan Program. These regulations streamline and standardize the Direct Loan Program repayment regulations by categorizing existing repayment plans into three types: (1) fixed payment repayment plans, which establish monthly payment amounts based on the scheduled repayment period, loan debt, and interest rate; (2) income-driven repayment (IDR) plans, which establish monthly payment amounts based in whole or in part on the borrower's income and family size; and (3) the alternative repayment plan, which we use on a case-by-case basis when a borrower has exceptional circumstances or has failed to recertify the information needed to calculate an IDR payment as outlined in § 685.221. We also make conforming edits to the FFEL program in § 682.215.</P>
                    <HD SOURCE="HD2">Purpose of This Regulatory Action</HD>
                    <P>These regulations create a stronger safety net for Federal student loan borrowers, helping more borrowers avert delinquency and default and the significant negative consequences associated with those events. They will also help low- and middle-income borrowers better afford their Federal loan payments, while also increasing homeownership, retirement savings, and small business formulation. Additionally, they simplify the process of selecting a repayment plan.</P>
                    <HD SOURCE="HD2">Summary of the Major Provisions of This Regulatory Action</HD>
                    <P>The final regulations—</P>
                    <P>• Expand access to affordable monthly Direct Loan payments through changes to the Revised Pay-As-You-Earn (REPAYE) repayment plan, which may also be referred to as the Saving on a Valuable Education (SAVE) plan;</P>
                    <P>• Align the definition of “family size” in the FFEL Program with the definition of “family size” in the Direct Loan Program;</P>
                    <P>• Increase the amount of income exempted from the calculation of the borrower's payment amount from 150 percent of the Federal poverty guideline or level (FPL) to 225 percent of FPL for borrowers on the REPAYE plan;</P>
                    <P>• Lower the share of discretionary income used to calculate the borrower's monthly payment for outstanding loans under REPAYE to 5 percent of discretionary income for loans for the borrower's undergraduate study and 10 percent of discretionary income for other outstanding loans; and an amount between 5 and 10 percent of discretionary income based upon the weighted average of the original principal balances for those with outstanding loans in both categories;</P>
                    <P>• Provide a shorter maximum repayment period for borrowers with low original loan principal balances;</P>
                    <P>• Eliminate burdensome and confusing regulations for borrowers using IDR plans;</P>
                    <P>• Provide that the borrower will not be charged any remaining accrued interest each month after the borrower's payment is applied under the REPAYE plan;</P>
                    <P>• Credit certain periods of deferment or forbearance toward time needed to receive loan forgiveness;</P>
                    <P>• Permit borrowers to receive credit toward forgiveness for payments made prior to consolidating their loans; and</P>
                    <P>• Reduce complexity by prohibiting or restricting new enrollment in certain existing IDR plans starting on July 1, 2024, to the extent that the law allows.</P>
                    <P>
                        <E T="03">Costs and Benefits:</E>
                         As further detailed in the 
                        <E T="03">Regulatory Impact Analysis</E>
                         (RIA), these final regulations will significantly impact borrowers, taxpayers, and the Department.
                    </P>
                    <P>Benefits for borrowers include more affordable and streamlined IDR plans, as well as a path to avoid delinquency and default. The streamlined repayment plans also benefit the Department due to simplified administration of the repayment plans and decreases in rates of delinquency and default.</P>
                    <P>This rule will reduce negative amortization, which will be a benefit to student loan borrowers, making it easier for individuals to successfully manage their debt. As a result, borrowers will be able to devote more resources to cover necessary expenses such as food and housing, provide for their families, invest in a home, or save for retirement.</P>
                    <P>Costs associated with the changes to the IDR plans include paying contracted student loan servicers to update their computer systems and their borrower communications. Taxpayers will incur additional costs in the form of transfers from borrowers who will pay less on their loans than under currently available repayment plans. As detailed in the RIA, the changes are estimated to have a net budget impact of $156.0 billion over 10 years across all loan cohorts through 2033.</P>
                    <HD SOURCE="HD2">Implementation Date of These Regulations</HD>
                    <P>
                        Section 482(c)(1) 
                        <SU>1</SU>
                        <FTREF/>
                         of the Higher Education Act of 1965, as amended (HEA), requires that regulations affecting programs under title IV of the HEA be published in final form by November 1 prior to the start of the award year (July 1) to which they apply. HEA section 482(c)(2) 
                        <SU>2</SU>
                        <FTREF/>
                         also permits the Secretary to designate any regulation as one that an entity subject to the regulations may choose to implement earlier and outline the conditions for early implementation.
                    </P>
                    <FTNT>
                        <P>
                            <SU>1</SU>
                             20 U.S.C. 1089(c)(1).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>2</SU>
                             20 U.S.C. 1089(c)(2).
                        </P>
                    </FTNT>
                    <P>
                        The Secretary is exercising his authority under HEA section 482(c) to designate certain regulatory changes to part 685 in this document for early implementation beginning on July 30, 2023. The Secretary has designated the following provisions under REPAYE for early implementation:
                        <PRTPAGE P="43821"/>
                    </P>
                    <P>• Adjusting the treatment of spousal income in the REPAYE plan for married borrowers who file separately as described in § 685.209(e)(1)(i)(A) and (B);</P>
                    <P>• Increasing the income exemption to 225 percent of the applicable poverty guideline in the REPAYE plan as described in § 685.209(f);</P>
                    <P>• Not charging accrued interest to the borrower after the borrower's payment on REPAYE is applied as described in § 685.209(h); and</P>
                    <P>• Designating in § 685.209(a)(1) that REPAYE may also be referred to as the Saving on a Valuable Education (SAVE) plan.</P>
                    <P>The Secretary also designates the changes to the definition of family size for Direct Loan borrowers in IBR, ICR, PAYE, and REPAYE in § 685.209(a) to exclude the spouse when a borrower is married and files a separate tax return for early implementation on July 30, 2023.</P>
                    <P>The Secretary also designates the provision awarding credit toward forgiveness for certain periods of loan deferment prior to the effective date of July 1, 2024, as described in § 685.209(k)(4) for early implementation. The Department will implement this regulation as soon as possible after the publication date and will publish a separate notice announcing the timing of the implementation.</P>
                    <P>With the exception noted below and except for those regulations designated as available for early implementation, the final regulations in this notice are effective July 1, 2024.</P>
                    <P>Section 685.209(c)(5)(iii), which relates to eligibility for IDR plans by borrowers with Consolidation loans, will be effective for Direct Consolidation loans disbursed on or after July 1, 2025.</P>
                    <P>
                        <E T="03">Public Comment:</E>
                         In response to our invitation in the Notice of Proposed Rulemaking on Improving IDR for the Direct Loan Program, published on January 11, 2023 (IDR NPRM), the Department received 13,621 comments on the proposed regulations. In this preamble, we respond to those comments.
                    </P>
                    <HD SOURCE="HD1">Analysis of Comments and Changes</HD>
                    <P>
                        We developed these regulations through negotiated rulemaking. Section 492 of the HEA 
                        <SU>3</SU>
                        <FTREF/>
                         requires that, before publishing any proposed regulations to implement programs under title IV of the HEA, the Secretary must obtain public involvement in the development of the proposed regulations. After obtaining advice and recommendations, the Secretary must conduct a negotiated rulemaking process to develop the proposed regulations. The Department negotiated in good faith with all parties with the goal of reaching consensus. The Committee did not reach consensus on the issue of IDR.
                    </P>
                    <FTNT>
                        <P>
                            <SU>3</SU>
                             20 U.S.C. 1098a.
                        </P>
                    </FTNT>
                    <P>We group issues according to subject, with appropriate sections of the regulations referenced in parentheses. We discuss other substantive issues under the sections of the regulations to which they pertain. Generally, we do not address minor, non-substantive changes (such as renumbering paragraphs, adding a word, or typographical errors). Additionally, we generally do not address changes recommended by commenters that the statute does not authorize the Secretary to make or comments pertaining to operational processes. We generally do not address comments pertaining to issues that were not within the scope of the IDR NPRM. In particular, we note that we received many comments supporting or opposing one-time debt relief. As this topic is outside the scope of this rule, we do not discuss those comments further in this document.</P>
                    <P>An analysis of the public comments received and the changes to the regulations since publication of the IDR NPRM follows.</P>
                    <HD SOURCE="HD1">Public Comment Period</HD>
                    <P>
                        <E T="03">Comment:</E>
                         Several commenters requested that we extend the comment period on the IDR NPRM. Some of these commenters asserted that under the principles of Executive Orders 12866 and 13563, the Department must adhere to at least a 60-day comment period.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department believes the comment period provided sufficient time for the public to submit feedback. As noted above, we received over 13,600 written comments and considered each one that addressed the issues in the IDR NPRM. Moreover, the negotiated rulemaking process provided significantly more opportunity for public engagement and feedback than notice-and-comment rulemaking without multiple negotiation sessions. The Department began the rulemaking process by inviting public input through a series of public hearings in June 2021. We received more than 5,300 public comments as part of the public hearing process. After the hearings, the Department sought non-Federal negotiators for the negotiated rulemaking committee who represented constituencies that would be affected by our rules.
                        <SU>4</SU>
                        <FTREF/>
                         As part of these non-Federal negotiators' work on the rulemaking committee, the Department asked that they reach out to the broader constituencies for feedback during the negotiation process. During each of the three negotiated rulemaking sessions, we provided opportunities for the public to comment, including after seeing draft regulatory text, which was available prior to the second and third sessions. The Department and the non-Federal negotiators considered those comments to inform further discussion at the negotiating sessions, and we used the information to create our proposed rule. The Department also first announced elements of the proposed plan in August 2022, giving stakeholders additional time to consider the merits of major elements of the regulation. Given these efforts, the Department believes that the 30-day public comment period provided sufficient time for interested parties to submit comments. The 30-day comment period on the IDR NPRM is not unique; we have used this amount of time for numerous other rules. The Department has fully complied with the appropriate Executive Orders regarding public comments. While the Executive Orders cited by the commenters direct each agency to afford the public a meaningful opportunity to comment, those Executive Orders do not require a 60-day comment period.
                    </P>
                    <FTNT>
                        <P>
                            <SU>4</SU>
                             See 86 FR 43609.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">General Support for Regulations</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters supported the Department's proposed rule to modify the IDR plans. These commenters supported the proposed revisions to § 685.209(f), which would result in lower monthly payments for borrowers on the REPAYE plan. One commenter noted that lower monthly payments are often a primary factor when borrowers select a repayment plan. Another commenter mentioned that while current IDR plans offer lower payments than the standard 10-year plan, payments under an IDR plan may still be unaffordable for some borrowers. They expressed strong support for this updated plan in hopes that it will provide much needed relief to many borrowers and would allow borrowers the flexibility to buy homes or start families. Several commenters pointed out that the new IDR plans would allow borrowers to pay down their student loans without being trapped under exorbitant monthly payments. Several commenters felt it was important that the Department commit to fully implementing this process as soon as possible to allow borrowers to benefit from the proposed regulations.
                        <PRTPAGE P="43822"/>
                    </P>
                    <P>One commenter stated that efforts to model the effects of increasing the discretionary income threshold have demonstrated that changing the threshold of protected income had the most pronounced effect on the monthly payment amounts of low- and moderate-income borrowers over the course of their repayment term. This commenter believed that making all monthly payments under REPAYE more affordable will enable more low-income borrowers to qualify for $0 payments, help prevent defaults, protect vulnerable borrowers from the severe economic consequences of default, and alleviate the stress that student loans place on fragile budgets.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree with the commenters' assertions that this rule will allow borrowers to pay down their student loans without being trapped under exorbitant monthly payments and that it will help many borrowers avoid delinquency, default, and their associated consequences. We understand the urgency expressed by commenters related to our implementation plans. The Department has outlined the implementation schedule in the 
                        <E T="03">Implementation Date of These Regulations</E>
                         section of this document.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters thanked the Department for proposing to modify the REPAYE plan rather than creating another IDR plan. Commenters cited borrower confusion about the features of the different repayment plans. Commenters urged us to revise the terms and conditions of REPAYE to make them easier to understand.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department initially contemplated creating another repayment plan. After considering concerns about the complexity of the student loan repayment system and the challenges of navigating multiple IDR plans, we instead decided to reform the current REPAYE plan to provide greater benefits to borrowers. However, given the extensive improvements being made to REPAYE, we have decided to rename REPAYE as the Saving on a Valuable Education (SAVE) plan. This new name will reduce confusion for borrowers as we transition from the existing terms of the REPAYE plan. Borrowers currently enrolled on the REPAYE plan will not have to do anything to receive the benefits of the SAVE plan, and the new name will be reflected on written and electronic forms and records over time.
                    </P>
                    <P>The Department will work to implement this naming update and borrowers may see the plan still referred to as REPAYE until the updates are complete. To reduce confusion for readers and to recognize that all the public comments would have been discussing the REPAYE plan, the Department will refer to the SAVE plan as REPAYE throughout this final rule.</P>
                    <P>These regulations are intended to address the challenges borrowers have in navigating the complexity of the student loan repayment system by ensuring access to a more generous, streamlined IDR plan, as well as to revise the terms and conditions of the REPAYE plan to make it easier to understand.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We have updated § 685.209(a)(1) to note that the REPAYE plan will also now be known as the Saving on a Valuable Education (SAVE) plan.
                    </P>
                    <HD SOURCE="HD1">General Opposition to Regulations</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters suggested that the Department delay implementation of the rule and work with Congress to develop a final rule that would be cost neutral. Relatedly, other commenters requested that we delay implementation and wait for Congress to review our proposals as part of a broader reform or reauthorization of the HEA. Several commenters asserted that the Administration has not discussed these repayment plan proposals with Congress.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenters and choose not to delay the implementation of this rule. The Department is promulgating this rule under the legal authority granted to it by the HEA, and we believe these steps are necessary to achieve the goals of making the student loan repayment system work better for borrowers, including by helping to prevent borrowers from falling into delinquency or default. Furthermore, the Department took the proper steps to develop these rules to help make the repayment plans more affordable. As prescribed in section 492 of the HEA, the Department requested public involvement in the development of the proposed regulations. We followed the appropriate process and obtained and considered extensive input and recommendations from those representing affected groups. The Department also participated in three negotiated rulemaking sessions with committee members that consisted of a variety of stakeholders representing public and private institutions, financial aid administrators, veterans, borrowers, students, and other affected constituencies. Following careful consideration of the feedback received during three week-long negotiation sessions, we published proposed regulations in the 
                        <E T="04">Federal Register</E>
                        . We explain the rulemaking process in more detail at 
                        <E T="03">www2.ed.gov/policy/highered/reg/hearulemaking/2021/index.html.</E>
                    </P>
                    <P>Regarding the suggestion that the rule be cost neutral, we believe the overall benefits outweigh the costs as discussed in the Costs and Benefits section within the RIA section of this document. There is no requirement that regulations such as this one be cost neutral.</P>
                    <P>The Department respects its relationship with Congress and has worked and will continue to work with the legislative branch on improvements to the Federal student aid programs, including making improvements to repayment plans.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters disagreed with the Department's proposed modifications to the IDR plans, particularly the amendments to REPAYE. These commenters believed that borrowers knowingly entered into an agreement to fully repay their loans and should pay the full amount due. One commenter suggested that advising borrowers that they need only repay a fraction of what they borrowed undercuts the purpose of the signed promissory note. Many of these commenters expressed concern that the REPAYE changes were unfair to those who opted not to obtain a postsecondary education due to the cost, as well as to those who obtained a postsecondary education and repaid their loans in full.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The IDR plans assist borrowers who are in situations in which their post-school earnings do not put them in a situation to afford their monthly student loan payments. In some cases, this might mean helping borrowers manage their loans while entering the workforce at their initial salary. It could also mean helping borrowers through periods of unanticipated financial struggle. And in some cases, there are borrowers who experience prolonged periods of low earnings. We reference the IDR plans on the master promissory note (MPN) that borrowers sign to obtain a student loan and describe them in detail on the Borrower's Rights and Responsibilities Statement that accompanies the MPN. The changes in this final rule do not remove the obligation to make required payments. They simply set those required payments at a level the Department believes is reasonable to avoid large numbers of delinquencies and defaults, as well as to help low- and middle-income borrowers manage their payments.
                    </P>
                    <P>
                        We disagree with the claim that the IDR plan changes do not benefit individuals who have not attended a postsecondary institution. The new REPAYE plan will be available to both 
                        <PRTPAGE P="43823"/>
                        current and future borrowers. That means an individual who has not attended a postsecondary institution in the past but now chooses to do so, could avail themselves of the benefits of this plan. Moreover, allowing borrowers to choose a repayment plan based on their income and family size will result in more affordable payments and allow those individuals to avoid default which imposes additional costs on taxpayers as well as borrowers.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         A few commenters argued that REPAYE is intended to be a plan for borrowers who have trouble repaying the full amount of their debt; and that REPAYE should not be what a majority of borrowers choose, but rather, an alternate plan that borrowers may choose. These commenters further argued that Congress designed the IDR plans to be for exceptional circumstances where borrowers have a partial financial hardship 
                        <SU>5</SU>
                        <FTREF/>
                         and that it is clear that a very large proportion of borrowers who could otherwise afford their full payments would instead choose REPAYE to reduce their payments.
                    </P>
                    <FTNT>
                        <P>
                            <SU>5</SU>
                             See 88 FR 1896 and 20 U.S.C. 1098e.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Discussion:</E>
                         We believe that the new REPAYE plan will provide an affordable path to repayment for most borrowers. There is nothing in the HEA that specifies or limits how many borrowers should be using a given type of student loan repayment plan. And in fact, as discussed in the RIA, a majority of recent graduate borrowers are already using IDR plans. The Department is concerned that far too many student loan borrowers are at risk of delinquency and default because they cannot afford their payments on non-IDR plans. We are concerned that returning to a situation in which more than 1 million borrowers default on loans each year is not in the best interests of borrowers or taxpayers.
                    </P>
                    <P>
                        Defaults have negative consequences for borrowers, including reductions in their credit scores and resulting negative effects on access to housing and employment.
                        <SU>6</SU>
                        <FTREF/>
                         They may also lose significant portions of key anti-poverty benefits, such as the Earned Income Tax Credit (EITC), to annual offsets. Additionally, many of these borrowers never finished postsecondary education and are unlikely to re-enroll while in default. As a result, they likely will not receive the earning gains one would expect from completing a postsecondary credential.
                    </P>
                    <FTNT>
                        <P>
                            <SU>6</SU>
                             Kiviat, B. (2019). The art of deciding with data: evidence from how employers translate credit reports into hiring decisions. Socio-Economic Review, 17(2), 283-309. So, W. (2022). Which Information Matters? Measuring Landlord Assessment of Tenant Screening Reports. Housing Policy Debate, 1-27.
                        </P>
                    </FTNT>
                    <P>We believe the changes in this final rule will create a strong safety net for student borrowers and help more borrowers successfully manage their loans. At the same time, the taxpayers and Federal Government will also receive significant benefits. For example, avoiding default could spur some borrowers to continue their postsecondary journeys and complete their programs, which will help boost wages, tax receipts, and lower dependency on the broader safety net. Overall, we think these benefits of the final rule far outweigh the costs to taxpayers.</P>
                    <P>We also do not share the commenters' concerns about borrowers who could otherwise repay their loans on an existing plan, such as the standard 10-year plan, choosing to use this plan instead. If a borrower's income is particularly high compared to their debt, their payments under REPAYE will be higher than their payments on the standard 10-year plan, which would result in them paying their loan off faster. This has an effect similar to what occurs when borrowers voluntarily choose to prepay their loans—the government receives payments sooner than expected. Prepayments without penalty have been a longstanding feature of the Federal student loan programs. On the other hand, many high-income, high-balance borrowers may not want to choose an IDR plan because it could result in a longer period of repayment. While the monthly payment amount may be lower than the standard repayment plan for some high-income, high-balance borrowers, the term for an IDR plan spans 20 to 25 years as opposed to the standard 10-year term that is the default option for borrowers. Using this plan could result in high-income, high-balance borrowers paying back for a longer period and paying back a larger total amount, given that the borrower may be making interest-only payments for some time.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         A few commenters raised concerns that the proposed rules would recklessly expand the qualifications for IDR plans without providing sufficient accountability measures. These commenters argued that the regulations would undermine accountability in higher education. More specifically, these commenters believed that the IDR proposals must be coupled with an aggressive accountability measure that roots out programs where borrowers do not earn an adequate return on investment. Until such accountability measure is in effect, these commenters called on the Department to delay the IDR proposals.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We discuss considerations regarding accountability in greater detail in the RIA section of this regulation. This rule is part of a larger Department effort that focuses on improving the student loan system and includes creating a robust accountability infrastructure through regulation and enforcement. Those enforcement efforts are ongoing; the regulations on borrower defense to repayment, closed school loan discharges, false certification loan discharges, and others will go into effect on July 1, 2023; and the Department has other regulatory efforts in progress. The new IDR regulations benefit borrowers and do not interfere with those accountability measures. Therefore, a delay in the implementation date is unnecessary.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter suggested that borrowers have difficulty repaying their debts because underprepared students enter schools with poor graduation rates.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department works together with States and accrediting agencies as part of the regulatory triad to provide for student success upon entry into postsecondary education. The issue raised by the commenter is best addressed through the combined efforts of the triad to improve educational results for students, as well as overall improvements to the K-12 education system before entry into a postsecondary institution.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter argued that the Department created an overly complex ICR plan that is not contingent on income; but instead focuses on factors such as educational attainment, marital status, and tax filing method, as well as past delinquency or default.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenter's claim that the REPAYE plan is overly complex and not contingent on income. As with the ICR or PAYE repayment plans, repayment is based on income and family size, which affects how much discretionary income a person has available. Other changes will streamline processes for easier access, recertification, and a path to forgiveness. Because of these benefits, REPAYE will be the best plan for most borrowers. Having one plan that is clearly the best option for most borrowers will address the most concerning sources of complexity during repayment, which is that borrowers are unsure whether to use an IDR plan or which one to choose. The most complicated elements of the 
                        <PRTPAGE P="43824"/>
                        REPAYE plan will be carried out by the Department, including provisions to calculate the share of discretionary income a borrower must pay on their loans based upon the relative balances of loans they took out for their undergraduate education versus other loans. We believe this plan adequately and appropriately addresses borrowers' individual and unique circumstances.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters argued that the proposed regulations could challenge the primacy of the Federal Pell Grant as the Federal government's primary strategy for college affordability and lead to the increased federalization of our higher education system. They further suggested that a heavily subsidized loan repayment plan could incentivize increased borrowing, which would increase the Federal role in the governance of higher education, particularly on issues of institutional accountability, which are historically and currently a matter of State policy. Commenters asserted that the proposed rule could correspondingly discourage State spending on higher education.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department does not agree that the new IDR rules will challenge the Federal Pell Grant as the primary Federal student aid program for college affordability. The Pell Grant continues to serve its critical purpose of reducing the cost of, and expanding access to, higher education for students from low- and moderate-income backgrounds. The Department's long-standing guidance has been that Pell Grants are the first source of aid to students and packaging Title IV funds begins with Pell Grant eligibility.
                        <SU>7</SU>
                        <FTREF/>
                         However, many students still rely upon student loans and so we seek to make them more affordable for borrowers to repay.
                    </P>
                    <FTNT>
                        <P>
                            <SU>7</SU>
                             See Federal Student Aid Handbook, Volume 3, Chapter 7: Packaging Aid.
                        </P>
                    </FTNT>
                    <P>We also disagree that these regulations will incentivize increased borrowing or discourage State spending on higher education. One central goal of the final rule is to make student loans more affordable for undergraduates. However, as discussed in the RIA, the rule does not change the total amount of Federal aid available to undergraduate students. Undergraduate borrowers, who receive the greatest benefit from the rule, have strict loan limits as laid out in Section 455 of the HEA. This rule does not and cannot amend those limits. Currently, undergraduate programs are subsidized most heavily by States, and States will continue to be incentivized to support public higher education to meet unmet need.</P>
                    <P>The rule also does not amend the underlying structure of loans for graduate students. As set by Congress in the HEA, graduate borrowers have higher loan limits than undergraduate borrowers, including the ability to take on Grad PLUS loans up to the cost of attendance. As discussed in the RIA of this final rule, about half of recent graduate borrowers are already using IDR plans. The increased amount of income protected from payments will provide a benefit to someone who borrowed only for graduate school, however borrowers with only graduate debt will not see a reduction in their payment rate as a percentage of discretionary income relative to existing plans. Someone with undergraduate and graduate debt will receive a lower payment rate only in proportion to the share of their loans that were borrowed to attend an undergraduate program. We note the existing structure of the IDR plans and the terms of the graduate loan programs set by Congress already provide incentives for graduate borrowers to repay using an IDR plan, as evidenced by existing data on IDR plan usage. We think the added incentive effects provided by this rule for graduate borrowers are incremental and smaller than the current policies established by statute.</P>
                    <P>Finally, we note that the Department is engaged in separate efforts aimed at addressing debt at programs that do not provide sufficient financial value. In particular, an NPRM issued in May 2023 (88 FR 32300) proposes to terminate aid eligibility for career training programs whose debt outcomes show they do not prepare students for gainful employment in a recognized occupation. That same regulation also proposes to enhance the transparency of debt outcomes across all programs and to require students to acknowledge key program-level information, including debt outcomes, before receiving Federal student aid for programs with high ratios of annual debt payments to earnings. Separately, the Department is also working to produce a list of the least financially valuable programs nationwide and to ask the institutions that operate those programs to generate a proposal for improving their debt outcomes.</P>
                    <P>Overall, we believe these regulations will improve the affordability of monthly payments by increasing the amount of income exempt from payments, lowering the share of discretionary income factored into the monthly payment amount for most borrowers, providing for a shorter maximum repayment period and earlier forgiveness for some borrowers, and eliminating the imposition of unpaid monthly interest, allowing borrowers to pay less over their repayment terms.</P>
                    <P>We also disagree with the commenters that the rule increases the Federal role in the governance of higher education. We believe that we found the right balance of improving affordability and holding institutions accountable as part of our role in the triad.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters suggested that the overall generosity of the program is likely to drive many non-borrowers to take out student debt, as well as encourage current borrowers to increase their marginal borrowing and elicit unscrupulous institutions to raise their tuition.
                    </P>
                    <P>One commenter believed that our proposal to forgive loan debt creates a moral hazard for borrowers, institutions of higher learning, and taxpayers. Another commenter suggested that since IDR is paid on a debt-to-income ratio, schools that generate the worst outcomes are the most rewarded in this system. The commenter believed this was problematic even for the borrowers who ultimately receive generous forgiveness, since it will lead many to use their limited Federal Pell Grant and Direct Loan dollars to attend a school that does little to improve their earning potential.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department believes that borrowers are seeking relief from unaffordable payments, not to increase their debt-load. As with any new regulations, we employed a cost-benefit analysis and determined that the benefits greatly outweigh the costs. Borrowers will benefit from a more affordable REPAYE plan, and the changes we are making will help borrowers avoid delinquency and default.
                    </P>
                    <P>
                        The Department disagrees that this plan is likely to result in significant increases in borrowing among non-borrowers or additional borrowing by those already taking on debt. For one, this plan emphasizes the benefits for undergraduate borrowers and those individuals will still be subject to the strict loan limits that are established in Sec. 455 of the HEA 
                        <SU>8</SU>
                        <FTREF/>
                         and have not been changed since 2008. For instance, a first-year dependent student cannot borrow more than $5,500, while a first-year independent student's loan is capped at $9,500. Especially for dependent students, these amounts are far below the listed tuition price for most institutions of higher education 
                        <PRTPAGE P="43825"/>
                        outside of community colleges. Data from the 2017-18 National Postsecondary Student Aid Study (NPSAS) show that a majority of dependent undergraduate borrowers already borrow at the maximum.
                        <SU>9</SU>
                        <FTREF/>
                         So, too, do most student loan borrowers at public and private nonprofit four-year institutions. Community college borrowers are the least likely to take out the maximum amount of loan debt, which likely reflects the lower prices charged. Community colleges generally offer tuition and fee prices that can be covered entirely by the maximum Pell Grant and enroll many students that exhibit signs of being averse to debt.
                        <SU>10</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>8</SU>
                             20 U.S.C. 1087e.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>9</SU>
                             Analysis from NPSAS 2017-18 via PowerStats, table reference wrfzjv.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>10</SU>
                             Boatman, A., Evans, B.J., &amp; Soliz, A. (2017). Understanding Loan Aversion in Education: Evidence from High School Seniors, Community College Students, and Adults. AERA Open, 3(1). 
                            <E T="03">https://doi.org/10.1177/2332858416683649.</E>
                        </P>
                    </FTNT>
                    <P>We note that the shortened repayment period before forgiveness for borrowers with lower balances will also provide incentives for borrowers to keep their debt levels lower to qualify for earlier forgiveness. This may be particularly important at community colleges, where lower prices make it more feasible to complete a credential with lesser amounts of debt. We also disagree with the commenters' suggestion that this rule rewards institutions with the worst outcomes and encourages institutions to raise their prices. There is no indication that institutions increased tuition prices as a direct result of the creation of the original REPAYE plan, and we do not have evidence that institutions will increase prices as a result of the changes in this rule. However, the revised REPAYE plan will allow students who need to borrow to enroll in postsecondary education, earn a degree or credential, and increase their lifetime earnings while repaying their loan without being burdened by unaffordable payments.</P>
                    <P>
                        Another reason to doubt these commenters' assertions that this rule will result in additional borrowing is that evidence shows that borrowers generally have low knowledge or awareness of the IDR plans, suggesting that borrowers are not considering these options when making decisions about whether to borrow and how much.
                        <SU>11</SU>
                        <FTREF/>
                         For example, an analysis of the 2015-16 NPSAS data showed that only 32 percent of students reported having heard on any income-driven repayment plans.
                        <SU>12</SU>
                        <FTREF/>
                         Additionally, many students are debt averse and may still not wish to borrow even under more generous IDR terms established by this rule.
                        <SU>13</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>11</SU>
                             For example, some estimates suggest that more than 40 percent of low-income borrowers did not know about IDR, and other research demonstrates confusion or lack of awareness about borrowing more generally (
                            <E T="03">e.g.,</E>
                             Akers &amp; Chingos (2014). Are College Students Borrowing Blindly? Washington, DC: Brookings Institution; Darolia &amp; Harper (2018). Information Use and Attention Deferment in College Student Loan Decisions: Evidence From a Debt Letter Experiment. 
                            <E T="03">Educational Evaluation and Policy Analysis,</E>
                             40(1); Sattelmeyer, Caldwell &amp; Nguyen (2023). 
                            <E T="03">Best Laid (Repayment) Plans.</E>
                             Washington, DC: New America).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>12</SU>
                             Anderson, Drew M., Johnathan G. Conzelmann, and T. Austin Lacy, The state of financial knowledge in college: New evidence from a national survey. Santa Monica, CA: RAND Corporation, 2018. 
                            <E T="03">https://www.rand.org/pubs/working_papers/WR1256.html.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>13</SU>
                             Boatman, A., Evans, B.J., &amp; Soliz, A. (2017). Understanding Loan Aversion in Education: Evidence from High School Seniors, Community College Students, and Adults.
                        </P>
                    </FTNT>
                    <P>Though we believe it is unlikely, in the RIA of this final rule we discuss alternative budget scenarios as well as the costs and benefits associated with additional borrowing were it to occur. This analysis shows that increases in borrowing will increase costs but additional borrowing and those associated costs are not always inherently problematic. While scholarships would be even more helpful to students, some evidence suggests that loans can help more borrowers pay for their tuition and living expenses, reduce their hours at work, and complete their college programs. Additional borrowing is problematic when it does not provide a return on investment, for example, when it does not help borrowers complete a high-quality program, but our goal with this regulation is to make certain that borrowers have affordable debts that they are able to successfully repay, not to minimize borrowing at all costs.</P>
                    <P>
                        We also note that the Department is engaged in separate efforts related to accountability, which are already described above. This includes the gainful employment rule NPRM released on May 19, 2023.
                        <SU>14</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>14</SU>
                             88 FR 32300.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter observed that our proposals lacked a discussion of monthly payments versus total payments. The commenter believed that, while there is the potential for borrowers to make lower monthly payments, the extended period of payments could result in higher total payments. In contrast, the commenter noted that a higher monthly payment in a shorter time frame could result in lower total payments. This commenter believed that we must consider the impact on both monthly and total payments—and that any meaningful discussion must include this analysis.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Varied amounts of payments due and time to satisfy the loan obligation have been part of the Direct Loan program since its inception. The possibility of a higher total amount repaid over the life of the loan may be a reasonable trade-off for borrowers who struggle to repay their loans. In developing this rule, we conducted analyses both in terms of monthly and total payments. Discussions of monthly payments help the public understand the most immediate effects on what a borrower will owe in a given period. The total payments were thoroughly assessed in the RIA of the IDR NPRM and that discussion considered broad questions about which types of borrowers were most likely to receive the greatest benefits. The Department modeled the change in lifetime payments under the new plan relative to the current REPAYE plan for future cohorts of borrowers, assuming full participation and considering projected earnings, nonemployment, marriage, and childbearing. These analyses suggest that on average, borrowers' lifetime total payments would fall under the new REPAYE plan. The RIA presents this analysis. It shows projected total payments for future repayment cohorts, discounted back to their present value if future borrowers were to choose the new REPAYE plan. These are broken down by quintile of lifetime income and include separate breakdowns of estimates for whether a borrower has graduate loans. Reductions in lifetime payments are largest for low- and middle-lifetime income borrowers but, on average, all quintiles see reductions in lifetime payments.
                    </P>
                    <P>
                        We continue to enhance the tools on the 
                        <E T="03">StudentAid.gov</E>
                         website that allow borrowers to compare the different repayment plans available to them. These tools show the monthly and total payment amounts over the life of the loan as this commenter requested, as well as the date on which the borrower would satisfy their loan obligation under each different plan and any amount of the borrower's loan balance that may be forgiven at the end of the repayment period. As an example, borrowers can use the “Loan Simulator” on the site to assist them in selecting a repayment plan tailored to their needs. To use the simulator, borrowers enter their anticipated or actual salary, the amount of their estimated or actual loan debt, and other data to perform the calculation needed to achieve goals listed. These goals include paying off their loans as quickly as possible, having a low monthly payment, paying the lowest amount over time, and 
                        <PRTPAGE P="43826"/>
                        paying off their loans by a certain date. We believe that the tools on the 
                        <E T="03">StudentAid.gov</E>
                         website are user-friendly and readily available to borrowers for customized calculations that we could not provide in this rule.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters raised concerns about the interaction between REPAYE payments and the SECURE 2.0 Act of 2022.
                        <SU>15</SU>
                        <FTREF/>
                         According to one commenter, the SECURE 2.0 Act incentivizes retirement contributions related to student loan payments. This provision allows companies to provide employees with a match on their retirement contributions for making student loan payments. This commenter was concerned that borrowers may make costly mistakes by not taking advantage of matching funds.
                    </P>
                    <FTNT>
                        <P>
                            <SU>15</SU>
                             Public Law 117-328, Division T of the Consolidated Appropriations Act of 2023.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Discussion:</E>
                         Under section 110 of the SECURE 2.0 Act, Congress permits—but does not require—employers to treat a borrower's student loan payments as elective deferrals for purposes of matching contributions toward that borrower's retirement plan. Although commenters hypothesize that borrowers could potentially miss out on retirement matching if a borrower is on a $0 IDR monthly payment, this specific provision of the SECURE 2.0 Act will take effect for contributions for plan years beginning on or after December 31, 2023.
                        <SU>16</SU>
                        <FTREF/>
                         We see no basis for holding our regulations for a provision that employers have not yet—and may not—use. Even if an employer were to adopt the Sec. 110(h) provision of the SECURE 2.0 Act to treat a borrower's student loan payments as elective deferrals for purposes of retirement matching contributions, borrowers always have the opportunity to prepay or make additional payments on their loans without penalty. Such additional payments could receive the matched contribution from their employer. Finally, as we stated in the IDR NPRM, student loan debt has become a major obstacle to meeting financial goals, and we believe saving for retirement is one of those goals for many. Contrary to the commenters' belief that these regulations could result in borrowers potentially missing out on matching funds, or make other costly mistakes, we believe that these repayment plans will facilitate and result in more borrowers achieving broad financial goals such as saving for a home or, in this case, retirement.
                    </P>
                    <FTNT>
                        <P>
                            <SU>16</SU>
                             See section 110(h) of Public Law 117-328, Division T of the Consolidated Appropriations Act of 2023.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter believed that our proposed changes to the IDR plan give undergraduate borrowers a grant instead of a loan. This commenter asserted that it would be better to provide the funds upfront as grants, which may positively impact access, affordability, and success. This commenter further believed that providing grants upfront could reduce the amount of overall loan debt. The commenter further cites researchers who had similar conclusions.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         For almost 30 years, the Department has allowed borrowers to repay their loans as a share of their earnings under IDR plans, but it has never considered these programs to be grant or scholarship programs. These student loan repayment plans are different in important respects from grants or scholarships. Many borrowers will repay their debt in full under the new plan. Only borrowers who experience persistently low incomes, relative to their debt burdens, over years will not repay their debt. Moreover, because borrowers cannot predict their future earnings, they will face significant uncertainty over what their payments will be over the full length of the repayment period. While some borrowers will receive forgiveness, many borrowers will repay their balances with interest. The IDR plans are repayment plans for Federal student loans that will provide student loan borrowers greater access to affordable repayment terms based upon their income, reduce negative amortization, and result in lower monthly payments, as well as help borrowers to avoid delinquency and defaults.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters expressed the view that it is unacceptable that people who never attended a postsecondary institution or who paid their own way to attend should be expected to pay for others who took out loans to attend a postsecondary institution.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenters' position that the IDR plan changes do not benefit individuals who have not attended a postsecondary institution. This plan will be available to current and future borrowers, including individuals who have not yet attended a postsecondary institution but may in the future.
                    </P>
                    <P>As outlined in the RIA, just because someone has not yet pursued postsecondary education also does not mean they never will. There are many students who first borrow for postsecondary education as older adults well past the age of those who go to college straight from high school. Similarly, there are many borrowers who re-enroll in postsecondary education after having already repaid their past loans. In both cases these borrowers may take on this debt because they are looking to make a career switch, gain new skills to compete in the labor force, or for other reasons. This plan would be available for both these current and future borrowers.</P>
                    <P>
                        We also note that investments in postsecondary education provide broader societal benefits. Increases in postsecondary attainment have spillover benefits to a broader population, including individuals who have not attended college. For instance, there is evidence that increases in college attainment increases productivity for both college-educated and non-college educated workers.
                        <SU>17</SU>
                        <FTREF/>
                         Increases in education levels have also been shown to increase civic participation and improve health and well-being for the next generation.
                        <SU>18</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>17</SU>
                             Public Law 117-328, Division T of the Consolidated Appropriations Act of 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>18</SU>
                             See section 110(h) of Public Law 117-328, Division T of the Consolidation Appropriations Act of 2023.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Legal Authority</HD>
                    <HD SOURCE="HD2">General</HD>
                    <P>
                        <E T="03">Comment:</E>
                         A group of commenters argued that the proposed rule would violate statute and exceed the Department's authority which could result in additional confusion to borrowers, increase delinquencies, or increase defaults.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Congress has granted the Department clear authority to create income-contingent repayment plans under the HEA. Specifically, Sec. 455(e)(4) 
                        <SU>19</SU>
                        <FTREF/>
                         of the HEA provides that the Secretary shall issue regulations to establish income-contingent repayment schedules that require payments that vary in relation to the borrowers' annual income. The statute further states that loans on an ICR plan shall be “paid over an extended period of time prescribed by the Secretary,” and that “[t]he Secretary shall establish procedures for determining the borrower's repayment obligation on that loan for such year, and such other procedures as are necessary to effectively implement income contingent repayment.” These provisions intentionally grant discretion to the Secretary around how to construct the specific parameters of ICR plans. This includes discretion as to how long a borrower must pay (except that it cannot exceed 25 years). In other words, the statute sets an explicit upper 
                        <PRTPAGE P="43827"/>
                        limit, but no lower limit for the “extended period” time that a borrower must spend in repayment. The statute also gives the Secretary discretion as to how much a borrower must pay, specifying only that payments must be set based upon the borrower's annual adjusted gross income and that the payment calculation must account for the spouse's income if the borrower is married and files a joint tax return.
                    </P>
                    <FTNT>
                        <P>
                            <SU>19</SU>
                             20 U.S.C. 1087e(e)(4).
                        </P>
                    </FTNT>
                    <P>This statutory language clearly grants the Secretary authority to make the changes in this rule related to the amount of income protected from payments, the amount of income above the income protection threshold that goes toward loan payments, and the amount of time borrowers must pay before repayment ends. Each of those parameters has been determined independently through the rulemaking process and related analyses and will be established in regulation through this final rule, as authorized by the HEA.</P>
                    <P>The same authority governs many of the more technical elements of this rule as well. For instance, the treatment of awarding a weighted average of pre-consolidation payments and the catch-up period are the Department's implementation of requirements in Sec. 455(e)(7) of the HEA, which lays out the periods that may count toward the maximum repayment period established by the Secretary. We have crafted the regulatory language to comply with the statutory requirements while recognizing the myriad ways a borrower progresses through the range of repayment options available to them.</P>
                    <P>
                        ED has used its authority under Sec. 455 of the HEA three times in the past: to create the first ICR plan in 1995 (59 FR 61664) (FR Doc No: 94-29260), to create PAYE in 2012 (77 FR 66087), and to create REPAYE in 2015 (80 FR 67203).
                        <SU>20</SU>
                        <FTREF/>
                         In each instance, the Department provided a reasoned basis for the parameters it chose, just as we have in this final rule. Congress has made minimal changes to the Department's authority relating to ICR in the intervening years, even as it has acted to create and then amend the IBR plan, first in 2007 in the College Cost Reduction and Access Act (CCRAA) (Pub. L. 110-84) and then in 2010 in the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152). The 2007 CCRAA that created IBR also expanded the types of time periods that can count toward the maximum repayment period on ICR. Congress also left the underlying terms of ICR plans in place when it improved access to automatic sharing of Federal tax information for the purposes of calculating payments on IDR in 2019.
                    </P>
                    <FTNT>
                        <P>
                            <SU>20</SU>
                             
                            <E T="03">https://www.govinfo.gov/content/pkg/FR-1994-12-01/html/94-29260.htm</E>
                        </P>
                    </FTNT>
                    <P>Sec. 455(d)(1) through (4) of the HEA also provide authority for other elements of this rule. These provisions grant the Secretary the authority to choose which plans are offered to borrowers, which we are leveraging to sunset future enrollments in the PAYE and ICR plan for student borrowers. Similarly, Sec. 455(d)(4) of the HEA provides the Secretary with discretion to craft “an alternative repayment plan,” under certain circumstances. Through this rule, the Secretary is using that discretion to establish a structure for a repayment option for borrowers who fail to recertify their income information on REPAYE. For most borrowers, the alternative plan payments will be based upon how much that borrower would have to pay each month to pay off the debt with 10 years of equally sized monthly payments. This amount will be specific to each borrower, as balances and interest rates vary for each individual. This approach is necessary to design a functioning alternative repayment plan for borrowers.</P>
                    <P>
                        The treatment of interest in this plan is authorized by a combination of authorities. Congress has granted the Secretary broad authority to promulgate regulations to administer the Direct Loan Program and to carry out his duties under Title IV. 
                        <E T="03">See, e.g.,</E>
                         including 20 U.S.C. 1221e-3, 1082, 3441, 3474, 3471. 
                        <E T="03">See, e.g.,</E>
                         20 U.S.C. 1221e-3 (“The Secretary . . . is authorized to make, promulgate, issue, rescind, and amend rules and regulations governing the manner of operation of, and governing the applicable programs administered by, the Department”). The Secretary has determined that the regulations addressing interest will improve the Direct Loan Program and make it more equitable for borrowers. More specifically, Sec. 455(e)(5) of the HEA specifies how to calculate the amounts due on monthly payments; but allows the Secretary discretion in calculating the borrower's balance, which is exercised here to manage the accrual of interest above and beyond the interest that the borrower pays each month.
                    </P>
                    <P>
                        The interest benefit in this final rule is a modification of the existing interest benefit provided on the REPAYE plan. That provision has been in place since the plan's creation in 2015. It includes the statutory requirement that the Department does not charge any interest that is not covered by a borrower's monthly payment during the first three years of repayment on a subsidized loan and the Department does not charge half of all remaining interest that is not covered by the borrower's monthly payment for all other periods in REPAYE. For unsubsidized loans, the Department does not charge half of all remaining interest that is not covered by the borrower's monthly payment as long as the loan is in REPAYE. That benefit has been part of the program for more than 7 years and the Department's authority for providing that protection has not been challenged, nor has Congress passed any legislation to change or eliminate that benefit. Though the size of the benefit in this final rule is different, the underlying rationale and authority are the same. The REPAYE plan was originally created in response to a June 2014 Presidential Memorandum directing the Department to take steps to give more borrowers access to affordable loan payments, with a focus on borrowers who would otherwise struggle to repay their loans. At that time, the Department thought the changes in REPAYE would be sufficient to accomplish this goal. However, the concerns described in that memorandum persist today, as the number of borrowers who default on their Federal loans has not appreciably declined since the REPAYE plan was created in 2015. In fact, the number of defaults in the 2019 Federal fiscal year were higher than in 2015, even as the number of annual borrowers declined over that period.
                        <SU>21</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>21</SU>
                             
                            <E T="03">https://studentaid.gov/sites/default/files/DLEnteringDefaults.xls</E>
                        </P>
                    </FTNT>
                    <P>
                        Part of the Department's responsibilities in operating the Federal financial aid programs is to make certain that borrowers have available clear information on how to navigate repayment. In some cases, that means addressing tensions and ambiguity that exist in the law. For instance, under Sec. 428(c)(3) of the HEA (20 U.S.C. 1078(c)(3)) we exercised our authority to promulgate regulations to allow borrowers participating in AmeriCorps to receive a forbearance on repayment of their loans during the period they are serving in those positions.
                        <SU>22</SU>
                        <FTREF/>
                         At the same time, Congress has established that borrowers may pursue Public Service Loan Forgiveness if they meet certain requirements related to employment and their loan repayment plan. That confuses borrowers who must choose between pausing their payments entirely versus making progress toward forgiveness with a monthly payment that could be far less than what they owe on the standard 10-year plan, potentially as low as $0. Similarly, a borrower who is unemployed may have 
                        <PRTPAGE P="43828"/>
                        a $0 payment on their IDR plan but may also be able to obtain an unemployment deferment. The Department is using its broad authority under section 410 of the General Education Provisions Act (GEPA), (20 U.S.C 1221e-3), HEA section 432,
                        <SU>23</SU>
                        <FTREF/>
                         and sections 301, 411, and 414 of the Department of Education Authorization Act 
                        <SU>24</SU>
                        <FTREF/>
                         to promulgate regulations to govern the student loan programs and address such areas of inconsistency and to award credit in situations where a borrower uses certain types of deferments and forbearances that indicate a high risk of confusion or tension when choosing from among the potential for a $0 payment on an IDR plan, repayment statuses that provide credit for PSLF, and the ability to pause payments.
                    </P>
                    <FTNT>
                        <P>
                            <SU>22</SU>
                             See 34 CFR 685.205(a)(4).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>23</SU>
                             20 U.S.C. 1082.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>24</SU>
                             20 U.S.C. 3441, 3471, and 3474.
                        </P>
                    </FTNT>
                    <P>
                        Some provisions in this rule derive from changes made by the 2019 Fostering Undergraduate Talent by Unlocking Resources for Education (FUTURE) Act (Pub. L. 116-91). That legislation amended Sec. 6103 of the Internal Revenue Code (IRC) 
                        <SU>25</SU>
                        <FTREF/>
                         to allow the Department to obtain Federal tax information from the Internal Revenue Service (IRS) if the borrower provided approval for the disclosure of such information. That authority is being used to automatically calculate a borrower's IDR payment if they have gone 75 days without making a payment or are in default and they have provided the necessary approvals to us.
                    </P>
                    <FTNT>
                        <P>
                            <SU>25</SU>
                             26 U.S.C. 6103, 
                            <E T="03">et. seq.</E>
                        </P>
                    </FTNT>
                    <P>Within all these authorities are implicit and explicit limiting principles. The Secretary must issue regulations that follow the requirements in the HEA. When the language grants specific discretion to the Secretary or is otherwise allows for more than one interpretation, the Department must provide a reasoned basis for the choices it makes, as we have done in this rule. For instance, the amount of income protected from payments is the greatest amount that we believe can be justified on a reasoned basis at this time. Similarly, the amount of discretionary income paid on loans for a borrower's undergraduate study reflects our analysis of the comparative benefits accrued by undergraduate and graduate borrowers under different payment calculations. We have developed this rule with the goal of getting more undergraduate borrowers, particularly those at risk of delinquency and default, to enroll in IDR plans at rates closer to the higher levels of existing graduate borrower enrollment.</P>
                    <P>As explained, the Department has the authority to promulgate this final rule. The changes made in this rule will ultimately reduce confusion and make it easier for borrowers to navigate repayment, choose whether to use an IDR plan, and avoid delinquency and default.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters raised a series of individual concerns about the legality of every significant proposed change in the IDR NPRM, especially increasing the income protection threshold to 225 percent of FPL, reducing payments to 5 percent of discretionary income on undergraduate loans, the treatment of unpaid monthly interest, counting periods of deferment and forbearance toward forgiveness, and providing a faster path to forgiveness for borrowers with lower original principal balances.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The response to the prior comment summary discusses the overarching legal authority for the final rule. We also discuss the legality of specific provisions for individual components throughout this section. However, the Department highlights the independent nature of each of these components. This regulation is composed of a series of distinct and significant improvements to the REPAYE plan that individually provide borrowers with critical benefits. Here we identify the ones that received the greatest public attention through comments; but the same would be true for items that did not generate the highest amount of public interest, such as the treatment of pre-consolidation payments, access to IBR in default, automatic enrollment, and other parameters. Increasing the amount of income protected from 150 percent to 225 percent of the FPL will help more low-income borrowers receive a $0 payment and reduced payment amounts for borrowers above that income level that will also help middle-income borrowers. Those steps will help reduce rates of default and delinquency and help make loans more manageable for borrowers. Reducing to 5 percent the share of discretionary income put toward payments on undergraduate loans will also target reductions for borrowers with a non-zero-dollar payment. As noted in the IDR NPRM and again in this final rule, undergraduate borrowers represent the overwhelming majority of borrowers in default. These changes target the reduction in payments to undergraduate borrowers to make their payments more affordable and help them avoid delinquency and default. Ceasing the charging of interest that is not covered by a borrower's monthly payment addresses concerns commonly raised by borrowers that quickly accruing interest can leave borrowers feeling like IDR is not working for them as their loan balances grow and they become discouraged about the possibility of repaying their loan. Providing borrowers with lower loan balances a path to forgiveness after as few as 120 monthly payments will help make IDR a more attractive option for borrowers who traditionally are at a high risk of delinquency and default. It will also provide incentives to keep borrowing low.
                    </P>
                    <P>Each of these new provisions standing independently is clearly superior to the current terms of REPAYE or any other IDR plan. That is critical because one of the Department's goals in issuing this final rule is to create a plan that is clearly the best option for the vast majority of borrowers, which will help simplify and streamline the process for borrowers to choose whether to go onto an IDR plan as well as which plan to pick. That simplicity will help all borrowers but can particularly matter for at-risk borrowers trying to navigate the system. Each of these provisions, standing on its own, contributes significantly to that goal.</P>
                    <P>The result is that each of the components of this final rule can operate in a manner that is independent and severable of each other. The analyses used to justify their inclusion are all different. And while they help accomplish similar goals, they can contribute to those goals on their own.</P>
                    <P>
                        Examples highlight how this is the case. Were the Department to only maintain the interest benefit in the existing REPAYE plan while still increasing the income protection, borrowers would still see significant benefits by more borrowers having a $0 payment and those above that 225 percent of FPL threshold seeing payment reductions. Their total payments over the life of the loan would change, but the most immediate concern about borrowers being unable to afford monthly obligations and slipping into default and delinquency would be preserved. Or consider the reduction in payments without the increased income protection. That would still assist borrowers with undergraduate loans and incomes between 150 and 225 percent of FPL to drive their payments down, which could help them avoid default. Similarly, the increased income protection by itself would help keep many borrowers out of default by giving more low-income borrowers a $0 payment, even if there was not additional help for borrowers above that 
                        <PRTPAGE P="43829"/>
                        225 percent FPL threshold through a reduction in the share of discretionary income that goes toward payments.
                    </P>
                    <P>Providing forgiveness after as few as 120 payments for the lowest balance borrowers can also operate independently of other provisions. As discussed, both in the IDR NPRM and this final rule, although borrowers with lower balances have among the highest default rates, they are generally not enrolling in IDR in large numbers. A shortened period until forgiveness, even without other reductions in payments, would still make this plan more attractive for these borrowers, as a repayment term of up to 20 years provides a disincentive to enrolling in REPAYE even if that plan otherwise provides significant benefits to the borrower.</P>
                    <P>The same type of separate analysis applies to the awarding of credit toward forgiveness for periods spent in different types of deferments and forbearances. The Department considered each of the deferments and forbearances separately. For each one, we considered whether a borrower was likely to have a $0 payment, whether the borrower would be put in a situation where there would be a conflict that would be hard to understand for the borrower (such as engaging in military service and choosing between time in IDR and pausing payments), and whether that pause on payments was under the borrower's control or not (such as when they are placed in certain mandatory administrative forbearances). Moreover, a loan cannot be in two different statuses in any given month. That means it is impossible for a borrower to have two different deferments or forbearances on the same loan. Therefore, the awarding of credit toward forgiveness for any given deferment or forbearance is separate and independent of the awarding for any other. These deferments and forbearances also operate separately from the other payment benefits. A month in a deferment or forbearance is not affected by a month at any of the other provisions that affect payment amounts, including the higher FPL, reduction in discretionary income, or treatment of interest.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters asserted that through this regulation the Department is advising student loan borrowers that they can expect to repay only a fraction of what they owe, which, they argue, undercuts the legislative intent of the Direct Loan program as well as the basic social contract of borrowing. Additionally, these commenters alleged that having current borrowers fail to repay their student loans jeopardizes the entire Federal loan program.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department has not and will not advise borrowers that they can expect to repay a fraction of what they owe. The purpose of these regulations, which implement a statutory directive to provide for repayment based on income, is to make it easier for borrowers to repay their loans while ensuring that borrowers who do not have the financial resources to repay do not suffer the lasting and harmful consequences of delinquency and default. We also note that forgiveness of remaining loan balances has long been a possibility for borrowers under different circumstances (such as Public Service Loan Forgiveness and disability discharges) 
                        <SU>26</SU>
                        <FTREF/>
                         and under other IDR repayment plans.
                        <SU>27</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>26</SU>
                             See 
                            <E T="03">www.studentaid.gov/manage-loans/forgiveness-cancellation.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>27</SU>
                             Secs. 455(d)(1)(D) and (E) and 493C of the HEA.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Historical Authority</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters argued that the underlying statutory authority in sections 455(d) and (e) of the HEA cited by the Department did not establish the authority for the Department to make the proposed changes to the REPAYE plan.
                    </P>
                    <P>Commenters argued this position in several ways. Commenters cited comments by a former Deputy Secretary of Education during debates over the passage of the 1993 HEA amendments that there would not be a long-term cost of these plans because of the interest borrowers would pay. Commenters cited that same former official as noting that any forgiveness at the end would be for some limited amounts remaining after a long period. As further support for this argument, the commenters argued that Congress did not explicitly authorize the forgiveness of loans in the statute, nor did it appropriate any funds for loan forgiveness when it created this authority.</P>
                    <P>Using this historical analysis, commenters argued that Congress never intended for the Department to create changes to REPAYE that would result in at least partial forgiveness for most student loan borrowers. Many commenters referred to this situation as turning the loan into a grant. Several commenters argued that Congress established the ICR program as revenue-neutral without authorizing cancellation of borrowers' debt.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         Nothing in the HEA requires ICR plans or Department regulations to be cost neutral. Congress included the authority for ICR plans when it enacted the Direct Loan Program and left it to the Department to establish the specific provisions of the plans through regulations. Forgiveness of the remaining loan balance after an established time has been a part of the IDR plans since the creation of the Direct Loan Program in 1993-1994.
                        <SU>28</SU>
                        <FTREF/>
                         Over the past 30 years, Congress has not reduced opportunities for loan forgiveness, but instead has expanded them, including through IBR and Public Service Loan Forgiveness. We also note that in 1993, Congress appropriated funds to cover all cost elements of the Direct Loan Program, including the ICR authority. Therefore, there was no need to have a separate appropriation.
                        <SU>29</SU>
                        <FTREF/>
                         However, the Department has always thoughtfully considered the costs and benefits of our rules as reflected in the RIA.
                    </P>
                    <FTNT>
                        <P>
                            <SU>28</SU>
                             See HEA section 455(e).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>29</SU>
                             Hearing of the Committee on Labor and Human Resources to Amend the Higher Education Act of 1965, 103rd Cong. (1993), 48, available at: 
                            <E T="03">www.files.eric.ed.gov/fulltext/ED363187.pdf.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">History of Subsequent Congressional Action</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters argued that the history of Congressional action with respect to IDR plans in the years since the ICR authority was created show that the proposed changes are contrary to Congressional intent. Commenters noted that since the 1993 HEA reauthorization, Congress has only made three amendments to the ICR language: (1) to allow Graduate PLUS borrowers to participate and prevent parent PLUS borrowers from doing so; (2) to allow more loan statuses to count toward the maximum repayment period; and (3) to give the Department the ability to obtain approval from a borrower to assist in the sharing of Federal tax information from the IRS. These commenters argued that if Congress had wanted the Department to make changes of the sort proposed in the IDR NPRM it would have done so during those reauthorizations.
                    </P>
                    <P>
                        Other commenters argued along similar lines by pointing to other statutory changes to student loan repayment options since 1993. They cited the creation of the IBR plan and Public Service Loan Forgiveness in the 2007 CCRAA, as well as subsequent amendments to the IBR plan in 2010, as proof that Congress had considered the parameters of Federal student loan repayment and forgiveness programs and created a strong presumption that Congress did not delegate that authority to the Department. In recounting this 
                        <PRTPAGE P="43830"/>
                        history, commenters also argued that changes made in 2012 to create PAYE and in 2014 to create REPAYE were unlawful.
                    </P>
                    <P>Other commenters cited unsuccessful attempts by Congress to pass legislation to change the repayment plans as further proof that the Department does not have the legal authority to take these actions. They mentioned attempts to pass legislation that would adjust the terms of IDR plans, forgive a set amount of outstanding debt right away, and other similar legislative efforts that did not become law as proof that had Congress wanted to act in this space it would have done so.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The commenters have mischaracterized the legislative and regulatory history of the Direct Loan Program. As previously discussed, the Secretary has broad authority to develop and promulgate regulations for programs he administers, including the Direct Loan Program under section 410 of GEPA.
                        <SU>30</SU>
                        <FTREF/>
                         Section 455(d)(1)(D) of the HEA gives the Secretary the authority to determine the repayment period under an ICR plan with a maximum of 25 years. Congress did not specify a minimum repayment period and did not limit the Secretary's authority to do so. We also note that, over the past decades in which these plans have been available, Congress has not taken any action to eliminate the PAYE and REPAYE plans or to change their terms. ED has used this authority three times in the past: to create the first ICR plan in 1995, to create PAYE in 2012, and to create REPAYE in 2015. The only time Congress acted to constrain or adjust the Department's authority relating to ICR was in 2007 legislation when it provided more specificity over the periods that can be counted toward the maximum repayment period. Even then, it did not adjust language related to how much borrowers would pay each month. Congress also did not address these provisions when it improved access to automatic sharing of Federal tax information for the purposes of calculating payments on ICR in 2019.
                    </P>
                    <FTNT>
                        <P>
                            <SU>30</SU>
                             20 U.S.C. 1221e-3.
                        </P>
                    </FTNT>
                    <P>Congress has also not included any language related to these plans in annual appropriations bills even as it has opined extensively on a number of other issues related to student loan servicing. For instance, appropriations bills for multiple years in a row have consistently laid out expectations for the construction of new contracts for the companies hired by the Department to service student loans. Appropriations language also created the Temporary Expanded Public Service Loan Forgiveness Program.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Major Questions and Separation of Powers</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters argued that the changes to REPAYE violate the major questions doctrine and would violate the constitutional principal of separation of powers. They pointed to the ruling in 
                        <E T="03">West Virginia</E>
                         v. 
                        <E T="03">EPA</E>
                         to argue that courts need not defer to agency interpretations of vague statutory language and there must be “clear Congressional authorization” for the contemplated action. They argued that the cost of the proposed rule showed that the regulation was a matter of economic significance without Congressional authorization. They also noted that the higher education economy affects a significant share of the U.S. economy.
                    </P>
                    <P>Commenters also argued that the changes had political significance since they were mentioned during the Presidential campaign and as part of a larger plan laid out in August 2022 that included the announcement of one-time student debt relief. To further that argument, they pointed to additional legislative efforts by Congress to make a range of changes to the loan programs over the last several years. These include changes to make IDR more generous, cancel loan debt, create new accountability systems, make programs more targeted, make programs more flexible for workforce education, and others. Some commenters took arguments related to one-time debt relief even further, saying that because some parameters of the proposed changes to REPAYE and one-time debt relief were announced at the same time that they are inextricably linked.</P>
                    <P>The commenters then argued that neither of the two cited sources of general statutory authority—Sections 410 and 414 of GEPA—provides sufficient statutory basis for the proposed changes.</P>
                    <P>A different set of commenters said the “colorable textual basis” in the vague statutory language was not enough to authorize changes of the magnitude proposed in the IDR NPRM.</P>
                    <P>Given these considerations, commenters said that the Department must explain how the underlying statute could possibly allow changes of the magnitude contemplated in the proposed rule.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The rule falls comfortably within Congress's clear and explicit statutory grant of authority to the Department to design a repayment plan based on income. 
                        <E T="03">See</E>
                         HEA section 455(d)-(e).
                        <SU>31</SU>
                        <FTREF/>
                         This is discussed in greater detail in response to the first comment summary in this subsection of the preamble.
                    </P>
                    <FTNT>
                        <P>
                            <SU>31</SU>
                             20 U.S.C. 1087e(d)-(e).
                        </P>
                    </FTNT>
                    <P>
                        The Department disagrees that the Supreme Court's 
                        <E T="03">West Virginia</E>
                         decision undermines the Department's authority to promulgate the improvements to IDR. That decision described “extraordinary cases” in which an agency asserts authority of an “unprecedented nature” to take “remarkable measures” for which it “had never relied on its authority to take,” with only a “vague” statutory basis that goes “beyond what Congress could reasonably be understood to have granted.” 
                        <SU>32</SU>
                        <FTREF/>
                         The rule here does not resemble the rare circumstances described in 
                        <E T="03">West Virginia.</E>
                         There is nothing unprecedented or novel about the Department relying on section 455 of the HEA as statutory authority for designing and administering repayment plans based on income. In addition, under Section 493C(b) of the HEA,
                        <SU>33</SU>
                        <FTREF/>
                         the Secretary is authorized to carry out the income-based repayment program plan. Indeed, as previously discussed, the Code of Federal Regulations has included multiple versions of regulations governing income-driven repayment for decades.
                        <SU>34</SU>
                        <FTREF/>
                         Yet Congress has taken no action to limit the Secretary's discretion to develop ICR plans that protect taxpayers and best serve borrowers and their families.
                    </P>
                    <FTNT>
                        <P>
                            <SU>32</SU>
                             142 S. Ct. at 2609.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>33</SU>
                             20 U.S.C. 1098e(b).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>34</SU>
                             
                            <E T="03">See, e.g.,</E>
                             60 FR 61820 (Dec. 1, 1995); 73 FR 63258 (Oct. 23, 2008).
                        </P>
                    </FTNT>
                    <P>As such, the rule is consistent with the Secretary's clear statutory authority to design and administer repayment plans based on income.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Administrative Procedure Act</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the extent of the changes proposed in the IDR NPRM exceed the Department's statutory authority and violate the Administrative Procedure Act (APA). They argued that converting loans into grants was not statutorily authorized and this proposal is instead providing what they considered to be “free college.”
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department does not agree with the claim that the REPAYE plan turns a loan into a grant. Borrowers who have incomes that are above 225 percent of FPL and are high relative to their debt will repay their debt in full under the new plan. Borrowers with incomes consistently below 225 percent of FPL or with incomes that are low 
                        <PRTPAGE P="43831"/>
                        relative to their debt will receive some loan cancellation. In many cases, loan cancellation will come after borrowers have made interest and principal payments on the loan and, as a result, the amount cancelled will be smaller than the original loan. Many borrowers default under the current system because they cannot afford to repay their loans, and even the more aggressive collection efforts available to the Department once a borrower defaults frequently do not result in full repayment. The IDR plans are repayment plans for Federal student loans that will provide student loan borrowers greater access to affordable repayment terms based upon their income, reduce negative amortization, and result in lower monthly payments, as well help borrowers to avoid delinquency and default.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the rule violates the APA, because it was promulgated on a contrived reason. In making this argument, they cited 
                        <E T="03">Department of Commerce</E>
                         v. 
                        <E T="03">New York,</E>
                         in which the Supreme Court overruled attempts to add a question related to citizenship on the 2020 census because the actual reason for the change did not match the goals stated in the administrative record. The commenters argued that if the Department's goals for this rule were truly to address delinquency and default, or to make effective and affordable loan plans, we would have tailored the parameters more clearly. The commenters pointed to the fact that borrowers with incomes at what they calculated to be the 98th percentile would be the point at which it does not make sense to choose this plan, as well as protecting an amount of income at the 78th percentile for a single person between the ages of 22 to 25 as proof that it is not targeted.
                    </P>
                    <P>The commenters argued that this lack of targeting shows that the actual goal of the plan is unstated. The commenters theorized that an unstated goal must be to create a “free college” plan by another name. They argued that the Department must more explicitly state that its goal is to replace some loans with grants or explain why it is providing such extensive untargeted subsidies.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         In the IDR NPRM and in this preamble, the Department provides a full explanation of the rationale for and purpose of these final rules. These final rules are consistent with, and, in fact, effectuate, Congress' intent to provide income-driven repayment plans that provide borrowers with terms that put them in a position to repay their loans without undue burden. Contrary to the claims made by these commenters, these rules do not turn loans into grants and have no connection to legislative proposals made for free community college.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Vesting Clause</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the changes to REPAYE would violate the vesting clause by creating an unconstitutional delegation of legislative power to the Department. They claimed that the Department's reading of the authority granted by the 1993 HEA provision is overly broad and lacks any sort of limiting principle to what the commenters described as unfettered and unilateral discretion of the Secretary. They argued that such an expansive view of this authority was untenable.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         In this rule, the Department is exercising the authority given to it by Congress in Section 455(d) and (e) of the HEA (20 U.S.C. 1087e(d) and (e)) to establish regulations for income contingent repayment plans, as it has done several times previously. The Department is further exercising its rulemaking authority under Sec. 414 of the Department of Education Organization Act (20 U.S.C. 3474) to prescribe rules and regulations as the Secretary determines necessary or appropriate to administer and manage the functions of the Department. Finally, under Sec. 410 of GEPA (20 U.S.C. 1221e-3), the Secretary is authorized to make, promulgate, issue, rescind, and amend rules and regulations governing the manner of operation of, and governing the applicable programs administered by, the Department. These rules further improve the IDR plans and are consistent with the Secretary's authority to administer the Direct Loan program.
                    </P>
                    <P>
                        Contrary to the claims by the commenters, these regulations reflect and are consistent with statutory limits on the Secretary's authority to establish rules for ICR plans under Sec. 455 of the HEA. For instance, the HEA provides that a borrower's payments must be based upon their adjusted gross income, that it must include the spouse's income if the borrower is married and files a joint tax return, and that repayment cannot last beyond 25 years. Similarly, the statutory language does not provide for partial forgiveness over a period of years as it does in other parts of the HEA. For example, under the Teacher Loan Forgiveness Program, borrowers may be eligible for forgiveness of up to $17,500 on their Federal student loans if they teach full time for 5 complete and consecutive academic years in a low-income school or educational service agency, and meet other qualifications. 
                        <E T="03">See,</E>
                         HEA section 460 (20 U.S.C. 1087j).
                    </P>
                    <P>Other limitations arise from the interaction between the HEA and the Administrative Procedure Act. When crafting a regulation, the Department must have a reasoned basis for the changes it pursues and they must be allowable under the statute. For instance, we do not believe there is a reasonable basis at this time for a regulation that protects 400 percent of FPL. We have reviewed available research, looked into signs of material distress from borrowers, and see nothing that gives us a reasoned basis to protect that level of income.</P>
                    <P>The final rule is therefore operating within the Secretary's statutory authority. We developed these regulations based upon a reasoned basis for action.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Appropriations Clause</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that because Congress did not specifically authorize the spending of funds for the proposed changes to REPAYE, the proposed rules would violate the appropriations clause. They argued, in particular, that cancellation of debt requires specific Congressional appropriation, and that the Department has not identified such a Congressional authorization. They argued that the treatment of unpaid monthly interest, the protection of more income, the reductions of the share of discretionary income put toward payments, and forgiveness sooner on small balances are all forms of cancellation that are not paid for. Along similar lines, other commenters argued that the proposed changes would turn the loan program into a grant and such a grant is not paid for under the HEA. These commenters pointed to language used by the Department about creating a safety net for borrowers as proof that these changes would make loans into grants. They argued that such grants would result in spending that is neither reasonable nor accountable since there is no clear expectation that amounts would be repaid.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         These commenters mischaracterize the Department's rules. These rules modify the REPAYE payment plan to better serve borrowers and make it easier for them to satisfy their repayment obligation. They do not change the loan to a grant. In section 455 of the HEA, Congress provided that borrowers who could not repay their loans over a period of time established by the Secretary would have the 
                        <PRTPAGE P="43832"/>
                        remaining balance on the loans forgiven. That has been a part of the Direct Loan Program since its original implementation in 1994. The new rules are a modification of the prior rules to reflect changing economic conditions regarding the cost of higher education and the burden of student loan repayment on lower income borrowers. Over the years, Congress has provided for loan forgiveness or discharge in several different circumstances and, in the great majority of situations, including loan forgiveness resulting from an IDR repayment plan, the costs are paid through mandatory expenditures. The new rules simply modify the terms of an existing loan repayment plan, established under Congressional authority, and will be paid for through the same process.
                    </P>
                    <P>The commenters similarly misunderstand the goal in highlighting this plan as a safety net for borrowers. The idea of a safety net is not to provide an upfront grant, it is to provide a protection for borrowers who are unable to repay their debt because they do not make enough money.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">225 Percent Income Protection Threshold</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that nothing in the 1993 HEA amendments authorized the Department to protect as much as 225 percent of FPL. Along those lines, other commenters argued that Congress took action to set the income protection threshold at 100 percent of FPL in 1993, then raised it to 150 percent in 2007, and Congress did not intend to raise it higher.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Section 455(e)(4) of the HEA authorizes the Secretary to establish ICR plan procedures and repayment schedules through regulations based on the appropriate portion of annual income of the borrower and the borrower's spouse, if applicable. Contrary to the assertion of the commenter, the HEA did not establish the threshold of 100 percent of FPL for ICR.
                    </P>
                    <P>The Student Loan Reform Act of 1993 provided that loans paid under an income contingent repayment plan would have required payments measured as a percentage of the appropriate portion of the annual income of the borrower as determined by the Secretary. The decision to set that portion of income at a borrower's income minus the FPL was a choice made by the Department when it promulgated regulations for the Direct Loan Program in 1994.</P>
                    <P>In 2007, Congress passed the CCRAA, which created the IBR plan and set the income protection threshold at 150 percent of the FPL for purposes of IBR. However, Congress did not apply the same threshold to ICR. The HEA prescribes no income protection threshold for ICR. Instead, Congress retained the language in Sec. 455(e)(4) of the HEA (20 U.S.C. 1087e(e)(4)) that gives the Secretary the discretion to establish the rules for ICR repayment schedules. The Secretary is exercising that discretion here. In 2012, when we created PAYE, we raised the income protection threshold, among other provisions, to 150 percent to align with IBR.</P>
                    <P>
                        For this rule, the Department has recognized that the economy, as well as student borrowers' debt loads and the extent to which they are able to repay have changed substantially and the Department has conducted a new analysis to establish the appropriate amount of protected income. This analysis is based upon more recent data and reflects the current situation of the student loan portfolio and the circumstances for individual student borrowers, which is unquestionably different than it was three decades ago and has even shifted in the 11 years since the Department increased the income protection threshold for an ICR plan when we created PAYE. Since 2012, the total amount of outstanding Federal student loan debt and the number of borrowers has grown by over 70 percent and 14 percent, respectively.
                        <SU>35</SU>
                        <FTREF/>
                         This increase in outstanding loan debt has left borrowers with fewer resources for their other expenses and impacts their ability to buy a house, save for retirement, and more. We reconsidered the threshold to provide more affordable loan payments to student borrowers. The Department chose the 225 percent threshold based on an analysis of data from the U.S. Census Bureau's Survey of Income and Program Participation (SIPP) for individuals aged 18-65 who attended postsecondary institutions and who have outstanding student loan debt. The Department looked for the point at which the share of those who report material hardship—either being food insecure or behind on their utility bills—is statistically different from those whose family incomes are at or below the FPL.
                    </P>
                    <FTNT>
                        <P>
                            <SU>35</SU>
                             Federal Student Aid Portfolio Summary, available at: 
                            <E T="03">studentaid.gov/data-center/student/portfolio.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Interest Benefits</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the underlying statutory authority does not allow for the Department's proposal to not charge unpaid monthly interest to borrowers. They argued that the ICR statutory language requires the Secretary to charge the borrower the balance due, which includes accrued interest. Similarly, they argue that the statute requires the Secretary to establish plans for repaying principal and interest of Federal loans. They also noted that the statutory text discusses how the Department may choose when to not capitalize interest, which shows that Congress considered what flexibilities to provide to the Secretary and that does not include the treatment of interest accrual. They also pointed to changes made to the HEA in the CCRAA that changed the treatment of interest accrual on subsidized loans as proof that Congress considered whether to give the Secretary more flexibility on the treatment of interest and chose not to do so. Some commenters also pointed to the fact that the previous most generous interpretation of this authority for interest benefits—the current REPAYE plan—did not go as far on not charging unpaid monthly interest as the proposed rule.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Sec. 455(e)(5) of the HEA (20 U.S.C. 1087e(e)(5)) defines how to calculate the balance due on a loan repaid under an ICR plan. However, it does not restrict the Secretary's discretion to define or limit the amounts used in calculating that balance. Beyond that, section 410 of GEPA,
                        <SU>36</SU>
                        <FTREF/>
                         provides that “The Secretary . . . is authorized to make, promulgate, issue, rescind, and amend rules and regulations governing the manner of operation of, and governing the applicable programs administered by, the Department,” which includes the Direct Loan program. Similarly, section 414 of the Department of Education Organization Act 
                        <SU>37</SU>
                        <FTREF/>
                         authorizes the Secretary to “prescribe such rules and regulations as the Secretary determines are necessary or appropriate to administer and manage the functions of the Secretary or the Department.” We also note that while section 455(e)(5) of the HEA defines how to calculate the balance due on a loan repaid under an ICR plan, it does not restrict the Secretary's discretion to define or limit the amounts used in calculating that balance. These regulations reflect the Secretary's judgment as to how that balance should be calculated.
                    </P>
                    <FTNT>
                        <P>
                            <SU>36</SU>
                             20 U.S.C. 1221e-3.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>37</SU>
                             20 U.S.C. 3474.
                        </P>
                    </FTNT>
                    <P>
                        The interest benefit provided in these regulations is one aspect of the many distinct, independent, and severable changes to the REPAYE plan included 
                        <PRTPAGE P="43833"/>
                        in these rules that will allow borrowers to be in a better position to repay more of their loan debt, which is in the best interests of the taxpayers. Defaults do not benefit taxpayers or borrowers.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         Commenters argued that since Congress has passed laws setting the interest rate on student loans that the Department lacks the authority to not charge unpaid monthly interest because doing so is akin to setting a zero percent interest rate for some borrowers.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The HEA has numerous provisions establishing different interest rates and different interest rate formulas on Federal student loans during different periods as well as limiting the amount of unpaid monthly interest that may be capitalized. See, for example, HEA sections 427A 
                        <SU>38</SU>
                        <FTREF/>
                         and 455(e)(5).
                        <SU>39</SU>
                        <FTREF/>
                         Those provisions do not require that the maximum interest rate be charged to borrowers at all times during the life of the loan. The HEA and the Department's regulations 
                        <SU>40</SU>
                        <FTREF/>
                         have long included different provisions providing that interest will not be charged in a variety of circumstances, including under income-driven repayment plans. See, for example, Sec. 428(b)(1)(M) of the HEA 
                        <SU>41</SU>
                        <FTREF/>
                         and 34 CFR 685.204(a) (interest not charged during periods of deferment on subsidized loans); 34 CFR 685.209(a)(2)(iii) (unpaid interest not charged for first three years under PAYE); Sec. 455(a)(8) of the HEA 
                        <SU>42</SU>
                        <FTREF/>
                         and 34 CFR 685.211(b) (interest rate can be reduced as repayment incentive); and 34 CFR 685.213(b)(7)(ii)(C) (if borrower's loan is reinstated after initial disability discharge, interest not charged during period in which payments not required). Congress has never taken action to reverse those provisions. Therefore, there is no support for the commenters' suggestion that the statutory provisions regarding the maximum interest rate are determinative of when that rate must be charged.
                    </P>
                    <FTNT>
                        <P>
                            <SU>38</SU>
                             20 U.S.C. 1077a.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>39</SU>
                             20 U.S.C. 1087(e)(5).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>40</SU>
                             See, for example, §§ 685.202(a), 685.209(a)(2)(iii), 685.209(c)(2)(iii)(A) and 685.221(b)(3).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>41</SU>
                             20 U.S.C. 1078(b)(1)(M).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>42</SU>
                             20 U.S.C. 1087e(a)(8).
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the Department did not specify whether interest that is not charged will be treated as a canceled debt or as revenue that the Secretary decided to forego. In the latter situation, the commenters argued that the Department has not established how unilaterally forgoing interest is not an abrogation of amounts owed to the U.S. Treasury, as established in the Master Promissory Note.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The determination of the accounting treatment of interest that is not charged as cancelled debt or foregone interest is not determinative of the Secretary's authority to set the terms of IDR plans.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Deferment and Forbearance</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the Department lacked the statutory authority to award credit toward forgiveness for a month spent in a deferment or forbearance beyond the economic hardship deferment already identified in section 455(e)(7) of the HEA. They argued that the 2007 changes to include economic hardship deferments in ICR showed that Congress did not intend to include other statuses. They also pointed to the underlying statutory language that provides that the only periods that can count toward forgiveness are times when a borrower is not in default, is in an economic hardship deferment period, or made payments under certain repayment plans. They asserted that the Department cannot otherwise count a month toward forgiveness when a monetary payment is not made. Commenters also noted that this approach toward deferments and forbearances is inconsistent with how the Department has viewed similar language under sections 428(b)(1)(M) 
                        <SU>43</SU>
                        <FTREF/>
                         and 493C(b)(7) 
                        <SU>44</SU>
                        <FTREF/>
                         of the HEA.
                    </P>
                    <FTNT>
                        <P>
                            <SU>43</SU>
                             20 U.S.C. 1078(b)(1)(M).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>44</SU>
                             20 U.S.C. 1098e(b)(7).
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Discussion:</E>
                         The provisions in Sec. 455(e)(7) of the HEA are not exclusive and do not restrict the Secretary's authority to establish the terms of ICR plans. That section of the HEA prescribes the rules for calculating the maximum repayment period for which an ICR plan may be in effect for the borrower and the time periods and circumstances that are used to calculate that maximum repayment period. It is not intended to define the periods under which a borrower may receive credit toward forgiveness. The commenters did not specify what they meant in terms of inconsistent treatment, but the Department is not proposing to make underlying changes to the terms and conditions related to borrower eligibility for a given deferment or forbearance or how the borrower's loans are treated during those periods in terms of the amount of interest that accumulates. Rather, we are concerned that, despite the existence of the IDR plans, borrowers are ending up in deferments or forbearances when they would have had a $0 payment on IDR and would be gaining credit toward ultimate loan forgiveness. This concern has become more pronounced over time as the Department has taken a closer look at how payment counts toward IDR are being tracked and how successful borrowers are at navigating forgiveness programs as the first cohorts of borrowers are reaching the point when they would be eligible for relief. These problems would not have been as immediately pressing in past instances of rulemaking since borrowers would not yet have been eligible for forgiveness so the effect on borrowers getting relief would not have been readily observable. This change reflects updated information available to the Department about how to make repayment work better. Finally, we note that these changes would not be applied to FFEL loans held by lenders.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">10-Year Cancellation</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the creation of PSLF in 2007 showed that Congress did not intend for the Department to authorize forgiveness as soon as 10 years for borrowers not eligible for that benefit.
                    </P>
                    <P>Other commenters argued that HEA section 455(e)(5), which states that payments must be made for “an extended period of time” implies that the time to forgiveness must be longer than 10 years' worth of monthly payments but less than 25 years.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         HEA section 455(d)(1)(D) requires the Secretary to offer borrowers an ICR plan that varies annual repayment amounts based upon the borrower's income and that is paid over an extended period of time, not to exceed 25 years.
                    </P>
                    <P>For the lowest balance borrowers, we believe that 10 years of monthly payments represents an extended period of time. Borrowers with low balances are most commonly those who enrolled in postsecondary education for one academic year or less. This provision, therefore, requires that a borrower repay their loan for a period that can be 10 times longer than the duration of their enrollment in postsecondary education. The Department agrees that as balances increase, the amount of time to repay should be extended. We, therefore, used a slope that increases the amount of time to repay as balances grow, up to the maximum of 25 years' worth of monthly payments as provided in the HEA.</P>
                    <P>
                        In response to the commenters who asserted that the proposed rule violated Congressional intent because of the varying payment caps for PSLF and 
                        <PRTPAGE P="43834"/>
                        non-PSLF borrowers, we disagree. PSLF is a separate program created by Congress. For most borrowers, PSLF will offer them forgiveness over a much shorter period than what they would otherwise have, even under the more generous terms created by this rule.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Federal Claims Collections Standards</HD>
                    <P>
                        <E T="03">Comments:</E>
                         A few commenters argued that the proposed rule violated the Federal Claims Collection Standards (FCCS). They pointed to 31 U.S.C. 3711(a), which requires the heads of Federal agencies to try to collect debts owed to the United States and cited regulations stemming from that provision that also require agencies to “aggressively” collect debts owed to agencies. They argued that since the statute does not grant the Department the authority to waive, modify, or cancel these debts, that it must abide by these financial management duties. In particular, they argued that choosing not to charge unpaid monthly interest would violate those obligations.
                    </P>
                    <P>Several commenters also argued that granting forgiveness after as few as 10 years' worth of payments violated the FCCS because those borrowers would be the ones most likely able to repay their debts due to their small loan balances. Shortened time to forgiveness would mean the Department is failing to aggressively collect debt due.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with these commenters. The FCCS requires agencies to try to collect money owed to them and provides guidance to agencies that functions alongside the agencies' own regulations addressing when an agency should compromise claims. The Department has broad authority to settle and compromise claims under the FCCS and as reflected in 34 CFR 30.70. The HEA also grants the Secretary authority to settle and compromise claims in Section 432(a)(6) 
                        <SU>45</SU>
                        <FTREF/>
                         of the HEA. This IDR plan, however, is not the implementation of the Department's authority to compromise claims, it is an implementation of the Department's authority to prescribe income-contingent repayment plans under Sec. 455 of the HEA.
                    </P>
                    <FTNT>
                        <P>
                            <SU>45</SU>
                             20 U.S.C. 1082(a)(6).
                        </P>
                    </FTNT>
                    <P>The Department also disagrees that low-balance borrowers are most likely to be able to repay their debts. In fact, multiple studies as well as Department administrative data establish that lower balance borrowers are at a far greater likelihood of defaulting on their loan than those with larger balances. As noted in the IDR NPRM, 63 percent of borrowers in default had original loan balances of $12,000 or below. While it is true that lower balances equate to lower loan payments, the commenter fails to consider that many borrowers with lower balances either did not complete a postsecondary program or obtained only a certificate. They likely received lower financial returns and demonstrably are more likely to struggle with repaying their loans. For borrowers with persistently low income, requiring payments for 20 years would not result in substantial increases in payments. In other words, reducing the time to forgiveness for such borrowers would not lead to large amounts of forgone payments.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Definitions (§ 685.209(b))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters suggested modifying the definition of “family size” to simplify and clarify language in the proposed regulations. One commenter suggested that we revise the definition of “family size” to better align it with the definition of a dependent or exemption on Federal income tax returns, similar to changes made to simplify the Free Application for Federal Student Aid (FAFSA) that begin in the 2024-2025 cycle. Another commenter stated that changing the definition of “family size” in this manner will streamline the IDR process and make it easier to automatically recertify a borrower's participation without needing supplemental information from the borrower.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We appreciate the commenters' suggestions to change the definition of “family size” to simplify the recertification process and make the definition for FAFSA and IDR consistent. We agree that it is important that borrowers be able to use data from their Federal tax returns to establish their household size for IDR. Doing so will make it easier for borrowers to enroll and stay enrolled in IDR. For that reason, we have added additional clarifying language noting that information from Federal tax returns can be used to establish household size.
                    </P>
                    <P>The Department notes that in the IDR NPRM we did adopt one key change in the definition of “family size” that is closer to IRS treatment and is being kept in this final rule. That change is to exclude the spouse from the household size if the borrower is married filing separately. Prior to this change it was possible for a borrower on the IBR, ICR, or PAYE plans to file separately and still include the spouse in their household. (This was not possible in the REPAYE plan because it always required the inclusion of the spouse's income regardless of whether the borrower was married filing jointly or separately.) The Department believes that if the spouse's income is not being counted for the purpose of establishing payment amounts then the spouse should not be included in the household size, which has the effect of protecting more income from payments.</P>
                    <P>As noted in the Implementation Date of These Regulations section, the Department will be early implementing this change on July 30, 2023. Between that date and July 1, 2024, borrowers completing the electronic application will have their spouse automatically excluded from their household size if they are married and file a separate tax return. Those who file separately and wish to include their spouse in their household size will have to complete the separate alternative documentation of income process to include the spouse's income. This change will affect any IDR plan chosen by Direct Loan borrowers. It will not be early implemented for FFEL borrowers.</P>
                    <P>Beyond that change that was also in the IDR NPRM, the Department chose not to adjust the definition of “family size” to match the IRS definition because we are concerned about making the process of determining one's household size through a manual process too onerous or confusing. The family size definition we proposed in the IDR NPRM captures many of the same concepts the IRS uses in its definition of dependents. This includes considering that the individual receives more than half their support from the borrower, as well as that dependents other than children must live with the borrower. The full IRS definition includes other considerations appropriate for tax filing but that could confuse borrowers when they determine who to include in their household size for IDR. These considerations include a cap on the amount of income an individual could have to be considered a dependent and provisions for how to address which household a child of a divorced couple should be included within. By using a simplified, easy to understand definition of family size, borrowers will have the ability to accurately modify the family size data retrieved from the IRS. Additionally, the definition explains when the borrower is permitted to include the spouse in the family size for all IDR plans.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We added subparagraph (ii) to the definition of “family size” in § 685.209(b).
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter urged the Department to create consistent treatment for all student loan borrowers (including borrowers with Direct Loans, 
                        <PRTPAGE P="43835"/>
                        FFELs and graduate and Parent PLUS borrowers in both programs) under our regulations. This commenter argued that the divisions between FFEL and Direct Loans frustrate borrowers and generate resentment. The commenter also believes these changes would reduce complexity in the student loan system and particularly help Black and Hispanic borrowers who need to borrow loans to pay for their education.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department supports aligning program regulations for Direct Loan and FFEL borrowers where appropriate and permitted by statute and has determined it is appropriate to align the definition of “family size” in § 682.215(a)(3) of the FFEL program regulations with the definition in § 685.209(b), with the exception of § 685.209(b)(ii), which must be excluded because the FUTURE Act only permits the sharing of tax information from the IRS to the Department and not to private parties who hold FFEL loans. The alignment of the definition in § 682.215(a)(3) provides for the exclusion of the borrower's spouse from the family size calculation except for borrowers who file their Federal tax return as married filing jointly.
                    </P>
                    <P>The Department will work with FFEL partners, including lenders and guaranty agencies, to make sure that borrowers repaying their FFEL loans under the IBR plan are treated consistently with Direct Loan borrowers with respect to borrowers' family size. Unlike the comparable changes to the Direct Loan program, this change will not be early implemented and will instead go into effect on July 1, 2024. We are treating FFEL loans differently in this case to make certain there is sufficient time to adjust systems and avoid a situation where some lenders voluntarily choose to implement this change and others do not.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We have revised the definition of “family size” in § 682.215(a)(3) to align with the definition of “family size” in § 685.209(b).
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter suggested that we include definitions and payment terms related to all of the IDR plans, not just REPAYE, because borrowers may be confused about which terms apply to which plans. This commenter recommended adding additional subsections in the regulations to eliminate confusion.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Effective July 1, 2024, we will limit student borrowers to new enrollment in REPAYE and IBR. We do not believe that any additional changes to the other plans are necessary. Overall, we think the reorganization of the regulatory text to put all IDR plans in one place will make it easier to understand the terms of the various plans.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Borrower Eligibility for IDR Plans (§ 685.209(c))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters supported our proposed changes to the borrower eligibility requirements for the IDR plans. However, many commenters expressed concern that we continued the existing exclusion of parent PLUS borrowers from the REPAYE plan. These commenters argued that parent PLUS borrowers struggle with repayment just as student borrowers do, and that including parents in these regulations would be a welcome relief.
                    </P>
                    <P>Commenters also expressed concern that our proposed regulations excluded Direct Consolidation Loans that repaid a parent PLUS loan from the benefits that student borrowers would receive. These commenters noted that parents may have borrowed student loans to finance their own education in addition to taking out a parent PLUS loan to pay for their child's education.</P>
                    <P>One commenter alleged that the Direct Consolidation Loan repayment plan for parent PLUS borrowers is not as helpful compared to the other repayment plans. This commenter noted that the only IDR plan available to parent PLUS borrowers when they consolidate is the ICR plan, which uses an income protection calculation based on 100 percent of the applicable poverty guideline compared to 150 percent of the applicable poverty guideline for the other existing IDR plans. The commenter also noted that the only IDR plan available to borrowers with a Direct Consolidation Loan that repaid a parent PLUS loan requires parents to pay 20 percent of their discretionary income compared to 10 percent for the other existing IDR plans available to students. Together, these conditions make monthly payments unmanageable for parent PLUS borrowers according to this commenter.</P>
                    <P>One commenter noted that while society encourages students to obtain a college degree due to the long-term benefits of higher education, tuition is so expensive that oftentimes students are unable to attend a university or college without assistance from parents. In this commenter's view, the Department has structured an IDR plan for parent PLUS borrowers that is unfair and punitive to parents. The commenter also noted that parent PLUS borrowers who work an additional job to help with expenses will have an increase in AGI, which leads to higher monthly loan payments the following year.</P>
                    <P>One commenter said that excluding parent PLUS borrowers from most IDR plans, especially parents of students who also qualify for Pell Grants, suggested that the Department is not concerned that parents are extremely burdened by parent PLUS loan payments. Several commenters stated that if parents are still unable to access the REPAYE plan benefits, some or all of those repayment improvements should be implemented into the ICR plan available to parent PLUS borrowers.</P>
                    <P>One commenter asserted that students attending Historically Black Colleges and Universities (HBCUs) are more likely to rely on parent PLUS loans than students attending other institutions. The commenter further stated that given racial disparities in college affordability, the proposed REPAYE plan should be amended to include Direct Consolidation loans that repaid Direct or FFEL parent PLUS Loans.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         While we understand that some parent PLUS borrowers may struggle to repay their debts, parent PLUS loans and Direct Consolidation loans that repaid a parent PLUS loan will not be eligible for REPAYE under these final regulations. The HEA has long distinguished between parent PLUS loans and loans made to students. In fact, section 455(d)(1)(D) and (E) of the HEA prohibit the repayment of parent PLUS loans through either ICR or IBR plans.
                    </P>
                    <P>
                        Following changes made to the HEA by the Higher Education Reconciliation Act of 2005, the Department determined that a Direct Consolidation Loan that repaid a parent PLUS loan first disbursed on or after July 1, 2006, could be eligible for ICR.
                        <SU>46</SU>
                        <FTREF/>
                         The determination was partly due to data limitations that made it difficult to track the loans underlying a consolidation loan, as well as recognition of the fact that a Direct Consolidation Loan is a new loan. In granting access to ICR, the Department balanced our goal of allowing the lowest-income borrowers who took out loans for their dependents to have a path to low or $0 payments without making benefits so generous that the program would fail to acknowledge the foundational differences established by Congress between a parent who borrows for a student's education and a student who borrows for their own education. The income-driven repayment plans provide a safety net for student borrowers by allowing them to repay their loans as a share of their earnings over a number of years. Many Parent 
                        <PRTPAGE P="43836"/>
                        PLUS borrowers are more likely to have a clear picture of whether their loan is affordable when they borrow because they are older than student borrowers, on average, and their long-term earnings trajectory is both more known due to increased time in the labor force and more likely to be stable compared to a recent graduate starting their career. Further, because parent PLUS borrowers do not directly benefit from the educational attainment of the degree or credential achieved, the parent PLUS loan will not facilitate investments that increase the parent's own earnings. The parent's payment amounts are not likely to change significantly over the repayment period for the IDR plan. Moreover, parents can take out loans at any age, and some parent PLUS borrowers may be more likely to retire during the repayment period. Based on Department administrative data, the estimated median age of a parent PLUS borrower is 56, and the estimated 75th percentile age is 62. As such, the link to a 12-year amortization calculation in ICR reflects a time period during which these borrowers are more likely to still be working.
                    </P>
                    <FTNT>
                        <P>
                            <SU>46</SU>
                             
                            <E T="03">fsapartners.ed.gov/sites/default/files/attachments/dpcletters/GEN0602.pdf.</E>
                        </P>
                    </FTNT>
                    <P>We appreciate and agree with the commenter's concern about racial disparities in college affordability, and we recognize that students attending HBCUs often rely on parent PLUS loans. However, we do not agree that making Direct Consolidation Loans that repaid a parent PLUS loan eligible for REPAYE is the appropriate way to address that issue. The Department supports numerous ways to improve affordability for all borrowers, including parent PLUS borrowers, and address resource inequities faced by HBCUs and the students they serve. Parent PLUS loans have benefited from the pause on payments and interest, and they are eligible for President Biden's plan to cancel to up to $20,000 in student debt. The Department delivered approximately $3 billion of additional American Rescue Plan funding to HBCUs, Tribally Controlled Colleges and Universities (TCCUs), Minority Serving Institutions (MSIs), and Strengthening Institutions Program (SIP) institutions. Additionally, the Department's proposed budget for Fiscal Year 2024 would increase investments in capacity building and student success efforts at these institutions and provide up to $4,500 in tuition assistance to students at HBCUs, TCCUs, and MSIs. The Department will continue to explore ways to make college affordable for all students and address racial disparities. We will also continue to explore all available options, including legislative recommendations, regulatory amendments, and other means to identify ways to make certain that parent PLUS borrowers are able to successfully manage and repay their loans.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter emphatically stated that the Department should not under any circumstances expand this proposed rule to make parent PLUS loans eligible for REPAYE. The commenter further stated that while earnings are uncertain but likely to grow for most borrowers, parent PLUS borrowers' earnings are more established and consistent. Allowing these loans to be eligible for REPAYE would make the proposed rule far more expensive and regressive.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree with the commenter that parents borrowing for their children are different than student borrowers and have more established and consistent earnings. As discussed previously, we know that many parent PLUS borrowers do struggle to repay their loans, but we do not believe that including consolidation loans that repaid a parent PLUS loan in REPAYE is the appropriate way to address that problem given the difference between students and parents borrowing for their child's education.
                    </P>
                    <P>The Department is taking some additional steps in this final rule to affirm our position about the treatment of parent PLUS loans or Direct consolidation loans that repaid a parent PLUS loan being only eligible for the ICR plan In the past, limitations in Department data may have enabled a parent PLUS loan that was consolidated and then re-consolidated to enroll in any IDR plan, despite the Department's position that such loans are only eligible for the ICR plan. The Department will not adopt this clarification for borrowers in this situation currently on an IDR plan because we do not think it would be appropriate to take such a benefit away. At the same time, the Department is aware that a number of borrowers have consolidated or are in the process of consolidating in response to recent administrative actions, including the limited PSLF waiver and the one-time payment count adjustment. Because some of these borrowers may be including parent PLUS loans in those consolidations without understanding that they would need to exclude that loan type to avoid complicating their future IDR eligibility, we will be applying this clarification for any Direct Consolidation loan made on or after July 1, 2025.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We added § 685.209(c)(5)(iii) to provide that a Direct Consolidation loan made on or after July 1, 2025, that repaid a parent PLUS loan or repaid a consolidation loan that at any point paid off a parent PLUS loan is not eligible for any IDR plan except ICR.
                    </P>
                    <HD SOURCE="HD1">Limitation on New Enrollments in Certain IDR Plans (§ 685.209(c)(2), (3), and (4))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters raised concerns about the Department's proposal in the IDR NPRM to prevent new enrollments in PAYE and ICR for student borrowers after the effective date of the regulations. They noted that these plans are included in the MPN that borrowers signed. Several commenters pointed out that the Department has not previously eliminated access to a repayment plan for borrowers even if they are not currently enrolled on such plan. These commenters also argued that some of the plans being limited might provide lower total payments for borrowers than REPAYE, especially for graduate borrowers who could receive forgiveness after 20 years on PAYE.
                    </P>
                    <P>One commenter suggested that we consider ceasing enrollment in IBR for new borrowers—other than borrowers in default—to simplify repayment options and possibly reduce the cost of the plan if high-income graduate borrowers use REPAYE before switching back into IBR to receive forgiveness.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The MPN specifically provides that the terms and conditions of the loan are subject to change based on any changes in the Act or regulations. This provides us with the legal authority to prohibit new enrollment in PAYE and ICR. However, we do not believe it is appropriate to end a repayment plan option for borrowers currently using that plan who wish to continue to use it. Therefore, no borrower will be forced to switch from a plan they are currently using. For example, a borrower already enrolled in PAYE will be able to continue repaying under that plan after July 1, 2024.
                    </P>
                    <P>
                        The Department also does not think limiting new enrollment in PAYE or ICR creates an unfair limitation for student borrowers not currently enrolled in those plans. Borrowers in repayment will have a year to decide whether to enroll in PAYE. This provides them with time to decide how they want to navigate repayment. The overwhelming majority of borrowers not currently in repayment have loans that should be eligible for the version of IBR that is available to new borrowers on or after July 1, 2014. That plan has terms that are essentially identical to PAYE. Given that borrowers will have time to choose 
                        <PRTPAGE P="43837"/>
                        their plan, have access to REPAYE, and most likely have access to IBR if they are not currently in repayment, the simplification benefits far exceed the size of this population.
                    </P>
                    <P>Accordingly, the Department has retained the structure in the IDR NPRM. Student borrowers will not be eligible to access PAYE or ICR after July 1, 2024, although consolidation loans that repaid a parent PLUS loan will maintain access to ICR. Any borrower on PAYE or ICR as of July 1, 2024 will maintain access to those plans so long as they do not switch off those plans, and the limitation only applies to those not enrolled in those plans on that date.</P>
                    <P>In response to the commenter's suggestion to consider sunsetting new enrollment in IBR, we do not believe that sunsetting the IBR plan is permitted by section 493C(b) of the HEA which authorized the IBR plan. For the PAYE and ICR plans, both of which are authorized by the same statutory provisions that are distinct from those that establish IBR, we believe it is appropriate to limit new enrollment and to prevent re-enrollment in those plans for borrowers who choose to leave REPAYE.</P>
                    <P>In the IDR NPRM, we proposed limitations on switching plans out of concern that a borrower with graduate loans may pay for 20 years on REPAYE to receive lower payments, then switch to IBR and receive forgiveness immediately. We proposed limiting such a switch after the equivalent of 10 years of monthly payments (120 payments) so that borrowers would have adequate time to choose and not feel suddenly stuck in one plan.</P>
                    <P>However, we are changing the way the limitation on switching from REPAYE to IBR will work in this final rule. Instead of applying a cumulative payment limit, which could include time prior to July 1, 2024, we are prohibiting borrowers from switching to IBR after making the equivalent of 5 years of payments (60 months) on REPAYE starting after July 1, 2024. Applying this requirement prospectively makes certain that no borrower is inadvertently excluded from the plan and that we can properly enforce this requirement. This is especially important as the Department works to award IDR credit through the one-time payment count adjustment. However, because we are restricting this prospectively, we agree with the commenter that a shorter amount of allowable time on REPAYE is appropriate. Accordingly, we reduced the amount of time a borrower can spend on REPAYE and still change plans to half of the time we proposed in the IDR NPRM.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We have clarified that only borrowers who are repaying a loan on the PAYE or ICR plan as of July 1, 2024, may continue to use those plans and that if such a borrower switches from those plans they would not be able to return to them. We maintain the exception for borrowers with a Direct Consolidation Loan that repaid a Parent PLUS loan. These borrowers will still be able to access ICR after July 1, 2024. We have amended § 685.209(c)(3)(ii) to stipulate that a borrower who makes 60 monthly payments on REPAYE after July 1, 2024, may no longer switch from REPAYE to IBR.
                    </P>
                    <HD SOURCE="HD1">Income Protection Threshold (§ 685.209(f))</HD>
                    <HD SOURCE="HD2">General Support for Income Protection Threshold</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters supported the Department's proposal to set the income protection threshold at 225 percent of the FPL. As one commenter noted, the economic hardship caused by a global pandemic and the steady rise in the cost of living over the last 40 years have left many borrowers struggling to make ends meet resulting in less money to put toward student loans. The commenter noted that the proposed change would allow borrowers to protect a larger share of their income so that they do not have to choose between feeding their families and making student loan payments.
                    </P>
                    <P>
                        A few commenters agreed that providing more pathways to affordable monthly payments would reduce the overall negative impact of student debt on economic mobility. They further suggested that it would increase a borrower's ability to achieve other financial goals, such as purchasing a home or saving for emergencies. Another commenter noted that the proposed change will provide greater economic security for many borrowers and families, particularly those whose rent represents too large a share of their income,
                        <SU>47</SU>
                        <FTREF/>
                         and will help borrowers impacted by rising housing costs, inflation, and other living expenses.
                    </P>
                    <FTNT>
                        <P>
                            <SU>47</SU>
                             
                            <E T="03">https://www.huduser.gov/portal/pdredge/pdr_edge_featd_article_092214.html.</E>
                        </P>
                    </FTNT>
                    <P>One commenter noted that requiring payments only for those who earn more than 225 percent of FPL, as opposed to 150 percent of the FPL, will positively impact people of color attempting to thrive in the work world after completing their degree.</P>
                    <P>Another commenter considered the increased income protection a major step forward. This commenter noted that early childhood educators, paraprofessionals, and other low- to moderate-wage workers often find the current income-driven repayment system unaffordable, causing these individuals to often go in and out of deferment or forbearance.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the many commenters who supported our proposed changes. We understand that many borrowers have been struggling to make ends meet and have less money to put toward student loans. We believe these final regulations will result in more affordable monthly payments for many borrowers, particularly the borrowers who struggle the most. Providing more affordable monthly payments will in turn help reduce rates of delinquency and default among borrowers.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">General Opposition to Income Protection Threshold</HD>
                    <P>
                        <E T="03">Comments:</E>
                         According to one commenter, an increase in the threshold provides extensive benefits even to high-income borrowers. Notably, however, the commenter remarked that it also makes payments substantially more affordable for low-income borrowers.
                    </P>
                    <P>Another commenter noted that changing the income protection threshold from 150 percent to 225 percent of the FPL was the single costliest provision of the proposed regulations and noted that the reason for the high cost was because both undergraduate and graduate loans would be eligible for the higher income protection threshold. This commenter recommended that we maintain the income protection threshold at 150 percent for graduate loans to strike a balance of targeting benefits to the neediest borrowers while also protecting taxpayers' investment.</P>
                    <P>Several commenters opposed the proposed revisions to the income protection threshold, saying that it would be wrong to force taxpayers to effectively cover the full cost of a postsecondary education. One commenter felt that the proposed changes were morally corrupt, noting that many borrowers would pay nothing under this plan, forcing taxpayers to cover the full amount. Others argued that it was unfair to set the amount of income protected at 225 percent of FPL because that amount would be substantially above the national median income for younger adults, including those who did not attend college.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         While it is true that the increase in the income protection threshold protects more income from 
                        <PRTPAGE P="43838"/>
                        being included in payment calculations, the Department believes this change is necessary to provide that borrowers have sufficient income protected to afford basic necessities. Moreover, as noted in the IDR NPRM, this threshold captures the point at which reports of financial struggles are otherwise statistically indistinguishable from borrowers with incomes at or below the FPL. Additionally, this protection amount provides a fixed level of savings for borrowers that does not increase once a borrower earns more than 225 percent of FPL. For the highest income borrowers, the payment reductions from this increase could eventually be erased due to the lack of a payment cap equal to the amount the borrower would pay under the standard 10-year plan. This achieves the Department's goal of targeting this repayment plan to borrowers needing the most assistance. As the commenter remarked, and with which we concur, our increase of the income protection threshold to 225 percent of FPL would result in substantially more affordable payments for low-income borrowers.
                    </P>
                    <P>In response to the commenter who opined that the shift from 150 percent of the FPL to 225 percent was the single costliest provision in these regulations, we discuss in greater detail the cost of this regulation in the RIA section of this document. We decline to adopt the commenter's recommendation of using a threshold of 150 percent of FPL for graduate borrowers because we believe this income protection threshold provides an important safety net for borrowers to make certain that they have a baseline level of resources. In choosing this threshold, we conducted an analysis of student loan borrowers and looked at the point at which the share of borrowers reporting a material hardship, either being food insecure or behind on their utility bills, was statistically different from those whose family incomes are at or below the FPL and found that those at 225 percent of the FPL were statistically indistinguishable from those with incomes below 100 percent of the FPL. Moreover, we are concerned about the complexity of varying both the amount of income protected and the amount of unprotected income used to calculate payments based upon loan types.</P>
                    <P>
                        We disagree with the commenter's concerns that the income protection threshold is too high because it is higher than the median income for young adults. Borrowers who fail to complete a degree or certificate will likely have similar earnings compared to borrowers who do not go to college but will have student loan debt they need to repay, even if they did not receive a financial benefit from their additional education. In 2020, median full-time full-year income for high school graduates aged 25 to 34 was $36,600 while the discretionary income threshold at 225 FPL would have been $28,710 for a single individual.
                        <SU>48</SU>
                        <FTREF/>
                         Therefore, even a borrower who worked full time but did not receive any financial benefit from the education for which they borrowed would still make loan payments under the new REPAYE plan.
                    </P>
                    <FTNT>
                        <P>
                            <SU>48</SU>
                             
                            <E T="03">nces.ed.gov/fastfacts/display.asp?id=77.</E>
                        </P>
                    </FTNT>
                    <P>
                        In response to the commenters who opposed our income protection threshold provisions on the grounds that it would be wrong to force taxpayers to pay for the borrower's education and be morally corrupt, we note that the costs associated with delinquency and default would be detrimental to both the taxpayers and the individual borrower. Moreover, we provided further discussion elsewhere in this section, 
                        <E T="03">Income Protection Threshold,</E>
                         as to why we remain convinced that it is appropriate set the threshold at 225 percent of the FPL.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Higher Income Protection Amounts</HD>
                    <P>
                        <E T="03">Comment:</E>
                         Commenters argued that the proposed protection threshold of 225 percent was too low and was beneath what most non-Federal negotiators had suggested during the negotiated rulemaking sessions.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         As discussed during the negotiated rulemaking sessions, the Department agreed with the non-Federal negotiators that the amount of income protected under the current regulations is too low. Accordingly, in § 685.209(f)(1), the Department increased the amount of discretionary income exempted from the calculation of payments in the REPAYE plan to 225 percent of the FPL. We chose this threshold based on an analysis of data from the 2020 SIPP 
                        <SU>49</SU>
                        <FTREF/>
                         for individuals aged 18 to 65, who attended postsecondary institutions, and had outstanding student loan debt. The Department looked for the point at which the share of those who report material hardship—either being food insecure or behind on their utility bills—was statistically different from those whose family incomes are at or below their respective FPL. The Department never proposed protecting an amount of income above 225 percent of the FPL during the negotiations, and consensus was not reached during the negotiations.
                    </P>
                    <FTNT>
                        <P>
                            <SU>49</SU>
                             
                            <E T="03">www.census.gov/programs-surveys/sipp/data/datasets/2020-data/2020.html.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters argued for protecting a larger amount of the FPL than the Department proposed. One commenter suggested that the income protection threshold be increased to 300 to 350 percent of FPL to meet basic needs, specifically for families with young children, and increased to 400 percent for those with high medical expenses. Other commenters recommended using a threshold above 400 percent. They said this amount would better reflect borrowers' true discretionary income after they pay for housing, food, child care, elder care, health insurance premiums, utilities, and transportation bills.
                    </P>
                    <P>Other commenters argued for increasing the amount of income protected on the grounds that the borrowers most likely to benefit from the increase disproportionately include first-generation college students, as well as those who are immigrants, Black, and Latino.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the suggestions to increase the amount of income protected. We base payments on the marginal amount of income above that threshold. As a result, we determine the payment on the amount of a borrower's income above the 225 percent FPL threshold, rather than on all of their income. For someone who earns just above 225 percent of FPL, their payments will still be minimal.
                    </P>
                    <P>Here, we illustrate the payment amount for a single borrower earning income that is $1,500 above the 225 percent FPL threshold and who holds only undergraduate loans. The borrower's payment will be approximately $10 per month (due to the rounding of minimum payment amounts), which is only 0.2 percent of their annual income. We believe that increasing the income protection threshold and reducing the payment amount for undergraduate loans, coupled with our other regulatory efforts such as auto-enrollment into IDR for delinquent borrowers will protect low-income borrowers and reduce defaults.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters suggested that we apply various incremental increases—from 250 percent to over 400 percent—so that struggling borrowers can afford the most basic and fundamental living expenses like food, housing, child care, and health care, in line with the threshold used for Affordable Care Act subsidies.
                        <PRTPAGE P="43839"/>
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department sought to define the level of necessary income protection by assessing where rates of financial hardship are significantly lower than the rate for those in poverty. Based upon an analysis discussed in the Income Protection Threshold section of the IDR NPRM, the Department found that point to be 225 percent of FPL.
                    </P>
                    <P>We believe the new REPAYE plan provides an important safety net for borrowers whose income falls at a point at which repaying their student loans would become difficult. Our analysis found that borrowers between 225 percent and 250 percent of the FPL have statistically different rates of material hardship compared to those below the poverty line. As such 250 percent of FPL would not be an appropriate threshold.</P>
                    <P>The comparison to the parameters of the Affordable Care Act's Premium Tax Credits is not appropriate. Under that structure, 400 percent of FPL is the level at which eligibility for any subsidy ceases. An individual up to that point can receive a tax credit such that they will not pay more than 8.5 percent of their total income. Individuals above that point receive no additional assistance. In contrast, all borrowers—including those who have incomes above 225 percent or even 400 percent of FPL—will have income equal to 225 percent FPL protected when calculating their payment. The eligibility threshold for receiving the minimum ACA premium tax credit is, therefore, not a suitable gauge of the point below which it is unreasonable to expect a borrower to make payments on their student loans.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         A commenter discussed the relationship of borrowers' debt-to-income ratios to the percentage of defaulted borrowers. This commenter cited their own research, which found that default rates generally level off at a discretionary income of $35,000 and above and could reasonably justify income protection of 400 percent FPL if the goal is to reduce default rates.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Reducing default rates is a concern for the Department. We believe that the changes made to the REPAYE plan will reduce default rates. However, we do not believe that raising the income protection from 225 percent to 400 percent would sufficiently reduce defaults in a way that would justify the added costs. Changing the income protection to 400 percent would protect up to $58,320 for a single individual and $120,000 for a four-person household. Existing evidence on default indicates that borrowers with much lower incomes are the ones most likely to struggle with loan repayment. For example, data from the 2012/17 Beginning Postsecondary Students Longitudinal Study show that around 1.4 percent of individuals who had incomes below the equivalent of $58,320 in 2017 dollars (about $47,700) defaulted in the previous year, and 5.7 percent ever defaulted by that point, compared to less than 1 percent (both in the previous year and ever defaulted) for those above $58,320.
                        <SU>50</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>50</SU>
                             Analysis using Beginning Postsecondary Students (BPS) 2012/2017, PowerStats reference zqelzd.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter noted that while material hardship is a valid determination for an income threshold, there are significantly more families experiencing financial hardship beyond the definition in the IDR NPRM. The commenter said that our estimation of a material hardship was inequitable by only looking at food insecurity and being behind on utility bills and suggested that we raise the threshold to incorporate other areas such as housing and health care.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Our examination of the incidence of material hardship used two measures that are commonly considered in the literature on material hardship and poverty as proxies for family well-being.
                        <SU>51</SU>
                        <FTREF/>
                         We agree that there are other expenses that can create a financial hardship. We believe that the 225 percent threshold provides that those experiencing the greatest rates of hardship will have a $0 payment, while borrowers above that threshold will have more affordable payments.
                    </P>
                    <FTNT>
                        <P>
                            <SU>51</SU>
                             See, for instance: Mayer, S.E., &amp; Jencks, C. (1989). 
                            <E T="03">Poverty and the distribution of material hardship.</E>
                             The Journal of Human Resources, 24, 88-114 Ouellette, T., Burstein, N., Long, D., &amp; Beecroft, E. (2004). Measures of material hardship final report. Prepared for U.S. Department of Health and Human Services, ASPE. Short, K.S. (2005). 
                            <E T="03">Material and financial hardship and income-based poverty measures in the USA.</E>
                             Journal of Social Policy, 34, 21-38.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Lower Income Protection Amounts</HD>
                    <P>
                        <E T="03">Comments:</E>
                         The Department received a range of comments arguing for not increasing the amount of income protected to 225 percent of FPL. Some of these commenters argued that the threshold should remain at 150 percent of FPL. Others argued that the amount should be set at 175 to 200 percent of FPL because of concerns that 225 percent was higher than necessary and untargeted.
                    </P>
                    <P>One commenter stated that leaving the income exemption at 150 percent of the FPL would still cut monthly payments in half for low-income undergraduate borrowers, would avoid other potential problems, and would make programs without any labor market value free or nearly free for many students, but the Federal Government and taxpayers would foot the bill.</P>
                    <P>Another commenter advised that the income limit for student loan forgiveness should be set to benefit only those who are either below the poverty level or who are making less than the poverty level for a set number of working years and only if there is evidence that they are putting in effort to improve their situations.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         According to the Department's analysis, keeping the monthly income exemption at 150 percent of the FPL or lowering it would exclude a substantial share of borrowers who are experiencing economic hardship from the benefits of a $0 or reduced payment. The Department analyzed the share of borrowers reporting a material hardship (
                        <E T="03">i.e.,</E>
                         experiencing food insecurity or behind on utility bills) and found that those at 225 percent of the FPL were statistically indistinguishable from those with incomes below 100 percent of the FPL. Requiring any monthly payment from those experiencing these hardships, even if payments are small, could put these borrowers at higher risk of delinquency or default.
                    </P>
                    <P>The Department also disagrees with suggestions from commenters to require evidence that of borrowers are trying to financially better themselves. Such an approach would be administratively burdensome with no clear benefit.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         A few commenters argued for phasing out the income protection threshold altogether at a level at which a household's experience of hardship diverges markedly from households living in poverty. Other commenters argued for phasing down the amount of income protected as a borrower's earnings increased. For instance, one commenter suggested phasing down the protection first to 150 percent and then phasing it out entirely for borrowers who earn more than $100,000.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         One of the Department's goals in constructing this plan is to create a repayment system that is easier for borrowers to navigate, both in terms of choosing whether to enroll in IDR or not, as well as which IDR plan to choose. This simplified decision-making process is especially important to help the borrowers at the greatest risk of delinquency or default make choices that will help them avoid those outcomes. No other IDR plan has such a phase out and to adopt one here 
                        <PRTPAGE P="43840"/>
                        would risk undermining the simplification goals and the benefits that come from it. While we understand the goals of the commenters, the importance of the income protection also diminishes as borrowers' income grows. All borrowers above the income protection threshold save the same amount of money as any other borrower with the same household size. But as income grows, the percentage of their total payment reduced by this change diminishes. Because there is no payment cap under this plan, high-income borrowers can have larger payments that exceed the standard 10-year repayment plan. This could include situations where the payment amount above the standard 10-year repayment plan is greater than the savings the borrower would receive from the higher income protection amount.
                    </P>
                    <P>A phased reduction would also make the plan harder to explain to borrowers. This approach, alongside the use of a weighted average to calculate loan payments, would make it significantly harder to explain likely payment amounts to borrowers and increase confusion.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter asserted that the 225 percent poverty line threshold is not well justified and questioned why other means-tested Federal benefit thresholds are not sufficient. The commenter further pointed out that the Supplemental Nutrition Assistance Program (SNAP) has a maximum threshold of 200 percent of the FPL, and the Free and Reduced-Price School Lunch program, also targeted at food insecurity, has a maximum threshold of 185 percent of the poverty line.
                    </P>
                    <P>Along similar lines, a commenter noted that the taxation threshold for Social Security benefits is $25,000 and did not see the sense in protecting a higher amount of income for purposes of REPAYE payments.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenter's assertion that the income protection threshold is not well justified and reiterate that the data and analysis we provided in the IDR NPRM is grounded with sufficient data and sound reasoning. With respect to means-tested benefits that use a lower poverty threshold, we note fundamental differences between Federal student loan repayment plans and other Federal assistance in the form of SNAP or free-reduced lunch. First, some of these means-tested benefits have an indirect way to shelter income. SNAP, for example, uses a maximum 200 percent threshold for broad-based categorical eligibility criteria that allows certain deductions from inclusion in income including: a 20 percent deduction from earned income, a standard deduction based on household size, dependent care deductions, and in some States, certain other deductions,
                        <SU>52</SU>
                        <FTREF/>
                         among others. Even though the Department of Agriculture's use of the maximum threshold is 200 percent of the FPL, the deductions from inclusion in income could result in a higher protection of income and assets than our use of an across-the-board 225 percent of the FPL. The Department does not allow other deductions from income or sheltering certain assets.
                    </P>
                    <FTNT>
                        <P>
                            <SU>52</SU>
                             
                            <E T="03">www.fns.usda.gov/snap/recipient/eligibility.</E>
                        </P>
                    </FTNT>
                    <P>Second, it is inappropriate to compare the poverty thresholds used for means-tested benefits to the thresholds used for income protection under the REPAYE plan. Other agencies use the FPL as a baseline to determine eligibility for their benefits whereas we are using the 225 percent to calculate a monthly payment. A key consideration in our analysis and justification for using 225 percent of the FPL for the income protection threshold was identifying the point at which the share of those who reported material hardship was statistically different from those at or below the FPL.</P>
                    <P>
                        Finally, with respect to the commenter who noted that the taxation threshold for Social Security benefits is $25,000, this provision is from the Social Security Amendments of 1983 under which 50 percent of an individual's Social Security benefits would be subject to the Federal income tax if that individual's income is above a specified threshold—$25,000 for individual filers and $32,000 for married couples filing jointly.
                        <SU>53</SU>
                        <FTREF/>
                         FPL thresholds simply do not apply to Social Security benefits and the comparison to REPAYE is therefore inappropriate.
                    </P>
                    <FTNT>
                        <P>
                            <SU>53</SU>
                             The 2022 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds, June 2, 2022, at 
                            <E T="03">www.ssa.gov/OACT/TR/2022/tr2022.pdf.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Another commenter encouraged the Department to limit the income protection threshold and all other elements of the rule, to undergraduate loans. They further asserted that, by allowing the higher disposable income exemption to apply to graduate debt, the rule is likely to eliminate or substantially reduce payments for many doctors, lawyers, individuals with MBAs, and other recent graduate students with very high earning potential who are in the first few years of working. Other commenters similarly recommended that the Department maintain the income protection threshold for graduate loans at 150 percent of FPL.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We decline to limit the income protection to only undergraduate borrowers or to adopt a 150 percent income protection threshold for graduate borrowers. The across-the-board 225 percent of the FPL income protection threshold provides an important safety net for borrowers to make certain they have a baseline of resources. We provide our justification in detail in the IDR NPRM.
                        <SU>54</SU>
                        <FTREF/>
                         In addition, a differential income protection threshold in REPAYE between undergraduate and graduate borrowers would be operationally complicated and would add confusion given the other parameters of this plan. For one, it is unclear how this suggestion would work for a borrower who is making a payment on both undergraduate and graduate loans at the same time. The Department does not think a weighted average approach would work either because it would be confusing to be protecting different amounts of income and then charging varying shares of that discretionary income for payments. And we are concerned that applying the lower threshold if the borrower has any graduate debt could put the lowest-income graduate borrowers at risk of default. Moreover, it would create challenges in simplifying repayment options because other plans also protect 150 percent of FPL and might offer other benefits that would cause graduate borrowers to choose them, such as forgiveness after 20 years instead of 25 years.
                    </P>
                    <FTNT>
                        <P>
                            <SU>54</SU>
                             See 88 FR 1901-1902.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Cost-of-Living Adjustments</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters argued for adopting regional cost-of-living adjustments to the determination of the amount of income protected. Commenters said this was necessary to address disparities in cost of living across the country. Several commenters pointed to high-cost urban areas, particularly in New York City and elsewhere, as evidence that even 225 percent of FPL was insufficient for individuals to still afford basic necessities, such as rent and groceries. Commenters also pointed to differences in local tax burdens, which also affect the availability of income for loan payments and necessities. Commenters noted that this adjustment is particularly important because so many individuals who attend college tend to live in higher-cost areas.
                        <PRTPAGE P="43841"/>
                    </P>
                    <P>Another commenter who argued in favor of regional cost-of-living adjustments suggested using Regional Price Parities available at both the State and metropolitan area levels. This commenter stated that failure to consider this alternative would be arbitrary and capricious.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department declines to adjust the income protection amount based upon relative differences in the cost of living in different areas outside of the existing higher thresholds used for Alaska and Hawaii.
                    </P>
                    <P>
                        The FPL is a widely accepted way of assessing a family's income. Many State programs use it without regional cost of living adjustments, making it difficult to choose a regional adjustment factor that would not be arbitrary. First, we have not identified a well-established and reliable method to adjust for regional differences. Examples of State agencies that use the FPL for their benefits or programs include New York's Office of Temporary and Disability Assistance, Wisconsin's health care plans, as well many other State health agencies across the country. At the Federal level, the U.S. Citizenship and Immigration Services (USCIS) allows non-citizens to request a fee reduction 
                        <SU>55</SU>
                        <FTREF/>
                         when filing Form N-400, an Application for Naturalization if that individual's household income is greater than 150 percent but not more than 200 percent of the FPL. This fee reduction does not account for regional cost differentials where the individual resides; rather, USCIS uses an across-the-board factor to better target that benefit to those needing the most assistance to become naturalized U.S. citizens. Moreover, Federal courts in Chapter 7 bankruptcy proceedings may waive certain administrative fees if a debtor's income is less than 150 percent of the FPL.
                        <SU>56</SU>
                        <FTREF/>
                         Across the various cases of these State and Federal benefits, the use of the FPL is consistent after accounting that there is no reliable method to adjust for regional differences.
                    </P>
                    <FTNT>
                        <P>
                            <SU>55</SU>
                             See Form I-942, OMB Form No. 1615-0133, 
                            <E T="03">www.uscis.gov/i-942.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>56</SU>
                             28 U.S.C. 1930(f).
                        </P>
                    </FTNT>
                    <P>Second, we think it is valuable to provide a straightforward way for borrowers to understand how much income will be protected from payments. We would lose the simplicity of such an approach if we adjusted based upon the cost of living. Relatedly, it would be operationally difficult to apply a borrower's regional cost of living adjustment such as if we used the Bureau of Economic Analysis' (BEA) Regional Price Parities by State and Metropolitan area, as the commenters suggest. It is unclear how we would determine the appropriate cost of living factor to use for income protection—whether we would use the address on file on the IDR application, where the borrower files taxes, or the State of domicile. Furthermore, use of BEA data could obligate the Department to collect data elements that would be onerous to compile and could result in borrowers failing to enroll or recertify in an IDR plan. Instead, as we have done since the inception of the ICR plans, we will use a percentage of the FPL as the baseline for income protection.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters suggested alternative measures that are more localized than FPL, such as State median income (SMI). They maintained that SMI better accounts for differences in cost of living and provides a more accurate reflection of an individual or family's economic condition. Commenters noted that some Federal social service programs, including the Low-Income Home Energy Assistance Program (LIHEAP) and housing programs such as Section 8 Housing Choice Vouchers, use the SMI rather than the FPL for this reason.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         It is important to calculate payments consistently and in a way that is easy to explain and understand. Using SMI to determine income protection would introduce confusion and variability that would be hard to explain to borrowers. Additionally, it would create operational challenges when borrowers move and lessen our ability to simplify payment calculations when we obtain approval to use a borrower's Federal tax information.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Periodic Reassessment</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters suggested that the Department reassess the income protection threshold annually or at other regular intervals. One of these commenters commended the Department for proposing these regulatory changes and asked that we periodically reassess whether the 225 percent threshold protects enough income for basic living expenses and other inflation-related expenses such as elder care.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department declines to make any changes. The Department believes concerns about periodic reassessment are best addressed through subsequent negotiated rulemaking processes. Calculating the amount of income protected off the FPL means that the exact dollar amount protected from payment calculations will dynamically adjust each year to reflect inflation changes. However, if there are broader societal changes that suggest the overall level of income protected based on the percentage of the FPL is too low, it would be appropriate to conduct further rulemaking to consider input from stakeholders and the public before making any changes.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Income Protection Threshold Methodological Justification</HD>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter stated that the Department acknowledged that 225 percent is insufficient because we said that the payment amount for low-income borrowers on an IDR plan using that percentage may still not be affordable. The commenter also believed that our rationale for arriving at this percentage was flawed, as it used a regression analysis with a 1 percent level of significance to show that borrowers with discretionary incomes at the 225 percent threshold exhibit an amount of material hardship that is statistically distinguishable from borrowers at or below the poverty line. These commenters stated that we did not comment on the magnitude of this difference and any difference is merely fractional.
                    </P>
                    <P>Another commenter opined that the derivation from the 225 percent FPL threshold is not well justified. This commenter questioned the confidence level and sample size used in our calculations. The commenter believed that the choice of a confidence interval is more definitional than supported by a firm analytical basis.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenters' methodological critiques. Our rationale for arriving at the discretionary income percentages was based on our statistical analysis of the differences in rates of material hardship by distance to the Federal poverty threshold using data from the SIPP. We note that our figures were published in the IDR NPRM as well as our policy rationale for arriving at 225 percent of the FPL.
                    </P>
                    <P>
                        As we stated in the analysis, an indicator for whether an individual experienced material hardship was regressed on a constant term and a series of indicators corresponding to mutually exclusive categories of family income relative to the poverty level. The analysis sample includes individuals aged 18 to 65 who had outstanding education debt, had previously enrolled in a postsecondary institution, and who were not currently enrolled. The SIPP is a nationally representative sample and we reported standard errors using replicate weights from the Census Bureau that takes into account sample size. The Department used these data 
                        <PRTPAGE P="43842"/>
                        because they are commonly used and well-established as the best source to understand the economic well-being of individuals and households. The table notes show that two stars indicate estimated coefficients which are statistically distinguishable from zero at the 1 percent level. Using a 1 percent significance level is appropriate based on current Office of Management and Budget (OMB) guidance under the Data Quality Act (also known as the Information Quality Act).
                        <SU>57</SU>
                        <FTREF/>
                         The point of this analysis was to start at the premise that the commenter did not challenge, which is that someone who is at or below 100 percent of FPL should not be required to make a payment. We then looked for the point above which those rates of the individuals who reported financial hardship is statistically different from those individuals in poverty. As shown in our analysis, families with incomes above 225 percent FPL have rates of material hardship that are clearly both statistically and meaningfully different than families with incomes less than 100 percent FPL. Above the 225 percent FPL, coefficients are all statistically significantly different at the 1 percent level and range from 8.8 to 24.7 percentage points depending on the group, with the size of the coefficient generally getting larger as income increases.
                    </P>
                    <FTNT>
                        <P>
                            <SU>57</SU>
                             See Section 515 of the Consolidated Appropriations Act, 2001 (Pub. L. 106-554).
                        </P>
                    </FTNT>
                    <P>
                        We also note that the IDR NPRM included a discussion of why the 225 percent threshold is meaningful in its alignment to the minimum wage in many states. This consideration is discussed further in response to another comment in this 
                        <E T="03">Income Protection Threshold</E>
                         section.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter noted that our income protection threshold proposal of 225 percent of the FPL—$30,600 using the 2022 FPL—when compared to non-Federal data would encompass about the 65th percentile of earnings for individuals aged 22-31. Other commenters made similar claims but concluded this represented different percentiles in the income distribution. The commenter believes the Department undercounted the number of borrowers who would choose REPAYE as a result of this FPL threshold. The commenter claimed that the Department underestimated the proportion of borrowers up to age 31 who would have $0 or very low payments within this time frame, which the commenter claimed was a significant number of borrowers. The commenter said the data needed to estimate that number are readily available from other Federal agencies, including the Census Bureau, the Bureau of Labor Statistics (BLS), and the Federal Reserve.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenter and affirm that our use of data from the SIPP for individuals aged 18-65 who attended college and who have outstanding student loan debt was appropriate. The commenter's analysis is incorrect in several ways: first, it presumes that the analysis should be relegated only to borrowers aged 22-31. The Department's own data 
                        <SU>58</SU>
                        <FTREF/>
                         indicate that student loan borrowers' range in age, and we believe our use of SIPP is an appropriate data set for our analysis. Second, the reference point that the commenter proposes uses data from a non-Federal source and we cannot ascertain the validity of the survey design. In accordance with the Data Quality Act, we believe using our 225 percent income protection threshold to the data set that we used in the IDR NPRM was appropriate for the questions specific to this rule: “at which point would the share of those who reported material hardship be statistically different from those whose family incomes are at or below the FPL?” As a reminder, SIPP is a nationally representative longitudinal survey administered by the Census Bureau that provides comprehensive information on the dynamics of income, employment, household composition, and government program participation 
                        <SU>59</SU>
                        <FTREF/>
                         and we do not believe we undercounted borrowers who would choose REPAYE.
                    </P>
                    <FTNT>
                        <P>
                            <SU>58</SU>
                             
                            <E T="03">studentaid.gov/data-center/student/portfolio.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>59</SU>
                             
                            <E T="03">www.census.gov/programs-surveys/sipp.html.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter argued we should have used more objective data from the IRS instead of the SIPP. The commenter questioned why the Department chose to base its comparison on those with an income below 100 percent FPL, when it could have chosen to use 150 percent of the FPL established by Congress.
                    </P>
                    <P>
                        This same commenter believed the Department arrived at a statistical justification for a predetermined threshold by arbitrarily choosing the comparison group and arbitrarily choosing what to look at (
                        <E T="03">e.g.,</E>
                         rates of food insecurity rather than something related to student loans like repayment rates).
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We reviewed various sources of data. SIPP is a longitudinal dataset administered by the Census Bureau. Information about the methodology and design are available on the Census website.
                        <SU>60</SU>
                        <FTREF/>
                         We believe that the SIPP data is sound and the most appropriate dataset to use for our purposes because it contains information on student loan debt, income, and measures of material hardship. Because IRS data does not have information on material hardships, it would not be possible to conduct the analysis of the point at which the likelihood of a borrower reporting material hardship is statistically different from the likelihood for someone at or below the FPL reporting material hardship.
                    </P>
                    <FTNT>
                        <P>
                            <SU>60</SU>
                             
                            <E T="03">www.census.gov/programs-surveys/sipp/methodology.html.</E>
                        </P>
                    </FTNT>
                    <P>In response to the commenter's question why we chose the reference point to be 100 percent of the FPL rather than 150 percent, our intention was to find the point under which individuals with family incomes up to a certain percentage of the FPL would have rates of material hardship statistically indistinguishable from rates for borrowers with income at or below the FPL. Using 100 percent of the FPL is demonstrably appropriate as the Census considers someone at or below the FPL to be living in poverty.</P>
                    <P>
                        We disagree with the commenter's suggestion that our statistical analysis was done in an arbitrary manner. As we stated in the IDR NPRM, we focused on two measures as proxies for material hardship: food insecurity and being behind on utility bills.
                        <SU>61</SU>
                        <FTREF/>
                         These two measures are commonly used in social science to represent material hardship. As we stated in the IDR NPRM, we regressed these measures of material hardship on a constant term and a series of indicators corresponding to categories of family income relative to the FPL.
                    </P>
                    <FTNT>
                        <P>
                            <SU>61</SU>
                             This is not intended to suggest that individuals who do not report these two measures are not experiencing material hardship.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter noted that the annual update of the HHS Poverty Guidelines was released after the IDR NPRM was published and suggested that the Department rely on the most recent data available because the change in the HHS Poverty Guidelines is significant enough to potentially alter some of the conclusions in the IDR NPRM.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We do not believe the inflation-based updates to the FPL since the IDR NPRM was published materially change our analyses. For one, some of the analyses conducted were already using earlier years of data to reflect the best available sample data present. For instance, the analyses for the 225 percent threshold used data from the 
                        <PRTPAGE P="43843"/>
                        2020 SIPP. The analysis used to determinate the reduction of payment amounts on undergraduate loans to 5 percent of discretionary income was based upon figures from the 2015-16 National Postsecondary Student Aid Study. The analysis of the threshold for when low-balance borrowers should receive earlier forgiveness was based upon 5-year estimates from the 2019 American Community Survey. As discussed in the NPRM, we proposed that borrowers should repay for an additional 12 months for every $1,000 in principal balance above $12,000 because such a structure means the income above which a borrower would cease benefiting from the shortened forgiveness option is roughly consistent across all shortened repayment lengths. This goal of a consistent maximum earnings threshold for shortened forgiveness would not be affected by changes in the FPL.
                    </P>
                    <P>The biggest effect of the change in the FPL would be to alter what was Table 4 in the IDR NPRM that showed the effect of the FPL increase. That table is recreated here using updated numbers. For a single-person household, the change in FPL from 2022 to 2023 results in additional savings of $9 a month if payments are assessed at 5 percent of discretionary income and $19 if payments are assessed at 10 percent of discretionary income. For a four-person household, those numbers are $21 and $42 a month, respectively.</P>
                    <GPOTABLE COLS="5" OPTS="L2,p1,8/9,i1" CDEF="s150,8,8,8,8">
                        <TTITLE>Table 1—Maximum Monthly Payment Savings at Different Levels of Income Protection, 2023 Federal Poverty Guidelines (FPL)</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1"> </CHED>
                            <CHED H="1"> </CHED>
                            <CHED H="1"> </CHED>
                            <CHED H="1"> </CHED>
                        </BOXHD>
                        <ROW RUL="s">
                            <ENT I="25">Household Size</ENT>
                            <ENT A="01">One</ENT>
                            <ENT A="01">Four</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Payment as Percent of Discretionary Income</ENT>
                            <ENT>5</ENT>
                            <ENT>10</ENT>
                            <ENT>5</ENT>
                            <ENT>10</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">150% FPL (Current REPAYE regulations)</ENT>
                            <ENT>$91</ENT>
                            <ENT>$182</ENT>
                            <ENT>$188</ENT>
                            <ENT>$375</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">225% FPL (Final REPAYE regulations)</ENT>
                            <ENT>$137</ENT>
                            <ENT>$273</ENT>
                            <ENT>$281</ENT>
                            <ENT>$563</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Final REPAYE minus Current REPAYE</ENT>
                            <ENT>$46</ENT>
                            <ENT>$91</ENT>
                            <ENT>$94</ENT>
                            <ENT>$188</ENT>
                        </ROW>
                        <TNOTE>
                            <E T="02">Note:</E>
                             The 2023 Federal Poverty Guideline is $14,580 for a single household and $30,000 for a house of four.
                        </TNOTE>
                    </GPOTABLE>
                    <P>
                        The IDR NPRM also included some discussion of the implied hourly wage for someone who earns 150 percent or 225 percent of FPL on an annual basis. Under the 2023 FPL baseline for the 48 contiguous states and the District of Columbia, that amount is $10.94 an hour instead of $10.19 an hour using the 2022 guidelines for someone whose earnings are equivalent to 150 percent of FPL for a single household and $16.40 an hour instead of $15.29 an hour at 225 percent of FPL.
                        <SU>62</SU>
                        <FTREF/>
                         These figures assume working 2,000 hours a year.
                    </P>
                    <FTNT>
                        <P>
                            <SU>62</SU>
                             For Alaska, the implied hourly wage for someone who earns 150 percent of FPL in 2022 and 2023 is $12.74 and $13.66, respectively. For Hawaii, the implied hourly wage for someone who earns 150 percent of FPL in 2022 and 2023 is $11.73 and $12.58, respectively.
                        </P>
                    </FTNT>
                    <P>
                        The change in FPL also does not materially affect the Department's analysis of how 150 percent of FPL compares to State minimum wages. In the IDR NPRM we noted that a threshold of 150 percent of FPL for a single individual is an implied annual wage that is below the minimum wage in 22 States plus the District of Columbia.
                        <SU>63</SU>
                        <FTREF/>
                         Those 22 States plus DC represent 50 percent of individuals nationally with at least some college.
                        <SU>64</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>63</SU>
                             The analysis uses the federal minimum wage in states where minimum wages are lower than the federal minimum wage or with no minimum wage law. For Nevada, the analysis uses the minimum wage if qualifying health insurance is not offered by the employer. Based on minimum wages as of January 1, 2023 
                            <E T="03">https://www.dol.gov/agencies/whd/state/minimum-wage/history.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>64</SU>
                             Based on the American Community Survey 2021 5-year estimates 
                            <E T="03">https://data.census.gov/table?q=education&amp;g=010XX00US$0400000&amp;tid=ACSST5Y2021.S1501&amp;tp=true.</E>
                        </P>
                    </FTNT>
                    <P>
                        While the FPL has increased, so have several State minimum wages in the interim, though not always at the same magnitude as the FPL increase. Using 2023 FPL and minimum wage laws, 20 States, plus the District of Columbia, still have minimum wages that are above the implied hourly wage at 150 percent of FPL.
                        <SU>65</SU>
                        <FTREF/>
                         The change in the data is the inclusion of Florida as a state whose 2023 minimum wage exceeds the implied hourly rate at 150 percent of FPL, whereas Hawaii, Minnesota, and Nevada no longer have minimum wages that exceed the implied hourly rate at 150 percent of FPL. Because of differences in the number of individuals with at least some college across States, the net result is that using the 2023 FPL and minimum wages shows that about 53 percent of adults with some colleges are in States where the minimum wage is at or just above the implied hourly wage at 150 percent of FPL. As noted above, the equivalent figure for 2022 is 50 percent. The update therefore does not materially change any of the analyses provided in the IDR NPRM.
                    </P>
                    <FTNT>
                        <P>
                            <SU>65</SU>
                             
                            <E T="03">www.dol.gov/agencies/whd/minimum-wage/state.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Other Issues Pertaining to Income Protection Threshold</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters suggested calculating discretionary income based on the borrower's net income rather than pre-tax gross income. The commenter further stated that payment amounts should be capped at no more than 10 percent of net discretionary income instead of a borrower's gross pay. This approach would base the payment percentage on the borrower's net take-home pay available for their expenses.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenters' suggestion to calculate the discretionary income based on the borrower's net income. Net income varies based on a variety of withholdings and deductions, some of which are elective. The definition of “income” in § 685.209(e)(1) provides a standardized definition that we use for IDR plans. The borrower's income less any income protection threshold amount is the most uniform and operationally viable method the Department could craft to consider a borrower's discretionary income for calculating a payment amount. The FPL is a widely accepted method to assess a family's income, and we believe that using 225 percent of the FPL to allocate for basic needs when determining an affordable payment amount for borrowers in an IDR plan is a reasonable approach. Our regulations still provide that a borrower may submit alternative documentation of income or family size if they otherwise meet the requirements in § 685.209(l).
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters recommended that we extend the increase in the percentage of discretionary income protected to all IDR plans, not just REPAYE.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Under this final rule, student borrowers not already on an IDR plan will have two IDR plans from which to choose in the future—REPAYE and IBR. The HEA outlines the terms for the IBR plan that the commenters are 
                        <PRTPAGE P="43844"/>
                        asking to alter. Specifically, section 493C(a)(3)(B) of the HEA sets the amount of income protected under IBR at 150 percent of the poverty line applicable to the borrower's family size. We cannot make the suggested changes to IBR via regulatory action. Accordingly, we do not think it would be appropriate to modify the percentage on PAYE. As explained in the section on borrower eligibility for IDR plans, we do not think it would be appropriate to change the threshold for ICR.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter argued that the proposal to use FPL violated the requirements outlined in Section 654 of the Treasury and Government Appropriations Act of 1999 that requires Federal agencies to conduct a family policymaking assessment before implementing policies that may affect family well-being and to assess such actions related to specified criteria.
                    </P>
                    <P>With respect to our IDR proposals, a few commenters said that using FPL disadvantages married couples relative to single individuals because the amount of income protected for a two-person household is not double what it is for a single person household. They suggested instead setting the threshold at 152 percent of FPL for a single individual.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the commenter's assessment of the applicability of section 654 of the Treasury and Government Appropriations Act of 1999 to this regulation. This regulation does not impose requirements on States or families, nor will it adversely affect family well-being as defined in the cited statutory provision. A Federal student loan borrower signed an MPN indicating their promise to repay. The Department does not require student loan borrowers to use the REPAYE plan. Instead, borrowers choose the plan under which they will repay their student loan.
                    </P>
                    <P>Using FPL to establish eligibility or out-of-pocket payment amounts for Federal benefit programs is a commonly used practice. Moreover, the Department's use of the FPL focuses on the number of individuals in the household, not the composition of it.</P>
                    <P>In response to the comment regarding the alleged disadvantage for married borrowers, the Department notes that the one possible element that might have discouraged married borrowers from participating in the REPAYE plan was the requirement that married borrowers filing their tax returns separately include their spousal income. We have removed that provision by amending the REPAYE plan definition of “adjusted gross income” and aligning it with the definition of “income” for the PAYE, IBR, and ICR plans. This change required us to redefine “family size” for all plans in a way that would no longer include the spouse unless the borrower filed their Federal tax returns under the married filing jointly category. We no longer allow a borrower to include the spouse in the family size when the borrower knowingly excludes the spouse's income. Otherwise, we do not agree that further changes are needed to equalize the treatment of single and married borrowers.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters argued that the FPL that is used to set the income protection threshold is flawed because the FPL is based exclusively on food costs and therefore excludes important costs that families face, such as childcare and medical expenses. As a result, the resulting FPLs are far too low and the threshold we use in our regulation would need to increase to meet basic needs.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We discuss our justification for setting the income protection threshold at 225 percent of the FPL elsewhere in this rule. We disagree that our use of the FPL is a flawed approach. The FPL is a widely accepted method used to assess a family's income. Moreover, setting FPL at a threshold higher than 100 percent allows us to capture other costs. We believe that using 225 percent of the FPL to allocate for basic needs when determining an affordable payment amount for borrowers in an IDR plan is a reasonable approach. While borrowers may have various financial obligations, such as childcare and medical expenses, the FPL is a consistent measure to protect income and treat similarly situated borrowers fairly in repayment. Excluding income from the IDR payment calculation in a standard way will equalize treatment of borrowers. Furthermore, the Department has consistently used the FPL as a component in determining a borrower's income under an IDR plan since the introduction of the first IDR plan.
                        <SU>66</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>66</SU>
                             See 59 FR 61664. In the initial ICR plan (see 59 FR 34279), the family size adjustment was a mere $7 per dependent for up to five dependents.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Payment Amounts (§ 685.209(f)(1)(ii) and (iii))</HD>
                    <HD SOURCE="HD2">General Support</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters strongly supported the proposed REPAYE provision that would decrease the amount of discretionary income paid toward student loans to 5 percent for a borrower's outstanding loans taken out for undergraduate study. Several commenters supported our proposal to limit the discretionary income percentage of 5 percent to only undergraduate loans to avoid expensive windfalls to those with high-income potential, namely graduate borrowers.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenters for their support.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">General Opposition</HD>
                    <P>
                        <E T="03">Comment:</E>
                         Several commenters stated that setting payments at 5 percent of discretionary income is far lower than rates in the United Kingdom and New Zealand, which are 9 and 12 percent, respectively.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department thinks that considering the share of income that goes toward student loan payments is an insufficient way to consider cross-country comparisons. Different countries provide differing levels of support for meeting basic expenses related to food and housing. They also have different cost bases. Housing in one country might be more or less affordable than another. Relative incomes and national wealth might vary as well. As such, comparing the relative merits of the different student loan repayment structures is not as straightforward as simply comparing the share of income devoted to payments.
                    </P>
                    <P>International comparisons would also require reckoning with differences in the prices charged for postsecondary education, which types of educations or institutions a borrower is able to obtain a loan for, and other similar considerations that are more complicated than solely looking at the back-end repayment terms. The commenters, however, did not provide any such analysis with their statements.</P>
                    <P>In the IDR NPRM and in this final rule we looked to data and information about the situation for student loan borrowers in the United States and we believe that is the proper source for making the most relevant and best-informed determinations about how to structure the changes to REPAYE in this rule.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter noted that they believe statutory provisions set the share of income owed on loans under the IDR plans as follows: 20 percent for ICR, 15 percent for IBR, and 10 percent for New IBR. The commenter points out that when the Department regulated on PAYE and REPAYE, we used the Congressionally-approved 10 percent threshold. The commenter argues that Congress has clearly established various thresholds and our previous regulatory provisions have respected that. The commenter states 
                        <PRTPAGE P="43845"/>
                        that there should be a good reason for choosing the 5 percent threshold.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Contrary to what the commenter asserted, Section 455(d)(1)(D) of the HEA does not prescribe a minimum threshold of what share of a borrower's income must be devoted toward payments under an ICR plan. Congress left that choice to the Secretary. And, in the past the Department has chosen to set that threshold at 20 percent of discretionary income and then 10 percent of discretionary income. We note that the Department promulgated the original REPAYE regulations in response to a June 9, 2014, Presidential Memorandum 
                        <SU>67</SU>
                        <FTREF/>
                         to the Secretaries of Education and the Treasury that specifically noted that Direct Loan borrowers' Federal student loan payment should be set at 10 percent of income and to target struggling borrowers.
                        <SU>68</SU>
                        <FTREF/>
                         As we explained in the IDR NPRM, and further explain below, we decided to set payments at 5 percent of discretionary income for loans obtained by the borrower for their undergraduate study as a way to better equalize the benefits of IDR plans between undergraduate and graduate borrowers. In general, the Department is concerned that there are large numbers of undergraduate borrowers who would benefit from IDR plans but are not using these plans. Instead, they are facing unacceptably high rates of delinquency and default. By contrast, data show that graduate borrowers are currently using IDR plans at significantly higher rates. While the Department cannot know the specific reason why graduate borrowers are selecting IDR plans at greater rates than undergraduate borrowers, graduate borrowers' relatively higher loan balances mean that these individuals derive greater monthly savings from choosing an existing IDR plan than an otherwise identical undergraduate borrower with the same household size and income. As such, the Department seeks to better equalize the savings between undergraduate and graduate loans, with the goal that such increased savings for undergraduates will encourage more borrowers to use these plans and, consequently, avoid delinquency and default. As discussed in the IDR NPRM, setting payments at 5 percent of discretionary income for a borrower's undergraduate loans is the lowest integer percent where a typical undergraduate-only borrower and a typical graduate-only borrower with the same household size and income would have similar monthly payment savings.
                        <SU>69</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>67</SU>
                             See 79 FR 33843.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>68</SU>
                             See 80 FR 67225.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>69</SU>
                             88 FR 1902-1905.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Treatment of Loans for Graduate Education</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters suggested that borrowers should also pay 5 percent, rather than 10 percent, of their discretionary income on loans obtained for graduate study. They said requiring borrowers to pay 10 percent of their discretionary income on those loans runs contrary to the goals of the REPAYE plan and may place a substantial financial burden on these borrowers. Many commenters further suggested that we consider that many graduate borrowers are often older than their undergraduate counterparts, are heads-of-households with dependent children, have caregiving responsibilities, and are closer to retirement. Moreover, many commenters expressed their concern that this disparate treatment of graduate borrowers from undergraduate borrowers could have financial consequences on borrowers' ability to purchase homes, start businesses, care for their families, and save for retirement. One commenter stated that treating graduate borrowers differently could make them more likely to take out private loans.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We acknowledge the demographics among graduate student borrowers. However, we do not agree that a payment of 5 percent of discretionary income should apply to all borrowers.
                    </P>
                    <P>As we discussed in the IDR NPRM, we are concerned that the lack of strict loan limits for graduate student loans and the resulting higher loan balances means that there is a significant imbalance between otherwise similarly situated borrowers who only have debt for undergraduate studies versus only having debt for graduate studies. Moreover, in this final rule we are working to improve the REPAYE plan to significantly reduce the number of borrowers who face delinquency and default. As we noted in the IDR NPRM, 90 percent of borrowers in default exclusively borrowed for undergraduate study compared to just 1 percent who exclusively borrowed for graduate study.</P>
                    <P>The Department believes that allowing loans obtained for graduate study to be repaid at 5 percent of discretionary income would come at a significant additional cost while failing to advance our efforts to meet the goals of this rulemaking, including reducing delinquency and default. We believe that the solution included in the IDR NPRM and adopted in this final rule for graduate loans is a more effective manner of achieving the Department's goal of providing borrowers access to affordable loan payments. A borrower who has both undergraduate and graduate loans will still see a reduction in the share of their discretionary income that goes toward loan payments and the treatment of loans for undergraduate study will be consistent across borrowers. Moreover, all student borrowers will also receive other benefits from the changes to REPAYE, including the protection of more income and the interest benefit. We do not believe the difference in the treatment of loans obtained for undergraduate and graduate study will make graduate borrowers more likely to take out private loans because the benefits offered by our new plan are more generous than the current IDR options, and likely more generous than the terms of private student loans.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters claimed that not providing graduate borrowers the same discretionary income benefit as undergraduate borrowers disproportionately places an undue burden on Black students and other students of color. Another commenter argued that having different payment percentages for undergraduate and graduate students is unjustifiable and is likely to disproportionately harm Black and Latino borrowers, as well as women of color. Several commenters stated that requiring graduate borrowers to pay more creates an equity issue. They further cited data showing that of Black students rely on financial aid for graduate school at a higher rate than White students. Moreover, the commenters explain that Black students must also earn a credential beyond a bachelor's degree to receive pay similar to their White peers who only hold a bachelor's degree. Lastly, several commenters stated that the Department's choice to exclude graduate borrowers from the 5 percent discretionary income threshold is flawed and disregards the issue of repayment through racial and economic justice lenses.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Research has consistently showed that graduate borrowers with advanced degrees earn more than borrowers with just an undergraduate degree.
                        <SU>70</SU>
                        <FTREF/>
                         Both graduate and undergraduate borrowers are subject to the same discretionary income 
                        <PRTPAGE P="43846"/>
                        threshold of 225 percent FPL. However, borrowers with graduate debt will pay 10 percent of their income above this threshold if they only hold graduate debt and a percentage between 5 and 10 if they have both graduate and undergraduate debt (weighted by the relative proportion of their original principal balance on outstanding debt from undergraduate and graduate studies). As a result, graduate borrowers will still benefit from the new REPAYE plan by having a larger share of their income protected from payment calculations than they would under the current REPAYE plan. We therefore disagree with some of the commenters that graduate borrowers would face undue burdens under this final rule. We also reiterate that while the benefits of this rule are focused on undergraduate borrowers, there will still be some benefits for graduate borrowers as a result of the changes.
                    </P>
                    <FTNT>
                        <P>
                            <SU>70</SU>
                             
                            <E T="03">nces.ed.gov/programs/coe/indicator/cba/annual-earnings.</E>
                        </P>
                    </FTNT>
                    <P>
                        The Department projected total payments per dollar of student loan payments for future cohorts of borrowers using a model that includes relevant lifecycle factors that determine IDR payments (
                        <E T="03">e.g.,</E>
                         household size, the borrower's income, and spousal income when relevant) under the assumption of full participation in current REPAYE and the new REPAYE plan. The RIA discussion of the costs and benefits of the rule provides additional details on this model. The present discounted value of total payments per dollar borrowed was projected under current REPAYE and the new REPAYE plan for borrowers in different racial/ethnic groups and according to whether the borrower had completed a graduate degree or certificate. Table 2 contains these estimates, which illustrate how Black, Hispanic, and American Indian and Alaskan Native (AIAN) borrowers with a graduate degree are projected to see the largest decreases among borrowers with graduate degrees in payments per dollar borrowed under the new plan compared to all other categories of graduate completers. In conducting this analysis, the Department did not make any policy design choices specifically based upon an analysis of outcomes for different racial or ethnic groups.
                    </P>
                    <GPOTABLE COLS="7" OPTS="L2,i1" CDEF="s50,12,12,12,12,12,12">
                        <TTITLE>Table 2—Projected Present Discounted Value of Payments per Dollar Borrowed for Future Repayment Cohorts of Graduate Completers by Race/Ethnicity, Assuming Full Take-Up of REPAYE</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">AIAN</CHED>
                            <CHED H="1">API</CHED>
                            <CHED H="1">Black</CHED>
                            <CHED H="1">Hispanic</CHED>
                            <CHED H="1">White</CHED>
                            <CHED H="1">Other/Multi</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Current REPAYE</ENT>
                            <ENT>1.24</ENT>
                            <ENT>1.28</ENT>
                            <ENT>1.24</ENT>
                            <ENT>1.26</ENT>
                            <ENT>1.27</ENT>
                            <ENT>1.25</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Final rule REPAYE</ENT>
                            <ENT>1.07</ENT>
                            <ENT>1.15</ENT>
                            <ENT>1.02</ENT>
                            <ENT>1.13</ENT>
                            <ENT>1.16</ENT>
                            <ENT>1.15</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Reduction</ENT>
                            <ENT>0.17</ENT>
                            <ENT>0.12</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.13</ENT>
                            <ENT>0.11</ENT>
                            <ENT>0.10</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Percent reduction</ENT>
                            <ENT>14%</ENT>
                            <ENT>10%</ENT>
                            <ENT>18%</ENT>
                            <ENT>11%</ENT>
                            <ENT>8%</ENT>
                            <ENT>8%</ENT>
                        </ROW>
                        <TNOTE>
                            <E T="02">Notes:</E>
                             AIAN = American Indian or Alaskan Native, API = Asian or Pacific Islander.
                        </TNOTE>
                    </GPOTABLE>
                    <P>The higher payment rate for borrowers with graduate debt is also justified based on differences in the borrowing limits for undergraduate and graduate borrowers. Graduate borrowers have higher loan limits through the Grad PLUS Loan Program and correspondingly, higher levels of student loan debt. We continue to believe it is important that borrowers with higher loan balances pay higher amounts over a longer period before receiving forgiveness. Finally, we disagree with the commenters that excluding graduate borrowers from the 5 percent discretionary income amount is flawed, as we explained our rationale for the higher discretionary income amount for graduate borrowers in the IDR NPRM. We believe that the analysis shown above, as well as what was included in the IDR NPRM and the RIA of this final rule show that the Department carefully considered the economic effects of the rule as appropriate.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters emphasized that most States require a graduate or professional degree to obtain certification or licensure as a social worker, clinical psychologist, or school counselor. These commenters believed that, given such a requirement, borrowers working in these professions should be eligible to receive the same REPAYE plan benefits as undergraduate borrowers.
                    </P>
                    <P>One commenter stated that, while some borrowers with graduate degrees will eventually become wealthy, many graduate-level borrowers will be in a low- to middle-income bracket, such as those seeking employment or who are employed in the field of social work. The commenter went on to explain that, even though teachers and social workers earn approximately the same salary, social workers will be penalized because they will have to pay a higher share of their income for a longer period of time due to their need to borrow more in graduate loans.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We decline to make the changes requested by the commenters. It is true that many teachers and social workers attain graduate degrees as part of their education; according to data from the National Center for Educational Statistics, over 50 percent of public school teachers from 2017-2018 held a graduate degree.
                        <SU>71</SU>
                        <FTREF/>
                         And as of 2015, 45 percent of social workers held a graduate degree.
                        <SU>72</SU>
                        <FTREF/>
                         But teachers and social workers are also often eligible for other student loan forgiveness programs, such as PSLF, which shortens the repayment window to ten years for those who work consistently in the public or non-profit sector. Other programs include Teacher Loan Forgiveness for those who serve at least five years as a full-time teacher in an eligible low-income school. As the commenter acknowledges in the first part of their comment, many borrowers with graduate degrees will earn high incomes. For that reason, setting payments at 5 percent of discretionary income for graduate loans would raise concerns about targeting these repayment benefits to the borrowers needing the most assistance.
                    </P>
                    <FTNT>
                        <P>
                            <SU>71</SU>
                             
                            <E T="03">nces.ed.gov/surveys/ntps/tables/ntps1718_fltable04_t1s.asp.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>72</SU>
                             Salsberg, Edward, Leo Quigley, Nicholas Mehford, Kimberly Acquaviva, Karen Wyche, and Shari Sliwa. 2017. Profile of the Social Work workforce. George Washington University Health Workforce Institute and School of Nursing. 
                            <E T="03">www.socialworkers.org/LinkClick.aspx?fileticket=wCttjrHq0gE%3D&amp;portalid=0.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter stated that the Department's decision to calculate payments based on a weighted average between 5 percent and 10 percent of discretionary income for borrowers with graduate and undergraduate loans introduces complexity that will be difficult for borrowers to understand and make it complicated for servicers to administer.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The weighted average for the share of discretionary income a borrower will pay on their loans will be automatically calculated by the Department and will be a seamless process for borrowers and servicers. The 
                        <PRTPAGE P="43847"/>
                        Department will provide a plain language explanation of the way of calculating payments on 
                        <E T="03">StudentAid.gov</E>
                        . Borrowers may visit 
                        <E T="03">StudentAid.gov</E>
                         or contact their loan servicer for additional details of their loan payments. Moreover, we believe that this added work to explain the provision to borrowers is more cost effective than the alternative proposal to simply provide significant payment reductions on graduate loans.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter asserted that if we intended to discourage future borrowers from taking out graduate loans if they cannot afford them, we should simply state that. This commenter urged us to prospectively apply the provision of 10 percent of discretionary income only to new graduate borrowers as of 2023.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department does not agree with the commenter's characterization of our discretionary income provision. Our rule is not intended to encourage or discourage borrowing or to alter the borrower's choice to attend graduate school or take out a loan. We believe the discretionary income percentage for IDR plans will target borrowers who need the assistance the most. As we stated in the IDR NPRM, the Department is not concerned that keeping the rate at 10 percent for graduate loans would incentivize graduate students to overborrow as the current 10 percent repayment rate is already in current IDR plans.
                    </P>
                    <P>We also disagree that we should provide existing graduate borrowers with payments at 5 percent of income and only apply the weighted average approach to new graduate borrowers as of 2023. We do not think that the cost of providing the lower payments for graduate loans taken out before 2023 would justify the significant added costs that would come from such a change and we do not think there is a reasoned basis to provide payments of different levels solely based upon when a borrower obtained a loan.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Treatment of Parent PLUS Borrowers</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters expressed concern for parent PLUS borrowers. Many commenters argued that if the requirement to make payments of 5 percent discretionary income is designed to apply to undergraduate study, then parent PLUS loans—which are used only for undergraduate studies—should receive the same benefits and treatment as undergraduate borrowers. A few other commenters further suggested that the Department did not offer parent PLUS loan borrowers a safety net to protect them when they could not afford repayment because these borrowers do not have the opportunity to benefit from the new REPAYE plan.
                    </P>
                    <P>Several commenters, however, expressed strong support for excluding parent PLUS loans for dependent undergraduates from the 5 percent of discretionary income standard.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the suggestion that Parent PLUS loans should be eligible for this plan on the basis that the student for whom the loan was obtained was an undergraduate student. As discussed elsewhere in this preamble, the HEA prohibits parent PLUS loans from being repaid under any IDR plan. We decline to allow a Direct Consolidation Loan that repaid a parent PLUS loan to access REPAYE for reasons also discussed earlier in this preamble. The Department understands that the phrasing of § 685.209(f)(1)(ii) in the IDR NPRM may have created confusion that generated comments like the one discussed here because it only discussed payments on loans obtained for undergraduate study. We have clarified the regulation to make it clear that the 5 percent of discretionary income standard will be available only on loans obtained for the borrower's own undergraduate study.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         We have revised § 685.209(f)(1)(ii) to clarify that we refer to loans obtained for the borrower's undergraduate study.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         In modeling the treatment of the reduction in payments on undergraduate loans, the Department noted that some loans in our data systems do not have an assigned academic level. These are commonly consolidation loans and may include ones where a borrower has consolidated multiple times. The Department is concerned that the language in the NPRM did not provide sufficient clarity about how loans in such a situation would be treated. Accordingly, we are revising § 685.209(f)(1)(iii) to indicate that any loan not taken out for a borrower's undergraduate education will be assigned payments equal to 10 percent of discretionary income. This broader framing will clarify how either a loan for a borrower's graduate study or one with an unknown academic level will be treated. A borrower who believes their loan was in fact obtained for their undergraduate education and should not be treated as subject to the 10 percent calculation will be able to file a complaint with the Department's Student Loan Ombudsman. The Ombudsman's office will review the complaint and work with the borrower on next steps.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         We have revised § 685.209(f)(1)(iii) to note that repayment on all loans not captured in § 685.209(f)(1)(ii) is calculated at 10 percent of discretionary income.
                    </P>
                    <HD SOURCE="HD2">Alternative Payment Structures</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters argued that the Department should adopt a progressive formula to determine the percentage of discretionary income required to go toward payments instead of a single flat one. These proposals included ideas like offering a bracket of 5 percent payments for low-income borrowers, a bracket of 10 percent payments on moderate incomes, and a bracket at 15 percent for borrowers with higher incomes. As income rises, the commenter explained, the borrower would pay a higher marginal payment rate.
                    </P>
                    <P>These commenters wrote that the graduated rates would benefit all borrowers, including higher-income borrowers, by targeting these repayment rate structures to the borrowers needing the most assistance which could be counteracted with a higher marginal payment rate for those most able to pay.</P>
                    <P>Alternatively, one commenter specifically suggested that we could apply the payment rate of 5 percent of discretionary income to those with a discretionary income of 150 to 225 percent of the FPL and 10 percent for those whose discretionary income is above 225 percent of the FPL. The commenter compared this marginal rate structure proposal to the progressive income tax.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department declines to adopt the more complicated bracket structures suggested by the commenters. We are concerned that doing so would undercut several of the goals of this final rule. This approach could not be combined with our intent to maintain that undergraduate loans get a greater focus than graduate loans so that we can address concerns about default and delinquency. Varying the share of discretionary income that goes toward payments by both income and undergraduate loan status would be complicated and challenging to explain. We think the weighted average structure better addresses our goals and is simpler to convey to borrowers.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters argued that the Department should increase the amount of income protected and then set payments at 10 percent of discretionary income for all borrowers. 
                        <PRTPAGE P="43848"/>
                        They said such a rule would be more targeted and simpler.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We discuss income protection, including the appropriate threshold using the FPL as a unit, under the “Income Protection Threshold” section in this document. As discussed, we do not think there is a compelling rationale for providing a higher amount of income protection. As discussed earlier and in the IDR NPRM, we think that loans taken out for a borrower's undergraduate study should be repaid at 5 percent of discretionary income. We believe this change will help prevent default and target the benefit at the group that includes the overwhelming majority of defaulters. Moreover, we reiterate our rationale for the differential payment amount thresholds for undergraduate and graduate loans and how the 225 percent FPL income protection threshold interacts with a borrower's payment in the IDR NPRM.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters argued that borrowers who have undergraduate and graduate loans should pay 7.5 percent of their discretionary income as that would be simpler to establish and communicate. They also argued that otherwise, borrowers have an incentive to not pay off their undergraduate loans so they can use them to reduce their payment amount.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We are concerned that setting payments at 7.5 percent of discretionary income for graduate loans would result in additional spending on benefits that are not aligned with our goals of preventing default and delinquency. A 7.5 percent payment amount also implies that borrowers have equal splits of undergraduate and graduate debt, which is not as likely to occur and might result in lower payments for graduate borrowers than would occur under our final rule. We do not believe the added cost that would come from such a change is necessary to achieve the Department's goals of averting default and making it easier to navigate repayment.
                    </P>
                    <P>We disagree with the concerns raised by the commenter about whether borrowers would have an incentive to not pay off their undergraduate loans. Whether a borrower chooses to prepay their loan or not is always up to them. For scheduled payments, the borrower must pay the amount that is required by their repayment plan. If they pay less than that amount in order to avoid paying off their balance, they would become delinquent and possibly default. If they pause their payments, they would see interest accumulate (except for subsidized loans on a deferment), which could result in them paying more over time.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter suggested that instead of using a percentage of discretionary income, we should revise our IDR formulas to express the payment as a percentage of total income, with no payment due for borrowers who earn less than $30,000 a year. In the commenter's example, a borrower who earns $30,000 or more per year would have a monthly payment of 5 percent of their total income.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         This proposed change would introduce significant operational complexity and challenges. We expect that our approach for determining the amount of discretionary income to go to loan payments based on the type of loan that the borrower has, will achieve our intended purpose: to allow borrowers to make an affordable loan payment based on their income that we can easily administer. A borrower with only undergraduate loans would already have a 5 percent loan payment as the commenter suggests and we believe that a monthly payment amount of 5 percent of the discretionary income best assures that REPAYE assists the neediest borrowers.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Methodological Concerns</HD>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter argued that the Department's reasoning for proposing that undergraduate loans be repaid at 5 percent of discretionary income was arbitrary and could be used to justify any threshold. The commenter said none of the reasons articulated pointed to 5 percent as an appropriate number. The commenter provided no detail as to why they reached those conclusions.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the commenter. We have explained our rationale for setting payments at 5 percent of discretionary income on undergraduate loans as providing better parity between undergraduate and graduate borrowers based upon typical debt levels between the two, with considerations added for rounding results to whole integers that are easier to understand. The commenter offered no substantive critiques of this approach.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter raised concerns that the Department's justification for choosing to set undergraduate loan payments at 5 percent of discretionary income is based upon looking at equivalent benefits for undergraduate versus graduate borrowers. They said the Department never explained or justified why the Department's goal should be to maintain parity in benefits between the two populations, noting their differences in income and debt.
                    </P>
                    <P>Relatedly, the commenter said the Department did not explain why the goal should be for undergraduate borrowers to have equivalence with graduate borrowers rather than the other way around. They argued that since there are more undergraduate borrowers than graduate borrowers, the Department should try to seek parity with undergraduate borrowers if they could provide rational explanations that justify the approach.</P>
                    <P>The commenter also said that the Department's analysis included an assumption to choose different payment levels which relied on the same income levels for undergraduate and graduate borrowers. The commenter argued that a more likely scenario was that an undergraduate borrower would have lower earnings than a graduate borrower.</P>
                    <P>A different commenter made similar arguments, asking why the Department chose to conduct its analysis by using the debt for a graduate borrower as the baseline instead of the debt of an undergraduate borrower. The commenter noted that we could have changed the parameters of graduate debt to match that of undergraduates.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The commenters seem to have misunderstood the Department's analysis and goals. One of the Department's major concerns in developing this rule is that despite the presence of IDR plans, more than 1 million borrowers defaulted on their loans each year prior to the pause on loan repayment due to the COVID-19 pandemic. And almost all of these borrowers are individuals who only borrowed for their undergraduate education. As further noted in the IDR NPRM, 90 percent of the borrowers in default only borrowed for undergraduate education.
                    </P>
                    <P>
                        Additionally, the Department's administrative data shows that only 28 percent of recent cohorts of undergraduate borrowers were using an IDR plan before the payment pause, despite earlier findings from Treasury that 70 percent of borrowers in default would have benefited from a reduced payment in IDR.
                        <SU>73</SU>
                        <FTREF/>
                         The Department is concerned that the rate at which undergraduate borrowers use IDR is far below the optimal levels necessary to achieve the goals of reducing 
                        <PRTPAGE P="43849"/>
                        delinquency and default. While the Department lacks income and household size data on all borrowers to know the correct share of undergraduate borrowers that would benefit from being on IDR, that number is unquestionably higher than the share of borrowers in IDR today.
                    </P>
                    <FTNT>
                        <P>
                            <SU>73</SU>
                             U.S. Government Accountability Office, 2015. Federal Student Loans: Education Could Do More to Help Ensure Borrowers are Aware of Repayment and Forgiveness Options. GAO-15-663.
                        </P>
                    </FTNT>
                    <P>Because delinquent and defaulted borrowers were not enrolling in the IDR plans at the rate we expected, the Department considered changes to REPAYE that would make the borrowers at greatest risk of default more likely to enroll in and stay enrolled in these plans. Given that we have been relatively successful at enrolling graduate borrowers into these plans, we considered how to best achieve something approaching parity in the benefits accrued through IDR between borrowers with undergraduate debt as compared to borrowers with graduate debt at the same salary. This analysis highlights an inequity in the current IDR plans—if you take two borrowers with identical income and family size, the one who borrowed at the typical undergraduate level will benefit less.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters took exception to the Department's methodological justification for lowering payments only on undergraduate loans to 5 percent of discretionary income and believed it should have resulted in setting payments on graduate loans at 5 percent as well. One commenter mentioned that the President campaigned on the basis that 5 percent of discretionary income would be afforded to all borrowers under IDR plans thereby dismissing our rationale for the discretionary income in the IDR NPRM as pretextual. They said that the Department should not have assumed that the undergraduate and graduate borrowers have equivalent incomes. They argued that failing to grasp this meant that the Department did not capture that graduate borrowers with higher earnings will pay more even if the method of calculating payments is the same across all types of borrowers.
                    </P>
                    <P>A different commenter objected to the idea that an undergraduate borrower and a graduate borrower with the same incomes should be treated differently. This commenter argued that if a graduate borrower and an undergraduate borrower have the same incomes it could be a sign of struggle for the former given that graduate degrees generally result in higher incomes.</P>
                    <P>Finally, the commenter objected that the Department has prioritized reducing undergraduate defaults rather than seeking to bring default for all borrowers to zero.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We affirm our decision as outlined in the IDR NPRM 
                        <SU>74</SU>
                        <FTREF/>
                         to lower payments only on undergraduate loans to 5 percent of discretionary income. The Department is committed to taking actions to make student loans more affordable for undergraduate borrowers, the individuals who are at the greatest risk of default and who are not using the existing IDR plans at the same frequency as their peers who attended graduate school. In accomplishing this goal, the Department looked for a way to provide greater parity between the benefits of IDR for a typical undergraduate borrower with a typical graduate borrower. Historically, graduate borrowers have been more likely to make use of IDR than undergraduate borrowers, suggesting that the economic benefits provided to them under existing IDR plans help in driving their enrollment in IDR. Accordingly, using benefits provided to graduate borrowers as a baseline is a reasonable approach to trying to get more undergraduate borrowers to enroll in IDR as well. As noted in the NPRM, the Department found that at 5 percent of discretionary income, a typical undergraduate borrower would see similar savings as a typical graduate borrower. Therefore, the approach taken in the NPRM and this final rule provides greater parity and will assist the Department in its goal of getting more undergraduate borrowers to use these plans, driving down delinquency and default. Our experience with current IDR programs indicates that graduate borrowers are already willing to enroll in IDR at high rates even with payments set at 10 percent payment of discretionary income. As already discussed, we already see significant usage of the IDR plans by graduate borrowers. It is not evident to us that we need to take additional steps to encourage graduate borrowers to use IDR to lessen delinquency and default. In response to commenters' concern regarding our methodologies, we emphasize the inequities that could be created if undergraduate and graduate borrowers were treated similarly. For example, if graduate and undergraduate borrowers making same income were charged the same in monthly payments, the benefits would be substantially greater for graduate borrowers given their larger loan amounts. We provided an illustrative example of the potential benefits for graduate borrowers in the IDR NPRM, and we maintain that our reductions of the payment rate only for undergraduates is justified.
                    </P>
                    <FTNT>
                        <P>
                            <SU>74</SU>
                             See 88 FR 1902-1905.
                        </P>
                    </FTNT>
                    <P>Regarding default, the Department agrees that eliminating all default is a laudable goal and points out that many of the provisions in this rule that would significantly reduce the likelihood of undergraduate default and delinquency would benefit graduate borrowers as well. This includes the higher income protection, the interest benefit, and automatic enrollment in IDR where possible, among other benefits. The fact remains that default rates are significantly higher among undergraduate borrowers, and they are significantly overrepresented among borrowers in default. We believe the final rule strikes the proper balance of making changes that will reduce rates of delinquency and default while still requiring the borrowers who are most able to make payments to do so.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the Department does not explain in the analysis that supported the proposed 5 percent threshold why it would be acceptable to produce an outcome in which borrowers with the same income and family size do not have the same payment amount. Similarly, some commenters argued that treating graduate loans differently meant that the plan was less based upon income than upon degree sought.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         In the IDR NPRM, we explained why we proposed to set the 5 percent threshold for undergraduate borrowers. A key consideration in our proposal was to provide greater parity between an undergraduate borrower and a graduate borrower that are similarly financially situated. We do not want graduate borrowers to benefit more than borrowers with only undergraduate debt. We believe that creating this parity may make undergraduate borrowers more willing to enroll in an IDR plan, possibly at rates equal to or greater than graduate borrowers today. This is important because delinquency and default rates are significantly higher for undergraduate borrowers than they are for graduate borrowers.
                    </P>
                    <P>
                        In response to the comment about how the proposed rule would treat borrowers who have the same income and same family size but loans from different program levels (undergraduate versus graduate), the Department is making distinctions between types of loans the same way the HEA already does. The HEA already mandates different interest rates and loan limits based upon whether a borrower is an undergraduate or graduate borrower. The approach in this final rule simply continues to acknowledge those distinctions for repayment. Moreover, as we noted in the preamble and reaffirm 
                        <PRTPAGE P="43850"/>
                        here, failing to draw such a distinction could create inequities because a graduate borrower is likely to derive far greater economic benefits from the IDR plan than a similarly situated undergraduate borrower. Overall, we think this change will make the repayment options more equitable across two otherwise similar classes of borrowers.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter raised concerns that one of the Department's reasons for reducing payments to 5 percent of discretionary income for borrowers with undergraduate loans was a survey of just over 2,800 people. They said that is an insufficient basis for making regulatory changes of such a significant cost.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The commenters misconstrued our citation of the survey from the Pew Charitable Trust-Student Borrower's survey conducted by SSRS, a market research firm. In considering whether to reduce the payment amount, we considered information from multiple sources, including negotiated rulemaking participants and public commenters, focus groups,
                        <SU>75</SU>
                        <FTREF/>
                         and data from the FSA Ombudsman. In these areas, borrowers consistently expressed concern with the amount of their loan payments. In the survey that we cited in the IDR NPRM, we illustrated external research that outlined specific problems that borrowers experienced while in an IDR plan. This data point was not meant to be read in isolation. The focus groups that we cited in the IDR NPRM and the data from the FSA Ombudsman 
                        <SU>76</SU>
                        <FTREF/>
                         further reflected the concerns of borrowers experiencing problems with their loan payments.
                    </P>
                    <FTNT>
                        <P>
                            <SU>75</SU>
                             FDR Group. Taking Out and Repaying Student Loans: A Report on Focus Groups with Struggling Student Loan Borrowers. (2015). 
                            <E T="03">www.static.newamerica.org/attachments/2358-why-student-loans-are-different/FDR_Group_Updated.dc7218ab247a4650902f7afd52d6cae1.pdf.</E>
                             See also, 
                            <E T="03">www.pewtrusts.org/-/.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>76</SU>
                             See 
                            <E T="03">FY2022 FSA Annual Report,</E>
                             Report of the Federal Student Aid Ombudsman, page 150. 
                            <E T="03">Studentaid.gov/sites/default/files/fy2022-fsa-annual-report.pdf.</E>
                        </P>
                    </FTNT>
                    <P>Therefore, we believe the need for and benefits of reducing the payments for undergraduate borrowers are grounded in sufficient data and sound reasoning.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter argued that the weighted average approach would result in an outcome where a borrower who took on more total debt would end up with a lower payment than someone who took on less debt. For example, a borrower who takes out $30,000 for undergraduate education and $60,000 for graduate school pays 8.3 percent of their discretionary income (one-third times 5 percent plus two-thirds times 10 percent), while a borrower who takes out $10,000 for undergraduate education and $30,000 for graduate school pays 8.75 percent of their discretionary income (one-quarter times 5 percent plus three-quarters times 10 percent). The commenter suggested that it would be more equitable to vary the payments based upon the borrower's loan balance.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The commenter's suggested approach would introduce greater confusion for borrowers and be complex for the Department to administer given the differential loan limits for dependent and independent undergraduate students. Moreover, the result would be that an independent student could end up with a higher payment than their dependent undergraduate peer. Varying payments for undergraduates based upon their dependency status runs counter to the Department's goal of targeting the effects of the lowered payments on undergraduate borrowers so that there is better parity with graduate peers. The Department thinks this is important given the need to better use IDR as a tool to avert delinquency and default.
                    </P>
                    <P>The commenter is correct that one effect of this policy is that the more debt for their undergraduate education a borrower has relative to the debt for their graduate education, the lower the share of their discretionary income the borrower must commit to their loan payments. But the commenter fails to address two important considerations of this structure. First, this creates an incentive for borrowers to keep their borrowing for their graduate education lower, as adding more debt there will increase their payments. Second, while a borrower's total balance does not affect their monthly payment in this plan, it does affect how their payment is applied. Borrowers with higher loan balances will have to pay down more interest before payments are applied toward principal. This can mean that it takes them longer to pay off the loan or will keep them in repayment for the full 25 years until they get forgiveness on a graduate loan. As a result, it is not inherently beneficial for the borrower to take on more debt to achieve the outcomes described by the commenter.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Adjustments to Monthly Payment Amounts (§ 685.209(g))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter noted that the IDR NPRM omitted provisions that exist in current regulations regarding rounding monthly IDR payments up or down when the calculated amount is low.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree we should include the provisions treating the rounding of small monthly payments that currently exist in our regulations. We are revising the final rule to include § 685.209(a), (c), and § 685.221(b) from the current regulations for the REPAYE, PAYE, and IBR plans. These provisions stipulate that, for the REPAYE, PAYE, and IBR, plans, if a borrower's calculated payment amount is less than $5, the monthly payment is $0 and, if a calculated payment is equal to or greater than $5 but less than $10, a borrower's monthly payment is $10. We are also revising the final rule to include § 685.209(b) from current regulations, which stipulates that, for the ICR plan, if a borrower's calculated payment amount is greater than $0 but less than or equal to $5, the monthly payment is $5. We did not receive any comments that suggest we should change these provisions and have restored them without amending them.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         For the REPAYE, PAYE, and IBR plans we added § 685.209(g)(1) to allow for an adjustment to the borrower's calculated payment amount under certain circumstances. For the ICR plan, we added paragraph § 685.209(g)(2) to allow for an adjustment to the borrower's calculated payment amount that if the borrower's calculated payment is greater than $0 but less than or equal to $5, the monthly payment is $5.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         One commenter stated that our proposals for the revised REPAYE plan do not contain a standard payment cap and that, for some borrowers, REPAYE would be inferior compared to the IBR or PAYE plans.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The commenter correctly points out—and we acknowledged in the IDR NPRM—that our new REPAYE plan does not contain a standard payment cap like those in the IBR and PAYE plans. Under both the IBR and PAYE plans, a borrower must have a calculated payment below what they would pay on the standard 10-year repayment plan to be eligible for that plan. Borrowers on this plan also see their payments capped at what they would owe on the standard 10-year repayment plan. By statute, borrowers on IBR whose calculated payment hits the standard 10-year repayment cap will see any outstanding interest capitalized.
                    </P>
                    <P>
                        The Department adopts the decision reflected in the NPRM to not include a cap on payments in REPAYE. Such a cap can provide a significant benefit for higher-income borrowers and can result in these individuals receiving forgiveness instead of paying off their loan through higher monthly payments. Therefore, the lack of a cap provides a 
                        <PRTPAGE P="43851"/>
                        way to better target the REPAYE benefits. Finally, we note that if a borrower is concerned about their payments going above what they would pay on the standard 10-year repayment plan, they are able to switch to another repayment plan options, but they might have to give up progress toward forgiveness in making such a choice.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Interest Benefits (§ 685.209(h))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         The Department received many comments in support of the proposed change to the REPAYE plan under which the Secretary will not apply accrued interest to a borrower's account if is not covered by the borrower's payments. Many commenters suggested that the Department use its regulatory authority to provide this benefit for borrowers making IBR payments while in default, or to all borrowers while they are in any of the IDR plans.
                    </P>
                    <P>Another commenter opined that the psychological impact of this treatment of accruing interest when borrowers repay their student loans would likely have a positive effect on default aversion.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenters for their suggestions for applying accrued interest to a defaulted borrower's account while the borrower is on an IBR plan and for borrowers on any of the IDR plans. We do not believe it would be appropriate to change the treatment of unpaid monthly interest for all borrowers on any of the other IDR plans. The Department cannot alter the terms of the interest accrual for the IBR plan, which are spelled out in Sec. 493C(b) of the HEA. We also decline to make this change for the PAYE plan because one of the Department's goals in this final rule is to streamline the number of IDR options available to borrowers in the future. Were we to include this benefit on the PAYE plan it might encourage more borrowers to remain on the PAYE plan instead of shifting to REPAYE. That would work against the Department's simplification goals. We also decline to make this change for the ICR plan. As explained earlier, the Department views that plan as being the option for borrowers who have a consolidation loan that repaid a parent PLUS loan, and we are concerned about getting the balance of benefits for those borrowers right given the fundamentally different nature of parent versus student loans.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters argued that the interest capitalization on Federal student loans creates the most significant financial hardship for the majority of borrowers. Several commenters stated that more borrowers would be inclined to pay their loans if the interest capitalization was eliminated. In addition, commenters stated that many students have been left feeling hopeless, defeated, and trapped due to the compound interest causing their loans to grow significantly larger than their initial principal. A few commenters mentioned that a waiver of unpaid monthly interest for borrowers with low earnings over the course of their career would help borrowers to avoid negative amortization.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department eliminated interest capitalization in instances where it is not statutorily required in the Final Rule published on November 1, 2022.
                        <SU>77</SU>
                        <FTREF/>
                         We disagree that we need to provide a blanket waiver for unpaid monthly interest because we have already eliminated instances of interest capitalization where we have the discretion to do so.
                    </P>
                    <FTNT>
                        <P>
                            <SU>77</SU>
                             87 FR 65904.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued there was no compelling argument for waiving interest and stated that the IDR plans were designed to make payments more affordable while still collecting the necessary payments over time. These commenters further believed that our proposals would primarily benefit borrowers who have low earnings early in their careers but higher earnings later in their career.
                    </P>
                    <P>Several commenters urged us to allow interest to accrue normally during repayment, or at the very least, allow interest to accrue during temporary periods when borrowers earn low to no earnings, such as during certain deferments or forbearances. These commenters believed that our interest benefits proposal was costly, regressive, and illegal.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department declines to adopt the suggestions from commenters to change the treatment of unpaid monthly interest included in the proposed rule. Borrowers will still make payments based upon their income and their payment will still be applied to interest before touching principal. That preserves the possibility for borrowers to pay more in interest than they would on other repayment plans, as borrowers may continue to make interest-only payments, rather than touching their principal balance. However, this change will provide a few key benefits for borrowers. It will mean that borrowers will no longer see their outstanding amounts owed increasing even as they make their required monthly payments on REPAYE. Department data show that 70 percent of borrowers on IDR plans have payments that do not cover the full amount of their accumulating monthly interest. Apart from borrowers who only have subsidized loans and are in the first three years of repayment, these borrowers will see their balances grow. The Department is concerned that this result can provide a significant reason for borrowers to not pursue an IDR plan, can psychologically undercut the benefits of IDR for those who are on one of the plans, and those factors together may be a further reason why the most at-risk borrowers are not using IDR plans at rates sufficient to significantly drive down national numbers of borrowers who are delinquent or in default.
                    </P>
                    <P>We also note that for borrowers whose incomes are low relative to their debt for the duration of the repayment period, this change will mean that interest that would otherwise be forgiven after 20 or 25 years is forgiven sooner. That can provide significant non-monetary benefits, such as not having borrowers feel like their debt situation is getting worse due to balance growth, and makes it easier for them to decide whether to enroll in the REPAYE plan.</P>
                    <P>We remind the commenters concerned about the effect of this benefit on borrowers whose incomes start low and then increase significantly about the lack of a cap on payments at the standard 10-year plan amount. That cap exists on the other IDR plans available to borrowers, neither of which includes an interest benefit as extensive as the one included for REPAYE. The effect of such a cap, though, is that borrowers who have seen a lot of interest accumulate over time may still not be paying it off, since the capped payment amount may not be sufficient to retire all the added interest, let alone pay down the principal. By contrast, the REPAYE plan does not include such a cap, which can mean that high-income borrowers would make larger payments that could increase the likelihood of paying off their loans entirely.</P>
                    <P>
                        We also partly disagree with the suggestion to not implement this interest benefit for periods when a borrower has no or low earnings or when they are in certain deferment and forbearance periods. On the latter point, the Department is not changing the treatment of interest while a borrower is on a deferment or forbearance. This aligns with the commenter's request. That means that borrowers generally will not see interest accumulate on their subsidized loans while in deferment, while they will see interest charged on unsubsidized or PLUS loans, including while in a deferment or forbearance. 
                        <PRTPAGE P="43852"/>
                        The one exception to this is the cancer treatment deferment, which, under the statute, provides interest benefits on more types of loans than other deferments. However, we disagree with the suggestion to not provide this interest assistance to borrowers with periods of low or no earnings who are on the REPAYE plan. We are concerned that these are the borrowers who most need assistance to help avert delinquency or default and we think this change will help encourage those borrowers to select the REPAYE option and set themselves up for longer repayment success.
                    </P>
                    <P>
                        We discuss comments related to the legality of the interest benefit in the 
                        <E T="03">Legal Authority</E>
                         section of this document.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter noted that there is no compelling reason to forgive interest because the remaining balance is already forgiven at the end of the loan term.
                    </P>
                    <P>Another commenter argued that the Department was incorrect on its position that interest accumulation will solve issues of borrowers being discouraged to repay their loans. They said the change coupled with other parameters means that many borrowers will never see their balance go down by even $1, which would increase frustration and make the problems the Department seeks to solve worse.</P>
                    <P>Another commenter suggested that we only apply the unpaid monthly interest accrual benefit when preventing negative amortization on undergraduate loans. The commenter suggested that this change would preserve the interest accrual benefit for those borrowers more likely to struggle economically and would protect the integrity of the loan program for all borrowers and taxpayers.</P>
                    <P>One commenter who opposed the interest benefits argued that there will be unintended consequences for high-income professionals, such as physicians and lawyers, who will have their interest cancelled rather than deferred because we calculate IDR income based on earnings reported on tax returns from nearly two years prior.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the commenter who argued that there is no compelling reason to provide the interest benefit that we proposed in the NPRM because the remaining balance is already forgiven at the end of the loan term. This rule would provide borrowers with more affordable monthly payments, and borrowers need to fulfill their obligations to receive forgiveness by making their monthly payments. Twenty or twenty-five years is a very long time in repayment, especially for someone just beginning to repay their loans. Telling these borrowers not to worry as their balances grow because they may reach forgiveness sometime in the future is unlikely to assuage their concerns as forgiveness after 20 or 25 years can feel very abstract. Borrowers may also be skeptical that the forgiveness will actually occur, concerns that are furthered because few borrowers have earned forgiveness on IDR to date and the Department has acknowledged a long history of inaccurate payment counting (which we are separately taking steps to address). We believe that addressing the accrual of unpaid interest on a monthly basis will provide significant benefits to borrowers by ensuring they don't see their balances grow while they make required payments. It will lessen the sense that a borrower is trapped on an IDR plan by the need to repay extensive amounts of accumulated interest. And we believe it is one component that will assist our larger goals of making these plans more attractive for borrowers who are otherwise highly likely to experience delinquency or default.
                    </P>
                    <P>We disagree with the commenter who contended that addressing interest accumulation will not help to resolve the issue of borrowers being discouraged to repay their loans. As we stated in the IDR NPRM, the Department is acutely aware of how interest accrual creates psychological and financial barriers to repayment. We believe that the interest benefits is one of the benefits of REPAYE that will independently encourage enrollment in this plan, and borrowers will make progress toward repaying their loans. Contrary to that commenter's assertion, borrowers will still be required to make a payment under REPAYE and many borrowers who make a loan payment will see a reduction in their original outstanding principal balance. Additionally, by removing interest growth as a barrier to repayment, we expect it will be easier to convince borrowers who would have a $0 payment to sign up for REPAYE and thereby avoid delinquency or default because we will be removing one of the most significant downsides to choosing an IDR plan for these borrowers.</P>
                    <P>We do not agree with the suggestion that we should apply the interest benefit only when needed to prevent negative amortization on undergraduate loans. The change suggested by the commenter would introduce significant operational complexity and challenges. In addition, the Department is concerned that it would create confusion with other benefits of REPAYE.</P>
                    <P>We disagree with the suggestion that interest benefits will provide an unintended benefit for high-income professionals. Borrowers with higher incomes will make larger monthly payments than an otherwise similar individual with a lower income. If that higher income borrower also has a larger loan balance, they will also have large amounts of interest they must first pay each month before the principal balance declines. That means they will still be paying significant amounts of interest on a monthly, annual, and lifetime basis. These borrowers are also not subject to an overall cap on payments the way they are on IBR or PAYE. That means the highest-income borrowers may end up making larger total payments on REPAYE, even if they receive some interest benefits at the start of their time in repayment.</P>
                    <P>Lastly, the Department is concerned that the initial period of repayment is when a borrower might be most likely to exhibit signs of struggle and when lower incomes might place them at the greatest risk of not being able to afford payments. For borrowers such as the doctors described by the commenter, their incomes will rise after a few years and the Department will receive significant payments from them in the future. Similar reasoning applies to our decision not to adopt the proposal to only apply the interest treatment after the first few years in repayment.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Deferments and Forbearances (§ 685.209(k))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         A few commenters requested that the Department include in-school deferments in the list of periods counting toward the maximum repayment period under § 685.209(k) or allow for a buyback option for these periods of deferment. Another commenter argued that not including in-school deferments toward monthly forgiveness credit will be especially problematic for many graduate students who are employed while going to school and regularly making payments.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department does not believe it would be appropriate to provide credit for time spent in an in-school deferment toward forgiveness. While some borrowers do work while in an in-school deferment, there are many that do not. The Department does not think it would be appropriate to award credit toward forgiveness solely because a borrower is in school. Borrowers have the option to decline the in-school deferment when they re-enroll and those who wish to make progress toward forgiveness should do so. A borrower who believes they were 
                        <PRTPAGE P="43853"/>
                        incorrectly placed in an in-school deferment contrary to their request should open a case with the Federal Student Aid Ombudsman by submitting a complaint online at 
                        <E T="03">www.studentaid.gov.</E>
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         Several commenters suggested that once the automatic one-time payment count adjustment is completed, the Department should provide an IDR credit for anyone with a $0 payment who is in deferment or forbearance, as well as credit for time spent in an in-school deferment.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department outlined the terms of the one-time payment count adjustment when it announced the policy in April 2022. We have continued to provide updates on that policy. The one-time payment count adjustment is a tailored response to specific issues identified in the long-term tracking of progress toward forgiveness on IDR plans as well as the usage of deferments and forbearances that should not have occurred. We believe the one-time payment count adjustment policy that we announced in 2022 and our other hold harmless provision that we discuss elsewhere throughout this document will adequately address these commenters' concerns.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         A few commenters suggested that we treat periods of deferment and forbearance as credit toward the shortened forgiveness periods laid out in § 685.209(k)(3) since the department already proposed to count them toward the 20 or 25 years required for forgiveness under § 685.209(k)(1) and (2). These commenters stated that we should remove the clause in § 685.209(k)(4)(i) that prohibited periods in deferment and forbearance to count toward the shortened forgiveness timeline.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department agrees with these commenters that all months of deferment and forbearance listed in § 685.209(k)(4)(iv) should count as payments toward the shortened forgiveness period. We had originally proposed to exclude these periods because we wanted to make certain that borrowers would not try to use a deferment or forbearance to minimize the payments made before receiving forgiveness in as few as 120 months. However, we think excluding those periods from the shortened forgiveness timeline would create confusion for borrowers and operational challenges that are more problematic than the Department's initial reasons for not counting those periods. We think borrowers would have trouble understanding why some months count toward one tally of time to forgiveness but not others. Such an approach would also create significant operational challenges as the Department would have to keep track of two different measures of progress toward forgiveness, which could increase the risk of error. Given that the periods of deferment and forbearance being counted toward forgiveness are tied to specific circumstances that will not just be available to most borrowers, we now think the overall gains from establishing one measure of progress toward forgiveness is appropriate.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         We have revised § 685.209(k)(4)(i) to remove the phrase “including a payment of $0, except that those periods of deferment or forbearance treated as a payment under (k)(4)(iv) of this section do not apply for forgiveness under paragraph (k)(3) of this section” and in its place add “or having a monthly payment obligation of $0.”
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         Other commenters suggested that the time spent in certain deferment and forbearance periods that count toward PSLF also be counted toward IDR forgiveness.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department agrees with the commenters that all months that borrowers spent in deferment or forbearance that get credited as time toward forgiveness for PSLF should be credited as time toward forgiveness for IDR. However, the inverse is not always true. The Department will award credit toward IDR forgiveness for the unemployment and rehabilitation training deferments for which a borrower would not be able to be employed full-time and which do not count for PSLF.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         We have revised § 685.209(k)(4)(v) to include that a payment toward a month of forgiveness in PSLF will count toward a month of forgiveness in IDR.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         A few commenters expressed concern that the Department does not provide different forbearance status codes to lenders and loan servicers, thereby creating an operational challenge. Specifically, commenters pointed out the need to distinguish among and report the types of forbearance, as currently only one forbearance status code exists in the National Student Loan Data System (NSLDS).
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree that the Department should provide different forbearance status codes to lenders and loan servicers. This is an operational issue that does not need to be addressed in the rule. However, given the comment we wish to clarify how this provision will be implemented for borrowers. The Department will only be implementing this treatment of crediting certain periods of forbearance for months occurring on or after July 1, 2024. This reflects the data limitations mentioned by commenters, which would otherwise result in the overawarding of credit for forbearance statuses that go beyond those we include in the rule. The Department also believes the one-time payment count adjustment will pick up many of these same periods and as a result a separate retroactive application is not necessary.
                    </P>
                    <P>
                        The Department will take a different approach to deferments. For those, the Department has the data needed to determine the months a borrower is in specific deferments and can count past periods. Here we note that the Department will already be crediting all periods of non-in-school deferments prior to 2013 as part of the one-time payment count adjustment so this will only apply to periods starting in 2013. The Department is currently evaluating when we will be able to implement this change and as noted earlier in this rule, we may publish a 
                        <E T="04">Federal Register</E>
                         notice indicating if this is going to be implemented sooner than July 1, 2024.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         We have amended § 685.209 (k)(4)(iv) to clarify that only periods in the forbearances noted in that section on or after July 1, 2024, will be counted toward forgiveness.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter disagreed with our proposals for considering certain deferment and forbearance periods as counting toward IDR forgiveness. This commenter believed that deferments and forbearances allow borrowers to avoid making payments and that our proposals would allow us to classify those periods of deferments or forbearance as payments.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenter's framing of the Department's policy. Forbearances and deferments are statutory benefits given to borrowers when they meet certain criteria, such as deferments for borrowers while they are experiencing economic hardships or forbearances for students who are servicemembers who have been called up for military duty. We have carefully reviewed all of the different forbearances and deferments available to borrowers and intentionally decided to only award credit toward IDR forgiveness for those instances where the borrower would or would be highly likely to have a $0 payment or where there is confusion about whether they should choose IDR or the opportunity to pause their payments. The former category includes situations like an unemployment deferment, while 
                        <PRTPAGE P="43854"/>
                        the latter includes deferments related to service in the military, AmeriCorps, or the Peace Corps. All of these deferments and forbearances also require borrowers to complete documentation and be approved. The forbearances that we are not proposing to provide credit toward forgiveness are those where the Department is concerned about creating unintended incentives to not make payments.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters proposed that borrowers who are in a forbearance while undergoing a bankruptcy proceeding should receive credit toward forgiveness. They noted that in many cases borrowers may be making payments during that proceeding. They also noted that while borrowers currently have a way to get credit toward IDR by including language in their bankruptcy agreement, that option is infrequently used and confusing for borrowers.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department agrees with the commenters in part. A borrower in a Chapter 13 bankruptcy is on a court-approved plan to pay a trustee. However, we do not know the amount that the trustee will distribute to pay the borrower's loan, nor do we know the payment schedule. The trustee may pay on the student loan for a few months, then switch to paying down other debt. It may also take time for a borrower to have their Chapter 13 plan approved after filing for bankruptcy and not all borrowers successfully complete the plan. For those reasons, the Department is modifying the regulatory text to allow for the inclusion of periods while borrowers are making required payments under a Chapter 13 bankruptcy plan. Borrowers will only be credited for the months during which they are fulfilling their obligations. Given that the Department will not know this information in real time, we have revised the regulation to allow us to credit these periods toward forgiveness when we are notified that the borrower made the required payments on their approved bankruptcy plan. We anticipate that we will be informed about months of successful payments after the trustee distributes payments. We believe that this crediting of months well after the payments to the trustee are made will still provide benefit for borrowers as a Chapter 13 proceeding typically lasts for a few years, leaving an extended period remaining prior to forgiveness.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         We have revised § 685.209(k)(4)(iv)(K) to provide that the Department will award credit toward IDR forgiveness for months where the Secretary determines that the borrower made payments under an approved bankruptcy plan.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         As a response to our request for feedback 
                        <SU>78</SU>
                        <FTREF/>
                         on whether we should include comparable deferments for Direct Loan borrowers with outstanding balances on FFEL loans made before 1993 toward IDR forgiveness, a few commenters responded with the view that we should include time spent on these deferments toward forgiveness. Another commenter noted if we included comparable deferments, we would face data limitations and operational constraints.
                    </P>
                    <FTNT>
                        <P>
                            <SU>78</SU>
                             See 88 FR 1906.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Discussion:</E>
                         After further evaluation, we concur with the latter commenter. It is not operationally feasible for us to provide credit toward forgiveness for comparable deferments to Direct Loan borrowers with outstanding balances on FFEL loans made before 1993. The Department has limited data pertaining to deferments and forbearances for Direct Loan borrowers who still have an outstanding FFEL loan made before 1993. Therefore, we are unable to include comparable deferments to Direct Loan borrowers with outstanding balances on FFEL loans made before 1993 toward IDR forgiveness.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Catch-Up Payments (§  685.209(k))</HD>
                    <P>
                        <E T="03">Comment:</E>
                         Many commenters strongly supported the Department's proposed catch-up payments provision that would allow borrowers to receive loan forgiveness credit when they make qualified payments on certain deferments and forbearances that are not otherwise credited toward forgiveness.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenters for their support. We believe this process will provide a way to make certain borrowers can continue making progress toward forgiveness even if they intentionally or unintentionally select a deferment or forbearance that is not eligible for credit toward forgiveness. By requiring borrowers to make qualifying payments for these periods we successfully balance that flexibility with ensuring borrowers do not have an incentive to intentionally pause their payments rather than join an IDR plan.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters felt that requiring a borrower to document their earnings for past periods to receive catch-up credit would create an administrative burden for the borrower, as well as the Department. These commenters further suggested that we annually notify borrowers if they have eligible periods of deferment and forbearance for which they are eligible for catch-up payments.
                    </P>
                    <P>Several commenters suggested that the Department automate the hold harmless periods and give borrowers credit toward forgiveness for any period of paused payments.</P>
                    <P>Several commenters requested that the Department set the catch-up payments to allow $0 payments if we could not determine the amount of the catch-up payments.</P>
                    <P>One commenter suggested that the proposed catch-up period would be virtually unworkable for the Department and sets both borrowers and FSA up for failure. This commenter recommended eliminating or restricting this provision because the required information is too difficult for borrowers to obtain.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         In continuing to review the proposal from the NPRM, the Department considered how best to operationalize the process of giving borrowers an option for buying back time spent in deferment or forbearance that is not otherwise credited toward forgiveness. We also looked at ways to create a process that we can administer with minimal errors and with minimal burden on borrowers. We believe doing so will address both the operational issues raised by some commenters, as well as the concerns raised by others about borrowers being unable to take advantage of this provision or being unduly burdened in trying to do so.
                    </P>
                    <P>In considering these issues of operational feasibility and borrower simplicity, we have decided to revise the catch-up option that was proposed in the IDR NPRM. Specifically, we will offer the catch-up option for periods beginning after July 1, 2024. This reflects the Department's assessment that we lack the operational capability to apply this benefit retroactively. Instead, we believe the one-time payment count adjustment will capture most periods that we would have otherwise captured in this process—and it will do so automatically.</P>
                    <P>
                        In considering the comments about making this process as simple and automatic as possible, the Department determined that the best way to apply this benefit going forward is to allow borrowers to make catch-up payments at an amount equal to their current IDR payment when they seek to make up for prior periods of deferment or forbearance that are not otherwise credited. This amount will easily be known to both the borrower and the Department and minimizes the need for any additional work by the borrower. However, because we base the catch-up payment upon the current IDR payment, the Department is limiting the usage of 
                        <PRTPAGE P="43855"/>
                        the catch-up period to only the months of deferment or forbearance that ended no more than three years prior to when the borrower makes the additional catch-up payment and that took place on or after July 1, 2024.
                    </P>
                    <P>We believe this 3-year catch-up period is reasonable because IDR payments can reflect a period of up to 3 calendar years prior to when the borrower certifies their income. As an example, a borrower who signs up for IDR in 2026 before they file their tax return will likely have their monthly payments calculated using their 2024 income. The Department is providing borrowers with one additional year, for a total of three years, to make catch-up payments to allow for additional flexibility while ensuring that current IDR payments will not be used to receive credit for periods much further in the past.</P>
                    <P>Because we are structuring the catch-up period to use the current IDR payment, we are also excluding periods of in-school deferment from this provision. Borrowers may spend multiple years in an in-school deferment, graduate, and then immediately go onto IDR using their prior (or prior-prior) year tax data, which would likely make them eligible for a $0 payment if they were not working full-time while in school. Allowing borrowers to make catch-up payments for periods of in-school deferment would therefore allow recent graduates to get credit toward IDR for their entire period of enrollment without having to make any payments. While it is true that some borrowers may want to make payments while in school and may improperly end up in an in-school deferment instead, we believe these instances are best addressed through complaints to the Ombudsman rather than through the catch-up provisions in this rule.</P>
                    <P>The approach taken in this final rule will address several concerns raised by the commenters. First, the catch-up payments will always be made based upon the borrower's current IDR payment amount. That means borrowers will not face the burden of collecting documentation of past income. Second, making this policy prospective only and assigning it a clearer time limit will make it easier for the Department to make borrowers aware of the benefit. We will be able to inform borrowers each year on how many payments may be eligible for this catch-up process. That way borrowers will know how many months could be addressed through the catch-up option and when months would no longer be eligible for this approach. At the same time, it avoids the operational issues identified by other commenters about retroactive review of accounts.</P>
                    <P>Upon further review of the operational and budgetary resources available, the Department does not believe it would be able to administer the catch-up process for earlier periods within a reasonable time frame. And we do not believe that other suggestions from commenters that would be simpler, such as giving any borrower in this situation credit for a $0 payment, would be an appropriate and fair step. There likely would be borrowers in that situation who could have made an IDR payment and we are concerned that automatically awarding a $0 payment would create an inappropriate mechanism for avoiding payments.</P>
                    <P>
                        The Department recognizes this approach is different from what was included in the final rule for PSLF, and we note that months awarded for purposes of PSLF through that process will still count for IDR. In the final rule 
                        <SU>79</SU>
                        <FTREF/>
                         for PSLF published on November 1, 2022, the Department proposed allowing catch-up payments for any period in the past up to the creation of the PSLF program. However, the Department believes such an approach is more feasible in the case of PSLF because the PSLF program is 13 years newer than IDR. The PSLF policy also affects a much smaller number of borrowers—about 1.3 million to date—compared to more than 8 million borrowers on IDR overall. Moreover, the PSLF program only requires 120 months of payments compared to up to 300 payments on IDR. That means the administrative burden of counting payments will be offset by the fact that the policy will move PSLF borrowers significantly closer to forgiveness on PSLF than it would on IDR. Similarly, the Department believes awarding credit for catch-up periods of in-school deferment is reasonable in PSLF because that program has a requirement that borrowers be working full-time, limiting the prospect of a borrower using lower earnings while in-school to get a $0 payment after school and then receive significant amounts of credit toward forgiveness.
                    </P>
                    <FTNT>
                        <P>
                            <SU>79</SU>
                             See 87 FR 65904.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         We have amended § 685.209(k)(6)(i) to provide that the catch-up period is limited to periods excluding in-school deferments ending not more than three years prior to the payment and that the additional payment amount will be set at the amount the borrower currently must pay on an IDR plan. We have also amended § 685.209(k)(6)(ii) to note that, upon request, the Secretary informs the borrower of the months eligible for payments under paragraph (k)(6)(i).
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         Several commenters suggested that lump sum payments should be counted as catch-up payments and treated the same in both IDR and PSLF.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department agrees with commenters that lump sum payments in both IDR and PSLF should count toward forgiveness in the same manner. To that end, we believe that our current practice and operations are sufficient, as we already consider lump sum payments in advance of a scheduled payment to count toward IDR forgiveness. The changes made in the PSLF regulation were designed to align with the existing IDR practice.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters suggested that we clarify that defaulted loans could receive loan forgiveness credit if the borrower makes catch-up payments. Furthermore, the commenters asked whether borrowers would qualify for loan forgiveness credit now if they had made $0 payments in the past.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department will apply the catch-up option the same regardless of whether a borrower was in repayment or in default so long as they are on an IDR plan at the time they make the catch-up payment. As noted in response to other comments in this section, the catch-up payments provision will only apply to periods starting on or after July 1, 2024. Borrowers in default, like borrowers in repayment, will not be able to make catch-up payments to receive credit toward forgiveness for periods prior to that date, though they may receive credit for additional periods under the Department's one-time payment count adjustment.
                        <SU>80</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>80</SU>
                             
                            <E T="03">www.studentaid.gov/announcements-events/idr-account-adjustment.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Treatment of Income and Loan Debt (§  685.209(e))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters supported the Department's proposal to provide that if a married couple files separate Federal tax returns the borrower would not be required to include the spouse's income in the information used to calculate the borrower's Federal Direct loan payment. Commenters supported this provision to only consider the borrower's income when a borrower is married but filing separately to be consistent with the PAYE and IBR plans.
                    </P>
                    <P>
                        One commenter argued that the married filing separately option is 
                        <PRTPAGE P="43856"/>
                        seriously flawed, because filing taxes in this manner is often very costly, given the deductions and credits that married people filing separately lose out on. The commenter further asserted that borrowers should not have to choose between paying more on their taxes or their loans. They encouraged the Department to consider allowing borrowers to submit joint tax returns and all of their individual W2s and 1099s when certifying income each year.
                    </P>
                    <P>Several other commenters argued that loan payment amounts should be tied to the individual who took out the loans. Several other commenters argued that if a spouse did not borrow the loans, it is irrelevant how much money they earned.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree with the commenters that felt that it was appropriate to exclude the spouse's income for married borrowers who file separately when calculating monthly payments and to have more consistent regulatory requirements for all IDR plans. In addition, we sought to help borrowers avoid the complications that might be created by requesting spousal income information when married borrowers have filed their taxes separately, such as in cases of domestic abuse, separation, or divorce.
                    </P>
                    <P>The HEA requires that we include the spouse's income if the borrower is married and files jointly. Specifically, Sec. 455(e)(2) of the HEA states that the repayment amount for a loan being repaid under the ICR plan “shall be based on the adjusted gross income (as defined in section 62 of the Internal Revenue Code of 1986) of the borrower or, if the borrower is married and files a Federal income tax return jointly with the borrower's spouse, on the adjusted gross income of the borrower and the borrower's spouse.” The Department must include a spouse's income for married borrowers who file joint tax returns. The new family size definition means that while we will no longer require a married borrower filing separately and repaying the loan under the REPAYE plan to provide their spouse's income, the borrower cannot include the spouse in the family size number under this status. This revised definition will apply to the PAYE, IBR, and ICR plans. Previously, borrowers repaying under IBR, PAYE, or ICR were permitted to include the spouse in family size when filing separately and borrowers repaying under REPAYE could include the spouse only if the spouse's income was provided separately. However, since borrowers will no longer be required to provide the spouse's income, all plans will require the removal of the spouse from the family size number when the borrower is filing separately. After these new regulations are effective, the only instance in which a married borrower will include the spouse in family size is when the borrower and spouse file a joint Federal tax return. This new definition will provide more consistent treatment since borrowers will not include their spouse in the family size when excluding the spouse's income for purposes of calculating the payment amount under any of the IDR plans.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Borrower's Income and Family Size §§  685.209(a)(1)(i), 685.209(c)(1)(i), and 685.221(a)(1)</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters supported the Department's proposal to change the regulations to provide that married borrowers who file separate Federal tax returns would not be required to include their spouse's income for purposes of calculating the payment amount under REPAYE. Other commenters believed that our proposals would disadvantage married borrowers in relation to single individuals and would make couples less likely to get married or, for those borrowers already married, more likely to divorce. These commenters explained that married couples filing jointly are allowed to exclude less total income than are unmarried couples. These commenters suggest that our proposal would penalize married couples.
                    </P>
                    <P>Another commenter expressed concern over the budgetary cost of the regulation and believed certain married borrowers would experience a windfall. This commenter believes that married borrowers could choose to file separate tax returns to reduce their student loan payments and that many borrowers will try to “game” the system by filing separately, particularly among households with one earning spouse. Similarly, several commenters urged us to maintain the current REPAYE regulations regarding AGI calculations for married couples.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenters who support this provision. Establishing the same requirements and procedures with respect to spousal income across all of the IDR plans will alleviate confusion among borrowers when selecting a plan that meets their needs. It will make it easier for future student loan borrowers to choose between IBR and REPAYE and may encourage some borrowers eligible for PAYE to switch into REPAYE, further simplifying the system. Excluding spousal income under all IDR plans for borrowers who file separate tax returns creates a more streamlined process for borrowers and the Department.
                    </P>
                    <P>Section 455(e)(2) of the HEA requires that the repayment schedule for an ICR plan be based upon the borrower and the spouse's AGI if they file a joint tax return.</P>
                    <P>Under these final regulations, married borrowers filing separately will include only that borrower's income for purposes of determining the payment amount under REPAYE. Depending on the couple's circumstances, filing separately may or may not be advantageous for the taxpayers. The married couple has the option to either file separately or file jointly as allowed by the Federal tax laws.</P>
                    <P>
                        We already responded to comments about how the use of FPL affects marriage incentives in the 
                        <E T="03">Other Issues Pertaining to Income Protection Threshold</E>
                         section of this document. As also noted in that section, allowing married borrowers to file separately and exclude their spouse's income from the payment will address the more significant potential drawback to marriage that existed in the REPAYE plan. We also note that if both earners in a household have student loan debt, both of their debts are covered by the same calculated payment amount. That means if 5 percent of a household's total income is going to student loan payments, then it is in effect 2.5 percent of the household income going to one borrower's payments and the other 2.5 percent going to the other.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Forgiveness Timeline (§  685.209(k))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters urged the Department to set a maximum forgiveness timeline of 20 years for both undergraduate and graduate borrowers in all IDR plans. A few commenters suggested that the disparity between the forgiveness timeline for undergraduate and graduate loans may discourage undergraduates from pursuing a graduate education.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the suggestion and will keep the maximum time to forgiveness at 20 years for borrowers with only undergraduate loans and 25 years for borrowers with any graduate loans. Under the current REPAYE regulations published in 2015,
                        <SU>81</SU>
                        <FTREF/>
                         borrowers with any graduate debt are required to pay for 300 months (the equivalent of 25 years) to receive forgiveness of the remaining loan balance instead of the 240 months required for undergraduate borrowers. As discussed in the IDR NPRM 
                        <SU>82</SU>
                        <FTREF/>
                         and 
                        <PRTPAGE P="43857"/>
                        reiterated here, there are significant differences between borrowing for undergraduate versus graduate education. Congress recognized these distinctions, as well, by providing different loan limits 
                        <SU>83</SU>
                        <FTREF/>
                         and interest subsidies 
                        <SU>84</SU>
                        <FTREF/>
                         between undergraduate and graduate borrowers. Graduate PLUS borrowers do not have a strict dollar-based limit on their annual or lifetime borrowing in contrast to the specific loan limits that apply to loans for undergraduate programs. We believe that our 2015 decision to treat undergraduate and graduate borrowing differently was appropriate and should not be changed.
                        <SU>85</SU>
                        <FTREF/>
                         We appreciate the concerns expressed by the commenters and the suggested alternative approaches. However, we continue to believe that it is important to have borrowers with higher loan balances make payments over a longer period before receiving loan forgiveness. Providing loan forgiveness after 20 years of repayment for all borrowers, regardless of loan debt, would be inconsistent with this goal and, equally importantly, would result in significant additional costs to taxpayers that would not address the Department's broader goals in this rule.
                    </P>
                    <FTNT>
                        <P>
                            <SU>81</SU>
                             See 80 FR 67204 (October 30, 2015).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>82</SU>
                             See 88 FR 1901-1905.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>83</SU>
                             See Sec. 428H(d) of the HEA.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>84</SU>
                             Congress terminated the authority to make subsidized loans to graduate and professional students in 2012. See Sec. 455(a)(3) of the HEA.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>85</SU>
                             See 80 FR 67221.
                        </P>
                    </FTNT>
                    <P>We do not share the concern of some commenters that the longer forgiveness timeline for graduate borrowers will discourage students from pursuing a graduate education. In fact, in the time since REPAYE was first created, graduate enrollment has increased even as undergraduate enrollment has declined. The Department does not view having graduate debt negatively. Pursuing education beyond the bachelor's degree opens career pathways that would otherwise be unavailable to many people. Nonetheless, we remained concerned about the increasing share of loans borrowed for graduate education and how the much higher loan balances of borrowers with graduate debt can affect the benefits from IDR plans. The longer repayment timeframe is the simplest way that we can equitably distribute benefits to borrowers.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters suggested that we reduce the maximum time to forgiveness for borrowers. A few commenters suggested that we reduce the maximum time to forgiveness to 15 years for undergraduate borrowers and to less than 15 years for borrowers with low incomes. Several commenters suggested that we set the maximum forgiveness thresholds at 10 years for undergraduate borrowers and 15 years for graduate borrowers.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department's goal in developing the changes to REPAYE included in these regulations is to encourage more borrowers who are at a high risk of delinquency or default to choose the REPAYE plan and to simplify the process of selecting whether to enroll in a particular IDR plan. At the same time, the plan should not include unnecessary subsidies for borrowers that do not help accomplish those goals. We believe that the various shortened times for forgiveness proposed by these commenters would give more benefits to higher-income borrowers who can afford to repay their loans.
                    </P>
                    <P>We believe the changes to the payment amounts under REPAYE, coupled with the opportunity for lower-balance borrowers to receive forgiveness after a shortened period, will accomplish our goals better than the suggestions from the commenters. These changes will also benefit other borrowers who borrowed higher amounts.</P>
                    <P>The Department does not think that setting a forgiveness threshold at 10 years of monthly payments would be appropriate for all undergraduate borrowers. As discussed in the IDR NPRM and in the section in this preamble on shortened forgiveness, we think a forgiveness period that starts as early as 10 years of monthly payments is appropriate only for borrowers with the lowest original principal balances. Using a 10-year timeline for all undergraduate borrowers would allow individuals with very high incomes to receive forgiveness when they would otherwise have repaid the loan. The same is true for setting forgiveness at 15 years for graduate borrowers. The Department is concerned that such a short repayment time frame for any graduate borrower regardless of balance would provide very significant benefits to high-income borrowers who might otherwise repay the loan in full between years 15 and 25. Helping borrowers with lower incomes is the Department's priority as we improve the REPAYE plan.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters expressed concerns about possible tax liabilities and pointed out that the loan amount forgiven will be considered taxable income for the borrower. Several commenters argued that it would be harsh to tax the amount of the loan that is forgiven, especially because people who are struggling to repay their student loans do not have the money to pay taxes on such a potentially large sum. One commenter noted that borrowers may be taxed on the amount of the loan that is forgiven, which may be reduced due to the interest benefit provided to the borrower. Another commenter explained that the borrower would have to enter into a payment plan with the IRS—which charges interest—and defeats the purpose of loan forgiveness.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department does not have the authority to change the income tax laws relating to the amount of any loan that is forgiven. The IRS and the States have their own statutory and regulatory standards for what is considered taxable income—and whether that income is taxable or not. A borrower may need to consider any tax implications of their choice of repayment plan and potential loan forgiveness and any resulting taxes.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Shortened Forgiveness Timeline (§  685.209(k))</HD>
                    <HD SOURCE="HD2">General Support</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters supported the Department's proposal to shorten the time to forgiveness for borrowers in the REPAYE plan to as few as 10 years of monthly qualifying payments for borrowers with original loan balances of $12,000 or less which would increase by 1 year for every additional $1,000 of the borrower's original principal balance.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenters for their support. We believe that shortening the time to forgiveness for borrowers with loan balances of $12,000 or less will help to address our goal of making REPAYE a more attractive option for borrowers who are more likely to struggle to afford their loan payments and decrease the frequency of delinquency and default. This will include counting past qualifying payments for borrowers with these low loan balances.
                    </P>
                    <HD SOURCE="HD2">General Opposition</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters opposed our proposals for shortened forgiveness timelines. They claimed that our proposal conflicts with the statute. According to these commenters, the standard repayment period under the HEA is 10 years, and while the statute permits ICR plans for loans to be repaid for an “extended period of time,” the commenters suggest that loan forgiveness under an ICR plan may only be permitted after 10 years, and that loan forgiveness may not occur as soon as 10 years as we have proposed. Several other commenters believed that 
                        <PRTPAGE P="43858"/>
                        we would violate Congress' intent by extending the 10-year forgiveness timeline, which applies to the PSLF Program, to all borrowers. These commenters believe that Congress generally established maximum repayment periods of 20 to 25 years for loans.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We discuss the legal arguments about the underlying statutory criteria in the 
                        <E T="03">Legal Authority</E>
                         section of this document. As a policy matter, we disagree with the commenters. As noted in the IDR NPRM and in this preamble, we are concerned about high rates of delinquency and default in the student loan programs and those negative problems are particularly concentrated among these lower-balance borrowers. We believe this provision will help make REPAYE a better option for those borrowers, which will assist us in achieving our goals.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comment:</E>
                         Commenters argued that the Department's proposal for shortened periods to forgiveness failed to consider that a borrower eligible for this forgiveness after 10 years of monthly payments might still be able to keep paying and therefore, not need forgiveness.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenter. By limiting the shortened forgiveness period to borrowers with lower loan balances, borrowers with higher incomes will still pay down substantial amounts of their loan balance, if not pay it off entirely, before the end of the 120 monthly payments. This point is strengthened by the fact that forgiveness is not available until the borrower has made 10 years' worth of monthly payments, which is a point at which borrowers will start to see their income trajectories established. Moreover, Department data show that in general the borrowers who take out the debt amounts that would lead to shortened forgiveness are among those who are most likely to default. We believe this simplified approach will best address our goals of reducing default, while the strict caps on the amount borrowed for undergraduate programs protect against the type of manipulation referenced by the commenter.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter argued that the Department's analysis supporting the choice of thresholds for the shortened period to forgiveness was arbitrary because it would result in the median person benefiting from this policy. They argued that forgiveness should not be for the general person.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the commenter. The overall policy purpose of the shortened timeline to forgiveness is to increase the likelihood that the most at-risk borrowers select an IDR plan that reduces the time spent in repayment before their loan debt is forgiven and, by doing so, reducing rates of default and delinquency.
                    </P>
                    <P>To determine the maximum original principal balance that a borrower could receive to qualify for a shortened period of forgiveness, the Department compared the level of annual earnings a borrower would need to make to not qualify for forgiveness to the median individual and household earnings for early career adults at different levels of educational attainment. These calculations show that a borrower in a one-person household would not benefit from the shortened forgiveness if their starting income exceeded $59,257, while the median earnings for early career workers with at least some college education is $74,740. As a result, the median individual with at least some college education would not benefit from shortened forgiveness and we believe it is reasonable that a borrower with earnings above a typical college-educated individual should not benefit from the shortened period to forgiveness. The commenter did not provide a suggestion for what a different reasonable threshold might be.</P>
                    <P>We also note that the maximum earnings to benefit from the shortened forgiveness deadline is likely to be far different from the actual earnings of most individuals who ultimately benefit from this policy. Generally, borrowers with this level of debt tend to be independent students who only completed one year of postsecondary education and left without receiving a credential. These individuals tend to have earnings far below the national median figures, which is one of the reasons why they are so likely to experience delinquency and default.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Tying Forgiveness Thresholds to Loan Limits</HD>
                    <P>
                        <E T="03">Comments:</E>
                         In the IDR NPRM, we requested comments on whether we should tie the starting point for the shortened forgiveness to the first two years of loan limits for a dependent undergraduate student to allow for an automatic adjustment. Several commenters said shortened periods until loan forgiveness should not be tied to loan limits. Some of those commenters said the starting point for shortened forgiveness should remain at $12,000. These commenters felt that if the regulations specify that higher loan limits mean earlier forgiveness, the budgetary costs of raising the loan limits will increase. Another commenter mentioned that if Congress were to raise Federal student loan limits in the future, the effectiveness of this threshold would likely be reduced for low-balance borrowers. Another point some commenters made was that tying forgiveness to the loan limit thresholds would make it harder for Congress to raise loan limits.
                    </P>
                    <P>Other commenters argued that we should index the starting point of shortened forgiveness to the statutory loan limits for the first two of years of college for dependent students. Another commenter who supported indexing the starting point to the statutory loan limits stated that because these loan limits are not indexed to inflation there is an implicit understanding when Congress increases loan limits that they are acknowledging increases in postsecondary education costs.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department's overall goal in crafting changes to REPAYE is to make it more attractive for borrowers who might otherwise be at a high risk of default or delinquency. In choosing the threshold for principal balances eligible for a shortened period until forgiveness, we looked at whether borrowers would have earnings that placed them below the national median of similar individuals. We then tried to relate that amount to loan limits so that it would be easier to understand for future students when making borrowing decisions. That amount happens to be equal to two years of the loan limit for dependent undergraduate students.
                    </P>
                    <P>
                        However, the suggestion to tie the shortened forgiveness amount to the dependent loan limits generated a number of comments suggesting that we should instead adjust the amounts to two years at the independent loan limit, an amount that is $8,000 higher than the amount included in the IDR NPRM. The Department is concerned that higher level would provide the opportunity for borrowers at incomes significantly above the national median to receive forgiveness and the result would be a benefit that is more expansive than what is needed to serve our overall goals of driving down delinquency and default. By contrast, the $12,000 threshold not only is better targeted in terms of incomes, it also aligns with the borrowing level at which we witness higher levels of adverse student loan outcomes. As previously mentioned in the IDR NPRM, 63 percent of borrowers in default borrowed $12,000 or less originally, while the share of borrowers in default with debts originally between 
                        <PRTPAGE P="43859"/>
                        $12,000 and $19,000 is just 15 percent.
                        <SU>86</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>86</SU>
                             See 88 FR 1909.
                        </P>
                    </FTNT>
                    <P>Given that the $12,000 amount is better targeted in terms of income where borrowers would benefit and where the Department sees loan struggles, we think it is better to continue expressing the point at which a borrower could receive forgiveness after 120 monthly payments in explicit dollar terms rather than tying it to loan limits.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Starting Point for Shortened Forgiveness</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters suggested that we increase the starting amount of debt at which shortened forgiveness would occur to $20,000, which is equal to the maximum amount that an independent student can borrow for the first two years of postsecondary education. They argued that doing so would provide a shortened time to forgiveness at the maximum amount of undergraduate borrowing for two years. One commenter said that the starting point should be there because independent students are more likely to default on their loans than dependent students. Another commenter said that if we did not change the shortened forgiveness point to $20,000 for everyone, we should distinguish between dependent and independent borrowers and set the starting point for shortened forgiveness at $12,000 for dependent borrowers and $20,000 for independent borrowers.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We understand why the commenters argued to set the threshold for shortened time to forgiveness at $20,000 to maintain parity between independent and dependent students if we were to establish this threshold explicitly based upon loan limits. However, as noted in the IDR NPRM, we considered adopting thresholds such as the ones suggested by the commenters but rejected them based on concerns that the incomes at which borrowers would benefit from this policy are too high and that the rates of default are significantly lower for borrowers with those higher amounts of debt, including independent borrowers. While independent students have higher loan limits than dependent students, Department data show that the repayment problems we are most concerned about occur at similar debt levels across independent and dependent students. We recognize that independent students often face additional challenges, but we believe that the $12,000 threshold still protects those borrowers most likely to struggle repaying their student loans. For example, Department data show that, among independent borrowers with student loans in 2022, 33 percent of those who borrowed less than $12,000 in total were in default, compared to 11 percent of independent students who left higher education with higher amounts of debt.
                    </P>
                    <P>
                        Additionally, establishing different forgiveness thresholds based upon dependency status could also lead to substantial administrative burden and complexity for borrowers, as students can start their borrowing as dependent borrowers and then become independent. For example, of entering students classified as dependent undergraduates in the 2011-12 academic year, 53 percent of those who were enrolled five years later (in the 2016-17 academic year) were considered independent.
                        <SU>87</SU>
                        <FTREF/>
                         This is because an undergraduate student who turns 24, gets married, has a child, or meets certain other criteria while enrolled as an undergraduate student becomes an independent student. Also, all students in graduate school are considered independent. Further, it would be administratively difficult to consolidate debt incurred by a borrower both as a dependent and an independent student and maintain different forgiveness thresholds. Accordingly, we think a single structure for shortened forgiveness would be simpler operationally and easier for borrowers to understand. Therefore, we affirm our position of adopting a threshold starting at $12,000 in this final rule.
                    </P>
                    <FTNT>
                        <P>
                            <SU>87</SU>
                             Analysis of Beginning Postsecondary Students (BPS) 2012/2017, 
                            <E T="03">nces.ed.gov/datalab/powerstats/table/maaiwf.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters urged the Department to reduce the original balance threshold of $12,000 to $10,000 to receive loan forgiveness for borrowers who have satisfied 120 monthly payments. These commenters argued that associating $10,000 to 10 years is simpler. Others argued that this would make more sense since it is close to the one-year limit for independent undergraduate borrowers.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         As noted elsewhere in this final rule, we are not electing to tie the threshold for the shortened period for loan forgiveness to loan limits and will instead continue it to base it upon the amount originally borrowed. We appreciate the suggestions for simplification from commenters but believe the benefits for borrowers by setting the threshold at a higher level of original principal balance exceeds the simplification benefits.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Inflation Adjustment</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters suggested that the shortened forgiveness threshold should be indexed to inflation. One commenter requested that the Department publish annual inflation adjustments. Another commenter indicated that if we index the amount to inflation, we should explain how inflation adjustments would apply to borrowers who were in school versus in repayment.
                    </P>
                    <P>Another commenter disagreed and felt that the Department should not apply inflation adjustments to the forgiveness level since the Department has already linked early loan forgiveness to loan limits and loan limits do not change that often and the value erodes. Another commenter opposed adjusting for inflation and said that, because the $12,000 is tied to the loan limits for a dependent undergraduate borrowing for the first two years, we should reconsider the terms of our plan in the event that Congress increases loan limits.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department has decided not to apply inflation adjustments to the shortened forgiveness amount. This provision will provide the greatest benefits to borrowers with undergraduate loans and those debts are subject to strict loan limits that have not been increased since 2008. It would not be appropriate to adjust the amount of forgiveness based on inflation when the amount of money an undergraduate borrower could borrow has not changed. Doing so could result in providing shortened forgiveness to higher-income borrowers which would be inconsistent with one of the Department's primary goals of providing relief to borrowers who are most at risk of delinquency and default. Moreover, any kind of inflation adjustment would create different shortened forgiveness thresholds for borrowers based upon when they borrowed, since it would not make sense to increase the thresholds for individuals who are already in repayment.
                    </P>
                    <P>
                        Given that the Department is not choosing to connect the shortened forgiveness thresholds to loan limits, we similarly do not think an automatic adjustment tied to loan limits would be appropriate. Since Congress does not regularly change the amount that undergraduate students can borrow, including no changes since 2008, we agree with the commenter that it would be more appropriate to conduct an additional rulemaking process if circumstances change such that a 
                        <PRTPAGE P="43860"/>
                        different threshold for shortened forgiveness may be appropriate.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Alternative Formulas</HD>
                    <P>
                        <E T="03">Comment:</E>
                         Many commenters urged the Department to consider providing a shorter time to forgiveness for any borrower whose income either results in a payment amount of $0 or whose payment is insufficient to reduce the principal balance for a period of time under 5 years. Some commenters also argued for an approach where borrowers would earn different amounts of credit toward forgiveness based upon their financial situation. The result is that the lowest income borrowers would earn more than a month's worth of credit for each month they spent in that status.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department does not believe that it is appropriate to adopt either of the commenters' suggestions. We are concerned that it would put borrowers in a strange circumstance in which if they had a $0 payment for a few years in a row they would be better off in terms of loan forgiveness staying at $0 as opposed to seeking an income gain that would result in the need to make a payment. The Department similarly declines to adopt the commenters' suggestion of varying the amount of credit toward forgiveness granted each month based upon borrowers' incomes. Part of the structure of IDR plans is to create a situation where a borrower with a low income at the start of repayment will still end up paying off their loan if their income grows sufficiently over time. The differential credit proposal could work against this goal, especially for individuals who are on career trajectories where pay is very low at first and then increases substantially, such as doctors and others employed in the medical profession. Adopting such an approach could mean that those individuals pick up significant credit toward forgiveness, which then reduces the months when they might be paying off the loan in full or making very significant payments due to their higher income.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         A few commenters recommended that we adopt a forgiveness structure in which we discharge part of the borrowers' principal balance each year. These commenters said that the problem with the current IDR plans is that the lowest income borrowers will not see a decrease in their balances. Other commenters provided similar suggestions with forgiveness occurring monthly.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         As noted in the IDR NPRM, we do not believe the Department has the legal authority to make such a change. Section 455(d)(1)(D) of the HEA contemplates a single instance of forgiveness that occurs when the borrower's repayment obligation is satisfied. This means that any loan balance that remains outstanding after the borrower has made qualifying payments according to the terms of the IDR plan in which they are enrolled for a maximum repayment period is to be forgiven. An incremental forgiveness structure like that the commenters suggested would require a statutory change.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter proposed that the Department only make shortened forgiveness available to borrowers seeking non-degree or certificate credentials. Relatedly, several commenters urged us to limit the shortened time to forgiveness to only those borrowers who pursued sub-baccalaureate degrees.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the commenters' suggestions. While we understand the concerns about not extending benefits to borrowers who are less likely to need them, we believe that a limitation like the one the commenter requested would exclude many borrowers for whom this policy would be very important. For instance, the 2004 Beginning Postsecondary Students Study, which tracked students through 2009, found that rates of default are similar between someone who finished a certificate (43.5 percent) and someone who did not finish a degree (39.7 percent). We are concerned that the commenters' suggestion could also disincentivize borrowers who might otherwise consider a baccalaureate degree program. We think keeping the point at which the shortened time to forgiveness applies better accomplishes the overall concern about targeting the benefit. Generally, these debt levels are owed by lower-income borrowers. And as shown in the RIA, we anticipate that very few graduate borrowers will have debt levels that allow them to make use of this benefit.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters suggested multiple options for forgiveness timelines, such as 10 years for borrowers who had $20,000 in loan debt, 15 years for borrowers who had $57,500 in loan debt, and 20 years for all other amounts. Several other commenters suggested different forgiveness timelines for dependent versus independent students, such as that dependent students receive forgiveness at 10 years for balances of $12,000 or less, 15 years for balances between $31,000 and $12,000, and 20 years for all amounts over $31,000. These commenters further stated that independent students should have timelines starting at 10 years for balances of $20,000 or less, 15 years for balances between $20,000 and $57,500, and 20 years for balances over $57,500.
                    </P>
                    <P>One commenter was concerned that the proposed formula created points at which a borrower would see zero added costs from taking on additional debt. In other words, they could borrow more debt without seeing their total lifetime payments increase. This commenter suggested a few possible formulas, including ones that would provide forgiveness after as few as five or eight years of payments.</P>
                    <P>Several commenters suggested that the Department measure the periods for forgiveness in terms of months rather than years. In other words, a borrower could have a repayment timeline of 10 years and 1 month based upon the amount they borrowed.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We appreciate the suggestions from commenters but decline to make changes to the shortened forgiveness formula. Regarding proposals to start the period of forgiveness sooner, the Department believes that it would not be appropriate to have the period of forgiveness be shorter than the existing standard 10-year repayment period. The Department also believes that some of the other proposals would either establish significant cliff effects or create a structure for shortened forgiveness that would be overly complicated. On the former, the Department is concerned that some suggestions to only provide forgiveness after 10, 15, or 20 years would add significant jumps in timelines such that a borrower who takes on debt just above a threshold would be paying for as long as an additional 5 years. This result is distinct from the different treatment of undergraduate and graduate debt where the latter reflects an intentional decision to borrow for an additional type of program. At the same time, the Department is concerned that calculating timelines to forgiveness that could vary by a single month or two would be too confusing for borrowers to understand and for the Department to administer. A slope of an additional year for every $1,000 borrowed creates a clear connection between the period in which the student borrowed and the repayment time frame. The equivalent of saying every $83.33 in debt adds one month would be less likely to affect how 
                        <PRTPAGE P="43861"/>
                        borrowers consider how much debt to take out.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Other Comments</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters recommended that the Department clarify how we will calculate the forgiveness timeline for a borrower who starts repayment, then returns to school and takes out new loans. One commenter suggested that the Department create a provision similar to § 685.209(k)(4)(v)(B) that would address this situation to prorate the amount of forgiveness based on the weighted average of the forgiveness acquired for each of the set of loans by the original balance, as well as make the update automatic which would standardize repayment. The commenter also expressed concern that § 685.209(k)(4)(v)(B) only applies to consolidated loans.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The timelines for forgiveness will be based upon the borrower's total original principal loan balance on outstanding loans. As a result, if a borrower goes back to school and borrows additional loans after some period in REPAYE, the new total loan balance would form the basis for calculating the forgiveness timeline. Absent such an approach, the Department is concerned that a borrower would have an incentive to borrow for a year, take time off and enter repayment, then re-enroll so that they have multiple loans all based upon a shorter forgiveness period, even though the total balance is higher.
                    </P>
                    <P>Regarding questions about the time to 20- or 25-year forgiveness for a borrower with multiple unconsolidated loans, those loans may accumulate different periods toward forgiveness, even though the total amount of time until forgiveness is consistent. As an example, if a borrower repays for 10 years on one set of undergraduate loans and then borrows more undergraduate loans without consolidating with the earlier loans, the earlier loans will have 10 of the necessary 20 years for forgiveness; the newer loans would have no progress toward forgiveness. If the second set of loans were graduate loans, the borrower would have 15 years remaining on the 25-year forgiveness for the earlier loans and 25 years left for the new loans.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Automatic Enrollment in an IDR Plan (§  685.209(m))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters strongly supported automatic enrollment into an IDR plan for any student borrower who is at least 75 days delinquent on their loan(s). Many commenters urged the Department to allow borrowers in default who have provided approval for the disclosure of their Federal tax information to also be automatically enrolled in an IDR plan.
                    </P>
                    <P>One commenter stated that this proposal is a significant step forward because defaulting on student loans has long-term financial consequences. One commenter urged the Department to add regulatory language requiring servicers to notify borrowers with parent PLUS loans who are 75 days delinquent about consolidating their loans and then enrolling in IDR.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree with the commenters that this is a step forward to give borrowers an important opportunity to repay their loans instead of defaulting. While our hope is that borrowers will give us approval for disclosing their Federal tax information prior to going 75 days without a payment, we recognize that it is possible that a borrower may choose to give us their approval only after entering default. Therefore, if a borrower in default provides approval for the disclosure of their Federal tax information for the first time, we would also calculate their payment and either enroll them in IBR or remove them from default in the limited circumstances laid out in § 685.209(n). The same considerations would apply to both delinquent and defaulted borrowers in terms of the Department needing approval and the borrower needing to see a reduction in payments from going onto an IDR plan. However, we will not apply this provision for borrowers subject to administrative wage garnishment, Federal offset, or litigation by the Department without those borrowers taking affirmative steps to address their loans. Accordingly, we have broadened this provision to include borrowers whose loans are in default, with the limitation that it would not include borrowers subject to Federal offset, administrative wage garnishment or litigation by the Department. If a borrower has loans both in good standing in repayment and in default, the loans in repayment would be eligible for automatic enrollment in REPAYE.
                    </P>
                    <P>We appreciate the suggestion that the regulations be modified to require the Department to notify parent PLUS borrowers who are delinquent about the option to consolidate their loans, which would allow them access to ICR. Currently, the Department provides borrowers with this information through numerous methods. The requirements applicable to our servicers in this area are addressed operationally and not in regulations.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We have revised § 685.209(m)(3) to provide that a borrower who has provided approval for the disclosure of their Federal tax information and has not made a scheduled payment on the loan for at least 75 days or is in default on the loan and is not subject to a Federal offset, administrative wage garnishment under section 488A of the Act, or a judgment secured through litigation may automatically be enrolled in an IDR plan.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter was concerned that borrowers may be unaware of IDR plans. This commenter stated that automatically moving borrowers to an IDR plan and presenting them with an anticipated lower payment would more effectively raise awareness than additional marketing or outreach. Moreover, this commenter expressed concern that a borrower may become delinquent because their current repayment amount may be unaffordable.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenter for their concern about borrowers' awareness of the IDR plans. The Department shares this commenter's concern and anticipates having multiple communication campaigns and other methods explaining the REPAYE plan to borrowers. We agree with the commenter about the benefits of automatically enrolling borrowers and will automatically enroll borrowers who are 75 days delinquent into the IDR plan. We believe this approach will help borrowers avoid default and give them an opportunity for repayment success.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Another commenter supported the automatic enrollment for borrowers who are 75 days delinquent but felt that implementation of the regulation will be burdensome because borrowers will have to provide their consent for the Department to obtain income information from the IRS. Several commenters argued that they are concerned that automatic enrollment depends on borrowers providing previous approval to disclose the borrower's Federal tax information and family size to the Department.
                    </P>
                    <P>
                        Another commenter stated that automatic enrollment in an IDR plan is unlikely to be effective and cannot be implemented. The commenter believed it is misleading to characterize the application or recertification process as automatic for delinquent borrowers since borrower approval for the IRS to share income information with the Department is required.
                        <PRTPAGE P="43862"/>
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         It is true that a borrower must have previously provided approval for the disclosure of tax information to be automatically enrolled in an IDR plan when becoming 75 days delinquent; however, we believe that calling it automatic enrollment is appropriate because the goal is for borrowers to provide such approval when they are first in the process of taking out the loan. The result is that the enrolment in IDR can be more automatic at the time of delinquency. As the Department implements this functionality, we are working to make the process of providing such approval as simple as legally possible for the borrower.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Defaulted Loans (§  685.209(d), (k), and (n))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters expressed strong support for the Department's proposal to allow defaulted borrowers to enroll in the IBR plan, so that they can receive credit toward forgiveness. Other commenters agreed that the IBR plan was the appropriate plan for borrowers in default, and also encouraged the Department to automatically enroll all borrowers exiting default into the lowest cost IDR plan.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree with the commenters that enrollment in the IBR plan is the proper IDR option for borrowers in default. Allowing them to choose this one plan instead of choosing between it and REPAYE simplifies the process of selecting plans and provides borrowers with a path to accumulate progress toward forgiveness. This is particularly important for borrowers who cannot exit default through loan rehabilitation or consolidation. As we explain under the ”Automatic Enrollment in an IDR Plan” section of this document, we will automatically enroll in IBR a borrower who is in default if they have provided us the approval for the disclosure of tax data.
                    </P>
                    <P>We agree with the suggestion to help borrowers access other IDR plans upon leaving default if possible. To that end, we have updated the regulatory text noting that a borrower who leaves default while on IBR may be placed on REPAYE if they are eligible for the plan and doing so would generate a payment lower than or equal to their monthly payment.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We added a provision to § 685.210(b)(3) that a borrower who made payments under the IBR plan and successfully completed rehabilitation of a defaulted loan may chose the REPAYE plan when the loan is returned to current repayment if the borrower is otherwise eligible for the REPAYE plan and if the monthly payment under the REPAYE plan is equal to or less than their payment on IBR.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters disagreed with the proposed regulations relating to defaulted borrowers. They believed that the cohort default rates (CDR) and repayment rates on Federal loans were important indicators of whether a particular institution is adequately preparing its graduates for success in the job market so that they are able to earn sufficient income to remain current on their student loan repayments. Another commenter believed that while our proposals may mitigate the risk of default for individual borrowers, our proposals would also reduce the utility of CDR rates. This commenter reasoned that if CDR were to become a useless accountability tool, we would need new methods of quality assurance for institutions. The commenter concluded that to avoid risk to the taxpayer investment, we should simultaneously draft regulations that provide affordable payments and hold institutions accountable.
                    </P>
                    <P>In addition, several other commenters noted that consumer disclosure websites, including the Department's “College Scorecard,” point to CDRs and metrics describing the proportion of graduates making progress toward repayment as important quality indicators that can help families and matriculating students assess the likelihood that a particular institution offers a reasonably high return on investment.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We believe that the expanded qualifications under the new REPAYE plan will afford defaulted borrowers more of an opportunity to repay their obligations because their monthly payment will be more appropriately calculated based on their current income and family size. Through other rulemaking approaches, as described in the RIA, the Department is working to implement other accountability and consumer protection measures. In the responses to comments in the RIA we have included a longer discussion of these accountability issues.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters expressed support for granting access to an IDR plan to borrowers in default but said the Department should amend the terms of IBR to better align with the terms of the REPAYE plan, such as the amount of income protected from payments and the share of discretionary income that goes toward payments. Along similar lines, some commenters raised concerns that a defaulted borrower's path through IBR is not ideal because IBR is not the most generous plan for monthly payments, particularly when compared with the additional income protections offered in the new REPAYE plan.
                    </P>
                    <P>A few commenters argued that the Department should grant defaulted borrowers' credit toward cancellation for payments under REPAYE as long as the borrower enrolls in IBR at some point during repayment.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         We appreciate the commenters' support for allowing defaulted borrowers to access an IDR plan. This change will provide a much-needed path that can help reduce borrowers' payments and give them the opportunity for loan forgiveness. While we understand the requests for adjusting the terms of IBR to better match REPAYE, the Department does not have the legal authority to do so.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters asked that the Department adjust the restrictions on when a borrower who has spent significant time on REPAYE be allowed to switch to IBR. They asked that if a borrower makes extensive payments on REPAYE and then defaults that they still be granted access to IBR while in default.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with commenters. The purpose of the restriction on switching to IBR is to prevent situations where a borrower might switch so they could get forgiveness sooner. While it is unlikely that a borrower would default to shorten their period to forgiveness, that is a possibility that we want to protect against. However, by changing the limitation on switching into IBR to only apply once a borrower has made 60 payments on REPAYE after July 1, 2024, we believe that the number of borrowers who end up in default and are affected by this restriction will be low. In general, default rates for borrowers on IDR plans are quite low and we anticipate they will remain low due to improvements in the annual recertification process.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters asked the Department to allow a borrower in default who has a Direct Consolidation Loan that repaid a parent PLUS loan to access the IBR plan. Commenters further explained that while this option might not always give borrowers a lower payment in default, and it would not count toward forgiveness, it would provide more affordable payments for some borrowers.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Section 493C of the HEA precludes a borrower with a Direct Consolidation Loan that repaid a parent 
                        <PRTPAGE P="43863"/>
                        PLUS loan from using the IBR plan. The Department also declines to grant access to the ICR plan for a borrower in default. We are concerned that time in default does not count toward forgiveness and would not help address a borrower's long-term situation. We note that if a borrower with a Direct Consolidation Loan that repaid a parent PLUS loan rehabilitates their defaulted loan, they may access the ICR plan after getting out of default.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters argued that we should waive collection fees entirely for those making payments under IDR or create a statute of limitations on collection fees. Those commenters also recommended waiving collection charges during repayment as a greater incentive to repay the loan than forgiving a portion of the loan two decades in the future.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department understands that increasing collection fees can discourage borrowers from repaying their loans. However, the HEA generally requires borrowers to pay the costs of collection.
                        <SU>88</SU>
                        <FTREF/>
                         We will consider the appropriate level of collection fees for borrowers in default who make voluntary payments including payments made while enrolled in an IDR plan. These are subregulatory issues that are not addressed in this final rule.
                    </P>
                    <FTNT>
                        <P>
                            <SU>88</SU>
                             See Sec. 455(e)(5) of the HEA.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters supported the provision that allows borrowers to receive credit toward forgiveness for any amount collected through administrative wage garnishment, the Treasury Offset Program, or any other means of forced collection that is equivalent to what the borrower would have owed on the 10-year standard plan. But many of these same commenters expressed confusion about regulatory language that indicated we would award credit for forgiveness for involuntary collections based upon amounts that equaled a payment on the 10-year standard plan. They asked why a borrower would not receive credit based upon their IBR payment.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department expects that borrowers in IBR will make payments while they are in default, but we recognize that they may face some involuntary collections. We agree with the commenters that if a borrower has provided the necessary information to calculate their IBR payment, we would treat amounts collected through involuntary methods akin to how we consider lump sum or partial payments for a borrower who is in repayment. That means if we know what they should be paying each month under IBR, we could credit a month of progress toward forgiveness on IBR when we have collected an amount equal to their monthly IBR payment. In other words, if a borrower's monthly IBR payment is $50 and we collect $500 from Treasury offset in one year, we would credit the borrower with 10 months of credit toward forgiveness for that year. Alternatively, if the borrower's IBR payment was $50 and we collect $25 a month through administrative wage garnishment, we would credit one month of forgiveness for every two months we garnish wages. Upon further review of the proposal from the NPRM we think that only crediting the progress toward forgiveness based upon amounts equivalent to payments on the 10-year standard plan when we know that a payment based on their income would be lower is not appropriate.
                    </P>
                    <P>This provision would also have limitations that are similar to those on lump sum payments. Namely a borrower would not be able to receive credit at the IBR payment amount for a period beyond their next recertification date. This makes certain amounts stay up to date with a borrower's income.</P>
                    <P>We do not believe this treatment of forced collections amounts as akin to lump sum payments would put borrowers in default in a better position than those who are in repayment or provide better treatment to someone who voluntarily makes a lump sum payment than someone in this situation who has not chosen to. For one, the borrowers in default would still be facing the negative consequences associated with default, including negative credit reporting. These amounts would also not be voluntarily collected. Someone who makes a lump sum payment in repayment is choosing to do so. In these situations, a borrower is not choosing the amount that is collected and it is highly likely that they would choose to not make such large payments all at once. Because the borrowers in default are not controlling the amounts collected, they cannot guarantee that the amounts collected would not be in excess of the amount at which they would stop receiving credit toward forgiveness. In other words, if 12 months of an IBR payment is $1,000 and we collect $1,500, the additional $500 would not be credited as additional months in forgiveness. By contrast, a borrower in repayment could choose to only make a lump sum payment up to the point that they would not be making payments in excess of what is needed to get credit toward forgiveness up to their next recertification date. Given these existing downsides compared to borrowers in repayment, crediting payments at the equivalent of IBR monthly payments is a modest benefit for borrowers instead of calculating them at the 10-year standard plan. It will help borrowers earn additional credit toward forgiveness and a path out of default compared to only crediting payments at the standard 10-year amount. And the Department hopes that seeing the lower available payment may encourage some of these borrowers to take steps to make voluntary payments instead and cease being subject to forced collections.</P>
                    <P>Accordingly, we clarified the language to note that amounts collected would be credited at the amount of IBR payments if the borrower is on the IBR plan, except that a borrower cannot receive credit for an amount of payments beyond their recertification date. Borrowers who are not on IBR would be credited toward IBR forgiveness at an amount equal to the amount calculated under the 10-year standard plan. We need to credit those borrowers at that level because we do not know their income and cannot calculate an IBR payment.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We amended § 685.209(k)(5)(ii) to clarify that a borrower would receive credit toward forgiveness if the amount received through administrative wage garnishment or Federal Offset is equal to the amount they would owe on IBR, except that a borrower cannot receive credit for a period beyond their next recertification date. We also added subparagraph (iii) that indicates a borrower would receive credit toward forgiveness on an amount equal to the amount due under the 10-year standard plan from those same sources of involuntary collections if the IBR payment amount cannot be calculated.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters recommended that the Department clarify that defaulted borrowers who are enrolled in IBR will not be subject to any involuntary collections so long as they are satisfying IBR payment obligations through voluntary payments—including $0 payments for those eligible. Other commenters suggested that the Department should confirm that borrowers enrolled in IDR are either not subject to involuntary collections (such as wage garnishment, seizure of Social Security benefits, or seizure of tax refunds) at all, or at least not for any amounts that exceed their IDR payment obligation.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree with the goals of the many commenters who asked us to cease involuntary collections once a defaulted borrower is on IBR. However, 
                        <PRTPAGE P="43864"/>
                        involuntary collections also involve the Departments of Treasury and Justice, and we do not regulate the actions of these other agencies. Instead, we will work with those agencies to implement this operational change outside of the regulatory process. We also note that we could access information about defaulted borrower wages through the involuntary collections process even for borrowers not in IBR. We will explore using those data to work with the Departments of Treasury and Justice to better align involuntary collections with what a defaulted borrower would owe under IBR.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters asked us to create a path out of default based upon a borrower agreeing to repay on an IBR plan. They argued that once a borrower is placed on the IBR plan, they should be able to move back into good standing.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department does not have the statutory authority to establish the path out of default as requested by the commenters. However, the Department recognizes that there may be borrowers who provide the information necessary to calculate an IBR payment shortly after entering default and that such information may indicate that they would have had a $0 payment for the period leading up to their default had they given the Department such information. Since those borrowers would have a $0 monthly payment upon defaulting, the Department believes it would be appropriate to return those borrowers to good standing. This policy is limited to circumstances in which the information provided by the borrower to establish their current IBR payment can also be used to determine what their IDR payment would have been at the point of default.
                    </P>
                    <P>An example highlights how this would work. A borrower enters default in June 2025. In August 2025, they furnish their Federal tax information for the 2024 calendar year, and it shows they would have had a $0 payment. We would have calculated a $0 payment had the borrower submitted this information in June, thereby preventing the default. That borrower would be removed from default and returned to good standing. Had the same borrower who defaulted in June 2025 provided their information in 2028, they would not receive this benefit. At that point, the information provided is likely from the 2027 calendar year, and so it does not cover the period of default. The effect of this is that most borrowers will need to provide their earnings information within a year of defaulting to benefit from this policy.</P>
                    <P>Borrowers who receive this benefit will not have the history of default or any collections that occurred before providing their income information reversed because these defaults did not occur in error. It would also not be available for borrowers with a payment higher than $0, as the Department cannot guarantee that someone who would have had a reduced payment obligation would have met that requirement the way in which we know they would have fulfilled the $0 payment requirement.</P>
                    <P>This benefit will give low-income borrowers who act swiftly in default a fast path back into good standing without exhausting either their rehabilitation or consolidation options.</P>
                    <P>
                        <E T="03">Changes:</E>
                         The Department has added new paragraph § 685.209(n) to provide that a borrower will move from default to current repayment if they provide information needed to calculate an IDR payment, that payment amount is $0, and the income information used to calculate the IDR payment covers the period when the borrower's loan defaulted.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters called for the Department to allow previous periods of time spent in default to be retroactively counted toward forgiveness. These commenters asserted that some people in default are disadvantaged borrowers who were poorly served by the system, and that their situation is similar to past periods of deferment and forbearance that are being credited toward loan forgiveness.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department does not agree that periods of time in default prior to the effective date of this rule should be credited toward forgiveness. To credit time toward IBR, we need to know a borrower's income and household information. We would not have that information for those past periods. Therefore, there is no way to know if the amount paid by a borrower would have been sufficient. The Department will award credit for certain periods in deferment retroactively on the grounds that most of those are situations in which the Department knows the borrower would have had a $0 payment, such as an economic hardship deferment or the rehabilitation training deferment. We do not have similar information for past periods in default.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter noted that many borrowers experience obstacles enrolling in an IDR plan after exiting default, especially those who choose to rehabilitate their loans. This commenter said that research showed borrowers who have rehabilitated their loans tend to re-default.
                        <SU>89</SU>
                        <FTREF/>
                         They suggested that the Department should remove the stipulation of completing unnecessary and burdensome loan rehabilitation paperwork.
                    </P>
                    <FTNT>
                        <P>
                            <SU>89</SU>
                             
                            <E T="03">www.pewtrusts.org/en/research-and-analysis/reports/2023/01/student-loan-default-system-needs-significant-reform.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree with the commenter that it is critical to make it easier for borrowers to navigate the Federal student financial aid programs and share their concerns about making sure borrowers can succeed after rehabilitating a defaulted loan. To help achieve these goals, we have added language that allows the Secretary to place a borrower who successfully rehabilitates a defaulted loan and has provided approval for the disclosure of their Federal tax information on REPAYE if the borrower is eligible for that plan and doing it would produce a monthly payment amount equal to or less than what they would pay on IBR. We feel that this streamlined approach will remove obstacles when borrowers enroll in an IDR plan, especially for those borrowers that rehabilitated their defaulted loans. In addition, this will remove unnecessary and burdensome paperwork.
                    </P>
                    <P>The Department is adopting an additional change to also help borrowers navigate the process of rehabilitating their loans. We are revising § 685.211(f) to note that a reasonable and affordable payment for the purposes of loan rehabilitation can be equal to the IBR payment amount calculated for the borrower. The current regulations calculate the payment at the IBR amount for borrowers prior to 2014, which is 15 percent of discretionary income. Since then, borrowers have been able to make payments at 10 percent of discretionary income. This change will allow borrowers to make payments at the greater of 10 percent of discretionary income or $5 while pursuing a loan rehabilitation.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We have modified § 685.211(f) to provide that a reasonable and affordable payment can be equal to the borrower's IBR payment amount. We have also added a new paragraph (f)(13) to § 685.211 that allows the Secretary to move a borrower into REPAYE after the satisfaction of a loan rehabilitation agreement if the borrower is eligible for that plan and it would produce a lower or equivalent payment to the IBR plan.
                        <PRTPAGE P="43865"/>
                    </P>
                    <HD SOURCE="HD1">Application and Annual Recertification Procedures (§  685.209(l))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters supported the Department's efforts to simplify the annual income recertification process for borrowers in IDR plans. These commenters also felt that the proposed rules would help eliminate burdensome and confusing recertification requirements and administrative hurdles for borrowers. A few commenters were concerned that administering these regulations contained inherent challenges for recertification if a borrower did not file a tax return. One commenter commended the Department for its plan to streamline IDR enrollment and recertification through IRS data sharing. Several commenters urged that we retain the current data retrieval tool with the IRS for FFEL Program borrowers who complete the electronic IDR application which is currently available on the 
                        <E T="03">StudentLoans.gov</E>
                         website. Another commenter suggested that a robust regulatory notification process is vital, even for borrowers already in IDR since some borrowers will opt out of data-sharing.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenters for their positive comments and suggestions for improvement regarding the application and automatic recertification processes. We understand the commenters' concern about keeping the current process for the IDR application in place. However, we believe that the process we have developed improves and streamlines our processes for borrowers. We will continue to seek additional ways to improve processes.
                    </P>
                    <P>In response to the commenters' concern about inherent challenges non-filing borrowers face with recertification, under § 685.209(l) we provide the procedures under which we may obtain the borrower's AGI under the authorities granted to us under the FUTURE Act as well as opportunities for borrowers to provide alternate documentation of income (ADOI). Accordingly, we modified § 685.209(l) to provide examples of how borrowers, including those who do not file Federal tax returns, could approve to the disclosure of their tax information for purposes of IDR recertification.</P>
                    <P>The treatment of IRS data sharing for FFEL Program loans is not a regulatory issue and is not addressed in these rules.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We have modified § 685.209(l) to provide examples of how a borrower could provide approval for the disclosure of tax information for the purposes of IDR.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter believed we should make recertification simpler and, to the maximum extent possible, update the monthly loan payment amount automatically instead of requiring annual certification for continuation in an IDR plan. This commenter believes that many borrowers, especially those borrowers who would otherwise qualify for a $0 monthly payment, do not complete the recertification process.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We agree, in part, with the commenter about the difficulties borrowers face during recertification. As we acknowledged in the IDR NPRM, the current application and recertification processes create significant challenges for the Department and borrowers. As a solution, we believe that the authorities granted to us under the FUTURE Act as codified in HEA section 455(e)(8) will allow us to obtain a borrower's AGI for future years if they provide approval for the disclosure of tax information. This should ameliorate the commenter's concern about borrowers' failure to recertify. This includes borrowers who would otherwise qualify for a $0 monthly payment in subsequent years.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Consequences of Failing To Recertify (§ 685.209(l))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters noted concerns that the current process of annually recertifying participation on IDR plans is burdensome and results in many borrowers being removed from IDR plans. Other commenters argued that the Department needs to do more to protect progress toward forgiveness for those who fail to recertify, especially when the recertification was hampered by what they described as inept servicers.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenters for their support of automatic enrollment for IDR. We believe that the recertification process will enable borrowers to streamline the process toward forgiveness and reduce the burden on borrowers. We also believe that more borrowers will recertify so that they are not removed from IDR plans and that borrowers who struggle to recertify on time will not lose a few months of progress to forgiveness every year. As we explain in the IDR NPRM, due to recent statutory changes regarding disclosure of tax information in the FUTURE Act 
                        <SU>90</SU>
                        <FTREF/>
                         (alongside subsequent amendments to this language), upon the Department obtaining the borrower's approval, we will rely on tax data to provide a borrower with a monthly payment amount and offer the borrower an opportunity to request a different payment amount if it is not reflective of the borrower's current income or family size.
                    </P>
                    <FTNT>
                        <P>
                            <SU>90</SU>
                             See Public Law 116-91.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD1">Consolidation Loans (§ 685.209(k))</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters strongly supported the Department's proposal to provide that a borrower's progress toward forgiveness will not fully reset when they consolidate Direct or FFEL Program Loans into a Direct Consolidation Loan. Many commenters supported the proposed regulations, citing that we should count previous payments in all IDR plans and not reset the time to forgiveness when a person consolidates their loans because the debt is not new.
                    </P>
                    <P>
                        Several commenters expressed disappointment that the proposed regulations did not address how qualifying payments would be calculated for joint consolidation loans that may be separated through the Joint Consolidation Loan Separation Act,
                        <SU>91</SU>
                        <FTREF/>
                         which was enacted October 11, 2022, and hoped that the Department would provide more details about counting the number of qualifying payments on the loans.
                    </P>
                    <FTNT>
                        <P>
                            <SU>91</SU>
                             Text—S.1098—117th Congress (2021-2022): Joint Consolidation Loan Separation Act. (2022, October 11). 
                            <E T="03">www.congress.gov/bill/117th-congress/senate-bill/1098/text.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Discussion:</E>
                         We thank the commenters for their support of the provision to retain the borrower's progress toward forgiveness when they consolidate Direct or FFEL Program Loans into a Direct Consolidation Loan.
                    </P>
                    <P>
                        We did not discuss joint consolidation separation in the IDR NPRM. However, we agree with the commenters that more clarity would be helpful. Accordingly, we have added new language noting that we will award the same periods of credit toward forgiveness on the separate consolidation loans that result from the split of a joint consolidation loan. The Department chose this path as the most operationally feasible option given that these loans are all from 2006 or earlier and it may otherwise not be possible to properly determine the amount of time each loan spent in repayment. We are also clarifying how consideration of whether the separate consolidation loans that result from the split of a joint consolidation loan would be eligible for the shortened period until forgiveness would work. Eligibility for that provision would be calculated based upon the original principal balance of 
                        <PRTPAGE P="43866"/>
                        the loans that have been split from a joint consolidation loan.
                        <SU>92</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>92</SU>
                             The Department has published regular updates on the Joint Consolidation Separation Act on 
                            <E T="03">StudentAid.gov: www.studentaid.gov/announcements-events/joint-consolidation-loans.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         We have amended § 685.209(k)(4)(vi)(C) to provide that, for borrowers whose Joint Direct Consolidation Loan is separated into individual Direct Consolidation loans, each borrower receives credit for the number of months equal to the number of months that was credited prior to the separation.
                    </P>
                    <HD SOURCE="HD1">Choice of Repayment Plan § 685.210</HD>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter recommended that we update our regulations to provide that, when a borrower initially selects a repayment plan, the Secretary must convey to the borrower specific information about IDR plans, including the forgiveness timelines. This commenter cited a report from the GAO that flagged this area for improvement. Another group of commenters urged us to include regulatory language to make sure that borrowers are aware of the terms and conditions of their IDR plans. This group of commenters were concerned that we eliminated the detailed notices in existing regulations without proposing adequate replacements and provided examples of the notice types that they believed we should implement.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We believe that our regulations at § 685.210(a) provide an adequate framework describing when the Department notifies borrowers about the repayment plans available to them when they initially select a plan prior to repayment. Moreover, § 685.209(l)(11) already provides that we will track a borrower's progress toward eligibility for IDR forgiveness. In the GAO report 
                        <SU>93</SU>
                        <FTREF/>
                         cited by the commenter, the GAO recommended that we should provide additional information about IDR forgiveness, including what counts as a qualifying payment toward forgiveness, in communications to borrowers enrolled in IDR plans. The recommendation further noted that we could provide this information to borrowers or direct our loan servicers to provide it. In response to the GAO, we concurred with the recommendation and identified steps we would take to implement that recommendation. As part of the announcement of the one-time payment count adjustment we have also discussed how we will be making improvements to borrowers' accounts so they will have a clearer picture of progress toward forgiveness. Moreover, we do not think we need regulatory language to accomplish what the commenter requests. We can address these issues while working with our contractors and a subregulatory approach gives us greater ability to tailor our activities to what works best for borrowers.
                    </P>
                    <FTNT>
                        <P>
                            <SU>93</SU>
                             U.S. Government Accountability Office, 2022. Federal Student Aid: Education Needs to Take Steps to Ensure Eligible Loans Receive Income-Driven Repayment Forgiveness. GAO-22-103720.
                        </P>
                    </FTNT>
                    <P>We similarly disagree that we need to add regulatory text around notifications as suggested by the group of commenters. As part of this regulatory effort, the Department streamlined and standardized the IDR plans. To provide uniformity across the different IDR plans, § 685.209(l)(5) specifies the repayment disclosure that we send to borrowers including: the monthly payment amount, how the payment was calculated, the terms and conditions of the repayment plan, and how to contact us if the borrower's payment does not accurately reflect the borrower's income or family size. The Department thinks it is important to preserve flexibility around how we conduct outreach and notification to borrowers, and we are concerned that overly prescriptive regulations would work against those goals.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The IDR NPRM did not reflect the statutory requirement under section 493C(b)(8) of the HEA (20 U.S.C. 1098e(b)(8)) that provides that borrowers who choose to leave the IBR plan must repay under the standard repayment plan. This requirement is reflected in current regulations at § 685.221(d)(2)(i) and requires a borrower leaving IBR to make one payment under the standard repayment plan before requesting a change to a different repayment plan. A borrower may make a reduced payment under a forbearance for the purposes of meeting this statutory provision. This provision does not apply to borrowers leaving ICR, PAYE, or REPAYE. To clarify that this statutory provision still applies we are reflecting it in this final rule. It mirrors the Department's longstanding interpretation and implementation of this statutory requirement.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         We have added § 685.210(b)(4) which requires a borrower leaving the IBR plan to make one payment under the standard repayment plan prior to enrolling into a different plan.
                    </P>
                    <HD SOURCE="HD1">Alternative Repayment Plan § 685.221</HD>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters noted that the Department's proposal to simplify the Alternative Plan is a positive step. They believed that changing the regulations to re-amortize the remaining loan balance over 10 years would make certain that borrowers' monthly payments are lower than they would have been under the Standard 10-year Repayment Plan. A few commenters stated that the Department should count all payments on the alternative plan toward forgiveness on REPAYE, rather than just 12 months of payments. Others argued that, instead of being placed on the alternative payment plan, borrowers should be placed on the 10-year standard plan so that all the months of payments would count toward REPAYE forgiveness.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We appreciate the support for the creation of a simplified alternative repayment plan. However, we disagree and decline to accept either set of recommended changes. For one, we think the policy to allow a borrower to count up to 12 months of payments on the alternative plan strikes the proper balance between giving a borrower who did not recertify their income time to get back onto REPAYE while not creating a backdoor path to lower loan payments. For some borrowers, it is possible that the alternative repayment plan could produce payments lower than what they would owe on REPAYE. Were we to credit all months on the alternative plan toward forgiveness then we would risk creating a situation where a borrower is encouraged to not recertify their income so they could receive lower payments and then get credit toward forgiveness. Doing so works against our goal to target the benefits of, and encourage enrollment in, REPAYE. It would also in effect work as a cap on payments, which the Department is intentionally not including in REPAYE.
                    </P>
                    <P>Moreover, the Department anticipates that the number of borrowers who fail to recertify each year will decline thanks to the improvements made by the FUTURE Act. With those changes borrowers will be able to authorize the automatic updating of their payment information, limiting the likelihood that a borrower ends up on the alternative plan for failure to submit paperwork.</P>
                    <P>
                        We similarly disagree with the suggestion to place borrowers on the 10-year standard repayment plan. Doing so creates a risk that borrowers would face extremely high unaffordable payments right away. That is because the 10-year plan calculates the payment needed for a borrower to pay off the loan within 10-years of starting repayment. For example, a borrower who spent four years on REPAYE and then went onto the 10-year standard repayment plan 
                        <PRTPAGE P="43867"/>
                        would be on a plan that amortizes their entire remaining loan balance over six years. That amount could easily be hundreds of dollars more a month than what the borrower was paying on an IDR plan, increasing the risk of delinquency or default. The alternative plan is a better option that would result in less payment shock than the 10-year standard plan would, so we encourage borrowers to recertify.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD2">Executive Orders 12866 and 13563</HD>
                    <HD SOURCE="HD2">Regulatory Impact Analysis</HD>
                    <P>Under Executive Order 12866, the Office of Management and Budget (OMB) must determine whether this regulatory action is “significant” and, therefore, subject to the requirements of the Executive Order and subject to review by OMB. Section 3(f) of Executive Order 12866, as amended by Executive Order 14094, defines a “significant regulatory action” as an action likely to result in a rule that may—</P>
                    <P>(1) Have an annual effect on the economy of $200 million or more (adjusted every 3 years by the Administrator of OIRA for changes in gross domestic product), or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, territorial, or Tribal governments or communities;</P>
                    <P>(2) Create a serious inconsistency or otherwise interfere with an action taken or planned by another agency;</P>
                    <P>(3) Materially alter the budgetary impacts of entitlement grants, user fees, or loan programs or the rights and obligations of recipients thereof; or</P>
                    <P>(4) Raise legal or policy issues for which centralized review would meaningfully further the President's priorities, or the principles stated in the Executive Order, as specifically authorized in a timely manner by the Administrator of OIRA in each case.</P>
                    <P>The Department estimates the net budget impact to be $156.0 billion in increased transfers among borrowers, institutions, and the Federal Government, with annualized transfers of $16.6 billion at 3 percent discounting and $17.9 billion at 7 percent discounting, and largely one-time administrative costs of $17.3 million, which represent annual quantified costs of $2.3 million related to administrative costs at 7 percent discounting. Therefore, this final action is subject to review by OMB under section 3(f) of Executive Order 12866 (as amended by Executive Order 14094). Notwithstanding this determination, we have assessed the potential costs and benefits, both quantitative and qualitative, of this final regulatory action and have determined that the benefits will justify the costs.</P>
                    <P>We have also reviewed these regulations under Executive Order 13563, which supplements and explicitly reaffirms the principles, structures, and definitions governing regulatory review established in Executive Order 12866. To the extent permitted by law, Executive Order 13563 requires that an agency—</P>
                    <P>(1) Propose or adopt regulations only on a reasoned determination that their benefits justify their costs (recognizing that some benefits and costs are difficult to quantify);</P>
                    <P>(2) Tailor its regulations to impose the least burden on society, consistent with obtaining regulatory objectives and taking into account—among other things and to the extent practicable—the costs of cumulative regulations;</P>
                    <P>(3) In choosing among alternative regulatory approaches, select those approaches that maximize net benefits (including potential economic, environmental, public health and safety, and other advantages; distributive impacts; and equity);</P>
                    <P>(4) To the extent feasible, specify performance objectives, rather than the behavior or manner of compliance a regulated entity must adopt; and</P>
                    <P>(5) Identify and assess available alternatives to direct regulation, including economic incentives—such as user fees or marketable permits—to encourage the desired behavior, or provide information that enables the public to make choices.</P>
                    <P>Executive Order 13563 also requires an agency “to use the best available techniques to quantify anticipated present and future benefits and costs as accurately as possible.” The Office of Information and Regulatory Affairs of OMB has emphasized that these techniques may include “identifying changing future compliance costs that might result from technological innovation or anticipated behavioral changes.”</P>
                    <P>We are issuing these regulations only on a reasoned determination that their benefits will justify their costs. In choosing among alternative regulatory approaches, we selected those approaches that maximize net benefits. Based on the analysis that follows, the Department believes that these regulations are consistent with the principles in Executive Order 13563.</P>
                    <P>We have also determined that this regulatory action will not unduly interfere with State, local, territorial, and Tribal governments in the exercise of their governmental functions.</P>
                    <P>The Director of OMB has waived the requirements of section 263 of the Fiscal Responsibility Act of 2023 (Pub. L. 118-5) pursuant to section 265(a)(2) of that act.</P>
                    <P>As required by OMB Circular A-4, we compare the final regulations to the current regulations. In this regulatory impact analysis, we discuss the need for regulatory action, potential costs and benefits, net budget impacts, and the regulatory alternatives we considered.</P>
                    <HD SOURCE="HD3">1. Congressional Review Act Designation</HD>
                    <P>
                        Pursuant to the Congressional Review Act (5 U.S.C. 801 
                        <E T="03">et seq.</E>
                        ), the Office of Information and Regulatory Affairs designated that this rule is covered under 5 U.S.C. 804(2) and (3).
                    </P>
                    <HD SOURCE="HD3">2. Need for Regulatory Action</HD>
                    <P>
                        Postsecondary education provides significant individual and societal benefits. For individuals, obtaining postsecondary credentials can lead to higher lifetime earnings and increased access to other benefits like health insurance and employer-sponsored retirement accounts, and is also positively correlated with job satisfaction, homeownership, and health.
                        <SU>94</SU>
                        <FTREF/>
                         Our society also benefits from increased postsecondary attainment through a better educated and flexible workforce, increased civic participation, and improved health and well-being for the next generation.
                        <SU>95</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>94</SU>
                             Oreopoulos, P., &amp; Salvanes, K.G. (2011). Priceless: The Nonpecuniary Benefits of Schooling. Journal of Economic Perspectives, 25(1), 159-184.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>95</SU>
                             Moretti, E. (2004). Workers' Education, Spillovers, and Productivity: Evidence from Plant-Level Production Functions. 
                            <E T="03">American Economic Review,</E>
                             94(3), 656-690.
                        </P>
                        <P>
                            Dee, T.S. (2004). Are There Civic Returns to Education? 
                            <E T="03">Journal of Public Economics,</E>
                             88(9-10), 1697-1720.
                        </P>
                        <P>
                            Currie, J., &amp; Moretti, E. (2003). Mother's Education and the Intergenerational Transmission of Human Capital: Evidence from College Openings. 
                            <E T="03">Quarterly Journal of Economics,</E>
                             118(4), 1495-1532.
                        </P>
                    </FTNT>
                    <P>
                        But postsecondary education is expensive. For many attendees, a postsecondary education will be among the most expensive and consequential purchases they make in their lifetimes. Most students cannot afford this cost out of pocket. This is particularly the case for students from low-income families, individuals who are the first in their families to go to college, adults who do not attend postsecondary education immediately after high school, and other students who face barriers to college enrollment and success. For these individuals in particular, Federal student loans are 
                        <PRTPAGE P="43868"/>
                        often a necessary component for financing college.
                    </P>
                    <P>Student loans provide the necessary financial resources to borrowers who cannot finance their educations out of pocket, allowing them to reap the benefits from enrolling in and completing a postsecondary education, and, as a result, to repay their debt through the earnings gains resulting from their increased educational attainment. This is why student loans are often described as borrowing against one's future income.</P>
                    <P>However, in the years since the Great Recession, a greater number of students are borrowing student loans, and student loan balances have become larger. Many students are able to repay their Federal student loans from their earnings gains from postsecondary education. However, some borrowers find the amount of debt burdensome, and it may impact their decisions to buy a home, start a family, or start a new business.</P>
                    <P>
                        Many borrowers end up significantly constrained due to loan payments that make up an unaffordable share of their income. Among undergraduate students who started higher education in 2012 and were making loan payments in 2017, at least 19 percent had monthly payments that were more than 10 percent of their total annual salary.
                        <SU>96</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>96</SU>
                             Calculations using 2012 BPS data; table reference tcedtf.
                        </P>
                    </FTNT>
                    <P>
                        Borrowing to pursue a postsecondary credential also involves risk. First is the risk of noncompletion. In recent years, about one-third of undergraduate borrowers did not earn a postsecondary credential.
                        <SU>97</SU>
                        <FTREF/>
                         These individuals are at a high risk of default, with an estimated 40 percent defaulting within 12 years of entering repayment.
                        <SU>98</SU>
                        <FTREF/>
                         Even among graduates, there is substantial variation in earnings across colleges, programs, and individuals. Some borrowers do not receive the expected economic returns due to programs that fail to make good on their promises or lead to jobs that provide financial security. Conditional on educational attainment, Black students take on larger amounts of debt.
                        <SU>99</SU>
                        <FTREF/>
                         Additionally, discrimination in the labor market may lead borrowers of color to earn less than white borrowers, even with the same level of educational attainment.
                        <SU>100</SU>
                        <FTREF/>
                         Unanticipated macroeconomic shocks, such as the Great Recession, provide an additional type of risk—specifically, that borrowers' postsecondary credentials may pay off less than anticipated in the short- or even long-run due to prolonged periods of unemployment or lower wages. Finally, there is individual-level risk of unanticipated events such as a serious illness that may reduce a borrower's ability to keep up with a fixed monthly payment.
                    </P>
                    <FTNT>
                        <P>
                            <SU>97</SU>
                             Calculations using 2012 BPS data; table reference: icvago.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>98</SU>
                             Calculations using 2004/2009 BPS data; table reference: lvafhq.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>99</SU>
                             
                            <E T="03">E.g.,</E>
                             Scott-Clayton, J., &amp; Li, J. (2016). Black-white disparity in student loan debt more than triples after graduation. Economic Studies, Volume 2 No. 3.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>100</SU>
                             See 
                            <E T="03">https://nces.ed.gov/programs/raceindicators/indicator_RFD.asp.https://nces.ed.gov/programs/raceindicators/indicator_RFD.asp.</E>
                             For an overview of research on earnings gaps by race and the role of labor market discrimination, see Altonji, J.G., &amp; Blank, R.M. (1999). Race and gender in the labor market. Handbook of labor economics, 3, 3143-3259.
                        </P>
                    </FTNT>
                    <P>Income-driven repayment (IDR) plans are intended to help borrowers whose incomes are insufficient to sustain reasonable debt payments. The plans are created through statute and regulation and base a borrower's monthly payment on their income and family size. Under these plans, loan forgiveness occurs after a set number of years in repayment, depending on the repayment plan that is selected. Because payments are based on a borrower's income, they may be more affordable than fixed repayment options, such as those in which a borrower makes payments over a period of between 10 and 30 years. There are four repayment plans that are collectively referred to as IDR plans: (1) the income-based repayment (IBR) plan; (2) the income contingent repayment (ICR) plan; (3) the pay as you earn (PAYE) plan; and (4) the revised pay as you earn (REPAYE) plan. Within the IBR plan, there are two versions that are available to borrowers, depending on when they took out their loans. Specifically, for a new borrower with loans taken out on or after July 1, 2014, the borrower's payments are capped at 10 percent of discretionary income. For those who are not new borrowers on or after July 1, 2014, the borrower's payments are capped at 15 percent of their discretionary income.</P>
                    <P>
                        Because payments are calculated based upon income, the IDR plans can assist borrowers who may be overly burdened at the start of their time in the workforce, those who experience a temporary period of economic hardship, and those who perpetually earn a low income. For the first and second groups, an IDR plan may be the ideal option for a few years, while the last group may need assistance for multiple decades. IDR plans simultaneously provide protection for the borrower against the consequences of having a low income and adjust repayments to fit the borrower's changing ability to pay.
                        <SU>101</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>101</SU>
                             Krueger, A.B., &amp; Bowen, W.G. (1993). Policy Watch: Income-Contingent College Loans. 
                            <E T="03">Journal of Economic Perspectives, 7</E>
                            (3), 193-201. 
                            <E T="03">doi.org/10.1257/jep.7.3.193.</E>
                        </P>
                    </FTNT>
                    <P>
                        Federal student loan borrowers are increasingly choosing to repay their loans using one of the currently available IDR plans.
                        <SU>102</SU>
                        <FTREF/>
                         Enrollment in IDR increased by about 50 percent between the end of 2016 and the start of 2022, from approximately 6 million to more than 9 million borrowers, and borrowers with collectively more than $500 billion in debt are currently enrolled in an IDR plan.
                        <SU>103</SU>
                        <FTREF/>
                         Similarly, the share of borrowers with Federally managed loans enrolled in an IDR plan rose from just over one-quarter to one-third during this time.
                        <SU>104</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>102</SU>
                             Gary-Bobo, R.J., &amp; Trannoy, A. (2015). Optimal student loans and graduate tax under moral hazard and adverse selection. The RAND Journal of Economics, 46(3), 546-576. doi.org/10.1111/1756-2171.12097.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>103</SU>
                             U.S. Department of Education, Federal Student Aid Data Center, Repayment Plans, available 
                            <E T="03">studentaid.gov/manage-loans/repayment/plans.</E>
                             Includes all Federally managed loans across all IDR plans, measured in Q4 2016 through Q1 2022.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>104</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <P>While existing IDR plans have helped millions of borrowers afford their monthly payments, they have not been selected by large numbers of the most vulnerable borrowers. Despite the availability of these plans, more than 1 million borrowers a year were still defaulting on student loans prior to the national pause on repayment, interest, and collections that began in March 2020. Many other borrowers were behind on their payments and at risk of defaulting.</P>
                    <P>
                        Research shows that undergraduate borrowers, borrowers with low incomes, and borrowers with high debt levels relative to their incomes enroll in IDR plans at lower rates than their counterparts with higher levels of education and incomes.
                        <SU>105</SU>
                        <FTREF/>
                         An analysis of IDR usage by the JPMorgan Chase Institute found that there are two borrowers who could potentially benefit 
                    </P>
                    <FTNT>
                        <P>
                            <SU>105</SU>
                             Daniel Collier et al., Exploring the Relationship of Enrollment in IDR to Borrower Demographics and Financial Outcomes (Dec. 30, 2020); see also Seth Frotman and Christa Gibbs, Too many student loan borrowers struggling, not enough benefiting from affordable repayment options, Consumer Fin. Prot. Bureau (Aug. 16, 2017); Sarah Gunn, Nicholas Haltom, and Urvi Neelakantan, Should More Student Loan Borrowers Use Income-Driven Repayment Plans?, Federal Reserve Bank of Richmond (June 2021).
                        </P>
                    </FTNT>
                    <PRTPAGE P="43869"/>
                    <FP>
                        from an IDR plan for each borrower who actually enrolls in an IDR plan.
                        <SU>106</SU>
                        <FTREF/>
                         Moreover, the borrowers not using the IDR plans appear to have significantly lower incomes than those who are enrolled. According to a Federal Reserve Bank of Richmond report, a quarter or less of borrowers in households with incomes less than $20,000 per year were in an IDR plan, compared to 46 percent of borrowers in households with income between $60,000 and $80,000 and 38 percent in households with incomes between $80,000 and $100,000.
                        <SU>107</SU>
                        <FTREF/>
                         An Urban Institute analysis using the 2016 Survey of Consumer Finances found that households headed by borrowers who were receiving Federal benefits, such as support from the Supplemental Nutrition Assistance Program, were more likely to not make any payments because of forbearance, some other forgiveness program, or an inability to afford payments, than to be enrolled in an IDR plan.
                        <SU>108</SU>
                        <FTREF/>
                         Similarly, a one-time analysis of student loan data conducted by the U.S. Treasury and disclosed in a GAO report found that 70 percent of defaulted borrowers had incomes that met the requirements to qualify for IBR. This means that they would have had payments lower than the 10-year standard plan had they signed up for IBR.
                        <SU>109</SU>
                        <FTREF/>
                         In line with evidence that Black borrowers are more likely to experience default on their loans, there is evidence of lower take-up in IDR usage among potentially-eligible Black borrowers. In particular, households headed by Black borrowers in the 2016 Survey of Consumer Finances were slightly more likely to report not making payments on their loans than to report using IDR.
                        <SU>110</SU>
                        <FTREF/>
                    </FP>
                    <FTNT>
                        <P>
                            <SU>106</SU>
                             This analysis is restricted to borrowers with a Chase checking account who meet certain other criteria in terms of frequency of monthly transactions and amount of money deposited into the account each year. 
                            <E T="03">www.jpmorganchase.com/institute/research/household-debt/student-loan-income-driven-repayment.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>107</SU>
                             Sarah Gunn, Nicholas Haltom, and Urvi Neelakantan, Should More Student Loan Borrowers Use Income-Driven Repayment Plans?, Federal Reserve Bank of Richmond (June 2021).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>108</SU>
                             
                            <E T="03">www.urban.org/urban-wire/demographics-income-driven-student-loan-repayment.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>109</SU>
                             U.S. Government Accountability Office, 2015. Federal Student Loans: Education Could Do More to Help Ensure Borrowers are Aware of Repayment and Forgiveness Options. GAO-15-663.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>110</SU>
                             
                            <E T="03">www.urban.org/urban-wire/demographics-income-driven-student-loan-repayment.</E>
                        </P>
                    </FTNT>
                    <P>
                        These trends are further borne out in the Department's administrative data on borrowers with outstanding debt who recently entered repayment.
                        <SU>111</SU>
                        <FTREF/>
                         Currently, just under a quarter (23 percent) of borrowers with only undergraduate loans are on an IDR plan, as compared to half (50 percent) of those who borrowed to attend a graduate program. As a result, about 79 percent of borrowers who recently entered repayment only had undergraduate loans, but these individuals represent only 64 percent of recent borrowers on IDR plans. By contrast, 21 percent of borrowers who recently entered repayment had graduate loans, but they represent 36 percent of borrowers on an IDR plan. Usage rates are even lower among the borrowers who are likeliest to face repayment difficulties. Among undergraduate only borrowers who recently entered repayment, 22 percent of borrowers who did not complete a credential are using an IDR plan, and IDR usage increases as educational attainment increases: 24 percent of those who completed a sub-baccalaureate credential and 25 percent of those who completed a bachelor's degree but not a graduate degree are on IDR plans. About half of borrowers who completed a graduate degree and recently entered repayment on are on IDR plan. These results are shown in Table 2.1 below.
                    </P>
                    <FTNT>
                        <P>
                            <SU>111</SU>
                             Based on borrowers with who had at least one loan enter repayment between 2015 and 2018, excluding borrowers who only had Parent PLUS loans. IDR use is measured as of 12/31/2019.
                        </P>
                    </FTNT>
                    <GPOTABLE COLS="3" OPTS="L2,i1" CDEF="s50,12,12">
                        <TTITLE>Table 2.1—IDR Usage by Borrower Characteristics, Borrowers Who Entered Repayment Between 2015 and 2018</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Percentage 
                                <LI>of borrowers </LI>
                                <LI>(%)</LI>
                            </CHED>
                            <CHED H="1">
                                Percentage 
                                <LI>of IDR </LI>
                                <LI>borrowers </LI>
                                <LI>(%)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Has undergraduate loans only</ENT>
                            <ENT>79</ENT>
                            <ENT>64</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Has graduate loans</ENT>
                            <ENT>21</ENT>
                            <ENT>36</ENT>
                        </ROW>
                        <ROW EXPSTB="02" RUL="s">
                            <ENT I="21">
                                <E T="02">Among those that have undergraduate loans only</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Did not complete any credential</ENT>
                            <ENT>47</ENT>
                            <ENT>44</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Completed a sub-baccalaureate credential</ENT>
                            <ENT>20</ENT>
                            <ENT>20</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Completed a bachelor's degree but no graduate degree</ENT>
                            <ENT>30</ENT>
                            <ENT>32</ENT>
                        </ROW>
                        <ROW EXPSTB="02" RUL="s">
                            <ENT I="21">
                                <E T="02">Among all borrowers</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Completed a graduate degree</ENT>
                            <ENT>17</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <TNOTE>
                            <E T="02">Note:</E>
                             Borrowers who entered repayment with only Parent PLUS loans are excluded from these analyses. IDR usage is measured as of 12/31/2019.
                        </TNOTE>
                    </GPOTABLE>
                    <P>
                        Even the borrowers who do use an IDR plan may continue to face challenges in repayment. Many borrowers on IDR still report concerns that their payments are too expensive. For example, one survey of student loan borrowers found that, of those currently or previously enrolled in an IDR plan, 47 percent reported that their monthly payment was still too high.
                        <FTREF/>
                        <SU>112</SU>
                         Complaints from borrowers enrolled in IDR received by the Student Loan Ombudsman show that borrowers find that IDR payments are unaffordable because competing expenses, such as medical bills, housing, and groceries, cut into their discretionary income. Furthermore, borrowers in IDR still struggle in other areas of financial health. One study showed that borrowers enrolled in IDR had less money in their checking accounts and a lower chance of participating in saving for retirement than borrowers in other repayment plans, suggesting that struggling borrowers may not obtain sufficient relief from unaffordable 
                        <PRTPAGE P="43870"/>
                        payments under the current IDR options to achieve financial stability.
                        <SU>113</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>112</SU>
                             Plunkett, Travis, Fitzgerald, Regan, Denten, Brain, West, Lexi, Upcoming Rule-Making Process Should Redesign Student Loan Repayment (September 2021), 
                            <E T="03">www.pewtrusts.org/en/research-and-analysis/articles/2021/09/24/upcoming-rule-making-process-should-redesign-student-loan-repayment.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>113</SU>
                             Collier, D.A., Fitzpatrick, D., &amp; Marsicano, C.R. (2021). Another Lesson on Caution in IDR Analysis: Using the 2019 Survey of Consumer Finances to Examine Income-Driven Repayment and Financial Outcomes. Journal of Student Financial Aid, 50(2).
                        </P>
                    </FTNT>
                    <P>
                        Many borrowers on IDR plans face challenges beyond the affordability of their monthly payments. Department data show that 70 percent of borrowers on IDR plans prior to March 2020 had payment amounts that did not cover their full interest payment.
                        <SU>114</SU>
                        <FTREF/>
                         Borrowers in those situations on existing IDR plans will see their balances grow unless they only have subsidized loans and are in the first three years of repayment. Focus groups of borrowers show that this causes borrowers on IDR stress even when they are able to afford their payments.
                        <SU>115</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>114</SU>
                             Department of Education analysis of loan data for borrowers enrolled in IDR plans, conducted in FSA's Enterprise Data Warehouse, with data as of March 2020.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>115</SU>
                             Sattelmeyer, Sarah, Brian Denten, Spencer Orenstein, Jon Remedios, Rich Williams, Borrowers Discuss the Challenges of Student Loan Repayment (May 2020), 
                            <E T="03">www.pewtrusts.org/-/media/assets/2020/05/studentloan_focusgroup_report.pdf.</E>
                        </P>
                    </FTNT>
                    <P>
                        A significant share of borrowers report their expected monthly payments will still be unaffordable when they return to repayment following the end of the payment pause. For example, 26 percent of borrowers surveyed in 2021 disagreed with the statement that they would be able to afford the same monthly amount they were paying before the pause.
                        <SU>116</SU>
                        <FTREF/>
                         A 2022 survey found that over a fifth of borrowers were chronically struggling with repayment before the pause and expected that they would continue to struggle when payments resume.
                        <SU>117</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>116</SU>
                             Survey on Student Loan Borrowers 2021, The Pew Charitable Trusts—Student Loan Research Project. 
                            <E T="03">survey-on-student-loan-borrowers-2021-topline.pdf</E>
                             (
                            <E T="03">pewtrusts.org</E>
                            ).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>117</SU>
                             Akana, Tom and Dubravka Ritter. 2022. Expectations of Student Loan Repayment, Forbearance, and Cancellation: Insights from Recent Survey Data. Federal Reserve Bank, Philadelphia. Consumer Finance Institute.
                        </P>
                    </FTNT>
                    <P>
                        The Department is also concerned that while borrowers using IDR have lower default rates than borrowers not on these plans, the rate of default for borrowers on IDR still remains high. According to research from the Congressional Budget Office (CBO), the default rate for borrowers in IDR is about half that of borrowers in payment plans with a fixed amortization period. However, the cumulative default rates of undergraduate borrowers who began repayment in 2012 and participated in an IDR plan in their first and/or second year of repayment still approached nearly 20 percent by 2017.
                        <SU>118</SU>
                        <FTREF/>
                         While the Department cannot definitively know why these borrowers defaulted, the fact that nearly one in five of them defaulted despite the usage of IDR shows that many borrowers struggle to make their payments under the current IDR options and suggests there is still significant work to do to make sure that these plans can set borrowers up for long-term repayment success.
                    </P>
                    <FTNT>
                        <P>
                            <SU>118</SU>
                             
                            <E T="03">www.cbo.gov/publication/55968.</E>
                        </P>
                    </FTNT>
                    <P>The improved terms of the REPAYE plan in this final rule will help address these concerns. To the extent that borrowers are still defaulting because they cannot afford their payments, this plan will provide a $0 payment for more low-income borrowers and will reduce payments for all other borrowers relative to the current REPAYE plan, making payments more manageable and reducing the risk of default. In particular, income information currently on file suggests that more than 1 million borrowers on IDR could see their payments go to $0 based upon the parameters of the plan in this final rule, including more than 400,000 that are already on REPAYE whose payment amounts would be updated automatically to $0.</P>
                    <P>
                        The Department is also taking steps to make it easier for borrowers to stay on IDR, which will further support their long-term repayment success. In particular, this is done through the ability to automatically recalculate payments when a borrower provides approval for the sharing of their Federal tax information. Such changes are important because historically, many borrowers failed to complete the income recertification process that is required to recalculate payments and maintain enrollment in an IDR plan. Borrowers who fail to complete this process at least once a year are moved to other repayment plans and may see a significant increase in their required monthly payment. Further, the fact that it is currently easier to obtain a forbearance or deferment than to enroll in or recalculate payments under IDR may lead some borrowers to choose to enter deferment or forbearance to pause their payments temporarily, rather than enrolling in or recertifying their income on IDR to access more affordable payments following a change in their income.
                        <SU>119</SU>
                        <FTREF/>
                         In particular, borrowers may not have to provide income information or complete as much paperwork to obtain a pause on their loans through deferment or forbearance. Borrowers who are struggling financially and working to address a variety of financial obligations may be particularly inclined to enter deferment or forbearance rather than navigating the IDR enrollment or recertification process, despite the fact that staying on IDR—and updating their income information to recalculate monthly payments as needed—may better set them up for long-term repayment success. For example, the Consumer Financial Protection Bureau found that delinquency rates significantly worsened for those who did not recertify their incomes on time after their first year in an IDR plan.
                        <SU>120</SU>
                        <FTREF/>
                         In contrast, delinquency rates for those who did recertify their incomes slowly improved.
                    </P>
                    <FTNT>
                        <P>
                            <SU>119</SU>
                             Consumer Financial Protection Bureau. Borrower Experiences on Income-Driven Repayment. November 2019. 
                            <E T="03">files.consumerfinance.gov/f/documents/cfpb_data-point_borrower-experiences-on-IDR.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>120</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <P>The Department has several goals in pursuing these regulatory changes. First, we want to increase enrollment in an IDR plan among borrowers who are at significant risk of default or struggling to repay their student loans. Doing so will help reduce the number of defaults nationally and protect borrowers from the resulting negative consequences. Second, we want to make it simpler for borrowers to choose among IDR plans. This requires considering the benefits available to borrowers in other plans and minimizing the number of situations in which a borrower might have an incentive to pick a different plan. In other words, if the terms of the new REPAYE plan provide fewer benefits to a large group of borrowers compared to existing plans, it will be harder for borrowers to identify and select an IDR plan that meets their needs. Third, we want to make it easier for borrowers to navigate repayment overall. This involves addressing elements of the repayment experience in which well-meaning choices by borrowers could accidentally result in being required to repay for a significantly longer period of time. It also means simplifying the overall process for the borrower of choosing between IDR and other types of repayment plan.</P>
                    <P>
                        Different parameters of the plan in this final rule accomplish these various goals. For instance, the provisions to protect a higher amount of income, set payments at 5 percent of discretionary income for undergraduate loans, not charge unpaid monthly interest, automatically enroll borrowers who are delinquent or in default, provide credit toward forgiveness for time spent in certain deferments and forbearances, and shorten the time to forgiveness for low balance borrowers all provide disproportionate benefits for undergraduate borrowers, particularly 
                        <PRTPAGE P="43871"/>
                        those at greater risk of default. That will make the IDR plans more attractive to the very groups of borrowers the Department is concerned about being at risk of delinquency or default.
                    </P>
                    <P>The inclusion of borrowers who have graduate loans in some but not all elements of the REPAYE plan and the treatment of married borrowers who file separately in particular accomplish the second goal of making it easier to choose among IDR plans. Currently, the process of selecting among IDR plans is unnecessarily complicated. Borrowers may be better off choosing different plans depending on a variety of factors, including whether they are married, when they borrowed, and both their current and anticipated future income relative to the annual amount due on eligible loans. That makes it harder for student loan servicers to explain the different plans to borrowers when they are trying to make important financial decisions. Such complexity also complicates efforts to explain IDR to more vulnerable borrowers. Allowing borrowers with graduate loans to gain access to some of the benefits provided by REPAYE will make the REPAYE plan the best option for almost all borrowers. Absent such a structure, it would be harder to sunset new enrollment in other plans and borrowers would continue to face a confusing set of IDR choices.</P>
                    <P>Provisions around the counting of prior credit toward forgiveness following a consolidation, not charging unpaid monthly interest, and providing credit for deferments and forbearances make it easier for borrowers to navigate repayment. The Department is concerned that the current process of navigating repayment and choosing between IDR and non-IDR plans is overly complicated. There are too many ways for borrowers to accidentally make choices that seemed reasonable at the time but result in the loss of months, if not years, of progress toward forgiveness. For example, a borrower may choose certain deferments or forbearances instead of picking an IDR plan where they would have a $0 payment. Or they may consolidate their loans because they think it would be easier to have one loan to keep track of, not knowing it would erase all prior progress toward forgiveness. Similarly, the fact that IDR plans are the only payment options available where a borrower can make their required payments and still see their balance grow makes it difficult for borrowers to understand the choices and options that are best for them. With these changes, the negative consequences associated with various repayment choices, including enrollment in REPAYE, will be minimized.</P>
                    <P>The Department believes the REPAYE plan as laid out in these final rules focuses appropriately on supporting the most at-risk borrowers, simplifying choices within IDR, and making repayment easier to navigate. The result is a plan that targets benefits to the borrowers at the greatest risk of delinquency or default, while providing a single option that is clearly the most advantageous for the vast majority of borrowers.</P>
                    <P>
                        The changes to REPAYE focus on borrowers who are most at risk of default: those who have low earnings, borrowed relatively small amounts, and only have undergraduate debt. This emphasis is especially salient for those who are at the start of repayment. For example, among borrowers earning less than 225 percent of the Federal poverty level five years from their first enrollment in postsecondary education, 36 percent had at least one default in the within 12 years of entering postsecondary education, compared to 24 percent of those earning more.
                        <SU>121</SU>
                        <FTREF/>
                         And borrowers with relatively small debts—$10,000 or less in 2009—defaulted at a rate of 43 percent 12 years after beginning postsecondary education, compared to 21 percent for those who borrowed more.
                        <SU>122</SU>
                        <FTREF/>
                         Finally, those who borrowed only for their undergraduate education were more than three times as likely to experience a default from 2004 to 2016 (34 percent vs. 9 percent for those with any graduate loans).
                        <SU>123</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>121</SU>
                             Analysis of Beginning Postsecondary Students (BPS) 2004/2009. 
                            <E T="03">https://nces.ed.gov/datalab/powerstats/table/lqawqv.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>122</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>123</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">3. Summary of Comments and Changes From the IDR NPRM</HD>
                    <GPOTABLE COLS="3" OPTS="L2,nj,i1" CDEF="s50,xs40,r100">
                        <TTITLE>Table 3.1—Summary of Key Changes in the Final Regulations</TTITLE>
                        <BOXHD>
                            <CHED H="1">Provision</CHED>
                            <CHED H="1">
                                Regulatory
                                <LI>section</LI>
                            </CHED>
                            <CHED H="1">Description of final provision</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Adding SAVE as an alternative name for REPAYE</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Indicating that REPAYE may also be referred to as Saving on a Valuable Education, or SAVE plan.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Family size and Federal tax data</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Indicating that information from Federal tax information reported to the Internal Revenue Service can be used to calculate family size for an IDR plan.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Minimum payment amount</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Rounding calculated payment amounts of less than $5 to $0 and those between $5 and $10 to $10.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">5% and 10% payments on REPAYE</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Clarifying that borrowers pay 5% of discretionary income toward loans obtained for their undergraduate study and 10% for all other loans, including those when the academic level is unknown.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Borrower eligibility for different IDR plans</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Stating that a Direct Consolidation loan disbursed on or after July 1, 2025, that repaid a Direct parent PLUS loan, a FFEL parent PLUS loan, or a Direct Consolidation Loan that repaid a consolidation loan that included a Direct PLUS or FFEL PLUS loan may only chose the ICR plan. Also states that a borrower maintains access to PAYE if they were enrolled in that plan on July 1, 2024 and does not change repayment plans. Similar language is adopted for ICR with an exception for Direct Consolidation Loans that repaid a parent PLUS loan.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Payments made in bankruptcy</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Granting the Secretary the authority to award credit toward IDR forgiveness for periods when it is determined that the borrower made payments on a confirmed bankruptcy plan.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Treatment of joint consolidation loans</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Clarifying that joint consolidation loans that are separated will receive equal credit toward IDR forgiveness.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Crediting involuntary collections toward forgiveness</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Stating that involuntary collections are credited at amounts equal to the IBR payment, if known, for a period that cannot exceed the borrower's next recertification date.</ENT>
                        </ROW>
                        <ROW>
                            <PRTPAGE P="43872"/>
                            <ENT I="01">Catch up payments</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Stating that catch up payments are only available for periods beginning after July 1, 2024, can only be made using the borrower's current IDR payment, and are limited to periods that ended no more than 3 years previously.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Providing approval for disclosure of Federal tax information</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Expanding the situations in which the borrower could provide approval for obtaining their Federal tax information.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Removal from default</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Allowing the Secretary to remove a borrower from default if they enroll in an IDR plan with income information that covers the point at which they defaulted and their current IDR payment is $0.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Shortened time to forgiveness</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Stating that periods of deferment or forbearance that are credit toward IDR forgiveness may also be credited toward the shortened time to forgiveness.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Rehabilitation</ENT>
                            <ENT>§ 685.209</ENT>
                            <ENT>Clarifying that a reasonable and affordable payment amount for rehabilitations may be based upon the IBR formula and that a borrower on IBR who exits default may be placed on REPAYE if they are eligible for it and it would result in a lower payment.</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters expressed concerns about the estimated net budget impact of the REPAYE plan. Several commenters cited Executive Order 13563, which requires agencies to “propose or adopt a regulation only upon a reasoned determination that its [the regulation's] benefits justify its costs” and to “use the best available techniques to quantify anticipated present and future benefits and costs as accurately as possible.” Other commenters argued that the cost alone indicated that Congress should have taken this action, rather than the Department. Commenters also expressed concerns about the fairness of providing such spending to individuals who had gone to college compared to the effects on someone who never enrolled in postsecondary education.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         As discussed in greater detail in the Benefits of the Regulation section of this RIA, the Department believes that the benefits of this final regulation justify its costs. These changes to REPAYE will create a safety net that can help the most vulnerable borrowers avoid default and delinquency at much greater rates than they do today. Doing so is important to make certain that a student's background does not dictate their ability to access and afford postsecondary education. The Department is concerned that the struggles of current borrowers may dissuade prospective students from pursuing postsecondary education.
                    </P>
                    <P>
                        Importantly, these benefits are provided to existing borrowers and future ones. That means anyone who has previously not enrolled in college because they were worried about the cost or the risk of borrowing will have access to these benefits as well. In considering who these individuals might be, it is important to recall there are many people today who may seem like they are not going to enroll in postsecondary education today who may ultimately end up doing so. Currently, 52 percent of borrowers are aged 35 or older, including 6 percent who are 62 or older.
                        <SU>124</SU>
                        <FTREF/>
                         The benefits of revisions to REPAYE are also available to borrowers enrolled in all types of programs, including career-oriented certificate programs and liberal arts degree programs. The additional protections provided by this rule may also encourage borrowers who did not complete a degree or certificate and are hesitant to take on more debt to re-enroll, allowing them to complete a credential that will make them better off financially.
                    </P>
                    <FTNT>
                        <P>
                            <SU>124</SU>
                             From Q1 2023 data in 
                            <E T="03">studentaid.gov/sites/default/files/fsawg/datacenter/library/Portfolio-by-Age.xls.</E>
                        </P>
                    </FTNT>
                    <P>
                        We also note that the sheer scale of the student loan programs plays a major role in the overall estimated net budget impact. Student loans are the second largest source of consumer debt after mortgages and ahead of credit cards.
                        <SU>125</SU>
                        <FTREF/>
                         There is currently $1.6 trillion in outstanding student loan debt.
                        <SU>126</SU>
                        <FTREF/>
                         The Department estimates that another $872 billion will be lent over the coming decade. By contrast, there was $23 billion outstanding in 1993 when Congress created the ICR authority and $577 billion in 2008, the last time Congress reauthorized the Higher Education Act. This growth is not just a function of higher prices but also of a significant expansion of postsecondary enrollment. The number of students enrolled in college has increased from 12.29 million in fall 1994 to 18.66 million in fall 2021.
                        <SU>127</SU>
                        <FTREF/>
                         The types of students who borrow have also changed as the composition of college students has expanded to include more individuals who are low-income, the first in their families to attend college, or working adults. The costs observed in the net budget impact are at least partly affected by the overall growth in volume and the characteristics of who is borrowing, not just the extension of certain benefits.
                    </P>
                    <FTNT>
                        <P>
                            <SU>125</SU>
                             
                            <E T="03">https://www.newyorkfed.org/medialibrary/interactives/householdcredit/data/pdf/HHDC_2023Q1.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>126</SU>
                             
                            <E T="03">https://studentaid.gov/sites/default/files/fsawg/datacenter/library/PortfolioSummary.xls</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>127</SU>
                             
                            <E T="03">nces.ed.gov/programs/digest/d22/tables/dt22_303.10.asp.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         The Department received comments expressing concern that the most expensive elements of the plan are also the ones that are the least well-targeted. For instance, the commenters pointed to estimates from the IDR NPRM showing that the most expensive components of the proposal were the increase in the amount of income protected from payments and having borrowers pay 5 percent of their discretionary income on undergraduate loans. The commenters argued that the cost of those provisions plus the extent of the benefits they provided to higher-income borrowers created an imbalance between the costs and benefits of the rule. They also argued that there is little evidence that the most expensive provisions will provide sufficient benefits to justify their costs. Several commenters argued that our proposals lack a cost and benefit analysis specific to graduate borrowers. This group of commenters claim our proposals provide uncapped subsidies for the most educated Americans.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The commenters accurately identified the elements of the plan that we project have the greatest individual costs. However, we disagree with the claim that the benefits of the plan are ill-targeted. First, because payments under REPAYE are not capped, borrowers with the highest incomes will still have higher scheduled payments under the plan than under the 
                        <PRTPAGE P="43873"/>
                        standard 10-year plan. Second, graduate borrowers—who tend to have higher incomes—will only receive the 5 percent of discretionary income payment rate for the debt they took on for their undergraduate education. The Department considered the cost of providing additional relief to graduate borrowers and we believe that our plan balances our goals of protecting the borrowers most at risk of delinquency while ensuring borrowers pay back their fair share. The Department's analyses of the distributional benefits of the plan show that borrowers at the bottom of the lifetime income distribution are projected to see the largest reduction in payments per dollar borrowed.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter claimed that the proposed plan was regressive and benefitted wealthy borrowers more than lower-income borrowers, citing Table 7 of the IDR NPRM (the updated version of this table is now Table 5.5). This is a table that showed the breakdown of mean debt and estimated payment reductions for undergraduate and graduate borrowers by income range. A commenter argued that the expansion of eligibility for forgiveness to borrowers with higher incomes is the costliest component of the proposed regulations. This commenter claims that these regulations significantly increase the range of starting incomes that borrowers can earn and still expect to receive some type of loan forgiveness from approximately $32,000 under the current IDR plan to $55,000 under the new IDR plan.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Assessing the starting incomes that could lead to forgiveness is not a one-size-fits-all endeavor. That is because the borrower's student loan balance also affects whether the borrower is likely to fully repay the loan or have some portion of their balance forgiven. For instance, a borrower who earns $55,000 as a single individual and only borrowed $5,000 would pay off the loan before receiving forgiveness. The REPAYE plan will provide many borrowers with lower payments, particularly helping low-income borrowers avoid delinquency and default while ensuring middle-income borrowers are not overburdened by unaffordable payments.
                    </P>
                    <P>Regarding the discussion of Table 7 in the IDR NPRM (Table 5.5 in this RIA), there are a few important clarifications to recall. First, this table reflects existing differences in the usage of IDR between these groups. The new plan emphasizes its benefits toward the lower-income borrowers that do not currently use IDR at rates as high as some of their counterparts with higher incomes. Second, many borrowers in the lowest income categories will have $0 monthly payments as part of these changes. A borrower cannot see their payments reduced below $0, so this will cap the possible reduction in payments for the lowest-income borrowers. The potentially smaller dollar savings that occur each month will still be important for them, as the marginal burden of each additional $1 in student loan payments will be greater for a lower-income borrower compared to a higher income one. We also note that an undergraduate borrower in the middle of the three income ranges still sees larger typical savings than a graduate borrower in the same range does.</P>
                    <P>Finally, it is important to recall that some of the savings that are occurring for these graduate borrowers are due to the fact that they also have undergraduate loans. That means had they never borrowed for graduate school they would still be seeing some of those savings.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter argued that the Department's explanation for the net budget estimate in the IDR NPRM does not match its stated goal of assisting student loan borrowers burdened by their debt. This commenter further claimed that the Department's refusal to tailor its IDR plan to the students that it purports to help demonstrates that the IDR NPRM's reasoning is contrived and violated the Administrative Procedure Act (APA). This commenter cited an analysis that claimed that the Department's proposed new IDR plan constituted a taxpayer gift to nearly all former, current, and prospective students.
                    </P>
                    <P>The commenter further believed that the level of income protected and share of income above the protected amount that goes toward loan payments exceeds what would be needed for a targeted policy measure that solves the specific problem of young borrowers struggling with debt because borrowers below this level would have a zero-dollar payment under the IDR Plan.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         As noted elsewhere in this final rule, the Department has several goals for this regulatory action. Our main goal is to reduce the rates of default and delinquency by making payments more affordable and manageable for borrowers, particularly those most at risk of delinquency and default. We are also working to make the overall repayment experience simpler. This means making it easier both to decide whether to sign up for an IDR plan and which IDR plan to select. Achieving that goal requires operating within the existing IDR plans. For example, a REPAYE plan that fully excluded all graduate borrowers would increase confusion because many borrowers carry both graduate and undergraduate loans, and there are currently many graduate borrowers using the REPAYE plan. We are concerned that added complexity would make it harder for the most at-risk borrowers to pick the best plan for them as they may be overwhelmed by choices that vary based upon highly technical details.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Several commenters submitted different types of analyses of how many borrowers would fully repay their loans or what share of their loans they would repay. One commenter provided an analysis showing that they estimated that 69 percent of borrowers with certificates and associate degrees will repay less than half their loan before receiving forgiveness. They also estimated that would be the case for 49 percent of bachelor's degree recipients. These are both increases from existing plans. Several other commenters cited this analysis in their comments.
                    </P>
                    <P>A different commenter provided their own estimate that borrowers from programs with a negative return on investment would pay 21 percent of what they originally borrowed. That same commenter said that borrowers from private for-profit colleges would repay just under 45 percent of what they borrowed.</P>
                    <P>Another commenter estimated that 85 percent of individuals with postsecondary education would benefit from lower payments based upon their assumptions about typical debt levels.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         As discussed in the IDR NPRM, the Department developed its own model to look at what would occur if all borrowers were to choose the proposed REPAYE plan versus the existing one. We continue to use this model for the final rule. The model includes projections of all relevant factors that determine payments in an IDR plan, including debt and earnings at repayment entry, the evolution of earnings in subsequent years, transitions into and out of nonemployment, transitions into and out of marriage, spousal earnings and student loan debt, and childbearing. The model also allows these factors to vary with educational attainment and student demographics. While simpler models that do not include these factors can provide a rough indication of payments in the plan early in the repayment process, total repayments will depend on the entire sequence of labor market outcomes and family formation outcomes for the full length of 
                        <PRTPAGE P="43874"/>
                        repayment. Projections based on simplifying assumptions, such as a constant rate of income growth, or a median income for a broad set of borrowers, fail to capture the volatility of changes in earnings over time, and cannot fully capture the distribution of earnings relative to the amount of student loan debt a borrower acquires. As a result, we believe the model we designed for the IDR NPRM and used again in this final rule provides more accurate projections of the types of analyses the commenters provided.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters pointed to a prior report from GAO about the Department's estimation of the cost of IDR plans to argue that the Department will not fully capture the cost of this rule.
                        <SU>128</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>128</SU>
                             
                            <E T="03">www.gao.gov/products/gao-17-22.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department's student loan estimates are regularly reviewed by several entities, including GAO. The report cited by the commenter referenced the lack of modeling of repayment plan switching, resulting in upward re-estimates of IDR plan costs. The Department conducts regular re-estimates of the student loan programs to capture changes in the repayment plan distribution. This allows us to make certain we are updating our cost estimates to reflect updates to administrative data as well as changes in underlying economic indicators, such as government interest rates.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters asked the Department to provide more clarity with regard to the quantified economic benefits of this rule versus its estimated costs.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department believes we have appropriately described the economic benefits of the rule in the discussion of costs and benefits section, including the benefits to borrowers in the form of reductions in payments, decreased risk of student loan delinquency and default, and reduction in the complexity involved in choosing between different repayment plans. Included in this section is an analysis of the reduction in payments per dollar borrowed under the new plan compared to current REPAYE and the standard plan, both overall and by quintile of lifetime income and graduate debt. Many of the benefits that are provided that go beyond the reduction in payments are important but not quantifiable.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters argued that the Department did not sufficiently connect the discussion of costs and benefits to stated goals. They also questioned why, if the concern is about preventing defaults, the Department did not first conduct an analysis of who defaults to drive decisions.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         With respect to the concerns about who defaults, the Department has intentionally taken a number of steps in the regulation that directly reflect research and data on default. For instance, as noted in the IDR NPRM, 90 percent of borrowers who default borrowed exclusively for their undergraduate education. This is one of the reasons why we are only lowering the share of income that goes toward payments for undergraduate loans. Similarly, as noted in the IDR NPRM, 63 percent of defaulters had an original principal balance of less than $12,000, the threshold we chose for the early forgiveness provision. The raised income protection will capture more of the lowest-income borrowers, which will also help avert default, as will the provision to automatically enroll delinquent borrowers in REPAYE. As noted in the NPRM and reiterated in the preamble to this final rule, the Department decided to protect earnings up to 225 percent of FPL after conducting an analysis showing that individuals at that point reported similar rates of material hardship than those with family incomes at or below the 100 percent of the FPL. Therefore, we believe the borrowers that will now have a $0 payment from this rule are those who were going to be at the greatest risk of default.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Many commenters raised concerns that the budget estimates in the IDR NPRM understated the costs of the proposals. In particular, commenters pointed to three issues that they said should have been accounted for in the budgetary estimates:
                    </P>
                    <P>(1) Existing student loan borrowers who do not currently choose an IDR plan may choose to begin repaying on an IDR plan given the more generous terms. The result would be an overall increase in the share of borrowers and loan volume in the IDR plans.</P>
                    <P>(2) Existing student loan borrowers may choose to take on higher levels of debt. This could be driven by personal choices since the cost of repaying debt for the individual has fallen or due to increases in tuition charged by institutions. Some commenters noted that this increased borrowing may only be for living expenses.</P>
                    <P>(3) More students who would not otherwise have borrowed may choose to take on debt as a result of these changes. This could include both more students going to college who might not have previously borrowed as well as students who would not otherwise have obtained student loans now choosing to borrow.</P>
                    <P>Commenters provided a range of estimates for how to quantify these various effects. These included estimates from the Penn Wharton Budget Model, the Urban Institute, and analyses done by Adam Looney and Preston Cooper, among others. These various analyses projected that between 70 and 90 percent of borrowers would benefit from the proposed changes to REPAYE. Commenters also included calculations using data from the National Postsecondary Student Aid Study looking at borrowers who did not take out the maximum amount of student loans available to them, data on the number of community colleges that might now choose to participate in the loan programs, data from the American Community Survey on earnings by field of study, information from the College Scorecard about typical debt and earnings levels, data from the Beginning Postsecondary Students Longitudinal Study, and trends in usage of IDR plans. Commenters also cited research from the Federal Reserve Bank of New York and Howard Bowen on possible effects on college prices.</P>
                    <P>Another commenter claimed that the Department's proposed revisions to the REPAYE plan would effectively discount the cost of college by 44 percent for the average borrower (relative to the current REPAYE plan) at a cost to taxpayers of several hundred billion dollars.</P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department has updated the main budget estimate in this final rule that includes more future loan volume being repaid on the IDR plans, with most of this volume going onto the new REPAYE plan. We have also added a number of sensitivities that consider what would happen if total annual loan volume increases. These items are all explained in greater detail in the 
                        <E T="03">Net Budget Impact</E>
                         section of this RIA. This approach captures the fact that the degree of increases in take-up and new loan volume are subject to uncertainty. Given the timing of benefits received through IDR forgiveness and the uncertainty around many factors that would determine these benefits (
                        <E T="03">e.g.,</E>
                         individual earnings trajectories and macroeconomic conditions), it is not unreasonable to assume that any price responses by higher education institutions would be muted relative to changes in prices that have been found following increases in the generosity of Federal student aid that students receive while enrolled. While we agree with the commenters that a significant majority of borrowers could benefit from the 
                        <PRTPAGE P="43875"/>
                        changes to the REPAYE plan, it is also true that many more borrowers who could benefit from existing IDR plans do not select them, so the highest take-up levels suggested by some analyses are unlikely to be achieved, at least as an immediate consequence of the regulation.
                    </P>
                    <P>
                        We have estimated the present discounted value (PDV) of the change in total payments under the new plan compared to total payments under REPAYE for borrowers representative of the 2017 repayment cohort. This includes modeling all of the factors that would affect payments (
                        <E T="03">e.g.,</E>
                         future earnings and nonemployment, marriage, childbearing). Using this model, we compare the average difference in the PDV of total payments by institutional control and predominant degree (assuming all borrowers participate in each plan) and can compare this projected reduction in payments with the average cost of attendance in each sector, multiplied by 2 years for sub-baccalaureate institutions and by 4 for baccalaureate institutions. Table 3.2 shows these estimates which suggests that at most, the average reduction in payments under the new plan relative to existing REPAYE would be 13 percent of the average total cost of attendance. Among 4-year institutions, the reduction in payments never exceeds 6 percent of the average total cost of attendance. Both of these figures are well below the 44 percent figure provided by commenters.
                    </P>
                    <GPOTABLE COLS="3" OPTS="L2,i1" CDEF="s50,12,12">
                        <TTITLE>Table 3.2—Average Reduction in the Present Discounted Value of Total Payments by Sector as a Percentage of the Average Total Cost of Attendance in the Sector</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Associate or
                                <LI>certificate</LI>
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                Baccalaureate
                                <LI>or graduate</LI>
                                <LI>only</LI>
                                <LI>(percent)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Public</ENT>
                            <ENT>10</ENT>
                            <ENT>6</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Nonprofit</ENT>
                            <ENT>13</ENT>
                            <ENT>4</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">For-profit</ENT>
                            <ENT>12</ENT>
                            <ENT>5</ENT>
                        </ROW>
                        <TNOTE>
                            <E T="02">Notes:</E>
                             Average cost of attendance from Table 330.40, Digest of Education statistics, 2021-22 academic year, using off-campus living expenses. For public institutions, the average cost of attendance includes tuition and fees for in-state students. The annual average cost of attendance from the table is multiplied by 2 to get the average total cost of attendance for sub-baccalaureate institutions and by 4 to get the average total cost of attendance for baccalaureate institutions.
                        </TNOTE>
                    </GPOTABLE>
                    <P>We also reject some of the implications by commenters that greater usage of IDR is inherently bad. As noted already, the Department is concerned about the significant number of borrowers who end up in delinquency and default each year. Past studies have shown that large numbers of these individuals would likely have a low-to-zero payment on IDR yet do not sign up. Moving all or most of this volume in default into IDR will represent a net benefit for the borrowers and for society overall as the consequences of defaulting are very damaging and can prevent borrowers from engaging in other behaviors like buying a house or starting a business.</P>
                    <P>
                        <E T="03">Changes:</E>
                         The Department has increased the share of volume in IDR plans for the main budget estimate and incorporated additional analyses of IDR take-up and additional loan volume in the 
                        <E T="03">Net Budget Impact</E>
                         section of this RIA.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter expressed concern with our cost estimates, which account for the Administration's one-time debt relief plan to forgive $20,000 for Pell Grant eligible borrowers and $10,000 for other borrowers. This issue remains before the Supreme Court. The commenter suggests that we should produce a secondary cost estimate in the event that the loan cancellation plan does not go into effect. The commenter further stated that our cost estimates and our analyses do not account for increased borrowing.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department is confident in our authority to pursue debt relief and is awaiting the Supreme Court's ruling on the issue. Our cost estimates account for the Department's current and anticipated programs and policies. It is difficult to assess whether increased borrowing will occur and for which students. For example, undergraduate borrowers receive more repayment benefits under the new REPAYE plan but are also subject to annual borrowing limits which are likely to restrict any additional borrowing. Roughly 48 percent of those who borrowed for their undergraduate education in 2017-18 already borrowed at their individual maximum amount for Federal loans.
                        <SU>129</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>129</SU>
                             Powerstats analysis of the National Postsecondary Student Aid Student-Administrative Collection 2018 (NPSAS-AC). Reference table number: dfwcsn.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters argued that borrowers would use certain provisions in the rules to reduce their payments in ways that would understate potential savings to the Department and increase the overall cost of the regulation. Commenters argued that borrowers who would have higher payments on the plan would not stay on it and would instead switch onto a non-IDR plan. Commenters also argued that the proposal to allow a married borrower who files separately to not include their spouse's income would also result in more borrowers filing separately so a non-working or otherwise lower-income spouse could have lower loan payments.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenters about the switching behavior of borrowers. For one, borrowers who have spent an extended time in an IDR plan would likely face large and possibly unaffordable payments if they were to switch back to the standard 10-year plan. If a borrower leaves a repayment plan and is placed on the standard plan, their balance will be amortized over however many years are remaining until the loan is repaid in a time frame equal to 10 years of time in repayment. In other words, a borrower who pays on IDR for 5 years and then switches to the 10-year standard plan would see their remaining loan balance amortized over 5 years. Realistically, the kinds of borrowers described by the commenters who might be switching are going to be doing so later in their repayment period when they have had a significant number of years of work experience. Those borrowers may no longer have access to a 10-year standard plan. At that point, if they left IDR, they would have to go onto other payment plans that do not qualify for IDR forgiveness and which result in the loan being paid off in full.
                    </P>
                    <P>
                        We also disagree with the assessment of what married borrowers may or may not do. For one, the ability for married borrowers to avoid having their spouse's income counted for IDR by filing taxes separately currently exists on every 
                        <PRTPAGE P="43876"/>
                        other IDR plan, and the different treatment in REPAYE makes the process of choosing plans more confusing. On a policy level, filing one's taxes separately as a married couple has significant consequences. According to the IRS, a married couple that files separately may pay more in combined Federal tax than they would with a joint return. This is partly because income levels for the child tax credit and retirement savings contributions credit are based on income levels half that of what is used for a joint return.
                        <SU>130</SU>
                        <FTREF/>
                         Married couples that file separate returns are also ineligible for the Earned Income Tax Credit. Moreover, married couples that file separately must wait several years to file jointly again. The effect is that any savings on loan payments may be offset by higher costs in taxes. We also note that this final rule does not allow a borrower who files taxes separately from their spouse to include that spouse in their household size, which reduces the amount of income protected when calculating IDR payments.
                    </P>
                    <FTNT>
                        <P>
                            <SU>130</SU>
                             
                            <E T="03">www.irs.gov/publications/p504.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Related to concerns about the effect of the plan on tuition, commenters argued that the mention in the IDR NPRM that institutions could have an incentive to raise prices created a conflict with the public statements when some parameters of the plan were announced that this rule was part of a plan to tackle prices. They argued that the Department failed to reckon with how a plan that was part of a solution to the problem of college prices could exacerbate this issue.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenters. A required component of the RIA is to explore every major benefit or cost that we can identify when considering the possible effect of the rule. Where possible, these elements are quantified, where not, they are at least mentioned. There are thousands of institutions of higher education that participate in the financial aid programs. Most of them already raise their cost of attendance each year, which is a major reason why concerns about student debt have grown so much in recent years. The Department thinks it is highly unlikely that significant numbers of institutions would raise their prices in response to this plan. For one, many public institutions do not have direct tuition setting authority. For another, there are many institutions whose prices are already above the combination of annual limits on Pell Grants and undergraduate loans, meaning it would not be possible to simply offset any higher price with greater loan debt. There are also other student-related factors, such as price sensitivity and debt aversion, that influence tuition setting behavior. The mention in the IDR NPRM simply indicated that, given the sheer number of institutions operating, there is a possibility that some number could choose to raise prices. We continue to think the benefits of creating a safety net that will help the most at-risk borrowers and deliver affordable payments for middle-income borrowers far outweigh the potential costs associated with this risk.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the costs and benefits analysis in the IDR NPRM did not sufficiently engage with the potential effects of the rule on accountability for institutions or programs that do not provide strong returns on investment or otherwise serve students well. Some commenters calculated that the IDR NPRM would result in subsidies of nearly 80 percent for programs with negative returns on investment and more than 50 percent at private for-profit colleges. Some commenters argued that these effects could result in a race to the bottom for institutions under severe financial pressure and argued that colleges would present REPAYE as a de facto wage subsidy to recruit underprepared students. Similarly, commenters argued that the IDR NPRM should have reckoned more with the effects of the proposal on accountability measures such as cohort default rates (CDRs) and the likelihood of institutions marketing low-value programs. Commenters also argued that the request for information about creating a list of the least financially valuable programs that was released concurrent with the IDR NPRM was insufficient to address these issues.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with some concerns raised by the commenters with regard to CDRs and think that other issues are best understood by considering the totality of the Department's work, not just this regulatory package.
                    </P>
                    <P>Cohort default rates already affect a very small number of institutions on an annual basis. For the 2017 CDRs—the last set of rates that do not include time periods covered by the national pause on repayment, interest, and collections—just 12 institutions encompassing 1,358 borrowers in the corresponding repayment cohort had rates that were high enough to put them at risk of losing access to title IV aid. That represents approximately 0.03 percent of all borrowers tracked for that measure in that fiscal year. Furthermore, some of these institutions maintained aid access through appeals created by statute and waivers granted by the Department, including those effectuated in response to language inserted in Federal appropriations bills. While paying attention to default rates is important, most colleges face no risk of negative consequences from the existing CDR measure as it does not have significant effect on eligibility for poorly performing institutions or programs.</P>
                    <P>
                        This rule would also not diminish any potential effect CDRs have on encouraging institutions to keep their default rates generally low to avoid even the possibility of sanctions. That is because the CDR only looks at results for borrowers in their first few years in repayment and institutions face no consequences for borrowers who default outside the measurement window or face long-term repayment challenges. That is partly why there have been concerns raised in the past by entities such as GAO that institutions keep their default rates low by working with companies that encourage borrowers to enter forbearances.
                        <SU>131</SU>
                        <FTREF/>
                         Such situations create a short-term solution for the borrower and the school but do not produce the type of long-term assistance that an IDR plan provides. As such, using IDR instead of forbearance for struggling borrowers is a better long-term outcome for borrowers.
                    </P>
                    <FTNT>
                        <P>
                            <SU>131</SU>
                             
                            <E T="03">https://www.gao.gov/products/gao-18-163.</E>
                        </P>
                    </FTNT>
                    <P>
                        Moreover, the payment pause will continue to reduce the already minimal effects of the CDR for the next several years. Already, the cohorts that partly included the pause have seen national default rates fall from 7.3 percent to 2.3 percent between the FY 2018 and FY 2019 cohorts (the most recent rates available).
                        <SU>132</SU>
                        <FTREF/>
                         The effects of the payment pause on the CDR will likely continue for the next several years.
                    </P>
                    <FTNT>
                        <P>
                            <SU>132</SU>
                             
                            <E T="03">fsapartners.ed.gov/knowledge-center/topics/default-management/official-cohort-default-rates-schools.</E>
                        </P>
                    </FTNT>
                    <P>
                        The Department has separately proposed other actions that would address the other accountability concerns raised by commenters if finalized in a form similar to the proposed versions. The first is the issue of marketing programs with lower economic returns to borrowers. The Department recognizes that there are programs currently receiving Federal student aid on the condition that they prepare students for gainful employment in a recognized occupation that nevertheless provide undesirable economic returns. This includes programs that result in typical debts that far exceed typical earnings and those that produce graduates who do see no 
                        <PRTPAGE P="43877"/>
                        benefit from additional wages as a result of their postsecondary experience. To address this issue, the Gainful Employment NPRM released on May 19, 2023, (88 FR 32300) proposes new definitions for what it means for a program to provide training that prepares students for gainful employment in a recognized occupation based on the debt burden and earnings relative to those of high school graduates. We estimate in that NPRM that there are more than 700,000 students who enroll in about 1,800 of these low-financial-value career programs each year. The proposed rule would cut off eligibility for federal student aid when career programs consistently leave graduates with a monthly debt burden that exceeds 8 percent of their annual earnings or 20 percent of their discretionary earnings, or with earnings that are no greater than students with only a high school diploma.
                    </P>
                    <P>The Department is also proposing steps to address the borrowers enrolled in programs that leave graduates with unaffordable debt burdens that would not be subject to the eligibility loss under the Gainful Employment NPRM (88 FR 32300). We are proposing that students attending programs that have high ratios of debt-to-earnings would have to complete an acknowledgment before they borrow or receive other forms of Federal student aid. We think this approach will have two effects. First, students may consider choosing a program that will produce better outcomes. Second, institutions will not want to have their programs subject to such acknowledgements and will take steps to improve their outcomes.</P>
                    <P>The Department has also announced that it intends to publish a list of the programs that provide the least financial value. The Department published a request for information around how to best define this list in January 2023 (88 FR 1567). When finalized, such a list would draw national attention to some of the biggest drivers of unaffordable student debt. The Department has also announced that it intends to ask institutions with programs on this list to provide plans to improve their outcomes.</P>
                    <P>The combined effect of these policies would be that programs which burden their students with unaffordable debt levels will be subject to additional Federal accountability, ranging from ineligibility to a student warning. Notably, these gainful employment requirements and student warnings would be applied each year. That means if an institution raises prices to the point that students take on unaffordable levels of debt, they would face consequences as the debt levels of their students rise. Combined, these actions would represent a significant increase in accountability compared to the status quo.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters raised concerns about the effect of the proposed changes to REPAYE on State actions and said the IDR NPRM did not sufficiently account for them. They argued this should have triggered a greater Federalism analysis. Commenters asserted that several States rely on State tax revenue from loans that have been forgiven. As a result, they asserted that this regulation would have significant State-level budgetary implications because of the loan forgiveness provisions, such as the fact that interest that is not charged on a monthly basis would not be part of the forgiven amount at the end of the repayment period that is subject to State taxation. The commenter cited several other ways States could be affected by our regulation. These included the claim that States would choose to spend less on higher education; States would divert subsidies away from alternative pathways to family-sustaining employment; that State performance funding formulas would be weakened by new Federal spending; that States would gain less of an advantage from making significant public investments in postsecondary education; that more students would go out of State for postsecondary education; States that fund higher education on a per capita basis would see expenditures rise believing that the Federal subsidy would result in increased enrollment; and institutions would change their prices. Commenters did not provide evidence to quantify the extent of any effects mentioned.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We did not identify any Federalism implications in the proposed rule and do not believe that these final regulations require a Federalism impact statement.
                    </P>
                    <P>The Department is not persuaded by the concerns about foregone tax revenue on interest that no longer accumulates. The Federal government's reason for providing this Federal benefit is that the accrual of interest can create situations under which a borrower's loans are negatively amortized, which harms borrowers. Moreover, there is no way for the States to know with any certainty what amounts they would or would not collect in the form of foregone tax revenue. REPAYE and other IDR plans base payments on borrowers' incomes. The result is that, if a borrower's income goes up, they will repay more of their loan, including in many cases paying off the loan entirely. In addition, some of the interest that would not be charged on this plan is interest that would otherwise have been paid by the borrower today due to the higher payment amounts on REPAYE. That interest is therefore not a transfer from the potential State tax revenue to the borrower, but rather a transfer from the Department to the borrower. Moreover, a minority of States tax student loan forgiveness, and other IDR plans also provide interest subsidies of varying amounts. Therefore, there is only a small amount of tax on the amount of increased forgiveness over what the borrower would have received on this plan versus another plan. There are also not enough borrowers who have received forgiveness through an IDR plan to date to establish that a State is relying on revenue from these plans. Because only the original ICR plan has been around long enough for borrowers to reach the required number of monthly payments for forgiveness, only a few borrowers have earned forgiveness through an IDR plan. This number will rise through planned actions like the one-time payment count adjustment, but that is not a change States could have planned for.</P>
                    <P>We are similarly unconvinced on the other arguments about federalism. For instance, the commenters have not outlined how performance-based funding systems would be affected. Only a minority of institutions nationally are subject to performance-funding systems, as not every State has a performance-funding system, most such systems only apply to public institutions, and they often represent only a portion of State dollars for postsecondary education. Beyond that, it is unclear what metrics the commenters expect would be affected in these systems, which commonly consider things like enrollment levels and completion.</P>
                    <P>The Department also disagrees that the rule would result in States spending less on postsecondary education. The rule does not change the total amount of Federal aid available for enrollment in undergraduate programs, which are the ones most heavily subsidized by States. That means funding reductions that increase prices could not necessarily be backfilled by additional loans. Such concerns also ignore how powerful sticker prices are in affecting student choice. None of those dynamics are changed by this rule.</P>
                    <P>
                        The same goes for pricing issues raised by commenters. Most public colleges already charge out-of-state tuition that is well above what a typical 
                        <PRTPAGE P="43878"/>
                        undergraduate student can borrow for postsecondary education. This rule is not changing those statutory loan limits.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters suggested several types of distributional analyses that they argued the Department should provide in the final rule. These included breaking down who benefits from the rule in terms of income, family background, and demographics to show that the benefits do go to low- and middle-income borrowers. Commenters also argued for separating cost estimates for undergraduate and graduate borrowers and asked the Department to provide annual estimates of gross cancellations.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         Undergraduate borrowers and borrowers with lower lifetime incomes are projected to see the largest reductions in total payments in the new REPAYE plan relative to the current REPAYE plan. Table 3.3 shows these projections for future cohorts of borrowers by quintiles of lifetime income (measured across all borrowers), calculated using a model that includes relevant lifecycle factors that determine IDR payments (
                        <E T="03">e.g.,</E>
                         household size, income, and spousal income when relevant). This model assumes full participation in current REPAYE and the new plan. More details on the model can be found in the discussion of the costs and benefits in this RIA. For example, undergraduate borrowers in the bottom 20 percent of lifetime income (measured across all borrowers) are projected to pay $10,339 in present discounted value terms in current REPAYE, on average, but only $1,209 in the new plan, an 88 percent reduction. In contrast, undergraduate borrowers in the top 20 percent of lifetime income are projected to pay only 1 percent less in the new plan compared to the current REPAYE plan. Low- and middle-income graduate borrowers see the largest reductions in payments as well. Reductions for graduate borrowers are larger in absolute terms than reductions for undergraduates because graduate borrowers have higher average levels of outstanding debt, but the reductions for graduate borrowers are smaller in percentage terms than those for undergraduate borrowers.
                    </P>
                    <GPOTABLE COLS="6" OPTS="L2,i1" CDEF="s50,12,12,12,12,12">
                        <TTITLE>Table 3.3—Projected Present Discounted Value of Total Payments for Future Repayment Cohorts by Quintile of Lifetime Income, Assuming Full Take-Up of Specified Plan</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">Quintile of lifetime income</CHED>
                            <CHED H="2">1</CHED>
                            <CHED H="2">2</CHED>
                            <CHED H="2">3</CHED>
                            <CHED H="2">4</CHED>
                            <CHED H="2">5</CHED>
                        </BOXHD>
                        <ROW EXPSTB="05" RUL="s">
                            <ENT I="21">
                                <E T="02">Borrowers with only undergraduate debt</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Current REPAYE</ENT>
                            <ENT>$10,339</ENT>
                            <ENT>$16,388</ENT>
                            <ENT>$17,760</ENT>
                            <ENT>$19,649</ENT>
                            <ENT>$19,738</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Final Rule REPAYE</ENT>
                            <ENT>$1,209</ENT>
                            <ENT>$6,692</ENT>
                            <ENT>$12,417</ENT>
                            <ENT>$17,292</ENT>
                            <ENT>$19,597</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Difference</ENT>
                            <ENT>$9,130</ENT>
                            <ENT>$9,696</ENT>
                            <ENT>$5,344</ENT>
                            <ENT>$2,357</ENT>
                            <ENT>$141</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Percent reduction</ENT>
                            <ENT>88%</ENT>
                            <ENT>59%</ENT>
                            <ENT>30%</ENT>
                            <ENT>12%</ENT>
                            <ENT>1%</ENT>
                        </ROW>
                        <ROW EXPSTB="05" RUL="s">
                            <ENT I="21">
                                <E T="02">Borrowers with any graduate debt</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Current REPAYE</ENT>
                            <ENT>$49,412</ENT>
                            <ENT>$67,072</ENT>
                            <ENT>$75,409</ENT>
                            <ENT>$81,662</ENT>
                            <ENT>$95,581</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Final Rule REPAYE</ENT>
                            <ENT>$32,936</ENT>
                            <ENT>$48,241</ENT>
                            <ENT>$60,351</ENT>
                            <ENT>$70,180</ENT>
                            <ENT>$89,737</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Difference</ENT>
                            <ENT>$16,476</ENT>
                            <ENT>$18,831</ENT>
                            <ENT>$15,058</ENT>
                            <ENT>$11,482</ENT>
                            <ENT>$5,844</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Percent reduction</ENT>
                            <ENT>33%</ENT>
                            <ENT>28%</ENT>
                            <ENT>20%</ENT>
                            <ENT>14%</ENT>
                            <ENT>6%</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Commenters argued that the Department should have run a net budget impact figure that did not include the one-time debt relief program providing up to $20,000 in relief to make sure borrowers are not made worse off with respect to their loans as a result of the pandemic.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department's cost estimates in the NPRM and this final rule include final agency actions in the baseline. This includes the one-time debt relief program, the final regulations that were issued on November 1, 2022, and the extension of the payment pause. The sensitivity runs we have included represent different possible scenarios that might occur due to this regulation. We do not believe it is necessary in evaluating the effects of this rule to provide sensitivity runs related to other final policies.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         A commenter raised concerns about statistics used by the Department in rollout materials for the IDR NPRM that were not included in the IDR NPRM itself. These related to modeling by the Department about the potential effects of the proposal on different types of borrowers based upon their race or ethnicity. The commenter argued that the Department should make clear whether it based the proposed rule on considerations of whether certain racial or ethnic groups would be more likely to benefit. A different commenter raised similar concerns about the use of statistics related to racial groupings. They argued that making decisions on the basis of which racial groups win and lose is improper and violates the Constitution and Federal civil rights laws.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department did not design the proposed or final rule based upon considerations of which types of racial or ethnic groups would benefit more or less from the changes. The figures used in rollout materials were from the same modeling used to produce Table 3 in the IDR NPRM's RIA (what is now Table 3.3 in this RIA). The provided figures simply give greater context of one element of the anticipated effects of the IDR NPRM.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter argued that the Department did not account for the connection between the net budget impact in the IDR NPRM with the statements made by the Department's financial statement auditor around certifying the Department's consolidated financial statements for FY 2022. They argued that, because components of the IDR NPRM were announced at the same time as the President's announcement of the one-time debt relief program, any issues related to scores of that program would also affect budget estimates of the IDR NPRM.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The audit opinion is a result of the size and newness of the Department's one-time debt relief program and is related to the Department's evidence-based estimation of the take-up rate among borrowers eligible for that program. The IDR NPRM was not released until January 2023 and was not included in the audit. Nor did the audit address the cost 
                        <PRTPAGE P="43879"/>
                        estimate of this rule. In the 
                        <E T="03">Net Budget Impact</E>
                         section, the Department produces cost estimates related to existing loans as well as loans to be issued in the future. One-time debt relief does not affect future loan costs because those loans are not eligible for that relief.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters argued that the net budget impact did not account for other types of costs including increased spending on Pell Grants from more students enrolling in college, as well as borrowers choosing to spend more time out of the workforce due to the treatment of deferments and forbearances.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the assertions related to the effect of deferments and forbearances on employment. The types of deferments and forbearances for which the Department would award credit toward forgiveness are largely ones where borrowers would be highly likely to have a $0 monthly payment if they instead enrolled in IDR. For instance, unemployment deferments fall into this category. Furthermore, Sec. 455 of the HEA already allows periods spent in economic hardship deferments to count toward the maximum repayment period. The other periods that will receive credit under this rule are limited to cases where borrowers are engaged in other specified activities like military service, AmeriCorps, or Peace Corps. None of these are situations that would discourage work.
                    </P>
                    <P>Concerning the potential costs for Pell Grants, the Department does not generally model changes in college-going based on a policy. This is true for both elements that would add costs, as well as policies that would produce savings, such as increased overall tax revenue from a more highly educated populace. Inducement effects are highly unknown and there is not strong data available to model these potential costs and savings. Moreover, national trend data show college enrollment has generally been declining, particularly at the undergraduate level. This reflects a strong economy and fewer students in the core college-going age ranges. The Department will continue to acknowledge these costs in the discussion of costs, benefits, and transfers, but not include them in the net budget impact beyond the existing estimates in the baseline.</P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         Some commenters argued that the Department did not sufficiently consider whether the terms of the proposed REPAYE plan would result in more students choosing 4-year institutions instead of lower-cost community colleges and technical schools.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenters that this final rule would result in significant changes in the types of institutions chosen by borrowers who are already enrolled in college or prospective students who are deciding to enroll in college. Moreover, we note the commenter provided no analysis to quantify such an effect. For one, the final rule makes no changes to the overall loan limits set in the Higher Education Act for undergraduate borrowers and does not change the amount of aid available to students. Second, the choice of institution, particularly for community college students, often appears to be motivated by geographic proximity. Among community college students, 50 percent chose an institution within 11 miles of their home.
                        <SU>133</SU>
                        <FTREF/>
                         Third, recent trends in enrollment patterns emphasize how much the choice about community college enrollment is motivated by the strength of the underlying labor market. Community college enrollment, in particular, has fallen significantly over the past several years as there are more job opportunities for these students. This rule has no effect on employment options available to these individuals. Finally, this rule does not address the sticker or net prices charged by institutions and the generally higher prices of 4-year institutions relative to two-year public institutions would persist.
                    </P>
                    <FTNT>
                        <P>
                            <SU>133</SU>
                             
                            <E T="03">nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2019467.</E>
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         The Department received a few comments arguing that the estimate in the IDR NPRM that the proposal carried estimated administrative costs of $10 million was too low and that the Department had not fully accounted for the costs of implementing its proposals. Similarly, commenters noted that it was challenging to know if the effects of the rule would be a net benefit or cost to servicers based upon the number of borrowers who continue repaying compared to the number who will receive forgiveness.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The publication of the IDR NPRM gave the Department a greater opportunity to engage in discussions internally to gauge the implementation cost of these regulations. Based upon those discussions, we have adjusted the implementation costs of this rule to about $4.7 million for the changes in this rule that are being early implemented in July 2023, including renaming REPAYE to SAVE, and another $12.6 million for the changes that go into effect on July 1, 2024. We believe these are largely one-time costs. Ongoing costs for these changes would be part of the Department's ongoing servicing expenses.
                    </P>
                    <P>With regard to effects on servicers, we think this approach will ultimately be a net positive for them. The Federal Tax Information (FTI) Module will automatically calculate IDR payments when a borrower provides approval for the sharing of their tax information, so the scope of servicers' work will be reduced to only calculations where automated processing via the FTI Module is not possible. Having one IDR plan that is clearly the best option for most borrowers will make it easier to counsel borrowers about their repayment options. We anticipate that the automatic enrollment of delinquent borrowers in IDR will keep more borrowers current and reduce the number of defaults, providing more accounts for servicers to manage. Reductions to borrowers' payment amounts and the interest benefit should also reduce the number of borrower complaints and increase customer satisfaction.</P>
                    <P>
                        <E T="03">Changes:</E>
                         We have updated the estimate of administrative costs of this rule to $17.3 million.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         The Department received comments arguing that the IDR NPRM failed to consider the potential effects of the proposed changes on inflation. This included citing one analysis produced after the August 2022 announcement of one-time debt relief and aspects of the IDR NPRM that said inflation would increase over the next year. Relatedly, some commenters said budget estimates should reflect estimated changes on net Federal interest costs.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees with the commenters. We have captured the costs and benefits that we think are most likely to be affected by this final rule. There has been no evidence to date that Federal student loans affected larger government borrowing costs and we do not think that would change in this rule.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         We received comments arguing that the analysis of the effects of the IDR NPRM on small businesses was insufficient. The comments argued that the terms of the repayment plan could harm small nonprofit organizations, because borrowers may now be less inclined to pursue Public Service Loan Forgiveness (PSLF) since the greater generosity of the proposed plan would make that kind of relief less necessary.
                        <PRTPAGE P="43880"/>
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         We disagree with the commenters, who did not provide any analyses of these potential effects. For one, the benefits discussed in this regulation would also be available to those seeking PSLF. That means these borrowers would also see a payment reduction during the 10-year repayment period prior to receiving forgiveness. Moreover, the typical balances forgiven in PSLF are significantly higher than the amounts that would be subject to the early forgiveness provision in this rule. The result is that most borrowers would still receive greater benefits from PSLF than the early forgiveness provision here. For those with balances not subject to early forgiveness, the shorter time to forgiveness for PSLF would make that option still more attractive than use of REPAYE for 20 or 25 years.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <P>
                        <E T="03">Comments:</E>
                         One commenter suggested that the net budget impact should also be measured using “fair value accounting.” This is an alternative approach to cost estimation that uses different interest rates and methodologies from what the Department traditionally employs.
                    </P>
                    <P>
                        <E T="03">Discussion:</E>
                         The Department disagrees. Our process for cost estimation is spelled out by policies and procedures established by the Department's Budget Service and the Office of Management and Budget. Model assumptions are approved by a mix of career and appointed Department leadership. The model is also audited on an annual basis. We do not think it would be appropriate to deviate from the consistent approach taken in all our regulatory packages.
                    </P>
                    <P>
                        <E T="03">Changes:</E>
                         None.
                    </P>
                    <HD SOURCE="HD3">4. Discussion of Costs and Benefits</HD>
                    <P>The final regulations would expand access to affordable monthly payments on the REPAYE plan by increasing the amount of income exempted from the calculation of payments from 150 percent of the Federal poverty guidelines to 225 percent of the Federal poverty guidelines, lowering the share of discretionary income put toward monthly payments to 5 percent for a borrower's total original loan principal volume attributable to loans received for an undergraduate program, not charging any monthly unpaid interest remaining after applying a borrower's payment, and providing for a shorter repayment period and earlier forgiveness for borrowers with smaller original principal balances (starting at 10 years for borrowers with original principal balances of $12,000 or less, and increasing by 1 year for each additional $1,000 up to 20 or 25 years).</P>
                    <P>
                        To better understand the impact of these rules, the Department simulated how future cohorts of borrowers would benefit from enrolling in REPAYE under the new provisions. To do so, the Department used data from the College Scorecard and Integrated Postsecondary Education Data System (IPEDS) to create a synthetic cohort of borrowers that is representative of borrowers who entered repayment in 2017 in terms of institution attended, education attainment, race/ethnicity, and gender. Using Census data, the Department projected earnings and employment, marriage, spousal debt, spousal earnings, and childbearing for each borrower up to age 60. Using these projections, payments under a given loan repayment plan can be calculated for the full length of time between repayment entry and full repayment or forgiveness. To provide an estimate of how much borrowers in a given group (
                        <E T="03">e.g.,</E>
                         lifetime income, education level) would benefit from enrolling in REPAYE under the new provisions, total payments per $10,000 of debt at repayment entry were calculated for each borrower in the group and compared to total payments that the borrower would make if they were to enroll in the standard 10-year repayment plan or the current REPAYE plan. Payments made after repayment entry are discounted using the Office of Management and Budget's Present Value Factors for Official Yield Curve (Budget 2023) so that the resulting amounts are all provided in present discounted terms.
                    </P>
                    <P>These projections are different from the estimates of the budgetary costs of the changes to REPAYE. These estimates reflect changes in simulated payments that would occur if all borrowers enrolled and paid their full monthly obligation in different plans to highlight the types of borrowers who could benefit most under different repayment plans. They also do not account for the possibility of borrowers being delinquent or defaulting, which could affect assumptions of amounts repaid.</P>
                    <P>On average, if all borrowers in future cohorts were to enroll in the 10-year standard repayment plan or the current REPAYE plan and make all of their required payments on time, we estimate that borrowers would repay approximately $11,800 per $10,000 of debt at repayment entry in both the standard 10-year plan and under the current provisions of REPAYE. The changes to REPAYE will reduce the amount repaid per $10,000 of debt at repayment entry to approximately $7,000. On average, borrowers with only undergraduate debt are projected to see expected payments per $10,000 borrowed drop from $11,844 under the standard 10-year plan and $10,956 under the current REPAYE plan to $6,121 under the new REPAYE plan. The average borrower with graduate debt, whose incomes and debt levels tend to be higher, is projected to have much smaller reductions in payments per $10,000 borrowed, from $11,995 under the 10-year standard plan and $12,506 under the current REPAYE plan to $11,645.</P>
                    <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s50,12,12,12">
                        <TTITLE>Table 4.1—Projected Present Discounted Value of Total Payments per $10,000 Borrowed for Future Repayment Cohorts, Assuming All Borrowers Enroll in the Specified Repayment Plans</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                All
                                <LI>borrowers</LI>
                            </CHED>
                            <CHED H="1">
                                Borrowers
                                <LI>with only</LI>
                                <LI>undergraduate</LI>
                                <LI>debt</LI>
                            </CHED>
                            <CHED H="1">
                                Borrowers
                                <LI>with any</LI>
                                <LI>graduate</LI>
                                <LI>debt</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Standard 10-year plan</ENT>
                            <ENT>$11,880</ENT>
                            <ENT>$11,844</ENT>
                            <ENT>$11,995</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Current REPAYE</ENT>
                            <ENT>11,844</ENT>
                            <ENT>10,956</ENT>
                            <ENT>12,506</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Final Rule REPAYE</ENT>
                            <ENT>$7,069</ENT>
                            <ENT>6,121</ENT>
                            <ENT>11,645</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        The Department has also estimated how payments per $10,000 borrowed would change for borrowers in future repayment cohorts who are projected to have different levels of lifetime individual earnings. For this estimate borrowers are divided into quintiles based on projected earnings from repayment entry until age 60. Borrowers in the first quintile are projected to have lower lifetime earnings than at least 80 percent of all borrowers in the cohort, 
                        <PRTPAGE P="43881"/>
                        while those in the top quintile are projected to have higher earnings than at least 80 percent of all borrowers.
                    </P>
                    <P>
                        On average, borrowers in every quintile of the lifetime income distribution are projected to repay less (in present discounted terms) in the new REPAYE plan than in the existing REPAYE plan. However, differences in projected payments per $10,000 borrowed are largest for borrowers with only undergraduate debt in the bottom two quintiles (
                        <E T="03">i.e.,</E>
                         those with projected lifetime earnings less than at least 60 percent of all borrowers in the cohort). Borrowers with only undergraduate debt who have lifetime income in the bottom quintile are projected to repay $873 per $10,000 in the new REPAYE plan compared to $8,724 per $10,000 in the current REPAYE plan, and borrowers in the second quintile of lifetime income with only undergraduate debt are projected to repay $4,129 per $10,000 compared to $11,813 per $10,000 in the current REPAYE plan. Borrowers in the top 40 percent of the lifetime income distribution (quintiles 4 and 5) are projected to see only small reductions in payments per $10,000 borrowed.
                    </P>
                    <GPOTABLE COLS="6" OPTS="L2,i1" CDEF="s50,12,12,12,12,12">
                        <TTITLE>Table 4.2—Projected Present Discounted Value of Total Payments per $10,000 Borrowed for Future Repayment Cohorts by Quintile of Lifetime Income, Assuming All Borrowers Enroll in Specified Plan</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">Quintile of lifetime income</CHED>
                            <CHED H="2">1</CHED>
                            <CHED H="2">2</CHED>
                            <CHED H="2">3</CHED>
                            <CHED H="2">4</CHED>
                            <CHED H="2">5</CHED>
                        </BOXHD>
                        <ROW EXPSTB="05" RUL="s">
                            <ENT I="21">
                                <E T="02">Borrowers with only undergraduate debt</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Current REPAYE</ENT>
                            <ENT>$8,724</ENT>
                            <ENT>$11,813</ENT>
                            <ENT>$11,799</ENT>
                            <ENT>$11,654</ENT>
                            <ENT>$11,411</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Final Rule REPAYE</ENT>
                            <ENT>873</ENT>
                            <ENT>4,129</ENT>
                            <ENT>7,825</ENT>
                            <ENT>10,084</ENT>
                            <ENT>11,151</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Average annual earnings in year of repayment entry</ENT>
                            <ENT>18,620</ENT>
                            <ENT>27,119</ENT>
                            <ENT>33,665</ENT>
                            <ENT>39,565</ENT>
                            <ENT>50,112</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Average annual family earnings in year of repayment entry</ENT>
                            <ENT>40,600</ENT>
                            <ENT>42,469</ENT>
                            <ENT>49,312</ENT>
                            <ENT>53,524</ENT>
                            <ENT>67,748</ENT>
                        </ROW>
                        <ROW EXPSTB="05" RUL="s">
                            <ENT I="21">
                                <E T="02">Borrowers with any graduate debt</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Current REPAYE</ENT>
                            <ENT>$7,002</ENT>
                            <ENT>$10,259</ENT>
                            <ENT>$11,849</ENT>
                            <ENT>$12,592</ENT>
                            <ENT>$12,901</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Final Rule REPAYE</ENT>
                            <ENT>6,267</ENT>
                            <ENT>8,689</ENT>
                            <ENT>10,476</ENT>
                            <ENT>11,344</ENT>
                            <ENT>12,248</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Average annual earnings in year of repayment entry</ENT>
                            <ENT>19,145</ENT>
                            <ENT>28,099</ENT>
                            <ENT>35,316</ENT>
                            <ENT>42,226</ENT>
                            <ENT>54,039</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Average annual family earnings in year of repayment entry</ENT>
                            <ENT>41,174</ENT>
                            <ENT>43,753</ENT>
                            <ENT>52,144</ENT>
                            <ENT>59,351</ENT>
                            <ENT>79,368</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        To compare the potential benefits for future borrowers from the new REPAYE plan, these simulations abstract from repayment plan choice and instead assume that all future borrowers enroll in a given plan (
                        <E T="03">i.e.,</E>
                         the current or new REPAYE plan) and make their scheduled payments. Future borrowers' actual realized benefits will depend on the extent to which enrollment in IDR increases, which borrowers choose to enroll in IDR, and whether borrowers make their required payments. In general, the new REPAYE plan should reduce rates of delinquency and default by providing more borrowers with a $0 payment and automatically enrolling eligible borrowers into REPAYE once they are 75 days late on their payments. That said, borrowers could still end up delinquent or in default if they either owe a non-$0 payment or the Department cannot access their income information and cannot automatically enroll them in IDR.
                    </P>
                    <P>The final regulations will make additional improvements to help borrowers navigate their repayment options by allowing more forms of deferments and forbearances to count toward IDR forgiveness. This protects borrowers from having to choose between pausing payments and earning progress toward forgiveness by making IDR payments and allows borrowers to keep progress toward forgiveness when consolidating.</P>
                    <P>The final regulations streamline and standardize the Direct Loan Program repayment regulations by housing all repayment plan provisions within sections that are listed by repayment plan type: fixed payment, income-driven, and alternative repayment plans. The regulations will also provide clarity for borrowers about their repayment plan options and reduce complexity in the student loan repayment system, including by phasing out some of the existing IDR plans to the extent the current law allows.</P>
                    <HD SOURCE="HD3">4.1 Benefits of the Regulatory Changes</HD>
                    <P>The final regulations would benefit multiple groups of stakeholders, especially Federal student loan borrowers.</P>
                    <P>One of the key benefits of the changes made in the final rule to the IDR plans is to reduce the incidence of student loan default. The final rule does this in three ways. First, it increases the benefits of REPAYE in a way that would make this plan more attractive for the borrowers who are at greatest risk of delinquency and default, borrowers who are largely not using IDR plans today. Second, it simplifies the choice of whether to enroll in an IDR plan as well as which plan to select among the IDR options. That will make it easier to counsel at-risk borrowers and reduce confusion. Third, it contains operational improvements that will make it easier to automatically enroll borrowers in REPAYE and keep them there instead of having borrowers fall out during recertification.</P>
                    <P>Increasing the amount of income protected to 225 percent of the Federal poverty guidelines is one step to better serve borrowers at risk of delinquency or default. The larger protection amount will result in more borrowers having a $0 monthly payment instead of owing relatively small payments. For instance, using the 2023 Federal poverty guidelines, an individual borrower with no dependents who makes $32,805 a year will no longer have to make a payment, with the same true of a family of four that earns $67,500 or less. By contrast, under the current REPAYE threshold of 150 percent of the Federal poverty guidelines, borrowers have to make a payment once their income exceeds $21,870 for a single individual and $45,000 for a family of four. This change protects relatively low-wage borrowers from having to make a monthly loan payment. Income information currently on file suggests that more than 1 million borrowers on IDR could see their payments go to $0 based upon the parameters of the plan in this final rule, including more than 400,000 that are already on REPAYE whose payment amounts would be updated automatically to $0.</P>
                    <P>
                        Greater income protection will further help borrowers who may have a non-$0 
                        <PRTPAGE P="43882"/>
                        monthly payment and are at risk of default. It also caps the total monthly savings, as a borrower who makes 226 percent of FPL saves the same as someone who makes 400 percent of FPL. The result is that the benefits of this change are better targeted on borrowers with incomes closer to 225 percent of FPL, since they would see larger savings as a percentage of their total income. In particular, the higher poverty threshold would provide a maximum additional savings of $91 a month for a single individual and $188 a month for a family of four compared to the existing REPAYE plan.
                    </P>
                    <P>
                        The targeting of reductions in the share of discretionary income that goes toward undergraduate loan payments will further assist with the goals of making loans more manageable and helping borrowers who would otherwise struggle with their payments. As noted in the IDR NPRM, Department data show that 90 percent of borrowers who are in default on their Federal student loans had only borrowed for their undergraduate education. By contrast, just 1 percent of borrowers who are in default had loans only for graduate studies. Similarly, 5 percent of borrowers who only have graduate debt are in default on their loans, compared with 19 percent of those who have debt from undergraduate programs.
                        <SU>134</SU>
                        <FTREF/>
                         The payment relief provided in the final rule will further help borrowers manage the loans that they are more likely to struggle to repay.
                    </P>
                    <FTNT>
                        <P>
                            <SU>134</SU>
                             Department of Education analysis of loan data by academic level for total borrower population and defaulted borrower population, conducted in FSA's Enterprise Data Warehouse, with data as of December 31, 2021.
                        </P>
                    </FTNT>
                    <P>
                        A recent study found that, among borrowers who were at least 15 days late on their payments, switching to an IDR plan reduced the likelihood of delinquency by 22 percentage points and decreased borrowers' outstanding balances over the following 8 months.
                        <SU>135</SU>
                        <FTREF/>
                         It is reasonable to expect that more generous IDR plans will decrease the delinquency rate further.
                    </P>
                    <FTNT>
                        <P>
                            <SU>135</SU>
                             Herbst, D. The Impact of Income-Driven Repayment on Student Borrower Outcomes. American Economic Journal: Applied Economics. 
                            <E T="03">www.aeaweb.org/articles?id=10.1257/app.20200362.</E>
                        </P>
                    </FTNT>
                    <P>
                        Reductions in delinquency and default may also lead to overall improvements in borrowers' credit scores. Higher credit scores can allow borrowers to access other forms of credit, such as for a home mortgage, and to obtain lower interest rates on other loans.
                        <SU>136</SU>
                        <FTREF/>
                         Further, avoiding the credit impacts of a sustained delinquency or default can improve a borrower's ability to obtain a lease, acquire a job, or accomplish other milestones for which a credit background check may be required. Prevention of default also allows borrowers continued access to Federal financial aid (as borrowers in default must remedy the default before they are eligible for additional Federal grants or loans), and prevents the possibility of other default consequences, such as a loss of a professional license.
                    </P>
                    <FTNT>
                        <P>
                            <SU>136</SU>
                             Musto, David K. &amp; Souleles, Nicholas S., 2006. “A portfolio view of consumer credit,” Journal of Monetary Economics, Elsevier, vol. 53(1), pages 59-84, January. 
                        </P>
                        <P>Edelberg, Wendy. Risk-based pricing of interest rates for consumer loans. Journal of Monetary Economics, Volume 53, Issue 8, November 2006, Pages 2283-2298.</P>
                    </FTNT>
                    <P>The second way the final rule targets default is through a set of changes that simplify the process of choosing whether to use an IDR plan and which one to choose. This is partly accomplished by phasing out some of the existing IDR plans to the extent the current law allows. Student borrowers seeking an IDR plan will only be able to choose between the IBR Plan established by section 493C of the HEA and the REPAYE plan. Borrowers already enrolled on the PAYE or ICR plan will maintain their access to those plans. It is estimated that, because of the significantly larger benefits available through the REPAYE plan, most student borrowers will not be worse off by losing access to PAYE or ICR, especially since these would be borrowers not currently enrolled in one of those plans and not all borrowers are eligible for PAYE. The possible exceptions will generally be either graduate borrowers who would prefer higher payments in exchange for forgiveness after 20 years or borrowers who anticipate having payments based upon their income that would be above what they would pay on the 10-year standard plan. Overall, the Department thinks the benefits from simplification exceed the potential higher costs for these borrowers. For the first group, they will still have access to lower monthly payments than they would under either the standard 10-year plan or other IDR plans. For the second group, they will still have lower monthly payments until they reached an amount equal to what they would owe on the 10-year standard plan. These efforts to simplify the available IDR plans would help borrowers easily identify plans that are affordable and appropriate for their circumstances.</P>
                    <P>Additional improvements that can help borrowers make the choice about how to navigate repayment relate to benefits to borrowers in the form of more opportunities to earn credit toward forgiveness and a shorter repayment period for borrowers with smaller original loan principal balances. By counting certain deferments and forbearances toward forgiveness and allowing borrowers to maintain their progress toward forgiveness after they consolidate, borrowers will face fewer instances in which they inadvertently make choices that either give them no credit toward forgiveness or reset all progress made to date. Borrowers who benefit from these changes will receive forgiveness faster than they would have without these regulations. These changes will also reduce complexity in seeking IDR forgiveness, which could help more borrowers successfully navigate repayment and reduce the likelihood that a borrower is so overwhelmed by the process that they choose not to pursue IDR. The shorter time to forgiveness will provide small-dollar borrowers—often borrowers who did not complete college and who struggle most to afford their loans and avoid default—with a greater incentive to enroll in the IDR plan, increasing the likelihood they avoid delinquency and default. Reductions in the time for forgiveness for those who borrow smaller amounts may also generate an incentive for some borrowers to borrow only what they need, so as to minimize the amount of time in repayment under the new REPAYE plan.</P>
                    <P>
                        The third way the final rule targets delinquency and default is through operational improvements that automatically allow the Department to enroll any borrowers who are at least 75 days delinquent on their loan payments and who have previously provided approval for the IRS to share their income information into the IDR plan that is most affordable for them. The Department believes that this will increase the likelihood that struggling borrowers will be enrolled in an IDR plan and will be able to avoid late-stage delinquency or default and the associated consequences. These changes will also reduce administrative burden on borrowers, who otherwise must complete new IDR applications at least every 12 months. Using statutory authority to automatically recalculate the IDR monthly payment amount for the borrowers who have provided approval for tax information disclosure will also help address the fact that large numbers of borrowers currently fail to recertify on time. This both puts borrowers at risk of seeing their payment suddenly jump and means that the Department and its contractors must expend resources to re-enroll borrowers 
                        <PRTPAGE P="43883"/>
                        who would otherwise not struggle with their loan payments. That reduces resources that can go toward supporting and counseling the most at-risk borrowers that are not currently on an IDR plan.
                    </P>
                    <P>
                        The final rule will also provide broader benefits to help borrowers. A study found that borrowers who enrolled in an existing IDR plan saw their monthly payments decrease by $355 compared with a standard non-IDR plan.
                        <SU>137</SU>
                        <FTREF/>
                         That study also found that those borrowers saw an increase in consumer spending that was roughly equal to the decrease in monthly student loan payments.
                        <SU>138</SU>
                        <FTREF/>
                         The increase in consumption suggests these borrowers faced liquidity constraints before they enrolled in IDR and that the reduction in payments in IDR freed up resources for essential goods and services. Another study estimated that the benefits—the “welfare gains”—of moving from a loan system without IDR plans to a system with IDR plans, if ideally implemented, are “significant,” ranging from about 0.2 percent to 0.6 percent of lifetime consumption.
                        <SU>139</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>137</SU>
                             Mueller, H., &amp; Yannelis, C. (2022). Increasing Enrollment in Income-Driven Student Loan Repayment Plans: Evidence from the Navient Field Experiment. The Journal of Finance, 77(1), 367-402. doi.org/10.1111/jofi.13088.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>138</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>139</SU>
                             Findeisen, S., &amp; Sachs, D. (2016). Education and optimal dynamic taxation: The role of income-contingent student loans. Journal of Public Economics, 138, 1-21. doi.org/10.1016/j.jpubeco.2016.03.009.
                        </P>
                    </FTNT>
                    <P>
                        The increased liquidity that comes from reduced loan payments could also facilitate savings and loan eligibility for larger purchases, such as an automobile or a home. Borrowers who use IDR plans see reductions in their delinquencies and outstanding balances, compared to those not on IDR plans, and may be more likely to see increases in credit scores and mortgage rates.
                        <SU>140</SU>
                        <FTREF/>
                         And evidence from the student loan pause suggests that borrowers who experienced a pause in repayment were more likely to increase borrowing for mortgages and auto debt.
                        <SU>141</SU>
                        <FTREF/>
                         Further, decreases in the monthly payment amount under IDR could lead to a lower debt-to-income (DTI) ratio calculation for some borrowers. For example, borrowers using a Federal Housing Administration (FHA) loan, commonly used by first-time homebuyers, have a DTI ratio calculated based on actual monthly payment, rather than on the total loan amount, for borrowers who pay at least $1 monthly.
                        <SU>142</SU>
                        <FTREF/>
                         The REPAYE plan could as much as halve this DTI calculation for borrowers who only have student debt. For borrowers with a $0 monthly payment, DTI is calculated as 0.5 percent of the outstanding balance on the loan.
                        <SU>143</SU>
                        <FTREF/>
                         Given that the new REPAYE plan limits the accrual of interest through negative amortization, even borrowers who make $0 payments will also experience improvements in DTI on the new plan.
                    </P>
                    <FTNT>
                        <P>
                            <SU>140</SU>
                             Herbst, Daniel. 2023. “The Impact of Income-Driven Repayment on Student Borrower Outcomes.” 
                            <E T="03">American Economic Journal: Applied Economics,</E>
                             15 (1): 1-25.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>141</SU>
                             Dinerstein, Michael and Yannelis, Constantine and Chen, Ching-Tse, Debt Moratoria: Evidence from Student Loan Forbearance (December 24, 2022). Available at SSRN: ssrn.com/abstract=4314984 or dx.doi.org/10.2139/ssrn.4314984, Blagg, Kristin, and Jason Cohn. “Student Loan Borrowers and Home and Auto Loans during the Pandemic.” (2022). Urban Institute, Washington DC, 
                            <E T="03">www.urban.org/sites/default/files/2022-02/student-loan-borrowers-and-home-and-auto-loans-during-the-pandemic.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>142</SU>
                             Blagg, Kristin, Jung Hyun Choi, Sandy Baum, Jason Cohn, Liam Reynolds, Fanny Terrones, and Caitlin Young. “Student Loan Debt and Access to Homeownership for Borrowers of Color.” (2022). Urban Institute, Washington, DC. 
                            <E T="03">www.urban.org/sites/default/files/2023-02/Student%20Loan%20Debt%20and%20Access%20to%20Homeownership%20for%20Borrowers%20of%20Color.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>143</SU>
                             
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2021-13hsgml.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        Not charging unpaid monthly interest after applying a borrower's payment will provide both financial and non-financial benefits for borrowers. For some borrowers, particularly those who have low incomes for the duration of their time in repayment, this interest benefit results in not charging interest that would otherwise be forgiven after 20 or 25 years of qualifying monthly payments. This policy also provides a non-financial benefit because borrowers will not see their balances otherwise grow.
                        <SU>144</SU>
                        <FTREF/>
                         Qualitative research and borrower complaints received by the Department have shown that interest growth on IDR plans is a significant concern for borrowers.
                        <SU>145</SU>
                        <FTREF/>
                         Research has similarly shown that interest accumulation may discourage repayment.
                        <SU>146</SU>
                        <FTREF/>
                         The Department expects that this benefit may encourage borrowers to keep repaying.
                    </P>
                    <FTNT>
                        <P>
                            <SU>144</SU>
                             The Pew Charitable Trusts. Borrowers Discuss the Challenges of Student Loan Repayment. (2020). 
                            <E T="03">www.pewtrusts.org/en/research-and-analysis/reports/2020/05/borrowers-discuss-the-challenges-of-student-loan-repayment.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>145</SU>
                             Ibid.; FDR Group. Taking Out and Repaying Student Loans: A Report on Focus Groups with Struggling Student Loan Borrowers. (2015). 
                            <E T="03">static.newamerica.org/attachments/2358-why-student-loans-are-different/FDR_Group_Updated.dc7218ab247a4650902f7afd52d6cae1.pdf.</E>
                             The Department has also received many comments regarding IDR or student loan interest during the rulemaking process and through the FSA Ombudsman's office.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>146</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <P>
                        As discussed in the 
                        <E T="03">Net Budget Impact</E>
                         section, the Department's main budget estimate includes an increase in the total volume being repaid on IDR as well as several alternative budget scenarios that generally involve an increase in the amount of loans being repaid on IDR, either due to greater usage of the plan by existing borrowers, increased amounts of debt taken out by existing borrowers, or additional borrowing from individuals who would not otherwise take out loans. The benefits discussed in this section would generally remain the same under any of these scenarios. Borrowers would be protected from a greater risk of delinquency or default; they would have an easier time deciding whether to choose an IDR plan and staying enrolled on such a plan.
                    </P>
                    <P>
                        There are, however, some additional benefits that could possibly accrue under some of the scenarios. For instance, there are benefits to additional borrowing in the future by students who would otherwise avoid loans.
                        <SU>147</SU>
                        <FTREF/>
                         When student loans were packaged as part of a financial aid letter for borrowers attending a community college, students were more likely to borrow for their education. This increased borrowing—about $4,000—led to increases in GPA and completed credits among students and increased transfers by 11 percentage points.
                        <SU>148</SU>
                        <FTREF/>
                         When students use loans, they may be less likely to rely on higher interest credit card debt, or substitute in longer working hours; both of these choices could interfere with a student's ability to complete a degree.
                        <SU>149</SU>
                        <FTREF/>
                         Reduction in student loan repayment risk may also induce more institutions that previously did not package loans or offer them as part of Federal student financial aid to do so. Researchers estimate that in the 2012-13 school year, more than 5 million students attended community colleges that did not offer Federal student loans.
                        <SU>150</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>147</SU>
                             Boatman, Angela, Brent J. Evans, and Adela Soliz. “Understanding loan aversion in education: Evidence from high school seniors, community college students, and adults.” 
                            <E T="03">Aera Open</E>
                             3, no. 1 (2017): 2332858416683649.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>148</SU>
                             Marx, Benjamin M., and Lesley J. Turner. 2019. “Student Loan Nudges: Experimental Evidence on Borrowing and Educational Attainment.” 
                            <E T="03">American Economic Journal: Economic Policy,</E>
                             11 (2): 108-41.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>149</SU>
                             Avery, Christopher, and Sarah Turner. “Student loans: Do college students borrow too much—or not enough?.” Journal of Economic Perspectives 26, no. 1 (2012): 165-192.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>150</SU>
                             Marx, Benjamin M., and Lesley J. Turner. 2019. “Student Loan Nudges: Experimental Evidence on Borrowing and Educational Attainment.” 
                            <E T="03">American Economic Journal: Economic Policy,</E>
                             11 (2): 108-41.
                        </P>
                    </FTNT>
                    <P>
                        The final rule will also provide benefits to the Federal government. The Federal government benefits from increases in borrowers' improved economic stability and potential for 
                        <PRTPAGE P="43884"/>
                        economic growth that comes from them being less likely to default and be subject to the conditions that can constrain economic success after default, such as challenges in getting a job or securing housing.
                        <SU>151</SU>
                        <FTREF/>
                         These benefits are returned to taxpayers in the form of increased economic activity and growth. The improved repayment terms in the new REPAYE plan, including limitations on interest accrual, will make careers in non-profit and public service industries more appealing to borrowers who are seeking PSLF. This will be particularly relevant in instances where there is a substantial pay difference relative to the private sector. This allows State and Federal governments to better attract and retain talent in their workforces. Although the potential effects of these IDR changes are hard to project, a study of the impact of waivers for PSLF indicated that the broad take up of these waivers particularly benefited those in occupations like teaching, social work, law enforcement, and firefighting.
                        <SU>152</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>151</SU>
                             Kiviat, B. (2019). The art of deciding with data: evidence from how employers translate credit reports into hiring decisions. Socio-Economic Review, 17(2), 283-309. 
                        </P>
                        <P>So, W. (2022). Which Information Matters? Measuring Landlord Assessment of Tenant Screening Reports. Housing Policy Debate, 1-27.</P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>152</SU>
                             Briones, Diego A., Nathaniel Ruby &amp; Sarah Turner. (2022). Waivers for the Public Service Loan Forgiveness Program: Who Would Benefit from Takeup? Working paper 30208. 
                            <E T="03">www.nber.org/papers/w30208.</E>
                        </P>
                    </FTNT>
                    <P>
                        By reducing defaults through the adoption of the new REPAYE plan, the Department will reduce the incidence of involuntary collections which inhibit the effectiveness of other government programs that act to support low-income families. For example, the Department collects more in Federal non-tax delinquent debt than any other Federal agency, collecting $14.5 billion in the 2019 fiscal year, 54 percent of the total amount collected by all agencies.
                        <SU>153</SU>
                        <FTREF/>
                         These debts may be collected through involuntary transfers, such as through Treasury offsets of tax refunds and benefit payments. Treasury offsets can directly reduce Federal payments intended to help lower-income households. For example, some older borrowers may have their Social Security benefits offset, sometimes to the point where their benefits are reduced to payments below 100 percent of FPL.
                        <SU>154</SU>
                        <FTREF/>
                         Offsets to tax refunds can affect a household's receipt of the earned income tax credit, a benefit for low- and middle-income workers and families which has been shown to create incentives for employment, improve children's math and reading achievement, and lift some families out of poverty.
                        <SU>155</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>153</SU>
                             FY 2019 Report to the Congress: U.S. Government Non-Tax Receivables and Debt Collection Activities of Federal Agencies. 
                            <E T="03">fiscal.treasury.gov/files/dms/debt19.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>154</SU>
                             U.S. Government Accountability Office. December 2016. Social Security Offsets. Improvements to Program Design Could Better Assist Older Student Loan Borrowers with Obtaining Permitted Relief. 
                            <E T="03">www.gao.gov/assets/690/682476.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>155</SU>
                             Schanzenbach, Diane Whitmore and Michael R. Strain. (October 2020).“Employment Effects of the Earned Income Tax Credit: Taking the Long View.” IZA Institute of Labor Economics. 
                            <E T="03">docs.iza.org/dp13818.pdf.</E>
                             Dahl, Gordon B., and Lance Lochner. 2012. “The Impact of Family Income on Child Achievement: Evidence from the Earned Income Tax Credit.” American Economic Review, 102 (5): 1927-56. 
                            <E T="03">www.aeaweb.org/articles?id=10.1257/aer.102.5.1927.</E>
                        </P>
                    </FTNT>
                    <P>
                        Another form of involuntary payment for defaulted student debt, administrative wage garnishment, can result in the garnishment of an average of 10 percent of a worker's monthly gross pay.
                        <SU>156</SU>
                        <FTREF/>
                         By the end of 2019, about 0.4 percent of workers were subject to wage garnishment for at least one student loan.
                        <SU>157</SU>
                        <FTREF/>
                         Wage garnishment also appears to be associated with an increased rate of job turnover,
                        <SU>158</SU>
                        <FTREF/>
                         which could result in more volatility in earnings and in long-run career trajectory, which may cause individuals to rely more on other Federal social safety nets, such as the Supplemental Nutrition Assistance Program and Medicaid.
                    </P>
                    <FTNT>
                        <P>
                            <SU>156</SU>
                             DeFusco, Anthony A., Random M. Enriquez, and Margaret B. Yellen. (December 2022). Wage Garnishment in the United States: New Facts from Administrative Payroll Records. NBER working paper 30714. 
                            <E T="03">www.nber.org/papers/w30724</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>157</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>158</SU>
                             Ibid.
                        </P>
                    </FTNT>
                    <P>The Department will also benefit operationally from this final rule. While there will be costs to implement these changes, the changes to REPAYE will make it easier for the Department to counsel borrowers about their repayment options. This includes both the decision of whether to enroll in IDR or not, and then which plan to pick among the IDR options. This is a significant improvement from current rules, in which there are multiple IDR plans with very similar terms and some that have confusing tradeoffs that can be hard to explain. For example, borrowers today must decide whether to take the benefit on REPAYE that results in the Department not charging 50 percent of the monthly unpaid interest in exchange for provisions that require a married borrower who files separately to include their spouse's income. Simpler and clearer choices that establish REPAYE as the best option for essentially all undergraduate borrowers and the best payment on a monthly basis for all but the graduate borrowers with the highest income will make it easier to guide borrowers. Moreover, the expanded interest benefit will remove a major potential downside to using IDR, which can help assuage concerns about the plan that might otherwise dissuade a borrower who needs help from reduced payments.</P>
                    <P>On net, the final regulations will likely present a benefit to servicers. They would have some upfront costs to administer the program and retrain their call center representatives, but the Department pays servicers through the contract change process when it asks them to implement new benefits. That means the cost of implementing new provisions will ultimately be paid for by the Department. After this transitionary period, servicers will be more likely to benefit. For one, the reduced payments will help more borrowers stay current, a benefit for servicers who are paid more when loans are not delinquent. The treatment of interest as well as counting progress toward forgiveness from certain deferments and forbearances will also reduce frustration and concerns from borrowers, which may mean fewer cases that need to be escalated to more experienced (and expensive) staff. While the new REPAYE plan will result in increased levels of forgiveness, we do not project that it would result immediately in significant amounts of forgiveness. That's because the one-time payment count adjustment will be providing discharges for borrowers who already have enough time in repayment to get them to the equivalent of 20 or 25 years in repayment, while only about 16 percent of all borrowers have original principal balances that make them eligible for forgiveness after as few as 120 payments, as shown in Table 5.4. Moreover, it is not a given that all these borrowers would sign up for the new REPAYE plan or that all who do would have their loans forgiven instead of being repaid within the 10-year maximum repayment period.</P>
                    <P>
                        The Department believes that, despite the additional costs to taxpayers of the new REPAYE plan, both borrowers and the Department will greatly benefit from a plan that helps borrowers avoid delinquency and default, which are loan statuses that create negative, long-lasting challenges, costs, and administrative complexities for collection, as well as carry additional consequences for borrowers. This includes the possibility of having their wages garnished, their tax refunds or Social Security seized, and declines in their credit scores.
                        <PRTPAGE P="43885"/>
                    </P>
                    <P>In sum, borrowers will benefit from a more affordable plan that limits their loan payments, reduces the amount of time over which they need to repay, provides more protected income for borrowers to meet their family's basic needs, and reduces the chances of default. The Department and its contracted servicers will benefit from streamlining administration, and taxpayers will benefit from the lower rates of delinquent and defaulted loans.</P>
                    <HD SOURCE="HD3">4.2 Costs of the Regulatory Changes</HD>
                    <P>The increased benefits on the new REPAYE plan, including reduced monthly payments, a shorter repayment period for some borrowers, and not charging unpaid monthly interest, all represent costs in the form of transfers to borrowers. This will result in transfers to borrowers currently enrolled on an IDR plan, as well as those who choose to sign up for one in the future.</P>
                    <P>
                        This plan may also result in changes in students' decisions to borrow and how much to borrow, which could have additional future effects on the size of transfers to borrowers. This could result in increased costs to taxpayers in the form of transfers to borrowers if there is an increase in borrowing rates or amounts and those borrowers then fail to fully repay that additional debt. Some of these transfers to borrowers may be offset if the increased borrowing results in higher rates of postsecondary program completion and higher subsequent earnings, which would generate additional Federal income tax revenue.
                        <SU>159</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>159</SU>
                             Some research has found evidence that reduced borrowing results in worse academic outcomes and lower levels of retention and completion, and that increased borrowing led to better performance and higher rates of credit completion. See, for example, Barr, Andrew, Kelli Bird, and Benjamin L. Castleman, The Effect of Reduced Student Loan Borrowing on Academic Performance and Default: Evidence from a Loan Counseling Experiment, EdWorkingPaper No. 19-89 (June 2019), 
                            <E T="03">www.edworkingpapers.com/sites/default/files/ai19-89.pdf;</E>
                             and Marx, Benjamin M. and Turner, Lesley, Student Loan Nudges: Experimental Evidence on Borrowing and Educational Attainment (May 2019). American Economic Journal: Economic Policy, Volume 11, Issue 2, 
                            <E T="03">www.aeaweb.org/articles?id=10.1257/pol.20180279.</E>
                             Black et al. 2020 
                            <E T="03">www.nber.org/papers/w27658.</E>
                        </P>
                    </FTNT>
                    <P>
                        The changes to the regulations may also result in costs resulting from reduced accountability for student loan outcomes at institutions of higher education, which would show up as increased transfers to some poor-performing schools. In particular, the provisions that result in more borrowers having a $0 monthly payment and automatically enrolling borrowers who are delinquent onto an IDR plan could significantly reduce the rate at which students default. This could in turn lead to fewer institutions losing access to Federal financial aid due to having high cohort default rates. However, the existing cohort default rate standards currently cause very few institutions to lose access to Federal aid. In the years before the national pause on repayment, only about a dozen institutions a year faced sanctions due to high cohort default rates. Most of these institutions had small enrollments, and many still maintained access to aid as a result of successful appeals. The most recent rates released in fall 2022 showed just eight institutions potentially subject to the loss of eligibility.
                        <SU>160</SU>
                        <FTREF/>
                         The effect of the cohort default rate will also remain small for several years into the future because of the pause on payments, interest, and collections that was put in place in March 2020.
                    </P>
                    <FTNT>
                        <P>
                            <SU>160</SU>
                             
                            <E T="03">www2.ed.gov/offices/OSFAP/defaultmanagement/cdr.html.</E>
                        </P>
                    </FTNT>
                    <P>The small reduction in accountability from the cohort default metric could be mitigated by other actions by the Department to increase accountability for programs that are required to provide training that prepares students for gainful employment in a recognized occupation, but instead leave graduates with student debt that outweighs their typical earnings or with earnings that are less than those of high school graduates. If finalized, these accountability measures would likely reduce the transfers to borrowers under the new REPAYE plan, as students would be unable to use title IV aid to enroll in career programs with low economic returns.</P>
                    <P>
                        Additional efforts by the Department to inform students about debt burden and typical earnings for graduates from programs not subject to the gainful employment rule may also reduce transfers to poor-performing programs. As a result of additional information, students may consider choosing a program with better earnings or loan burden outcomes, and programs may take steps to reduce students' debt burdens or improve earnings after graduation.
                        <SU>161</SU>
                        <FTREF/>
                         Whether the new REPAYE plan, combined with accountability changes, results in an increased transfer to borrowers, and the size of that transfer, depends on the likelihood that an aid recipient would have enrolled elsewhere and whether their alternative options would have resulted in higher or lower earnings. It also depends on institution and program action in response to the implementation of new accountability rules. An additional concern is the possibility that additional assistance for borrowers through the updated REPAYE plan may result in more aggressive recruiting by institutions that do not provide valuable returns on the premise that borrowers who do not find a job do not have to repay their loans. This concern already exists with IDR plans, but could increase with the more generous benefits available under the new REPAYE provisions. Relatedly, institutions may be more inclined to raise tuition to shift costs to students when loans are more affordable. This effect may be more pronounced at graduate-level programs than at the undergraduate level because of differences in loan limits. At the same time, this plan targets its benefits at undergraduate students, so the change in incentives for graduate schools relative to the existing IDR plans are smaller. Increases in tuition would not solely affect borrowers and, indirectly, taxpayers; students who do not borrow would face higher education costs as well.
                    </P>
                    <FTNT>
                        <P>
                            <SU>161</SU>
                             Joselynn Hawkins Fountain, 2019. “The Effect of the Gainful Employment Regulatory Uncertainty on Student Enrollment at For-Profit Institutions of Higher Education,” Research in Higher Education, Springer; Association for Institutional Research, vol. 60(8), pages 1065-1089, December.; Hentschke, G.C., Parry, S.C. Innovation in Times of Regulatory Uncertainty: Responses to the Threat of “Gainful Employment”. 
                            <E T="03">Innov High Educ</E>
                             40, 97-109 (2015). doi.org/10.1007/s10755-014-9298-z.
                        </P>
                    </FTNT>
                    <P>
                        The alternative budget scenarios discussed in the 
                        <E T="03">Net Budget Impact</E>
                         also have potential implications for the costs of this final rule. Similar to the discussion of this issue in the 
                        <E T="03">Benefits of the Regulatory Changes</E>
                         section, the costs associated with any additional borrowing will depend based upon what types of individuals take on additional debt, what outcomes are achieved with that debt, and whether it is likely to be ultimately repaid. For instance, additional borrowing that leads more students to successfully complete their education will result in lower net costs since it would produce additional benefits, such as increased earnings and higher Federal tax revenues. By contrast, additional borrowing that does not affect completion and is not repaid would carry a greater cost because there are not additional benefits to offset the expense.
                    </P>
                    <P>
                        The final regulations will also result in short-run administrative costs to the Department to implement the changes to the plan, which would require modifications to contracts with servicers. As discussed in the responses to comments in this RIA, we estimate that this will be approximately $17.3 million. This includes an initial cost of $4.7 million to implement the changes that will go into effect on July 30, 2023, 
                        <PRTPAGE P="43886"/>
                        including rebranding the plan from REPAYE to SAVE. The remaining $12.6 million is related to standing up other changes in time for the rest of this regulation to go into effect on July 1, 2024. Ongoing costs beyond this amount would be part of the Department's annual expenses for student loan servicing.
                    </P>
                    <HD SOURCE="HD3">5. Net Budget Impacts</HD>
                    <P>These regulations are estimated to have a net Federal budget impact in costs over the affected loan cohorts of $156.0 billion, consisting of a modification of $70.9 billion for loan cohorts through 2023 and estimated costs of $85.1 billion for loan cohorts 2024 to 2033. The Department's primary estimate updates the IDR NPRM estimate to include assumptions about increased undergraduate loan volume being repaid on IDR and for the President's Budget for FY 2024 with small updates. There are also additional sensitivities that address points raised in comments or the Department's internal review. A cohort reflects all loans originated in a given fiscal year. Consistent with the requirements of the Credit Reform Act of 1990, budget cost estimates for the student loan programs reflect the estimated net present value of all future non-administrative Federal costs associated with a cohort of loans.</P>
                    <HD SOURCE="HD3">IDR Plan Changes</HD>
                    <P>The changes to the REPAYE plan offer borrowers a more generous IDR plan that would have a net budget impact of approximately $156.0 billion, consisting of a modification of $70.9 billion for cohorts through 2023 and $85.1 for cohorts 2024-2033. This estimate is based on the President's Budget for 2024 baseline that includes the PSLF waiver, the one-time payment count adjustment, the payment pause extension to August 2023, and the August 2022 announcement that the Department will discharge up to $20,000 in Federal student loans for borrowers who make under $125,000 as an individual or $250,000 as a family. It also includes the regulatory changes included in the final regulations for Institutional Eligibility Under the Higher Education Act of 1965, as Amended; Student Assistance General Provisions; Federal Perkins Loan Program; Federal Family Education Loan Program; and William D. Ford Federal Direct Loan Program published on November 1, 2022 (87 FR 65904), and the final regulations for Pell Grants for Prison Education Programs; Determining the Amount of Federal Education Assistance Funds Received by Institutions of Higher Education (90/10); Change in Ownership and Change in Control published on October 28, 2022 (87 FR 65426) that made changes to several other areas related to Federal student loans including interest capitalization, loan forgiveness programs, loan discharges, and the 90/10 rule.</P>
                    <P>The most significant reasons for the change in the net budget impact estimate from the IDR NPRM to the final regulations are changes that increase the share of future loan volume that we project to be repaid through the new plan. There are also underlying changes in the baseline against which the changes to IDR are costed against. In addition, the Department updated its methodology related to plan switching to reflect that approximately 25 percent of the 800,000 borrowers currently on ICR have Direct Consolidation loans that repaid a parent PLUS loan and are therefore ineligible to switch to REPAYE. Since the subsidy rate on REPAYE is greater than on ICR, this reduces costs for taxpayers by a small amount.</P>
                    <P>As noted in the IDR NPRM, the Department has significant data limitations that create challenges in estimating many of the other factors identified by commenters in the primary budget estimate. In particular, we lack information on the incomes, income trajectories, and household sizes of borrowers who are not enrolled on an IDR plan. For these reasons, the Department's past regulations under the ICR authority have not incorporated estimates in changes in the percent of volume using IDR.</P>
                    <P>We also noted in the IDR NPRM that we would continue to assess the issue of potential increased usage of IDR plans in response to this rule based upon the public comments received. We agree with the commenters that it is reasonable to expect an increase in the amount of loan volume being repaid on IDR, particularly in the revised REPAYE plan, which is now also being referred to as the SAVE plan. Such a situation is consistent with the Department's stated goals of having IDR plans better serve as protection against delinquency and default and to make certain we do not return to a world where more than 1 million borrowers default on their loans each year.</P>
                    <P>The Department is still concerned that properly determining potential take-up of the IDR plan is challenging, particularly given the difficulty in forecasting future income, family size, and marital status for borrowers who were not estimated to enroll in IDR under the baseline. The effect of provisions like the automatic enrollment of borrowers who are at least 75 days delinquent is also hard to project because it is dependent on how many borrowers provide approval for the disclosure of their Federal tax information and that functionality is not yet available.</P>
                    <P>
                        Given these challenges, the Department decided in the final rule to adopt estimates for increased loan volume for undergraduate borrowers based upon the share of undergraduate loan volume held by borrowers that are projected to be able to benefit from lower payments under the current REPAYE plan (the most generous IDR option that is currently available to all borrowers) who actually enroll in an IDR plan. Specifically, we used the model discussed in both the IDR NPRM and this final rule that projects the present discounted value of lifetime payments for all future borrowers if they were to enroll in REPAYE, the standard 10-year plan, and the graduated repayment plan. If a borrower is projected to pay less in present discounted value terms in REPAYE than the PDV of their payments in the other two plans, then we project that they would benefit from REPAYE and calculated the share of loan volume associated these borrowers. While this analysis is based upon REPAYE, that plan is the most generous plan available to student borrowers with Direct Loans to all but some graduate borrowers with high ratios of their income to their debt.
                        <SU>162</SU>
                        <FTREF/>
                         We grouped these borrowers into categories that mirror the risk categories used in budget modeling. These are 2-year proprietary; 2-year nonprofit; 4-year freshman or sophomore; and 4-year junior or senior. We then looked at the share of volume from each of those risk categories that are currently enrolled in IDR. These figures can be thought as the “Current REPAYE usage rate.” The results of those calculations are displayed below in Table 5.1.
                    </P>
                    <FTNT>
                        <P>
                            <SU>162</SU>
                             REPAYE has the same formula for calculating payments as PAYE and IBR for new borrowers, but also does not charge half of unpaid monthly interest. REPAYE does not cap payments at the standard 10-year plan as PAYE and IBR do, but those plans have an upfront eligibility requirement that a borrower must see a payment reduction relative to the standard 10-year plan.
                        </P>
                    </FTNT>
                    <PRTPAGE P="43887"/>
                    <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s50,12,12,12">
                        <TTITLE>Table 5.1—Share of Loan Volume Held by Borrowers Projected To Benefit From REPAYE That Are Estimated To Enroll in IDR</TTITLE>
                        <BOXHD>
                            <CHED H="1">Risk category and loan type</CHED>
                            <CHED H="1">
                                Share that would benefit from current REPAYE
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                Share that 
                                <LI>enroll in IDR</LI>
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                Estimated 
                                <LI>current IDR usage rate</LI>
                                <LI>(percent)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">2-year proprietary, subsidized</ENT>
                            <ENT>56</ENT>
                            <ENT>25</ENT>
                            <ENT>45</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2-year proprietary, unsubsidized</ENT>
                            <ENT>56</ENT>
                            <ENT>27</ENT>
                            <ENT>49</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2-year nonprofit, subsidized</ENT>
                            <ENT>72</ENT>
                            <ENT>29</ENT>
                            <ENT>40</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2-year nonprofit, unsubsidized</ENT>
                            <ENT>72</ENT>
                            <ENT>29</ENT>
                            <ENT>41</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-year fresh/soph, subsidized</ENT>
                            <ENT>45</ENT>
                            <ENT>28</ENT>
                            <ENT>62</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-year fresh/soph, unsubsidized</ENT>
                            <ENT>45</ENT>
                            <ENT>28</ENT>
                            <ENT>63</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-year junior/senior, subsidized</ENT>
                            <ENT>45</ENT>
                            <ENT>30</ENT>
                            <ENT>67</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-year junior/senior, unsubsidized</ENT>
                            <ENT>45</ENT>
                            <ENT>32</ENT>
                            <ENT>71</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>We next used the same model to estimate what share of volume would be associated with borrowers who are projected to have the lowest PDV of payments in the SAVE plan/the final rule version of REPAYE, again compared to the standard 10-year and graduated plans. We multiplied this percentage by the Current REPAYE usage rate to determine the percentage of future volume that we estimated would enroll in the final rule's version of REPAYE. Those numbers are shown below in Table 5.2.</P>
                    <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s50,12,12,12,12">
                        <TTITLE>Table 5.2—Projected Usage of Final Rule REPAYE Plan</TTITLE>
                        <BOXHD>
                            <CHED H="1">Risk category and loan type</CHED>
                            <CHED H="1">
                                Share 
                                <LI>estimated to benefit from SAVE</LI>
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                Estimated 
                                <LI>current IDR usage rate</LI>
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                Estimated share enrolling in SAVE
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                Increased 
                                <LI>volume in SAVE</LI>
                                <LI>compared to</LI>
                                <LI>current IDR</LI>
                                <LI>volume</LI>
                                <LI>(% points)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">2-year proprietary, subsidized</ENT>
                            <ENT>89</ENT>
                            <ENT>45</ENT>
                            <ENT>40</ENT>
                            <ENT>15</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2-year proprietary, unsubsidized</ENT>
                            <ENT>89</ENT>
                            <ENT>49</ENT>
                            <ENT>43</ENT>
                            <ENT>1</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2-year nonprofit, subsidized</ENT>
                            <ENT>84</ENT>
                            <ENT>40</ENT>
                            <ENT>34</ENT>
                            <ENT>5</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2-year nonprofit, unsubsidized</ENT>
                            <ENT>84</ENT>
                            <ENT>41</ENT>
                            <ENT>34</ENT>
                            <ENT>5</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-year fresh/soph, subsidized</ENT>
                            <ENT>72</ENT>
                            <ENT>62</ENT>
                            <ENT>45</ENT>
                            <ENT>17</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-year fresh/soph, unsubsidized</ENT>
                            <ENT>72</ENT>
                            <ENT>63</ENT>
                            <ENT>46</ENT>
                            <ENT>17</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-year junior/senior, subsidized</ENT>
                            <ENT>72</ENT>
                            <ENT>67</ENT>
                            <ENT>48</ENT>
                            <ENT>18</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-year junior/senior, unsubsidized</ENT>
                            <ENT>72</ENT>
                            <ENT>71</ENT>
                            <ENT>51</ENT>
                            <ENT>19</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>The Department believes this is the best approach for estimating the possible increased usage of the plan within the limitations of the Department's data and concerns about properly estimating behavioral effects. It does not presume that borrowers use the plan at a greater rate because of a behavioral effect, but rather acknowledges that the share of volume associated with borrowers that would benefit from the plan has increased.</P>
                    <P>The Department did not apply this approach to two of its risk groups—graduate borrowers and consolidation volume. We did not include the latter because our modeling of the plan's benefits does not group borrowers in that manner. The Department also already attributes that a higher share of consolidation loan volume will be repaid in IDR than any other risk group. For instance, starting with cohort 2014 and going forward, the Department has projected that more than 70 percent of consolidated volume from subsidized loans and 80 percent of consolidated volume from unsubsidized loans volume will be repaid in an IDR plan. These figures do not include consolidation loan volume from borrowers exiting default, which since 2015 has been projected to be more than 80 percent of loan volume. We also did not use this approach for graduate borrowers because since 2013 the Department has projected around 60 percent of graduate PLUS volume and 50 percent of unsubsidized graduate volume will be repaid in an IDR plan. These figures are higher than undergraduate borrower IDR enrollment. In fact, we already project a higher share of graduate loan volume enrolling in IDR than would come from this formula.</P>
                    <P>We believe that graduate enrollment in IDR is much higher under than undergraduate IDR enrollment under the baseline primarily for two reasons.</P>
                    <P>First, graduate borrowers—who are more likely to have been through years of interaction with Federal student aid system and institutional financial aid offices—are likely to have a greater awareness of repayment options than undergraduate borrowers. This increased knowledge of repayment options likely contributes to higher IDR take-up under the baseline.</P>
                    <P>Second, graduate borrowers may be able to draw greater benefits from current IDR plans than undergraduate borrowers. Graduate borrowers have higher average loan balances than undergraduate borrowers—and in many cases higher interest rates—meaning that they may be more likely to benefit from greater reductions in monthly payments than undergraduate borrowers in current IDR plans. The potential for greater benefits perhaps increases the relative propensity of graduate borrowers to enroll in IDR compared to undergraduate borrowers. In other words, the structure of the existing IDR plans may provide a stronger incentive for graduate borrowers to enroll.</P>
                    <P>
                        The changes to the REPAYE plan resulting in the new SAVE plan, meanwhile, are primarily geared toward 
                        <PRTPAGE P="43888"/>
                        undergraduate borrowers. Undergraduate borrowers will owe a lower percentage of their discretionary income each month, while payments on graduate debt will remain at 10 percent. Undergraduate borrowers with low original principal balances will also be eligible for forgiveness much sooner than under existing plans. Graduate borrowers, by contrast, would be relatively less likely to have balances small enough to benefit from this provision.
                    </P>
                    <P>While the provisions in the SAVE plan related to the higher discretionary income protection and no longer charging unpaid monthly interest apply to graduate and undergraduate borrowers, we believe that most graduate borrowers in position to substantially benefit from these provisions would already derive large benefits from existing IDR plans and therefore would already be likely to enroll in IDR under the baseline. The relative benefits of both these changes are greater for borrowers whose debt payments represent a larger share of their household income compared to those for whom their debt payments are a smaller share of their household income. But the same is true for IDR more generally. REPAYE also already had a version of the interest benefit in place. That means the magnitude of the effects of the interest benefit are greater under the SAVE plan, but the basic incentives to use this plan to receive some help with accumulating unpaid interest are the same as what currently exists.</P>
                    <P>
                        Finally, we note that prior to this final rule, REPAYE was not the most popular IDR option for graduate borrowers. Those borrowers were more likely to choose IBR or PAYE because those plans provide forgiveness after 20 years of payments instead of the 25 years on REPAYE. They also cap payments at the 10-year standard plan, while REPAYE has no cap. While the SAVE plan will produce lower monthly payments than those other plans for most borrowers, the longer time to forgiveness and lack of a payment cap are still present in the SAVE plan. That means graduate borrowers will face a trade-off between the benefits of SAVE (
                        <E T="03">e.g.</E>
                         a higher discretionary income threshold) and the less beneficial aspects of SAVE relative to IBR—particularly the longer maximum repayment period. Undergraduate borrowers on the other hand will have the same maximum repayment period on the SAVE plan as they have under existing IDR plans—the SAVE plan is almost entirely beneficial to them relative to existing IDR plans.
                    </P>
                    <P>Overall, we therefore expect that the final rule will create a greater change in the incentives for undergraduate borrowers to enroll in IDR relative to graduate borrowers. As noted, we already have estimates of significant IDR usage by graduate borrowers and do not think the changes in this rule appreciably change the existing incentives. There are also still some downsides to the plan in this final rule that would be most relevant for graduate borrowers. Due to all of these factors we have not increased the expected graduate volume being repaid in IDR that already exists in the baseline.</P>
                    <P>This additional IDR usage only applies to the outyears in our budget estimates. This approach best captures the effect of the plan resulting in greater usage from future borrowers. It also reflects data and modeling limitations that would overstate the effects of the IDR change if we were to move existing borrowers into an IDR plan. In the Department's current model, switching a percent of volume from one repayment plan to another applies from the time that volume entered repayment, changing the payment stream more than would be the case for borrowers changing plans several years into repayment. Given the higher subsidy costs for IDR plans, this would overstate the costs of the modification for past cohorts and cause changes to cashflows to past years, which is not possible. We have done this in one sensitivity for illustrative purposes, but do not believe it is appropriate for the primary estimate.</P>
                    <P>We have modeled other proposals from commenters related to increases in overall loan volume or changes in borrower behavior as alternative budget scenarios.</P>
                    <P>The final regulations would result in costs for taxpayers in the form of transfers to borrowers, as borrowers enrolled in the REPAYE plan would generally make lower payments on the new plan as compared to current IDR plans. The revision to the REPAYE plan will also provide that the borrower will not be charged any remaining accrued interest each month after the borrower's payment is applied under the REPAYE plan. That provision also increases costs for taxpayers in the form of transfers, as borrowers may otherwise eventually repay some of the accumulating interest prior to forgiveness on current IDR plans. Costs to taxpayers would also increase if the availability of improved repayment options leads future cohorts of students to increase the volume and quantity of loans they obtain. The primary budget estimate assumes that there will be no change in volume or quantity of loans issued due to the improved terms. As noted in the IDR NPRM and by several commenters, additional borrowing would increase costs of the regulations, with the magnitude of the impact depending on the characteristics of those borrowing more. Data limitations make it challenging to anticipate who such borrowers would be, so the Department has developed the Low Additional Volume and High Additional volume scenarios described in the Sensitivities discussion of this Net Budget Impact section.</P>
                    <P>
                        To estimate the effect of the rule changes, the Department revised the payment calculations in the IDR sub-model used for cost estimates for the IDR plans. Changing the percentage of income applied to a payment is a straightforward change with a significant effect on the cashflows when compared to the baseline. The element that is less clear is what decision about plan choice existing borrowers will make when the new REPAYE plan is available. As in the case of the current REPAYE plan, the new REPAYE plan does not include a standard repayment cap that limits borrowers' maximum monthly payment. In this case, the Department has run the payment calculations twice for each borrower—once under the new REPAYE option and again under the borrower's baseline plan—and assumed each borrower chooses the option with the lowest net present value (NPV) of costs. For this final rule, the Department keeps 25 percent of ICR borrowers in that plan to represent parent borrowers who will not have access to the new REPAYE plan. Table 5.3 shows the result of this plan assignment, which is that more than 93 percent of future volume that enrolls in IDR is projected to enroll in the new REPAYE plan.
                        <PRTPAGE P="43889"/>
                    </P>
                    <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s50,12,12,12,12">
                        <TTITLE>Table 5.3—Plan Assignment for Borrowers Entering Repayment in FY 2024</TTITLE>
                        <TDESC>[Percent distribution of borrowers in baseline plan when new REPAYE is available]</TDESC>
                        <BOXHD>
                            <CHED H="1">Baseline plan</CHED>
                            <CHED H="1">ICR</CHED>
                            <CHED H="1">IBR</CHED>
                            <CHED H="1">PAYE</CHED>
                            <CHED H="1">Final rule REPAYE</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">ICR</ENT>
                            <ENT>27.27</ENT>
                            <ENT/>
                            <ENT/>
                            <ENT>72.73</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">IBR</ENT>
                            <ENT/>
                            <ENT>20.33</ENT>
                            <ENT/>
                            <ENT>79.67</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">PAYE</ENT>
                            <ENT/>
                            <ENT/>
                            <ENT>6.5</ENT>
                            <ENT>93.5</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="01">REPAYE</ENT>
                            <ENT/>
                            <ENT/>
                            <ENT/>
                            <ENT>100</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Total</ENT>
                            <ENT>0.01</ENT>
                            <ENT>1.09</ENT>
                            <ENT>5.4</ENT>
                            <ENT>93.5</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>In categorizing plans, we combine the 10-percent IBR plans with PAYE borrowers, as the key characteristics of those plans are very similar. The IBR row and columns refers to those remaining in 15 percent IBR, which represents approximately 5 percent of borrowers who first borrowed prior to 2008 and entered repayment for the last time in 2024.</P>
                    <P>This approach assumes borrowers know their income and family profile trajectories over the life of their loans and choose the plan that offers the lowest lifetime, present-discounted payments. The payment comparison for plan assignment assumes borrowers do not experience any events that disrupt their time to forgiveness or payoff, such as prepayment, discharge, or default, under either the baseline or plan revisions. It does, however, consider the effect of the one-time debt relief program announced in August 2022. Possible alternatives include choosing the plan that has the most favorable monthly payments in 2023 or another near-term year, assuming a graduate borrower whose estimated income in a given year or averaged across their repayment period would result in payment at the standard repayment cap would remain in their existing plan and setting a minimum amount of payment reduction that would trigger borrowers to change plans. The Department recognizes that borrowers may use different logic when choosing a repayment plan, such as comparing near-term monthly payments, and will not have information about their future incomes and family patterns to match this type of analysis, but we believe any decision logic would result in a high percentage of borrowers electing to participate in the new REPAYE plan. By assuming IDR borrowers select the plan with the lowest long-run cost, this generates a higher-end estimate of the net budget impact of the changes for borrowers currently enrolled in IDR plans, though there are alternative budget scenarios explored that could present a higher possible cost. While it is possible that more people may be willing to take on student loan debt with the safety net of the more generous IDR plan, we have not estimated the extent to which there could be increases in loan volumes or Pell Grants from potential new students in the primary estimate. Absent evidence of the magnitude of increase, loan type distribution, risk group profiles, and future income profiles of these potential borrowers, whose postsecondary educational decisions likely involve more than just concern about repayment of debt, the net budget impact of this potential volume increase is unknown. The main budget estimate does include a projection that additional undergraduate borrowing will switch into IDR plans from non-IDR plans as explained above. We also further model other versions of plan switching in the sensitivity runs. This change in the main estimate results in projecting 45 percent of volume from four-year freshmen and sophomores being repaid on IDR, around 50 percent for four-year juniors and seniors, and just over 40 percent of future volume for two-year proprietary students. Administrative issues, lack of information, or simply sticking with the default option may be the reason many of these borrowers are not in an IDR plan already, but others may have made the choice that a non-IDR plan is preferable for them. Depending on their anticipated income profiles or comfort with their existing plan, the potential shift of these borrowers is very uncertain. That is why we have presented additional possible increases in the usage of IDR or increased borrowing in the alternative budget scenarios. We reviewed this issue in response to public comments on the NRPM and the data points and analysis received was helpful in developing the revisions to the main budget estimate and the sensitivity scenarios. Regardless, to the extent such increases in volume and increases in IDR participation are observed, they will be reflected in future loan program initial subsidy estimates and re-estimates.</P>
                    <P>With the significant budget impact from these final regulations, the Department seeks to show the effects of the various changes individually. Table 5.4 details the scores for the modification cohorts through 2023 and the outyears through 2033 when the changes are run with one or more elements kept as in the baseline. This provides an indication of the impact of the specific changes. The scores for each component will not sum to the total because of the significant interaction between elements of the changes. For example, when the change to 5 percent of income and to 225 percent of the Federal poverty level are combined, the estimated impact is $126.3 billion compared to $130.6 billion when adding the individual savings together. These estimates are removing the change from the estimate of the total package, so a negative value represents a savings from the total policy estimate. This negative value indicates that the element has a cost when included, by reducing transfers from borrowers to the government and taxpayers.</P>
                    <GPOTABLE COLS="6" OPTS="L2,i1" CDEF="s50,12,12,12,12,12">
                        <TTITLE>Table 5.4—IDR Component Estimates</TTITLE>
                        <TDESC>[$ in billions]</TDESC>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Income 
                                <LI>protection kept at </LI>
                                <LI>150% of FPL</LI>
                            </CHED>
                            <CHED H="1">
                                No 5% of 
                                <LI>income</LI>
                                <LI>payment</LI>
                            </CHED>
                            <CHED H="1">
                                No unpaid
                                <LI>interest</LI>
                                <LI>benefit</LI>
                            </CHED>
                            <CHED H="1">
                                No balance-based
                                <LI>shortened</LI>
                                <LI>forgiveness</LI>
                            </CHED>
                            <CHED H="1">
                                Other 
                                <LI>provisions</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Modification through cohort 2023</ENT>
                            <ENT>($36.55)</ENT>
                            <ENT>($28.08)</ENT>
                            <ENT>($6.60)</ENT>
                            <ENT>($0.96)</ENT>
                            <ENT>($3.77)</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <PRTPAGE P="43890"/>
                            <ENT I="01">Outlays for cohorts 2024-2033</ENT>
                            <ENT>($35.04)</ENT>
                            <ENT>($30.98)</ENT>
                            <ENT>($10.59)</ENT>
                            <ENT>($2.71)</ENT>
                            <ENT>($4.52)</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Total</ENT>
                            <ENT>($71.59)</ENT>
                            <ENT>($59.06)</ENT>
                            <ENT>($17.19)</ENT>
                            <ENT>($3.67)</ENT>
                            <ENT>($8.29)</ENT>
                        </ROW>
                        <TNOTE>
                            <E T="02">Note:</E>
                             Savings are relative to the scenario in which the final rule is implemented in full, so a negative number reflects a smaller increase in costs.
                        </TNOTE>
                    </GPOTABLE>
                    <P>As can be seen in Table 5.4, the increase in the income protection to 225 percent of the Federal poverty guidelines and the percentage of income on which payments are based are the most significant factors in the estimated impact of the changes. Borrowers' projected incomes are another important element for cost estimates for IDR plans, so we have run two sensitivity analyses that shift borrower incomes, one that increases incomes by 5 percent and the other that decreases them by 10 percent. From past sensitivity runs, we know that increasing and decreasing the incomes by the same factor results in similar changes in costs, so the different variations here provide a sense of two different shifts in incomes. When compared to the same baseline, we estimate that regulations with a 5 percent increase in incomes would cost a total of $129.0 billion and the 10 percent decrease would cost $203.1 billion. Recall that our central estimate of the rule's net budget impact is $156.0 billion above baseline. Incomes are likely the factor in the IDR model with the greatest effect, but other aspects, such as projected family size, and events such as defaults or discharges, also affect the estimates.</P>
                    <P>
                        We also wanted to consider the distributional effects of the changes to the extent we have information. One benefit we hope to see from the regulations is reduced delinquency and default, which should particularly benefit lower-income borrowers, but these potential benefits are not included in the primary estimate. The sample of borrowers used to estimate costs in IDR plans have projected income profiles of 31 years of AGIs for the borrower or household, depending on tax filing status. Table 5.5 summarizes the change in payments between the President's budget baseline for FY 2024 including waivers, one-time debt relief, and recent regulatory packages and the final regulations for a representative cohort of borrowers (
                        <E T="03">i.e.,</E>
                         those entering repayment in FY 2024).
                    </P>
                    <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s50,12,12,12">
                        <TTITLE>Table 5.5—Estimated Effects of IDR Proposals by Income Range and Graduate Student Status for Borrowers Entering Repayment in FY 2024</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">&lt;$65,000</CHED>
                            <CHED H="1">$65,000 to $100,000</CHED>
                            <CHED H="1">Above $100,000</CHED>
                        </BOXHD>
                        <ROW EXPSTB="03" RUL="s">
                            <ENT I="21">
                                <E T="02">Borrowed only as an undergraduate student</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">% of Pop.</ENT>
                            <ENT>16.40%</ENT>
                            <ENT>22.46%</ENT>
                            <ENT>24.25%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">% of Debt</ENT>
                            <ENT>5.74%</ENT>
                            <ENT>10.30%</ENT>
                            <ENT>13.59%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Mean Debt</ENT>
                            <ENT>$26,492</ENT>
                            <ENT>$34,681</ENT>
                            <ENT>$42,372</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Mean Reduction in Payments</ENT>
                            <ENT>$10,270</ENT>
                            <ENT>$18,246</ENT>
                            <ENT>$20,065</ENT>
                        </ROW>
                        <ROW EXPSTB="03" RUL="s">
                            <ENT I="21">
                                <E T="02">Borrowed as both an undergraduate and graduate student</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">% of Pop.</ENT>
                            <ENT>1.76%</ENT>
                            <ENT>5.21%</ENT>
                            <ENT>20.56%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">% of Debt</ENT>
                            <ENT>3.02%</ENT>
                            <ENT>9.09%</ENT>
                            <ENT>38.54%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Mean Debt</ENT>
                            <ENT>$129,814</ENT>
                            <ENT>$131,995</ENT>
                            <ENT>$141,752</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Mean Reduction in Payments</ENT>
                            <ENT>$19,693</ENT>
                            <ENT>$25,412</ENT>
                            <ENT>$3,675</ENT>
                        </ROW>
                        <ROW EXPSTB="03" RUL="s">
                            <ENT I="21">
                                <E T="02">Borrowed only as a graduate student</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">% of Pop.</ENT>
                            <ENT>0.46%</ENT>
                            <ENT>1.55%</ENT>
                            <ENT>7.36%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">% of Debt</ENT>
                            <ENT>0.94%</ENT>
                            <ENT>3.05%</ENT>
                            <ENT>15.73%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Mean Debt</ENT>
                            <ENT>$155,844</ENT>
                            <ENT>$148,791</ENT>
                            <ENT>$161,673</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Mean Reduction in Payments</ENT>
                            <ENT>$12,874</ENT>
                            <ENT>$11,293</ENT>
                            <ENT>($12,253)</ENT>
                        </ROW>
                        <TNOTE>
                            <E T="02">Note:</E>
                             Debt is measured as the outstanding balance when the borrower enters repayment, reductions in payments are measured over the life of the loan, and income is the average income over the potential repayment period for borrowers entering repayment in FY 2024.
                        </TNOTE>
                    </GPOTABLE>
                    <P>All groups would see significant reductions in average payments, except those who borrowed as graduate students and have over $100,000 in average annual income. There are some limitations to the savings for the borrowers with earnings at or below $65,000, because a portion of these borrowers already have a $0 payment under the current REPAYE plan. Once their payment drops to $0, they cannot receive any greater savings under the new plan. Moreover, borrowers in this category generally have lower loan balances; therefore, the amount of potential savings is also smaller.</P>
                    <P>
                        Since graduate student borrowers have higher debt, on average, they are less likely to benefit from the reduced time to forgiveness based on a low balance, as shown in Table 5.6. The high-income, high-debt graduate students may not benefit from the rate reduction and the continued absence of 
                        <PRTPAGE P="43891"/>
                        the standard payment cap on REPAYE will likely affect them more. Some may still choose the new REPAYE plan if their payments are lower in the beginning and then get higher at the end of the repayment period. Table 5.6 does not account for any timing effects, as such effects are likely to be idiosyncratic and challenging to model in a systemic manner. Payments on loans attributed to graduate programs would remain at a 10 percent discretionary income level and these borrowers have high balances so would not benefit from reduced time to forgiveness. That means two of the drivers of reductions in borrower payments from the regulations—early forgiveness and the reduction to 5 percent for payments attributed to undergraduate loans—are less likely to apply to that population. The number of expected years to forgiveness in Table 5.6 is based on the borrower's balance and does not take into account any deferments, forbearances, or early payoffs.
                    </P>
                    <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s25,12,12,12">
                        <TTITLE>Table 5.6—Years to Forgiveness and Distribution of Balances for Borrowers Entering Repayment in FY 2024 Under Final Rule</TTITLE>
                        <BOXHD>
                            <CHED H="1">Expected years to forgiveness</CHED>
                            <CHED H="1">Undergraduate borrowers</CHED>
                            <CHED H="1">Any graduate borrowing</CHED>
                            <CHED H="1">Overall</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">10</ENT>
                            <ENT>23.53</ENT>
                            <ENT>0.99</ENT>
                            <ENT>15.78</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">11</ENT>
                            <ENT>1.83</ENT>
                            <ENT>0.11</ENT>
                            <ENT>1.24</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">12</ENT>
                            <ENT>2.04</ENT>
                            <ENT>0.12</ENT>
                            <ENT>1.38</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">13</ENT>
                            <ENT>2.07</ENT>
                            <ENT>0.12</ENT>
                            <ENT>1.4</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">14</ENT>
                            <ENT>2.24</ENT>
                            <ENT>0.19</ENT>
                            <ENT>1.54</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">15</ENT>
                            <ENT>2.12</ENT>
                            <ENT>0.21</ENT>
                            <ENT>1.46</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">16</ENT>
                            <ENT>2.31</ENT>
                            <ENT>0.2</ENT>
                            <ENT>1.58</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">17</ENT>
                            <ENT>2.13</ENT>
                            <ENT>0.15</ENT>
                            <ENT>1.45</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">18</ENT>
                            <ENT>2.25</ENT>
                            <ENT>0.16</ENT>
                            <ENT>1.53</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">19</ENT>
                            <ENT>2.27</ENT>
                            <ENT>0.18</ENT>
                            <ENT>1.55</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">20</ENT>
                            <ENT>57.2</ENT>
                            <ENT>0.24</ENT>
                            <ENT>37.6</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">21</ENT>
                            <ENT/>
                            <ENT>0.31</ENT>
                            <ENT>0.11</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">22</ENT>
                            <ENT/>
                            <ENT>0.16</ENT>
                            <ENT>0.06</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">23</ENT>
                            <ENT/>
                            <ENT>0.27</ENT>
                            <ENT>0.09</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">24</ENT>
                            <ENT/>
                            <ENT>0.34</ENT>
                            <ENT>0.12</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">25</ENT>
                            <ENT/>
                            <ENT>96.25</ENT>
                            <ENT>33.12</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>As noted, the Department received a significant number of comments about the budget impact estimates in the IDR NPRM, several of which included analysis of the proposed rule. With respect to the budget impact estimate, many comments indicated the Department underestimated the effect of the rule by not accounting for increased take-up of IDR and failing to account for new borrowing.</P>
                    <P>Increased take-up would be from borrowers choosing the new plan for its lower payments, increased income protection, reduced time to forgiveness, or other benefits. The policy to switch delinquent borrowers into IDR will also contribute to increased use of the plan. Several commenters referenced the Penn-Wharton Budget model analysis that analyzed a range of IDR take-up from 70-90 percent of loan volume while another analysis found that 85 percent of borrowers could benefit from the new plan. The Department's projections of payments made by future cohorts of borrowers by institutional level and control found that 72 percent of loan volume at 4-year institutions was associated with borrowers who could benefit from the new REPAYE plan in terms of reductions in the present discounted value of total payments made. However, the same analysis suggested that 45 percent of loan volume is owed by borrowers from 4-year institutions who would benefit from the current REPAYE plan, but actual take up of any IDR plan is only around 30 percent. The results are similar for loan volume from 2-year institutions, where the Department's model estimates that approximately 56 percent of volume at 2-year proprietary institutions and 72 percent at 2-year private nonprofit institutions is owed by borrowers who would benefit from REPAYE, yet the President's FY24 baseline, which is based upon actual historical data, projects that only about 26 percent and 29 percent of volume from those types of schools, respectively, is enrolled in an IDR plan. Therefore, as described above, the Department adjusted the main budget estimate to include increased usage of IDR by undergraduate borrowers based upon assuming the share of volume associated with borrowers that would benefit from IDR enroll in those plans as is observed under current plans. This results in an increase of volume on IDR since the total amount of volume that would benefit from an IDR plan is higher under this final rule.</P>
                    <P>To further explore a range of possible outcomes in terms of take up we developed Sensitivities 1 and 2 with two take-up increases, the first increasing take-up even further for existing undergraduate and graduate cohorts and future cohorts with no ramp-up and the second being an increase that ramps up across seven outyear cohorts to maximum levels between 67 percent and 77 percent depending on loan type and risk group.</P>
                    <P>The treatment of past cohorts varies between the two IDR take-up sensitivity runs. The Department recognizes that borrowers from past cohorts may switch to the new REPAYE plan. However, the Department's scoring model handles plan switching between non-IDR and IDR plans for past cohorts from the time when the loan enters repayment. Therefore, when we increase take-up of IDR plans for past cohort borrowers, the change is applied from the time they enter repayment and will overstate the cost of the modification. Only the first budget sensitivity shows the potential effect on past cohorts.</P>
                    <P>
                        Analysis provided by the commenters and Department analysis indicates if every or nearly every borrower that would benefit from the new REPAYE plan joins it then IDR take-up would increase significantly to around 70-85 percent of volume. Therefore, the maximum take-up adjustment factor was calculated as the percentage point increase that would bring the baseline IDR percentage into that range. The percentage point increase applied to various cohorts for Sensitivity 1, the maximum take-up adjustment factor, is presented in Table 5.7. Baseline rates for 
                        <PRTPAGE P="43892"/>
                        selected cohorts and the resulting IDR percentages are presented in Tables 5.10 and 5.11.
                    </P>
                    <GPOTABLE COLS="6" OPTS="L2,i1" CDEF="s50,r50,12,12,12,12">
                        <TTITLE>Table 5.7—Take-Up Percentage Point Increase for Sensitivity 1</TTITLE>
                        <BOXHD>
                            <CHED H="1">Proposal: cohort range</CHED>
                            <CHED H="1">Past cohort take-up sensitivity</CHED>
                            <CHED H="2">Pre-2008</CHED>
                            <CHED H="2">2008-2012</CHED>
                            <CHED H="2">2013-2017</CHED>
                            <CHED H="2">2018-2023</CHED>
                            <CHED H="1">
                                Outyear
                                <LI>take-up</LI>
                            </CHED>
                            <CHED H="2">2024 and out</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">2yr prop</ENT>
                            <ENT>No change</ENT>
                            <ENT>0.15</ENT>
                            <ENT>0.3</ENT>
                            <ENT>0.3</ENT>
                            <ENT>0.4</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2yr NFP</ENT>
                            <ENT>No change</ENT>
                            <ENT>0.15</ENT>
                            <ENT>0.3</ENT>
                            <ENT>0.3</ENT>
                            <ENT>0.4</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4yr Fr/SO</ENT>
                            <ENT>No change</ENT>
                            <ENT>0.2</ENT>
                            <ENT>0.35</ENT>
                            <ENT>0.35</ENT>
                            <ENT>0.45</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4yr JR/SR</ENT>
                            <ENT>No change</ENT>
                            <ENT>0.2</ENT>
                            <ENT>0.35</ENT>
                            <ENT>0.35</ENT>
                            <ENT>0.45</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">GRAD</ENT>
                            <ENT>No change</ENT>
                            <ENT>0.2</ENT>
                            <ENT>0.2</ENT>
                            <ENT>0.2</ENT>
                            <ENT>0.25</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>For Sensitivity 2, the additional element determining the IDR take-up increase is the ramp-up factor shown in Table 5.8. The ramp-up factor is multiplied by the maximum take-up adjustment factor for cohorts 2024 and beyond in Table 5.7 to generate the percentage point change added to the baseline IDR percentage to get the new IDR percentage. For example, the 2-year proprietary risk group IDR percentage would be increased by 17.64 points (.4 * .4409). Added to the baseline IDR percentage of 25.37 percent, this generates the new IDR percentage of 43.01 percent for subsidized loans for cohort 2024.</P>
                    <GPOTABLE COLS="10" OPTS="L2,p7,7/8,i1" CDEF="s25,10C,10C,10C,10C,10C,10C,10C,10C,10C">
                        <TTITLE>Table 5.8—Sensitivity 2 IDR Take-Up Ramp-Up Factor</TTITLE>
                        <BOXHD>
                            <CHED H="1">2024</CHED>
                            <CHED H="1">2025</CHED>
                            <CHED H="1">2026</CHED>
                            <CHED H="1">2027</CHED>
                            <CHED H="1">2028</CHED>
                            <CHED H="1">2029</CHED>
                            <CHED H="1">2030</CHED>
                            <CHED H="1">2031</CHED>
                            <CHED H="1">2032</CHED>
                            <CHED H="1">2033</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">44.09%</ENT>
                            <ENT>63.85%</ENT>
                            <ENT>74.98%</ENT>
                            <ENT>84.14%</ENT>
                            <ENT>91.43%</ENT>
                            <ENT>96.52%</ENT>
                            <ENT>99.99%</ENT>
                            <ENT>100.0%</ENT>
                            <ENT>100.0%</ENT>
                            <ENT>100.0%</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>The ramp-up factor is based on pre-covid information about the timing of when borrowers first change into an IDR plan with over 43 percent in year one and above 98 percent by year 7. This ramp-up is based on the timing of borrowers' first change to an IDR plan, it is not tied to introduction of new repayment plans and the effect of new plans on the percent of the portfolio choosing IDR. To evaluate if a cohort-based ramp-up was reasonable, we also looked at the baseline IDR percentages for cohorts surrounding previous IDR plan changes, especially the introduction of PAYE and REPAYE. The percent volume assumption used in the President's Budget for FY 2024 has a difference of a few percentage points in each cohort from 2008 to 2013, after which the percentage stays around 27 percent for several cohorts as seen in Table 5.9. This indicates that even years after the introduction of PAYE, a difference in the percent of volume in IDR persists across cohorts (18.85 percent for 2008 and 27.40 percent for 2014).</P>
                    <GPOTABLE COLS="8" OPTS="L2,p7,7/8,i1" CDEF="s50,r50,10,10,10,10,10,10">
                        <TTITLE>Table 5.9—FY2024 Cohort Non-Consolidated Loan Repayment Plan Distribution for Sensitivities 1 and 2</TTITLE>
                        <BOXHD>
                            <CHED H="1">Risk group</CHED>
                            <CHED H="1">Repayment plan</CHED>
                            <CHED H="1">Sensitivity 1: FY2024 cohort</CHED>
                            <CHED H="2">
                                Sub
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="2">
                                Uns
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="2">
                                PLUS
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">Sensitivity 2: FY2024 cohort</CHED>
                            <CHED H="2">
                                Sub
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="2">
                                Uns
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="2">
                                PLUS
                                <LI>(percent)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="22">2 Yr Proprietary</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Standard</ENT>
                            <ENT>28.51</ENT>
                            <ENT>26.57</ENT>
                            <ENT>86.12</ENT>
                            <ENT>46.93</ENT>
                            <ENT>44.71</ENT>
                            <ENT>86.12</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Extended</ENT>
                            <ENT>0.21</ENT>
                            <ENT>0.22</ENT>
                            <ENT>1.47</ENT>
                            <ENT>0.35</ENT>
                            <ENT>0.36</ENT>
                            <ENT>1.47</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Graduated</ENT>
                            <ENT>5.90</ENT>
                            <ENT>5.98</ENT>
                            <ENT>12.41</ENT>
                            <ENT>9.71</ENT>
                            <ENT>10.06</ENT>
                            <ENT>12.41</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>IDR</ENT>
                            <ENT>65.37</ENT>
                            <ENT>67.23</ENT>
                            <ENT>0.00</ENT>
                            <ENT>43.01</ENT>
                            <ENT>44.87</ENT>
                            <ENT>0.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">2 Yr Not for Profit</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Standard</ENT>
                            <ENT>25.57</ENT>
                            <ENT>24.74</ENT>
                            <ENT>86.47</ENT>
                            <ENT>43.97</ENT>
                            <ENT>42.82</ENT>
                            <ENT>86.47</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Extended</ENT>
                            <ENT>0.59</ENT>
                            <ENT>0.76</ENT>
                            <ENT>2.53</ENT>
                            <ENT>1.02</ENT>
                            <ENT>1.32</ENT>
                            <ENT>2.53</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Graduated</ENT>
                            <ENT>4.91</ENT>
                            <ENT>5.09</ENT>
                            <ENT>11.00</ENT>
                            <ENT>8.45</ENT>
                            <ENT>8.81</ENT>
                            <ENT>11.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>IDR</ENT>
                            <ENT>68.92</ENT>
                            <ENT>69.41</ENT>
                            <ENT>0.00</ENT>
                            <ENT>46.55</ENT>
                            <ENT>47.05</ENT>
                            <ENT>0.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">4-Year FR/SO</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Standard</ENT>
                            <ENT>22.10</ENT>
                            <ENT>21.25</ENT>
                            <ENT>90.78</ENT>
                            <ENT>42.57</ENT>
                            <ENT>41.39</ENT>
                            <ENT>90.78</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Extended</ENT>
                            <ENT>0.71</ENT>
                            <ENT>0.86</ENT>
                            <ENT>2.29</ENT>
                            <ENT>1.37</ENT>
                            <ENT>1.67</ENT>
                            <ENT>2.29</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Graduated</ENT>
                            <ENT>4.34</ENT>
                            <ENT>4.44</ENT>
                            <ENT>6.93</ENT>
                            <ENT>8.37</ENT>
                            <ENT>8.65</ENT>
                            <ENT>6.93</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>IDR</ENT>
                            <ENT>72.85</ENT>
                            <ENT>73.45</ENT>
                            <ENT>0.00</ENT>
                            <ENT>47.69</ENT>
                            <ENT>48.29</ENT>
                            <ENT>0.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">4 Yr Jr/Sr</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Standard</ENT>
                            <ENT>18.77</ENT>
                            <ENT>16.78</ENT>
                            <ENT>78.31</ENT>
                            <ENT>37.77</ENT>
                            <ENT>35.11</ENT>
                            <ENT>78.31</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Extended</ENT>
                            <ENT>0.99</ENT>
                            <ENT>1.20</ENT>
                            <ENT>5.75</ENT>
                            <ENT>1.99</ENT>
                            <ENT>2.51</ENT>
                            <ENT>5.75</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Graduated</ENT>
                            <ENT>5.09</ENT>
                            <ENT>5.05</ENT>
                            <ENT>15.94</ENT>
                            <ENT>10.25</ENT>
                            <ENT>10.56</ENT>
                            <ENT>15.94</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>IDR</ENT>
                            <ENT>75.15</ENT>
                            <ENT>76.98</ENT>
                            <ENT>0.00</ENT>
                            <ENT>49.99</ENT>
                            <ENT>51.82</ENT>
                            <ENT>0.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">Graduate</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Standard</ENT>
                            <ENT>100.00</ENT>
                            <ENT>17.33</ENT>
                            <ENT>11.41</ENT>
                            <ENT>100.00</ENT>
                            <ENT>27.16</ENT>
                            <ENT>21.89</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Extended</ENT>
                            <ENT>0.00</ENT>
                            <ENT>2.01</ENT>
                            <ENT>1.28</ENT>
                            <ENT>0.00</ENT>
                            <ENT>3.14</ENT>
                            <ENT>2.45</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Graduated</ENT>
                            <ENT>0.00</ENT>
                            <ENT>5.31</ENT>
                            <ENT>2.54</ENT>
                            <ENT>0.00</ENT>
                            <ENT>8.32</ENT>
                            <ENT>4.86</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>IDR</ENT>
                            <ENT>0.00</ENT>
                            <ENT>75.36</ENT>
                            <ENT>84.77</ENT>
                            <ENT>0.00</ENT>
                            <ENT>61.38</ENT>
                            <ENT>70.79</ENT>
                        </ROW>
                    </GPOTABLE>
                    <PRTPAGE P="43893"/>
                    <P>Tables 5.10 and 5.11 provide additional information on the baseline take-up rates by loan type and risk group for selected cohorts as well as the IDR take-up rates applied to outyear cohorts in various scenarios.</P>
                    <GPOTABLE COLS="7" OPTS="L2,p7,7/8,i1" CDEF="s50,r50,10,10,10,10,10">
                        <TTITLE>Table 5.10—Baseline Non-Consolidated Loan Repayment Plan Distribution for Selected Cohorts</TTITLE>
                        <BOXHD>
                            <CHED H="1">Loan type</CHED>
                            <CHED H="1">Risk group</CHED>
                            <CHED H="1">
                                2007
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                2010
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                2015
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                2020
                                <LI>(percent)</LI>
                            </CHED>
                            <CHED H="1">
                                2030
                                <LI>(percent)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="22">Subsidized</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>2 Yr Proprietary</ENT>
                            <ENT>15.44</ENT>
                            <ENT>23.16</ENT>
                            <ENT>27.48</ENT>
                            <ENT>25.37</ENT>
                            <ENT>25.37</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>2 Yr Not for Profit</ENT>
                            <ENT>20.09</ENT>
                            <ENT>26.25</ENT>
                            <ENT>30.77</ENT>
                            <ENT>28.92</ENT>
                            <ENT>28.92</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>4 Yr Freshman Sophomore</ENT>
                            <ENT>21.89</ENT>
                            <ENT>28.51</ENT>
                            <ENT>29.04</ENT>
                            <ENT>27.85</ENT>
                            <ENT>27.85</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>4 Yr Jr/Sr</ENT>
                            <ENT>21.23</ENT>
                            <ENT>29.95</ENT>
                            <ENT>32.06</ENT>
                            <ENT>30.15</ENT>
                            <ENT>30.15</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">Unsubsidized</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>2 Yr Proprietary</ENT>
                            <ENT>16.74</ENT>
                            <ENT>24.34</ENT>
                            <ENT>29.07</ENT>
                            <ENT>27.23</ENT>
                            <ENT>27.23</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>2 Yr Not for Profit</ENT>
                            <ENT>19.88</ENT>
                            <ENT>27.78</ENT>
                            <ENT>31.68</ENT>
                            <ENT>29.41</ENT>
                            <ENT>29.41</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>4 Yr Freshman Sophomore</ENT>
                            <ENT>21.47</ENT>
                            <ENT>28.82</ENT>
                            <ENT>29.66</ENT>
                            <ENT>28.45</ENT>
                            <ENT>28.45</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>4 Yr Jr/Sr</ENT>
                            <ENT>20.94</ENT>
                            <ENT>31.07</ENT>
                            <ENT>34.09</ENT>
                            <ENT>31.98</ENT>
                            <ENT>31.98</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Graduate</ENT>
                            <ENT>21.97</ENT>
                            <ENT>38.21</ENT>
                            <ENT>50.24</ENT>
                            <ENT>50.36</ENT>
                            <ENT>50.36</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">Plus</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>2 Yr Proprietary</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>2 Yr Not for Profit</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>4 Yr Freshman Sophomore</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>4 Yr Jr/Sr</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                            <ENT>0.00</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22"> </ENT>
                            <ENT>Graduate</ENT>
                            <ENT>23.68</ENT>
                            <ENT>47.43</ENT>
                            <ENT>60.72</ENT>
                            <ENT>59.77</ENT>
                            <ENT>59.77</ENT>
                        </ROW>
                    </GPOTABLE>
                    <GPH SPAN="3" DEEP="612">
                        <PRTPAGE P="43894"/>
                        <GID>ER10JY23.000</GID>
                    </GPH>
                    <P>
                        Sensitivities 3 and 4 estimate the costs of additional borrowing related to the regulation. Additional borrowing could come from future borrowers in the baseline who take out more loans or new borrowers who substitute loans for other sources of funding because of the reduced cost of borrowing. Institutions could also raise tuition because of the lower borrowing costs, which could also increase future loan volumes. To develop the low and high additional volume options in Sensitivities 3 and 4, the Department analyzed National Student Loan Data System information 
                        <PRTPAGE P="43895"/>
                        about borrowing in FY 2021 to estimate additional capacity for subsidized and unsubsidized loans. The analysis aggregated borrowers' loans by academic level and compared the total to the applicable borrowing limit for that loan type at that academic level. It accounted for additional capacity for independents and dependent borrowers whose parents were unable to obtain PLUS loans. Grad PLUS loans were not included because those students can borrow up to the cost of attendance and that information was not available in our data. Table 5.12 summarizes this additional capacity, which was the basis for the low end of our additional volume range.
                    </P>
                    <GPOTABLE COLS="3" OPTS="L2,i1" CDEF="s50,12,12">
                        <TTITLE>Table 5.12—Annual Additional Borrowing Capacity of Existing Borrowers</TTITLE>
                        <TDESC>[$ in billions]</TDESC>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Total
                                <LI>subsidized and unsubsidized borrowing</LI>
                            </CHED>
                            <CHED H="1">
                                Additional
                                <LI>subsidized and unsubsidized borrowing</LI>
                                <LI>capacity</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">2-Year Proprietary</ENT>
                            <ENT>$2.5</ENT>
                            <ENT>$8.1</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2-Year Priv/Pub</ENT>
                            <ENT>2.9</ENT>
                            <ENT>1.5</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-Year FR/SO</ENT>
                            <ENT>13.8</ENT>
                            <ENT>4.1</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4-Year JR/SR</ENT>
                            <ENT>15.7</ENT>
                            <ENT>8.2</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Graduate</ENT>
                            <ENT>26.7</ENT>
                            <ENT>6.1</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>As this additional capacity does not account for new borrowers or tuition increases, we developed Sensitivity 4 with higher additional volume, as seen in Table 5.13. The additional volume does increase in cohorts 2027 and beyond to allow some time for borrowers to react to the changes in the borrowing costs.</P>
                    <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s50,12,12,12,12">
                        <TTITLE>Table 5.13—Additional Annual Volume Sensitivity Scenarios</TTITLE>
                        <TDESC>[$ in billions]</TDESC>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Sensitivity 3: low additional
                                <LI>volume scenario</LI>
                            </CHED>
                            <CHED H="2">2024-26</CHED>
                            <CHED H="2">2027 Out</CHED>
                            <CHED H="1">Sensitivity 4: high additional volume scenario</CHED>
                            <CHED H="2">2024-26</CHED>
                            <CHED H="2">2027 Out</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Undergraduate</ENT>
                            <ENT>$10</ENT>
                            <ENT>$14</ENT>
                            <ENT>$20</ENT>
                            <ENT>$26</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Graduate</ENT>
                            <ENT>7</ENT>
                            <ENT>10</ENT>
                            <ENT>16</ENT>
                            <ENT>20</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>The amount of additional volume generated by the individual factors leading to the increase, such as tuition increases or new borrowers taking on loans, is not specified. The additional volume was attributed to risk groups based on the percentage of additional capacity in Table 5.13 represented by the risk group. The split between loan types was based on the percentage of total subsidized and unsubsidized loans borrowed in 2021-22 represented by each loan type, with 47 percent going to subsidized loan volume. The graduate loans were split to PLUS and unsubsidized loan volume on the same basis, with 32 percent going to additional PLUS volume.</P>
                    <P>Sensitivity 5 estimates the effects of reduced defaults from the provision that moves delinquent borrowers into IDR, where a significant percentage are expected to have low or zero payments and potentially avoid default. Additionally, within IDR, the increased income protection to 225 percent of the Federal poverty line and the lower payment of 5 percent for undergraduate loans provides relief that could allow borrowers to avoid default. To estimate the effect in IDR, we looked at the percentage of borrowers projected to default in our baseline IDR model that have incomes between 150 and 225 percent of the federal poverty level in the year of their default. This was approximately 8 percent of defaulters and we increased that to 10 percent for our default reduction sensitivity for IDR borrowers.</P>
                    <P>Switching delinquent borrowers to IDR should also reduce the default risk of those remaining in non-IDR plans. Some reduction in defaults will occur in the model estimates just from switching volume to IDR plans, which have lower default rates than the non-IDR plans. To estimate the effect of the reduced risk of remaining non-IDR borrowers, the Department reduced non-IDR defaults 25 percent as seen in Sensitivities 5.</P>
                    <P>There is a significant interaction between volume, take-up, and the default reduction, so Sensitivity 6 combines the low additional volume, ramped take-up increase, and 25 percent default reduction for an overall alternate scenario.</P>
                    <P>Finally, Sensitivity 7 removes the increases in estimated additional undergraduate volume that would be repaid on IDR. This sensitivity is roughly comparable to the main budget estimate in IDR NPRM, with the additional adjustments related to the President's budget, extension of the payment pause, and revised treatment of some ICR borrowers included.</P>
                    <P>
                        All the cost estimates presented in this document are focused on impact of the new repayment rules, without also considering other policy changes. For example, the Department recently proposed regulations to establish a new minimum earnings threshold and a maximum debt-to-earnings ratio for career programs (88 FR 32300), which could constrain some of the additional borrowing envisioned in Sensitivities 3, 4, and 6. The Department is expanding consumer information on student debt and earnings to better inform student choices. And the President's Budget seeks hundreds of billions of dollars in new investments in Pell Grants; free community college; and tuition assistance for students at Historically Black Colleges and Universities, Tribally Controlled Colleges and Universities, and Minority-Serving Institutions. The potential effects of these proposed policy changes are not 
                        <PRTPAGE P="43896"/>
                        reflected in the estimates contained in this RIA.
                    </P>
                    <P>Table 5.14 displays the taxpayer costs associated with the various sensitivity runs.</P>
                    <GPOTABLE COLS="8" OPTS="L2,p7,7/8,i1" CDEF="s100,10,10,10,10,10,10,10">
                        <TTITLE>Table 5.11—Sensitivity Run Cost Estimates</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Sens 1: Full IDR take-up
                                <LI>increase</LI>
                            </CHED>
                            <CHED H="1">Sens 2: Ramped IDR take-up increase</CHED>
                            <CHED H="1">
                                Sens 3: Low additional
                                <LI>volume</LI>
                            </CHED>
                            <CHED H="1">
                                Sens 4: High
                                <LI>additional</LI>
                                <LI>volume</LI>
                            </CHED>
                            <CHED H="1">
                                Sens 5: 25 percent
                                <LI>default</LI>
                                <LI>reduction</LI>
                            </CHED>
                            <CHED H="1">Sens 6: Ramped take-up, low additional volume, 25% default reduction combination</CHED>
                            <CHED H="1">
                                Sens 7: No increase in projected volume
                                <LI>repaid on IDR</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Modification through cohort 2023</ENT>
                            <ENT>$75.89</ENT>
                            <ENT>$70.91</ENT>
                            <ENT>$70.91</ENT>
                            <ENT>$70.91</ENT>
                            <ENT>$70.91</ENT>
                            <ENT>$70.91</ENT>
                            <ENT>$70.91</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="01">Outlays for cohorts 2024-2033</ENT>
                            <ENT>194.00</ENT>
                            <ENT>173.20</ENT>
                            <ENT>171.90</ENT>
                            <ENT>312.68</ENT>
                            <ENT>78.25</ENT>
                            <ENT>256.66</ENT>
                            <ENT>56.50</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Total</ENT>
                            <ENT>269.89</ENT>
                            <ENT>244.11</ENT>
                            <ENT>242.81</ENT>
                            <ENT>383.59</ENT>
                            <ENT>149.16</ENT>
                            <ENT>327.57</ENT>
                            <ENT>127.40</ENT>
                        </ROW>
                    </GPOTABLE>
                    <HD SOURCE="HD3">6. Accounting Statement</HD>
                    <P>As required by OMB Circular A-4, we have prepared an accounting statement showing the classification of the expenditures associated with the provisions of these regulations. These effects occur over the lifetime of the first ten loan cohorts following implementation of this rule. The cashflows are discounted to the year of the origination cohort in the modeling process and then those amounts are discounted at 3 and 7 percent to the present year in this Accounting Statement. This table provides our best estimate of the changes in annualized monetized transfers as a result of these final regulations. Expenditures are classified as transfers from the Federal government to affected student loan borrowers.</P>
                    <GPOTABLE COLS="2" OPTS="L2,i1" CDEF="s150,xs80">
                        <TTITLE>Table 6.1—Accounting Statement: Classification of Estimated Annualized Expenditures</TTITLE>
                        <TDESC>[in millions]</TDESC>
                        <BOXHD>
                            <CHED H="1">Category</CHED>
                            <CHED H="1">Benefits</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Improved options for affordable loan repayment</ENT>
                            <ENT>Not quantified.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Increased college enrollment, attainment, and degree completion</ENT>
                            <ENT>Not quantified.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Reduced risk of delinquency and default for borrowers</ENT>
                            <ENT>Not quantified.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Reduced administrative burden for Department due to reduced default and collection actions</ENT>
                            <ENT>Not quantified.</ENT>
                        </ROW>
                    </GPOTABLE>
                    <GPOTABLE COLS="3" OPTS="L2,tp0,i1" CDEF="s150,12,12">
                        <TTITLE> </TTITLE>
                        <BOXHD>
                            <CHED H="1">Category</CHED>
                            <CHED H="1">Costs</CHED>
                            <CHED H="2">7%</CHED>
                            <CHED H="2">3%</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Costs of compliance with paperwork requirements</ENT>
                            <ENT>TBD</ENT>
                            <ENT>TBD</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Increased administrative costs to Federal government to updates systems and contracts to implement the final regulations</ENT>
                            <ENT>$2.3</ENT>
                            <ENT>$2.0</ENT>
                        </ROW>
                    </GPOTABLE>
                    <GPOTABLE COLS="3" OPTS="L2,tp0,i1" CDEF="s150,12,12">
                        <TTITLE> </TTITLE>
                        <BOXHD>
                            <CHED H="1">Category</CHED>
                            <CHED H="1">Transfers</CHED>
                            <CHED H="2">7%</CHED>
                            <CHED H="2">3%</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Reduced transfers from IDR borrowers due to increased income protection, lower income percentage for payment, potential early forgiveness based on balance, and other IDR program changes</ENT>
                            <ENT>17,871.0</ENT>
                            <ENT>16,551.60</ENT>
                        </ROW>
                    </GPOTABLE>
                    <HD SOURCE="HD3">7. Alternatives Considered</HD>
                    <P>The Department considered the following items, many of which are also discussed in the preamble to this final rule.</P>
                    <P>The Department considered suggestions by commenters to provide payments equal to 5 percent of discretionary income on all loan types. However, we believe that doing so would not address the Department's goals of targeting benefits on the types of loans that are most likely to experience delinquency and default. The result would be expending additional transfers to loans that have a higher likelihood of being successfully repaid.</P>
                    <P>The Department also considered whether to permit borrowers with a consolidation loan that repaid a Parent PLUS loan to access REPAYE. However, we do not believe that extending benefits to these borrowers would accomplish our goal of focusing on the loans at the greatest risk of delinquency and default. Moreover, we are concerned that extending such benefits could create a high risk of moral hazard for borrowers who are close to retirement age. Instead, we think broader reforms of the Parent PLUS loan program would be a better solution.</P>
                    <P>As noted in the IDR NPRM, we considered suggestions made during negotiated rulemaking to provide partial principal forgiveness to borrowers as they repaid. We lack the legal authority to enact such a policy change.</P>
                    <P>
                        Relatedly, we considered alternative proposals for calculating time to forgiveness, including different formulas for early forgiveness that started sooner than 10 years, forgiveness after a shorter period for borrowers with very low incomes or those who receive public assistance, or a proposal in which borrowers would receive differing periods of credit toward forgiveness if they had lower incomes. 
                        <PRTPAGE P="43897"/>
                        For the periods shorter than 10 years, we do not think it would be appropriate to provide forgiveness sooner than the 10 years offered by the standard 10-year repayment plan. For the other proposals, we are concerned about complexity, particularly any structure that would only provide benefits after a consecutive period in a status, since that could create situations where a borrower on the cusp of forgiveness would paradoxically be worse off for earning more money.
                    </P>
                    <P>We also considered suggestions by commenters to both increase or decrease the amount of income protected from loan payments. We discuss our reasons for not changing this level upward or downward in the preamble to this final rule.</P>
                    <P>Finally, we considered suggestions by commenters to provide credit for all periods in deferment or forbearance. However, we are concerned that doing so would create disincentives for borrowers to choose IDR over other types of deferments or forbearances when they would have a non-$0 payment on IDR. For instance, a borrower might be incentivized to pick a discretionary forbearance, which can be obtained without the need to provide any documentation of hardship. Therefore, we believe the deferments and forbearances we are proposing to credit are the correct ones.</P>
                    <HD SOURCE="HD3">8. Regulatory Flexibility Act</HD>
                    <P>
                        The Secretary certifies, under the Regulatory Flexibility Act (5 U.S.C. 601 
                        <E T="03">et seq.</E>
                        ), that this final regulatory action would not have a significant economic impact on a substantial number of “small entities.”
                    </P>
                    <P>
                        The Small Business Administration (SBA) defines “small institution” using data on revenue, market dominance, tax filing status, governing body, and population. The majority of entities to which the Office of Postsecondary Education's (OPE) regulations apply are postsecondary institutions, however, which do not report such data to the Department. As a result, for purposes of this IDR NPRM, the Department proposes to continue defining “small entities” by reference to enrollment, to allow meaningful comparison of regulatory impact across all types of higher education institutions. The enrollment standard for a small two-year institution is less than 500 full-time-equivalent (FTE) students and for a small 4-year institution, less than 1,000 FTE students.
                        <SU>163</SU>
                    </P>
                    <GPH SPAN="3" DEEP="217">
                        <GID>ER10JY23.001</GID>
                    </GPH>
                    <P>
                        Table 8.1 summarizes the number of institutions affected by these final regulations. The Department has determined that there would be no economic impact on small entities affected by the regulations because IDR plans are between borrowers and the Department. As seen in Table 8.2, the average total revenue at small institutions ranges from $2.3 million for proprietary institutions to $21.3 million at private institutions.
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>163</SU>
                             In previous regulations, the Department categorized small businesses based on tax status. Those regulations defined “non-profit organizations” as “small organizations” if they were independently owned and operated and not dominant in their field of operation, or as “small entities” if they were institutions controlled by governmental entities with populations below 50,000. Those definitions resulted in the categorization of all private nonprofit organizations as small and no public institutions as small. Under the previous definition, proprietary institutions were considered small if they are independently owned and operated and not dominant in their field of operation with total annual revenue below $7,000,000. Using FY 2017 IPEDs finance data for proprietary institutions, 50 percent of 4-year and 90 percent of 2-year or less proprietary institutions would be considered small. By contrast, an enrollment-based definition applies the same metric to all types of institutions, allowing consistent comparison across all types.
                        </P>
                    </FTNT>
                    <GPH SPAN="3" DEEP="236">
                        <PRTPAGE P="43898"/>
                        <GID>ER10JY23.002</GID>
                    </GPH>
                    <P>The IDR regulations will not have a significant impact on a substantial number of small entities because IDR plans are arrangements between the borrower and the Department. As noted in the Paperwork Reduction Act section, burden related to the final regulations will be assessed in a separate information collection process and that burden is expected to involve individuals more than institutions of any size.</P>
                    <HD SOURCE="HD3">9. Paperwork Reduction Act of 1995</HD>
                    <P>As part of its continuing effort to reduce paperwork and respondent burden, the Department provides the general public and Federal agencies with an opportunity to comment on proposed and continuing collections of information in accordance with the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3506(c)(2)(A)). This helps make certain that the public understands the Department's collection instructions, respondents can provide the requested data in the desired format, reporting burden (time and financial resources) is minimized, collection instruments are clearly understood, and the Department can properly assess the impact of collection requirements on respondents.</P>
                    <P>
                        Section 685.209 of this final rule contains information collection requirements. Under the PRA, the Department has or will at the required time submit a copy of the section and an Information Collections Request to OMB for its review. PRA approval will be sought via a separate information collection process. The Department will publish these information collections in the 
                        <E T="04">Federal Register</E>
                         and seek public comment on those documents. A Federal agency may not conduct or sponsor a collection of information unless OMB approves the collection under the PRA and the corresponding information collection instrument displays a currently valid OMB control number. Notwithstanding any other provision of law, no person is required to comply with, or is subject to penalty for failure to comply with, a collection of information if the collection instrument does not display a currently valid OMB control number.
                    </P>
                    <P>
                        <E T="03">Section 685.209—Income-driven repayment plans.</E>
                    </P>
                    <P>
                        <E T="03">Requirements:</E>
                         The Department amended § 685.209 to include regulations for all of the IDR plans, which are plans with monthly payments based in whole or in part on income and family size. These amendments include changes to the PAYE, REPAYE, IBR and ICR plans. Specifically, § 685.209 is amended to: modify the terms of the REPAYE plan to reduce monthly payment amounts to 5 percent of discretionary income for the percent of a borrower's total original loan volume attributable to loans received for their undergraduate study; under the modified REPAYE plan, increase the amount of discretionary income exempted from the calculation of payments to 225 percent; under the modified REPAYE plan, do not charge unpaid accrued interest each month after applying a borrower's payment; simplify the alternative repayment plan that a borrower is placed on if they fail to recertify their income and allow up to 12 payments on this plan to count toward forgiveness; reduce the time to forgiveness under the REPAYE plan for borrowers with low original loan balances; modify the IBR plan regulations to clarify that borrowers in default are eligible to make payments under the plan under some conditions; modify the regulations for all IDR plans to allow for periods under certain deferments and forbearances to count toward forgiveness; modify the regulations applicable to all IDR plans to allow borrowers an opportunity to make catch-up payments for all other periods in deferment or forbearance; modify the regulations for all IDR plans to clarify that a borrower's progress toward forgiveness does not fully reset when a borrower consolidates loans on which a borrower had previously made qualifying payments; modify the regulations for all IDR plans to provide that any borrowers who are at least 75 days delinquent on their loan payments will be automatically enrolled in the IDR plan for which the borrower is eligible and that produces the lowest monthly payments for them; and limit eligibility for the ICR plan to (1) borrowers who began repaying under the ICR plan before the effective date of the regulations, and (2) borrowers whose loans include a Direct Consolidation Loan made on or after July 1, 2006, that repaid a parent PLUS loan.
                    </P>
                    <P>
                        <E T="03">Burden Calculation:</E>
                         These changes will require an update to the current IDR plan request form used by borrowers to sign up for IDR, complete annual recertification, or have their payment amount recalculated. The form update will be completed and made 
                        <PRTPAGE P="43899"/>
                        available for comment through a full public clearance package before being made available for use by the effective date of the regulations. The burden changes will be assessed to OMB Control Number 1845-0102, Income Driven Repayment Plan Request for the William D. Ford Federal Direct Loans and Federal Family Education Loan Programs.
                    </P>
                    <P>Consistent with the discussions above, Table 9.1 describes the sections of the final regulations involving information collections, the information being collected and the collections that the Department will submit to OMB for approval and public comment under the PRA, and the estimated costs associated with the information collections.</P>
                    <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s50,r100,r100,r100">
                        <TTITLE>Table 9.1—PRA Information Collection</TTITLE>
                        <BOXHD>
                            <CHED H="1">Regulatory section</CHED>
                            <CHED H="1">Information collection</CHED>
                            <CHED H="1">
                                OMB Control No. and estimated
                                <LI>burden</LI>
                            </CHED>
                            <CHED H="1">Estimated cost unless otherwise noted</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">§ 685.209 IDR Plans</ENT>
                            <ENT>The final regulations at § 685.209 will be amended to include regulations for all of the IDR plans. These amendments include changes to the PAYE, IBR, and ICR plans, and primarily to the REPAYE plan</ENT>
                            <ENT>1845-0102 Burden will be cleared at a later date through a separate information collection for the form</ENT>
                            <ENT>Costs will be cleared through separate information collection for the form.</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        We will prepare an Information Collection Request for the information collection requirements following the finalization of this Final Rule. A notice will be published in the 
                        <E T="04">Federal Register</E>
                         at that time providing a draft version of the form for public review and inviting public comment. The collection associated with this IDR NPRM is 1845-0102.
                    </P>
                    <HD SOURCE="HD3">10. Intergovernmental Review</HD>
                    <P>This program is subject to Executive Order 12372 and the regulations in 34 CFR part 79. One of the objectives of the Executive Order is to foster an intergovernmental partnership and a strengthened Federalism. The Executive order relies on processes developed by State and local governments for coordination and review of proposed Federal financial assistance.</P>
                    <P>This document provides early notification of our specific plans and actions for this program.</P>
                    <HD SOURCE="HD3">11. Assessment of Education Impact</HD>
                    <P>In accordance with section 411 of the General Education Provisions Act, 20 U.S.C. 1221e-4, the Secretary particularly requests comments on whether these final regulations would require transmission of information that any other agency or authority of the United States gathers or makes available.</P>
                    <HD SOURCE="HD3">12. Federalism</HD>
                    <P>Executive Order 13132 requires us to provide meaningful and timely input by State and local elected officials in the development of regulatory policies that have Federalism implications. “Federalism implications” means substantial direct effects on the States, on the relationship between the National Government and the States, or on the distribution of power and responsibilities among the various levels of government. The regulations do not have Federalism implications.</P>
                    <HD SOURCE="HD3">Regulatory Flexibility Act Certification</HD>
                    <P>Pursuant to 5 U.S.C. 601(2), the Regulatory Flexibility Act applies only to rules for which an agency publishes a general notice of proposed rulemaking.</P>
                    <P>
                        <E T="03">Accessible Format:</E>
                         On request to the program contact person listed under 
                        <E T="02">FOR FURTHER INFORMATION CONTACT</E>
                        , individuals with disabilities can obtain this document in an accessible format. The Department will provide the requestor with an accessible format that may include Rich Text Format (RTF) or text format (txt), a thumb drive, an MP3 file, braille, large print, audiotape, or compact disc, or other accessible format.
                    </P>
                    <P>
                        <E T="03">Electronic Access to This Document:</E>
                         The official version of this document is the document published in the 
                        <E T="04">Federal Register</E>
                        . You may access the official edition of the 
                        <E T="04">Federal Register</E>
                         and the Code of Federal Regulations at 
                        <E T="03">www.govinfo.gov.</E>
                         At this site you can view this document, as well as all other documents of this Department published in the 
                        <E T="04">Federal Register</E>
                        , in text or Portable Document Format (PDF). To use PDF, you must have Adobe Acrobat Reader, which is available free at the site.
                    </P>
                    <P>
                        You may also access documents of the Department published in the 
                        <E T="04">Federal Register</E>
                         by using the article search feature at 
                        <E T="03">www.federalregister.gov.</E>
                         Specifically, through the advanced search feature at this site, you can limit your search to documents published by the Department.
                    </P>
                    <LSTSUB>
                        <HD SOURCE="HED">List of Subjects</HD>
                        <CFR>34 CFR Part 682</CFR>
                        <P>Administrative practice and procedure, Colleges and universities, Loan programs—education, Reporting and recordkeeping requirements, Student aid, Vocational education.</P>
                        <CFR>34 CFR Part 685</CFR>
                        <P>Administrative practice and procedure, Colleges and universities, Education, Loan programs-education, Reporting and recordkeeping requirements, Student aid, Vocational education.</P>
                    </LSTSUB>
                    <SIG>
                        <NAME>Miguel A. Cardona,</NAME>
                        <TITLE>Secretary of Education.</TITLE>
                    </SIG>
                    <P>For the reasons discussed in the preamble, the Secretary amends parts 682 and 685 of title 34 of the Code of Federal Regulations as follows:</P>
                    <PART>
                        <HD SOURCE="HED">PART 682—FEDERAL FAMILY EDUCATION LOAN (FFEL) PROGRAM</HD>
                    </PART>
                    <REGTEXT TITLE="34" PART="682">
                        <AMDPAR>1. The authority citation for part 682 continues to read as follows:</AMDPAR>
                        <AUTH>
                            <HD SOURCE="HED">Authority:</HD>
                            <P> 20 U.S.C. 1071-1087-4, unless otherwise noted.</P>
                        </AUTH>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="682">
                        <AMDPAR>2. Section 682.215 is amended by revising paragraph (a)(3) to read as follows:</AMDPAR>
                        <SECTION>
                            <SECTNO>§ 682.215</SECTNO>
                            <SUBJECT> Income-based repayment plan.</SUBJECT>
                            <P>(a) * * *</P>
                            <P>
                                (3) 
                                <E T="03">Family size</E>
                                 means the number of individuals that is determined by adding together—
                            </P>
                            <P>(i) The borrower;</P>
                            <P>(ii) The borrower's spouse, for a married borrower filing a joint Federal income tax return;</P>
                            <P>(iii) The borrower's children, including unborn children who will be born during the year the borrower certifies family size, if the children receive more than half their support from the borrower and are not included in the family size for any other borrower except the borrower's spouse who filed jointly with the borrower; and</P>
                            <P>
                                (iv) Other individuals if, at the time the borrower certifies family size, the 
                                <PRTPAGE P="43900"/>
                                other individuals live with the borrower and receive more than half their support from the borrower and will continue to receive this support from the borrower for the year for which the borrower certifies family size.
                            </P>
                            <STARS/>
                        </SECTION>
                    </REGTEXT>
                    <PART>
                        <HD SOURCE="HED">PART 685—WILLIAM D. FORD FEDERAL DIRECT LOAN PROGRAM</HD>
                    </PART>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>3. The authority citation for part 685 continues to read as follows:</AMDPAR>
                        <AUTH>
                            <HD SOURCE="HED">Authority: </HD>
                            <P>
                                20 U.S.C. 1070g, 1087a, 
                                <E T="03">et seq.,</E>
                                 unless otherwise noted.
                            </P>
                        </AUTH>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>4. In § 685.102, in paragraph (b), the definition of “Satisfactory repayment arrangement” is amended by revising paragraph (2)(ii) to read as follows:</AMDPAR>
                        <SECTION>
                            <SECTNO>§ 685.102 </SECTNO>
                            <SUBJECT> Definitions.</SUBJECT>
                            <STARS/>
                            <P>(b) * * *</P>
                            <P>
                                <E T="03">Satisfactory repayment arrangement:</E>
                                 * * *
                            </P>
                            <P>(2) * * *</P>
                            <P>(ii) Agreeing to repay the Direct Consolidation Loan under one of the income-driven repayment plans described in § 685.209.</P>
                            <STARS/>
                        </SECTION>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>5. Section 685.208 is amended by:</AMDPAR>
                        <AMDPAR>a. Revising the section heading;</AMDPAR>
                        <AMDPAR>b. Revising paragraphs (a) and (k); and</AMDPAR>
                        <AMDPAR>c. Removing paragraphs (l) and (m).</AMDPAR>
                        <P>The revisions read as follows:</P>
                        <SECTION>
                            <SECTNO>§ 685.208 </SECTNO>
                            <SUBJECT> Fixed payment repayment plans.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">General.</E>
                                 Under a fixed payment repayment plan, the borrower's required monthly payment amount is determined based on the amount of the borrower's Direct Loans, the interest rates on the loans, and the repayment plan's maximum repayment period.
                            </P>
                            <STARS/>
                            <P>(k) The repayment period for any of the repayment plans described in this section does not include periods of authorized deferment or forbearance.</P>
                        </SECTION>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>6. Section 685.209 is revised to read as follows:</AMDPAR>
                        <SECTION>
                            <SECTNO>§ 685.209 </SECTNO>
                            <SUBJECT> Income-driven repayment plans.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">General.</E>
                                 Income-driven repayment (IDR) plans are repayment plans that base the borrower's monthly payment amount on the borrower's income and family size. The four IDR plans are—
                            </P>
                            <P>(1) The Revised Pay As You Earn (REPAYE) plan, which may also be referred to as the Saving on a Valuable Education (SAVE) plan;</P>
                            <P>(2) The Income-Based Repayment (IBR) plan;</P>
                            <P>(3) The Pay As You Earn (PAYE) Repayment plan; and</P>
                            <P>(4) The Income-Contingent Repayment (ICR) plan;</P>
                            <P>
                                (b) 
                                <E T="03">Definitions.</E>
                                 The following definitions apply to this section:
                            </P>
                            <P>
                                <E T="03">Discretionary income</E>
                                 means the greater of $0 or the difference between the borrower's income as determined under paragraph (e)(1) of this section and—
                            </P>
                            <P>(i) For the REPAYE plan, 225 percent of the applicable Federal poverty guideline;</P>
                            <P>(ii) For the IBR and PAYE plans, 150 percent of the applicable Federal poverty guideline; and</P>
                            <P>(iii) For the ICR plan, 100 percent of the applicable Federal poverty guideline.</P>
                            <P>
                                <E T="03">Eligible loan,</E>
                                 for purposes of determining partial financial hardship status and for adjusting the monthly payment amount in accordance with paragraph (g) of this section means—
                            </P>
                            <P>(i) Any outstanding loan made to a borrower under the Direct Loan Program, except for a Direct PLUS Loan made to a parent borrower, or a Direct Consolidation Loan that repaid a Direct PLUS Loan or a Federal PLUS Loan made to a parent borrower; and</P>
                            <P>(ii) Any outstanding loan made to a borrower under the FFEL Program, except for a Federal PLUS Loan made to a parent borrower, or a Federal Consolidation Loan that repaid a Federal PLUS Loan or a Direct PLUS Loan made to a parent borrower.</P>
                            <P>
                                <E T="03">Family size</E>
                                 means, for all IDR plans, the number of individuals that is determined by adding together—
                            </P>
                            <P>(i)(A) The borrower;</P>
                            <P>(B) The borrower's spouse, for a married borrower filing a joint Federal income tax return;</P>
                            <P>(C) The borrower's children, including unborn children who will be born during the year the borrower certifies family size, if the children receive more than half their support from the borrower and are not included in the family size for any other borrower except the borrower's spouse who filed jointly with the borrower; and</P>
                            <P>(D) Other individuals if, at the time the borrower certifies family size, the other individuals live with the borrower and receive more than half their support from the borrower and will continue to receive this support from the borrower for the year for which the borrower certifies family size.</P>
                            <P>(ii) The Department may calculate family size based on Federal tax information reported to the Internal Revenue Service.</P>
                            <P>
                                <E T="03">Income</E>
                                 means either—
                            </P>
                            <P>(i) The borrower's and, if applicable, the spouse's, Adjusted Gross Income (AGI) as reported to the Internal Revenue Service; or</P>
                            <P>(ii) The amount calculated based on alternative documentation of all forms of taxable income received by the borrower and provided to the Secretary.</P>
                            <P>
                                <E T="03">Income-driven repayment plan</E>
                                 means a repayment plan in which the monthly payment amount is primarily determined by the borrower's income.
                            </P>
                            <P>
                                <E T="03">Monthly payment or the equivalent</E>
                                 means—
                            </P>
                            <P>(i) A required monthly payment as determined in accordance with paragraphs (k)(4)(i) through (iii) of this section;</P>
                            <P>(ii) A month in which a borrower receives a deferment or forbearance of repayment under one of the deferment or forbearance conditions listed in paragraphs (k)(4)(iv) of this section; or</P>
                            <P>(iii) A month in which a borrower makes a payment in accordance with procedures in paragraph (k)(6) of this section.</P>
                            <P>
                                <E T="03">New borrower</E>
                                 means—
                            </P>
                            <P>(i) For the purpose of the PAYE plan, an individual who—</P>
                            <P>(A) Has no outstanding balance on a Direct Loan Program loan or a FFEL Program loan as of October 1, 2007, or who has no outstanding balance on such a loan on the date the borrower receives a new loan after October 1, 2007; and</P>
                            <P>(B) Receives a disbursement of a Direct Subsidized Loan, a Direct Unsubsidized Loan, a Direct PLUS Loan made to a graduate or professional student, or a Direct Consolidation Loan on or after October 1, 2011, except that a borrower is not considered a new borrower if the Direct Consolidation Loan repaid a loan that would otherwise make the borrower ineligible under paragraph (1) of this definition.</P>
                            <P>(ii) For the purposes of the IBR plan, an individual who has no outstanding balance on a Direct Loan or FFEL Program loan on July 1, 2014, or who has no outstanding balance on such a loan on the date the borrower obtains a loan after July 1, 2014.</P>
                            <P>
                                <E T="03">Partial financial hardship</E>
                                 means—
                            </P>
                            <P>
                                (i) For an unmarried borrower or for a married borrower whose spouse's income and eligible loan debt are excluded for purposes of determining a payment amount under the IBR or PAYE plans in accordance with paragraph (e) of this section, a circumstance in which the Secretary determines that the annual amount the borrower would be required to pay on the borrower's eligible loans under the 10-year standard repayment plan is more than what the borrower would pay under the IBR or PAYE plan as determined in accordance with paragraph (f) of this section. The Secretary determines the annual amount that would be due under the 10-year Standard Repayment plan based on the greater of the balances of the borrower's eligible loans that were outstanding at 
                                <PRTPAGE P="43901"/>
                                the time the borrower entered repayment on the loans or the balances on those loans that were outstanding at the time the borrower selected the IBR or PAYE plan.
                            </P>
                            <P>(ii) For a married borrower whose spouse's income and eligible loan debt are included for purposes of determining a payment amount under the IBR or PAYE plan in accordance with paragraph (e) of this section, the Secretary's determination of partial financial hardship as described in paragraph (1) of this definition is based on the income and eligible loan debt of the borrower and the borrower's spouse.</P>
                            <P>
                                <E T="03">Poverty guideline</E>
                                 refers to the income categorized by State and family size in the Federal poverty guidelines published annually by the United States Department of Health and Human Services pursuant to 42 U.S.C. 9902(2). If a borrower is not a resident of a State identified in the Federal poverty guidelines, the Federal poverty guideline to be used for the borrower is the Federal poverty guideline (for the relevant family size) used for the 48 contiguous States.
                            </P>
                            <P>
                                <E T="03">Support</E>
                                 includes money, gifts, loans, housing, food, clothes, car, medical and dental care, and payment of college costs.
                            </P>
                            <P>
                                (c) 
                                <E T="03">Borrower eligibility for IDR plans.</E>
                                 (1) Except as provided in paragraph (d)(2) of this section, defaulted loans may not be repaid under an IDR plan.
                            </P>
                            <P>(2) Any Direct Loan borrower may repay under the REPAYE plan if the borrower has loans eligible for repayment under the plan;</P>
                            <P>(3)(i) Except as provided in paragraph (c)(3)(ii) of this section, any Direct Loan borrower may repay under the IBR plan if the borrower has loans eligible for repayment under the plan and has a partial financial hardship when the borrower initially enters the plan.</P>
                            <P>(ii) A borrower who has made 60 or more qualifying repayments under the REPAYE plan on or after July 1, 2024, may not enroll in the IBR plan.</P>
                            <P>(4) A borrower may repay under the PAYE plan only if the borrower—</P>
                            <P>(i) Has loans eligible for repayment under the plan;</P>
                            <P>(ii) Is a new borrower;</P>
                            <P>(iii) Has a partial financial hardship when the borrower initially enters the plan; and</P>
                            <P>(iv) Was repaying a loan under the PAYE plan on July 1, 2024. A borrower who was repaying under the PAYE plan on or after July 1, 2024 and changes to a different repayment plan in accordance with § 685.210(b) may not re-enroll in the PAYE plan.</P>
                            <P>(5)(i) Except as provided in paragraph (c)(4)(ii) of this section, a borrower may repay under the ICR plan only if the borrower—</P>
                            <P>(A) Has loans eligible for repayment under the plan; and</P>
                            <P>(B) Was repaying a loan under the ICR plan on July 1, 2024. A borrower who was repaying under the ICR plan on or after July 1, 2024 and changes to a different repayment plan in accordance with § 685.210(b) may not re-enroll in the ICR plan unless they meet the criteria in paragraph (c)(4)(ii) of this section.</P>
                            <P>(ii) A borrower may choose the ICR plan to repay a Direct Consolidation Loan disbursed on or after July 1, 2006 and that repaid a parent Direct PLUS Loan or a parent Federal PLUS Loan.</P>
                            <P>(iii) A borrower who has a Direct Consolidation Loan disbursed on or after July 1, 2025, which repaid a Direct parent PLUS loan, a FFEL parent PLUS loan, or a Direct Consolidation Loan that repaid a consolidation loan that included a Direct PLUS or FFEL PLUS loan may not choose any IDR plan except the ICR plan.</P>
                            <P>
                                (d) 
                                <E T="03">Loans eligible to be repaid under an IDR plan.</E>
                                 (1) The following loans are eligible to be repaid under the REPAYE and PAYE plans: Direct Subsidized Loans, Direct Unsubsidized Loans, Direct PLUS Loans made to graduate or professional students, and Direct Consolidation Loans that did not repay a Direct parent PLUS Loan or a Federal parent PLUS Loan;
                            </P>
                            <P>(2) The following loans, including defaulted loans, are eligible to be repaid under the IBR plan: Direct Subsidized Loans, Direct Unsubsidized Loans, Direct PLUS Loans made to graduate or professional students, and Direct Consolidation Loans that did not repay a Direct parent PLUS Loan or a Federal parent PLUS Loan.</P>
                            <P>(3) The following loans are eligible to be repaid under the ICR plan: Direct Subsidized Loans, Direct Unsubsidized Loans, Direct PLUS Loans made to graduate or professional students, and all Direct Consolidation Loans (including Direct Consolidation Loans that repaid Direct parent PLUS Loans or Federal parent PLUS Loans), except for Direct PLUS Consolidation Loans made before July 1, 2006.</P>
                            <P>
                                (e) 
                                <E T="03">Treatment of income and loan debt.</E>
                                 (1) 
                                <E T="03">Income.</E>
                                 (i) For purposes of calculating the borrower's monthly payment amount under the REPAYE, IBR, and PAYE plans—
                            </P>
                            <P>(A) For an unmarried borrower, a married borrower filing a separate Federal income tax return, or a married borrower filing a joint Federal tax return who certifies that the borrower is currently separated from the borrower's spouse or is currently unable to reasonably access the spouse's income, only the borrower's income is used in the calculation.</P>
                            <P>(B) For a married borrower filing a joint Federal income tax return, except as provided in paragraph (e)(1)(i)(A) of this section, the combined income of the borrower and spouse is used in the calculation.</P>
                            <P>(ii) For purposes of calculating the monthly payment amount under the ICR plan—</P>
                            <P>(A) For an unmarried borrower, a married borrower filing a separate Federal income tax return, or a married borrower filing a joint Federal tax return who certifies that the borrower is currently separated from the borrower's spouse or is currently unable to reasonably access the spouse's income, only the borrower's income is used in the calculation.</P>
                            <P>(B) For married borrowers (regardless of tax filing status) who elect to repay their Direct Loans jointly under the ICR Plan or (except as provided in paragraph (e)(1)(ii)(A) of this section) for a married borrower filing a joint Federal income tax return, the combined income of the borrower and spouse is used in the calculation.</P>
                            <P>
                                (2) 
                                <E T="03">Loan debt.</E>
                                 (i) For the REPAYE, IBR, and PAYE plans, the spouse's eligible loan debt is included for the purposes of adjusting the borrower's monthly payment amount as described in paragraph (g) of this section if the spouse's income is included in the calculation of the borrower's monthly payment amount in accordance with paragraph (e)(1) of this section.
                            </P>
                            <P>(ii) For the ICR plan, the spouse's loans that are eligible for repayment under the ICR plan in accordance with paragraph (d)(3) of this section are included in the calculation of the borrower's monthly payment amount only if the borrower and the borrower's spouse elect to repay their eligible Direct Loans jointly under the ICR plan.</P>
                            <P>
                                (f) 
                                <E T="03">Monthly payment amounts.</E>
                                 (1) For the REPAYE plan, the borrower's monthly payments are—
                            </P>
                            <P>(i) $0 for the portion of the borrower's income, as determined under paragraph (e)(1) of this section, that is less than or equal to 225 percent of the applicable Federal poverty guideline; plus</P>
                            <P>
                                (ii) 5 percent of the portion of income as determined under paragraph (e)(1) of this section that is greater than 225 percent of the applicable poverty guideline, prorated by the percentage that is the result of dividing the borrower's original total loan balance attributable to eligible loans received for the borrower's undergraduate study by the original total loan balance 
                                <PRTPAGE P="43902"/>
                                attributable to all eligible loans, divided by 12; plus
                            </P>
                            <P>(iii) For loans not subject to paragraph (f)(1)(ii) of this section, 10 percent of the portion of income as determined under paragraph (e)(1) of this section that is greater than 225 percent of the applicable Federal poverty guidelines, prorated by the percentage that is the result of dividing the borrower's original total loan balance minus the original total loan balance of loans subject to paragraph (f)(1)(ii) of this section by the borrower's original total loan balance attributable to all eligible loans, divided by 12.</P>
                            <P>(2) For new borrowers under the IBR plan and for all borrowers on the PAYE plan, the borrower's monthly payments are the lesser of—</P>
                            <P>(i) 10 percent of the borrower's discretionary income, divided by 12; or</P>
                            <P>(ii) What the borrower would have paid on a 10-year standard repayment plan based on the eligible loan balances and interest rates on the loans at the time the borrower began paying under the IBR or PAYE plans.</P>
                            <P>(3) For those who are not new borrowers under the IBR plan, the borrower's monthly payments are the lesser of—</P>
                            <P>(i) 15 percent of the borrower's discretionary income, divided by 12; or</P>
                            <P>(ii) What the borrower would have paid on a 10-year standard repayment plan based on the eligible loan balances and interest rates on the loans at the time the borrower began paying under the IBR plan.</P>
                            <P>(4)(i) For the ICR plan, the borrower's monthly payments are the lesser of—</P>
                            <P>
                                (A) What the borrower would have paid under a repayment plan with fixed monthly payments over a 12-year repayment period, based on the amount that the borrower owed when the borrower began repaying under the ICR plan, multiplied by a percentage based on the borrower's income as established by the Secretary in a 
                                <E T="04">Federal Register</E>
                                 notice published annually to account for inflation; or
                            </P>
                            <P>(B) 20 percent of the borrower's discretionary income, divided by 12.</P>
                            <P>(ii)(A) Married borrowers may repay their loans jointly under the ICR plan. The outstanding balances on the loans of each borrower are added together to determine the borrowers' combined monthly payment amount under paragraph (f)(4)(i) of this section;</P>
                            <P>(B) The amount of the payment applied to each borrower's debt is the proportion of the payments that equals the same proportion as that borrower's debt to the total outstanding balance, except that the payment is credited toward outstanding interest on any loan before any payment is credited toward principal.</P>
                            <P>
                                (g) 
                                <E T="03">Adjustments to monthly payment amounts.</E>
                                 (1) Monthly payment amounts calculated under paragraphs (f)(1) through (3) of this section will be adjusted in the following circumstances:
                            </P>
                            <P>(i) In cases where the spouse's loan debt is included in accordance with paragraph (e)(2)(i) of this section, the borrower's payment is adjusted by—</P>
                            <P>(A) Dividing the outstanding principal and interest balance of the borrower's eligible loans by the couple's combined outstanding principal and interest balance on eligible loans; and</P>
                            <P>(B) Multiplying the borrower's payment amount as calculated in accordance with paragraphs (f)(1) through (3) of this section by the percentage determined under paragraph (g)(1)(i) of this section.</P>
                            <P>(C) If the borrower's calculated payment amount is—</P>
                            <P>
                                (
                                <E T="03">1</E>
                                ) Less than $5, the monthly payment is $0; or
                            </P>
                            <P>
                                (
                                <E T="03">2</E>
                                ) Equal to or greater than $5 but less than $10, the monthly payment is $10.
                            </P>
                            <P>(ii) In cases where the borrower has outstanding eligible loans made under the FFEL Program, the borrower's calculated monthly payment amount, as determined in accordance with paragraphs (f)(1) through (3) of this section or, if applicable, the borrower's adjusted payment as determined in accordance with paragraph (g)(1) of this section is adjusted by—</P>
                            <P>(A) Dividing the outstanding principal and interest balance of the borrower's eligible loans that are Direct Loans by the borrower's total outstanding principal and interest balance on eligible loans; and</P>
                            <P>(B) Multiplying the borrower's payment amount as calculated in accordance with paragraphs (f)(1) through (3) of this section or the borrower's adjusted payment amount as determined in accordance with paragraph (g)(1) of this section by the percentage determined under paragraph (g)(2)(i) of this section.</P>
                            <P>(C) If the borrower's calculated payment amount is—</P>
                            <P>
                                (
                                <E T="03">1</E>
                                ) Less than $5, the monthly payment is $0; or
                            </P>
                            <P>
                                (
                                <E T="03">2</E>
                                ) Equal to or greater than $5 but less than $10, the monthly payment is $10.
                            </P>
                            <P>(2) Monthly payment amounts calculated under paragraph (f)(4) of this section will be adjusted to $5 in circumstances where the borrower's calculated payment amount is greater than $0 but less than or equal to $5.</P>
                            <P>
                                (h) 
                                <E T="03">Interest.</E>
                                 If a borrower's calculated monthly payment under an IDR plan is insufficient to pay the accrued interest on the borrower's loans, the Secretary charges the remaining accrued interest to the borrower in accordance with paragraphs (h)(1) through (3) of this section.
                            </P>
                            <P>(1) Under the REPAYE plan, during all periods of repayment on all loans being repaid under the REPAYE plan, the Secretary does not charge the borrower's account any accrued interest that is not covered by the borrower's payment;</P>
                            <P>(2)(i) Under the IBR and PAYE plans, the Secretary does not charge the borrower's account with an amount equal to the amount of accrued interest on the borrower's Direct Subsidized Loans and Direct Subsidized Consolidation Loans that is not covered by the borrower's payment for the first three consecutive years of repayment under the plan, except as provided for the IBR and PAYE plans in paragraph (h)(2)(ii) of this section;</P>
                            <P>(ii) Under the IBR and PAYE plans, the 3-year period described in paragraph (h)(2)(i) of this section excludes any period during which the borrower receives an economic hardship deferment under § 685.204(g); and</P>
                            <P>(3) Under the ICR plan, the Secretary charges all accrued interest to the borrower.</P>
                            <P>
                                (i) 
                                <E T="03">Changing repayment plans.</E>
                                 A borrower who is repaying under an IDR plan may change at any time to any other repayment plan for which the borrower is eligible, except as otherwise provided in § 685.210(b).
                            </P>
                            <P>
                                (j) 
                                <E T="03">Interest capitalization.</E>
                                 (1) Under the REPAYE, PAYE, and ICR plans, the Secretary capitalizes unpaid accrued interest in accordance with § 685.202(b).
                            </P>
                            <P>(2) Under the IBR plan, the Secretary capitalizes unpaid accrued interest—</P>
                            <P>(i) In accordance with § 685.202(b);</P>
                            <P>(ii) When a borrower's payment is the amount described in paragraphs (f)(2)(ii) and (f)(3)(ii) of this section; and</P>
                            <P>(iii) When a borrower leaves the IBR plan.</P>
                            <P>
                                (k) 
                                <E T="03">Forgiveness timeline.</E>
                                 (1) In the case of a borrower repaying under the REPAYE plan who is repaying at least one loan received for graduate or professional study, or a Direct Consolidation Loan that repaid one or more loans received for graduate or professional study, a borrower repaying under the IBR plan who is not a new borrower, or a borrower repaying under the ICR plan, the borrower receives forgiveness of the remaining balance of the borrower's loan after the borrower has satisfied 300 monthly payments or the equivalent in accordance with paragraph (k)(4) of this section over a period of at least 25 years;
                            </P>
                            <P>
                                (2) In the case of a borrower repaying under the REPAYE plan who is repaying 
                                <PRTPAGE P="43903"/>
                                only loans received for undergraduate study, or a Direct Consolidation Loan that repaid only loans received for undergraduate study, a borrower repaying under the IBR plan who is a new borrower, or a borrower repaying under the PAYE plan, the borrower receives forgiveness of the remaining balance of the borrower's loans after the borrower has satisfied 240 monthly payments or the equivalent in accordance with paragraph (k)(4) of this section over a period of at least 20 years;
                            </P>
                            <P>(3) Notwithstanding paragraphs (k)(1) and (k)(2) of this section, a borrower receives forgiveness if the borrower's total original principal balance on all loans that are being paid under the REPAYE plan was less than or equal to $12,000, after the borrower has satisfied 120 monthly payments or the equivalent, plus an additional 12 monthly payments or the equivalent over a period of at least 1 year for every $1,000 if the total original principal balance is above $12,000.</P>
                            <P>(4) For all IDR plans, a borrower receives a month of credit toward forgiveness by—</P>
                            <P>(i) Making a payment under an IDR plan or having a monthly payment obligation of $0;</P>
                            <P>(ii) Making a payment under the 10-year standard repayment plan under § 685.208(b);</P>
                            <P>(iii) Making a payment under a repayment plan with payments that are as least as much as they would have been under the 10-year standard repayment plan under § 685.208(b), except that no more than 12 payments made under paragraph (l)(9)(iii) of this section may count toward forgiveness under the REPAYE plan;</P>
                            <P>(iv) Deferring or forbearing monthly payments under the following provisions:</P>
                            <P>(A) A cancer treatment deferment under section 455(f)(3) of the Act;</P>
                            <P>(B) A rehabilitation training program deferment under § 685.204(e);</P>
                            <P>(C) An unemployment deferment under § 685.204(f);</P>
                            <P>(D) An economic hardship deferment under § 685.204(g), which includes volunteer service in the Peace Corps as an economic hardship condition;</P>
                            <P>(E) A military service deferment under § 685.204(h);</P>
                            <P>(F) A post active-duty student deferment under § 685.204(i);</P>
                            <P>(G) A national service forbearance under § 685.205(a)(4) on or after July 1, 2024;</P>
                            <P>(H) A national guard duty forbearance under § 685.205(a)(7) on or after July 1, 2024;</P>
                            <P>(I) A Department of Defense Student Loan Repayment forbearance under § 685.205(a)(9) on or after July 1, 2024;</P>
                            <P>(J) An administrative forbearance under § 685.205(b)(8) or (9) on or after July 1, 2024; or</P>
                            <P>(K) A bankruptcy forbearance under § 685.205(b)(6)(viii) on or after July 1, 2024 if the borrower made the required payments on a confirmed bankruptcy plan.</P>
                            <P>(v) Making a qualifying payment as described under § 685.219(c)(2),</P>
                            <P>(vi) (A) Counting payments a borrower of a Direct Consolidation Loan made on the Direct Loans or FFEL program loans repaid by the Direct Consolidation Loan if the payments met the criteria in paragraph (k)(4) of this section, the criteria in § 682.209(a)(6)(vi) that were based on a 10-year repayment period, or the criteria in § 682.215.</P>
                            <P>(B) For a borrower whose Direct Consolidation Loan repaid loans with more than one period of qualifying payments, the borrower receives credit for the number of months equal to the weighted average of qualifying payments made rounded up to the nearest whole month.</P>
                            <P>(C) For borrowers whose Joint Direct Consolidation Loan is separated into individual Direct Consolidation loans, each borrower receives credit for the number of months equal to the number of months that was credited prior to the separation; or,</P>
                            <P>(vii) Making payments under paragraph (k)(6) of this section.</P>
                            <P>(5) For the IBR plan only, a monthly repayment obligation for the purposes of forgiveness includes—</P>
                            <P>(i) A payment made pursuant to paragraph (k)(4)(i) or (k)(4)(ii) of this section on a loan in default;</P>
                            <P>(ii) An amount collected through administrative wage garnishment or Federal Offset that is equivalent to the amount a borrower would owe under paragraph (k)(4)(i) of this section, except that the number of monthly payment obligations satisfied by the borrower cannot exceed the number of months from the Secretary's receipt of the collected amount until the borrower's next annual repayment plan recertification date under IBR; or</P>
                            <P>(iii) An amount collected through administrative wage garnishment or Federal Offset that is equivalent to the amount a borrower would owe on the 10-year standard plan.</P>
                            <P>(6)(i) A borrower may obtain credit toward forgiveness as defined in paragraph (k) of this section for any months in which a borrower was in a deferment or forbearance not listed in paragraph (k)(4)(iv) of this section by making an additional payment equal to or greater than their current IDR payment, including a payment of $0, for a deferment or forbearance that ended within 3 years of the additional repayment date and occurred after July 1, 2024.</P>
                            <P>(ii) Upon request, the Secretary informs the borrower of the months for which the borrower can make payments under paragraph (k)(6)(i) of this section.</P>
                            <P>
                                (l) 
                                <E T="03">Application and annual recertification procedures.</E>
                                 (1) To initially enter or recertify their intent to repay under an IDR plan, a borrower provides approval for the disclosure of applicable tax information to the Secretary either as part of the process of completing a Direct Loan Master Promissory Note or a Direct Consolidation Loan Application and Promissory Note in accordance with sections 455(e)(8) and 493C(c)(2) of the Act or on application form approved by the Secretary;
                            </P>
                            <P>(2) If a borrower does not provide approval for the disclosure of applicable tax information under sections 455(e)(8) and 493C(c)(2) of the Act when completing the promissory note or on the application form for an IDR plan, the borrower must provide documentation of the borrower's income and family size to the Secretary;</P>
                            <P>(3) If the Secretary has received approval for disclosure of applicable tax information, but cannot obtain the borrower's AGI and family size from the Internal Revenue Service, the borrower and, if applicable, the borrower's spouse, must provide documentation of income and family size to the Secretary;</P>
                            <P>(4) After the Secretary obtains sufficient information to calculate the borrower's monthly payment amount, the Secretary calculates the borrower's payment and establishes the 12-month period during which the borrower will be obligated to make a payment in that amount;</P>
                            <P>(5) The Secretary then sends to the borrower a repayment disclosure that—</P>
                            <P>(i) Specifies the borrower's calculated monthly payment amount;</P>
                            <P>(ii) Explains how the payment was calculated;</P>
                            <P>(iii) Informs the borrower of the terms and conditions of the borrower's selected repayment plan; and</P>
                            <P>(iv) Informs the borrower of how to contact the Secretary if the calculated payment amount is not reflective of the borrower's current income or family size;</P>
                            <P>
                                (6) If the borrower believes that the payment amount is not reflective of the borrower's current income or family size, the borrower may request that the Secretary recalculate the payment amount. To support the request, the 
                                <PRTPAGE P="43904"/>
                                borrower must also submit alternative documentation of income or family size not based on tax information to account for circumstances such as a decrease in income since the borrower last filed a tax return, the borrower's separation from a spouse with whom the borrower had previously filed a joint tax return, the birth or impending birth of a child, or other comparable circumstances;
                            </P>
                            <P>(7) If the borrower provides alternative documentation under paragraph (l)(6) of this section or if the Secretary obtains documentation from the borrower or spouse under paragraph (l)(3) of this section, the Secretary grants forbearance under § 685.205(b)(9) to provide time for the Secretary to recalculate the borrower's monthly payment amount based on the documentation obtained from the borrower or spouse;</P>
                            <P>(8) Once the borrower has 3 monthly payments remaining under the 12-month period specified in paragraph (l)(4) of this section, the Secretary follows the procedures in paragraphs (l)(3) through (l)(7) of this section.</P>
                            <P>(9) If the Secretary requires information from the borrower under paragraph (l)(3) of this section to recalculate the borrower's monthly repayment amount under paragraph (l)(8) of this section, and the borrower does not provide the necessary documentation to the Secretary by the time the last payment is due under the 12-month period specified under paragraph (l)(4) of this section—</P>
                            <P>(i) For the IBR and PAYE plans, the borrower's monthly payment amount is the amount determined under paragraph (f)(2)(ii) or (f)(3)(ii) of this section;</P>
                            <P>(ii) For the ICR plan, the borrower's monthly payment amount is the amount the borrower would have paid under a 10-year standard repayment plan based on the total balance of the loans being repaid under the ICR Plan when the borrower initially entered the ICR Plan; and</P>
                            <P>(iii) For the REPAYE plan, the Secretary removes the borrower from the REPAYE plan and places the borrower on an alternative repayment plan under which the borrower's required monthly payment is the amount the borrower would have paid on a 10-year standard repayment plan based on the current loan balances and interest rates on the loans at the time the borrower is removed from the REPAYE plan.</P>
                            <P>(10) At any point during the 12-month period specified under paragraph (l)(4) of this section, the borrower may request that the Secretary recalculate the borrower's payment earlier than would have otherwise been the case to account for a change in the borrower's circumstances, such as a loss of income or employment or divorce. In such cases, the 12-month period specified under paragraph (l)(4) of this section is reset based on the borrower's new information.</P>
                            <P>(11) The Secretary tracks a borrower's progress toward eligibility for forgiveness under paragraph (k) of this section and forgives loans that meet the criteria under paragraph (k) of this section without the need for an application or documentation from the borrower.</P>
                            <P>
                                (m) 
                                <E T="03">Automatic enrollment in an IDR plan.</E>
                                 The Secretary places a borrower on the IDR plan under this section that results in the lowest monthly payment based on the borrower's income and family size if—
                            </P>
                            <P>(1) The borrower is otherwise eligible for the plan;</P>
                            <P>(2) The borrower has approved the disclosure of tax information under paragraph (l)(1) or (l)(2) of this section;</P>
                            <P>(3) The borrower has not made a scheduled payment on the loan for at least 75 days or is in default on the loan and is not subject to a Federal offset, administrative wage garnishment under section 488A of the Act, or to a judgment secured through litigation; and</P>
                            <P>(4) The Secretary determines that the borrower's payment under the IDR plan would be lower than or equal to the payment on the plan in which the borrower is enrolled.</P>
                            <P>
                                (n) 
                                <E T="03">Removal from default.</E>
                                 The Secretary will no longer consider a borrower in default on a loan if—
                            </P>
                            <P>(1) The borrower provides information necessary to calculate a payment under paragraph (f) of this section;</P>
                            <P>(2) The payment calculated pursuant to paragraph (f) of this section is $0; and</P>
                            <P>(3) The income information used to calculate the payment under paragraph (f) of this section includes the point at which the loan defaulted.</P>
                        </SECTION>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>7. Section 685.210 is revised to read as follows:</AMDPAR>
                        <SECTION>
                            <SECTNO>§ 685.210</SECTNO>
                            <SUBJECT> Choice of repayment plan.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">Initial selection of a repayment plan.</E>
                                 (1) Before a Direct Loan enters into repayment, the Secretary provides a borrower with a description of the available repayment plans and requests that the borrower select one. A borrower may select a repayment plan before the loan enters repayment by notifying the Secretary of the borrower's selection in writing.
                            </P>
                            <P>(2) If a borrower does not select a repayment plan, the Secretary designates the standard repayment plan described in § 685.208(b) or (c) for the borrower, as applicable.</P>
                            <P>(3) All Direct Loans obtained by one borrower must be repaid together under the same repayment plan, except that—</P>
                            <P>(i) A borrower of a Direct PLUS Loan or a Direct Consolidation Loan that is not eligible for repayment under an IDR plan may repay the Direct PLUS Loan or Direct Consolidation Loan separately from other Direct Loans obtained by the borrower; and</P>
                            <P>(ii) A borrower of a Direct PLUS Consolidation Loan that entered repayment before July 1, 2006, may repay the Direct PLUS Consolidation Loan separately from other Direct Loans obtained by that borrower.</P>
                            <P>
                                (b) 
                                <E T="03">Changing repayment plans.</E>
                                 (1) A borrower who has entered repayment may change to any other repayment plan for which the borrower is eligible at any time by notifying the Secretary. However, a borrower who is repaying a defaulted loan under the IBR plan or who is repaying a Direct Consolidation Loan under an IDR plan in accordance with § 685.220(d)(1)(i)(A)(
                                <E T="03">3</E>
                                ) may not change to another repayment plan unless—
                            </P>
                            <P>(i) The borrower was required to and did make a payment under the IBR plan or other IDR plan in each of the prior three months; or</P>
                            <P>(ii) The borrower was not required to make payments but made three reasonable and affordable payments in each of the prior 3 months; and</P>
                            <P>(iii) The borrower makes, and the Secretary approves, a request to change plans.</P>
                            <P>(2)(i) A borrower may not change to a repayment plan that would cause the borrower to have a remaining repayment period that is less than zero months, except that an eligible borrower may change to an IDR plan under § 685.209 at any time.</P>
                            <P>(ii) For the purposes of paragraph (b)(2)(i) of this section, the remaining repayment period is—</P>
                            <P>(A) For a fixed repayment plan under § 685.208 or an alternative repayment plan under § 685.221, the maximum repayment period for the repayment plan the borrower is seeking to enter, less the period of time since the loan has entered repayment, plus any periods of deferment and forbearance; and</P>
                            <P>(B) For an IDR plan under § 685.209, as determined under § 685.209(k).</P>
                            <P>
                                (3) A borrower who made payments under the IBR plan and successfully completed rehabilitation of a defaulted loan may chose the REPAYE plan when the loan is returned to current repayment if the borrower is otherwise eligible for the REPAYE plan and if the monthly payment under the REPAYE 
                                <PRTPAGE P="43905"/>
                                plan is equal to or less than their payment on IBR.
                            </P>
                            <P>(4)(i) If a borrower no longer wishes to pay under the IBR plan, the borrower must pay under the standard repayment plan and the Secretary recalculates the borrower's monthly payment based on—</P>
                            <P>(A) For a Direct Subsidized Loan, a Direct Unsubsidized Loan, or a Direct PLUS Loan, the time remaining under the maximum ten-year repayment period for the amount of the borrower's loans that were outstanding at the time the borrower discontinued paying under the IBR plan; or</P>
                            <P>(B) For a Direct Consolidation Loan, the time remaining under the applicable repayment period as initially determined under § 685.208(j) and the amount of that loan that was outstanding at the time the borrower discontinued paying under the IBR plan.</P>
                            <P>(ii) A borrower who no longer wishes to repay under the IBR plan and who is required to repay under the Direct Loan standard repayment plan in accordance with paragraph (b)(4)(i) of this section may request a change to a different repayment plan after making one monthly payment under the Direct Loan standard repayment plan. For this purpose, a monthly payment may include one payment made under a forbearance that provides for accepting smaller payments than previously scheduled, in accordance with § 685.205(a).</P>
                        </SECTION>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>8. Section 685.211 is amended by:</AMDPAR>
                        <AMDPAR>a. Revising paragraph (a)(1);</AMDPAR>
                        <AMDPAR>b. Revising paragraph (f)(1)(i);</AMDPAR>
                        <AMDPAR>c. Revising paragraph (f)(3)(ii); and</AMDPAR>
                        <AMDPAR>d. Adding paragraph (f)(13).</AMDPAR>
                        <P>The revisions and addition read as follows:</P>
                        <SECTION>
                            <SECTNO>§ 685.211 </SECTNO>
                            <SUBJECT> Miscellaneous repayment provisions.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">Payment application and prepayment.</E>
                                 (1)(i) Except as provided for the Income-Based Repayment plan in paragraph (a)(1)(ii) of this section, the Secretary applies any payment in the following order:
                            </P>
                            <P>(A) Accrued charges and collection costs.</P>
                            <P>(B) Outstanding interest.</P>
                            <P>(C) Outstanding principal.</P>
                            <P>(ii) The Secretary applies any payment made under the Income-Based Repayment plan in the following order:</P>
                            <P>(A) Accrued interest.</P>
                            <P>(B) Collection costs.</P>
                            <P>(C) Late charges.</P>
                            <P>(D) Loan principal.</P>
                            <STARS/>
                            <P>(f) * * *</P>
                            <P>(1) * * *</P>
                            <P>(i) The Secretary initially considers the borrower's reasonable and affordable payment amount to be an amount equal to the minimum payment required under the IBR plan, except that if this amount is less than $5, the borrower's monthly payment is $5.</P>
                            <STARS/>
                            <P>(3) * * *</P>
                            <P>(ii) Family size as defined in § 685.209; and</P>
                            <STARS/>
                            <P>(13) A borrower who has a Direct Loan that is rehabilitated and which has been returned to repayment status on or after July 1, 2024, may be transferred to REPAYE by the Secretary if the borrower's minimum payment amount on REPAYE would be equal to or less than the minimum payment amount on the Income-Based Repayment Plan.</P>
                            <STARS/>
                        </SECTION>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>9. Amend § 685.219 by:</AMDPAR>
                        <AMDPAR>
                            a. Revising paragraph (i) of the definition of “Qualifying repayment plan
                            <E T="03">”</E>
                             in paragraph (b).
                        </AMDPAR>
                        <AMDPAR>b. Revising paragraph (c)(2)(iii).</AMDPAR>
                        <AMDPAR>c. Revising paragraph (g)(6)(ii).</AMDPAR>
                        <P>The revisions read as follows:</P>
                        <SECTION>
                            <SECTNO>§ 685.219</SECTNO>
                            <SUBJECT> Public Service Loan Forgiveness Program (PSLF).</SUBJECT>
                            <STARS/>
                            <P>(b) * * *</P>
                            <P>
                                <E T="03">Qualifying repayment plan</E>
                                 * * *
                            </P>
                            <P>(i) An income-driven repayment plan under § 685.209;</P>
                            <STARS/>
                            <P>(c) * * *</P>
                            <P>(2) * * *</P>
                            <P>(iii) For a borrower on an income-driven repayment plan under § 685.209, paying a lump sum or monthly payment amount that is equal to or greater than the full scheduled amount in advance of the borrower's scheduled payment due date for a period of months not to exceed the period from the Secretary's receipt of the payment until the borrower's next annual repayment plan recertification date under the qualifying repayment plan in which the borrower is enrolled;</P>
                            <STARS/>
                            <P>(g) * * *</P>
                            <P>(6) * * *</P>
                            <P>(ii) Otherwise qualified for a $0 payment on an income-driven repayment plan under § 685.209.</P>
                        </SECTION>
                    </REGTEXT>
                    <SECTION>
                        <SECTNO>§ 685.220</SECTNO>
                        <SUBJECT> [Amended] </SUBJECT>
                    </SECTION>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>10. In § 685.220 amend paragraph (h) by adding “§ 685.209, and § 685.221,” after “§ 685.208,”.</AMDPAR>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>11. Section 685.221 is revised to read as follows:</AMDPAR>
                        <SECTION>
                            <SECTNO>§ 685.221 </SECTNO>
                            <SUBJECT> Alternative repayment plan.</SUBJECT>
                            <P>(a) The Secretary may provide an alternative repayment plan to a borrower who demonstrates to the Secretary's satisfaction that the terms and conditions of the repayment plans specified in §§ 685.208 and 685.209 are not adequate to accommodate the borrower's exceptional circumstances.</P>
                            <P>(b) The Secretary may require a borrower to provide evidence of the borrower's exceptional circumstances before permitting the borrower to repay a loan under an alternative repayment plan.</P>
                            <P>(c) If the Secretary agrees to permit a borrower to repay a loan under an alternative repayment plan, the Secretary notifies the borrower in writing of the terms of the plan. After the borrower receives notification of the terms of the plan, the borrower may accept the plan or choose another repayment plan.</P>
                            <P>(d) A borrower must repay a loan under an alternative repayment plan within 30 years of the date the loan entered repayment, not including periods of deferment and forbearance. </P>
                        </SECTION>
                    </REGTEXT>
                      
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>12. Section 685.222 is amended by revising paragraph (e)(2)(ii) to read as follows:</AMDPAR>
                        <SECTION>
                            <SECTNO>§ 685.222 </SECTNO>
                            <SUBJECT> Borrower defenses and procedures for loans first disbursed on or after July 1, 2017, and before July 1, 2020, and procedures for loans first disbursed prior to July 1, 2017.</SUBJECT>
                            <STARS/>
                            <P>(e) * * *</P>
                            <P>(2) * * *</P>
                            <P>(ii) Provides the borrower with information about the availability of the income-driven repayment plans under § 685.209;</P>
                            <STARS/>
                        </SECTION>
                    </REGTEXT>
                    <REGTEXT TITLE="34" PART="685">
                        <AMDPAR>13. Amend § 685.403 by revising paragraph(d)(1) to read as follows:</AMDPAR>
                        <SECTION>
                            <SECTNO>§ 685.403 </SECTNO>
                            <SUBJECT> Individual process for borrower defense.</SUBJECT>
                            <STARS/>
                            <P>(d) * * *</P>
                            <P>(1) Provides the borrower with information about the availability of the income-driven repayment plans under § 685.209;</P>
                            <STARS/>
                        </SECTION>
                    </REGTEXT>
                </SUPLINF>
                <FRDOC>[FR Doc. 2023-13112 Filed 7-3-23; 8:45 am]</FRDOC>
                <BILCOD>BILLING CODE 4000-01-P</BILCOD>
            </RULE>
        </RULES>
    </NEWPART>
    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Notices</UNITNAME>
    <NEWPART>
        <PTITLE>
            <PRTPAGE P="43907"/>
            <PARTNO>Part IV</PARTNO>
            <AGENCY TYPE="P">Department of Housing and Urban Development</AGENCY>
            <TITLE>Notice of Regulatory Waiver Requests Granted for the Fourth Quarter of Calendar Year 2022; Notice</TITLE>
        </PTITLE>
        <NOTICES>
            <NOTICE>
                <PREAMB>
                    <PRTPAGE P="43908"/>
                    <AGENCY TYPE="S">DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT</AGENCY>
                    <DEPDOC>[Docket No. FR-6325-N-04]</DEPDOC>
                    <SUBJECT>Notice of Regulatory Waiver Requests Granted for the Fourth Quarter of Calendar Year 2022</SUBJECT>
                    <AGY>
                        <HD SOURCE="HED">AGENCY:</HD>
                        <P>Office of the General Counsel, HUD.</P>
                    </AGY>
                    <ACT>
                        <HD SOURCE="HED">ACTION:</HD>
                        <P>Notice.</P>
                    </ACT>
                    <SUM>
                        <HD SOURCE="HED">SUMMARY:</HD>
                        <P>
                            Section 106 of the Department of Housing and Urban Development Reform Act of 1989 (the HUD Reform Act) requires HUD to publish quarterly 
                            <E T="04">Federal Register</E>
                             notices of all regulatory waivers that HUD has approved. Each notice covers the quarterly period since the previous 
                            <E T="04">Federal Register</E>
                             notice. The purpose of this notice is to comply with the requirements of section 106 of the HUD Reform Act. This notice contains a list of regulatory waivers granted by HUD during the period beginning on October 1, 2022 and ending on December 31, 2022.
                        </P>
                    </SUM>
                    <FURINF>
                        <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                        <P>For general information about this notice, contact Aaron Santa Anna, Associate General Counsel for Legislation and Regulations, Department of Housing and Urban Development, 451 Seventh Street SW, Room 10276, Washington, DC 20410-0500, telephone 202-708-3055 (this is not a toll-free number).</P>
                        <P>
                            HUD welcomes and is prepared to receive calls from individuals who are deaf or hard of hearing, as well as individuals with speech or communication disabilities. To learn more about how to make an accessible telephone call, please visit 
                            <E T="03">https://www.fcc.gov/consumers/guides/telecommunications-relay-service-trs.</E>
                        </P>
                        <P>For information concerning a particular waiver that was granted and for which public notice is provided in this document, contact the person whose name and address follow the description of the waiver granted in the accompanying list of waivers that have been granted in the fourth quarter of calendar year 2022.</P>
                    </FURINF>
                </PREAMB>
                <SUPLINF>
                    <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                    <P>Section 106 of the HUD Reform Act added a new section 7(q) to the Department of Housing and Urban Development Act (42 U.S.C. 3535(q)), which provides that:</P>
                    <P>1. Any waiver of a regulation must be in writing and must specify the grounds for approving the waiver;</P>
                    <P>2. Authority to approve a waiver of a regulation may be delegated by the Secretary only to an individual of Assistant Secretary or equivalent rank, and the person to whom authority to waive is delegated must also have authority to issue the particular regulation to be waived;</P>
                    <P>
                        3. Not less than quarterly, the Secretary must notify the public of all waivers of regulations that HUD has approved, by publishing a notice in the 
                        <E T="04">Federal Register</E>
                        . These notices (each covering the period since the most recent previous notification) shall:
                    </P>
                    <P>a. Identify the project, activity, or undertaking involved;</P>
                    <P>b. Describe the nature of the provision waived and the designation of the provision;</P>
                    <P>c. Indicate the name and title of the person who granted the waiver request;</P>
                    <P>d. Describe briefly the grounds for approval of the request; and</P>
                    <P>e. State how additional information about a particular waiver may be obtained.</P>
                    <P>Section 106 of the HUD Reform Act also contains requirements applicable to waivers of HUD handbook provisions that are not relevant to the purpose of this notice.</P>
                    <P>This notice follows procedures provided in HUD's Statement of Policy on Waiver of Regulations and Directives issued on April 22, 1991 (56 FR 16337). In accordance with those procedures and with the requirements of section 106 of the HUD Reform Act, waivers of regulations are granted by the Assistant Secretary with jurisdiction over the regulations for which a waiver was requested. In those cases in which a General Deputy Assistant Secretary granted the waiver, the General Deputy Assistant Secretary was serving in the absence of the Assistant Secretary in accordance with the office's Order of Succession.</P>
                    <P>This notice covers waivers of regulations granted by HUD from October 1, 2022 through December 31, 2022. For ease of reference, the waivers granted by HUD are listed by HUD program office (for example, the Office of Community Planning and Development, the Office of Fair Housing and Equal Opportunity, the Office of Housing, and the Office of Public and Indian Housing, etc.). Within each program office grouping, the waivers are listed sequentially by the regulatory section of title 24 of the Code of Federal Regulations (CFR) that is being waived. For example, a waiver of a provision in 24 CFR part 58 would be listed before a waiver of a provision in 24 CFR part 570.</P>
                    <P>Where more than one regulatory provision is involved in the grant of a particular waiver request, the action is listed under the section number of the first regulatory requirement that appears in 24 CFR and that is being waived. For example, a waiver of both § 58.73 and § 58.74 would appear sequentially in the listing under § 58.73.</P>
                    <P>Waiver of regulations that involve the same initial regulatory citation are in time sequence beginning with the earliest-dated regulatory waiver.</P>
                    <P>
                        Additionally, this notice includes waivers made pursuant to the Coronavirus Aid, Relief and Economic Security Act (CARES Act), not previously published in the 
                        <E T="04">Federal Register</E>
                        . These waivers are listed separately from other individual waivers within each program office grouping, as CARES Act waivers broadly covered all affected parties rather than individual, case-by-case situations. The lists include additional Memoranda and Notices issued regarding broad CARES Act waivers provided by HUD since the enactment of the Act on March 27, 2020. In addition, the lists provide a short, two- or three-line description of each memo or notice, identifying the specific CARES Act authority and purpose of the waivers addressed therein.
                    </P>
                    <P>Should HUD receive additional information about waivers granted during the period covered by this report (the fourth quarter of calendar year 2022) before the next report is published (the first quarter of calendar year 2023), HUD will include any additional waivers granted for the fourth quarter in the next report.</P>
                    <P>Accordingly, information about approved waiver requests pertaining to HUD regulations is provided in the Appendix that follows this notice.</P>
                    <SIG>
                        <NAME>Damon Y. Smith,</NAME>
                        <TITLE>General Counsel.</TITLE>
                    </SIG>
                    <APPENDIX>
                        <HD SOURCE="HED">Appendix</HD>
                        <HD SOURCE="HD1">Listing of Waivers of Regulatory Requirements Granted by Offices of the Department of Housing and Urban Development October 1, 2022 Through December 31, 2022</HD>
                        <P>
                            <E T="03">Note to Reader:</E>
                             More information about the granting of these waivers, including a copy of the waiver request and approval, may be obtained by contacting the person whose name is listed as the contact person directly after each set of regulatory waivers granted.
                        </P>
                        <P>The regulatory waivers granted appear in the following order:</P>
                        <P>I. Regulatory waivers granted by the Office of Community Planning and Development.</P>
                        <P>II. Regulatory waivers granted by the Office of Housing.</P>
                        <P>III. Regulatory waivers granted by the Office of Public and Indian Housing.</P>
                        <HD SOURCE="HD1">I. Regulatory Waivers and Alternative Requirements Granted by the Office of Community Planning and Development</HD>
                        <P>
                            For further information about the following regulatory waivers, please see the name of 
                            <PRTPAGE P="43909"/>
                            the contact person that immediately follows the description of the waiver granted.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 58.22(a) Limitation on Activities Pending Clearance.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Homekey Project—Salinas, California—Section 8 Project-based Vouchers.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Pursuant to 24 CFR 58.22(a) “until the RROF and the related certification have been approved, neither a recipient nor any participant in the development process may commit non-HUD funds on or undertake an activity . . . if the activity or project would have an adverse environmental impact or limit the choice of reasonable alternatives.”
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 19, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             HUD may approve a Request for a Waiver of Part 58 when a regulatory violation has occurred, if there is good cause to grant the waiver and no unmitigated adverse environmental impacts will result. HUD has reviewed the Environmental Assessment submitted by the City of Salinas and the City asserts the regulatory violation was unintentional, has committed to receiving training and technical assistance, and the purpose of the project to provide housing and supportive services to the homeless furthers HUD program goals.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Kristin L. Fontenot, Director, Office of Environment and Energy, Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7282, Washington, DC 20410, telephone (202) 655-1412.
                        </P>
                        <P>
                            • 
                            <E T="03">Alternative Requirement:</E>
                             Alternative requirement modifying section 105(a) of the Housing and Community Development Act of 1974 published at section III.G.3 of the CDBG-DR Consolidated Notice published in the 
                            <E T="04">Federal Register</E>
                             on February 3, 2022 at 87 FR 6364 (the “February 2022 Notice”) and May 24, 2022 at 87 FR 31636 (the “May 2022 Notice”).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Assistance to private for-profit, non-profit, or publicly owned utilities as part of disaster-related activities that are eligible under section 105(a) of the Housing and Community Development Act of 1974 and assisted with Community Development Block Grant disaster recovery (CDBG-DR) grants made in response to 2020 and 2021 disasters that are subject to the February 2022 Notice and the May 2022 Notice.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             In October 2021, HUD allocated $2,051,217,000 in CDBG-DR funds made available by Public Law 117-43 (the “Appropriations Act”) to assist disaster-related needs from disasters occurring in 2020. On February 3, 2022, HUD published a 
                            <E T="04">Federal Register</E>
                             notice governing the use of those funds (87 FR 6364). In March 2022, HUD allocated an additional $722,688,000 in CDBG-DR funds from the Appropriations Act for disasters occurring in 2020 and $2,213,595,000 in CDBG-DR funds from the Appropriations Act for disasters occurring in 2021. On May 24, 2022, HUD published a 
                            <E T="04">Federal Register</E>
                             notice governing the use of those funds.
                        </P>
                        <P>
                            Both 
                            <E T="04">Federal Register</E>
                             notices included HUD's CDBG-DR “Consolidated Notice” as Appendix B and made the Consolidated Notice applicable to the grants announced in those notices. Paragraph III.G.3. of the Consolidated Notice imposes the following alternative requirement: “
                            <E T="03">Prohibiting assistance to private utilities.</E>
                             HUD is adopting the following alternative requirement to section 105(a) and prohibiting the use of CDBG-DR funds to assist a privately-owned utility for any purpose.”
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Adrianne Todman, Deputy Secretary Housing and Urban Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 12, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Modified:</E>
                             The Continuing Appropriation Act, 2023 (Pub. L. 117-180), approved on September 30, 2022, appropriated an additional $2,000,000,000 for 2021 and 2022 disasters. The funds under Public Law 117-180 are available “for the same purposes and under the same terms and conditions” as funds appropriated under Public Law 117-43 with a few exceptions. One of the exceptions is that amounts made under Public Law 117-180 and 117-43 “may be used by a grantee to assist utilities as part of a disaster-related eligible activity under section 105(a) of the Housing and Community Development Act of 1974 (42 U.S.C. 5305(a)).”
                        </P>
                        <P>To comply with this new provision governing assistance to utilities, HUD made Section III.G.3 of the CDBG-DR Consolidated Notice inapplicable for disasters occurring in 2020 and 2021, and instead imposed a replacement alternative requirement that was added as paragraph IV.A.4. within the February 2022 Notice and the May 2022 Notice. While it is possible that not every CDBG-DR assisted utility will serve predominantly low-and moderate-income (LMI) populations, HUD recognizes that LMI populations would benefit especially from the increased resilience and recovery of private utilities. HUD also recognizes that privately-owned, for-profit utilities have a means of obtaining private investment or otherwise recapturing costs from ratepayers. Therefore, HUD's replacement alternative requirement includes basic safeguards that HUD has determined are necessary to ensure that costs comply with the certification CDBG-DR grantee must make to give maximum feasible priority to activities that benefit LMI persons and that costs are necessary and reasonable and do not duplicate other financial assistance. </P>
                        <P>Specifically, the funded activity must comply with all requirements that apply to the use of grant funds. Additionally, grantees carrying out activities that assist private, for-profit utilities must priorities assistance to for-profit utilities that will benefit areas where at least 51 percent of the residents are low- and moderate-income persons and demonstrate how the assistance will benefit those areas. Additionally, the grantee must document that the level of assistance provided to a private, for-profit utility addresses only the actual identified needs of the utility, and establish policies and procedures that establish a mix of financing terms (loan, forgivable loan, and/or grant) for each assisted private, for-profit utility, based on the business's financial capacity. The modified alternative requirement also makes clear that assistance to utilities is subject to all other requirements that apply to the use of funds, consistent with the requirement in Public Law 117-180 that funds must be for an “eligible activity under section 105(a).”</P>
                        <P>
                            <E T="03">Applicability:</E>
                             The replacement alternative requirement added by the December 12, 2022 alternative requirement as a new paragraph IV.A.4. within the February 2022 Notice and the May 2022 Notice is applicable to all CDBG-DR funds appropriated for major disasters occurring in 2020 and 2021 under Public Law 117-43.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Tennille S. Parker, Director, Office of Disaster Recovery, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7282, Washington, DC 20410, telephone (202) 708-3587.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 91.105(c)(2) and (k); 24 CFR 91.115 (c)(2), and (i); and 24 CFR 91.401.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The Commonwealth of Puerto Rico and any HUD Community Planning and Development (CPD) grantee located in the county equivalents (municipios) included in the declared-disaster area (see DR-4671-PR) seeking to expedite action in response to Hurricane Fiona, upon notification to the Community Planning and Development Director in its respective HUD Field Office. This authority is in effect for grantees in the areas covered by the major disaster declaration under Title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), DR-4671-PR, dated September 21, 2022, as may be amended (the “Hurricane Fiona declared-disaster areas”) and is limited to facilitating preparation of substantial amendments to FY 2022 and prior year plans.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulations at 24 CFR 91.105(c)(2) and (k); 24 CFR 91.115(c)(2) and (i); and 24 CFR 91.401 require a 30-day public comment period in the development of a consolidated plan and prior to the implementation of a substantial amendment.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             September 27, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Several CPD grantees were affected by Hurricane Fiona that hit Puerto Rico on September 17, 2022. As a result of substantial property loss and destruction, many individuals and families residing in the Hurricane Fiona declared-disaster areas were displaced from their homes, including beneficiaries of various CPD programs, and families eligible to receive CPD program assistance. The waiver granted will allow grantees to expedite recovery efforts for low- and moderate-income residents affected by the property loss and destruction resulting from this event.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Robert C. Peterson, Director, State and Small Cities Division, Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7282, Washington, DC 20410, telephone (202) 402-4211.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 91.105(c)(2) and (k); 24 CFR 91.115(c)(2) and (i); and 24 CFR 91.401.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The Commonwealth of Puerto Rico and any HUD Community 
                            <PRTPAGE P="43910"/>
                            Planning and Development (CPD) grantee located in the county equivalents (municipios) included in the Hurricane Fiona declared-disaster areas (see DR-4671-PR) seeking to expedite action in response to Hurricane Fiona, upon notification to the Community Planning and Development Director in its respective HUD Field Office. This authority is in effect for grantees within the Hurricane Fiona declared-disaster areas and is limited to facilitating preparation of substantial amendments to FY 2022 and prior year plans.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulations at 24 CFR 91.105(c)(2) and (k); 24 CFR 91.115(c)(2) and (i); and 24 CFR 91.401 require the grantee to follow its citizen participation plan to provide citizens with reasonable notice and opportunity to comment. The citizen participation plan must state how reasonable notice and opportunity to comment will be given.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             September 27, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             As stated above, several CPD grantees were affected by Hurricane Fiona that hit Puerto Rico on September 17, 2022. As a result of substantial property loss and destruction, many individuals and families residing in the Hurricane Fiona declared-disaster areas were displaced from their homes, including beneficiaries of various CPD programs, and families eligible to receive CPD program assistance. The waiver granted will allow grantees to determine what constitutes reasonable notice and opportunity to comment given their circumstances and provide that level of notice and opportunity to comment when amending prior year plans in response to the disaster.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Robert C. Peterson, Director, State and Small Cities Division, Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7282, Washington, DC 20410, telephone (202) 402-4211.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 570.207(b)(4).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             All CDBG grantees located within and outside declared disaster areas assisting persons and families who have registered with FEMA in connection with Hurricane Fiona.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The CDBG regulations at 24 CFR 570.207(b)(4) prohibit income payments, but permit emergency grant payments for three months. “Income payments” means a series of subsistence-type grant payments made to an individual or family for items such as food, clothing, housing (rent or mortgage), or utilities. Emergency grant payments made over a period of up to three consecutive months to the providers of such items and services on behalf of an individual or family are eligible public services.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             September 27, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             HUD waives the provisions of 24 CFR 570.207(b)(4) to permit emergency grant payments for items such as food, clothing, housing (rent or mortgage), or utilities for up to six consecutive months. While this waiver allows emergency grant payments to be made for up to six consecutive months, the payments must still be made to service providers as opposed to the affected individuals or families. Many individuals and families have been forced to abandon their homes due to the damage associated with Hurricane Fiona. The waiver will allow CDBG grantees, including grantees providing assistance to evacuees outside the Hurricane Fiona declared-disaster areas, to pay for the basic daily needs of individuals and families affected by the hurricane on an interim basis. This authority is in effect through the end of the grantee's 2023 program year. This waiver aligns with waivers currently in effect for CDBG coronavirus (CDBG-CV) grants. The six-month periods allowed by waiver for CDBG and CDBG-CV shall not be used consecutively for the same beneficiary.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Robert C. Peterson, Director, State and Small Cities Division, Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7282, Washington, DC 20410, telephone (202) 402-4211.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 91.105(c)(2) and (k); 24 CFR 91.115 (c)(2), and (i); and 24 CFR 91.401.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The State of Florida and any HUD Community Planning and Development (CPD) grantee located in the counties included in the declared-disaster area (see DR-4673-FL) seeking to expedite action in response to Hurricane Ian, upon notification to the Community Planning and Development Director in its respective HUD Field Office. This authority is in effect for grantees in the areas covered by the major disaster declaration under title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), DR-4673-FL, dated September 29, 2022, as may be amended (the “Hurricane Ian declared-disaster areas”) and is limited to facilitating preparation of substantial amendments to FY 2022 and prior year plans.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulations at 24 CFR 91.105(c)(2) and (k); 24 CFR 91.115(c)(2) and (i); and 24 CFR 91.401 require a 30-day public comment period in the development of a consolidated plan and prior to the implementation of a substantial amendment.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 3, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Several CPD grantees were affected by Hurricane Ian that hit Florida on September 23, 2022. As a result of substantial property loss and destruction, many individuals and families residing in the Hurricane Ian declared-disaster areas were displaced from their homes, including beneficiaries of various CPD programs, and families eligible to receive CPD program assistance. The waiver granted will allow grantees to expedite recovery efforts for low- and moderate-income residents affected by the property loss and destruction resulting from this event.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Robert C. Peterson, Director, State and Small Cities Division, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7282, Washington, DC 20410, telephone (202) 402-4211.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 91.105(c)(2) and (k); 24 CFR 91.115(c)(2) and (i); and 24 CFR 91.401.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The State of Florida and any HUD Community Planning and Development (CPD) grantee located in the counties included in the Hurricane Ian declared-disaster areas (see DR-4673-FL) seeking to expedite action in response to Hurricane Ian, upon notification to the Community Planning and Development Director in its respective HUD Field Office. This authority is in effect for grantees within the Hurricane Ian declared-disaster areas and is limited to facilitating preparation of substantial amendments to FY 2022 and prior year plans.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulations at 24 CFR 91.105(c)(2) and (k); 24 CFR 91.115(c)(2) and (i); and 24 CFR 91.401 require the grantee to follow its citizen participation plan to provide citizens with reasonable notice and opportunity to comment. The citizen participation plan must state how reasonable notice and opportunity to comment will be given.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 3, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             As stated above, several CPD grantees were affected by Hurricane Ian that hit Florida on September 23, 2022. As a result of substantial property loss and destruction, many individuals and families residing in the Hurricane Ian declared-disaster areas were displaced from their homes, including beneficiaries of various CPD programs, and families eligible to receive CPD program assistance. The waiver granted will allow grantees to determine what constitutes reasonable notice and opportunity to comment given their circumstances and provide that level of notice and opportunity to comment when amending prior year plans in response to the disaster.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Robert C. Peterson, Director, State and Small Cities Division, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7282, Washington, DC 20410, telephone (202) 402-4211.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 570.207(b)(4).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             All CDBG grantees located within and outside declared disaster areas assisting persons and families who have registered with FEMA in connection with Hurricane Ian.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The CDBG regulations at 24 CFR 570.207(b)(4) prohibit income payments, but permit emergency grant payments for three months. “Income payments” means a series of subsistence-type grant payments made to an individual or family for items such as food, clothing, housing (rent or mortgage), or utilities. 
                            <PRTPAGE P="43911"/>
                            Emergency grant payments made over a period of up to three consecutive months to the providers of such items and services on behalf of an individual or family are eligible public services.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 3, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             HUD waives the provisions of 24 CFR 570.207(b)(4) to permit emergency grant payments for items such as food, clothing, housing (rent or mortgage), or utilities for up to six consecutive months. While this waiver allows emergency grant payments to be made for up to six consecutive months, the payments must still be made to service providers as opposed to the affected individuals or families. Many individuals and families have been forced to abandon their homes due to the damage associated with Hurricane Ian. The waiver will allow CDBG grantees, including grantees providing assistance to evacuees outside the Hurricane Ian declared-disaster areas, to pay for the basic daily needs of individuals and families affected by the hurricane on an interim basis. This authority is in effect through the end of the grantee's 2023 program year. This waiver aligns with waivers currently in effect for CDBG coronavirus (CDBG-CV) grants. The six-month periods allowed by waiver for CDBG and CDBG-CV shall not be used consecutively for the same beneficiary.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Robert C. Peterson, Director, State and Small Cities Division, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7282, Washington, DC 20410, telephone (202) 402-4211.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.310(b)(2)(iii), Space and Security.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             State of Indiana; City of Houston, TX; State of Rhode Island; City of Cleveland, OH.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             This section of the HOPWA regulations provides that each resident must be afforded adequate space and security for themselves and their belongings.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Jemine A. Bryon, Acting General Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 1, 2022-December 31, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             In 2020, CPD began issuing waivers of regulatory authority available on a nationwide basis with a simplified opt-in process to help recipients prevent and mitigate the spread of COVID-19. Between March 31, 2020, and December 30, 2021, CPD published several memoranda announcing nationwide availability of regulatory waivers. Under Notice CPD-22-09, issued on June 15, 2022, HOPWA grantees were provided the opportunity to apply for certain regulatory waivers to provide continued flexibility during the COVID-19 pandemic and pandemic recovery.
                        </P>
                        <P>Notice CPD-22-09 provided expedited processing of requests to waive 24 CFR 574.310(b)(2)(iii), so that grantees and project sponsors operating housing facilities and shared housing arrangements can place more than two people in a room or reconfigure rooms, common areas and other appropriate spaces for temporary quarantine services of eligible individuals and families affected by COVID-19. Notice CPD-22-09 required grantees to justify in the waiver request why the grantee or project sponsor cannot provide adequate space and security in accordance with the standard provided at 24 CFR 574.310(b)(2)(iii). The waiver request must also specify the period during which the grantee needs to use this waiver and that effective period must not extend beyond March 31, 2023.</P>
                        <P>
                            <E T="03">Contact:</E>
                             Amy Palilonis, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (202) 402-5916, 
                            <E T="03">amy.l.palilonis@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.330(a)(1), Time Limits for Short-Term Housing Facilities and Short-Term Rent, Mortgage, and Utility Payments.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             State of Indiana; City of Seattle, WA; City of San Juan, PR; City of Oklahoma City, OK; City of Houston, TX; State of Rhode Island; City of Indianapolis, IN; City of Cleveland, OH.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             This section of the HOPWA regulations limits the total amount of time an eligible individual or family can reside in a short-term supported housing facility to no more than 60 days during any six-month period. It also limits the Short-Term Rent, Mortgage, and Utility (STRMU) payments to prevent the homelessness of the tenant or mortgagor of a dwelling to no more than 21 weeks in any 52-week period.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             In 2020, CPD began issuing waivers of regulatory authority available on a nationwide basis with a simplified opt-in process to help recipients prevent and mitigate the spread of COVID-19. Between March 31, 2020, and December 30, 2021, CPD published several memoranda announcing nationwide availability of regulatory waivers. Under Notice CPD-22-09, issued on June 15, 2022, HOPWA grantees were provided the opportunity to apply for certain regulatory waivers to provide continued flexibility during the COVID-19 pandemic and pandemic recovery.
                        </P>
                        <P>Notice CPD-22-09 provided expedited processing of grantee requests to waive the 21-week and 60-day limitations in 24 CFR 574.330(a)(1). In utilizing the waiver, the grantee or project sponsor must document, on an individual household basis, that a good faith effort has been made to assist the household to achieve housing stability within the time limits specified in the regulations, but that financial needs or health and safety concerns have prevented the household from doing so. The grantee or project sponsor must also have written policies and procedures outlining efforts to regularly re-assess the needs of assisted households, as well as processes for granting extensions based on documented financial needs or health and safety concerns. The waiver request must specify the alternative limits to be used in place of the 21-week and 60-day limit as applicable, and those limits must not exceed 52 weeks and 120 days, respectively and specify the period during which the grantee needs to use this waiver and that effective period must not extend beyond March 31, 2023.</P>
                        <P>
                            <E T="03">Granted By:</E>
                             Jemine A. Bryon, Deputy Assistant Secretary for Special Needs.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 1, 2022-December 31, 2022.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Amy Palilonis, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (202) 402-5916, 
                            <E T="03">amy.l.palilonis@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.530, Self-Certification of Income and Credible Information on HIV Status.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             AIDS Foundation of Chicago; State of Indiana; City of Seattle, WA; City of San Juan, PR; City of Oklahoma City, OK; City of Houston, TX; State of Rhode Island; City of Indianapolis, IN; State of Montana; City of Cleveland, OH.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             HOPWA grantees and project sponsors must maintain records to document compliance with HOPWA requirements, which includes determining the eligibility of a family to receive HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             In 2020, CPD began issuing waivers of regulatory authority available on a nationwide basis with a simplified opt-in process to help recipients prevent and mitigate the spread of COVID-19. Between March 31, 2020, and December 30, 2021, CPD published several memoranda announcing nationwide availability of regulatory waivers. Under Notice CPD-22-09, issued on June 15, 2022, HOPWA grantees were provided the opportunity to apply for certain regulatory waivers to provide continued flexibility during the COVID-19 pandemic and pandemic recovery.
                        </P>
                        <P>Notice CPD-22-09 provided expedited processing of requests to waive the requirement at 24 CFR 574.530 to have source documentation of HIV status at the time of the determination of eligibility. In utilizing the waiver, grantees and project sponsors may accept written certification of HIV status and income to document eligibility of an individual or family seeking assistance if the grantee or project sponsor agrees to obtain source documentation of HIV status and income eligibility within 90 days of obtaining the written certification. Grantees and project sponsors must provide justification as to why source documentation cannot be acquired at the time of the eligibility determination. The waiver request must specify the period during which the grantee needs to use this waiver and that effective period must not extend beyond March 31, 2023.</P>
                        <P>
                            <E T="03">Granted By:</E>
                             Jemine A. Bryon, Acting General Deputy Assistant Secretary for Community Planning and Development and Claudette Fernandez General Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 1, 2022-December 31, 2022.
                            <PRTPAGE P="43912"/>
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Amy Palilonis, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (202) 402-5916. 
                            <E T="03">amy.l.palilonis@hud.gov.</E>
                        </P>
                        <HD SOURCE="HD1">Mega-Waiver for Hurricane Ian—Housing Opportunities for Persons Withs AIDS (HOPWA) Program</HD>
                        <P>On October 3, 2022, HUD issued a memorandum offering waivers of certain statutory and regulatory requirements associated with several Community Planning and Development (CPD) grant programs to address damage and facilitate recovery from Hurricane Ian in areas covered by a major disaster declaration under Title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), DR-4673-FL, dated September 29, 2022, as may be amended (the “declared-disaster areas”). The October 3, 2022, memorandum was updated on December 8, 2022, to clarify the documentation requirements to support the use of some waivers to assist impacted individuals and provide greater clarity on the use of some waivers outside of the declared disaster area. The following summarizes the waivers available for HOPWA grantees.</P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.310(b)(2), Housing Quality Standards.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The property standard requirements in 24 CFR 574.310(b)(2) are waived for units in the declared-disaster areas that are or will be occupied by HOPWA eligible households, provided that the units are free of life-threatening conditions as defined in Notice PIH 2017-20 (HA). Grantees must ensure that these units meet HOPWA housing quality standards within 60 days of October 3, 2022.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Section 574.310(b)(2) of the HOPWA regulations provides minimum housing quality standards that apply to all housing for which HOPWA funds are used for acquisition, rehabilitation, conversion, lease, or repair; new construction of single room occupancy dwellings and community residences; project or tenant-based rental assistance; or operating costs under 24 CFR 574.300(b)(3), (4), (5), or (8).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 3, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver is required to enable grantees and project sponsors to expeditiously meet the critical housing needs of the many eligible families in the declared disaster areas.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Amy Palilonis, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (202) 402-5916, 
                            <E T="03">amy.l.palilonis@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.320(a)(2), Rent Standard.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The rent standard requirement is waived for any rent amount that takes effect during the two-year period beginning on October 3, 2022, for any individual or family who is renting or executes a lease for a unit in the declared disaster areas. This waiver would apply for twelve months from the date of the execution of the lease under the waived rent standard requirement. Grantees and project sponsors must still ensure the reasonableness of rent charged for units in the declared-disaster areas in accordance with 574.320(a)(3).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Grantees must establish rent standards for their rental assistance programs based on FMR (Fair Market Rent) or the HUD-approved community-wide exception rent for unit size.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 3, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver is required to enable HOPWA grantees to expedite efforts to meet the critical housing needs of low-income people living with HIV and their families in the declared-disaster areas. Under the programmatic requirements at 24 CFR 574.320(a)(2), the rent standard shall be no more than the published section 8 fair market rent (FMR) or the HUD-approved community-wide exception for the unit size. In addition, on a unit-by-unit basis, the grantee may increase that amount by up to 10 percent for up to 20 percent of the units assisted. Notice CPD-22-10 Clarification of Rent Standard Requirement for the Housing Opportunities for Persons With AIDS (HOPWA) Program provides additional clarity and flexibility on how HOPWA grantees can administer the rent standard in accordance with 24 CFR 574.320(a)(2) and the Regulatory and Administrative Requirement Waivers and Flexibilities Available to HUD Public Housing and Section 8 During CY 2022 and CY 2023 to Public Housing Agencies To Assist With Recovery and Relief Efforts on Behalf of Families Affected by Presidentially Declared Disasters, 87 FR 469 (Section 8 Disaster Notice) provides additional rent standard flexibility in presidentially declared disaster areas.
                        </P>
                        <P>Due to the extensive damage to housing units in the declared disaster area and the need to ensure safe and decent units are immediately available to eligible households to prevent homelessness and protect the health of the people with HIV served under the program, HUD has determined that it is not practicable for grantees to be held to the rent standards in 24 CFR 574.320(a)(2) even with the additional flexibilities under Notice CPD-22-10 and the Section 8 Disaster Notice. Waiving the rent standard requirement, while still requiring that the unit be rent reasonable in accordance with § 574.320(a)(3), will make more units immediately available to HOPWA eligible individuals and families in need of permanent housing in the declared-disaster areas and will help to quickly stabilize their housing and health.</P>
                        <P>
                            <E T="03">Contact:</E>
                             Amy Palilonis, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (202) 402-5916, 
                            <E T="03">amy.l.palilonis@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.530, Recordkeeping.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The recordkeeping requirement at 24 CFR 574.530 is waived to the extent necessary to allow HOPWA grantees, located within and outside of the declared disaster areas, to assist displaced persons and families, provided that the grantees (1) require written certification of HIV status and income of such individuals and families seeking assistance and (2) obtain source documentation of HIV status and income eligibility within six months of October 3, 2022.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Each grantee must maintain records to document compliance with HOPWA requirements, which includes determining the eligibility of a family to receive HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 3, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver will permit HOPWA grantees and project sponsors, located within and outside of the declared-disaster areas, to rely upon a family member's self-certification of income and HIV status in lieu of source documentation to determine eligibility for HOPWA assistance for individuals and families displaced by the disaster. Many individuals and families displaced by the disaster whose homes have been destroyed or damaged will not have immediate access to documentation of income or medical records and, without this waiver, will be unable to document their eligibility for HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Amy Palilonis, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (202) 402-5916, 
                            <E T="03">amy.l.palilonis@hud.gov.</E>
                        </P>
                        <HD SOURCE="HD1">Mega-Waiver for Hurricane Fiona—Housing Opportunities for Persons Withs AIDS (HOPWA) Program</HD>
                        <P>On December 8, 2022, HUD issued an updated memorandum offering waivers of certain statutory and regulatory requirements associated with several Community Planning and Development (CPD) grant programs to address damage and facilitate recovery from Hurricane Fiona in areas covered by a major disaster declaration under Title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), DR-4671-PR, dated September 21, 2022, as may be amended (the “declared-disaster areas”).</P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.310(b)(2), Housing Quality Standards.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The minimum housing quality standards requirements in 24 CFR 574.310(b)(2) are waived for units in the declared-disaster areas that are or will be occupied by HOPWA-eligible households, provided that the units are free of life-threatening conditions as defined in Notice PIH 2017-20 (HA). Grantees must ensure that these units meet HOPWA housing quality standards within 60 days of the date of December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Section 574.310(b)(2) of the HOPWA regulations provides minimum housing quality standards 
                            <PRTPAGE P="43913"/>
                            that apply to all housing for which HOPWA funds are used for acquisition, rehabilitation, conversion, lease, or repair; new construction of single room occupancy dwellings and community residences; project or tenant-based rental assistance; or operating costs under 24 CFR 574.300(b)(3), (4), (5), or (8).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             September 27, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver is required to enable grantees and project sponsors to expeditiously meet the critical housing needs of the many eligible families in the declared disaster areas.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.320(a)(2), Rent Standard.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The rent standard requirement is waived for any rent amount that takes effect during the two-year period beginning on December 8, 2022, for any individual or family who is renting or executes a lease for a unit in the declared disaster areas. This waiver would apply for twelve months from the date of the execution of the lease under the waived rent standard requirement. Grantees and project sponsors must still ensure the reasonableness of rent charged for units in the declared-disaster areas in accordance with 574.320(a)(3).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Grantees must establish rent standards for their rental assistance programs based on FMR (Fair Market Rent) or the HUD-approved community-wide exception rent for unit size.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             September 27, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver is required to enable HOPWA grantees to expedite efforts to meet the critical housing needs of low-income people living with HIV and their families in the declared-disaster areas.
                        </P>
                        <P>Under the programmatic requirements at 24 CFR 574.320(a)(2), the rent standard shall be no more than the published section 8 fair market rent (FMR) or the HUD-approved community-wide exception for the unit size. In addition, on a unit-by-unit basis, the grantee may increase that amount by up to 10 percent for up to 20 percent of the units assisted. Notice CPD-22-10 Clarification of Rent Standard Requirement for the Housing Opportunities for Persons With AIDS (HOPWA) Program provides additional clarity and flexibility on how HOPWA grantees can administer the rent standard in accordance with 24 CFR 574.320(a)(2) and the Regulatory and Administrative Requirement Waivers and Flexibilities Available to HUD Public Housing and Section 8 During CY 2022 and CY 2023 to Public 16 Housing Agencies To Assist With Recovery and Relief Efforts on Behalf of Families Affected by Presidentially Declared Disasters, 87 FR 469 (Section 8 Disaster Notice) provides additional rent standard flexibility in presidentially declared disaster areas. Due to the extensive damage to housing units in the declared disaster area and the need to ensure safe and decent units are immediately available to eligible households to prevent homelessness and protect the health of the people with HIV served under the program, HUD has determined that it is not practicable for grantees to be held to the rent standards in 24 CFR 574.320(a)(2) even with the additional flexibilities under Notice CPD-22-10 and the Section 8 Disaster Notice. Waiving the rent standard requirement while still requiring that the unit be rent reasonable in accordance with 574.320(a)(3), will make more units immediately available to HOPWA eligible individuals and families in need of permanent housing in the declared-disaster areas and will help to quickly stabilize their housing and health.</P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.530, Recordkeeping.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The recordkeeping requirement at 24 CFR 574.530 is waived to the extent necessary to allow HOPWA grantees, located within and outside of the declared disaster areas, to assist displaced persons and families, provided that the grantees (1) require written certification of HIV status and income of such individuals and families seeking assistance and (2) obtain source documentation of HIV status and income eligibility within six months of December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Each grantee must maintain records to document compliance with HOPWA requirements, which includes determining the eligibility of a family to receive HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             September 27, 2022 and amended December 8, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver will permit HOPWA grantees and project sponsors, located within and outside of the declared-disaster areas, to rely upon a family member's self-certification of income and HIV status in lieu of source documentation to determine eligibility for HOPWA assistance for individuals and families displaced by the disaster. Many individuals and families displaced by the disaster whose homes have been destroyed or damaged will not have immediate access to documentation of income or medical records and, without this waiver, will be unable to document their eligibility for HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <HD SOURCE="HD1">Mega-Waiver for California Severe Winter Storms, Flooding, Landslides, and Mudslides—Housing Opportunities for Persons Withs AIDS (HOPWA) Program</HD>
                        <P>On February 9, 2023, HUD issued a memorandum offering waivers of certain statutory and regulatory requirements associated with several Community Planning and Development (CPD) grant programs to address damage and facilitate recovery from California severe winter storms, flooding, landslides, and mudslides in areas covered by a major disaster declaration under Title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), DR-4683-CA, dated January 14, 2023, as may be amended (the “declared-disaster areas”).</P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.310(b)(2), Habitability Standards.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The habitability requirements in 24 CFR 574.310(b)(2) are waived for units in the declared-disaster areas that are or will be occupied by HOPWA-eligible households, provided that the units are free of life-threatening conditions as defined in Notice PIH 2017-20 (HA). Grantees must ensure that these units meet HOPWA habitability standards within 60 days of the date of February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Section 574.310(b)(2) of the HOPWA regulations provides minimum habitability standards that apply to all housing for which HOPWA funds are used for acquisition, rehabilitation, conversion, lease, or repair; new construction of single room occupancy dwellings and community residences; project or tenant-based rental assistance; or operating costs under 24 CFR 574.300(b)(3), (4), (5), or (8).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver is required to enable grantees and project sponsors to expeditiously meet the critical housing needs of the many eligible families in the declared disaster areas.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.320(a)(1), Maximum Subsidy.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Provided that the maximum subsidy is otherwise calculated as provided by 574.320(a)(1), the requirement to use the rent standard as provided by 574.320(a)(1) is waived. This waiver applies to the calculation of rental assistance for any rent amount that takes effect during the two-year period beginning on February 9, 2023, for any individual or family who is renting or executes a lease for a unit in the declared-disaster areas. This waiver would apply for twelve months from the date of the execution of the lease. Grantees and project sponsors must still ensure the reasonableness of rent charged for units in the declared-disaster areas in accordance with 574.320(a)(3).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The amount of grant funds used to pay monthly assistance for an eligible person may not exceed the 
                            <PRTPAGE P="43914"/>
                            difference between: (i) The lower of the rent standard or reasonable rent for the unit; and (ii) The resident's rent payment calculated under 574.310(d).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Permitting the maximum rental assistance subsidy to be calculated under 24 CFR 574.320(a)(1) without regard to the rent standard would enable HOPWA grantees to expedite efforts to meet the critical housing needs of low-income people living with HIV and their families in the declared-disaster areas. Under the programmatic requirements at 24 CFR 574.320(a)(2), the rent standard shall be no more than the published section 8 fair market rent (FMR) or the HUD-approved community-wide exception for the unit size. In addition, on a unit-by-unit basis, the grantee may increase that amount by up to 10 percent for up to 20 percent of the units assisted. Notice CPD-22-10 Clarification of Rent Standard Requirement for the Housing Opportunities for Persons With AIDS (HOPWA) Program provides additional clarity and flexibility on how HOPWA grantees can administer the rent standard in accordance with 24 CFR 574.320(a)(2) and the Regulatory and Administrative Requirement Waivers and Flexibilities Available to HUD Public Housing and Section 8 During CY 2022 and CY 2023 to Public 16 Housing Agencies To Assist With Recovery and Relief Efforts on Behalf of Families Affected by Presidentially Declared Disasters, 87 FR 469 (Section 8 Disaster Notice) provides additional rent standard flexibility in presidentially declared disaster areas. Due to the extensive damage to housing units in the declared disaster area and the need to ensure safe and decent units are immediately available to eligible households to prevent homelessness and protect the health of the people with HIV served under the program, HUD has determined that it is not practicable for grantees to be held to the rent standards in 24 CFR 574.320(a)(2) even with the additional flexibilities under Notice CPD-22-10 and the Section 8 Disaster Notice. Waiving the requirement to use the rent standard in the calculation of the maximum monthly rental assistance amount under 574.320(a)(1), while still requiring that the unit be rent reasonable in accordance with 574.320(a)(3), will make more units immediately available to HOPWA eligible individuals and families in need of permanent housing in the declared-disaster areas and will help to quickly stabilize their housing and health.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.530, Recordkeeping.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The recordkeeping requirement at 24 CFR 574.530 is waived to the extent necessary to allow HOPWA grantees, located within and outside of the declared disaster areas, to assist displaced persons and families, provided that the grantees (1) require written certification of HIV status and income of such individuals and families seeking assistance and (2) obtain source documentation of HIV status and income eligibility within six months of February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Each grantee must maintain records to document compliance with HOPWA requirements, which includes determining the eligibility of a family to receive HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver will permit HOPWA grantees and project sponsors, located within and outside of the declared-disaster areas, to rely upon a family member's self-certification of income and HIV status in lieu of source documentation to determine eligibility for HOPWA assistance for individuals and families displaced by the disaster. Many individuals and families displaced by the disaster whose homes have been destroyed or damaged will not have immediate access to documentation of income or medical records and, without this waiver, will be unable to document their eligibility for HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <HD SOURCE="HD1">Mega-Waiver for Alabama Severe Storms, Straight-Line Winds, and Tornadoes—Housing Opportunities for Persons Withs AIDS (HOPWA) Program</HD>
                        <P>On February 9, 2023, HUD issued a memorandum offering waivers of certain statutory and regulatory requirements associated with several Community Planning and Development (CPD) grant programs to address damage and facilitate recovery from California severe winter storms, flooding, landslides, and mudslides in areas covered by a major disaster declaration under Title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), DR-4684-AL, dated January 15, 2023, as may be amended (the “declared-disaster areas”).</P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.310(b)(2), Habitability Standards.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The habitability requirements in 24 CFR 574.310(b)(2) are waived for units in the declared-disaster areas that are or will be occupied by HOPWA-eligible households, provided that the units are free of life-threatening conditions as defined in Notice PIH 2017-20 (HA). Grantees must ensure that these units meet HOPWA habitability standards within 60 days of the date of February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Section 574.310(b)(2) of the HOPWA regulations provides minimum habitability standards that apply to all housing for which HOPWA funds are used for acquisition, rehabilitation, conversion, lease, or repair; new construction of single room occupancy dwellings and community residences; project or tenant-based rental assistance; or operating costs under 24 CFR 574.300(b)(3), (4), (5), or (8).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver is required to enable grantees and project sponsors to expeditiously meet the critical housing needs of the many eligible families in the declared disaster areas.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.320(a)(1), Maximum Subsidy.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Provided that the maximum subsidy is otherwise calculated as provided by 574.320(a)(1), the requirement to use the rent standard as provided by 574.320(a)(1) is waived. This waiver applies to the calculation of rental assistance for any rent amount that takes effect during the two-year period beginning on February 9, 2023, for any individual or family who is renting or executes a lease for a unit in the declared-disaster areas. This waiver would apply for twelve months from the date of the execution of the lease. Grantees and project sponsors must still ensure the reasonableness of rent charged for units in the declared-disaster areas in accordance with 574.320(a)(3).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The amount of grant funds used to pay monthly assistance for an eligible person may not exceed the difference between: (i) The lower of the rent standard or reasonable rent for the unit; and (ii) The resident's rent payment calculated under 574.310(d).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Permitting the maximum rental assistance subsidy to be calculated under 24 CFR 574.320(a)(1) without regard to the rent standard would enable HOPWA grantees to expedite efforts to meet the critical housing needs of low-income people living with HIV and their families in the declared-disaster areas. Under the programmatic requirements at 24 CFR 574.320(a)(2), the rent standard shall be no more than the published section 8 fair market rent (FMR) or the HUD-approved community-wide exception for the unit size. In addition, on a unit-by-unit basis, the grantee may increase that amount by up to 10 percent for up to 20 percent of the units assisted. Notice CPD-22-10 Clarification of Rent Standard Requirement for the Housing Opportunities for Persons With AIDS (HOPWA) Program provides additional clarity and flexibility on how HOPWA grantees can administer the rent standard in accordance with 24 CFR 574.320(a)(2) and the Regulatory and Administrative Requirement Waivers and Flexibilities Available to HUD Public Housing and Section 8 During CY 2022 and CY 2023 to Public 16 Housing Agencies To Assist With 
                            <PRTPAGE P="43915"/>
                            Recovery and Relief Efforts on Behalf of Families Affected by Presidentially Declared Disasters, 87 FR 469 (Section 8 Disaster Notice) provides additional rent standard flexibility in presidentially declared disaster areas. Due to the extensive damage to housing units in the declared disaster area and the need to ensure safe and decent units are immediately available to eligible households to prevent homelessness and protect the health of the people with HIV served under the program, HUD has determined that it is not practicable for grantees to be held to the rent standards in 24 CFR 574.320(a)(2) even with the additional flexibilities under Notice CPD-22-10 and the Section 8 Disaster Notice. Waiving the requirement to use the rent standard in the calculation of the maximum monthly rental assistance amount under 574.320(a)(1), while still requiring that the unit be rent reasonable in accordance with 574.320(a)(3), will make more units immediately available to HOPWA eligible individuals and families in need of permanent housing in the declared-disaster areas and will help to quickly stabilize their housing and health.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.530, Recordkeeping.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The recordkeeping requirement at 24 CFR 574.530 is waived to the extent necessary to allow HOPWA grantees, located within and outside of the declared disaster areas, to assist displaced persons and families, provided that the grantees (1) require written certification of HIV status and income of such individuals and families seeking assistance and (2) obtain source documentation of HIV status and income eligibility within six months of February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Each grantee must maintain records to document compliance with HOPWA requirements, which includes determining the eligibility of a family to receive HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             February 9, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver will permit HOPWA grantees and project sponsors, located within and outside of the declared-disaster areas, to rely upon a family member's self-certification of income and HIV status in lieu of source documentation to determine eligibility for HOPWA assistance for individuals and families displaced by the disaster. Many individuals and families displaced by the disaster whose homes have been destroyed or damaged will not have immediate access to documentation of income or medical records and, without this waiver, will be unable to document their eligibility for HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <HD SOURCE="HD1">Mega-Waiver for Mississippi Severe Storms, Straight-Line Winds, and Tornadoes—Housing Opportunities for Persons Withs AIDS (HOPWA) Program</HD>
                        <P>On March 30, 2023, HUD issued a memorandum offering waivers of certain statutory and regulatory requirements associated with several Community Planning and Development (CPD) grant programs to address damage and facilitate recovery from California severe winter storms, flooding, landslides, and mudslides in areas covered by a major disaster declaration under Title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), DR-4697-MS, dated March 26, 2023, as may be amended (the “declared-disaster areas”).</P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.310(b)(2), Habitability Standards.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The habitability requirements in 24 CFR 574.310(b)(2) are waived for units in the declared-disaster areas that are or will be occupied by HOPWA-eligible households, provided that the units are free of life-threatening conditions as defined in Notice PIH 2017-20 (HA). Grantees must ensure that these units meet HOPWA habitability standards within 60 days of the date of March 30, 2023.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Section 574.310(b)(2) of the HOPWA regulations provides minimum habitability standards that apply to all housing for which HOPWA funds are used for acquisition, rehabilitation, conversion, lease, or repair; new construction of single room occupancy dwellings and community residences; project or tenant-based rental assistance; or operating costs under 24 CFR 574.300(b)(3), (4), (5), or (8).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             March 30, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver is required to enable grantees and project sponsors to expeditiously meet the critical housing needs of the many eligible families in the declared disaster areas.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.320(a)(1), Maximum Subsidy.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Provided that the maximum subsidy is otherwise calculated as provided by § 574.320(a)(1), the requirement to use the rent standard as provided by § 574.320(a)(1) is waived. This waiver applies to the calculation of rental assistance for any rent amount that takes effect during the two-year period beginning on March 30, 2023, for any individual or family who is renting or executes a lease for a unit in the declared-disaster areas. This waiver would apply for twelve months from the date of the execution of the lease. Grantees and project sponsors must still ensure the reasonableness of rent charged for units in the declared-disaster areas in accordance with § 574.320(a)(3).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The amount of grant funds used to pay monthly assistance for an eligible person may not exceed the difference between: (i) The lower of the rent standard or reasonable rent for the unit; and (ii) The resident's rent payment calculated under § 574.310(d).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             March 30, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Permitting the maximum rental assistance subsidy to be calculated under 24 CFR 574.320(a)(1) without regard to the rent standard would enable HOPWA grantees to expedite efforts to meet the critical housing needs of low-income people living with HIV and their families in the declared-disaster areas. Under the programmatic requirements at 24 CFR 574.320(a)(2), the rent standard shall be no more than the published section 8 fair market rent (FMR) or the HUD-approved community-wide exception for the unit size. In addition, on a unit-by-unit basis, the grantee may increase that amount by up to 10 percent for up to 20 percent of the units assisted. Notice CPD-22-10 Clarification of Rent Standard Requirement for the Housing Opportunities for Persons With AIDS (HOPWA) Program provides additional clarity and flexibility on how HOPWA grantees can administer the rent standard in accordance with 24 CFR 574.320(a)(2) and the Regulatory and Administrative Requirement Waivers and Flexibilities Available to HUD Public Housing and Section 8 During CY 2022 and CY 2023 to Public 16 Housing Agencies To Assist With Recovery and Relief Efforts on Behalf of Families Affected by Presidentially Declared Disasters, 87 FR 469 (Section 8 Disaster Notice) provides additional rent standard flexibility in presidentially declared disaster areas. Due to the extensive damage to housing units in the declared disaster area and the need to ensure safe and decent units are immediately available to eligible households to prevent homelessness and protect the health of the people with HIV served under the program, HUD has determined that it is not practicable for grantees to be held to the rent standards in 24 CFR 574.320(a)(2) even with the additional flexibilities under Notice CPD-22-10 and the Section 8 Disaster Notice. Waiving the requirement to use the rent standard in the calculation of the maximum monthly rental assistance amount under § 574.320(a)(1), while still requiring that the unit be rent reasonable in accordance with § 574.320(a)(3), will make more units immediately available to HOPWA eligible individuals and families in need of permanent housing in the declared-disaster areas and will help to quickly stabilize their housing and health.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 574.530, Recordkeeping.
                            <PRTPAGE P="43916"/>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The recordkeeping requirement at 24 CFR 574.530 is waived to the extent necessary to allow HOPWA grantees, located within and outside of the declared disaster areas, to assist displaced persons and families, provided that the grantees (1) require written certification of HIV status and income of such individuals and families seeking assistance and (2) obtain source documentation of HIV status and income eligibility within six months of March 30, 2023.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Each grantee must maintain records to document compliance with HOPWA requirements, which includes determining the eligibility of a family to receive HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             March 30, 2023.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             This waiver will permit HOPWA grantees and project sponsors, located within and outside of the declared-disaster areas, to rely upon a family member's self-certification of income and HIV status in lieu of source documentation to determine eligibility for HOPWA assistance for individuals and families displaced by the disaster. Many individuals and families displaced by the disaster whose homes have been destroyed or damaged will not have immediate access to documentation of income or medical records and, without this waiver, will be unable to document their eligibility for HOPWA assistance.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lisa Steinhauer, Office of HIV/AIDS Housing, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7248, Washington, DC 20410, telephone (215) 861-7651, 
                            <E T="03">lisa.a.steinhauer@hud.gov.</E>
                        </P>
                        <HD SOURCE="HD2">I. Expedited COVID-19 Waivers (Notice CPD-22-09)—CoC</HD>
                        <HD SOURCE="HD2">CoC—Suitable Dwelling Size and Housing Quality Standards—Permanent Housing—Rapid Re-Housing Projects</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 578.75(c), and 24 CFR 982.401(d)(2)(ii) as required by 24 CFR 578.75(b)
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             4 CFR 578.75(c), suitable dwelling size, and 24 CFR 982.401(d)(2)(ii) as required by 578.75(b), Housing Quality Standards, requires units funded with CoC Program funds to have at least one bedroom or living/sleeping room for each two persons.
                        </P>
                        <P>
                            The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive the regulatory requirements at 24 CFR 578.75(c), suitable dwelling size, and 24 CFR 982.401(d)(2)(ii) as required by 24 CFR 578.75(b) so that recipients carrying out Permanent Housing—Rapid Rehousing projects are able to assist program participants to move into housing with more than two persons per room. Recipients should balance the use of this waiver with the recommendations of public health officials to limit community spread and reduce the risks to high-risk populations consistent with the Executive Order on Fighting the Spread of COVID-19 by Providing Assistance to Renters and Homeowners. This waiver is only made available with respect to recipients providing Permanent Housing—Rapid Re-housing assistance for leases and occupancy agreements executed by recipients and subrecipients between the effective date of the HUD-approved waiver and March 31, 2023. Assisted units with leases and occupancy agreements signed during this period of time may have more than two persons for each bedroom or living/sleeping room until the later of (1) the end of the initial term of the lease or occupancy agreement; or (2) March 31, 2023.
                        </P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s).</CHED>
                                <CHED H="1">
                                    Date
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">County of Santa Clara</ENT>
                                <ENT>CA1385L9T002005, CA1385L9T002106, CA1528L9T002004, CA1528L9T002105, CA1728D9T002002, CA1728D9T002103, CA1911D9T002001, CA1911D9T002102</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">State of Connecticut Department of Housing</ENT>
                                <ENT>CT0242L1E052007, CT0278L1E052106, CT0279L1E052106, CT0294L1E052105, CT0301L1E032104, CT0306L1E052104, CT0317Y1E052002, CT0326D1E032103, CT0330D1E052103, CT0336D1E032001, CT0336D1E032102, CT0338D1E052001, CT0338D1E052102, CT0339L1E052001, CT0339L1E052102, CT0352Y1E052100, CT0356D1E052100</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">United Neighborhood Centers of Northeastern Pennsylvania</ENT>
                                <ENT>PA0806L3T082004</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Liberty Community Services, Inc</ENT>
                                <ENT>CT0282L1E051904</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>NM0101L6B002106</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">King County Regional Homelessness Authority</ENT>
                                <ENT>WA0295L0T002107, WA0319L0T002106, WA0363L0T002105, WA0366L0T002105, WA0411L0T002103, WA0412D0T002103, WA0451D0T002102, WA0484Y0T002100, WA0485Y0T002100</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City and County of Denver Department of Housing Stability</ENT>
                                <ENT>CO0154L8T032003, CO0154L8T032104</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Homeless Services Network of Central Florida, Inc</ENT>
                                <ENT>FL0605L4H072005, FL0605L4H072106, FL0562L4H072005, FL0562L4H072106</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Neighborhood House</ENT>
                                <ENT>OR0222L0E012004</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Welcome House Inc</ENT>
                                <ENT>KY0168L4I001903</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Nye County</ENT>
                                <ENT>NV0139L9T022102, NV0139L9T022001</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Regional Taskforce on Homelessness</ENT>
                                <ENT>CA1814Y9D012001, CA1816Y9D012001 CA1818Y9D012001, CA1814Y9D012102 CA1816Y9D012102, CA1818Y9D012102</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>NM0101L6B002106</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Orange County, NC</ENT>
                                <ENT>NC0485L4F132100</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Laurel House</ENT>
                                <ENT>PA0957D3T042102</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Potential negative impacts of the pandemic on providing assistance to program participants, including the delay of identifying housing or the onset of housing instability.</P>
                        <P>B. Local data related to the pandemic's impact that supports the waiver flexibility, the number of unassisted households living in units with more than two persons per room in the geographic area).</P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD2">CoC—Fair Market Rent for Individual Units and Leasing Costs</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 578.49(b)(2).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             24 CFR 578.49(b)(2) prohibits a recipient from using grant funds for leasing to pay above FMR when leasing individual units, even if the rent is reasonable when compared to other similar, unassisted units.
                            <PRTPAGE P="43917"/>
                        </P>
                        <P>
                            The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive the regulatory requirement at 24 CFR 578.49(b)(2) and use grant funds to pay for rent above FMR when leasing individual units under leases executed before the expiration of this Notice, so long as the rent paid for individual units meets the rent reasonableness standard at 24 CFR 578.49(b)(2).
                        </P>
                        <P>This waiver is only made available with respect to leases of individual units between the effective date of the HUD-approved waiver and March 31, 2023, although the recipient may request that the waiver remain applicable to a lease of an individual unit in which a program participant is assisted during that time period may continue to benefit from this waiver through until the earlier of the end of the lease or the end of the period of performance/approved budget period(s) for the recipient's grant(s) covered by the waiver.</P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s).</CHED>
                                <CHED H="1">
                                    Date
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">Preble Street</ENT>
                                <ENT>ME0133Y1T001800</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Monroe County Opportunity Program</ENT>
                                <ENT>MIO248L5F152113</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">WV Coalition to End Homelessness</ENT>
                                <ENT>WV0122L3E082106</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Crisis House</ENT>
                                <ENT>CA1433L9D012005, CA1690L9D012104</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Lord's Place</ENT>
                                <ENT>FL0368L4D052112, FL0594L4D052003, FL0594L4D052104, FL0711L4D052104</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Santa Clara</ENT>
                                <ENT>CA1059L9T002008, CA1059L9T002109, CA1911D9T002001, CA1911D9T002102</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Proyecto Maria</ENT>
                                <ENT>PR0105L4N032108</ENT>
                                <ENT>10/27/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Gulfstream Goodwill</ENT>
                                <ENT>FL0289L4D052013, FL0289L4D052114, FL0347L4D052009, FL0347L4D052110, FL0503L4D052007, FL0503L4D052108, FL0842Y4D051899, FL0842Y4D052101</ENT>
                                <ENT>10/27/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Beginnings, Bluegrass, Inc</ENT>
                                <ENT>KY0175L4I022004, KY0175L4I022105</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Vista of The Bluegrass, Inc</ENT>
                                <ENT>KY0087L4I022114</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">United Neighborhood Centers of Northeastern Pennsylvania</ENT>
                                <ENT>PA0382L3T082012</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">King County Regional Homelessness Authority</ENT>
                                <ENT>WA0053L0T002114</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Cambridge, Massachusetts</ENT>
                                <ENT>MA0151L1T092111, MA0152L1T092112, MA0156L1T092114, MA0170L1T092114, MA0317L1T092012, MA0317L1T092113, MA0572L1T092004, MA0572L1T092105</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Los Angeles Homeless Services Authority</ENT>
                                <ENT>CA1878D9D002102, CA0358L9D002114, CA1335L9D002107, CA1336L9D002107, CA1487L9D002106, CA1789D9D002103, CA2027D9D002100, CA2026D9D002100, CA1879D9D002102, CA2028D9D002</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Carson Valley Children's Aid</ENT>
                                <ENT>PA1023D3T042100</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Homeless Services Network of Central Florida, Inc</ENT>
                                <ENT>FL0566L4H072005, FL0566L4H072106</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Community Action Pioneer Valley</ENT>
                                <ENT>MA0633L1T072103, MA0731L1T072100, MA0604L1T072104</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lawrence County Community Action Partnership</ENT>
                                <ENT>PA0304L3E012111, PA0425L3E012113</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mental Health Systems</ENT>
                                <ENT>CA0708L9D012114, CA1698L9D012104</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Benton Franklin Community Action Committee</ENT>
                                <ENT>WA0071L0T012013, WA0071L0T012114, WA0204L0T012012, WA0204L0T012113</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Potential negative impacts of the pandemic on providing assistance to program participants, including the delay of identifying housing due to increased rental rates, low vacancy rates, challenges securing lower rates due to landlord trepidation or the onset of housing instability.</P>
                        <P>
                            B. Local pandemic-specific delays or limitations (
                            <E T="03">e.g.,</E>
                             social distancing requirements, delays in obtaining necessary paperwork due to office closures or staffing shortages, low vaccination rates or high hospitalization rates of people experiencing homelessness, lower wages or higher unemployment rates).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD2">CoC—One-Year Lease Requirement</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 578.3 and 24 CFR 578.51(l)(1).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             24 CFR 578.3, definition of permanent housing, and 24 CFR 578.51(l)(1) requires program participants residing in permanent housing to be the tenant on a lease for a term of at least one year that is renewable and terminable for cause.
                        </P>
                        <P>
                            The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive the regulatory requirements at 24 CFR 578.3 and 24 CFR 578.51(l)(1) that recipients execute a lease that is for a term of less than one year, so long as the initial term of the lease is at least one month.
                        </P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s).</CHED>
                                <CHED H="1">
                                    Date
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">Catholic Charities Wichita</ENT>
                                <ENT>KS0103L7P022005, KS0103L7P022106</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43918"/>
                                <ENT I="01">County of Santa Clara</ENT>
                                <ENT>CA0021L9T002013, CA0021L9T002114, CA0003L9T002011, CA0003L9T002112, CA0825L9T002008, CA0825L9T002109, CA0001L9T002010, CA0001L9T002111, CA1385L9T002005, CA1385L9T002106, CA1274L9T002006, CA1274L9T002107, CA1526L9T002003, CA1526L9T002104, CA1059L9T002008, CA1059L9T002109, CA1528L9T002004, CA1528L9T002105, CA0014L9T002013, CA0014L9T002114, CA1384L9T002004, CA1384L9T002105, CA1729L9T002002, CA1729L9T002103, CA0746L9T002012, CA0746L9T002113, CA1728D9T002002, CA1728D9T002103, CA1909L9T002001, CA1909L9T002102, CA1910L9T002001, CA1910L9T002102, CA1911D9T002001, CA1911D9T002102</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Gulfstream Goodwill</ENT>
                                <ENT>FL0289L4D052013, FL0289L4D052114, FL0347L4D052009, FL0347L4D052110, FL0503L4D052007, FL0503L4D052108, FL0842Y4D051899, FL0842Y4D052101</ENT>
                                <ENT>10/27/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Oklahoma City</ENT>
                                <ENT>OK0044L6I022112, OK0020L6I022112, OK0053L6I022111, OK0024L6I022114, OK0019L61022011, OK0126L61022004</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Family Support Center of South Sound</ENT>
                                <ENT>WA0414D0T012103, WA0371L0T012105</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Hope Community Services, Inc</ENT>
                                <ENT>OK0035L6IO42114</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Liberty Community Services, Inc</ENT>
                                <ENT>CT0282L1E051904, CT0153L1E051909</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>NM0101L6B002106, NM0014L6B002114, NM0015L6B002114</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">King County Regional Homelessness Authority</ENT>
                                <ENT>WA0295L0T002107, WA0319L0T002106, WA0363L0T002105, WA0366L0T002105, WA0392L0T002104, WA0411L0T002103, WA0412D0T002103, WA0483D0T002100, WA0033L0T002114, WA0034L0T002114, WA0053L0T002114</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Cambridge, Massachusetts</ENT>
                                <ENT>MA0151L1T092111, MA0152L1T092112, MA0156L1T092114, MA0170L1T092114, MA0179L1T092114, MA0180L1T092013, MA0180L1T092114, MA0317L1T092012, MA0317L1T092113, MA0543L1T092106, MA0570L1T092105, MA0571L1T092004, MA0571L1T092105, MA0572L1T092004, MA0572L1T092105, MA0637D1T092103, MA0638L1T092103</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Los Angeles Homeless Services Authority</ENT>
                                <ENT>CA1878D9D002102, CA0340L9D002114, CA0345L9D002114, CA0347L9D002114, CA0348L9D002114, CA0353L9D002114, CA0358L9D002114, CA0364L9D002114, CA0373L9D002114, CA0374L9D002114, CA0383L9D002114, CA0409L9D002114, CA0413L9D002114, CA0430L9D002114, CA0433L9D002114, CA0450L9D002114, CA0466L9D002114, CA0494L9D002114, CA0523L9D002114, CA0861L9D002110, CA0993L9D002109, CA0994L9D002108, CA1048L9D002111, CA1335L9D002107, CA1336L9D002107, CA1487L9D002106, CA1684L9D002104, CA1686L9D002104, CA1789D9D002103, CA2027D9D002100, CA2026D9D002100, CA1879D9D002102, CA1787L9D002102, CA2028D9D002100, CA0435L9D002114, CA0442L9D002114</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Los Angeles County Development Authority</ENT>
                                <ENT>CA0465L9D002114, CA1158L9D002110, CA0915L9D002112, CA1159L9D002110, CA1503L9D002106, CA0365L9D002114, CA0800L9D002113, CA0914L9D002112, CA0998L9D002106, CA1343L9D002107, CA1596L9D002105, CA0792L9D002113, CA0913L9D002112, CA1597L9D002105, CA1046L9D002111, CA1502L9D002106, CA1504L9D002106, CA0339L9D002114, CA1104L9D002105, CA1109L9D002105, CA1505L9D002106, CA1688L9D002104, CA0421L9D002114, CA0742L9D002114, CA0860L9D002107, CA1157L9D002110, CA1218L9D002109, CA1219L9D002109, CA1342L9D002107, CA1344L9D002107, CA1687L9D002104, CA0365L9D002013, CA0800L9D002012, CA0914L9D002011, CA0998L9D002005, CA1343L9D002006, CA1596L9D002004, CA0792L9D002012, CA0913L9D002011, CA1597L9D002004, CA1046L9D002010, CA1502L9D002005, CA1504L9D002005, CA0339L9D002013, CA1104L9D002004, CA1109L9D002004, CA1505L9D002005, CA1688L9D002003, CA0421L9D002013, CA0742L9D002013, CA0860L9D002006, CA1157L9D002009, CA1218L9D002008, CA1219L9D002008, CA1342L9D002006, CA1344L9D002006, CA1687L9D002003</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City and County of Denver Department of Housing Stability</ENT>
                                <ENT>CO0055L8T032013, CO0055L8T032114, CO0026L8T032114, CO0104L8T032013, CO0104L8T032114, CO0154L8T032003, and CO0154L8T032104.</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Homeless Services Network of Central Florida, Inc</ENT>
                                <ENT>FL0605L4H072005, FL0605L4H072106, FL0562L4H072005, FL0562L4H072106, FL0566L4H072005, FL0566L4H072106, FL0561L4H072005, FL0561L4H072106</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Neighborhood House</ENT>
                                <ENT>OR0222L0E012004</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Impact NW</ENT>
                                <ENT>WA0276L0T082108</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Regional Taskforce on Homelessness</ENT>
                                <ENT>CA1814Y9D012001, CA1816Y9D012001 CA1818Y9D012001, CA1814Y9D012102 CA1816Y9D012102, CA1818Y9D012102</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>NM0101L6B002106, NM0014L6B002114, NM0015L6B002114</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Laurel House</ENT>
                                <ENT>PA0957D3T042102</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Amador-Tuolumne Community Action Agency</ENT>
                                <ENT>CA1588L9T2672004</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Potential negative impacts of the pandemic on providing assistance to program participants, including the delay of identifying housing or the onset of housing instability.</P>
                        <P>
                            B. Local pandemic-specific delays or limitations (
                            <E T="03">e.g.,</E>
                             social distancing requirements, delays in obtaining necessary 
                            <PRTPAGE P="43919"/>
                            paperwork due to office closures or staffing shortages, challenges securing 12-month leases due to landlord trepidation or low vacancy rates).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD2">CoC—Permanent Housing Rapid Re-Housing Limit to 24 Months Rental Assistance</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 578.37(a)(1)(ii), 24 CFR 578.51(a)(1)(i), 24 CFR 578.37(a)(1)(ii), and 24 CFR 578.37(a)(1)(ii)(C).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             24 CFR 578.37(a)(1)(ii) and 24 CFR 578.51(a)(1)(i) defines medium term rental assistance as 3-24 months and 24 CFR 578.37(a)(1)(ii) and 24 CFR 578.37(a)(1)(ii)(C) limits rental assistance in Rapid Re-housing projects to medium-term rental assistance, or no more than 24 months.
                        </P>
                        <P>
                            The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive the regulatory requirements at 24 CFR 578.37(a)(1)(ii), 24 CFR 578.37(a)(1)(ii)(C), and 24 CFR 578.51(a)(1)(i) in permanent housing rapid-rehousing projects for program participants who will have reached their 24-months of rental assistance between the publication of this Notice and March 31, 2023 and who will not be able to afford their rent without additional rental assistance. Program participants who have reached their 24-months of rental assistance during this time will be eligible to receive additional rental assistance from the effective date of a HUD-approved waiver until March 31, 2023.
                        </P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s).</CHED>
                                <CHED H="1">
                                    Date
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">St. Jude's Ranch for Children</ENT>
                                <ENT>NV0119L9T002104, NV0082L9T002108</ENT>
                                <ENT>10/3/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Santa Clara</ENT>
                                <ENT>CA1385L9T002005, CA1385L9T002106, CA1528L9T002004, CA1528L9T002105, CA1728D9T002002, and CA1728D9T002103</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">State of Connecticut Department of Housing</ENT>
                                <ENT>CT0242L1E052007, CT0279L1E052106, CT0294L1E052105, CT0301L1E032104, CT0306L1E052104, CT0317Y1E052002, CT0326D1E032103, CT0330D1E052103, CT0336D1E032001, CT0336D1E032102, CT0338D1E052001, CT0338D1E052102, CT0339L1E052001, CT0339L1E052102, CT0352Y1E052100</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Gulfstream Goodwill</ENT>
                                <ENT>FL0843Y4D051899, FL0843Y4D052101</ENT>
                                <ENT>10/27/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Community Action Partnership of Lancaster and Saunders Counties</ENT>
                                <ENT>NE0106L7D022105</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">United Neighborhood Centers of Northeastern Pennsylvania</ENT>
                                <ENT>PA0806L3T082004</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Liberty Community Services, Inc</ENT>
                                <ENT>CT0282L1E051904</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>NM0101L6B002106</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">King County Regional Homelessness Authority</ENT>
                                <ENT>WA0295L0T002107, WA0319L0T002106, WA0363L0T002105, WA0366L0T002105, WA0412D0T002103, WA0485Y0T002100</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Cambridge, Massachusetts</ENT>
                                <ENT>MA0543L1T092106, MA0637D1T092103, and MA0638L1T092103</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Los Angeles Homeless Services Authority</ENT>
                                <ENT>CA1335L9D002107, CA1336L9D002107, CA1487L9D002106, CA2027D9D002100, CA2026D9D002100, CA1879D9D002102, CA0358L9D002114</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Carson Valley Children's Aid</ENT>
                                <ENT>PA1023D3T042100</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City and County of Denver Department of Housing Stability</ENT>
                                <ENT>CO0154L8T032003, CO0154L8T032104</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Homeless Services Network of Central Florida, Inc</ENT>
                                <ENT>FL0605L4H072005, FL0605L4H072106, FL0562L4H072005, FL0562L4H072106</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Neighborhood House</ENT>
                                <ENT>OR0222L0E012004</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Regional Taskforce on Homelessness</ENT>
                                <ENT>CA1814Y9D012001, CA1816Y9D012001, CA1818Y9D012001, CA1814Y9D012102, CA1816Y9D012102, CA1818Y9D012102</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>NM0101L6B002106</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Orange County, NC</ENT>
                                <ENT>NC0485L4F132100</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lawrence County Community Action Partnership</ENT>
                                <ENT>PA0775L3E012106 and PA0901L3E012104</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Potential negative impacts of the pandemic on providing assistance to program participants, including the delay of identifying housing or the onset of housing instability.</P>
                        <P>
                            B. Local pandemic-specific delays or limitations (
                            <E T="03">e.g.,</E>
                             social distancing requirements, delays in obtaining necessary paperwork due to office closures or staffing shortages, low vaccination rates or high hospitalization rates of people experiencing homelessness, lower wages or higher unemployment rates).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD2">CoC—Disability Documentation for Permanent Supportive Housing</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 578.103(a) and 24 CFR 578.103(a)(4)(i)(B).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Intake-staff recorded observations of disability is acceptable evidence when documenting disability for individuals and families that meet the “chronically homeless” definition at 24 CFR 578.3. However, the CoC Interim Rule requires such observations to be confirmed and accompanied by other evidence no later than 45 days from the application for assistance.
                        </P>
                        <P>
                            The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive the regulatory requirements at 24 CFR 578.103(a) and 24 CFR 578.103(a)(4)(i)(B) that staff-recorded observation of disability be confirmed and accompanied by other evidence no later than 45 days from the application for assistance documentation until the expiration of this Notice. Note that a written certification by the individual seeking assistance that they have a qualifying disability will be acceptable documentation approved by HUD under 24 CFR 578.103(a)(4)(i)(B)(5) until the expiration of this Notice.
                            <PRTPAGE P="43920"/>
                        </P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s).</CHED>
                                <CHED H="1">
                                    Date
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">La Casa Norte</ENT>
                                <ENT>IL0594L5T102006, IL0666L5T102004, IL0594L5T102107, IL0666L5T102105</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Revive Center for Housing and Healing</ENT>
                                <ENT>IL0126L5T102013, IL0126L5T102114</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Santa Clara</ENT>
                                <ENT>CA0021L9T002013, CA0021L9T002114, CA0003L9T002011, CA0003L9T002112, CA0825L9T002008, CA0825L9T002109, CA0001L9T002010, CA0001L9T002111, CA1274L9T002006, CA1274L9T002107, CA1526L9T002003, CA1526L9T002104, CA1059L9T002008, CA1059L9T002109, CA0014L9T002013, CA0014L9T002114, CA1384L9T002004, CA1384L9T002105, CA1729L9T002002, CA1729L9T002103, CA0746L9T002012, CA0746L9T002113, CA1909L9T002001, CA1909L9T002102, CA1910L9T002001, CA1910L9T002102, CA1966L9T002100</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Gulfstream Goodwill</ENT>
                                <ENT>FL0289L4D052013, FL0289L4D052114, FL0347L4D052009, FL0347L4D052110, FL0503L4D052007, FL0503L4D052108, FL0842Y4D051899, FL0842Y4D052101</ENT>
                                <ENT>10/27/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Oklahoma City</ENT>
                                <ENT>OK0044L6I022112, OK0020L6I022112, OK0053L6I022111, OK0024L6I022114</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Hope Community Services, Inc</ENT>
                                <ENT>OK0035L6IO42114</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">United Neighborhood Centers of Northeastern Pennsylvania</ENT>
                                <ENT>PA0382L3T082012, PA0581L3T082009</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chicago House and Social Service Agency</ENT>
                                <ENT>IL0108L5T102114, IL0215L5T102114</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>NM0015L6B002114, NM0014L6B002114</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">King County Regional Homelessness Authority</ENT>
                                <ENT>WA0466L0T002102, WA0410L0T002102, WA0390L0T002102, WA0384L0T002103, WA0364L0T002105, WA0345L0T002104, WA0344L0T002105, WA0320L0T002106, WA0318L0T002106, WA0316L0T002106, WA0297L0T002107, WA0259L0T002109, WA0244L0T002109, WA0239L0T002111, WA0228L0T002111, WA0227L0T002108, WA0213L0T002111, WA0053L0T002114, WA0048L0T002114, WA0045L0T002114, WA0036L0T002114, WA0034L0T002114, WA0033L0T002114, WA0018L0T002114, WA0001L0T002112</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City and County of Denver Department of Housing Stability</ENT>
                                <ENT>CO0055L8T032013, CO0055L8T032114, CO0026L8T032114, CO0104L8T032013, and CO0104L8T032114</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Homeless Services Network of Central Florida, Inc</ENT>
                                <ENT>FL0563L4H072005, FL0563L4H072106, FL0331L4H072009, FL0331L4H072110, FL0093L4H072013, FL0093L4H072114, FL0566L4H072005, FL0566L4H072106, FL0561L4H072005, FL0561L4H072106</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Community Action Pioneer Valley</ENT>
                                <ENT>MA0691Y1T071800, MA0735Y1T072100, MA0401L1T072110, MA0633L1T072103, MA0604L1T072104, MA0072L1T072114, MA0353L1T072112, MA0468L1T072108, MA0731L1T072100</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Impact NW</ENT>
                                <ENT>WA0276L0T082108</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>NM0014L6B002114, NM0015L6B002114</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Heartland Health Outreach, Inc</ENT>
                                <ENT>IL0097L5T102114, IL0179L5T102114, IL0180L5T102114, IL0216L5T102114, IL0269L5T112114, IL0374L5T102111, IL0393L5T102113</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Breakthrough Urban Ministries</ENT>
                                <ENT>IL0163L5T102114, IL0389L5T102113</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Center for Housing and Health</ENT>
                                <ENT>IL0493L5T102109</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Insufficient staffing levels to carry out activities due to the pandemic's impact on the community or jurisdiction.</P>
                        <P>
                            B. Local pandemic-specific delays or limitations (
                            <E T="03">e.g.,</E>
                             social distancing requirements, delays in obtaining necessary paperwork due to office closures or staffing shortages, low vaccination rates or high hospitalization rates of people experiencing homelessness or people living with HIV).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD2">II. Expedited COVID-19 Waivers (Notice CPD-22-09)—ESG</HD>
                        <HD SOURCE="HD2">ESG—Assisting Program Participants With Subleases</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 576.105; 24 CFR 576.106.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The use of “owner” and “lease” in 24 CFR 576.105 and 576.106 restrict program participants from receiving rental assistance under 24 CFR 576.106 and certain services under 24 CFR 576.105 with respect to units that program participants sublease or lease from a person other than the owner or the owner's agent.
                        </P>
                        <P>
                            The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive the regulatory requirements in 24 CFR 576.105 and 576.106 to the extent that the references to “owner” and “lease” in 24 CFR 576.105 and 576.106 restrict program participants from receiving assistance in units they sublease from the primary leaseholder, provided that the recipient is able to assure HUD that: (i) The waiver will be used only when the program participant chooses to rent a unit through a legally valid sublease with the primary leaseholder for the unit; and (ii) The recipient has developed written policies to apply the requirements of 24 CFR 576.105, 24 CFR 576.106, 24 CFR 576.409, and 24 CFR 576.500(h) with respect to that program participant by reading the references to “owner” and “housing owner” to apply to the primary leaseholder and reading the references to “lease” to apply to the program participant's sublease or lease with primary leaseholder. In addition, to be considered for expedited processing, the waiver request must specify the period during which the recipient needs to house program participants using this flexibility, and that period must not extend beyond March 31, 2023, although the recipient may request that the waiver remain applicable to any sublease approved during that period until the earlier of the end of the program participant's otherwise allowable term of assistance or the end of the period of performance/approved budget period(s) for the recipient's grant(s) covered by the waiver.
                            <PRTPAGE P="43921"/>
                        </P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s).</CHED>
                                <CHED H="1">
                                    Date
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">City and County of Denver</ENT>
                                <ENT>E-21-MC-08-0005, E22-08-0005</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Las Vegas</ENT>
                                <ENT>E-21-MC-32-0001</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Tampa</ENT>
                                <ENT>E-21-MC-12-0020, E-22-MC-12-0020</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bexar County</ENT>
                                <ENT>E-21-UC-48-0500</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Modesto</ENT>
                                <ENT>E-21-MC-06-0002, E-22-MC-06-0002</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">California Department of Housing and Community Development</ENT>
                                <ENT>E-22-DC-06-0001, E-21-DC-06-0001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Neighborhood Services Department</ENT>
                                <ENT>E-21-MC0-40-502, E-21-MC0-40-502</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cobb County Government</ENT>
                                <ENT>E-21-UC-13-0002, E-22-UC-13-0002</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Tennessee Housing Development Agency</ENT>
                                <ENT>E-21-DC-470-001, E-22-DC-470-001</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Economic Development Department</ENT>
                                <ENT>E-21-MC-060-542, E-22-MC-060-542</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Maryland Department of Housing and Community Development</ENT>
                                <ENT>E-21-DC-240-001, E-22-DC-240-001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Potential negative impacts of the pandemic on providing assistance to program participants, including the delay of identifying housing or the onset of housing instability.</P>
                        <P>
                            B. Local pandemic-specific delays or limitations (
                            <E T="03">e.g.,</E>
                             social distancing requirements, delays in obtaining necessary paperwork due to office closures or staffing shortages).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD2">ESG—Durational Limits on Housing Relocation and Stabilization Services</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 576.105(b)(2); 24 CFR 576.105(c).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             24 CFR 576.105(b)(2) limits the provision of housing stability case management to 30 days while the program participant is seeking permanent housing and to 24 months during the period the program participant is living in housing. 24 CFR 576.105(c) limits the total amount of time a program participant may receive services under 24 CFR 576.105(b) to 24 months during any 3-year period.
                        </P>
                        <P>
                            The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive one or more of the 24-month limits under 24 CFR 576.105(a)(5), 24 CFR 576.105(b)(2), and 24 CFR 576.105(c) for program participants who continue to need assistance beyond the 24-month limit(s) to maintain housing stability Additionally, this notice provides for expedited process of recipient requests to waive 24 CFR 576.105(b)(2) to allow recipients to pay for housing stability case management for up to 60 days while the program participant is seeking housing.
                        </P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s).</CHED>
                                <CHED H="1">
                                    Date
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">City and County of Denver</ENT>
                                <ENT>E-21-MC-08-0005, E22-08-0005</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Bedford Office of Housing and Community Development</ENT>
                                <ENT>E-21-MC-25-0018, E-22-MC-25-0018</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Las Vegas</ENT>
                                <ENT>E-21-MC-32-0001</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Tampa</ENT>
                                <ENT>E-21-MC-12-0020, E-22-MC-12-0020</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bexar County</ENT>
                                <ENT>E-21-UC-48-0500</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Modesto</ENT>
                                <ENT>E-21-MC-06-0002, E-22-MC-06-0002</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">California Department of Housing and Community Development</ENT>
                                <ENT>E-22-DC-06-0001, E-21-DC-06-0001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Columbus Department of Development</ENT>
                                <ENT>E-22-MC-39-0009</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Salt Lake City Corporation</ENT>
                                <ENT>E-21-MC4-90-004, E-22-MC4-90-004</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Neighborhood Services Department</ENT>
                                <ENT>E-21-MC0-40-502, E-21-MC0-40-502</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cobb County Government</ENT>
                                <ENT>E-21-UC-13-0002, E-22-UC-13-0002</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Arundel Community Development Services</ENT>
                                <ENT>E-21-UC-24-0010, E-22-UC-24-0010</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Tennessee Housing Development Agency</ENT>
                                <ENT>E-21-DC-470-001, E-22-DC-470-001</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Cincinnati Office of the City Manager</ENT>
                                <ENT>E-21-MC-390-003, E-22-MC-390-003</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Economic Development Department</ENT>
                                <ENT>E-21-MC-060-542, E-22-MC-060-542</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Maryland Department of Housing and Community Development</ENT>
                                <ENT>E-21-DC-240-001, E-22-DC-240-001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Bucks, Department of Housing &amp; Community Development</ENT>
                                <ENT>E-21-UC-42-0004</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Potential negative impacts of the pandemic on providing assistance to program participants, including the delay of identifying housing due to increased rental rates, low vacancy rates or the onset of housing instability.</P>
                        <P>
                            B. Local pandemic-specific delays or limitations (
                            <E T="03">e.g.,</E>
                             social distancing requirements, delays in obtaining necessary paperwork due to office closures or staffing shortages, low vaccination rates or high hospitalization rates of people experiencing homelessness, lower wages or higher unemployment rates).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD2">ESG—24-Month Limit on Rental Assistance</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 576.106(a).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             24 CFR 576.106(a) limits the total amount of time a program participant may receive rental assistance to 24-months during a 3-year period. The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <PRTPAGE P="43922"/>
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive the 24-month limit on rental assistance under 24 CFR 576.106(a) for program participants who have received 24-months of rental assistance over a 3-year period but will not be able to afford their rent without additional rental assistance.
                        </P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s).</CHED>
                                <CHED H="1">
                                    Date
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">City and County of Denver</ENT>
                                <ENT>E-21-MC-08-0005, E22-08-0005</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Las Vegas</ENT>
                                <ENT>E-21-MC-32-0001</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Tampa</ENT>
                                <ENT>E-21-MC-12-0020, E-22-MC-12-0020</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bexar County</ENT>
                                <ENT>E-21-UC-48-0500</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Modesto</ENT>
                                <ENT>E-21-MC-06-0002, E-22-MC-06-0002</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">California Department of Housing and Community Development</ENT>
                                <ENT>E-22-DC-06-0001; E-21-DC-06-0001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Salt Lake City Corporation</ENT>
                                <ENT>E-21-MC4-90-004, E-22-MC4-90-004</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cobb County Government</ENT>
                                <ENT>E-21-UC-13-0002, E-22-UC-13-0002</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Collier County Government</ENT>
                                <ENT>E-21-UC-120-016, E-22-UC-120-016</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Arundel Community Development Services</ENT>
                                <ENT>E-21-UC-24-0010, E-22-UC-24-0010</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Tennessee Housing Development Agency</ENT>
                                <ENT>E-21-DC-470-001, E-22-DC-470-001</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Cincinnati Office of the City Manager</ENT>
                                <ENT>E-21-MC-390-003, E-22-MC-390-003</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Economic Development Department</ENT>
                                <ENT>E-21-MC-060-542, E-22-MC-060-542</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Maryland Department of Housing and Community Development</ENT>
                                <ENT>E-21-DC-240-001, E-22-DC-240-001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A, B</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Potential negative impacts of the pandemic on providing assistance to program participants, including the delay of identifying housing due to increased rental rates, low vacancy rates or the onset of housing instability.</P>
                        <P>
                            B. Local pandemic-specific delays or limitations (
                            <E T="03">e.g.,</E>
                             social distancing requirements, delays in obtaining necessary paperwork due to office closures or staffing shortages, low vaccination rates or high hospitalization rates of people experiencing homelessness, lower wages or higher unemployment rates).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD2">ESG—Restriction of Rental Assistance to Units With Rent at or Below FMR</HD>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 576.106(d)(1).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             24 CFR 576.106(d)(1) provides that rental assistance cannot be provided unless the total rent is equal to or less than the FMR established by HUD, as provided under 24 CFR part 888, and complies with HUD's standard of rent reasonableness, as established under 24 CFR 982.507.
                        </P>
                        <P>
                            The following table provides a summary of the waivers HUD provided with respect to this requirement in accordance with the expedited waiver process described in Notice CPD-22-09, which is available at 
                            <E T="03">www.hud.gov/sites/dfiles/OCHCO/documents/2022-09cpdn.pdf.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice CPD-22-09 authorized expedited processing of recipient requests to waive the FMR-based limitation in 24 CFR 576.106(d)(1), so that a recipient can provide rental assistance to program participants in units that are above FMR, so long as the rent is reasonable when compared to other similar unassisted units. However, to be considered for expedited processing, the waiver request must specify the period during which the recipient needs to house program participants using this flexibility, and that period must not extend beyond March 31, 2023, although the recipient may request that the waiver remain applicable to any unit in which a program participant is assisted during that time period may continue to benefit from this waiver through until the earlier of the end of the program participant's otherwise allowable term of assistance or the end of the period of performance/approved budget period(s) for the recipient's grant(s) covered by the waiver.
                        </P>
                        <GPOTABLE COLS="4" OPTS="L2,nj,tp0,p7,7/8,i1" CDEF="s100,r150,10,10">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Grantee</CHED>
                                <CHED H="1">Grant No(s). </CHED>
                                <CHED H="1">
                                    Date 
                                    <LI>granted</LI>
                                </CHED>
                                <CHED H="1">
                                    Reasons 
                                    <LI>waived</LI>
                                </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">Neighborhood Services Department</ENT>
                                <ENT>E-21-MC-19-0003</ENT>
                                <ENT>10/11/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City and County of Denver</ENT>
                                <ENT>E-21-MC-08-0005, E22-08-0005</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Bedford Office of Housing and Community Development</ENT>
                                <ENT>E-21-MC-25-0018, E-22-MC-25-0018</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Sioux City</ENT>
                                <ENT>E-21-MC-19-0006</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Las Vegas</ENT>
                                <ENT>E-21-MC-32-0001</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Tampa</ENT>
                                <ENT>E-21-MC-12-0020, E-22-MC-12-0020</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bexar County</ENT>
                                <ENT>E-21-UC-48-0500</ENT>
                                <ENT>11/4/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Modesto</ENT>
                                <ENT>E-21-MC-06-0002, E-22-MC-06-0002</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">California Department of Housing and Community Development</ENT>
                                <ENT>E-22-DC-06-0001, E-21-DC-06-0001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Columbus Department of Development</ENT>
                                <ENT>E-22-MC-39-0009</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pasco County</ENT>
                                <ENT>E-21-UC-120-009</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pierce County</ENT>
                                <ENT>E-21-UC-530-002, E-22-UC-530-002</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Salt Lake City Corporation</ENT>
                                <ENT>E-21-MC4-90-004, E-22-MC4-90-004</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mississippi Home Corporation</ENT>
                                <ENT>E-21-DC2-80-001</ENT>
                                <ENT>12/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Neighborhood Services Department</ENT>
                                <ENT>E-21-MC0-40-502, E-21-MC0-40-502</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Dallas</ENT>
                                <ENT>E-22-MC4-80-009, E-21-MC4-80-009</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cobb County Government</ENT>
                                <ENT>E-21-UC-13-0002, E-22-UC-13-0002</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Collier County Government</ENT>
                                <ENT>E-21-UC-120-016, E-22-UC-120-016</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Arundel Community Development Services</ENT>
                                <ENT>E-21-UC-24-0010, E-22-UC-24-0010</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Tennessee Housing Development Agency</ENT>
                                <ENT>E-21-DC-470-001, E-22-DC-470-001</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque</ENT>
                                <ENT>E-21-MC-350-001</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Richmond</ENT>
                                <ENT>E-21-MC-510-019, E22-MC-510-019</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of San Juan</ENT>
                                <ENT>E-21-MC-720-007</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Homeless Services</ENT>
                                <ENT>E-21-UC-290-001</ENT>
                                <ENT>11/18/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Grand Rapids Community Development Department</ENT>
                                <ENT>E-22-MC-26-0019</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43923"/>
                                <ENT I="01">City of Cincinnati Office of the City Manager</ENT>
                                <ENT>E-21-MC-390-003, E-22-MC-390-003</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Economic Development Department</ENT>
                                <ENT>E-21-MC-060-542, E-22-MC-060-542</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Guam Housing and Urban Renewal Authority</ENT>
                                <ENT>E-21-ST-66-0001, E-22-ST-66-0001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Maryland Department of Housing and Community Development</ENT>
                                <ENT>E-21-DC-240-001, E-22-DC-240-001</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Bucks, Department of Housing &amp; Community Development</ENT>
                                <ENT>E-21-UC-42-0004</ENT>
                                <ENT>11/14/2022</ENT>
                                <ENT>A</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            <E T="03">Code Key for Reasons Waived:</E>
                        </P>
                        <P>A. Potential negative impacts of the pandemic on providing assistance to program participants, including the delay of identifying housing due to increased rental rates, low vacancy rates, challenges securing lower rates due to landlord trepidation or the onset of housing instability.</P>
                        <P>
                            B. Local pandemic-specific delays or limitations (
                            <E T="03">e.g.,</E>
                             social distancing requirements, delays in obtaining necessary paperwork due to office closures or staffing shortages, low vaccination rates or high hospitalization rates of people experiencing homelessness, lower wages or higher unemployment rates).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Marion McFadden, Principal Deputy Assistant Secretary for Community Planning and Development.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             More information about each waiver and a copy of the request and the approval may be obtained by contacting: Norm Suchar, Director, Office of Special Needs Assistance Programs, Office of Community Planning and Development, Department of Housing and Urban Development, 451 Seventh Street  SW, Room 7262, Washington, DC 20410, telephone number (202) 708-4300.
                        </P>
                        <HD SOURCE="HD1">II. Regulatory Waivers Granted by the Office of Housing—Federal Housing Administration (FHA)</HD>
                        <P>For further information about the following regulatory waivers, please see the name of the contact person that immediately follows the description of the waiver granted.</P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 203.604 
                            <E T="03">Contact with the Mortgagor.</E>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Temporary, Partial Waiver of Servicing Mortgagee's Responsibility to Contact Mortgagor in Person.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             24 CFR 203.604 
                            <E T="03">Contact with the Mortgagor,</E>
                             under 
                            <E T="03">Mortgagee Actions</E>
                             under Subpart C—
                            <E T="03">Servicing Responsibilities</E>
                             of 24 CFR part 203 Single Family Insurance, requires mortgagees to have a face-to-face interview with the mortgagor, or make a reasonable effort to arrange such a meeting, before three full monthly installments due on the mortgage are unpaid. If default occurs in a repayment plan arranged other than during a personal interview, the mortgagee must have a face-to-face meeting the mortgagor, or make a reasonable attempt to arrange such a meeting within 30 days after such default and at least 30 days before foreclosure is commenced, or at least 30 days before assignment is requested if the mortgage is insured on Hawaiian home land pursuant to section 247 or Indian land pursuant to section 248 or if assignment is requested under § 203.350(d) for mortgages authorized by section 203(q) of the National Housing Act.
                        </P>
                        <P>
                            <E T="03">Granted by:</E>
                             Julia R. Gordon, Assistant Secretary for Housing—FHA Commissioner.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 19, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             HUD's servicing requirement for FHA-insured forward mortgages requires that a mortgagee conduct a face-to-face interview with the borrower, which is not practical given the public health recommendations being disseminated by local, state, and federal government agencies to limit contact between individuals, in order to contain the spread of the COVID-19 virus and its variants. HUD recognizes that, beyond government recommendations, there is public concern about possible transmission of COVID-19 from in-person contact, and that mortgagees and borrowers may be hesitant to meet in-person. FHA-approved mortgagees have been able to successfully establish contact with borrowers through alternate methods, gather and convey required information, and determine the borrower's circumstances and appropriate repayment plans, as required by 24 CFR 203.604, without a face-to-face interview. The waiver was granted to protect the public health while ensuring delinquent borrowers were provided the opportunity to learn about options available to bring their mortgages current.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Graham Mayfield, Acting Director, Office of Single Family Asset Management, Office of Housing, 451 Seventh Street SW, Room 9172, Washington, DC 20410, telephone (202) 402-2826, 
                            <E T="03">Graham.B.Mayfield@hud.gov.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 219.220(b)(1995) “Payment and Repayment of Operating Assistance” of the Federal Housing Administration's (FHA) regulations”.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Redeemers Arms aka Dale Street Place FHA No. 092-SH017T.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             That provision sets forth the requirements that govern the repayment of operating assistance under the Flexible Subsidy Program for Troubled Projects and states “Assistance that has been paid to a project owner under this subpart must be repaid at the earlier of the expiration of the term of the mortgage, termination of mortgage insurance, prepayment of the mortgage, or sale of the project.”
                        </P>
                        <P>
                            <E T="03">Granted by:</E>
                             Julia R. Gordon, Assistant Secretary for Housing-Federal Housing Commissioner.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 15, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The regulation at 24 CFR 219.220(b)(1995) was waived to permit the deferment of the outstanding balance of the Flexible Subsidy Loans, plus accrued interest, for Redeemers Arms aka Dale Street Place, and permit the Owner to repay the loans through a repayment plan. The waiver allowed the owner to refinance the property in order to complete much needed rehabilitation.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Saadia Figueroa-Smallwood, Office of Housing, 400 W Bay Street, Room 1015, Jacksonville, FL 32202, telephone (904) 208-6026, email: 
                            <E T="03">Saadia.E.Figueroa-Smallwood@hud.gov.</E>
                        </P>
                        <HD SOURCE="HD1">III. Regulatory Waivers Granted by the Office of Public and Indian Housing</HD>
                        <P>For further information about the following regulatory waivers, please see the name of the contact person that immediately follows the description of the waiver granted.</P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 982.161 (a).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Morgan Metropolitan Housing Authority's request to waive HCV regulation stating any present or former member/officer of PHA may not have any direct or indirect interest in the HAP contract.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation at 24 CFR 982.161 (a) allows HUD to evaluate good cause on a case-by-case basis based primarily (though not exclusively) on the needs of assisted families directly affected by removal of the units in question from the affordable housing inventory in a rural area without expansive amounts of other rental housing available.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 5, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             In May of 2022, the former Executive Director of MMHA, Ms. Haley Hook, discovered that she would be violating Section 13 of HUD Form 5264 by allowing her husband to participate as a landlord in MMHA's housing programs; she subsequently resigned. Upon resignation, her spouse (Mr. John Patterson) would like to continue participating in the Housing Choice Voucher Program as a landlord without waiting the one-year period outlined in Section 13 of the HAP contract and § 982.161(a). Mr. Patterson currently serves five clients through MMHA's Housing Choice Voucher program. MMHA has stated that Mr. Patterson's participation is essential to this PHA because Morgan County substantially lacks available, affordable housing and the participation of landlords. MMHA is a small rural housing authority located in southeastern Ohio. MMHA has also represented that terminating the HAP contracts would result in an undue burden on the five HCV participants living in an area where it would be difficult to locate and obtain other HCV eligible units.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Kristen Arnold, Housing Programs Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 971-222-2667.
                            <PRTPAGE P="43924"/>
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             SEMAP 24 CFR 985.101 (a).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Irvington HA requests a waiver of 24 CFR 985.101 submission of the SEMAP certification form within 60 days after the FYE: 3/31/2022.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             This regulation states that a public housing agency (PHA) must submit the Department of Housing and Urban Development (HUD) required SEMAP certification form within 60 calendar days after the end of its fiscal year. The PHA's fiscal year ended on March 31, 2022; the SEMAP certification was due on or before May 30, 2022.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 10, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             On April 5, 2022, the Irvington Housing Authority went into receivership. The Interim Executive Director resigned around the end of May 2022, which disrupted the agency's operations including the submission of the SEMAP certification in a timely manner. IHA has a new staff member ready to submit upon approval and plans to train an additional person to serve as backup to prevent further interruptions.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Michelle Daniels, Housing Program Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-402-6051.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 983.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Pursuant to 24 CFR 5.110, the Pender County Housing Authority (PCHA), NC173, requests a waiver of the federal regulations within 24 CFR 983 that outline requirements for selection of a project-based voucher proposal, selection procedures for PHA-owned units, as well as restrictions on the term of a resulting HAP Contract.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             Based on the request, the Department of Housing and Urban Development (HUD) has identified the following regulations necessitating a waiver: 24 CFR 983.51, which provides for owner proposal selection procedures; and 24 CFR 983.59(a), which provides for selection procedures for public housing authority (PHA) owned units in accordance with 24 CFR 983.51(e).
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 1, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             In December 2009, the PBC assistance was renewed and converted under a ten-year PBV HAP contract, covering the term of 2009-2019, however, this contract expired under a former Executive Director, and the expired HAP contract was identified during a recent Calculation of HAP, Adjusted Income and Rent (CHAIR) Review, conducted by Public and Indian Housing (PIH) Quality Assurance Division (QAD). The PHCA would like to provide PBV assistance to the units, notwithstanding the contract's expiration. This requires a waiver of the regulatory requirements specified in the first paragraph of this letter regarding project selection. It further requires the PHCA to determined that all other PBV statutory and regulatory requirements are met regarding the PBV program. The apartments meet the definition of PHA-owned and in 2011, a Memorandum of Understanding (MOU) was executed between PCHA and the Wilmington Housing Authority (WHA) for WHA to conduct HQS inspections for the units. Additionally, PCHA has been informed that additional efforts will be necessary to bring the program into compliance for PHA-owned units, and PCHA must execute agreements for all PBV functions to be performed by an Independent Entity. Further, PCHA has been advised that its administrative plan must be updated to ensure all appropriate policies and provisions for administration of the PBV program.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Nathaniel Johnson, Housing Program Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-402-5156.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Opelousas Housing Authority (LA055).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates.
                        </P>
                        <P>The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end (FYE) June 30, 2020 and 2021, in accordance with the Single Audit Act and OMB Circular A-133.</P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The HA is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until September 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE June 30, 2020 and 2021. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Highland Park Housing Commission (MI105).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE September 30, 2020, and 2021, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The HA contends that the prior board members failed to procure audit services on time, and the HA could not secure another audit contract until December 8, 2021. Further the HA states that there was great difficulty securing responses to a Request for Proposal for audit services. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Bogalusa Housing Authority (LA024).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE September 30, 2020, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until June 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE September 30, 2020. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Housing Authority of the Town of St. Martinville (LA040).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE March 31, 2021, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                            <PRTPAGE P="43925"/>
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until September 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE March 31, 2021. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Donaldsonville Housing Authority (LA043).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE December 31, 2020, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until September 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE December 31, 2020. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Thibodaux Housing Authority (LA044).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE December 31, 2020, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until September 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE December 31, 2020. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Berwick Housing Authority (LA056).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE December 31, 2020, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until June 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE December 31, 2020. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Grambling Housing Authority (LA097).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE September 30, 2021, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until September 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE September 30, 2021. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Independence Housing Authority (LA099).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE September 30, 2021, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until September 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE September 30, 2021. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(c) and 24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Fenton Housing Authority (LA261).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance 
                            <PRTPAGE P="43926"/>
                            dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE December 31, 2020, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 9, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency is requesting an extension due to the unforeseen circumstances surrounding the termination status of the agency's Auditor, William McCaskill, A Professional Accounting Corporation (APAC) who is no longer on the Louisiana Legislative Approved CPA firms list, and therefore is no longer qualified to conduct the audit. The Agency is requesting an extension until September 30, 2022, due to the arduous process to procure another auditor in time to complete the agency's audit process for FYE December 31, 2020. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Lara Philbert, Assessment Manager, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             SEMAP 24 CFR 985 (60 day submission rule).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Regional Housing Authority (RHA-CA048) requests waiver of the Section Eight Management Assessment Program (SEMAP) regulation, 24 CFR 985.101(a)
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             This regulation states that a public housing agency (PHA) must submit the Department of Housing and Urban Development (HUD) required SEMAP certification form within 60 calendar days after the end of its fiscal year. The PHA's fiscal year ended on March 31, 2022; the SEMAP certification was due on or before May 30, 2022.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 10, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             On May 31, 2022, the RHA attempted to submit its SEMAP certification but was denied access due to late submission. You stated that your agency was going through its financial audit the week prior to the submission deadline. As a result, the staff was unavailable to submit the SEMAP certification due to their time being occupied by the auditors. In addition, you mentioned that the office was closed for Memorial Day on May 30, 2022, and that the COVID-19 pandemic caused staff shortage (which also contributed to the late submission).
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Michelle Daniels, Housing Program Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-402-6051.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             HCV Regulations at 24 CFR 982.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Allegheny County Housing Authority (ACHA).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The ACHA seeks exception 24 CFR 982.503(C)(3) which would allow the HA to adopt payment standards about 120 percent of the Small Area Fair Market Rent. ACHA asserts this approval is necessary to prevent financial hardship for families as current payment standards in high priority neighborhoods are not adequate, and families that move under the HUD demonstration would otherwise experience significant rent burdens.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 30, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             ACHA has provided good cause for waiving 24 CFR 982.503(b)(1)(iv). In order to achieve the goals of the Community Choice Demonstration, and to provide access to low-poverty neighborhoods for families in their voucher program, ACHA needs to establish exception payment standards over 110 percent of the SAFMR, where justified by statistically representative housing survey data.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Brendan C. Goodwin, Housing Program Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202- 402-6050.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             CFR 982.517(b)(1) and 24 CFR 983.301(f)(2)(ii).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             The Housing Commission of Talbot (HCT).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The Housing Commission of Talbot (HCT), has submitted a request to waive 24 CFR 982.517(b)(1) and 24 CFR 983.301(f)(2)(ii), which require that the utility schedule be determined based on the typical cost of utilities and services paid by energy conservative households that occupy housing of a similar size and type in the same locality, and prohibits PHAs from establishing or applying different utility allowance amounts for the PBV program as the same utility allowance schedule applies to both tenant-based vouchers and project-based vouchers. For HUD to consider such a waiver, the public housing agency (PHA) should submit: (a) an analysis of utility rates for the community; (b) an estimate of energy consumption that will take place at the newly constructed site; and (c) a proposed alternative methodology for calculating utility allowances on an ongoing basis.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             November 30, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The information submitted to HUD by HCT supports its request. The HCT has submitted an analysis of utility rates for the community andan estimate of the energy consumption that will take place at the newly constructed site. Due to the energy efficient systems being built at the Doverbrook Apartments, the community consumption estimates are significantly higher than the consumption expected at the site. Therefore, since HCT has demonstrated that the utility allowance provided under the HCV program would discourage conservation and ultimately lead to inefficient use of HAP funds at the Doverbrook Apartments, I have determined that there is good cause to waive 24 CFR 983.301(f)(2)(ii) and 24 CFR 982.517.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Nathaniel Johnson, Housing Program Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-402-5156.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             SEMAP 24 CFR 985 (60 day submission rule).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Municipal Housing Agency of Council Bluff's requests approval for SEMAP late submitter waiver pursuant to the 60 day submission rule codified in 24 CFR 985.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             This regulation states that a public housing agency (PHA) must submit the Department of Housing and Urban Development (HUD) required SEMAP certification form within 60 calendar days after the end of its fiscal year. The PHA's fiscal year ended on December 31, 2021; the SEMAP certification was due on or before March 1, 2022.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 5, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             On February 25, 2022, the MHACB submitted its SEMAP on time but failed to complete the online certification due to difficulty entering the data into the PIC system. The agency's request states that they experienced challenges due to their SEMAP contact being new to the process and that they made efforts to reach out to HUD to address the issue.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Michelle Daniels, Housing Program Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-402-6051.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 982.161(a).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             any employee of the public housing authority (PHA) who formulates policy or who influences decisions with respect to the programs, may not have any direct or indirect interest in the housing assistance program (HAP) contract or in any benefits or payments under the contract during tenure or one year thereafter.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation at 24 CFR 982.161(c), and the HAP contract, allows the conflict of interest to be waived by the Department of Housing and Urban Development (HUD) for good cause.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 14, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Upon resignation, Mr. Hankerson would like to continue participating in the HCV program as a landlord without waiting the one-year period outlined in Section 13 of the HAP contract and § 982.161(a). OHA has stated that Mr. Hankerson's participation is essential because the city of Oakland's housing supply is extremely limited and terminating the HAP contracts would result in the unfair displacement of the two HCV participants living in an area where it would be difficult to locate and obtain other HCV eligible units.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Kristen Arnold, Housing Programs Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 971-222-2667.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 982.161(a).
                            <PRTPAGE P="43927"/>
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Carbondale Housing Authority's (CHA) request for waiver of Housing Choice Voucher (HCV) regulations at 24 CFR 982.161(a), which states, in part, that any public official, member of a governing body, or State or local legislator who exercises functions or responsibilities with respect to the programs, may not have any direct or indirect interest in the housing assistance program (HAP) contract or in any benefits or payments under the contract during tenure or one year thereafter.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation at 24 CFR 982.161(c), and the HAP contract, allows the conflict of interest to be waived by the Department of Housing and Urban Development (HUD) for good cause.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 14, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Per the request, Mr. Justin Taylor, Mayor of Carbondale, owns the unit where Mr. Jerry Thomas currently resides (and was living) when he was issued a Housing Choice Voucher (HCV) in February of 2022. CHA became aware of the conflict in March of 2022 (after the HAP was executed) and when Mayor Taylor informed their HCV coordinator of the situation. At the time the voucher was issued, the HCV coordinator was unaware of a potential conflict, as the rental property was listed in Mayor Taylor's business name. As Mayor, Mr. Taylor recommends candidates to serve on the board of the CHA, the city council approves the appointments, and the mayor does not have any functions or duties related to the administration of the HCV program.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Kristen Arnold, Housing Programs Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 971-222-2667.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Cincinnati Metropolitan Housing Authority (OH004) (CMHA).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE June 30, 2021, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 22, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             CMHA exerts that its contracted auditor, Plante &amp; Moran, PLLC, amended its contract due date to the auditor's staffing issues. The amended agreement due date is after the HUD submission due date and will cause CMHA to receive an LPF and zero points in the FASS scoring. This situation is beyond the control of the authority. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver. The circumstance preventing the Agency from submitting its audited financial information on time is acceptable. Therefore, CMHA is granted an additional sixty days from the extended due date of September 30, 2022. CMHA has until November 30, 2022, to complete and submit its FYE June 30, 2021, audited financial information to the Department.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Laura Philbert, Housing Programs Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Salem Housing Authority (OR011) (SHA).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE September 30, 2021, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 22, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             SHA seeks to be waived from its FYE September 30, 2021, audited financial reporting requirements, pursuant to 24 CFR 5.801(d)(1). SHA contends their previous auditor terminated their working relationship, which forced SHA to submit a Request for Proposal (RFP) to seek a new firm to handle both the ongoing 2020 and 2021 audits. COVID delayed this process and both the new auditing firm and SHA experienced difficulties completing the audits from scratch even with the extended deadlines. The new firm has only just begun engaging SHA in completing the 2021 audit. The circumstances preventing the Agency from submitting its audited financial information on time is acceptable. Accordingly, the Agency is granting a submission due date of September 30, 2022, to complete and submit its audited financial statements to the Department for FYE September 30, 2021.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Laura Philbert, Housing Programs Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Athens Metropolitan Housing Authority (AMHA041) (AMHA).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE December 31, 2021, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 22, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             AMHA seeks to be waived from its fiscal year end (FYE) December 31, 2021, audited financial reporting requirements according to 24 CFR 5.801(d)(1). AMHA stated their office is within a high-risk COVID area due to extended sick leave, and recovery times have severely affected their operations. As a small PHA with twelve employees, having multiple employees with COVID simultaneously has caused a hardship for AMHA to maintain its daily operation and provide information for the IPA audit. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver. The circumstance preventing the Agency from submitting its audited financial information on time is acceptable. Therefore, the AMHA is granted an additional sixty days from the extended due date of September 30, 2022. The AMHA has until November 30, 2022, to complete and submit its FYE December 31, 2021, audited financial information to the Department.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Laura Philbert, Housing Programs Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             West Carthage Housing Authority (NY414) (WCHA).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE September 30, 2020, and its fiscal year ending on September 30, 2021, in accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 22, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             For WCHA's fiscal year ending on September 30, 2020, and its fiscal year ending on September 30, 2021, WCHA seeks to be waived from its FYE audited financial reporting requirements, pursuant to 24 CFR 5.801(d)(1). The WCHA's former executive director was unresponsive for several months and resigned her position after the Wilna Housing Authority (WHA), a neighboring housing authority, intervened to engage WCHA's board. WCHA is now under an interagency agreement with WHA. The circumstances preventing the Agency from submitting its audited financial statements on time is acceptable. Accordingly, the Agency is granting a submission due date of December 31, 2022, to complete and submit its audited financial statements to the Department for FYE September 30, 2020, and September 30, 2021.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Laura Philbert, Housing Programs Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 5.801(d)(1).
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Mobile Housing Authority (AL002).
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             The regulation establishes certain reporting compliance dates. The audited financial statements are required to be submitted to the Real Estate Assessment Center (REAC) no later than nine months after the housing authority's (HA) fiscal year end FYE December 31, 2021, in 
                            <PRTPAGE P="43928"/>
                            accordance with the Single Audit Act and OMB Circular A-133.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant Secretary for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             December 22, 2022.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             The Agency contends that it has incurred some challenges due to circumstances beyond its control, such as a lack of financial staff and management changes that resulted in incomplete accounting records that impacted the auditor's ability to reconcile and evaluate prior years' financials. The Agency contends their Finance Department experienced significant turnovers in 2018, 2019, and 2020, including the Chief Executive, the retirement of the long-tenured Chief Financial Officer, the Deputy Controller, and two Senior Accountants. The Agency contends their financial contractor found several account balances inaccurate, and certain records and data to substantiate these balances are stored in various locations. The Agency claims they encountered issues during the procurement process to ensure procuring a qualified auditor that could adequately audit their financial data. The Agency contends the loss of various personnel challenges has impacted their ability to move forward with the audit as planned. The Agency requests a waiver to extend the due date for the Audited FDS Submission for FYE to December 31, 2021, with a reporting date of September 30, 2022. In accordance with 24 CFR 5.110, the request to extend the submission due date and waive 24 CFR 5.801(d)(1) is approved, as the reason provided is considered good cause for a waiver. Accordingly, the Agency has been granted an extended due date to February 20, 2023.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Laura Philbert, Housing Programs Specialist, Office of Public and Indian Housing, 451 Seventh Street SW, Washington, DC 20410, telephone 202-475-8930.
                        </P>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 982.505(c)(4) Increase in Payment Standard During Housing Assistance Payment (HAP) Contract Term.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice PIH 2022-30 Extension of Certain Regulatory Waivers for the Housing Choice Voucher (including Mainstream) Program and Streamlined Review Process.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             PHAs may request an extension of the option to increase the payment standard for the family at any time after the effective date of the increase, rather than waiting for the next regular reexamination.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Extension for PHAs that were granted to the opportunity to apply for certain regulatory waivers that were originally offered as part of the CARES Act waivers in Notice PIH 2021-14 to provide continued flexibility during the pandemic and pandemic recovery. HUD expeditiously responded to these waiver request in accordance with Section 106 of the Department of Housing and Urban Development Reform Act of 1989.
                        </P>
                        <P>
                            <E T="03">Granted by:</E>
                             Dominique Blom, General Deputy Assistant for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 1, 2022-December 31, 2022.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Tesia Anyanaso, Office of Field Operations/Coordination and Compliance Division, Office of Public and Indian Housing, 451 Seventh St. SW, Suite 3180, Washington, DC 20410-5000, or email to 
                            <E T="03">PIH_Expedited_Waivers@hud.gov.</E>
                        </P>
                        <GPOTABLE COLS="2" OPTS="L2,tp0,p1,8/9,i1" CDEF="s150,12">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1"> </CHED>
                                <CHED H="1"> </CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">Housing Authority of the Birmingham District</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Jasper</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Huntsville</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Decatur</ENT>
                                <ENT>10/24/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Enterprise Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Walker County Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Prichard</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mobile County Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pike County Housing Authority</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Phoenix Housing Department</ENT>
                                <ENT>12/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Mesa Housing Authority</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Winslow Public Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Maricopa County</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Tempe Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Scottsdale Housing Agency</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City &amp; County of Sf</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Los Angeles</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Oakland Housing Authority</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Los Angeles</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority City of Fresno</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Sacramento Housing Authority</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Stanislaus Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Riverside</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Fresno County</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Yolo</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Kings County Housing Auth</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Berkeley Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of San Luis Obispo</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Suisun City Housing Authority</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Madera</ENT>
                                <ENT>11/10/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Santa Cruz County Housing Authority</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Santa Barbara</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mendocino County</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Sonoma</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Ventura</ENT>
                                <ENT>11/10/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Orange County Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Shasta Housing Authority</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of San Diego</ENT>
                                <ENT>12/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Culver City</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">CDC of National City</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Torrance</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lake County Housing Commission</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Comm Service Dept El Dorado County</ENT>
                                <ENT>11/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Pueblo</ENT>
                                <ENT>11/7/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Delta Housing Authority</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Englewood Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Sheridan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43929"/>
                                <ENT I="01">Garfield County Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Colorado Division of Housing</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Hartford</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Middletown Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Willimantic Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Milford Redevelopment and Housing Partnership</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Portland Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Newark Housing Authority</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Cocoa</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ocala Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Fort Myers</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Clearwater Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Pensacola Department of Housing</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Walton County Housing Authority</ENT>
                                <ENT>12/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Hendry County Housing Authority</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Savannah</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Newnan</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Davenport Housing Commission</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Southern Iowa Regional Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Northwest Iowa Regional Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Boise City Housing Authority</ENT>
                                <ENT>11/10/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Southwestern Idaho Cooperative Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ada County Housing Authority</ENT>
                                <ENT>11/10/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Peoria Housing Authority</ENT>
                                <ENT>11/18/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Elgin</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of East Peoria</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Delaware County Housing Authority</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Muncie</ENT>
                                <ENT>11/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Anderson</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Gary</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Michigan City</ENT>
                                <ENT>11/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Bloomington</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of East Chicago</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brazil Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Knox County Housing Authority</ENT>
                                <ENT>11/30/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Lafayette</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Elwood</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Logansport</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of St. Joseph</ENT>
                                <ENT>11/10/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Wichita Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Salina Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Great Bend Housing Authority</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ford County Housing Authority</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Kenner</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">St. John the Baptist Parish Housing Authority</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Bedford Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chelsea Housing Authority</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Falmouth Housing Authority</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Stockbridge Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Department of Housing &amp; Community Development</ENT>
                                <ENT>10/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Hagerstown Housing Authority</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Harford County Housing Agency</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Washington County</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Carroll County Housing and Community Development</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Portland Housing Authority</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brunswick Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ellsworth Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Maine State Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Detroit Housing Commission</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ann Arbor Housing Commission</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Grand Rapids Housing Commission</ENT>
                                <ENT>11/18/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">HRA of Red Wing, Minnesota</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of St. Charles</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Independence Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Sedalia, MO</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Joplin, MO</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Boone County Public Housing Agency</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lincoln County Public Housing Agency</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Liberty Housing Authority</ENT>
                                <ENT>11/30/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Howell County Public Housing Agency</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Assistance Prog of St Charles County</ENT>
                                <ENT>11/18/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Biloxi</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Billings</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Missoula Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Montana Department of Commerce</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Wilmington</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43930"/>
                                <ENT I="01">Housing Authority of the City of Asheville</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Winston-Salem</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Columbus County Public Housing Agency</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Western Piedmont Council of Governments</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Stutsman County, ND</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Fargo Housing and Redevelopment Authority</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">McHenry/Pierce County Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Portsmouth Housing Authority</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Laconia Housing &amp; Redevelopment Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Rochester NH</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lebanon Housing Authority</ENT>
                                <ENT>10/24/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Harbor Homes, Inc</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Hampshire Housing Finance Agency</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Nevada Rural Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cortland Housing Authority</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Rochester Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Town of Islip Housing Authority</ENT>
                                <ENT>11/18/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Rochelle Housing Authority</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Village of Ossining Section 8 Program</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Village of Fairport</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cuyahoga Metropolitan Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Dayton Metropolitan Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lucas Metropolitan Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Akron Metropolitan Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Zanesville Metropolitan Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mansfield Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Belmont Metropolitan Housing Authority</ENT>
                                <ENT>11/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Greene Metropolitan Housing Authority</ENT>
                                <ENT>11/7/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lake Metropolitan Housing Authority</ENT>
                                <ENT>11/30/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Columbiana Metropolitan Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Erie Metropolitan Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ashtabula Metropolitan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Huron Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cambridge Metropolitan Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Perry County Metropolitan Housing Authority</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Coshocton Metropolitan Housing Authority</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Crawford Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Adams Metropolitan Housing Authority</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Gallia Metropolitan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Sandusky Metropolitan Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Monroe Metropolitan Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pike Metropolitan Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Miami Metropolitan Housing Authority</ENT>
                                <ENT>12/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Seneca Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Marion Metropolitan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Delaware Metropolitan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Yamhill County</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Coos-Curry Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mid-Columbia Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Malheur County</ENT>
                                <ENT>10/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Allentown Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bethlehem Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority County of Delaware</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Wilkes Barre Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Lebanon</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Luzerne</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Berks</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Newport</ENT>
                                <ENT>10/24/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Johnston Housing Authority</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cumberland Housing Authority</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">West Warwick Housing Authority</ENT>
                                <ENT>12/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Coventry Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bristol Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Warren Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Aguadilla</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Fajardo</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Gurabo</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Las Marias</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Cidra</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Rock Hill</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Florence</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Greenwood</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Cheraw</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Marlboro Co Housing &amp; Redevelopment Authority</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Madison Housing and Redevelopment Commission</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43931"/>
                                <ENT I="01">Sioux Falls Housing and Redevelopment Commission</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Aberdeen Housing &amp; Redevelopment Commission</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pierre Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Milbank Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Canton Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Watertown Housing and Redevelopment Commission</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Meade County Housing and Redevelopment Commission</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lawrence County Housing &amp; Redevelopment Commission</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brookings Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mobridge Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Butte County Housing Authority</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Memphis Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chattanooga Housing Authority</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Kingsport Housing and Redevelopment Authority</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lafollette Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Morristown Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cleveland Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bristol Housing</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Oak Ridge Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Tennessee Housing Development Agency</ENT>
                                <ENT>10/30/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Waco</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Port Arthur</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Bay City</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Deep East Texas Council of Governments</ENT>
                                <ENT>12/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Salt Lake</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Provo</ENT>
                                <ENT>11/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Davis Community Housing Authority</ENT>
                                <ENT>11/7/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Utah County</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Roanoke Redevelopment &amp; Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Vermont State Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Bremerton</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Peninsula Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority City of Longview</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Kennewick</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Columbia Gorge Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Grays Harbor County</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Kitsap County Consolidated Housing Auth</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Chelan Co and the City of Wenatchee</ENT>
                                <ENT>12/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Okanogan County</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Milwaukee</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Wisconsin Rapids Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brown County Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Winnebago County, WI</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Barron County Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chippewa County Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Fairmont</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                        </GPOTABLE>
                        <P>
                            • 
                            <E T="03">Regulation:</E>
                             24 CFR 982.503(b) Voucher Tenancy: New Payment Standard Amount.
                        </P>
                        <P>
                            <E T="03">Project/Activity:</E>
                             Notice PIH 2022ndash;30 Extension of Certain Regulatory Waivers for the Housing Choice Voucher (including Mainstream) Program and Streamlined Review Process.
                        </P>
                        <P>
                            <E T="03">Nature of Requirement:</E>
                             PHAs may request an extension of expedited waiver(s) to allow for establishment of payment standards from 111 to 120 percent of the FMR.
                        </P>
                        <P>
                            <E T="03">Reason Waived:</E>
                             Extension for PHAs that were granted to the opportunity to apply for certain regulatory waivers that were originally offered as part of the CARES Act waivers in Notice PIH 2021-14 to provide continued flexibility during the pandemic and pandemic recovery. HUD expeditiously responded to these waiver request in accordance with Section 106 of the Department of Housing and Urban Development Reform Act of 1989.
                        </P>
                        <P>
                            <E T="03">Granted By:</E>
                             Dominique Blom, General Deputy Assistant for Public and Indian Housing.
                        </P>
                        <P>
                            <E T="03">Date Granted:</E>
                             October 1, 2022-December 31, 2022.
                        </P>
                        <P>
                            <E T="03">Contact:</E>
                             Tesia Anyanaso, Public and Indian Housing, Office of Field Operations/Coordination and Compliance Division, 451 7th St. SW, Suite 3180, Washington, DC 20410-5000, or email to 
                            <E T="03">PIH_Expedited_Waivers@hud.gov.</E>
                        </P>
                        <P>
                            <E T="03">PHAs:</E>
                        </P>
                        <GPOTABLE COLS="2" OPTS="L2,tp0,p1,8/9,i1" CDEF="s150,12">
                            <TTITLE> </TTITLE>
                            <BOXHD>
                                <CHED H="1">Housing Authority of the Birmingham District</CHED>
                                <CHED H="1">12/12/2022</CHED>
                            </BOXHD>
                            <ROW>
                                <ENT I="01">Mobile Housing Board</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Jasper</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Huntsville</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Decatur</ENT>
                                <ENT>10/24/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Auburn</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Florence Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Boaz Housing Authority</ENT>
                                <ENT>11/7/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Tuscaloosa</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Jefferson County Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Enterprise Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Eufaula Housing Authority</ENT>
                                <ENT>12/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Walker County Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Prichard</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">South Central Alabama Regional Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43932"/>
                                <ENT I="01">Mobile County Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">NW Regional Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lonoke County Housing Authority</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pike County Housing Authority</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Clay County Public Housing Agency</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Phoenix Housing Department</ENT>
                                <ENT>12/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Mesa Housing Authority</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Flagstaff Housing Authority</ENT>
                                <ENT>11/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Winslow Public Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Maricopa County</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chandler Housing &amp; Redevelopment Division</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Scottsdale Housing Agency</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Cochise County</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Yuma City Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City &amp; County of San Francisco</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Los Angeles</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Oakland Housing Authority</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Los Angeles</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority City of Fresno</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Sacramento Housing Authority</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of San Bernardino</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Riverside</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Fresno County</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Yolo</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Kings County Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Berkeley Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Alameda Housing Authority</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of San Luis Obispo</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Suisun City Housing Authority</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Santa Barbara</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mendocino County</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Sonoma</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Humboldt Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Santa Rosa</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Orange County Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">County of Shasta Housing Authority</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Anaheim Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Burbank</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of San Diego</ENT>
                                <ENT>12/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Culver City</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">CDC of National City</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Baldwin Park</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Torrance</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lake County Housing Commission</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Placer County Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Community Service Department of El Dorado County</ENT>
                                <ENT>11/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Pueblo</ENT>
                                <ENT>11/7/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">La Junta Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Garfield County Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Otero County Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Hartford</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Stamford Housing Authority</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Middletown Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Willimantic Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Ansonia</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Derby Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Vernon Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Milford Redevelopment And Housing Partnership</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">South Windsor Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Portland Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the Town of West Hartford</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the Town of Glastonbury</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Newington Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Hartford Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Fairfield Housing Authority</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Wethersfield Housing Authority</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">East Haven Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Wallingford Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Canton Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Newark Housing Authority</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Jacksonville Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Tampa Housing Authority</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Sarasota Housing Authority</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">West Palm Beach Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Fort Lauderdale</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Cocoa</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43933"/>
                                <ENT I="01">Ocala Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Fort Pierce</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Fort Myers</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">North Central Florida Regional County</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Punta Gorda Housing Authority</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pinellas County Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Clearwater Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Broward County Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pasco County Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Manatee County Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Walton County Housing Authority</ENT>
                                <ENT>12/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Hendry County Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Citrus County Housing Services</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Augusta</ENT>
                                <ENT>11/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Savannah</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Brunswick</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Decatur</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Newnan</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City And County of Honolulu</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Hawaii Public Housing Authority</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Davenport Housing Commission</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Southern Iowa Regional Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Northwest Iowa Regional Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Boise City Housing Authority</ENT>
                                <ENT>11/10/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Southwestern Idaho Cooperative Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ada County Housing Authority</ENT>
                                <ENT>11/10/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Idaho Housing and Finance Association</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Peoria Housing Authority</ENT>
                                <ENT>11/18/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Elgin</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of East Peoria</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Fort Wayne Housing Authority</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Delaware County Housing Authority</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Muncie</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Anderson</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Kokomo Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Richmond</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Gary</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of South Bend</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Michigan City</ENT>
                                <ENT>11/18/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Mishawaka</ENT>
                                <ENT>12/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Bloomington</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Elkhart</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of East Chicago</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brazil Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Warsaw</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Decatur</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Knox County Housing Authority</ENT>
                                <ENT>11/30/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Lafayette</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Elwood</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Logansport</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of St. Joseph</ENT>
                                <ENT>11/10/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Wichita Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Atchison Housing Authority</ENT>
                                <ENT>12/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Salina Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Great Bend Housing Authority</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Crawford County</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ford County Housing Authority</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Somerset</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Pikeville</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Kenner</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">St. John the Baptist Parish Housing Authority</ENT>
                                <ENT>12/9/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Bedford Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chelsea Housing Authority</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Northampton Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Springfield Housing Authority</ENT>
                                <ENT>12/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Arlington Housing Authority</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Franklin County Regional Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Greenfield Housing Authority</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Department of Housing &amp; Community Development</ENT>
                                <ENT>10/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Opportunities Commission of Montgomery County</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Hagerstown Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of St. Mary's County</ENT>
                                <ENT>12/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Washington County</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Carroll County Housing and Community Development</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lewiston Housing Authority</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brunswick Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43934"/>
                                <ENT I="01">Bath Housing Authority</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ellsworth Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Maine State Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Detroit Housing Commission</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pontiac Housing Commission</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Saginaw Housing Commission</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ann Arbor Housing Commission</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Grand Rapids Housing Commission</ENT>
                                <ENT>11/18/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lapeer Housing Commission</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Red Wing Housing and Redevelopment Authority</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">St. Louis Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of St. Louis County</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of St. Charles</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Jefferson</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Independence Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Sedalia</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Joplin</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Boone County Public Housing Agency</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lincoln County Public Housing Agency</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">St. Francois County Public Housing Agency</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Franklin County Public Housing Agency</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Liberty Housing Authority</ENT>
                                <ENT>11/30/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Howell County Public Housing Agency</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Assistance Program of St. Charles County</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Biloxi</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Billings</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Great Falls Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Butte</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Helena Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Missoula Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Montana Department of Commerce</ENT>
                                <ENT>10/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Wilmington</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Raleigh</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Kinston</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Asheville</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Winston-Salem</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Rocky Mount Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bladenboro Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Rowan County Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Columbus County Public Housing Agency</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Coastal Community Action, Inc</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Four Square Community Action, Inc</ENT>
                                <ENT>12/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Western Piedmont Council of Governments</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Stutsman County</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">McHenry/Pierce County Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Portsmouth Housing Authority</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Laconia Housing &amp; Redevelopment Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lebanon Housing Authority</ENT>
                                <ENT>10/24/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Harbor Homes, Inc</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Hampshire Housing Finance Agency</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Long Branch Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Woodbridge Housing Authority</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Red Bank Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Neptune Housing Authority</ENT>
                                <ENT>12/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">East Orange Housing Authority</ENT>
                                <ENT>11/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Glassboro Housing Authority</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the Township of Lakewood</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Berkeley Housing Authority</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Gloucester County Housing Authority</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Albuquerque Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Socorro</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Northern Regional Housing Authority</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Nevada Rural Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Rochester Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Monticello Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Town of Islip Housing Authority</ENT>
                                <ENT>11/18/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">North Hempstead Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">New Rochelle Housing Authority</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Village of Ossining Section 8 Program</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of New Rochelle Housing Authority</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Poughkeepsie</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">City of Niagara Falls</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Village of Fairport</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">NYS Housing Trust Fund Corporation</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cuyahoga Metropolitan Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Dayton Metropolitan Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43935"/>
                                <ENT I="01">Lucas Metropolitan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Zanesville Metropolitan Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Portsmouth Metropolitan Housing Authority</ENT>
                                <ENT>12/23/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mansfield Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Stark Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lake Metropolitan Housing Authority</ENT>
                                <ENT>11/30/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Columbiana Metropolitan Housing Authority</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ashtabula Metropolitan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Huron Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Perry County Metropolitan Housing Authority</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Crawford Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Allen Metropolitan Housing Authority</ENT>
                                <ENT>12/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Adams Metropolitan Housing Authority</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Monroe Metropolitan Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pike Metropolitan Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Miami Metropolitan Housing Authority</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Seneca Metropolitan Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Marion Metropolitan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Delaware Metropolitan Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Broken Bow</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Jackson County</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Yamhill County</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Coos-Curry Housing Authority</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mid-Columbia Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Malheur County</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Northwest Oregon Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Allentown Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chester Housing Authority</ENT>
                                <ENT>10/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bethlehem Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Montgomery County Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Westmoreland County Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mercer County Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority County of Delaware</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Hazleton</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Wilkes Barre Housing Authority</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Lebanon</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Luzerne</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Berks</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">The Housing Authority of the City of Newport</ENT>
                                <ENT>10/24/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">East Providence Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Johnston Housing Authority</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Cumberland Housing Authority</ENT>
                                <ENT>10/27/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">West Warwick Housing Authority</ENT>
                                <ENT>12/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Coventry Housing Authority</ENT>
                                <ENT>11/3/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Smithfield Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Warren Housing Authority</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Rhode Island Housing</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Puerto Rico Public Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Aguadilla</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Fajardo</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Gurabo</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Las Marias</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Municipality of Cidra</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Darlington</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Aiken</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Rock Hill</ENT>
                                <ENT>12/12/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Beaufort</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Florence</ENT>
                                <ENT>12/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Greenwood</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Myrtle Beach</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Anderson</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Madison Housing and Redevelopment Commission</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Sioux Falls Housing and Redevelopment Commission</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Pierre Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/2/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Milbank Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Canton Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Watertown Housing and Redevelopment Commission</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Meade County Housing and Redevelopment Commission</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lawrence County Housing &amp; Redevelopment Commission</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brookings Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Mobridge Housing &amp; Redevelopment Commission</ENT>
                                <ENT>11/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Butte County Housing Authority</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Memphis Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chattanooga Housing Authority</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Kingsport Housing and Redevelopment Authority</ENT>
                                <ENT>12/21/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lafollette Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <PRTPAGE P="43936"/>
                                <ENT I="01">Morristown Housing Authority</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Dayton Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bristol Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Oak Ridge Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Tennessee Housing Development Agency</ENT>
                                <ENT>10/30/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brownsville Housing Authority</ENT>
                                <ENT>11/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Lubbock</ENT>
                                <ENT>11/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Port Arthur</ENT>
                                <ENT>11/1/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Brenham</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Burnet Housing Authority</ENT>
                                <ENT>11/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Garland Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Anthony</ENT>
                                <ENT>11/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Terrell Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ark-Tex Council of Governments Housing Authority</ENT>
                                <ENT>12/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Deep East Texas Council of Governments</ENT>
                                <ENT>12/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Provo</ENT>
                                <ENT>11/22/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Utah County</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Southeastern Utah</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Logan City Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Roosevelt City Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Bear River Regional Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Newport News Redevelopment &amp; Housing Authority</ENT>
                                <ENT>10/24/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Norfolk Redevelopment &amp; Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Danville Redevelopment &amp; Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Roanoke Redevelopment &amp; Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Lynchburg Redevelopment &amp; Housing Authority</ENT>
                                <ENT>10/14/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Arlington County Dept of Human Services</ENT>
                                <ENT>11/28/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Vermont State Housing Authority</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Bremerton</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Peninsula Housing Authority</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority City of Longview</ENT>
                                <ENT>10/25/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority City of Kennewick</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Columbia Gorge Housing Authority</ENT>
                                <ENT>12/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Asotin County</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Grays Harbor County</ENT>
                                <ENT>10/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority City of Pasco and Franklin County</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority City of Bellingham</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Kitsap County Consolidated Housing Authority</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Spokane</ENT>
                                <ENT>12/8/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Walla Walla</ENT>
                                <ENT>10/24/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Chelan Co and the City of Wenatchee</ENT>
                                <ENT>12/6/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Okanogan County</ENT>
                                <ENT>10/26/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Milwaukee</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Wisconsin Rapids Housing Authority</ENT>
                                <ENT>12/20/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Rhinelander Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Brown County Housing Authority</ENT>
                                <ENT>10/31/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Eau Claire County Housing Authority</ENT>
                                <ENT>11/29/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Kenosha Housing Authority</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of Winnebago County</ENT>
                                <ENT>10/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Ashland County Housing Authority</ENT>
                                <ENT>10/16/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Barron County Housing Authority</ENT>
                                <ENT>12/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Chippewa County Housing Authority</ENT>
                                <ENT>11/15/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Fairmont</ENT>
                                <ENT>10/5/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Grant County Housing Authority</ENT>
                                <ENT>10/19/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the County of Jackson</ENT>
                                <ENT>10/17/2022</ENT>
                            </ROW>
                            <ROW>
                                <ENT I="01">Housing Authority of the City of Cheyenne</ENT>
                                <ENT>10/4/2022</ENT>
                            </ROW>
                        </GPOTABLE>
                    </APPENDIX>
                </SUPLINF>
                <FRDOC>[FR Doc. 2023-14304 Filed 7-7-23; 8:45 am]</FRDOC>
                <BILCOD>BILLING CODE P</BILCOD>
            </NOTICE>
        </NOTICES>
    </NEWPART>
    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Proposed Rules</UNITNAME>
    <NEWPART>
        <PTITLE>
            <PRTPAGE P="43937"/>
            <PARTNO>Part V</PARTNO>
            <AGENCY TYPE="P">Federal Communications Commission</AGENCY>
            <CFR>47 CFR Part 1, 2 et al.</CFR>
            <HRULE/>
            <TITLE>Expanding Use of the 12.7-13.25 GHz Band for Mobile Broadband or Other Expanded Use; Proposed Rule</TITLE>
        </PTITLE>
        <PRORULES>
            <PRORULE>
                <PREAMB>
                    <PRTPAGE P="43938"/>
                    <AGENCY TYPE="S">FEDERAL COMMUNICATIONS COMMISSION</AGENCY>
                    <CFR>47 CFR Parts 1, 2, 15, 25, 27, 74, 78, and 101</CFR>
                    <DEPDOC>[GN Docket No. 22-352; FCC 23-36; FR ID 148292]</DEPDOC>
                    <SUBJECT>Expanding Use of the 12.7-13.25 GHz Band for Mobile Broadband or Other Expanded Use</SUBJECT>
                    <AGY>
                        <HD SOURCE="HED">AGENCY:</HD>
                        <P>Federal Communications Commission.</P>
                    </AGY>
                    <ACT>
                        <HD SOURCE="HED">ACTION:</HD>
                        <P>Notice of proposed rulemaking.</P>
                    </ACT>
                    <SUM>
                        <HD SOURCE="HED">SUMMARY:</HD>
                        <P>In this document, the Federal Communications Commission (Commission or FCC) seeks comment on various proposed means for transitioning some or all of the 550 megahertz between 12.7-13.25 GHz (the 12.7 GHz band) to mobile broadband and other expanded use, as well as on alternative changes to the Commission's rules that could promote use of the band on a shared basis.</P>
                    </SUM>
                    <EFFDATE>
                        <HD SOURCE="HED">DATES:</HD>
                        <P>Comments are due on or before August 9, 2023; reply comments are due on or before September 8, 2023. Written comments on the Paperwork Reduction Act proposed information collection requirements must be submitted by the public, the Office of Management and Budget (OMB), and other interested parties on or before September 8, 2023. Written comments on the Initial Regulatory Flexibility Analysis (IRFA) in this document must have a separate and distinct heading designating them as responses to the IRFA and must be submitted by the public on or before August 9, 2023.</P>
                    </EFFDATE>
                    <ADD>
                        <HD SOURCE="HED">ADDRESSES:</HD>
                        <P>Pursuant to §§ 1.415 and 1.419 of the Commission's rules (47 CFR 1.415, 1.419), interested parties may file comments and reply comments on or before the dates indicated on the first page of this document. Comments may be filed using the Commission's Electronic Comment Filing System (ECFS). See Electronic Filing of Documents in Rulemaking Proceedings, 63 FR 24121 (1998). You may submit comments identified by GN Docket No. 22-352 by any of the following methods:</P>
                        <P>
                            • 
                            <E T="03">Electronic Filers:</E>
                             Comments may be filed electronically using the internet by accessing the ECFS: 
                            <E T="03">http://apps.fcc.gov/ecfs/.</E>
                        </P>
                        <P>
                            • 
                            <E T="03">Paper Filers:</E>
                        </P>
                        <P>• Parties who choose to file by paper must file an original and one copy of each filing.</P>
                        <P>• Filings can be sent by commercial overnight courier, or by first-class or overnight U.S. Postal Service mall. All filings must be addressed to the Commission's Secretary, Office of the Secretary, Federal Communications Commission.</P>
                        <P>• Commercial overnight mail (other than U.S. Postal Service Express Mail and Priority Mail) must be sent to 9050 Junction Drive, Annapolis Junction, MD 20701.</P>
                        <P>• U.S. Postal Service first-class, Express, and Priority mail must be addressed to 45 L Street NE, Washington, DC 20554.</P>
                        <P>
                            • Effective March 19, 2020, and until further notice, the Commission no longer accepts any hand or messenger delivered filings. This is a temporary measure taken to help protect the health and safety of individuals, and to mitigate the transmission of COVID-19. 
                            <E T="03">See FCC Announces Closure of FCC Headquarters Open Window and Change in Hand-Delivery Policy, Public Notice, DA 20-304 (March 19, 2020). https://www.fcc.gov/document/fcc-closes-headquarters-open-window-and-changes-hand-delivery-policy.</E>
                        </P>
                        <P>
                            <E T="03">People with Disabilities:</E>
                             To request materials in accessible formats (braille, large print, computer diskettes, or audio recordings), please send an email to 
                            <E T="03">FCC504@fcc.gov</E>
                             or call the Consumer &amp; Government Affairs Bureau at (202) 418-0530 (VOICE), (202) 418-0432 (TTY).
                        </P>
                    </ADD>
                    <FURINF>
                        <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                        <P>
                            Madelaine Maior of the Wireless Telecommunications Bureau (WTB), Broadband Division, at 
                            <E T="03">madelaine.maior@fcc.gov</E>
                             or 202-418-1466; Simon Banyai of the Wireless Telecommunications Bureau, at 
                            <E T="03">simon.banyai@fcc.gov</E>
                             or (202) 418-1443; or Nick Oros of the Office of Engineering and Technology, at 
                            <E T="03">nicholas.oros@fcc.gov</E>
                             or (202) 418-2099. For additional information concerning the Paperwork Reduction Act proposed information requirements contained in this document, send an email to 
                            <E T="03">PRA@fcc.gov</E>
                             or contact Kathy Williams at (202) 418-2918.
                        </P>
                    </FURINF>
                </PREAMB>
                <SUPLINF>
                    <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                    <P>
                        This is a summary of the Commission's Notice of Proposed Rulemaking (NPRM) in GN Docket No. 22-352 included in the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order, FCC 23-36, adopted on May 18, 2023 and released on May 19, 2023. The full text this document is available at 
                        <E T="03">https://docs.fcc.gov/public/attachments/FCC-23-36A1.pdf.</E>
                         The Report and Order and the Further Notice of Proposed Rulemaking (WT Docket No. 20-443), and the Notice of Proposed Rulemaking and the Order (GN Docket No. 22-352), 
                        <E T="03">i.e.,</E>
                         the four FCC actions in FCC 23-36, are published separately in the Rules and Regulations and the Proposed Rules sections, as applicable, in this issue of the 
                        <E T="04">Federal Register</E>
                        .
                    </P>
                    <P>
                        <E T="03">Regulatory Flexibility Act:</E>
                         The Regulatory Flexibility Act of 1980, as amended (RFA), requires an agency to prepare a regulatory flexibility analysis for notice-and-comment rulemakings, unless the agency certifies that “the rule will not, if promulgated, have a significant economic impact on a substantial number of small entities.” The Commission seeks comment on potential rule and policy changes contained in the NPRM, and accordingly, has prepared an Initial Regulatory Flexibility Analysis (IRFA). The IRFA for the NPRM in GN Docket No. 22-352 is set forth below in this document, and written public comments are requested. Comments must be filed by the deadlines for comments on the NPRM indicated under the 
                        <E T="02">DATES</E>
                         section of this document and must have a separate and distinct heading designating them as responses to the IRFA. The Commission reminds commenters to file in the appropriate docket: GN Docket No. 22-352 for the NPRM.
                    </P>
                    <P>
                        <E T="03">Paperwork Reduction Act:</E>
                         This document may contain proposed modified information collection requirements. Therefore, the Commission seeks comment on potential new or revised information collections subject to the Paperwork Reduction Act of 1995. If the Commission adopts any new or revised information collection requirements, the Commission will publish a notice in the 
                        <E T="04">Federal Register</E>
                         inviting the general public and the Office of Management and Budget to comment on the information collection requirements, as required by the Paperwork Reduction Act of 1995, Public Law 104-13. In addition, pursuant to the Small Business Paperwork Relief Act of 2002, Public Law 107-198, see 44 U.S.C. 3506(c)(4)), the Commission seeks specific comments on how it might further reduce the information collection burden for small business concerns with fewer than 25 employees.
                    </P>
                    <P>
                        <E T="03">Ex Parte Rules:</E>
                         This proceeding shall be treated as a “permit-but-disclose” proceeding in accordance with the Commission's 
                        <E T="03">ex parte</E>
                         rules. Persons making 
                        <E T="03">ex parte</E>
                         presentations must file a copy of any written presentation or a memorandum summarizing any oral presentation within two business days after the presentation (unless a different deadline applicable to the Sunshine period applies). Persons making oral 
                        <E T="03">ex parte</E>
                         presentations are reminded that memoranda summarizing the 
                        <PRTPAGE P="43939"/>
                        presentation must (1) list all persons attending or otherwise participating in the meeting at which the 
                        <E T="03">ex parte</E>
                         presentation was made, and (2) summarize all data presented and arguments made during the presentation. If the presentation consisted in whole or in part of the presentation of data or arguments already reflected in the presenter's written comments, memoranda, or other filings in the proceeding, the presenter may provide citations to such data or arguments in his or her prior comments, memoranda, or other filings (specifying the relevant page and/or paragraph numbers where such data or arguments can be found) in lieu of summarizing them in the memorandum. In proceedings governed by § 1.49(f) or for which the Commission has made available a method of electronic filing, written 
                        <E T="03">ex parte</E>
                         presentations and memoranda summarizing oral 
                        <E T="03">ex parte</E>
                         presentations, and all attachments thereto, must be filed through the electronic comment filing system available for that proceeding, and must be filed in their native format (
                        <E T="03">e.g.,</E>
                         .doc, .xml, .ppt, searchable .pdf). Documents shown or given to Commission staff during 
                        <E T="03">ex parte</E>
                         meetings are deemed to be written 
                        <E T="03">ex parte</E>
                         presentations and must be filed consistent with § 1.1206(b). Participants in this proceeding should familiarize themselves with the Commission's 
                        <E T="03">ex parte</E>
                         rules.
                    </P>
                    <HD SOURCE="HD1">Synopsis</HD>
                    <HD SOURCE="HD1">
                        I. Notice of Proposed Rulemaking in GN Docket No. 22-352 
                        <E T="01">
                            <SU>1</SU>
                        </E>
                        <FTREF/>
                    </HD>
                    <FTNT>
                        <P>
                            <SU>1</SU>
                             Record references and citations refer to GN Docket No. 22-352, unless otherwise noted.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">A. Background</HD>
                    <HD SOURCE="HD3">1. 12.7-13.25 GHz Band—550 megahertz</HD>
                    <P>
                        1. In the United States, the 12.7 GHz band is allocated on a primary basis for non-Federal use to Fixed Service (FS), Fixed Satellite Service (Earth-to-space), and the Mobile Service (MS).
                        <SU>2</SU>
                        <FTREF/>
                         The band is shared among Fixed Microwave Services (Fixed Service or FS—part 101), fixed and mobile Broadcast Auxiliary Services (BAS—part 74), fixed and mobile Cable Television Relay Services (CARS—part 78), and FSS—part 25.
                        <SU>3</SU>
                        <FTREF/>
                         The 12.75-13.25 GHz band has only limited Federal use. Specifically, the National Aeronautics and Space Administration (NASA) operates a receive-only earth station for its Deep Space Network (DSN) at Goldstone, California, that is authorized to receive transmissions across the entire 12.75-13.25 GHz band.
                        <SU>4</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>2</SU>
                             47 CFR 2.106. The international and domestic allocations are similar for the 12.75-13.25 GHz band in most respects. However, space-to-Earth transmissions are permitted at 12.7-12.75 GHz in International Telecommunication Union (ITU) Regions 1 and 3 but not in Region 2. 47 CFR 2.106, International Table. Domestically, Footnote NG52 of the U.S. Table precludes most GSO FSS systems from using the band for domestic services and limits the deployment of FSS earth stations in the band. 
                            <E T="03">Id.</E>
                             at n.NG52 (n.NG52 revised as 47 CFR 2.106(d)(52), at 88 FR 37318, June 7, 2023, effective July 7, 2023).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>3</SU>
                             
                            <E T="03">See</E>
                             47 CFR part 25 (§§ 25.101-25.702), part 74 (§§ 74.600-74.690), part 78 (§§ 78.1-78.115), part 101 (§§ 101.1-101.1527).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>4</SU>
                             
                            <E T="03">See</E>
                             47 CFR 2.106 &amp; n.US251 (n.US251 revised as 47 CFR 2.106(c)(251), at 88 FR 37318, June 7, 2023, effective July 7, 2023). 
                            <E T="03">See also infra</E>
                             note 11.
                        </P>
                    </FTNT>
                    <P>
                        2. On October 28, 2022, the Commission released its 
                        <E T="03">12.7 GHz Notice of Inquiry</E>
                         (
                        <E T="03">12.7 NOI</E>
                        ) to broadly seek information on the current use of the 12.7 GHz band, how the Commission could encourage more efficient and intensive use of the band, and whether the band is suitable for mobile broadband or other expanded use.
                        <SU>5</SU>
                        <FTREF/>
                         In response to the 12.7 
                        <E T="03">NOI,</E>
                         very few parties have argued that the current balance of incumbents in the 12.7 GHz band should be left unchanged and that the band should remain untouched, and a significant number argue that the band should be used for exclusive, fixed or mobile, flexible high-powered use. Accordingly, in the NPRM, the Commission seeks comment on various proposed means for transitioning some or all of the 12.7 GHz band to mobile broadband and other expanded use. The Commission also seeks comment on changes to the Commission's rules that could promote expanded use of the band on a shared basis.
                    </P>
                    <FTNT>
                        <P>
                            <SU>5</SU>
                             
                            <E T="03">See In the Matter of Expanding Use of the 12.7-13.25 GHz Band for Mobile Broadband or Other Expanded Use,</E>
                             GN Docket No. 22-352, Notice of Inquiry, FCC 22-80, 2022 WL 16634851, at *1, para. 2 (Oct. 28, 2022) (
                            <E T="03">12.7 NOI</E>
                            ). In the Order portion of the 
                            <E T="03">12.7 NOI,</E>
                             the Commission extended a temporary freeze on 12.7 GHz band applications pending the outcome of GN Docket No. 22-352. 
                            <E T="03">Id.</E>
                             at *14, para. 44. When applicable, the Commission refers to the Order portion of the 
                            <E T="03">12.7 NOI</E>
                             as the 
                            <E T="03">12.7 Freeze Extension Order.</E>
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">B. Expanded Use of the 12.7-13.25 GHz Band</HD>
                    <HD SOURCE="HD3">1. Repurposing for Mobile Broadband or Other Expanded Use</HD>
                    <P>
                        3. In the United States, the 12.7 GHz band is allocated on a primary basis for non-Federal use to FS, FSS (Earth-to-space), and the MS.
                        <SU>6</SU>
                        <FTREF/>
                         The band is shared among Fixed Microwave Services (FS—part 101), Broadcast Auxiliary Services (fixed and mobile BAS—part 74), fixed and mobile Cable Television Relay Services (CARS—part 78), and Fixed Satellite Services (FSS—part 25).
                        <SU>7</SU>
                        <FTREF/>
                         Based on the Commission's licensing records, these services in the 12.7 GHz band include approximately 1,846 terrestrial service call signs that authorize a total of approximately 2,070 fixed point-to-point paths, and approximately 400 licenses that authorize mobile TV pickup operations.
                        <SU>8</SU>
                        <FTREF/>
                         There are also 27 call signs for FSS space stations and 43 call signs for FSS earth stations.
                        <SU>9</SU>
                        <FTREF/>
                         Terrestrial and space services in the 12.7 GHz band are subject to prior-coordination requirements to avoid interference.
                        <SU>10</SU>
                        <FTREF/>
                         The 12.7 GHz band has only limited Federal use. Specifically, the National Aeronautics and Space Administration (NASA) operates a receive-only earth station for its Deep Space Network (DSN) at Goldstone, California, that is authorized to receive transmissions across the entire 12.7 GHz band.
                        <SU>11</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>6</SU>
                             47 CFR 2.106. The international and domestic allocations are similar for the 12.75-13.25 GHz band in most respects. However, space-to-Earth transmissions are permitted at 12.7-12.75 GHz in ITU Regions 1 and 3 but not in Region 2. 47 CFR 2.106, International Table. Domestically, Footnote NG52 of the U.S. Table precludes most GSO FSS systems from using the band for domestic services and limits the deployment of FSS earth stations in the band. 
                            <E T="03">Id.</E>
                             at n.NG52 (n.NG52 revised as 47 CFR 2.106(d)(52), at 88 FR 37318, June 7, 2023, effective July 7, 2023).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>7</SU>
                             
                            <E T="03">See</E>
                             47 CFR part 25 (§§ 25.101-25.702), part 74 (§§ 74.600-74.690), part 78 (§§ 78.1-78.115), part 101 (§§ 101.1-101.1527).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>8</SU>
                             Licensing data for fixed and mobile BAS under part 74 and Fixed Microwave under part 101 is in the Universal Licensing System (ULS). Licensing data for fixed and mobile CARS is in the 
                            <E T="03">Cable Operations and Licensing System (COALS).</E>
                             These statistics are based on a review of ULS on April 26, 2023. There are also approximately 65 fixed or mobile CARS call signs in COALS.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>9</SU>
                             FSS data are in the 
                            <E T="03">International Bureau Electronic Filing System (MyIBFS).</E>
                             These statistics are based on a review of MyIBFS on April 26, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>10</SU>
                             
                            <E T="03">See</E>
                             47 CFR 25.115(a)(6)(i), 101.21(f). The administrative aspects of the coordination process are set forth in 47 CFR 101.103 for coordinating terrestrial stations with earth stations, and in 47 CFR 25.203 for coordinating earth stations with terrestrial stations. 
                            <E T="03">See also id.</E>
                             § 25.251(a). The coordination procedures specified in 47 CFR 101.103 and 25.203 are applicable for coordinating between earth stations and fixed microwave links, and the information provided during coordination is set forth in 47 CFR 25.203(c)(2) and 101.103(d)(2)(ii).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>11</SU>
                             
                            <E T="03">See</E>
                             47 CFR 2.106 &amp; n.US251 (“The band 12.75-13.25 GHz is also allocated to the space research (deep space) (space-to-Earth) service for reception only at Goldstone, CA (35°20′ N, 116°53′ W).”) (n.US251 revised as 47 CFR 2.106(c)(251), at 88 FR 37318, June 7, 2023, effective July 7, 2023). For additional details concerning the domestic and international allocations, 
                            <E T="03">see 12.7 NOI</E>
                             at *2-*3, paras. 4-6. For additional details on current uses, 
                            <E T="03">see 12.7 NOI</E>
                             at *2-*5, paras. 4-11 (II.B. Current uses of the 12.7-13.25 GHz (12.7 GHz) Band).
                        </P>
                    </FTNT>
                    <P>
                        4. Given the existing incumbent uses of the band, the 
                        <E T="03">12.7 NOI</E>
                         sought comment on two potential options for making some or all of the band available for mobile broadband and other expanded uses: (1) repurposing some or all of the band for such use with sunset 
                        <PRTPAGE P="43940"/>
                        of some or all incumbent services and relocation and cost-sharing requirements for new services,
                        <SU>12</SU>
                        <FTREF/>
                         and (2) potential sharing methods among new and incumbent services.
                        <SU>13</SU>
                        <FTREF/>
                         In connection with these potential options, the 
                        <E T="03">12.7 NOI</E>
                         asked about potential licensing approaches to facilitate deployment of new mobile broadband or other expanded use of the band.
                        <SU>14</SU>
                        <FTREF/>
                         The 
                        <E T="03">12.7 NOI</E>
                         also sought comment on an appropriate protection level that new operations in the 12.7 GHz band would have to provide incumbent services in the lower and upper adjacent bands.
                        <SU>15</SU>
                        <FTREF/>
                         The 
                        <E T="03">12.7 NOI</E>
                         also sought comment on the costs and benefits that should be considered in deciding whether to promote new service opportunities in the band through repurposing/relocation or sharing as well as whether the Commission should consider some combination of these methods.
                        <SU>16</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>12</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *5, *6-*9,*9-*11, paras. 12, 14-24, 25-30.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>13</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *6-*9, paras. 14-24 (III.A. Potential Methods for Sharing the Band), *9-*11, paras. 25-30 (III.B. Sunset of Incumbent Services, Relocation and Cost-Sharing for New Services).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>14</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *11-*12, paras. 31-32 (III.C. Potential Licensing Approaches, Service and Technical Rules), specifically, the Commission asked whether to assign new licenses on an exclusive-use basis, through the issuance of new geographic-area overlay licenses or consider other licensing approaches, such as non-exclusive, site-based, or a tiered approach such as that used in the Citizens Broadband Radio Service. 
                            <E T="03">Id.</E>
                             at *11, para. 31.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>15</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *12-*14, paras. 34 (describing incumbent services in 12.2-12.7 GHz band), 35-38 (describing incumbent Federal services in 13.25-13.4 GHz and 13.4-13.75 GHz bands), 39-40 (recognizing the need for services in these adjacent bands to continue providing service and seeking comment on whether provisions beyond the existing 12.7 GHz band fixed service protection levels for adjacent bands would be necessary for mobile broadband or other expanded-use operations in the 12.7 GHz band to prevent harmful interference to operations in those adjacent bands).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>16</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *5, para. 12.
                        </P>
                    </FTNT>
                    <P>
                        5. In response to the 
                        <E T="03">12.7 NOI,</E>
                         very few parties have argued that the current balance of incumbents in the 12.7 GHz band should be left unchanged and that the band should remain untouched. There is substantial support for repurposing these frequencies for mobile broadband or other expanded use and a significant number argue that the band should be used for exclusive, fixed or mobile, flexible high-powered use.
                        <SU>17</SU>
                        <FTREF/>
                         Commenters assert that the next-generation wireless technologies underpinning 5G, 5G Advanced, and 6G services will rely depend on extremely high data rates, and the reliability, low latency, and capacity that the 12.7 GHz band spectrum can provide.
                        <SU>18</SU>
                        <FTREF/>
                         In addition, standardization is already underway for 6G, and the 12.7 GHz band has considerable capacity and opportunity for channel reuse, making it a good fit for future 6G technologies,
                        <SU>19</SU>
                        <FTREF/>
                         including high-speed, low-latency, bandwidth-intensive applications, such as augmented reality (AR), virtual reality (VR), telesurgery, and robotics.
                        <SU>20</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>17</SU>
                             
                            <E T="03">See, e.g.,</E>
                             AT&amp;T Comments at 4; Competitive Carriers Association Reply at 4 (CCA); CTIA Comments at 5; DISH Network Corp. Comments at 5 (DISH); Ericsson Comments at 10; Nokia Comments at 3; Qualcomm Comments at 7; T-Mobile USA, Inc. Comments at 3; U.S. Cellular Corp. Reply at 2 (UScellular); Verizon Comments at 1; 5G Americas Reply at 5; 5G for 12 GHz Coalition Comments at 3. 
                            <E T="03">But see</E>
                             EIBASS Comments at 1; Ovzon Comments at 1. Several commercial wireless interests note that more lower mid-band spectrum is needed and that the 12.7 GHz band should be viewed as a complement to lower mid-band spectrum—not a replacement. 
                            <E T="03">See</E>
                             AT&amp;T Comments at 1; Ericsson Comments at 9; T-Mobile Comments at 14; 5G Americas Reply at 6.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>18</SU>
                             
                            <E T="03">See</E>
                             Ericsson Comments at 5; Qualcomm Comments at 3, 7. Qualcomm notes that next generation technology advancements such as active Antenna Systems (AAS) and Giga-MIMO will compensate for attenuation in such high frequency bands. Qualcomm Comments at 5; 
                            <E T="03">see also</E>
                             Nokia Comments at 2-3.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>19</SU>
                             Ericsson Comments at 6, 8.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>20</SU>
                             Consumer Technology Association Comments at 2 (CTA).
                        </P>
                    </FTNT>
                    <P>
                        6. Accordingly, the Commission proposes to repurpose some or all of the 12.7 GHz band for mobile broadband and other expanded uses and seeks comment on this proposal. The Commission seeks comment on the economic benefits of introducing mobile broadband or other expanded use in all or part of the 12.7 GHz band. Commenters should consider the economic value of current and future use cases for each type of use, including benefits and opportunity costs to consumers and the Nation's economy overall, as well as to unserved or underserved areas and specialized market segments (
                        <E T="03">e.g.,</E>
                         education, telemedicine, and manufacturing). Commenters should also address the benefits of international harmonization both in terms of devices and network deployments. In addition, the Commission encourages commenters to consider the economic impact on consumers and businesses in rural communities and areas that are unserved or underserved by current broadband providers, as well as any economic impact on small businesses.
                    </P>
                    <P>
                        7. The propagation characteristics of this frequency range will require operators to transmit at relatively high power to achieve meaningful coverage and capacity.
                        <SU>21</SU>
                        <FTREF/>
                         Parties that support mobile broadband use of the band argue that sharing regimes premised upon relatively low power operations would not provide the coverage needed to make investment worthwhile.
                        <SU>22</SU>
                        <FTREF/>
                         Nokia argues that fixed paths—both BAS/CARS, Fixed Microwave Services and Common Carrier and Operational Fixed Services (OFS)—are concentrated in major cities along the coasts and that allowing these operations to remain in the band would discourage investment in mobile broadband expansion in areas that would most benefit from it.
                        <SU>23</SU>
                        <FTREF/>
                         Similar to fixed point-to-point links, current mobile use of the band is limited to BAS/CARS television pickup services generally licensed to operate “over an area defined by a point-radius or other wide-area basis,” including large, densely-populated areas with higher spectrum-use demands.
                        <SU>24</SU>
                        <FTREF/>
                         Accordingly, parties favoring mobile deployment in the band opposed sharing with these incumbent systems.
                        <SU>25</SU>
                        <FTREF/>
                         Some note that sharing should be used in situations where clearing the band is not possible, which is not the case in the 12.7 GHz band, where coordination, repacking and relocation are available.
                        <SU>26</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>21</SU>
                             CTIA Comments at 9; Rural Wireless Association, Inc. Comments at 2-3 (RWA); Verizon Comments at 9; T-Mobile Reply at 4.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>22</SU>
                             Ericsson states that sharing methods based on dynamic sharing are not likely to optimize usage of the spectrum, and instead “will result in lower power levels, uncertainty regarding access to the band, and limited investment and utility.” Ericsson Comments at 10. 5G Americas also argues that the Commission should relocate incumbents instead of creating a low-power sharing regime. 5G Americas Comments at 4-5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>23</SU>
                             Nokia Comments at 4.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>24</SU>
                             Nokia Comments at 5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>25</SU>
                             
                            <E T="03">See, e.g.,</E>
                             Nokia Comments at 4-5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>26</SU>
                             T-Mobile Reply Comments at 6-7; Verizon Comments at 5-6.
                        </P>
                    </FTNT>
                    <P>
                        8. The record, as well as the Commission's experience with other bands, reflects that this proposed repurposing will enable next-generation mobile and fixed broadband services in the 12.7 GHz band. AT&amp;T, T-Mobile, Verizon, Federated Wireless, Nokia, CTIA, Celona, 5G for 12 GHz Coalition, 5G Americas, Dynamic Spectrum Alliance, CCA, and DISH, all support bringing terrestrial mobile wireless services into the 12.7 GHz band.
                        <SU>27</SU>
                        <FTREF/>
                         Based on the Commission's well established success in repurposing other bands for new services, such as Personal Communications Service (PCS) and Advanced Wireless Services (AWS), using exclusively assigned geographic-
                        <PRTPAGE P="43941"/>
                        area licenses,
                        <SU>28</SU>
                        <FTREF/>
                         the Commission agrees with commenters that assigning exclusive licenses is most likely to foster the innovation necessary for an equipment ecosystem to develop in the band and best facilitate the relocation and repacking of incumbents, which in turn will accelerate deployment of mobile broadband and other expanded services in the band.
                        <SU>29</SU>
                        <FTREF/>
                         The Commission seeks comment on these proposals. The Commission also discusses below and seeks comment on whether limited sharing in the band among different types of services is possible.
                    </P>
                    <FTNT>
                        <P>
                            <SU>27</SU>
                             
                            <E T="03">See</E>
                             AT&amp;T Comments at 3-4; CTA Comments at 2; CTIA Comments at 1, 6; DISH Comments at 1; Dynamic Spectrum Alliance Comments at 1-2 (DSA); Ericsson Comments at 1, 8; Federated Wireless Comments at 1; NCTA Comments at 1; Nokia Comments at 2-3; OneWeb Comments at 1; Qualcomm Inc. Comments at 6 (Qualcomm); T-Mobile Comments at 1; Verizon Comments at 1; 5G for 12 GHz Coalition Comments at 2-3; CCA Reply at 2; Celona Reply at 2-3; US Cellular Reply at 2; 5G Americas Reply at 4-5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>28</SU>
                             
                            <E T="03">See e.g., infra</E>
                             note 52 and accompanying text; 
                            <E T="03">accord Spectrum Frontiers 1st R&amp;O and FNPRM,</E>
                             31 FCC Rcd at 8027-28, paras. 29-30, 8045-46, paras. 78-79.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>29</SU>
                             Indeed, the majority of the interests that advocate for expanded fixed or mobile uses argue against sharing in the band and for repacking or relocation of incumbents. 
                            <E T="03">See, e.g.,</E>
                             CTIA Comments at 1,7; Ericsson Comments at 11; Nokia Comments at 4-6; Qualcomm Comments at 7; T-Mobile Comments at 10-12. 5G Americas states that “the Commission should relocate incumbents to the greatest extent possible rather than apply a low-power sharing regime” and that “[r]elocation expenses should be reimbursed from the pool of auctions proceeds for relocation pursuant to a concrete deadline and should be shared by all new 12.7 GHz entrants, on a 
                            <E T="03">pro rata</E>
                             share.” 
                            <E T="03">See</E>
                             5G Americas Reply Comments at 6-7.
                        </P>
                    </FTNT>
                    <P>
                        9. The National Association of Broadcasters and the Society of Broadcast Engineers assert the 12.7 GHz band is generally not favored by BAS for long-distance high reliability links; however, both assert it is necessary for short distance links when no other frequencies are available due to congestion of the 2 GHz and 6 GHz bands.
                        <SU>30</SU>
                        <FTREF/>
                         Accordingly, although broadcaster commenters oppose relocation of mobile BAS to other frequency bands, repacking to a discrete portion of the 12.7 GHz band remains not only possible, but a favorable outcome according to broadcasters, provided they are reimbursed and are adequately protected.
                        <SU>31</SU>
                        <FTREF/>
                         The Commission therefore proposes to repack mobile BAS/CARS incumbents to a portion of the 12.7 GHz band.
                    </P>
                    <FTNT>
                        <P>
                            <SU>30</SU>
                             National Association of Broadcasters Comments at 3 (NAB); Society of Broadcast Engineers Comments at 2-3 (SBE).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>31</SU>
                             NAB Comments at 2; NAB Reply at 4.
                        </P>
                    </FTNT>
                    <P>
                        10. The Commission acknowledges that some satellite industry commenters do not support opening the 12.7 GHz band to terrestrial mobile use and would instead prefer rule changes to intensify satellite use of the band in the United States.
                        <SU>32</SU>
                        <FTREF/>
                         Other satellite companies, however, support examining whether the band can be opened to mobile or other expanded terrestrial use, but they also note their concern that the Commission take steps to ensure that services in adjacent bands are not impacted by out-of-band emissions below 12.7 GHz.
                        <SU>33</SU>
                        <FTREF/>
                         Furthermore, as T-Mobile notes, satellite operators themselves recognize that there has been limited use of the 12.7 GHz band in the U.S. for satellite operations, which makes use of the band for mobile wireless operations feasible.
                        <SU>34</SU>
                        <FTREF/>
                         As noted by Nokia, “of the total number of GSO satellites, only eight of the 23 space stations are in the arc of 132.85 WL to 30 WL,” and “[r]egarding non-GSO satellites, the one operational system does not have any U.S. earth stations licensed in this band, another system is not operational, and a third has surrendered the Ku-band portion of the grant.” 
                        <SU>35</SU>
                        <FTREF/>
                         Therefore, according to Nokia, “the sharing of the band with satellite service mostly refers to sharing with GSO FSS in the uplink direction (Earth-to-space),” and “[w]hile more detailed analysis taking into account the characteristics of both systems would be more conclusive, it is expected that the mobile broadband service can share the band with [existing] GSO FSS uplink with no restrictive conditions.” 
                        <SU>36</SU>
                        <FTREF/>
                         The Commission seeks comment on its proposal that satellite systems in the band be conserved in their current state with no further expansion in FSS use in the band.
                        <SU>37</SU>
                        <FTREF/>
                         The Commission also seeks comment on the best method for mobile and fixed systems to share with these remaining satellite systems, while ensuring against harmful interference to such satellite incumbents.
                    </P>
                    <FTNT>
                        <P>
                            <SU>32</SU>
                             Eutelsat Comments at 2-3, 5-6; Intelsat/SES May 12, 2023 Ex Parte at 2, B-1 (noting that FSS ability to operate in 12.7 GHz band is constrained by footnote NG52 of the U.S. Table of Frequency Allocations limiting use of the band to international systems); Intelsat License LLC and SES Americom, Inc. Comments at 2; Hispasat Reply at 3-4 (arguing that relocating incumbent FSS services out of the 12.7 GHz band, as suggested by certain commenters, is not a viable option because satellite operators have made significant long-term investments, considering the 15-20-year lifespan of a GSO satellite, in reliance on existing frequency allocations).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>33</SU>
                             Kepler Communications Inc. Comments at 2-3 (Kepler); Space Exploration Holdings, LLC Comments at 3 (SpaceX); WorldVu Satellites Limited Comments at 4 (OneWeb).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>34</SU>
                             
                            <E T="03">See</E>
                             T-Mobile Reply at 9 (citing Eutelsat Comments at 6, OneWeb Comments at 2-3). T-Mobile adds that given the restriction on satellite use of the 12.7 GHz band due to NG52 which restricts the majority of the 12.7 GHz band in the U.S. to international systems, it would be unreasonable for satellite operators to claim a reliance interest in expanded use of the band for satellite operations. T-Mobile Reply at 9.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>35</SU>
                             Nokia Comments at 6 citing 
                            <E T="03">12.7 NOI</E>
                             at para. 11.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>36</SU>
                             Nokia Comments at 6.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>37</SU>
                             The Commission's proposal would not preclude the possibility of a new U.S.-licensed satellite that would have no visibility into the United States, as defined in the Communications Act, 
                            <E T="03">i.e.,</E>
                             states, territories, and possessions. 47 U.S.C. 153.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">2. Future Licensing of Incumbent Services</HD>
                    <P>
                        11. Effective September 19, 2022, the International, Public Safety and Homeland Security, Media, and Wireless Telecommunications Bureaus announced a 180-day freeze on the filing of new or modification applications for licenses or other authorizations in the 12.7 GHz band.
                        <SU>38</SU>
                        <FTREF/>
                         The purpose of this temporary freeze was to preserve the current landscape of authorized operations in the 12.7 GHz band pending the Commission's consideration of actions in this proceeding.
                        <SU>39</SU>
                        <FTREF/>
                         In light of the 
                        <E T="03">12.7 NOI,</E>
                         the Commission extended the freeze pending the outcome of GN Docket No. 22-352.
                        <SU>40</SU>
                        <FTREF/>
                         Because the Commission proposes to transition most of the band to exclusively assigned geographic-area licenses for mobile broadband and other expanded uses, it proposes to revise its rules to, in essence, make the freeze permanent. Accordingly, the Commission proposes rule revisions to dismiss any new space station license applications and new requests for access to the U.S. market through non-U.S.-licensed space stations, or those parts of any such applications and requests, that seeks to operate in the 12.7 GHz band. This would not apply to new applications for space stations limited to serving earth stations outside the United States, applications for modification of existing space station authorizations,
                        <SU>41</SU>
                        <FTREF/>
                         relocations of existing space stations pursuant to the Commission's fleet management policy,
                        <SU>42</SU>
                        <FTREF/>
                         or to applications for replacement space stations.
                        <SU>43</SU>
                        <FTREF/>
                         The Commission proposes rule revisions to dismiss applications, or those portions of applications, received for new earth station licenses, and modifications to earth stations currently authorized, to operate in the 12.7 GHz band. This 
                        <PRTPAGE P="43942"/>
                        would not apply to applications for renewal or cancellation of current earth station authorizations,
                        <SU>44</SU>
                        <FTREF/>
                         or modifications to correct location or other data required in the earth station file.
                        <SU>45</SU>
                        <FTREF/>
                         The Commission also proposes rule revisions to dismiss applications received for new or major modifications to fixed microwave, fixed or mobile BAS and CARS stations to operate in the 12.7 GHz band. This change does not extend to applications for renewal, cancellation or applications to modify incumbent mobile BAS/CARS licenses to the mobile BAS/CARS repack band. The Commission seeks comment on these proposals.
                    </P>
                    <FTNT>
                        <P>
                            <SU>38</SU>
                             
                            <E T="03">180-Day Freeze on Applications for New or Modified Authorizations for the 12.7-13.25 GHz Band,</E>
                             Public Notice, DA 22-974, 2022 WL 4358635, at *1 (IB/PSHSB/MB/WTB Sept. 19, 2022).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>39</SU>
                             
                            <E T="03">Id.</E>
                             The Bureaus noted that the Commission or the Bureaus might extend the freeze if doing so is deemed necessary to avoid undermining the purpose of the freeze. 
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>40</SU>
                             
                            <E T="03">See 12.7 Freeze Extension Order,</E>
                             FCC 22-80, at para. 44 (Commission extended freeze pending the outcome of GN Docket No. 22-352).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>41</SU>
                             47 CFR 25.117.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>42</SU>
                             47 CFR 25.118(e) (permitting the relocation of a GSO space station without prior authorization, but upon 30 days prior notice to the Commission and any potentially affected licensed spectrum user, provided that the operator meets specific requirements, including a requirement that the space station will be relocated to a position within ±0.15° of an orbital location assigned to the same licensee).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>43</SU>
                             47 CFR 25.158(a)(2), 25.165(e)(1), (2).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>44</SU>
                             47 CFR 25.121(e).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>45</SU>
                             
                            <E T="03">See generally International Bureau Addresses Accuracy of Earth Station Location Information in IBFS,</E>
                             Public Notice, 32 FCC Rcd 9512 (IB 2017); 47 CFR 25.117.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">3. Transition of Incumbent Operations</HD>
                    <P>
                        12. In the 
                        <E T="03">12.7 NOI,</E>
                         the Commission inquired whether any incumbent services in this band should be sunset,
                        <SU>46</SU>
                        <FTREF/>
                         with existing operations relocated from all or part of the band and whether new exclusive, geographic-area-licenses should be required to protect or relocate incumbent operations before the sunset date.
                        <SU>47</SU>
                        <FTREF/>
                         The Commission inquired whether the Emerging Technologies (ET) framework could be applied to relocation of incumbents from this band and whether the relocation procedures need to differ for one or more incumbent uses.
                        <SU>48</SU>
                        <FTREF/>
                         While the Commission proposes that FSS incumbents would not be subject to relocation or sunset, the Commission proposes to apply its ET procedures to relocate or repack incumbent terrestrial licensees to introduce new services into a frequency band populated by incumbent licensees. ET procedures represent a broad set of tools that the Commission uses, revises, and updates to aid the process of making spectrum available for new uses. Pursuant to these procedures, the Commission will set a “sunset date” for the terrestrial incumbents in this band—a date after which these licensees may not cause harmful interference to new band entrants.
                        <SU>49</SU>
                        <FTREF/>
                         Prior to the sunset date, the new entrants may not cause harmful interference to terrestrial incumbents but will be allowed to enter into mandatory negotiations with these incumbents to gain early entry into the band and, if necessary, may relocate these terrestrial incumbents to comparable facilities.
                        <SU>50</SU>
                        <FTREF/>
                         Because new entrants may have to relocate some of these incumbents from a larger frequency range or greater geographic area than where the new entrants will operate, the Commission may establish a companion set of cost-sharing procedures.
                        <SU>51</SU>
                        <FTREF/>
                         The Commission seeks comment on these proposals and asks commenters addressing them to outline how they would apply the ET framework to this band as discussed further below for each type of terrestrial incumbent.
                    </P>
                    <FTNT>
                        <P>
                            <SU>46</SU>
                             The sunset is the date by which all incumbent operations cease to be protected from interference by new entrants. 
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.1253(a), 101.79(a).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>47</SU>
                             
                            <E T="03">12.7 NOI</E>
                             at *9-*10, paras. 25-26.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>48</SU>
                             
                            <E T="03">12.7 NOI</E>
                             at *10, para. 26; 
                            <E T="03">see, e.g.,</E>
                             Amendment of Part 2 of the Commission's Rules (47 CFR part 2) to Allocate Spectrum Below 3 GHz for Mobile and Fixed Services to Support the Introduction of New Advanced Wireless Services, Including Third Generation Wireless Systems, ET Docket No. 00-258, Ninth Report and Order and Order, 21 FCC Rcd 4473, 4484, para. 19 (2006) (requiring new entrants to relocate incumbents system-by-system rather than link-by-link due to the unique operations of incumbents' systems); 
                            <E T="03">Expanding Flexible Use of the 3.7 to 4.2 GHz Band,</E>
                             GN Docket No. 18122, Report and Order and Order of Proposed Modification, 35 FCC Rcd 2343, 2416, para. 182 (2020) (
                            <E T="03">3.7 GHz Band Report and Order</E>
                            ). Some transitions were based on rules that called for negotiations when an ET licensee proposed to operate a base station before the sunset date that would interfere with an incumbent's operation. 
                            <E T="03">See, e.g.,</E>
                             47 CFR 101.69-101.81. Other transitions had relatively short sunset dates. 
                            <E T="03">See, e.g.,</E>
                             47 CFR 101.83-101.97. In the Broadcast Incentive Auction Transition and for the 3.7-4.2 GHz (3.7 GHz band) Transition, the Commission established cost catalogs for relocation expenses. 
                            <E T="03">See Expanding the Economic and Innovation Opportunities of Spectrum Through Incentive Auctions,</E>
                             GN Docket No. 12-268, 29 FCC Rcd 6567, 6820, para. 619 (2014) (delegating authority to the Media Bureau “to . . . develop a final Catalog of Eligible Expenses, and make other determinations regarding eligible costs and the reimbursement process.”); 
                            <E T="03">see also Wireless Telecommunications Bureau Seeks Comment on Preliminary Cost Category Schedule for 3.7-4.2 GHz Band Relocation Expenses,</E>
                             Public Notice, 35 FCC Rcd 4440 (WTB May 2020). The D.C. Circuit has upheld the Commission's authority to require new entrants to relocate incumbent systems to comparable facilities. 
                            <E T="03">See, e.g., Teledesic LLC</E>
                             v. 
                            <E T="03">FCC,</E>
                             275 F.3d 75, 84-87 (D.C. Cir. 2001); 
                            <E T="03">see also Ass'n of Public-Safety Commc'ns Officials-Int'l, Inc.</E>
                             v. 
                            <E T="03">FCC,</E>
                             76 F.3d 395, 400 (D.C. Cir. 1996) (upholding elimination of an exemption for public safety incumbents from a relocation regime in which new licensees would pay all costs associated with relocating incumbents to comparable facilities).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>49</SU>
                             The sunset is the date by which all incumbent operations cease to be protected from interference by new entrants. 
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.1253(a), 101.79(a). 
                            <E T="03">See infra</E>
                             Proposed Rules in GN Docket No. 22-352, § 27.1712. Regarding protection of incumbent microwave systems prior to sunset and the trigger for relocation, the Commission seeks comments on whether the references in § 24.237(a) to TIA Telecommunications Systems Bulletin 10-F, “Interference Criteria for Microwave Systems,” May 1994, (TSB10-F), and Appendix I of Subpart E of Part 24—A Procedure for Calculating PCS Signal Levels at Microwave Receivers), and § 24.237(d) Table 3 (Coordination Distance in Kilometers) need to be updated or adjusted to account for use in the 12.7 GHz band.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>50</SU>
                             
                            <E T="03">See, e.g., Expanding Flexible Use of the 3.7 to 4.2 GHz Band,</E>
                             GN Docket No. 18-122, Report and Order and Order of Proposed Modification, 35 FCC Rcd 2343 (2020) (
                            <E T="03">3.7 GHz Band Report and Order</E>
                            ), 
                            <E T="03">aff'd PSSI Global Services</E>
                             v. 
                            <E T="03">FCC,</E>
                             983 F.3d 1 (D.C. Cir. 2020) (permitting accelerated relocation of incumbent FSS space and earth stations by new wireless entrants); 
                            <E T="03">Improving Public Safety Communications in the 800 MHz Band,</E>
                             WT Docket 00-55, Report and Order, Fifth Report and Order, Fourth Memorandum Opinion and Order, and Order, 19 FCC Rcd 14969 (2004) (relocation of BAS, CARS, and LTTS incumbents by new, nationwide wireless entrant); 
                            <E T="03">Redevelopment of Spectrum to Encourage Innovation in the Use of New Telecommunications Technologies,</E>
                             ET Docket No. 92-9, First Report and Order and Third Notice of Proposed Rulemaking, 7 FCC Rcd 6886 (1992) (relocation of FS incumbents by new wireless entrants). The D.C. Circuit has upheld the Commission's authority to require new entrants to relocate incumbent systems to comparable facilities. 
                            <E T="03">See, e.g., Teledesic LLC</E>
                             v. 
                            <E T="03">FCC,</E>
                             275 F.3d 75, 84-87 (D.C. Cir. 2001); 
                            <E T="03">see also Ass'n of Public Safety Communications Officials-Int'l, Inc.</E>
                             v. 
                            <E T="03">FCC,</E>
                             76 F.3d 395, 400 (D.C. Cir. 1996) (upholding elimination of an exemption for public safety incumbents from a relocation regime in which new licensees would pay all costs associated with relocating incumbents to comparable facilities).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>51</SU>
                             
                            <E T="03">See Amendment to the Commission's Rules Regarding a Plan for Sharing the Costs of Microwave Relocation,</E>
                             WT Docket No. 95-157, Notice of Proposed Rule Making, 11 FCC Rcd 1923 (1995).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">a. Fixed Service</HD>
                    <P>
                        13. Based on its goal of making the 12.7 GHz band available for advanced communications services, and supported by the record, the Commission proposes to revise the Commission's rules to make all incumbent point-to-point operations in the band under parts 74, 78, and 101 secondary to new mobile broadband/expanded use operations on a date certain. The Commission seeks comment on whether this sunset date should be three, five, or ten years after the first license for such new operations is issued in the band. Should the sunset date differ based on the incumbent service? Fixed microwave incumbents have a long and successful history of relocation, including clearing the 1850-1990 MHz band for Personal Communications Service (PCS) and the 2110-2200 MHz bands for Advanced Wireless Services (AWS) bands.
                        <SU>52</SU>
                        <FTREF/>
                         CTIA argues that most incumbent services currently operating in the 12.7 GHz band can be relocated to different media or spectrum bands without any loss of functionality.
                        <SU>53</SU>
                        <FTREF/>
                         For example, CTIA 
                        <PRTPAGE P="43943"/>
                        estimates that nearly 80 percent of the BAS licenses in the 12.7 GHz band are for fixed links that could be moved either to different fixed microwave service bands or to alternative media such as fiber.
                        <SU>54</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>52</SU>
                             
                            <E T="03">See</E>
                             CTIA Comments at 7-8 &amp; nn. 20, 21 (citing 
                            <E T="03">Amendment of the Commission's Rules to Establish New Personal Communications Services,</E>
                             GN Docket No. 90-314, Second Report and Order, 8 FCC Rcd 7700 (1993); 
                            <E T="03">Amendment of Part 2 of the Commission's Rules to Allocate Spectrum Below 3 GHz for Mobile and Fixed Services to Support the Introduction of New Advanced Wireless Services, Including Third Generation Wireless Systems, Second Report and Order,</E>
                             17 FCC Rcd 23193 (2002); 
                            <E T="03">Service Rules for Advanced Wireless Services in the 2000-2020 MHz and 2180-220 MHz Band,</E>
                             Report and Order and Order of Proposed Modification, 27 FCC Rcd 16102, 16214, para. 304 (2012)).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>53</SU>
                             CTIA Comments at 7.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>54</SU>
                             CTIA Comments at 8.
                        </P>
                    </FTNT>
                    <P>
                        14. Verizon notes that the 12.7 GHz band “is home to approximately 1,697 Broadcast Auxiliary Service (BAS) call signs, 15 Cable Television Relay Service (CARS) licenses, and 224 call signs for part 101 licensed point-to-point microwave links.” 
                        <SU>55</SU>
                        <FTREF/>
                         Verizon contends that “[s]uch technologies, which support public service and public safety among other functions, could be relocated (and upgraded) consistent with the Commission's longstanding 
                        <E T="03">Emerging Technologies</E>
                         principles.
                        <SU>56</SU>
                        <FTREF/>
                         Nokia believes that the Commission should relocate the limited number of fixed links operating in the 12.7 GHz band.
                        <SU>57</SU>
                        <FTREF/>
                         Ericsson states that the Commission, “[w]here possible, . . . should explore opportunities to relocate incumbents” from the 12.7 GHz band or, in certain instances, consolidate, segment, and repack certain incumbent users into a smaller portion of the band.
                        <SU>58</SU>
                        <FTREF/>
                         5G Americas supports the relocation of incumbents from the 12.7 GHz band “to the greatest extent possible.” 
                        <SU>59</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>55</SU>
                             Verizon Comments at 6-7.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>56</SU>
                             Verizon Comments at 7.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>57</SU>
                             Nokia Comments at 4. Nokia notes that “[w]hile the nationwide number of fixed point-to-point links is limited, BAS fixed links (1,172 fixed paths) are concentrated in major cities along the coasts” and “[o]ther licensed fixed service links, such as Common Carrier and Operational Fixed Services (OFS) are concentrated in the West Coast cities and states.” 
                            <E T="03">Id.</E>
                             Nokia recommends that the Commission relocate such services to other fixed microwave bands. 
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>58</SU>
                             Ericsson Comments 11.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>59</SU>
                             5G Americas Reply Comments 5.
                        </P>
                    </FTNT>
                    <P>
                        15. The record reflects a strong consensus among parties that the Commission utilizes its Emerging Technologies policies to transition and sunset all incumbent point-to-point licenses in the band under parts 74, 78, and 101.
                        <SU>60</SU>
                        <FTREF/>
                         The Commission agrees that doing so will appropriately balance the operational needs of incumbents with the public interest benefits of expanded use of the spectrum. The transition of fixed links is relatively straightforward and entails the relocation of independent fixed point-to-point microwave links which can proceed link-by-link basis consistent with its Emerging Technology policies. The Commission therefore proposes to apply §§ 101.69, 101.73, and 101.75 and amend §§ 74.690 and 78.40 to govern relocation of incumbent fixed services from this band.
                        <SU>61</SU>
                        <FTREF/>
                         The Commission further proposes that, three, five, or ten years after the first mobile broadband/expanded use license is issued in the band, incumbent point-to-point licenses in the band would become secondary (operate on an unprotected, non-interference basis) to new licensed operations. The Commission seeks comment on this proposal including the appropriate sunset period for point-to-point licenses.
                    </P>
                    <FTNT>
                        <P>
                            <SU>60</SU>
                             
                            <E T="03">See, e.g.,</E>
                             AT&amp;T Comments at 4; CTIA Comments at 6-7; Nokia Comments at 3-5; T-Mobile Comments at 3-4; Competitive Carriers Association Reply Comments at 3; 5G Americas Reply Comments at 6-7. 
                            <E T="03">But see</E>
                             Celona Inc. Comments at 1-2 (noting that “Celona does not advocate sunsetting or relocating incumbent users, but instead supports coexisting with the incumbents through a DSMS model.”).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>61</SU>
                             
                            <E T="03">See infra</E>
                             Proposed Rules in GN Docket No. 22-352, 47 CFR 74.690, 78.40, 101.69, 101.173, 101.75.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">b. Mobile BAS/CARS</HD>
                    <P>
                        16. The Commission seeks comment on its proposal to repack incumbent mobile BAS/CARS licensees into a portion of the 12.7 GHz band to be designated for mobile BAS/CARS operations. The 12.7 GHz band has approximately 450 BAS and CARS call signs that authorize land mobile television pickup stations. These are effectively mobile news gathering technologies that operate over an area defined by a point-radius or other wide-area basis, making them the most likely to potentially interfere with or receive interference from any new mobile broadband co-channel entrants. While these land mobile pickup transmitter licensees coordinate with each other and share the spectrum among multiple licensees in any given area,
                        <SU>62</SU>
                        <FTREF/>
                         coordination among these incumbents and new mobile broadband or other expanded use operations is infeasible given that the former need to operate temporary fixed links or mobile transmitters anywhere in their market, often on short notice, and that the latter will be ubiquitous. For this reason, the Commission asked in the 
                        <E T="03">12.7 NOI</E>
                         if mobile BAS/CARS operations could be relocated to a portion of the band or else to a different band or technology.
                        <SU>63</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>62</SU>
                             
                            <E T="03">See infra</E>
                             Proposed Rules in GN Docket No. 22-352, 47 CFR part 74 (§§ 74.600-74.690), part 78 (§§ 78.1-78.115).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>63</SU>
                             
                            <E T="03">12.7 NOI</E>
                             at *14, para. 28. Ericson recognizes that mobile TV operations “could make sharing the 12.7 GHz band with new terrestrial mobile broadband services more challenging” and that “[o]pportunities to relocate incumbents or consolidate and segment the band should be prioritized,” such as “repack[ing] certain existing uses into a smaller portion of the band.” Ericsson Comments at 10-11.
                        </P>
                    </FTNT>
                    <P>
                        17. Given the varied and widespread nature of mobile BAS (403 call signs) and mobile CARS (50 call signs) operations, Verizon encourages the Commission to propose relocating these operations from the band.
                        <SU>64</SU>
                        <FTREF/>
                         Nokia also urges relocation of mobile BAS/CARS operations because transmitters in the television pickup service are often licensed to operate over an area defined by a point-radius or other wide-area basis and across the entire frequency band, with large operating areas that include major cities.
                        <SU>65</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>64</SU>
                             Verizon Comments at 7.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>65</SU>
                             Nokia Comments at 5. Nokia contends that “mechanisms to enable coexistence with mobile incumbents are usually more complex than in case of fixed incumbents.” 
                            <E T="03">Id.</E>
                             It also notes that “[r]estrictions on the mobile broadband deployments in such areas to allow sharing with mobile incumbents would decrease the value of the band.” 
                            <E T="03">Id.</E>
                             at 4.
                        </P>
                    </FTNT>
                    <P>
                        18. Significantly, NAB and Scripps Broadcasting recognize that it may be possible to repack broadcaster operations in the 12.7 GHz band into a smaller segment of the band, assuming the Commission adopts rules that will fully protect those broadcaster operations from harmful interference caused by new entrants and ensure that broadcaster do not bear any costs associated with relocation.
                        <SU>66</SU>
                        <FTREF/>
                         SBE cautions that the relocation of mobile BAS and other incumbent broadcast operations would be impractical and expensive, because (1) there is no “clear alternative offering the flexibility necessary for mobile ENG and other broadcaster operations; and (2) “even if there were a clear alternative . . . relocation would “render broadcasters' incumbent mobile newsgathering equipment obsolete—resulting in significant costs to replace and deploy new equipment (for use in other spectrum or within a newly reserved portion of existing spectrum), and for which broadcasters' expenses would need to be compensated.” 
                        <SU>67</SU>
                        <FTREF/>
                         As CTIA observes, in 2000 the Commission adopted rules to repack mostly mobile BAS/CARS operations, similar to those in the 12.7 GHz band, from the 1990-2110 MHz band to the 2025-2110 MHz band using more spectrally efficient equipment.
                    </P>
                    <FTNT>
                        <P>
                            <SU>66</SU>
                             NAB Comments at 2, 7-8; Scripps Broadcasting Comments at 1, 5. NAB emphasizes that, any relocation of broadcasters' operations must be fully funded. NAB Reply Comments at 5; 
                            <E T="03">see also</E>
                             Scripps Broadcasting Comments at 5. Broadcasters have made significant investments in 12.7 GHz operations, and the costs of relocation may be substantial. NAB Reply at 5. Even frequency changes within the 12.7 GHz band may require antenna replacements that are costly or impractical. 
                            <E T="03">Id.; see also</E>
                             Scripps Broadcasting Reply at 5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>67</SU>
                             SBE Comments at 4-5.
                        </P>
                    </FTNT>
                    <P>
                        19. The Commission proposes to repack mobile BAS/CARS incumbents into a segment of the 12.7 GHz band to be designated for mobile BAS/CARS use, and the Commission seeks 
                        <PRTPAGE P="43944"/>
                        comment on this proposal. The Commission proposes to retain 25 megahertz for mobile BAS/CARS operation and to repack existing operations into this dedicated band. Is 25 megahertz adequate to accommodate current mobile BAS/CARS incumbent operations in the 12.7 GHz band? If no, how much spectrum would be required for mobile BAS/CARS use after repacking? Where within the 12.7 GHz band should these repacked operations be located? Would locating the repack band at the top, bottom, or both ends of the 12.7 GHz band more effectively serve to mitigate potential interference, from new 12.7 GHz band mobile broadband or other expanded use operations, to operations in adjacent bands? Are the existing provisions that reserved 13.15-13.2125 GHz for mobile BAS/CARS inside a 50 km radius of 100 television markets relevant to this question? 
                        <SU>68</SU>
                        <FTREF/>
                         Commenters should discuss advantages and disadvantages of different repacking options, included economic considerations.
                    </P>
                    <FTNT>
                        <P>
                            <SU>68</SU>
                             
                            <E T="03">See</E>
                             47 CFR 2.106 note NG53, 74.602(a) note 2; 78.18(l) (note NG53 revised as 47 CFR 2.106(d)(53), at 88 FR 37318, June 7, 2023, effective July 7, 2023). 
                            <E T="03">See also Amendment of Part 101 of the Commission's Rules to Facilitate the Use of Microwave for Wireless Backhaul and Other Uses and to Provide Additional Flexibility to Broadcast Auxiliary Service and Operational Fixed Microwave Licensees,</E>
                             Report and Order (76 FR 59559 (Sept. 27, 2011)), Further Notice of Proposed Rulemaking (76 FR 59614 (Sept. 27, 2011)), and Memorandum Opinion and Order (76 FR 59559 (Sept. 27, 2011)), 26 FCC Rcd 11614, 11626 para. 24 (2011) (Commission excluded FS from 13.150-13.200 MHz nationwide because that spectrum was already reserved for TV pickup operations in 100 markets).
                        </P>
                    </FTNT>
                    <P>20. The Commission seeks comment on the typical use of this band by mobile BAS/CARS incumbent licensees. For example, is this band typically used by BAS licensees for traditional ENG type operations from a mobile pickup van or truck back to the studio or central receiver site? Or is this band used primarily for shorter more localized transmission from cameras or backpack transmitters to the ENG truck? Are there other typical uses for mobile transmitters in this band? Is equipment in this band tunable within the band? Is equipment in this band capable of scaling bandwidth to different sized channels? How intensively is this band used in practice by incumbent licensees for mobile operations compared to other BAS bands such as 2 GHz and 6 GHz? Is equipment currently being manufactured and marketed for mobile BAS/CARS operation in this band? Can new 12.7 GHz band equipment used for studio-transmitter links be reconfigured for ENG or other mobile BAS/CARS uses?</P>
                    <P>
                        21. The Commission seeks comment on how its Emerging Technologies procedures should apply to incumbent use of non-fixed or mobile operations in the band. Whereas the transition of fixed links is relatively straightforward, in that it entails the relocation of independent fixed point-to-point microwave links, and can proceed link-by-link on an as-needed basis, the integrated nature of mobile BAS and CARS operations makes link-by-link relocation infeasible. It is further complicated by incumbent use of frequency-agile, non-fixed or mobile stations.
                        <SU>69</SU>
                        <FTREF/>
                         The Commission has previously required that the BAS and CARS operations be cleared from transitioning bands on a market-by-market basis before any new entrant could begin operations.
                        <SU>70</SU>
                        <FTREF/>
                         It may also be necessary for a new entrant to relocate more non-fixed or mobile BAS and CARS facilities than an interference analysis might indicate is technically necessary in order to meet the comparable facility requirement for relocating non-fixed or mobile BAS or CARS operations.
                        <SU>71</SU>
                        <FTREF/>
                         Should a new entrant therefore be obligated to relocate all incumbent non-fixed or mobile BAS and CARS operations in all affected BAS and CARS markets, including those markets where the new entrant provides partial, minimal, or even no service? The Commission seeks comment on its proposals.
                    </P>
                    <FTNT>
                        <P>
                            <SU>69</SU>
                             Further, while BAS and CARS mobile operations are licensed for specific geographic markets, in some cases they operate nationwide.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>70</SU>
                             
                            <E T="03">See Amendment of Section 2.106 of the Commission's Rules to Allocate Spectrum at 2 GHz for use by the Mobile Satellite Service,</E>
                             ET Docket No. 95-18, Third Report and Order and Third Memorandum Opinion and Order, 18 FCC Rcd 23638, 23653-23660 paras. 29-42 (2003); 
                            <E T="03">Amendment of Part 2 of the Commission's Rules to Allocate Spectrum Below 3 GHz for Mobile and Fixed Services to Support the Introduction of New Advanced Wireless Services, Including Third Generation Wireless Systems,</E>
                             ET Docket No. 00-258, Sixth Report and Order, Third Memorandum Opinion and Order and Fifth Memorandum Opinion and Order, 19 FCC Rcd 20720, 20746-20753 paras. 57-73 (2004) (
                            <E T="03">AWS Sixth Report and Order</E>
                            ); 47 CFR 74.690(e)(1), 78.40(f)(1).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>71</SU>
                             
                            <E T="03">Service Rules for Advanced Wireless Services in the 1915-1920 MHz, 1995-2000 MHz, 2020-2025 MHz and 2175-2180 MHz Bands,</E>
                             Notice of Proposed Rulemaking, 19 FCC Rcd 19263, 19285 para. 52 (2006); 47 CFR 74.690(d), 78.40(d)-(e). For example, operations of non-fixed or mobile BAS or CARS operations in an adjacent market may need to be relocated even though the new entrant does not initiate operations in that adjacent market.
                        </P>
                    </FTNT>
                    <P>
                        22. Once incumbent mobile BAS/CARS have transitioned into a repacked band, should the Commission consider whether to allow the following to operate in some or all of the mobile BAS/CARS repack band: incumbent fixed point-to-point (PTP) BAS, or all incumbent fixed PTP (some of which may have tunable equipment) so long as such fixed PTP links would not intersect with incumbent mobile BAS/CARS authorized mobile operating areas, and new mobile BAS/CARS operations? 
                        <SU>72</SU>
                        <FTREF/>
                         If the repack band is reserved nationwide for mobile BAS/CARS (limited to incumbents during a transition period) are there any scenarios in which the Commission should consider permitting licensed expanded-use services to operate in portions of the repack band (spectral or geographical) after the transition period? Could an automated spectrum management system at a later design date be needed in the mobile BAS/CARS repack band, or could shared access occur without the use of database managed sharing systems? 
                        <SU>73</SU>
                        <FTREF/>
                         The Commission seeks comment on these issues.
                    </P>
                    <FTNT>
                        <P>
                            <SU>72</SU>
                             
                            <E T="03">See</E>
                             47 CFR 101.147(a) n.34.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>73</SU>
                             47 CFR 96.53-96.66 (Spectrum Access System for the Citizens Broadband Radio Service); 
                            <E T="03">id.</E>
                             §§ 15.713-15.715 (White space database); 
                            <E T="03">id.</E>
                             § 15.407(k) (Automated Frequency Coordination (AFC) system for 6 GHz devices). No AFC system operators have yet been designated by the Commission.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">c. Fixed Satellite Service</HD>
                    <P>
                        23. 
                        <E T="03">Space stations.</E>
                         As noted in its 
                        <E T="03">12.7 NOI,</E>
                         27 space stations' records specify use of the 12.7 GHz band with all 27 specifying downlink (space-to-Earth) in the 12.7-12.75 GHz band, 20 specifying uplink (Earth-to-space) in all or a segment of the 12.75-13.25 GHz band, and four specifying uplink (Earth-to-space) in the 12.7-12.75 GHz band and in all or a segment of the 12.75-13.25 GHz band.
                        <SU>74</SU>
                        <FTREF/>
                         More generally, of the total number of GSO satellites, the Commission noted in the 
                        <E T="03">12.7 NOI</E>
                         that only eight of the 23 space stations are in orbital locations with good visibility to all or significant portions of CONUS.
                        <SU>75</SU>
                        <FTREF/>
                         Of the four satellite records associated with three non-geostationary orbit (NGSO) systems, the Commission noted that the one operational system does not have any U.S. earth stations licensed in this band, another system is not operational, and a third has surrendered the Ku-band portion of the grant.
                        <SU>76</SU>
                        <FTREF/>
                         The Commission is not proposing to sunset or to require new entrants to relocate FSS incumbents, which the Commission proposes to define as any FSS space station or earth station authorized to serve or operate in the United States in accordance with the Table of Allocations based on an 
                        <PRTPAGE P="43945"/>
                        application or petition for market access filed before September 19, 2022.
                    </P>
                    <FTNT>
                        <P>
                            <SU>74</SU>
                             
                            <E T="03">12.7 NOI</E>
                             at *5, para. 11.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>75</SU>
                             
                            <E T="03">Id.</E>
                             (Commission noted that these eight space stations are in the arc of 132.85 WL to 30 WL.)
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>76</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <P>
                        24. Verizon states, however, that “the Commission's recent action to open the band to new [NGSO] satellites has substantially changed the spectral landscape, despite the goal of the freeze on processing of new applications in this frequency range.” 
                        <SU>77</SU>
                        <FTREF/>
                         According to Verizon, “the Commission should seek further comment on how new wireless operations can coexist with the substantial number of new NGSO FSS deployments.” 
                        <SU>78</SU>
                        <FTREF/>
                         In addition, Verizon states that “[t]o the extent FSS operations are not relocated from the band, the Commission should seek comment on how it might leverage the prior-coordination requirements for terrestrial and space services to facilitate coexistence among operations in the band.” 
                        <SU>79</SU>
                        <FTREF/>
                         The Commission seeks comment accordingly. The Commission notes, however, that SpaceX supports the Commission's decision to explore use of the 12.7 GHz band rather than the 12.2 GHz band for terrestrial mobile broadband and other expanded use. SpaceX asserts that “[w]hile [it] is licensed for both bands, it nonetheless joins the other commenters supporting the Commission's shift in focus to the upper 12 GHz band.” 
                        <SU>80</SU>
                        <FTREF/>
                         In any event, SpaceX's “[o]perations of [NGSO] systems in the 12.75-13.25 GHz (Earth-to-space) frequency band with earth stations in the United States are restricted to individually licensed earth stations in accordance with footnote NG57 to the U.S. Table of Frequency Allocations, 47 CFR 2.106, NG57.” 
                        <SU>81</SU>
                        <FTREF/>
                         Additionally, SpaceX's “authorization is subject to modification to bring it into conformance with any rules or policies adopted by the Commission in the future.
                        <SU>82</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>77</SU>
                             Verizon Comments at 8 &amp; n.26 (citing 
                            <E T="03">SpaceX Gen2 Order,</E>
                             FCC 22-91, 2022 WL 17413767, at *1 para. 1, *18, para. 42 (authorizing the construction, deployment, and authorization of up to 7,500 satellites (Earth-to-space) in the 12.75-13.25 GHz band, among other segments)).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>78</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>79</SU>
                             
                            <E T="03">See</E>
                             Verizon Comments at 7-8.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>80</SU>
                             SpaceX Reply at 1. 
                            <E T="03">See also</E>
                             Letter from Kimberly M. Baum, Vice President, Spectrum Engineering &amp; Strategy, WorldVu Satellites Limited, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 22-352 
                            <E T="03">et al.</E>
                             at 2 (filed Mar. 20, 2023) (OneWeb March 20, 2023 
                            <E T="03">Ex Parte</E>
                            ) (“OneWeb urged closing out the 12.2-12.7 GHz proceeding and shifting the Commission's focus to the 12.7-13.25 GHz band which holds more promise for expanded terrestrial use.”).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>81</SU>
                             
                            <E T="03">SpaceX Gen2 Order,</E>
                             FCC 22-91 at para. 135(h) (noting that the licensing of earth stations (
                            <E T="03">i.e.</E>
                             filed after Sept. 19, 2022) for operations in the 12.75-13.25 GHz will be subject to filing freeze on applications for new or modified authorizations for the 12.7-13.25 GHz band.).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>82</SU>
                             
                            <E T="03">SpaceX Gen2 Order,</E>
                             FCC 22-91 at para. 135(hh) (stating that the “authorization is subject to modification to bring it into conformance with any rules or policies adopted by the Commission in the future. [And, that] . . . any investments made toward operations in the bands authorized [by the] Order by SpaceX in the United States assume the risk that operations may be subject to additional conditions or requirements as a result of any future Commission actions . . . [including, but not limited to] . . . any conditions or requirements resulting from any action in the proceedings associated with . . . GN Docket 22-352 . . .”).
                        </P>
                    </FTNT>
                    <P>
                        25. 
                        <E T="03">Earth stations.</E>
                         As noted in the 
                        <E T="03">12.7 NOI,</E>
                         27 locations are associated with 43 incumbent earth stations.
                        <SU>83</SU>
                        <FTREF/>
                         There are eight earth station authorizations for ESIM or temporary fixed operations that do not specify a specific set of geographic coordinates.
                        <SU>84</SU>
                        <FTREF/>
                         Of the 35 remaining earth stations, there are eight instances of co-location with other earth stations, resulting in the 27 locations.
                        <SU>85</SU>
                        <FTREF/>
                         A majority (23) of those Earth stations are authorized for uplink transmission (Earth-to-space) in the 12.7 GHz band.
                        <SU>86</SU>
                        <FTREF/>
                         Additionally, 20 earth stations are authorized for downlink reception (space-to-Earth) in the lower 50 megahertz of the band (
                        <E T="03">i.e.,</E>
                         12.7-12.75 GHz), in many instances together with other frequencies in the lower-adjacent Ku-band.
                        <SU>87</SU>
                        <FTREF/>
                         The Commission also noted that, for FSS operations, downlink earth stations are more likely to suffer harmful interference from terrestrial systems than uplink earth stations (where the victim receiver is at the space station far from the terrestrial systems).
                        <SU>88</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>83</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *5, para. 11.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>84</SU>
                             
                            <E T="03">Id.</E>
                             An ESIM is operated by remote control from a ground-based network and monitoring center that is specified in the authorization. 
                            <E T="03">See</E>
                             47 CFR 25.271. “Of the 20 earth station authorizations for uplink [sic] (space-to-Earth) in the 12.7-12.75 GHz band, eight are for Earth Stations in Motion (ESIMs) and may or may not involve operations in these frequencies in the United States.” 
                            <E T="03">12.7 NOI</E>
                             at n.28 (the 20 earth stations, and therefore the eight indicated for ESIM have a “downlink” designation.).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>85</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *5, para. 11. In addition, the Department of Defense (DoD) leases commercial satellite services in the 12.7-13.25 GHz band as end users. 
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>86</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *5, para. 11.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>87</SU>
                             
                            <E T="03">See 12.7 NOI</E>
                             at *5, para. 11.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>88</SU>
                             
                            <E T="03">12.7 NOI</E>
                             at *10, para. 28.
                        </P>
                    </FTNT>
                    <P>
                        26. The Commission proposes to grandfather the 23 incumbent earth stations in the 12.75-13.25 GHz band that operate in accordance with the United States and ITU's band allocation for Region 2 by operating earth-to-space. No additional earth stations would be authorized in the 12.7 GHz band. The Commission proposes that non-conforming incumbent Earth stations that operate by receiving in the space-to-Earth direction in 12.7-12.75 GHz in the United States may continue on a non-interference basis and have no right to protection from harmful interference.
                        <SU>89</SU>
                        <FTREF/>
                         The Commission seeks comment on potential international implications of its proposal.
                    </P>
                    <FTNT>
                        <P>
                            <SU>89</SU>
                             
                            <E T="03">See Application of Fugro-Chance, Inc.,</E>
                             Order and Authorization, 10 FCC Rcd 2860, 2860, para. 2 (IB 1995) (stating that a waiver of § 2.106—the U.S. Table of Frequency Allocations—is appropriate “when there is little potential for interference into any service authorized under the Table of Frequency Allocations and when the non-conforming operator accepts any interference from authorized services”).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">d. Incumbent Status—Licensing Data</HD>
                    <P>
                        27. The Commission proposes to define incumbent operations entitled to protection or relocation (until the sunset date), or for grandfathered status, based on the facilities authorized in the Commission licensing records.
                        <SU>90</SU>
                        <FTREF/>
                         In the 
                        <E T="03">Order, see</E>
                         FCC 23-36, paras. 143-147 (FR 2023-13502), published elsewhere in this issue of the 
                        <E T="04">Federal Register</E>
                        , the Commission directs fixed and mobile BAS and CARS licensees under parts 74 and 78, for each of their authorizations to use the 12.7 GHz band, to certify the accuracy of all information reflected on each license, including whether the facilities are operating as authorized. If a licensee is unable to make such a certification for a given license, it must cancel or modify the license in accordance with the Commission's rules. For BAS and CARS licenses, the Commission proposes to limit eligibility for incumbent status in the 12.7 GHz band to those licenses for which the licensee has timely filed the certification required in the 
                        <E T="03">Order</E>
                         in ULS or COALS, respectively.
                    </P>
                    <FTNT>
                        <P>
                            <SU>90</SU>
                             Licensing data for fixed and mobile BAS under part 74 and Fixed Microwave under part 101 is in ULS. Licensing data for fixed and mobile CARS is in COALS. Licensing data for FSS stations is in MyIBFS.
                        </P>
                    </FTNT>
                    <P>
                        28. Although the Commission does not require other incumbents to provide additional information on their existing operations at this time, in the 
                        <E T="03">Order</E>
                         the Commission directs the Bureaus, in coordination with the Office of Economics and Analytics (OEA), to consider whether additional information should be collected from some or all 12.7 GHz band incumbents. In the event that additional information is required from incumbents, the Commission proposes to limit eligibility for incumbent status to those incumbents that file such required certifications or data. Because the Commission proposed to use these licensing data to inform its deliberations regarding the future use of the 12.7 GHz band, including possible interference avoidance coordination or relocation of facilities, or grandfathered status that could require future licensees to accept harmful interference from existing 
                        <PRTPAGE P="43946"/>
                        operations, the Commission encourages all licensees to timely submit their data and to update their information in the event of a change in any of the operational parameters.
                    </P>
                    <HD SOURCE="HD3">e. Cost-Sharing</HD>
                    <P>
                        29. When the Commission adopts a transition plan that involves the relocation of incumbents, new entrants sometimes have to relocate an incumbent from a larger frequency range or greater geographic area than where the new entrant will operate, thereby clearing the incumbent for the benefit of others. In such cases, the Commission has often developed cost sharing requirements, so that all licensees that derive a benefit from a relocation action share the responsibility for the costs of that relocation, regardless of whether they are the first to deploy their system or deploy their systems after other licensees have already deployed and incurred spectrum-clearing costs.
                        <SU>91</SU>
                        <FTREF/>
                         The Commission seeks comment on whether it should adopt cost-sharing procedures applicable to the relocation of incumbents in the 12.7 GHz band. If so, how should the Commission apportion the expenses of a relocation among those new entrants that benefit from the relocation? What type of formula should be applied? Would that formula differ for the reimbursement of relocated fixed microwave services and non-fixed or mobile BAS and CARS operations? If so, how would it differ, and why? For example, if the Commission was to impose an obligation on a new entrant to relocate all non-fixed and mobile BAS and CARS on a market-by-market basis prior to commencing operations, should it obligate all new entrants that are licensed to operate in a cleared market to pay a 
                        <E T="03">pro rata</E>
                         share of those costs? 
                        <SU>92</SU>
                        <FTREF/>
                         What type of test should determine whether a new entrant has triggered a cost-sharing obligation for a relocated microwave link or one or more repacked mobile BAS/CARS systems authorized in any part of a new entrant's licensed area? For example, the Commission adopted a Proximity Threshold Test to determine whether an AWS licensee triggered a cost-sharing obligation for relocated microwave links.
                        <SU>93</SU>
                        <FTREF/>
                         If the Commission was to adopt a similar Proximity Threshold Test here, how would the input data in § 27.1168(a)(3)(i) differ to reflect the higher band of microwave operations in the 12.7 GHz band?
                    </P>
                    <FTNT>
                        <P>
                            <SU>91</SU>
                             
                            <E T="03">3.7 GHz Band Report and Order,</E>
                             35 FCC Rcd at 2445, para. 250; 
                            <E T="03">Service Rules for Advanced Wireless Services H Block—Implementing Section 6401 of the Middle Class Tax Relief and Job Creation Act of 2012 Related to the 1915-1920 MHz and 1995-2000 MHz Bands,</E>
                             WT Docket No. 12-357, Report and Order, 28 FCC Rcd 9483, 9548, para. 167 (2013); 
                            <E T="03">Amendment of Part 2 of the Commission's Rules to Allocate Spectrum Below 3 GHz for Mobile and Fixed Services to Support the Introduction of New Advanced Wireless Services, Including Third Generation Wireless Systems,</E>
                             ET Docket No. 00-258, Ninth Report and Order and Order, 21 FCC Rcd 4473, 4478, para. 8 (2006); 
                            <E T="03">Amendment to the Commission's Rules Regarding a Plan for Sharing the Costs of Microwave Relocation,</E>
                             WT Docket No. 95-157, Memorandum Opinion and Order on Reconsideration, 15 FCC Rcd 13999, 14004, para. 10 (2000).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>92</SU>
                             
                            <E T="03">See AWS Sixth Report and Order,</E>
                             19 FCC Rcd at 20753 paras. 72-73 (stating the first entrant may seek reimbursement from subsequently entering licensees for a proportional share of the first entrant's costs in clearing BAS spectrum, on a 
                            <E T="03">pro rata</E>
                             basis according to the amount of spectrum each licensee is assigned); 
                            <E T="03">Improving Public Safety Communications in the 800 MHz Band,</E>
                             WT Docket 02-55, Fifth Report and Order, Eleventh Report and Order, Sixth Report and Order, and Declaratory Ruling, 25 FCC Rcd 13874, 13893 para. 42 (2010) (
                            <E T="03">800 MHz Fifth Report and Order</E>
                            ) (stating that an AWS entrant will “enter the band” on the date that the grant of its long-form application becomes a final action and any AWS entrant that enters the band prior to the sunset date will be required to reimburse an entrant that has relocated BAS incumbents a 
                            <E T="03">pro rata</E>
                             share of the relocation costs).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>93</SU>
                             47 CFR 27.1168. In comparison, the Commission determined that an AWS licensee triggered a reimbursement obligation for relocated BAS operations in the 2 GHz band upon grant of its long-form application. 
                            <E T="03">See 800 MHz Fifth Report and Order,</E>
                             25 FCC Rcd at 13893, para. 42 (stating that an AWS entrant will “enter the band” on the date that the grant of its long-form application becomes a final action).
                        </P>
                    </FTNT>
                    <P>
                        30. Would there be a need to designate one or more clearinghouses to administer the cost-sharing plan and calculate the amount of each beneficiary's reimbursement obligation in accordance with any formula that would be set forth in the Commission's rules? 
                        <SU>94</SU>
                        <FTREF/>
                         Are there opportunities to incentivize the relocation of some or all types of incumbents on an accelerated basis? 
                        <SU>95</SU>
                        <FTREF/>
                         Would some form of the accelerated relocation payment approach such as was used for the 3.7-4.2 GHz band (3.7 GHz band) be appropriate to accelerate clearing some or all incumbent services out of some or all of the 12.7 GHz band? 
                        <SU>96</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>94</SU>
                             A cost-sharing clearinghouse is a third-party that is typically designated by the Wireless Telecommunications Bureau pursuant to delegated authority. 
                            <E T="03">See Expanding Flexible Use of the 3.7 to 4.2 GHz Band,</E>
                             GN Docket 18-22, Public Notice, 35 FCC Rcd 11859 (WTB 2020); 
                            <E T="03">Wireless Telecommunications Bureau Designates Clearinghouses That Will Administer the 2 GHz PCS Relocation Cost-Sharing Plan,</E>
                             DA 96-1522, Public Notice, 11 FCC Rcd 10634 (WTB 1996); 
                            <E T="03">see also Wireless Telecommunications Bureau Finds CTIA and PCIA Qualified to Administer the Cost-Sharing Plan for Licensees in the 2.1 GHz Bands,</E>
                             WT Docket 02-353, Public Notice, 21 FCC Rcd 11265 (WTB 2006).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>95</SU>
                             Based on the unique record presented for the 3.7 GHz band, the Commission adopted two Accelerated Relocation Deadlines—a one year Phase I deadline and a three-year Phase II deadline—“for incumbent space station operators that voluntarily relocate on an accelerated schedule (with additional obligations and incentives for such operators).” 
                            <E T="03">3.7 GHz Band Report and Order,</E>
                             35 FCC Rcd at 2413, para. 168.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>96</SU>
                             
                            <E T="03">See id.</E>
                             at 2413-14, paras. 168-72 (accelerated relocation).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">C. Alternative Approaches for Sharing the Band</HD>
                    <P>
                        31. Here the Commission explores the second alternative option raised in the 
                        <E T="03">12.7 NOI</E>
                         for making the 12.7 GHz band available for mobile broadband and other expanded use: implementation of certain sharing methodologies among incumbents and new entrants. In the 
                        <E T="03">12.7 NOI,</E>
                         the Commission sought detailed proposals for promoting coexistence or sharing between potential new terrestrial mobile broadband or other expanded use and existing incumbent licensees in the 12.7 GHz band, rather than sunsetting or relocating incumbents, or repacking of the band.
                        <SU>97</SU>
                        <FTREF/>
                         The Commission also sought comment on sharing methodologies such as static or dynamic sharing, using a database or spectrum management system, adopting a nonexclusive licensing system, or application of long-term sensing technology.
                        <SU>98</SU>
                        <FTREF/>
                         The Commission noted that, while an automated spectrum management systems have been proven to be effective for devices in the part 96 Citizens Broadband Radio Service (CBRS), for part 15 white space devices, and for 6 GHz unlicensed devices, there are several important differences between them.
                        <SU>99</SU>
                        <FTREF/>
                         Under the white space and 6 GHz unlicensed rules, devices must query a database system for a list of available frequencies and permissible operating power on a periodic basis, 
                        <E T="03">e.g.,</E>
                         once per hour or once per day, and a device may select any available operating frequency and permissible power level from a list provided by the database.
                        <SU>100</SU>
                        <FTREF/>
                         The CBRS Spectrum Access Systems (SAS) have greater interactivity with managed devices and may require devices to change frequency or power level or to cease operation within 60 seconds as necessary to prevent interference to incumbent services or 
                        <PRTPAGE P="43947"/>
                        devices with a higher spectrum access priority.
                        <SU>101</SU>
                        <FTREF/>
                         The sharing methods that have been proven for white space devices and CBRS, in conjunction with new or developing sharing technologies, may be used in the 12.7-13.25 GHz band to maximize the use of spectrum.
                    </P>
                    <FTNT>
                        <P>
                            <SU>97</SU>
                             
                            <E T="03">12.7 NOI</E>
                             at *6, para. 14.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>98</SU>
                             
                            <E T="03">Id.</E>
                             at *6-*8, paras. 16-21.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>99</SU>
                             
                            <E T="03">Id.</E>
                             at *7, para. 17.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>100</SU>
                             
                            <E T="03">Id.</E>
                             at *7, para. 17 (citing 47 CFR 15.711(h)(1)-(2), 15.407(k)(8)(iv)). While the D.C. Circuit did remand a portion of the 6 GHz Report and Order to the Commission for further discussion, this limited remand concerned a commenter's arguments regarding unlicensed devices operating without a spectrum management system rather than higher powered devices controlled by the 6 GHz band automated frequency coordination (AFC) system. 
                            <E T="03">See Unlicensed Use of the 6 GHz Band,</E>
                             ET Docket No. 18-295, Report and Order and Further Notice of Proposed Rulemaking, 35 FCC Rcd 3852 (2020), 
                            <E T="03">aff'd in part and remanded in part, AT&amp;T Servs. Inc.,</E>
                             v. 
                            <E T="03">FCC,</E>
                             21 F.4th 841, 853-54 (D.C. Cir. 2021).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>101</SU>
                             
                            <E T="03">12.7 NOI</E>
                             at *7, para. 17 (citing 47 CFR 96.39(c)(2)). Relative to such sharing approaches, the Commission also seeks comments on whether any third-party entity that manages, coordinates, or facilitates use of devices by those who are not individually licensed should be required to collect and maintain data documenting operation of devices, including the identity of those persons or entities operating such devices. If so, how long should this data should be retained and made available to the Commission upon request?
                        </P>
                    </FTNT>
                    <P>
                        32. Federated Wireless proposes a Dynamic Spectrum Management System (DSMS) as an effective and efficient way to maximize the use of the 12.7 GHz band, with new and innovative uses of spectrum, while protecting incumbent operations.
                        <SU>102</SU>
                        <FTREF/>
                         The DSMS would operate by acquiring information about the incumbent's spectrum use by several methods such as querying a database like the Universal Licensing System (ULS), receiving notifications through an automated portal system, sensing incumbent use, or a combination of two or more of these methods.
                        <SU>103</SU>
                        <FTREF/>
                         Federated Wireless also proposes that the Commission adopt a multi-tiered licensing framework in the 12.7 GHz band, similar to the three-tiered regulatory framework used by the SAS in the CBRS band.
                        <SU>104</SU>
                        <FTREF/>
                         The three-tier regulatory framework used by the CBRS band enables different classes of users while providing interference protection to incumbents in the 3550-3700 MHz band.
                        <SU>105</SU>
                        <FTREF/>
                         Other commenters, such as the Dynamic Spectrum Alliance, NCTA, and the Open Technology Institute and Public Knowledge, all support adopting a shared-licensing framework, emphasizing the benefits that have been achieved in the TV White Space, CBRS, and 6 GHz band.
                        <SU>106</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>102</SU>
                             Federated Wireless Comments at 2.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>103</SU>
                             Federated Wireless Comments at 3.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>104</SU>
                             Federated Wireless Comments at 5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>105</SU>
                             
                            <E T="03">See</E>
                             47 CFR 96.11(a).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>106</SU>
                             DSA Comments at 2; NCTA Comments at 4; Open Technology Institute and Public Knowledge Comments at 8 (OTI &amp; PK).
                        </P>
                    </FTNT>
                    <P>
                        33. The Society of Broadcast Engineers claims that neither an database-driven spectrum management system nor a spectrum-sensing approach to spectrum sharing will provide adequate protection for electronic news-gathering operations in the band.
                        <SU>107</SU>
                        <FTREF/>
                         It adds that spectrum sensing is unable to detect the one-way transmission equipment used in mobile newsgathering, and database-driven systems like the an automated frequency coordination system will not precisely capture mobile BAS operations, which by definition do not have a fixed location found in any database.
                        <SU>108</SU>
                        <FTREF/>
                         In its comments, Verizon discourages the use of new and complex dynamic sharing methods or database coordination requirements that may limit investments and complicate new mobile broadband deployments into the 12.7 GHz band.
                        <SU>109</SU>
                        <FTREF/>
                         Instead, it recommends the use of an exclusive-use, flexible-rights licensing framework, as well as coordination, repacking, and relocation that is better suited for incumbent operations.
                        <SU>110</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>107</SU>
                             SBE Comments at 5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>108</SU>
                             SBE Comments at 5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>109</SU>
                             Verizon Comments at 1-2, 5-6.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>110</SU>
                             Verizon Comments at 6.
                        </P>
                    </FTNT>
                    <P>34. The Commission seeks comment on using an automated spectrum management system such as the automated frequency coordination (AFC) systems used in the 6 GHz band or spectrum access systems used in CBRS as a method to enable spectrum sharing in the 12.7 GHz band as an alternative to relocating incumbents or repacking the band. To determine whether a new mobile broadband device can operate at a particular location on a given frequency, the device would be required to obtain either a list of permissible frequencies from an automated spectrum management system prior to transmitting or a list of prohibited frequencies on which it cannot transmit. The Commission envisions the automated spectrum management system to be a database that is simple to implement. The Commission seeks comment on this alternative proposal. What capabilities should be incorporated into the automated spectrum management system? Should it use a centralized model where all data and computations are done in a central location? In this case, the device would establish a connection with the automated spectrum management system, provide its location and technical details, and the automated spectrum management system will communicate the list of permissible frequencies (or a list of prohibited frequencies) back to the device. Or should the automated spectrum management system's architecture be de-centralized where the device maintains a local database of incumbent operations and performs the necessary computations to determine which frequencies and power levels can be used without causing harmful interference? Under such a model, how would the local database within the device be kept up to date? What are the trade-offs, including the costs and benefits, between a centralized versus a decentralized model in terms of efficiency, device complexity, and ability to protect incumbent licensee operations?</P>
                    <P>35. Because BAS was not present in the portions of the 6 GHz band where the AFC systems manage access to spectrum, mobile BAS/CARS was not addressed in the 6 GHz band AFC implementation. The mobile nature of these BAS/CARS operations makes it more difficult to manage spectrum access in real time. Electronic news gathering trucks, while they are mobile by definition, operate in a fixed fashion and direct transmissions towards fixed receive sites when broadcasting from the location of scheduled sporting or news events. Mobile BAS/CARS equipment may also be used for short-range connectivity such as relaying signals from a camera to a news gathering truck. For these types of itinerant mobile-fixed operation, a mobile BAS/CARS licensee could provide advanced notice of its planned operation to enable the automated spectrum management system to protect the BAS operations from harmful interference. The Commission seeks comment or proposals on whether these sorts of planned mobile operations can be accommodated on an AFC or SAS-like system. The Commission also seeks comment on whether mobile BAS/CARS operations in this band are, in fact, similar to BAS use in the 6 GHz band, and if not whether there are additional considerations that an automated spectrum management would need to address specific to this band. Could such a system be adapted to accommodate unplanned, unscheduled news or other events?</P>
                    <P>
                        36. Should the automated spectrum management system determine frequency availability using the proposed permissible power limits for base stations, mobile stations, and transportable stations or should it instead determine frequency availability at power levels less than the maximum, and calculate a list of available frequencies and the maximum power permitted on each one? If the automated spectrum management system calculates the maximum power for each frequency, how would it control the power levels of mobile broadband devices to ensure that they operate at permissible levels? How should frequency availability information be reported to the devices? Should the automated spectrum management system report availability for discrete frequency bands, 
                        <E T="03">e.g.,</E>
                         10 or 20 megahertz channels, or should it simply report the range or ranges of available frequencies? Alternatively, should the automated spectrum 
                        <PRTPAGE P="43948"/>
                        management system simply list the range or ranges of unavailable frequencies?
                    </P>
                    <P>
                        37. The Commission seeks comment on whether device registration with the automated spectrum management system is necessary. Under a registration requirement, a mobile broadband device would transmit identifying information along with its location to the automated spectrum management system before receiving a list of permissible frequencies.
                        <SU>111</SU>
                        <FTREF/>
                         Alternatively, a device under a centralized system architecture could provide only its location data and the automated spectrum management system would provide it with the list of permissible channels for that location. Under a decentralized system architecture, registration would not necessarily be required as the device only needs periodic updates of the local fixed service operating environment.
                    </P>
                    <FTNT>
                        <P>
                            <SU>111</SU>
                             Fixed white space devices and Citizens Broadband Radio Service Devices are required to register certain information with the white space database or Spectrum Access System, including the device's location, antenna height above ground, device identification information, and contact information for the device's operator. 47 CFR 15.713(g), 96.39(c).
                        </P>
                    </FTNT>
                    <P>
                        38. The Commission seeks comment on the types of security requirements that would be necessary for an automated spectrum management system that manages mobile broadband devices in the 12.7 GHz band. White space devices and databases, CBRS devices and the SAS, as well as 6 GHz AFC systems and unlicensed devices are required to incorporate security measures to ensure that devices communicate only with authorized databases, that all communications and interactions between a database and devices are accurate and secure, and that unauthorized parties cannot access or alter a database, or the list of available frequencies sent to a device.
                        <SU>112</SU>
                        <FTREF/>
                         Are similar requirements necessary or appropriate for devices and an automated spectrum management system in the 12.7 GHz band? Are any additional requirements necessary? Does the Commission need to specify security requirements for devices to ensure that the software within them cannot be easily modified to enable operation on frequencies other than those indicated as available by the automated spectrum management system?
                    </P>
                    <FTNT>
                        <P>
                            <SU>112</SU>
                             
                            <E T="03">See</E>
                             47 CFR 96.39(f), 15.407(k)(8)(v), 15.713(l).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">D. Licensing and Operating Rules</HD>
                    <HD SOURCE="HD3">1. Part 27</HD>
                    <P>39. To encourage intensive investment in, and robust deployment of, next-generation wireless networks, the Commission has adopted or proposed licensing approaches for other mid-band spectrum that are tailored to the unique characteristics of each band. The Commission proposes and seeks comment on service-specific rules for the 12.7 GHz band. In addressing these issues, commenters should discuss the costs and benefits associated with these proposals and any alternatives that commenters propose.</P>
                    <P>
                        40. The Commission proposes to license the spectrum under its flexible-use part 27 rules, which permit licensees to provide any fixed or mobile service consistent with the permitted allocations, subject to rules necessary to prevent or minimize harmful interference. With the exception noted below, under this proposal, new mobile broadband and other expanded use licensees in the 12.7 GHz band would comply with licensing and operating rules that are applicable to all part 27 services,
                        <SU>113</SU>
                        <FTREF/>
                         including flexible use,
                        <SU>114</SU>
                        <FTREF/>
                         regulatory status,
                        <SU>115</SU>
                        <FTREF/>
                         foreign ownership reporting,
                        <SU>116</SU>
                        <FTREF/>
                         compliance with construction requirements,
                        <SU>117</SU>
                        <FTREF/>
                         renewal criteria,
                        <SU>118</SU>
                        <FTREF/>
                         permanent discontinuance of operations,
                        <SU>119</SU>
                        <FTREF/>
                         partitioning and disaggregation,
                        <SU>120</SU>
                        <FTREF/>
                         and spectrum leasing.
                        <SU>121</SU>
                        <FTREF/>
                         The Commission seeks comment generally on this approach. With respect to technical rules and performance requirements, the Commission intends to adopt rules based on commenter concerns and its experience and expertise. Finally, the Commission proposes to make its licensing, authorization, and service rules governing the 12.7 GHz band applicable nationwide, 
                        <E T="03">i.e.,</E>
                         within the Contiguous United States (CONUS) as well as the non-contiguous states, territories, and possessions. The Commission seeks comment on this proposal.
                    </P>
                    <FTNT>
                        <P>
                            <SU>113</SU>
                             
                            <E T="03">See Amendment of Parts 1, 22, 24, 27, 74, 80, 90, 95, and 101 To Establish Uniform License Renewal et al.,</E>
                             Second Report and Order and Further Notice of Proposed Rulemaking and Order, 32 FCC Rcd 8874 (2017) (
                            <E T="03">WRS Renewal Reform 2nd R&amp;O and FNPRM</E>
                            ) (amending several of the rules applicable to part 27 services).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>114</SU>
                             Section 303(y) provides the Commission with authority to provide for flexibility of use if: “(1) such use is consistent with international agreements to which the United States is a party; and (2) the Commission finds, after notice and opportunity for public comment, that (A) such an allocation would be in the public interest; (B) such use would not deter investment in communications services and systems, or technology development; and (C) such use would not result in harmful interference among users.” Balanced Budget Act of 1997, Public Law 105-22, 111 Stat. 251, 269-69; 47 U.S.C. 303(y). 
                            <E T="03">See also</E>
                             47 CFR 27.2, 27.3.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>115</SU>
                             47 CFR 27.10.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>116</SU>
                             47 U.S.C. 310; 47 CFR 27.12.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>117</SU>
                             47 CFR 27.14(k).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>118</SU>
                             
                            <E T="03">Id.</E>
                             § 1.949.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>119</SU>
                             
                            <E T="03">Id.</E>
                             § 1.953.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>120</SU>
                             
                            <E T="03">Id.</E>
                             § 1.950.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>121</SU>
                             
                            <E T="03">Id.</E>
                             §§ 1.9001 through 1.9080.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">2. 12.7 GHz Band Plan</HD>
                    <P>41. The Commission's goal in this proceeding is to make as much of the 12.7 GHz band available for mobile broadband or other expanded uses as possible in order to facilitate next-generation uses of spectrum that are increasingly necessary in the modern, connected world. To promote effective use of the 12.7 GHz band, the Commission proposes a technologically neutral policy for licensing the band. That is, the Commission does not make any technological choices or prohibitions, or prefer any particular kind of technology. The Commission does not propose a duplex gap, or distinct blocks for base and mobile that would presume or prohibit FDD or TDD deployments. The Commission seeks comment on this proposal. Are there interference issues that the Commission is not currently anticipating that this regime would create? The Commission ask commenters to address interference concerns between FDD and TDD, explain how they could coexist in the band, and discuss coordination and interference rules that must apply if both were to be permitted. In section I.B.3.b above (Mobile BAS/CARS), the Commission proposes to set aside 25 megahertz to repack mobile BAS/CARS incumbents.</P>
                    <HD SOURCE="HD3">3. Spectrum Block Sizes for New Licenses</HD>
                    <P>
                        42. Currently, the 12.7 GHz band is licensed for satellite, BAS/CARS fixed and mobile use, and other fixed uses. Under its band plan proposal, most of the 550 megahertz would be made available to new entrants for mobile or other expanded uses, with a small portion of the band set aside to accommodate repacked mobile BAS/CARS incumbents. The Commission seeks comment on the appropriate block sizes for these new licenses to best promote efficient and robust use of the band for next-generation wireless technologies. Several commenters note the importance of larger block sizes to the deployment of mobile broadband and other expanded uses; indeed, some commenters indicate that as broadband technologies evolve, operators will be required to have contiguous 100 megahertz blocks to deliver next-generation broadband.
                        <SU>122</SU>
                        <FTREF/>
                         In light of this 
                        <PRTPAGE P="43949"/>
                        concern, the Commission believes that 100 megahertz blocks will produce the best environment for 5G and future 6G deployments, as large block sizes support faster data speeds and better coverage for next-generation deployments.
                        <SU>123</SU>
                        <FTREF/>
                         Additionally, the Commission believes 100 megahertz blocks will afford adequate flexibility to prospective licensees in terms of system design.
                    </P>
                    <FTNT>
                        <P>
                            <SU>122</SU>
                             
                            <E T="03">See, e.g.</E>
                             AT&amp;T Comments at 4; Qualcomm Comments at 7 (noting that a 5G base station with 100 MHz bandwidth provides sub-meter positioning accuracy, and that more bandwidth will allow for more precise positioning and improve overall network performance); Verizon Comments 
                            <PRTPAGE/>
                            at 9; Ericsson Reply at 10-11; 5G Americas Reply at 6.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>123</SU>
                             “[T]he Commission should prioritize large bandwidths such as 50-megahertz or 100-megahertz channel blocks, the latter which `have become international best practice and are implemented in the majority of 5G-leading markets.' ” Verizon Comments at 9 (quoting GSMA, 5G Spectrum: GSMA Public Policy Position, at 5 (June 2022), 
                            <E T="03">https://www.gsma.com/-spectrum/wp-content/uploads/2022/06/5G-Spectrum-Positions.pdf).</E>
                        </P>
                    </FTNT>
                    <P>
                        43. The Commission seeks comment on this proposal (100 MHz blocks) and on how to authorize any spectrum blocks less than 100 megahertz depending on the size of the mobile BAS/CARS repack band. Commenters offering an alternative proposal should detail the advantages and disadvantages of their favored approach, including any costs and benefits, based on what they know about the technical requirements of the respective technologies that either use or could use the band. The Commission recognize that some commenters favor smaller blocks of 50 megahertz.
                        <SU>124</SU>
                        <FTREF/>
                         If the Commission adopts smaller sized blocks, should the Commission allow licensees to aggregate the use of these separate licenses into wider bandwidths while retaining the performance requirements of each individual license? Would this approach help ensure that spectrum is put to use, as compared to larger block sizes? Are there any additional considerations that the Commission should take into account in determining the spectrum block sizes to be used for new licenses in this band?
                    </P>
                    <FTNT>
                        <P>
                            <SU>124</SU>
                             Competitive Carriers' Association Reply at 5; T-Mobile Comments at 14; US Cellular Reply at 5. Some Commenters, such as T-Mobile, argue that 100 megahertz blocks would orphan a 50 megahertz block, or otherwise require the Commission to license the band with blocks of varying size. T-Mobile Comments at 14; US Cellular Comments at 6. The Commission notes that under its band plan proposal, some spectrum would be designated for repacking incumbent mobile BAS/CARS operations.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">4. Geographic License Area Sizes</HD>
                    <P>
                        44. Consistent with its approach in several other bands used to provide fixed and mobile services, the Commission proposes to license the 12.7 GHz spectrum on an exclusive, geographic-area basis.
                        <SU>125</SU>
                        <FTREF/>
                         Geographic-area licensing provides flexibility to licensees, promotes efficient spectrum use, and helps facilitate rapid assignment of licenses. The Commission seeks comment on this approach, including the costs and benefits of adopting a geographic area licensing scheme. In the event that a party does not support using geographic licensing, it should explain its position, describe what type of licensing scheme it supports, and identify the costs and benefits associated with its alternative licensing proposal.
                    </P>
                    <FTNT>
                        <P>
                            <SU>125</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.6 (h), (i) (AWS-1 and AWS-4, respectively).
                        </P>
                    </FTNT>
                    <P>
                        45. In determining the appropriate geographic license size, the Commission considers several factors, including: (1) facilitating access to spectrum by both small and large providers; (2) providing for the efficient use of spectrum; (3) encouraging deployment of wireless broadband services to consumers, especially those in rural areas and Tribal lands; and (4) promoting investment in and rapid deployment of new technologies and services.
                        <SU>126</SU>
                        <FTREF/>
                         In light of these statutory considerations, the Commission proposes to issue flexible use licenses on a Partial Economic Area (PEA) basis.
                        <SU>127</SU>
                        <FTREF/>
                         The Commission asks commenters to discuss and quantify the economic, technical, and other public interest considerations of licensing on a PEA basis. The Commission observes that the question of geographic license area sizes intersects with the question of whether to issue exclusive or shared licenses: those that favor exclusive licenses often prefer PEAs or larger, whereas those that favor shared licensing regimes prefer smaller areas, such as counties.
                        <SU>128</SU>
                        <FTREF/>
                         Because the Commission proposes to license the band exclusively, the Commission also proposes PEAs. In its judgment, this area size will also help promote rural deployments by facilitating access to spectrum by small and regional service providers and beyond.
                        <SU>129</SU>
                        <FTREF/>
                         The Commission seeks comment on licensing the 12.7 GHz band on a PEA basis.
                    </P>
                    <FTNT>
                        <P>
                            <SU>126</SU>
                             
                            <E T="03">See, e.g., Service Rules for Advanced Wireless Services in the 1.7 GHz and 2.1 GHz Bands,</E>
                             Report and Order, 18 FCC Rcd 25162, 25174, para. 31 (2003) (
                            <E T="03">AWS-1 Service Rules R&amp;O</E>
                            ).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>127</SU>
                             
                            <E T="03">See</E>
                             47 CFR part 27, subpart A, appendix A—List of Partial Economic Areas with Corresponding Counties.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>128</SU>
                             
                            <E T="03">But see</E>
                             RWA Comments at 2 (arguing for counties and not PEAs for licensed area size).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>129</SU>
                             
                            <E T="03">See, e.g.,</E>
                             US Cellular Reply at 7.
                        </P>
                    </FTNT>
                    <P>
                        46. Some commenters seek smaller areas, such as counties.
                        <SU>130</SU>
                        <FTREF/>
                         They argue that these smaller areas help smaller businesses and rural areas.
                        <SU>131</SU>
                        <FTREF/>
                         Could smaller license areas increase the possibility of interference between adjacent areas and complicate a licensee's ability to fully deploy services using their licensed spectrum in their service areas? 
                        <SU>132</SU>
                        <FTREF/>
                         If so, are there other reasons that would nevertheless support adopting smaller license areas such as promoting competition? 
                        <SU>133</SU>
                        <FTREF/>
                         Would smaller or larger areas promote or complicate cost-sharing for relocation of incumbents? Are there any additional considerations that the Commission should take into account when determining the geographic license areas sizes for new licenses in the 12.7 GHz band when weighing the factors listed above? For example, could a smaller license area help promote deployment in Tribal areas? The Commission notes that several commenters suggest providing priority access to spectrum over Tribal lands to Tribal entities.
                        <SU>134</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>130</SU>
                             RWA Comments at 2-3; OTI &amp; PK Comments at 7; WISPA Reply at 1-2, 7; 
                            <E T="03">see also see</E>
                             Letter from Traci Biswese, Vice President &amp; Associate General Counsel, NCTA, to Marlene H. Dortch, Secretary, FCC, GN Docket No. 22-352, at 3 (May 11, 2023) (NCTA May 11, 2023 Ex Parte).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>131</SU>
                             RWA points out that the propagation characteristics of the band warrant adoption of smaller-sized license areas. RWA Comments at 3. In proposing PEAs, the Commission is making the judgement that it propagates sufficiently far to justify PEA-sized areas. The Commission also seeks comments on this approach.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>132</SU>
                             
                            <E T="03">See</E>
                             T-Mobile Reply at 6.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>133</SU>
                             
                            <E T="03">See</E>
                             NCTA May 11, 2023 Ex Parte at 3.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>134</SU>
                             See Open Technology Institute and Public Knowledge May 10, 2023 Ex Parte at 3 (“With regard to creating a rural Tribal window for any spectrum authorized for new licensees in the 12.7 GHz band, the success of the 2.5 GHz window demonstrates the enormous value to Tribes of creating the opportunity for greater spectrum access on Tribal lands. This would also be consistent with the Memorandum of Understanding between the Department of the Interior and the Department of Commerce National Telecommunications and Information Administration, 11/23/2022. Available at 
                            <E T="03">https://www.bia.gov/sites/default/files/dup/inline-files/mou_esb46-009818_doi-fcc-ntia_electromagnetic_spectrum_on_tribal_lands_2022-11-23_final_fcc_ntia_doi_signed_508.pdf”</E>
                            ). See also Tribal Ready May 10, 2023 Ex Parte (“The Commission has previously recognized the value of Tribal set asides in promoting deployment as recently as the 2.5 GHz band. The 12 GHz band can and should also be an option to help Native Americans close the digital divide.”).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">5. License Term and Renewal</HD>
                    <P>
                        47. The Commission proposes to establish a 10-year license term for new mobile broadband and other expanded use licenses in the 12.7 GHz band. The Commission believes that a 10-year term serves its goal of providing licensees with flexibility to develop this spectrum as the market demands and to employ innovative technologies which may not be available immediately upon licensing. The Commission acknowledges that the Commission has adopted license terms longer than 10 years to account for delays in relocating incumbent operations. In this case, however, because the existing use of the 
                        <PRTPAGE P="43950"/>
                        band is relatively light, the Commission is proposing its standard 10-year license term along with an additional year (relative to some services) to meet the proposed interim buildout requirement. The Commission also proposes to apply its general renewal requirements for wireless radio service licenses.
                        <SU>135</SU>
                        <FTREF/>
                         The Commission seeks comment on these proposed license term and renewal requirements, as well as on the costs and benefits of these proposals.
                        <SU>136</SU>
                        <FTREF/>
                         Are there alternative license terms that might be better suited for this band?
                        <SU>137</SU>
                        <FTREF/>
                         If an alternative license term is better, what impact would it have on investment or deployment, particularly for smaller or rural entities, and how could the Commission determines its costs and benefits?
                    </P>
                    <FTNT>
                        <P>
                            <SU>135</SU>
                             
                            <E T="03">See</E>
                             47 CFR 1.949 (Application for renewal of license). The 
                            <E T="03">WRS Renewal 2nd R&amp;O and FNPRM</E>
                             adopted a unified framework for construction, renewal, and service continuity rules for flexible use geographic licenses in the Wireless Radio Services. 
                            <E T="03">See Amendment of Parts 1, 22, 24, 27, 74, 80, 90, 95, and 101 to Establish Uniform License Renewal et al.,</E>
                             WT Docket No. 10-112, Second Report and Order and Further Notice of Proposed Rulemaking and Order, 32 FCC Rcd 8874 (2017) (
                            <E T="03">WRS Renewal Reform 2nd R&amp;O and FNPRM</E>
                            ). 
                            <E T="03">Accord, Expanding Flexible Use of the 3.7 to 4.2 GHz Band,</E>
                             GN Docket No. 18-122, Report and Order and Order of Proposed Modification, 35 FCC Rcd 2343, 2390, para. 106 (2020) (
                            <E T="03">3.7 GHz Report and Order</E>
                            ).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>136</SU>
                             The Communications Act does not specify a term limit for wireless radio services licenses. The only statutory limit on license terms is eight years for licenses in the broadcast services. 
                            <E T="03">See</E>
                             47 U.S.C. 307(c)(1); 
                            <E T="03">see also</E>
                             47 CFR 73.1020(a).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>137</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.14(k) (AWS-3 licenses have a 12-year initial license terms and 10-year renewal terms), (l) (600 MHz band licenses have 12-year initial license terms and 10-year renewal terms).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">6. Performance Requirements</HD>
                    <P>
                        48. The Commission establishes performance requirements to ensure that spectrum is intensely and efficiently used. The Commission has applied different performance and construction requirements to different spectrum bands based on considerations relevant to those bands.
                        <SU>138</SU>
                        <FTREF/>
                         The Commission continues to believe that performance requirements play a critical role in ensuring that licensed spectrum does not lie fallow.
                    </P>
                    <FTNT>
                        <P>
                            <SU>138</SU>
                             
                            <E T="03">See, e.g., Service Rules for Advanced Wireless Services H Block—Implementing Section 6401 of the Middle Class Tax Relief and Job Creation Act of 2012 Related to the 1915-1920 MHz and 1995-2000 MHz Bands,</E>
                             Report and Order, 28 FCC Rcd 9483, 9558-59, para. 195 (2013) (requiring 40 percent population coverage within four years of initial grant and 75 percent population coverage within 10 years of initial grant); 
                            <E T="03">see also Amendment of the Commission's Rules with Regard to Commercial Operations in the 1695-1710 MHz, 1755-1780 MHz, and 2155-2180 MHz Bands,</E>
                             Report and Order, 29 FCC Rcd 4610, 4659-60, para. 135 (2014) (requiring 40 percent population coverage within six years of initial grant and 75 percent population coverage within 12 years of initial grant); 
                            <E T="03">Expanding the Economic and Innovation Opportunities of Spectrum Through Incentive Auctions,</E>
                             Report and Order, 29 FCC Rcd 6567, 6877-78, para. 764 (2014).
                        </P>
                    </FTNT>
                    <P>
                        49. In response to the 
                        <E T="03">12.7 NOI,</E>
                        <SU>139</SU>
                        <FTREF/>
                         AT&amp;T, T-Mobile, Intelsat, Ericsson and others note that the 12.7 GHz band shares many characteristics with millimeter wave (mmW) spectrum.
                        <SU>140</SU>
                        <FTREF/>
                         Despite these similarities, T-Mobile and Intelsat suggest that performance requirements for the 12.7 GHz band should not necessarily be similar to those that apply to the mmW spectrum, given the difficulties mmW bands have had fulfilling buildout requirements.
                        <SU>141</SU>
                        <FTREF/>
                         Moreover, T-Mobile suggests that the Commission carefully consider buildout requirements and allow for flexibility based on the unique needs of the spectrum being used and the geographic area being served.
                        <SU>142</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>139</SU>
                             
                            <E T="03">See, e.g., 12.7 NOI</E>
                             at *11, para. 31.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>140</SU>
                             AT&amp;T Comments at 1; Ericsson Comments at 8; T-Mobile Comments at 14; Intelsat Reply at 11-12.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>141</SU>
                             T-Mobile Comments at 14-15 (citing an NTIA Study that examined outdoor propagation in the 37-40 GHz band in Boulder, Colorado); Intelsat Reply at 11; T-Mobile Reply at 4-5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>142</SU>
                             T-Mobile Comments at 15.
                        </P>
                    </FTNT>
                    <P>
                        50. As with other part 27 services, the Commission proposes to adopt specific quantifiable benchmarks for different types of operations. For the 12.7 GHz band, the Commission proposes to require licensees offering mobile or point-to-multipoint services to provide reliable signal coverage and offer service to at least 30% to 45% of the population in each of their license areas within five years 
                        <SU>143</SU>
                        <FTREF/>
                         of the license issue date (interim performance benchmark), and to at least 60% to 80% of the population in each of their license areas within ten years from the license issue date (final performance benchmark).
                        <SU>144</SU>
                        <FTREF/>
                         The Commission seeks comment on this proposal including the specific population coverage percentage appropriate for the interim and final benchmarks. The Commission recognizes that, relative to the recently established 3.45 GHz Service, which has buildout deadlines at years four and eight,
                        <SU>145</SU>
                        <FTREF/>
                         the Commission is proposing an additional year for 12.7 GHz band licensees to meet the proposed first buildout requirement and an additional two years to meet the second buildout requirement. The Commission believes this additional time is warranted given the lack of industry standards and 12.7 GHz band mobile broadband equipment. The Commission proposes licensees providing fixed point-to-point service would be required to demonstrate within five years of the license issue date (interim performance benchmark) that they have four links operating and providing service, if the population within the license area is equal to or less than 268,000. If the population within the license area is greater than 268,000, a licensee relying on point-to-point service would need to demonstrate that it has at least one link in operation and providing service, either to customers or for internal use, per every 67,000 persons within a license area. The Commission proposes to require licensees relying on point-to-point service to demonstrate within ten years of the license issue date (final performance benchmark) that they have eight links operating and providing service, either to customers or for internal use, if the population within the license area is equal to or less than 268,000. If the population within the license area is greater than 268,000, the Commission proposes to require a licensee relying on point-to-point service to demonstrate it is providing service and has at least two links in operation per every 67,000 persons within a license area.
                        <SU>146</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>143</SU>
                             For AWS-4, AWS H Block, and 3.45 GHz Service, the first performance benchmark is 4 years from the date of the initial license and the second performance benchmark is 8 years from the date of the initial license for AWS-4 and 3.45 GHz Service and 10 years for H Block. For services with incumbent transitions, the first performance benchmark ranges from 6 years (AWS-3, 600 MHz) to 8 years (3.7 GHz Service) from the date of the initial license, and the second performance benchmark is 12 years (AWS-3, 600 MHz, 3.7 GHz Service). 
                            <E T="03">See</E>
                             47 CFR 27.14(q), (r),(s),(t),(v),(w).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>144</SU>
                             The Commission's proposals and questions comport with actions taken for other licenses taking into account the unique characteristics of the 12.7 GHz band, 
                            <E T="03">e.g.,</E>
                             presence of incumbents and the location of this mid-band spectrum—significantly higher than 3.7 GHz but significantly lower than mmW spectrum. 
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.14(v)(1) (requiring a 3.7 GHz Service licensee providing mobile or point-to-multipoint service to cover 45% of population within eight years of initial grant and 80% population coverage within 12 years of initial grant); 47 CFR 27.14(w)(1)(i) (requiring a 3.45 GHz Service licensee providing mobile or point-to-point service to cover 45% of population within 4 years and 80% of population within 8 years of initial grant); 47 CFR 30.103, 30.104(a) (requiring a UMFUS licensee providing mobile or point-to-multipoint service to cover 40% of population within ten years).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>145</SU>
                             
                            <E T="03">See</E>
                             47 CFR 27.14(w)(1)(i).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>146</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.14(v)(1) (requiring a 3.7 GHz Service licensee providing point-to-point service to demonstrate within 8 years and 12 years of initial grant that they are operating four links and eight links, respectively, and providing service to customers or for internal use if the license area is equal to or less than 268,000, and if the population is greater than 268,000, that they are operating at least one link within 8 years and at least two links within 12 years and providing service to customers or for internal use per every 67,000 persons within a license area); 27.14(w)(1)(ii) (requiring a 3.45 GHz Service licensee providing point-to-point service to demonstrate within 4 years and 8 years of initial grant that they are operating four links and eight links, respectively, and providing service to customers or for internal use if the license area is equal to or less than 268,000, and if the population 
                            <PRTPAGE/>
                            is greater than 268,000, that they are operating at least one link within 4 years and at least two links within 8 years and providing service to customers or for internal use per every 67,000 persons within a license area); 47 CFR 30.103, 30.104(a) (requiring a UMFUS licensee providing point-to-point service to demonstrate within 10 years of initial grant that they are operating four links and providing service to customers or for internal use if the license area is equal to or less than 268,000, and if the population is greater than 268,000, that they are operating at least one link and providing service to customers or for internal use per every 67,000 persons within a license area).
                        </P>
                    </FTNT>
                    <PRTPAGE P="43951"/>
                    <P>
                        51. The Commission also proposes alternate Internet of Things (IoT) performance requirements in order to allow for flexibility to provide services potentially less suited to a population coverage metric. Specifically, the Commission proposes that licensees providing IoT-type services would have flexibility to demonstrate that they offer geographic area coverage of at least 25% to 35% of the license area at the interim (five-year) performance benchmark, and geographic area coverage of at least 50% to 65% of the license area at the final (ten-year) performance benchmark.
                        <SU>147</SU>
                        <FTREF/>
                         The Commission seeks comment on this proposal including the specific geographic area coverage percentage appropriate for the interim and final benchmarks metrics appropriate in the 12.7 GHz band. Commenters should discuss the appropriate metric to accommodate such service offerings or other innovative services in the 12.7 GHz band, as well as the costs and benefits of an alternative approach. The Commission also seeks comment on whether to adopt renewal-term performance obligations.
                    </P>
                    <FTNT>
                        <P>
                            <SU>147</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.14(v)(2) (requiring a 3.7 GHz Service licensee providing Internet of Things service to offer geographic area coverage of 35% of the license area within 8 years of initial grant and geographic area coverage of 65% of the license area within 12 years of initial grant); 27.14(w)(1)(iii) (requiring a 3.45 GHz Service licensee providing Internet of Things service to offer geographic area coverage of 35% of the license area within 4 years of initial grant and geographic area coverage of 65% of the license area within 8 years of initial grant); 47 CFR 30.103, 30.104(b) (requiring a UMFUS licensee providing Internet of Things or other services deployed along non-traditional lines to offer geographic area coverage of 25% of the license area within 10 years of initial grant).
                        </P>
                    </FTNT>
                    <P>
                        52. 
                        <E T="03">Compliance Procedures.</E>
                         The Commission proposes that to demonstrate compliance with these performance requirements, licensees shall use the most recently available decennial U.S. Census Data at the time of measurement and shall base their measurements of population or geographic area served on areas no larger than the Census Tract level. The population or area within a specific Census Tract (or other acceptable identifier) would be deemed served by the licensee only if it provides reliable signal coverage to and offers service within the specific Census Tract (or other acceptable identifier). To the extent the Census Tract (or other acceptable identifier) extends beyond the boundaries of a license area, a licensee with authorizations for such areas may include only the population or geographic area within the Census Tract (or other acceptable identifier) towards meeting the performance requirement of a single, individual license. If a licensee does not provide reliable signal coverage to an entire license area, the license must provide a map that accurately depicts the boundaries of the area or areas within each license area not being served. Each licensee also must file supporting documentation certifying the type of service it is providing for each licensed area within its service territory and the type of technology used to provide such service. Supporting documentation must include the assumptions used to create the coverage maps, including the propagation model and the signal strength necessary to provide reliable service with the licensee's technology.
                    </P>
                    <P>
                        53. 
                        <E T="03">Penalty for Failure to Meet Performance Requirements.</E>
                         Along with performance benchmarks, the Commission proposes to adopt meaningful and enforceable penalties for failing to meet those benchmarks. The Commission proposes that, in the event a licensee fails to meet the first performance benchmark, the licensee's final benchmark and license term would be reduced by two years, thereby requiring it to meet the final performance benchmark two years sooner (at 8 years into the license term) and reducing its license term to 8 years. If a licensee fails to meet the final performance benchmark for a particular license area, its authorization for each license area in which it fails to meet the performance requirement shall terminate automatically without Commission action. The Commission seeks comment on this proposal and on which penalties will most effectively ensure timely buildout.
                    </P>
                    <P>54. The Commission seeks comment on how, in the event a 12.7 GHz band licensee's authority to operate terminates, its spectrum rights should become available for reassignment pursuant to the licensing framework the Commission adopts for this band. The Commission also seeks comment on whether, consistent with the Commission's rules for other part 27 licenses, the Commission should require that any 12.7 GHz band flexible use licensee that forfeits its license for failure to meet its performance requirements be precluded from regaining that license. Finally, the Commission seeks comment on other performance requirements and enforcement mechanisms that would effectively ensure timely buildout.</P>
                    <HD SOURCE="HD3">7. Open Eligibility</HD>
                    <P>
                        55. The Commission proposes to adopt an open eligibility standard for licenses in the 12.7 GHz band, consistent with established Commission practice.
                        <SU>148</SU>
                        <FTREF/>
                         An open eligibility standard should encourage the development of new technologies, products, and services, while helping to ensure efficient use of this spectrum. The Commission seeks comment on this assumption. The Commission notes that an open eligibility approach would not affect citizenship, character, or other generally applicable qualifications that may apply under its rules.
                        <SU>149</SU>
                        <FTREF/>
                         Commenters should discuss the costs and benefits of the open eligibility proposal on competition, innovation, and investment.
                    </P>
                    <FTNT>
                        <P>
                            <SU>148</SU>
                             The Commission has determined in a number of services that eligibility restrictions on licenses may be imposed only when open eligibility would pose a significant likelihood of substantial harm to competition in specific markets and when an eligibility restriction would be effective in eliminating that harm. This approach relies on market forces absent a compelling showing that regulatory intervention to exclude potential participants is necessary. 
                            <E T="03">See, e.g., Service Rules for Advanced Wireless Services in the 2000-2020 MHz and 2180-2200 MHz Bands,</E>
                             Report and Order and Order of Proposed Modification, 27 FCC Rcd 16102, 16193, paras. 241-42 (2012); 
                            <E T="03">Service Rules for the 698-746, 747-762 and 777-792 MHz Bands,</E>
                             WT Docket No. 06-150 
                            <E T="03">et al.,</E>
                             Second Report and Order, 22 FCC Rcd 15289, 15381, 15383-84, paras. 253, 256 (2007) (
                            <E T="03">700 MHz Second Report and Order</E>
                            ); 
                            <E T="03">Allocations and Service Rules for the 71-76 GHz, 81-86 GHz and 92-95 GHz Bands,</E>
                             WT Docket No. 02-146, Report and Order, 18 FCC Rcd 23318, 23346-47, para. 70 (2003).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>149</SU>
                             
                            <E T="03">Id.</E>
                             sections 301, 308(b), 310.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">8. Mutually Exclusive Applications for New Licenses</HD>
                    <P>
                        56. As discussed above, the Commission proposes to use an exclusive geographic area licensing scheme for the 12.7 GHz spectrum, which will permit the filing of mutually exclusive applications. The Commission's statutory authority to resolve mutually exclusive applications for initial licenses through a system of competitive bidding has lapsed. Accordingly, in the event the Commission determines to adopt a mutually exclusive application approach, the Commission seeks comment on how it should resolve mutually exclusive applications for new initial licenses in the 12.7 GHz band in light of the lapse in its authority to use competitive bidding. In the event that the Commission's statutory authority 
                        <PRTPAGE P="43952"/>
                        with respect to auctions is restored, the Commission delegates authority to WTB and the Office of Economics and Analytics to seek comment on appropriate competitive bidding rules and procedures, consistent with prior Commission guidance.
                    </P>
                    <HD SOURCE="HD3">9. Mobile Spectrum Holdings Policies</HD>
                    <P>
                        57. Spectrum is an essential input for the provision of mobile wireless services, and ensuring access to and the availability of sufficient spectrum is crucial to promoting the competition that drives innovation and investment.
                        <SU>150</SU>
                        <FTREF/>
                         The Commission has held that the Communications Act requires a close examination of the impact of spectrum aggregation on competition, innovation, and the efficient use of spectrum to ensure that spectrum is allocated and assigned in a manner that serves the public interest, convenience and necessity, and avoids the excessive concentration of licenses.
                        <SU>151</SU>
                        <FTREF/>
                         In this NPRM, the Commission seeks comment generally on whether to adopt limitations on the aggregation of spectrum holdings in the 12.7 GHz band in order to meet its statutory requirements and to ensure competitive access to the band. The Commission seeks comment on whether the technical and market characteristics of the 12.7 GHz band warrant such limitations and, if so, whether implementation of such limitations should be through the Commission's total spectrum screen, a separate screen, a limit on initial licensing, or other means, as discussed below.
                        <SU>152</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>150</SU>
                             
                            <E T="03">Communications Marketplace Report,</E>
                             GN Docket No. 22-203, Report, FCC 22-103, at 64, para. 82 (Dec. 30, 2022) (
                            <E T="03">2022 Communications Marketplace Report</E>
                            ); 
                            <E T="03">see</E>
                             NCTA May 11, 2023 Ex Parte at 2 (arguing for the importance of promoting competition through avoiding excessive concentration).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>151</SU>
                             
                            <E T="03">Policies Regarding Mobile Spectrum Holdings Expanding the Economic Innovation Opportunities of Spectrum Through Incentive Auctions,</E>
                             WT Docket No. 12-269, Report and Order, 29 FCC Rcd 6133, 6137, para. 8 (2014) (
                            <E T="03">Mobile Spectrum Holdings Report and Order</E>
                            ).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>152</SU>
                             In 2004, the Commission established its framework for case-by-case review of spectrum aggregation (and market concentration), in which it established a total spectrum screen “trigger” of approximately one-third of the total suitable and available spectrum for commercial mobile radio services. 
                            <E T="03">Applications of AT&amp;T Wireless Inc. and Cingular Wireless Corporation For Consent To Transfer Control of Licenses and Authorizations,</E>
                             Memorandum Opinion and Order, 19 FCC Rcd 21522, 21525, 21568-69, paras. 4, 106-112 (2004) (
                            <E T="03">Cingular-AT&amp;T Wireless Order</E>
                            ). This screen was subsequently expanded and applied to mobile telephony/broadband services. 
                            <E T="03">See, e.g., Applications of Cellco Partnership d/b/a Verizon Wireless and Atlantis Holdings LLC for Consent to Transfer Control of Licenses, Authorizations, and Spectrum Manager and De Facto Transfer Leasing Arrangements,</E>
                             WT Docket No. 08-95, Memorandum Opinion and Order and Declaratory Ruling, 23 FCC Rcd 17444, 17469-70, paras. 45-46 (2008). In 2008, the Commission determined that its case-by-case review would also apply to the initial licensing of spectrum acquired at auction, similar to the Commission's analysis of secondary market transactions. 
                            <E T="03">Union Telephone Company and Cellco Partnership d/b/a Verizon Wireless Applications for 700 MHz Band Licenses, Auction No. 73,</E>
                             Order, 23 FCC Rcd 16787, 16791-92, 16796, paras. 9, 18 (2008). In 2014, the Commission determined that it would treat as an “enhanced factor” in its case-by-case review any proposed increase in below-1-GHz spectrum holdings resulting in the acquiring entity holding approximately one-third or more of the suitable and available spectrum below 1 GHz. 
                            <E T="03">Mobile Spectrum Holdings Report and Order,</E>
                             29 FCC Rcd at 6233, 6240, paras. 267, 286-88. In 2016, the Commission adopted a separate mmW spectrum threshold that would apply to its case-by-case review of proposed secondary market mmW transactions. 
                            <E T="03">Use of Spectrum Bands Above 24 GHz For Mobile Radio Services, et al.,</E>
                             GN Docket No. 14-177, Report and Order and Further Notice of Proposed Rulemaking, 31 FCC Rcd 8014, 8081, 8083-84, paras. 184, 189 (2016) (
                            <E T="03">Spectrum Frontiers 1st R&amp;O and FNPRM</E>
                            ).
                        </P>
                    </FTNT>
                    <P>
                        58. 
                        <E T="03">Total Spectrum Screen.</E>
                         The Commission examines the suitability and availability of spectrum to determine whether particular bands should be included within the total spectrum screen.
                        <SU>153</SU>
                        <FTREF/>
                         Suitability is determined by whether the spectrum is capable of supporting mobile service given its physical properties and the state of equipment technology, whether the spectrum is licensed with a mobile allocation and corresponding service rules, and whether the spectrum is committed to another use that effectively precludes its use for mobile services.
                        <SU>154</SU>
                        <FTREF/>
                         Spectrum is considered “available” if it is “fairly certain that it will meet the criteria for suitable spectrum in the near term, an assessment that can be made at the time the spectrum is licensed or at later times after changes in technology or regulation that affect the consideration.” 
                        <SU>155</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>153</SU>
                             
                            <E T="03">Mobile Spectrum Holdings Report and Order,</E>
                             29 FCC Rcd at 6169-70, paras. 71-75.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>154</SU>
                             
                            <E T="03">Mobile Spectrum Holdings Report and Order,</E>
                             29 FCC Rcd at 6169, para. 71.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>155</SU>
                             
                            <E T="03">Mobile Spectrum Holdings Report and Order,</E>
                             29 FCC Rcd at 6169, para. 71 (internal quotation marks omitted).
                        </P>
                    </FTNT>
                    <P>
                        59. The Commission seeks comment on whether, for purposes of the spectrum screen, the 12.7 GHz band will be “suitable” and “available” for the provision of mobile telephony/broadband services shortly after the spectrum is assigned. To the extent the Commission finds that the 12.7 GHz band is “suitable and available,” the Commission seeks comment on whether it should include the band within its total spectrum screen or within a separate spectrum screen, such as the existing mmW threshold.
                        <SU>156</SU>
                        <FTREF/>
                         To that end, the Commission seeks comment on which bands are most similar in technical characteristics with the 12.7 GHz band.
                        <SU>157</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>156</SU>
                             
                            <E T="03">See 2022 Communications Marketplace Report,</E>
                             FCC 22-103, at 66, para. 85 and Fig. II.B.9.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>157</SU>
                             
                            <E T="03">See, e.g., Use of Spectrum Bands Above 24 GHz For Mobile Radio Services, et al.,</E>
                             Third Report and Order, Memorandum Opinion and Order, and Third Notice of Proposed Rulemaking, 33 FCC Rcd 5576, 5612, para. 96 (2018); 
                            <E T="03">Facilitating Shared Use in the 3100-3550 MHz Band,</E>
                             WT Docket 19-348, Second Report and Order, Order on Reconsideration, and Order of Proposed Modification, 36 FCC Rcd 5987, 6022-23, para. 102 (2021) (
                            <E T="03">3.45 GHz Second Report and Order</E>
                            ); 
                            <E T="03">Expanding Flexible Use of the 3.7 to 4.2 GHz Band,</E>
                             GN Docket No. 18-122, Report and Order and Order of Proposed Modification, 35 FCC Rcd 2343, 2382-84, paras. 85-88 (2020) (
                            <E T="03">3.7 GHz Order</E>
                            ).
                        </P>
                    </FTNT>
                    <P>
                        60. 
                        <E T="03">Initial licensing.</E>
                         Should there be a limit on the amount of 12.7 GHz band spectrum held by a single entity at the licensing stage? If so, what should that limit be and why? Should the Commission consider the factors set forth in the 
                        <E T="03">Mobile Spectrum Holdings Report and Order</E>
                         
                        <SU>158</SU>
                        <FTREF/>
                         in determining if a limit at the initial licensing stage is appropriate? Should the Commission's determination also be based on the extent to which competitors have opportunities to gain access to alternative bands that would serve the same purpose as the 12.7 GHz band.
                        <SU>159</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>158</SU>
                             
                            <E T="03">Mobile Spectrum Holdings Report and Order,</E>
                             29 FCC Rcd at 6192-93, paras. 143-44.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>159</SU>
                             
                            <E T="03">Mobile Spectrum Holdings Report and Order,</E>
                             29 FCC Rcd at 6193, para. 144.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">E. Technical Rules</HD>
                    <HD SOURCE="HD3">1. Power Limits</HD>
                    <P>
                        61. The Commission establishes power limits for wireless services to help limit the potential for harmful interference, among operators using the same frequency bands (for example, in neighboring geographic areas) as well as among operators using adjacent bands. The determination of an appropriate power limit for a particular band is informed by the technical characteristics of the band, as well as the services expected to be deployed.
                        <SU>160</SU>
                        <FTREF/>
                         Thus, § 30.202 of the Commission's rules restricts the power for fixed base stations operating in connection with mobile systems to a maximum equivalent isotropic radiated power (EIRP) density of +75 dBm/100 MHz.
                        <SU>161</SU>
                        <FTREF/>
                         Under § 30.202, mobile stations and transportable stations are each limited to a maximum EIRP of +43 dBm and +55 dBm, respectively.
                        <SU>162</SU>
                        <FTREF/>
                         Since the adoption of these power limits, the Commission has seen mmW wave deployments in various parts of the USA, chiefly in urban areas.
                    </P>
                    <FTNT>
                        <P>
                            <SU>160</SU>
                             
                            <E T="03">See, e.g., Spectrum Frontiers 1st R&amp;O and FNPRM,</E>
                             31 FCC Rcd at 8110-12, paras. 276-80.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>161</SU>
                             47 CFR 30.202(a).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>162</SU>
                             
                            <E T="03">Id.</E>
                             § 30.202(b), (c).
                        </P>
                    </FTNT>
                    <P>
                        62. Setting appropriate power limits for the 12.7 GHz band requires an 
                        <PRTPAGE P="43953"/>
                        understanding of what services may be deployed in the band. It is important that new technologies and feasible visions for future wireless deployments are considered so that the appropriate power limits are set to advance wireless innovation. Ericsson asserts that the characteristics of the 12.7 GHz band make it a good fit for future 6G technologies and smart-city applications, and that use of the 12.7 GHz band would complement spectrum in the 3-8 GHz range.
                        <SU>163</SU>
                        <FTREF/>
                         Qualcomm states the 12.7 GHz Band is ideal for the deployment of the latest 6G technological advances which will offer coverage levels only available today in the lower mid-band spectrum range; these technologies, such as Giga Multiple-Input Multiple-Output (MIMO), will overcome greater signal losses in this upper range through higher beam directionality and offer ubiquitous coverage, low latency, and high capacity.
                        <SU>164</SU>
                        <FTREF/>
                         Qualcomm adds that increased data rates will support innovative use cases like deeper immersion into digital and virtual worlds with boundless augmented, virtual, extended and mixed reality (AR/VR/XR/MR) applications and advanced sensing, which will allow for real-time mapping of the physical world to a digital or virtual copy.
                        <SU>165</SU>
                        <FTREF/>
                         Besides 6G operations, the Commission seeks comment on what other feasible new services or technologies are envisioned to be deployed in the band and whether they would require particular power level profiles.
                    </P>
                    <FTNT>
                        <P>
                            <SU>163</SU>
                             Ericsson Comments at 3, 8.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>164</SU>
                             Qualcomm Comments at 7.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>165</SU>
                             Qualcomm Comments at 3.
                        </P>
                    </FTNT>
                    <P>
                        63. Based on the record in response to the 
                        <E T="03">12.7 NOI,</E>
                         and its technical expertise, the Commission proposes to adopt the same power limits that are applied to UMFUS operations.
                        <SU>166</SU>
                        <FTREF/>
                         Specifically, for base stations, mobile stations, and transportable stations, the Commission proposes to adopt an EIRP limit of +75 dBm/100 MHz (or +72 dBm/50 MHz depending on the final channel size allocations), +43 dBm, and +55 dBm, respectively. The Commission believes these limits to be appropriate because, the Commission agrees with commenters that RF characteristics in this band more closely resemble mmW transmissions than lower mid-band transmissions.
                        <SU>167</SU>
                        <FTREF/>
                         Furthermore, the Commission agrees with commenters that higher frequencies are subject to greater signal attenuation.
                        <SU>168</SU>
                        <FTREF/>
                         Commenters from the terrestrial mobile wireless industry have submitted general feedback urging the Commission to establish power limits in a way that does not hinder development and innovation in this band while providing sufficient coverage for the public.
                        <SU>169</SU>
                        <FTREF/>
                         The Commission seeks comment on its proposed power limits for this band. If beams incorporating higher directionality are employed in this band, the Commission seeks comment on including provisions similar to § 101.145(c) to protect GSO satellites, particularly if the Commission grandfathers existing FSS operations.
                    </P>
                    <FTNT>
                        <P>
                            <SU>166</SU>
                             
                            <E T="03">See</E>
                             47 CFR 30.202.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>167</SU>
                             
                            <E T="03">See, e.g.,</E>
                             AT&amp;T Comments at 1; Ericsson Comments at 8; T-Mobile Comments at 14; Intelsat Reply at 11-12.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>168</SU>
                             
                            <E T="03">See</E>
                             CTIA Comments at 9-10 (arguing that the greater propagation loss at 12.7 GHz as compared to that at low mid-band spectrum will require even higher power levels to provide meaningful coverage range and capacity); Ericsson Comments at 2, 10; Nokia Comments at 2; Verizon Comments at 9 (“The Commission should also promote standard-power deployments and further consider power levels greater than those contained in part 27 of the Commission's rules to compensate for the higher propagation losses in this frequency range.”); CCA Reply at 1-2, (“[H]igh-powered use will provide the greatest potential for innovation and will aid the wireless industry in serving American consumers.”); CCA Reply at 5 (“For many CCA members who serve suburban and rural areas, low-power operations may be too costly because of the number of cell sites needed to provide sufficient coverage.”); 
                            <E T="03">accord</E>
                             5G Americas Reply at 7.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>169</SU>
                             
                            <E T="03">See, e.g.,</E>
                             T-Mobile Reply at 9, 12; 5G Americas Reply at 7.
                        </P>
                    </FTNT>
                    <P>
                        64. The Commission seeks comment on whether incumbent satellite services and new terrestrial mobile services can coexist if the latter will be subject to the power limits that the Commission proposes above. Various satellite industry interests have expressed concerns that satellite operations cannot successfully co-exist with mobile terrestrial broadband networks in the 12.7 GHz band.
                        <SU>170</SU>
                        <FTREF/>
                         Overall, they identify two chief sources of interference: FSS uplink transmissions can interfere with receiving terrestrial mobile stations, and aggregate emissions of high power terrestrial mobile stations can also interfere with the satellite antenna of an FSS system receiving in the band.
                        <SU>171</SU>
                        <FTREF/>
                         As noted above, Verizon also questions how any incipient terrestrial mobile services would coexist with a substantial number of new NGSO FSS deployments in the band.
                        <SU>172</SU>
                        <FTREF/>
                         CTIA asserts that coexistence is possible between new entrants and incumbent FSS, because FSS space stations will be protected based on the terrestrial service obligations contained in Radio Regulations Table 21-1, which includes a maximum equivalent isotropic radiated power (“EIRP”) of +45 dBW for a station in the fixed or mobile service.
                        <SU>173</SU>
                        <FTREF/>
                         The Commission agrees with CTIA that, as long as terrestrial mobile broadband operations do not exceed the power limits that the Commission proposes, they should pose no danger of exceeding any aggregate interference level at any victim receivers on satellites operating in the band, but the Commission seeks comment on this observation. Furthermore, proposed grandfathered FSS earth stations are not susceptible to harmful interference because they do not receive in this band. Nevertheless, the Commission seeks comment on whether satellite services and terrestrial mobile services can coexist with power limits of § 30.202. Is it appropriate to adopt these power limits for the 12.7 GHz band for base station, mobile station, and transportable stations? Would it be useful to limit the power terrestrial transmitters may emit toward higher elevation angles to protect satellite receivers from aggregate emissions?
                    </P>
                    <FTNT>
                        <P>
                            <SU>170</SU>
                             
                            <E T="03">See</E>
                             Eutelsat Comments at 4-5; Hispasat Comments at 6-8; Intelsat/SES Comments at 12-14.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>171</SU>
                             Hispasat Comments at 6.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>172</SU>
                             Verizon Comments at 8 &amp; n.26 (citing 
                            <E T="03">SpaceX Gen2 Order,</E>
                             FCC 22-91 at para. 49 (authorizing the construction, deployment, and authorization of up to 7,500 satellites in the 12.75-13.25 GHz band, among other segments)); 
                            <E T="03">see supra</E>
                             note 77 and accompanying text.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>173</SU>
                             EIRP power limits in ITU radio regulations Table 21-1 does not specify a reference bandwidth, so this power limit is 45dBW (75dBm) regardless of the reference bandwidth, 
                            <E T="03">i.e.</E>
                             any reference bandwidth may be used for the power limit. Therefore, the Commission maintains that its proposed limit of 75dBm/100MHz is at least as conservative as the ITU radio regulations power limit. For example, the ITU regulations would permit 75dBm/1MHz, which would be higher power than what the Commission proposes.
                        </P>
                    </FTNT>
                    <P>
                        65. The Commission also received comment urging the Commission to conduct further technical studies before establishing power limits for 12.7 GHz band.
                        <SU>174</SU>
                        <FTREF/>
                         Nokia recommends a detailed analysis regarding the EIRP limit for flexible use in the 12.7 GHz band.
                        <SU>175</SU>
                        <FTREF/>
                         It states that such an analysis should consider “(1) the impact of relocating some incumbent services from the 12.7 GHz band, and a potential relaxation of maximum EIRP requirements, (2) the coexistence scenarios involving incumbent services in the 12.7 GHz band and in the lower and upper adjacent bands, and (3) receiver characteristics of incumbent users, including out-of-band receiver blocking performance.” 
                        <SU>176</SU>
                        <FTREF/>
                         Are there other comprehensive technical studies that could shed light on the appropriate power levels for this band? What are the technical reasons that it is appropriate or not appropriate to adopt the part 30 
                        <PRTPAGE P="43954"/>
                        power limits? Are there alternative power limit proposals that would serve the public interest better and what are the technical data and analysis for these reasons? Are there alternative metrics for controlling power in this band? The Commission further seeks comment on any additional considerations that should be included to provide adequate protection for services in the adjacent bands. For any alternative or additional proposals, metrics, or considerations, commenters should include technical details, including any and/or all assumptions and parameters. For example, how would the in-band requirements specified in various ITU documents, discussed above, translate to out-of-band requirements in the 12.7 GHz? Is any further information or assumptions necessary, particularly concerning out-of-band receiver blocking performance for receivers in the adjacent bands? Commenters advocating for particular technical rules to protect operations in adjacent bands, including DBS, NGSO FSS, MVDDS, active spaceborne sensors, and ARNS, should provide detailed information on the receiver, antenna, and operational characteristics for such services operating in the adjacent bands.
                    </P>
                    <FTNT>
                        <P>
                            <SU>174</SU>
                             Hispasat Comments at 13-14; Nokia Comments at 6.s
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>175</SU>
                             Nokia Comments at 7-8.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>176</SU>
                             Nokia Comments at 7-8.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">2. Out-of-Band Emissions (OOBE) Limits</HD>
                    <P>
                        66. The Commission seeks comment on appropriate out-of-band emissions (OOBE) limits for base and mobile stations in the 12.7 GHz band. Section 101.111(a)(2)(i) of the Commission's rules establishes an emission limit for fixed stations operating with digital emissions in this band expressed as A = 35 + 0.8(P −50) + 10 Log10 B, where A is attenuation below the mean output power of the transmitter, B is the authorized bandwidth in megahertz, and P is the percentage by which the transmitter bandwidth is removed from the carrier frequency.
                        <SU>177</SU>
                        <FTREF/>
                         Under this provision, attenuation greater than 80 decibels or to an absolute power of less than −13 dBm/1MHz is not required.
                        <SU>178</SU>
                        <FTREF/>
                         This emission limit is defined in conducted fashion.
                        <SU>179</SU>
                        <FTREF/>
                         These rules are intended to support various fixed microwave technologies with conventional antenna systems.
                    </P>
                    <FTNT>
                        <P>
                            <SU>177</SU>
                             47 CFR 101.111(a)(2)(i).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>178</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>179</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <P>
                        67. For most mobile systems, the Commission has generally required licensees to attenuate their unwanted emission power below the transmission mean power (P) by a factor of at least 43 + 10log10(P), or −13dBm/MHz for any emissions on frequencies outside the licensee's authorized spectrum.
                        <SU>180</SU>
                        <FTREF/>
                         These requirements take effect at the edges of the assigned frequencies (
                        <E T="03">e.g.,</E>
                         channel, block, or band), and may be used as a basis for developing further requirements that relate to transmitter performance by industry standard organizations.
                        <SU>181</SU>
                        <FTREF/>
                         This limit is applied equally both to base stations and to mobile stations, and compliance with this limit in existing systems, where access to the RF port of the antennas is conveniently available, is based on conducted measurement of transmission power at the output of the individual RF port.
                        <SU>182</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>180</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 22.359(a), 47 CFR 27.53(a)(1)(i).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>181</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>182</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <P>
                        68. In response to the 
                        <E T="03">12.7 NOI,</E>
                         a few commenters suggest specific criteria for out-of-band emission limits. For example, 5G Americas and CTIA suggest that new broadband users should be subject to the same out-of-band emission limits that apply to the existing incumbents in the band.
                        <SU>183</SU>
                        <FTREF/>
                         T-Mobile and Ericsson suggest that the Commission consider adopting the same out-of-band emission limit of −13 dBm/MHz that was adopted in the Spectrum Frontiers proceedings for the Upper Microwave Flexible Use Service in the upper mmW spectrum bands.
                        <SU>184</SU>
                        <FTREF/>
                         T-Mobile argues that this existing out-of-band emission limit is sufficient to protect services in adjacent bands.
                        <SU>185</SU>
                        <FTREF/>
                         Hispasat, Oneweb, Dish, and SpaceX suggest that further analysis should be conducted to determine whether the existing out-of-band emissions limit is, in fact, sufficient to protect users in adjacent bands.
                        <SU>186</SU>
                        <FTREF/>
                         Due to the propagation characteristics in the 12.7 GHz band signal attenuation with distance is higher than at lower frequencies and to overcome those losses higher gain antennas are typically used, therefore the Commission believes that deployments in this band are likely to use integrated multiple element antenna arrays that have characteristics more similar to antennas in the UMFUS bands than those in the PCS and AWS bands. As such, measurement of OOBE based on conducted measurements may be challenging, as was recognized to be the case for the mmW bands.
                        <SU>187</SU>
                        <FTREF/>
                         In order to achieve higher antenna gain in the compact format necessary for mobile operation and beam steering necessary for base stations to track mobile devices, the Commission expects that mobile and base stations in the 12.7 GHz band, much like the mmW bands, will have tens of radiating elements with multiple power amplifiers. Recognizing the potential measurement challenges posed by having a requirement based on conducted measurements, the Commission proposes to provide flexibility for the out-of-band emission limits to be measured either using conducted power or radiated power, and the Commission seeks comment on this proposal. With lack of RF ports, the emission measurement needs to be made in radiated fashion, and the antenna gain must be characterized and subtracted from the radiated measurement if the emission limit is to be defined in conducted fashion. Ericsson suggests that in order to support adaptive antennas, either the conductive power or the total radiated power of any emission outside a licensee's frequency block shall be −13 dBm/MHz or lower.
                        <SU>188</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>183</SU>
                             
                            <E T="03">See</E>
                             CTIA Comments at 13; 5G Americas Comments at 2.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>184</SU>
                             
                            <E T="03">See</E>
                             Ericsson Comments at 11; T-Mobile Comments at 14 &amp; n.47 (citing 
                            <E T="03">Use of Spectrum Bands Above 24 GHz For Mobile Radio Services,</E>
                             Second Report and Order, Second Further Notice of Proposed Rulemaking, Order on Reconsideration, and Memorandum Opinion and Order, 32 FCC Rcd 10988, para. 34 (2017); Use of Spectrum Bands Above 24 GHz For Mobile Radio Services, Fourth Report and Order, 33 FCC Rcd 12168, paras. 11-12 (2018)).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>185</SU>
                             
                            <E T="03">See</E>
                             T-Mobile Reply at 10.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>186</SU>
                             
                            <E T="03">See</E>
                             OneWeb Comments at 4; DISH Reply at 7; Hispasat Reply at 13; SpaceX Reply at 6.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>187</SU>
                             
                            <E T="03">Spectrum Frontiers 1st R&amp;O and FNPRM,</E>
                             31 FCC Rcd at 8117, para. 297 (discussing OOBE measurement challenges in the mmW band).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>188</SU>
                             
                            <E T="03">See</E>
                             Ericsson Comments at 7.
                        </P>
                    </FTNT>
                    <P>
                        69. In light of the discussion above, the Commission proposes to adopt a requirement that the conductive power or the total radiated power of any emission outside a licensee's frequency block shall be −13 dBm/MHz or lower and seeks comment on this proposal. The Commission seeks comment on whether a radiated emission limit of −13 dBm/MHz can be supported by transmitters operating in the 12.7 GHz band. In this NPRM, the Commission also proposes to retain a portion of the band either at the top or bottom edge of the band, or both, to accommodate re-packed mobile TV pickup operations. From the perspective of protecting services in adjacent bands from out-of-band emissions and harmful interference, does one of these alternatives offer more benefits than the others? Should the out-of-band emissions limits be different if mobile services are adjacent to incumbent TV pickup operations, as opposed to being directly adjacent to the 12.7 GHz or 13.25 GHz band edges? Should the out-of-band emissions limits be applied at the band edge between new flexible use services and BAS, or is it necessary to define out-of-band emissions limits at 
                        <PRTPAGE P="43955"/>
                        the edges of the 12.7 and 13.25 GHz band, regardless of any buffer created by BAS repack bands?
                    </P>
                    <P>
                        70. The Commission notes that out-of-band emissions and spurious emissions characterize the overall emission performance of a transmitter, and that the measurement procedures for spurious emissions at antenna terminals and the field strength of spurious radiation are described in the Commission's rules. For bands higher than 1 GHz, for example PCS and AWS-1, compliance with the emission rule is based on a resolution bandwidth of 1 megahertz or greater, except within the first 1 megahertz.
                        <SU>189</SU>
                        <FTREF/>
                         In the first 1 megahertz bands immediately outside and adjacent to the channel block, a resolution bandwidth equal to at least 1 percent of the emission bandwidth of the fundamental emission of the transmitter may be employed, provided that the measured power is integrated over the full required measurement bandwidth.
                        <SU>190</SU>
                        <FTREF/>
                         The Commission seeks comment on whether the Commission should apply this measurement methodology in this band; and if so, whether the 1 MHz resolution bandwidth is appropriate. Alternatively, what resolution and frequency offset should be considered to define out-of-band emissions and spurious emissions?
                    </P>
                    <FTNT>
                        <P>
                            <SU>189</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.53(a)(5).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>190</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <P>71. The Commission request that commenters proposing specific out-of-band emissions criteria or alternative methods of defining or measuring the out-of-band emissions provide technical analysis describing how the proposed radiated emission limits would mitigate the risk of harmful interference to operations by adjacent users. The Commission also seeks comment on protection of Federal operations in adjacent bands in section I.E.7 below (Protection of Federal Operations).</P>
                    <HD SOURCE="HD3">3. Field Strength Limits/Market Boundaries</HD>
                    <P>
                        72. The Commission's rules for mobile services typically define field strength limits at the market boundaries in order to prevent interference or facilitate coordination between licensees in adjacent markets. For example, the part 27 rules for the Advanced Wireless Services (AWS) specify that the predicted or measured median field strength at any location on the geographical border of a licensee's service area shall not exceed 47 dBµV/m unless the adjacent affected service area licensee(s) agree(s) to a different field strength.
                        <SU>191</SU>
                        <FTREF/>
                         The part 30 rules for Upper Microwave Flexible Use Service (UMFUS) specify that the predicted or measured Power Flux Density (PFD) from any Base Station operating in the 27.5-28.35 GHz band, 37-38.6 GHz band, and 38.6-40 GHz bands at any location on the geographical border of a licensee's service area shall not exceed −77.6 dBm/m2/MHz (measured at 1.5 meters above ground) unless the adjacent affected service area licensee(s) agree(s) to a different PFD.
                        <SU>192</SU>
                        <FTREF/>
                         The part 101 rules for the Multipoint Video and Data Distribution Service (MVDDS) in the 12.2-12.7 GHz band, directly adjacent to the band under consideration here, simply specify that licensees must coordinate their operations whenever the facilities have optical line-of-sight into other licensees' areas or are within the same geographic area.
                        <SU>193</SU>
                        <FTREF/>
                         While none of the commenters in response to the 
                        <E T="03">12.7 NOI</E>
                         suggested specific criteria for field strength limits at the market boundaries, several commenters do support an exclusive market-based licensing framework.
                        <SU>194</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>191</SU>
                             
                            <E T="03">See</E>
                             47 CFR 27.55(a)(1).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>192</SU>
                             
                            <E T="03">See</E>
                             47 CFR 30.204(a).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>193</SU>
                             
                            <E T="03">See</E>
                             47 CFR 101.1421(c).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>194</SU>
                             
                            <E T="03">See</E>
                             CCA Reply at 4; AT&amp;T Comments at 4; CTIA Comments at 2, 6; Ericsson Comments at 2.
                        </P>
                    </FTNT>
                    <P>
                        73. In section I.D above (Licensing and Operating Rules) of this NPRM, the Commission proposes to establish a framework for licensing this band using exclusive market based licenses with 100 or 50 megahertz channel blocks. Since the Commission proposes to license geographic areas on an exclusive basis the Commission also proposes to establish PFD limits at the market boundaries, consistent with the approach the Commission has used in the past for similar market-based services. The Commission believes that some criteria are necessary at market boundaries to manage interference and coordination between adjacent area licensees. The Commission also believes that given the wide channel bandwidths and diversity of potential applications that might be deployed in these bands, any criteria that the Commission proposes should include a scaling factor for the bandwidth. In the Spectrum Frontiers proceeding the Commission adopted a PFD of −77.6 dBm/m2/MHz (measured at 1.5 meters above ground).
                        <SU>195</SU>
                        <FTREF/>
                         The Commission believes that deployments in this band are likely to use directional antennas that have characteristics more similar to those in the UMFUS bands than those in the PCS and AWS bands. Therefore, the Commission proposes to adopt a requirement that the predicted or measured Power Flux Density (PFD) from any Base Station operating in the 12.7 GHz band at any location on the geographical border of a licensee's service area shall not exceed −77.6 dBm/m2/MHz (measured at 1.5 meters above ground) unless the adjacent affected service area licensee(s) agree(s) to a different PFD. The Commission seeks comment on this proposal. The Commission seeks comment on whether a PFD at the market boundary is the appropriate metric for this band or whether there are advantages to using a different metric, such as a field strength limit, which is used for other mobile services under part 27? Is the specific PFD value the Commission proposes appropriate for this frequency band taking into consideration factors like the typical receive antenna gain and receiver characteristics? Would simple coordination criteria, such as those currently in place for the MVDDS services in the 12.2-12.7 GHz band, which require coordination for any facility that has optical line of sight to an adjacent market be more appropriate? Given the potential flexible uses of the band, would it be appropriate to have different interference protection and/or coordination criteria depending on the types of services (
                        <E T="03">e.g.,</E>
                         fixed or mobile) that a licensee deploys? Commenters who propose alternative metrics or criteria or for controlling interference or facilitating coordination between licensees in adjacent markets or adjacent channels within the same market should describe their proposal in detail and support their proposal with engineering analysis.
                    </P>
                    <FTNT>
                        <P>
                            <SU>195</SU>
                             
                            <E T="03">See Spectrum Frontiers 1st R&amp;O and FNPRM,</E>
                             31 FCC Rcd at 8124, para. 312. The Commission notes that the final rule adopted by the 
                            <E T="03">Spectrum Frontiers 1st R&amp;O and FNPRM</E>
                             listed the incorrect value of −76 dBm/m2/MHz as opposed to the −77.6 dBm/m2/MHz value referenced in the discussion of the item. For clarity, in the instant 
                            <E T="03">12.7 GHz NPRM,</E>
                             the Commission is proposing the −77.6 dBm/m2/MHz value.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">4. Antenna Height Limits</HD>
                    <P>
                        74. The Commission proposes not to adopt limits on base station antenna height at this time because no commenters address the issue in response to the 
                        <E T="03">12.7 NOI.</E>
                         The Commission seeks comment on this proposal. Considering what future wireless networks are envisioned to be, are antenna height thresholds and corresponding power reductions applicable to certain part 27 bands 
                        <SU>196</SU>
                        <FTREF/>
                         appropriate for base or fixed stations that will be used in the 12.7 GHz band to provide mobile broadband or for other expanded uses? Conversely, given 
                        <PRTPAGE P="43956"/>
                        that the Commission is proposing below to control interference at license boundaries, are separate antenna height restrictions and corresponding power reductions even necessary? The Commission tentatively proposes not to adopt antenna height and power limits similar to those in its part 27 rules for certain bands. However, the Commission seeks comment on whether power limits based on antenna height are necessary and/or whether any modifications should be made to either the height thresholds or the power limits at specific heights that the Commission has proposed. The Commission also seeks comment on whether there would there be any benefit in requiring antenna downtilt for antennas above a certain height? The Commission seeks comment on this proposal, including the costs and benefits of the proposal and any alternatives. For alternative proposals, commenters should provide technical support.
                    </P>
                    <FTNT>
                        <P>
                            <SU>196</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.50(b)(1)-(5), (c)(1)-(4) (power and antenna height limits set forth in Tables 1-4 of § 27.50 applicable to certain 600 MHz, 700 MHz, and 800 MHz bands), (c)(1)-(4).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">5. Canada and Mexico Coordination</HD>
                    <P>
                        75. Typically, the Commission's rules provide that fixed and mobile operations are subject to international agreements with Mexico and Canada.
                        <SU>197</SU>
                        <FTREF/>
                         The Commission proposes to apply the same limitation to the newly established rules for the 12.7-13.25 GHz band. Until such time as any adjusted agreements between the United States, Mexico, and/or Canada can be agreed to, operations in the 12.7-13.25 GHz band must not cause harmful interference across any international borders of the United States, consistent with the terms of the agreements currently in force.
                        <SU>198</SU>
                        <FTREF/>
                         Currently, fixed use of the 12.7-13.25 GHz band is covered by an existing arrangement between the United States and Canada.
                        <SU>199</SU>
                        <FTREF/>
                         The Commission notes that further modification of the proposed rules might be necessary in order to comply with any future agreements with Canada and Mexico regarding the use of this band. The Commission seeks comment on this issue, including the costs and benefits of alternatives.
                    </P>
                    <FTNT>
                        <P>
                            <SU>197</SU>
                             
                            <E T="03">See e.g.,</E>
                             47 CFR 27.57, 30.206, 101.147(r)(13), 101.509(d).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>198</SU>
                             
                            <E T="03">See</E>
                             Agreement Concerning the Coordination and Use of Radio Frequencies Above Thirty Megacycles per Second, Ca.-U.S., Oct 24, 1962 13 UST 2418, 
                            <E T="03">https://transition.fcc.gov/ib/sand/agree/files/can-nb/above30.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>199</SU>
                             
                            <E T="03">See</E>
                             Agreement Concerning the Coordination and Use of Radio Frequencies Above Thirty Megacycles per Second, Ca.-U.S., Oct 24, 1962 13 UST 2418, 
                            <E T="03">https://transition.fcc.gov/ib/sand/agree/files/can-nb/above30.pdf.</E>
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">6. General Part 27 Rules</HD>
                    <P>
                        76. There are several additional technical rules applicable to all part 27 services, including §§ 27.51 (equipment authorization), 27.52 (RF safety), 27.54 (frequency stability), 27.56 (antennas structures; air navigation safety), and 27.63 (disturbance of AM broadcast station antenna patterns).
                        <SU>200</SU>
                        <FTREF/>
                         Given that the Commission proposes to designate mobile broadband and other expanded uses of the 12.7 GHz band as part 27 services, the Commission proposes to apply these general part 27 rules to all 12.7 GHz band licenses. Further, the Commission proposes to apply these rules to licensees that acquire their licenses through partitioning or disaggregation (to the extent the service rules permit such aggregation). The Commission seeks comment on its proposals, including specific costs and benefits, and ask commenters to identify any aspects of its general part 27 rules that should be modified to accommodate the particular characteristics of the 12.7 GHz band.
                    </P>
                    <FTNT>
                        <P>
                            <SU>200</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.51, 27.52, 27.54, 27.56, 27.63.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">7. Protection of Federal Operations</HD>
                    <HD SOURCE="HD3">a. In-Band</HD>
                    <P>
                        77. Federal operations in the 12.7-13.25 GHz band include the Space Research Service (SRS) (space-to-Earth) and the use of commercial satellites in the FSS (Earth-to-space). The National Telecommunications and Information Administration (NTIA) filed comment in response to the 
                        <E T="03">12.7 NOI</E>
                         raising concerns about interference to SRS operations at Goldstone, CA ground stations and other Federal systems.
                        <SU>201</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>201</SU>
                             
                            <E T="03">See</E>
                             NTIA Comments at 2.
                        </P>
                    </FTNT>
                    <P>
                        78. With respect to Goldstone, NTIA has expressed concern that ground stations maybe susceptible to interference from commercial network base stations and handheld mobile stations.
                        <SU>202</SU>
                        <FTREF/>
                         Per footnote US251 of the Table of Allocation, the 12.75-13.25 GHz band is also allocated to the space research (deep space) (space-to-Earth) service for reception only at Goldstone, CA (35° 20′ N, 116° 53′ W).
                        <SU>203</SU>
                        <FTREF/>
                         Goldstone is one of three ground station complexes around the world known as the National Aeronautics and Space Administration (NASA)'s Deep Space Network (DSN) established for commanding, tracking and monitoring the health and safety of spacecraft at many distant planetary locales. The DSN is also used to conduct powerful science investigations that examine the nature of asteroids and the interiors of planets and moons.
                        <SU>204</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>202</SU>
                             NTIA Comments at 2.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>203</SU>
                             
                            <E T="03">See supra</E>
                             note 11 and accompanying text.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>204</SU>
                             For details, 
                            <E T="03">see 12.7 NOI</E>
                             at *3, para. 6 and NASA, 
                            <E T="03">What is the Deep Space Network</E>
                             (Mar. 30, 2020) (NASA's Deep Space Network “is the largest and most sensitive scientific telecommunications system in the world.”), 
                            <E T="03">https://www.nasa.gov/directorates/heo/scan/services/networks/deep_space_network/about.</E>
                        </P>
                    </FTNT>
                    <P>
                        79. Additionally, NTIA raised concerns about possible aggregate interference from a large population of terrestrial emitters to current and future commercial satellite receivers used by the DoD.
                        <SU>205</SU>
                        <FTREF/>
                         In light of this, NTIA suggested that the Commission consider a compatibility analysis between mobile broadband service and commercial GSO and NGSO satellites.
                        <SU>206</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>205</SU>
                             NTIA Comments at 2.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>206</SU>
                             NTIA Comments at 2.
                        </P>
                    </FTNT>
                    <P>
                        80. NTIA also raised concerns about possible interference to NASA and NSF passive radio astronomy observatories operating in the 12.7 GHz band.
                        <SU>207</SU>
                        <FTREF/>
                         The sites at issue include very long baseline interferometry (VLBI) stations for geodesy and astrometry high accuracy reference frames.
                        <SU>208</SU>
                        <FTREF/>
                         In its comments, NTIA notes that current coordination requirements exist for Green Bank Telescope within the National Radio Quiet Zone (NRQZ) for ground-based transmitters and that repurposing the 12.7 GHz band to allow terrestrial mobile broadband or other expanded use may require additional coordination zones and/or new coordination agreements and updated NRQZ coordination requirements with the changes beneficial for other U.S. radio astronomy observatories.
                        <SU>209</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>207</SU>
                             NTIA Comments at 2.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>208</SU>
                             NTIA Comments at 2.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>209</SU>
                             NTIA Comments at 2-3.
                        </P>
                    </FTNT>
                    <P>
                        81. Recognizing the importance of these Federal operations in the band, and the need to protect them from interference, the Commission seeks comment on establishing coordination zone and/or other criteria to protect Goldstone ground stations from possible harmful interference that might be caused by mobile broadband or other expanded use intended for the 12.7-13.25 GHz band. The Commission seeks comment on how to define such a coordination zone and on what interference protection levels should apply at the edge of the coordination zone. The Commission notes that to protect Goldstone site, § 30.205 of the Commission's rules defines two coordination zones with contours `coordinates tables corresponding to 60 dBm/100 MHz EIRP and 75 dBm/100 MHz EIRP respectively. Under § 30.205, all licensees in the 37-38 GHz band located in the coordination zone must 
                        <PRTPAGE P="43957"/>
                        coordinate with Federal Space Research Service (space to Earth) users of the band via the NTIA. All licensees within the zone defined by the 60 dBm/100 MHz EIRP must coordinate all operations; licensees operating within the area between the zones defined by the 60 dBm/100 MHz and 75 dBm/100 MHz EIRP must coordinate all operations if their base station EIRP is greater than 60 dBm/100 MHz or if their antenna height exceeds 100 meters above ground level; licensees operating outside the zones defined by the 75 dBm/100 MHz EIRP coordinates are not required to coordinate their operations with NTIA. Could a similar approach, based on a coordination agreement with NASA, be adopted for mobile broadband to ensure protection of the DSN?
                    </P>
                    <HD SOURCE="HD3">b. Adjacent Band</HD>
                    <P>
                        82. Federal operations adjacent to the 12.7-13.25 GHz band include both military and scientific operations in the upper adjacent-band, 13.25-13.75 GHz. This band can be divided into two sub bands, the 13.25-13.4 GHz band and the 13.4-13.75 GHz band, each with different Federal allocations. The 13.25-13.4 GHz portion is allocated on a secondary basis for Federal Earth exploration satellite services (EESS) (active), space research services (SRS) (active), and on a primary basis for aeronautical radionavigation services (ARNS).
                        <SU>210</SU>
                        <FTREF/>
                         The 13.25-13.4 GHz portion is allocated for Federal EESS (active), SRS (active), and radiolocation services on a primary basis and standard frequency and time signal-satellite (Earth-to-space) on a secondary basis.
                        <SU>211</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>210</SU>
                             NTIA Comments at 3.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>211</SU>
                             NTIA Comments at 3.
                        </P>
                    </FTNT>
                    <P>
                        83. In response to the 
                        <E T="03">12.7 NOI,</E>
                         NTIA articulated several concerns related to adjacent band Federal operations.
                        <SU>212</SU>
                        <FTREF/>
                         First, NTIA noted that the 13.25-13.4 GHz band is used by the Department of Defense (DoD) and the Federal Aviation Administration (FAA) to operate airborne Doppler navigation radar systems used to determine ground speed and drift angle of an aircraft with respect to the ground.
                        <SU>213</SU>
                        <FTREF/>
                         NTIA believes those operations may be susceptible to performance degradation due to interference coming from 12.7-13.25 GHz.
                        <SU>214</SU>
                        <FTREF/>
                         Future Unmanned aircraft detect-and-avoid safety systems being developed in this band are also a source of concern for the NTIA.
                        <SU>215</SU>
                        <FTREF/>
                         Although Recommendation ITU-R M.2008-1 provides characteristics and protection criteria for the 13.25-13.4 GHz band used for airborne Doppler radars,
                        <SU>216</SU>
                        <FTREF/>
                         NTIA believes that adjacent-band compatibility studies with representative commercial deployments may be necessary to update Recommendation ITU-R M.2008-1 to reflect the characteristics of current and future airborne Doppler navigation radars.
                        <SU>217</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>212</SU>
                             NTIA Comments at 3-5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>213</SU>
                             NTIA Comments at 4.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>214</SU>
                             NTIA Comments at 4.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>215</SU>
                             NTIA Comments at 4.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>216</SU>
                             NTIA Comments at 4.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>217</SU>
                             NTIA Comments at 4.
                        </P>
                    </FTNT>
                    <P>
                        84. NTIA also noted that the 13.4-13.75 GHz band is used for DoD operations of shipborne radars (search radars, tracking radars, and missile and gun fire-control radars), the National Oceanic and Atmospheric Administration (NOAA) satellite operations in the Joint Satellite Oceanography Network (JASON), NASA's active remote sensing (including the future Surface Water and Ocean Topography (SWOT) mission), Global Precipitation Mission (GPM) and Tracking and Data Relay Satellite (TDRS) operations, and the NSF continuum and spectral-line research (including as a calibration aid for the radionavigation satellite service) operations.
                        <SU>218</SU>
                        <FTREF/>
                         NTIA is concerned that aggregate interference from mobile base stations and ubiquitous handheld units may cause interference to NASA and NOAA's satellite systems.
                        <SU>219</SU>
                        <FTREF/>
                         Mobile broadband operations are also believed to be possible source of interference to military agencies radar systems.
                        <SU>220</SU>
                        <FTREF/>
                         NTIA suggests that adjacent-band compatibility studies with representative commercial deployments are necessary to assess any possible degradation of Federal operations in the 13.4-13.75 GHz band.
                        <SU>221</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>218</SU>
                             NTIA Comments at 5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>219</SU>
                             NTIA Comments at 5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>220</SU>
                             NTIA comments at 5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>221</SU>
                             NTIA Comments at 5.
                        </P>
                    </FTNT>
                    <P>
                        85. The Commission notes that NTIA has set up a Technical Interchange Group (TIG) as a tool for implementation of electromagnetic Compatibility (EMC) studies between 12.7-13.25 GHz band mobile broadband or other expanded use and Federal systems.
                        <SU>222</SU>
                        <FTREF/>
                         NTIA TIG recommendations can be submitted in the record for the NPRM to help inform the decisions in the Report and Order (R&amp;O). In section I.E.2 above (Out-of-Band Emissions (OOBE) Limits), the Commission proposes to establish an out-of-band emissions limit of -13dBm/1MHz anywhere outside a licensee spectrum block and seeks comment on that proposal. In this section, the Commission seeks comment on whether that same out-of-band emission limit is adequate to protect Federal operations in the adjacent bands. If the Commission relocates mobile BAS/CARS operations into a portion of the 12.7-13.25 GHz band, could creating a buffer between base/mobile operations and Federal operations alleviate some of the Federal concerns about interference? Recognizing the importance of Federal operations in adjacent bands, the Commission seeks comment generally on how to protect Federal operations in bands adjacent to the 12.7-13.25 GHz band.
                    </P>
                    <FTNT>
                        <P>
                            <SU>222</SU>
                             NTIA Comments at 5-6.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">F. Promoting Digital Equity and Inclusion</HD>
                    <P>
                        86. The Commission, as part of its continuing effort to advance digital equity for all,
                        <SU>223</SU>
                        <FTREF/>
                         including people of color, persons with disabilities, persons who live in rural or Tribal areas, and others who are or have been historically underserved, marginalized, or adversely affected by persistent poverty or inequality, invites comment on any equity-related considerations 
                        <SU>224</SU>
                        <FTREF/>
                         and benefits (if any) that may be associated with the proposals and issues discussed herein. Specifically, the Commission seeks comment on how its proposals may promote or inhibit advances in diversity, equity, inclusion, and accessibility, as well the scope of the Commission's relevant legal authority.
                    </P>
                    <FTNT>
                        <P>
                            <SU>223</SU>
                             Section 1 of the Communications Act of 1934 as amended provides that the FCC “regulat[es] interstate and foreign commerce in communication by wire and radio so as to make [such service] available, so far as possible, to all the people of the United States, without discrimination on the basis of race, color, religion, national origin, or sex.” 47 U.S.C. 151.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>224</SU>
                             The term “equity” is used here consistent with Executive Order 13985 as the consistent and systematic fair, just, and impartial treatment of all individuals, including individuals who belong to underserved communities that have been denied such treatment, such as Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons; persons with disabilities; persons who live in rural areas; and persons otherwise adversely affected by persistent poverty or inequality. 
                            <E T="03">See</E>
                             E.O. 13985, 86 FR 7009, Executive Order on Advancing Racial Equity and Support for Underserved Communities Through the Federal Government (Jan. 20, 2021).
                        </P>
                    </FTNT>
                    <HD SOURCE="HD1">II. Initial Regulatory Flexibility Analysis In GN Docket No. 22-352</HD>
                    <P>
                        87. As required by the Regulatory Flexibility Act of 1980, as amended (RFA),
                        <SU>225</SU>
                        <FTREF/>
                         the Commission has prepared 
                        <PRTPAGE P="43958"/>
                        this Initial Regulatory Flexibility Analysis (IRFA) of the possible significant economic impact on a substantial number of small entities by the policies and rules proposed in the Notice of Proposed Rulemaking (NPRM). Written public comments are requested on this IRFA. Comments must be identified as responses to the IRFA and must be filed by the deadlines for comments on the NPRM. The Commission will send a copy of the NPRM, including this IRFA, to the Chief Counsel for Advocacy of the Small Business Administration (SBA).
                        <SU>226</SU>
                        <FTREF/>
                         In addition, the NPRM and IRFA (or summaries thereof) will be published in the 
                        <E T="04">Federal Register</E>
                        .
                        <SU>227</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>225</SU>
                             
                            <E T="03">See</E>
                             5 U.S.C. 603. The RFA, 
                            <E T="03">see</E>
                             5 U.S.C. 601-612, has been amended by the Small Business Regulatory Enforcement Fairness Act of 1996 (SBREFA), Public Law 104-121, Title II, 110 Stat. 857 (1996).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>226</SU>
                             5 U.S.C. 603(a).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>227</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">A. Need for, and Objectives of, the Proposed Rules</HD>
                    <P>88. The NPRM seeks comment on proposals to repurpose some or all of the 550 megahertz of upper mid-band spectrum between 12.7-13.25 GHz (12.7 GHz band) for mobile broadband or other expanded use. The Commission is pursuing the joint goals of making this spectrum available for new wireless uses while effectively accommodating incumbent operations in the band. Accordingly, the NPRM seeks comment on various proposals for transitioning all or part of the band to make it available for mobile broadband, as well as other expanded uses that will help ensure that the speed, capacity, and ubiquity of the nation's wireless networks so that they may keep pace with the demands placed upon them by new technologies and possible new types of services for consumers and businesses.</P>
                    <P>89. The NPRM proposes to require new licensees to protect fixed point-to-point incumbents until a sunset date with the option to negotiate agreements for accelerated relocations to other bands or media, and to repack mobile Broadcast Auxiliary Service (BAS) and Cable Television Relay Services (CARS) incumbents within a portion(s) of the band designated for such use. The Commission also proposes to grandfather the 23 Fixed Satellite Service (FSS) earth stations currently authorized to operate in the band (Earth-to-space) in accordance with the U.S. Table of Allocations, but otherwise prohibit all future earth stations of this type. Other earth station operations in the band could continue to operate on a non-interference, unprotected basis. Furthermore, the Commission proposes to dismiss any new space station license applications and new requests for access to the U.S. market through non-U.S.-licensed space stations, or those parts of any such applications and requests, that seek to operate in the 12.7 GHz band. Under these proposals, the band would be unavailable for new Fixed Service (FS), mobile BAS, or FSS earth stations and would become available for mobile broadband and other expanded uses. The NPRM encourages commenters to discuss and quantify the costs and benefits associated with any of the proposed approaches for transitioning the band, along with other helpful technical or procedural details. These actions are another step in the Commission's efforts to close the digital divide by providing wireless broadband connectivity across the nation and to secure U.S. leadership in the next generation of wireless services, including fifth-generation (5G) wireless, 6G, and beyond.</P>
                    <HD SOURCE="HD2">A. Legal Basis</HD>
                    <P>90. The proposed action is taken pursuant to sections 1, 2, 4, 5, 301, 302, 303, 304, 307, 309, 310, and 316 of the Communications Act of 1934, 47 U.S.C. 151, 152, 154, 155, 301, 302a, 303, 304, 307, 309, 310, 316, and § 1.411 of the Commission's rules, 47 CFR 1.411.</P>
                    <HD SOURCE="HD2">B. Description and Estimate of the Number of Small Entities to Which the Proposed Rules Will Apply</HD>
                    <P>
                        91. The RFA directs agencies to provide a description of and, where feasible, an estimate of, the number of small entities that may be affected by the rules, if adopted.
                        <SU>228</SU>
                        <FTREF/>
                         The RFA generally defines the term “small entity” as having the same meaning as the terms “small business,” “small organization,” and “small governmental jurisdiction.” 
                        <SU>229</SU>
                        <FTREF/>
                         In addition, the term “small business” has the same meaning as the term “small business concern” under the Small Business Act.
                        <SU>230</SU>
                        <FTREF/>
                         A small business concern is one that: (1) is independently owned and operated; (2) is not dominant in its field of operation; and (3) satisfies any additional criteria established by the SBA.
                        <SU>231</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>228</SU>
                             
                            <E T="03">Id.</E>
                             section 603(b)(3).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>229</SU>
                             
                            <E T="03">Id.</E>
                             section 601(6).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>230</SU>
                             
                            <E T="03">Id.</E>
                             section 601(3) (incorporating the definition of “small business concern” in in the Small Business Act, 15 U.S.C. 632). Pursuant to 5 U.S.C. 601(3), the statutory definition of a small business applies “unless an agency, after consultation with the Office of Advocacy of the Small Business Administration and after opportunity for public comment, establishes one or more definitions of such term which are appropriate to the activities of the agency and publishes such definition(s) in the 
                            <E T="04">Federal Register</E>
                            .”
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>231</SU>
                             15 U.S.C. 632.
                        </P>
                    </FTNT>
                    <P>
                        92. 
                        <E T="03">Small Businesses, Small Organizations, Small Governmental Jurisdictions.</E>
                         The Commission's actions, over time, may affect small entities that are not easily categorized at present. The Commission therefore describe, at the outset, three broad groups of small entities that could be directly affected herein.
                        <SU>232</SU>
                        <FTREF/>
                         First, while there are industry specific size standards for small businesses that are used in the regulatory flexibility analysis, according to data from the Small Business Administration's (SBA) Office of Advocacy, in general a small business is an independent business having fewer than 500 employees.
                        <SU>233</SU>
                        <FTREF/>
                         These types of small businesses represent 99.9% of all businesses in the United States, which translates to 32.5 million businesses.
                        <SU>234</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>232</SU>
                             5 U.S.C. 601(3)-(6).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>233</SU>
                             
                            <E T="03">See</E>
                             SBA, Office of Advocacy, Frequently Asked Questions, “What is a small business?,” 
                            <E T="03">https://cdn.advocacy.sba.gov/wp-content/uploads/2021/11/03093005/Small-Business-FAQ-2021.pdf.</E>
                             Nov 2021.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>234</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <P>
                        93. Next, the type of small entity described as a “small organization” is generally “any not-for-profit enterprise which is independently owned and operated and is not dominant in its field.” 
                        <SU>235</SU>
                        <FTREF/>
                         The Internal Revenue Service (IRS) uses a revenue benchmark of $50,000 or less to delineate its annual electronic filing requirements for small exempt organizations.
                        <SU>236</SU>
                        <FTREF/>
                         Nationwide, for tax year 2020, there were approximately 447,689 small exempt organizations in the U.S. reporting revenues of $50,000 or less according to the registration and tax data for exempt organizations available from the IRS.
                        <SU>237</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>235</SU>
                             5 U.S.C. 601(4).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>236</SU>
                             The IRS benchmark is similar to the population of less than 50,000 benchmark in 5 U.S.C 601(5) that is used to define a small governmental jurisdiction. Therefore, the IRS benchmark has been used to estimate the number of small organizations in this small entity description. S
                            <E T="03">ee</E>
                             Annual Electronic Filing Requirement for Small Exempt Organizations—Form 990-N (e-Postcard), “Who must file,” 
                            <E T="03">https://www.irs.gov/charities-non-profits/annual-electronic-filing-requirement-for-small-exempt-organizations-form-990-n-e-postcard.</E>
                             The Commission note that the IRS data does not provide information on whether a small exempt organization is independently owned and operated or dominant in its field.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>237</SU>
                             
                            <E T="03">See</E>
                             Exempt Organizations Business Master File Extract (E.O. BMF), “CSV Files by Region,” 
                            <E T="03">https://www.irs.gov/charities-non-profits/exempt-organizations-business-master-file-extract-eo-bmf.</E>
                             The IRS Exempt Organization Business Master File (E.O. BMF) Extract provides information on all registered tax-exempt/non-profit organizations. The data utilized for purposes of this description was extracted from the IRS E.O. BMF data for businesses for the tax year 2020 with revenue less than or equal to $50,000 for Region 1-Northeast Area (58,577), Region 2-Mid-Atlantic and Great Lakes Areas (175,272), and Region 3-Gulf Coast and Pacific Coast Areas (213,840) that includes the 
                            <PRTPAGE/>
                            continental U.S., Alaska, and Hawaii. This data does not include information for Puerto Rico.
                        </P>
                    </FTNT>
                    <PRTPAGE P="43959"/>
                    <P>
                        94. Finally, the small entity described as a “small governmental jurisdiction” is defined generally as “governments of cities, counties, towns, townships, villages, school districts, or special districts, with a population of less than fifty thousand.” 
                        <SU>238</SU>
                        <FTREF/>
                         U.S. Census Bureau data from the 2017 Census of Governments 
                        <SU>239</SU>
                        <FTREF/>
                         indicate there were 90,075 local governmental jurisdictions consisting of general purpose governments and special purpose governments in the United States.
                        <SU>240</SU>
                        <FTREF/>
                         Of this number, there were 36,931 general purpose governments (county,
                        <SU>241</SU>
                        <FTREF/>
                         municipal, and town or township 
                        <SU>242</SU>
                        <FTREF/>
                        ) with populations of less than 50,000 and 12,040 special purpose governments—independent school districts 
                        <SU>243</SU>
                        <FTREF/>
                         with enrollment populations of less than 50,000.
                        <SU>244</SU>
                        <FTREF/>
                         Accordingly, based on the 2017 U.S. Census of Governments data, the Commission estimates that at least 48,971 entities fall into the category of “small governmental jurisdictions.” 
                        <SU>245</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>238</SU>
                             5 U.S.C. 601(5).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>239</SU>
                             
                            <E T="03">See</E>
                             13 U.S.C. 161. The Census of Governments survey is conducted every five (5) years compiling data for years ending with “2” and “7”. 
                            <E T="03">See also</E>
                             Census of Governments, 
                            <E T="03">https://www.census.gov/programs-surveys/cog/about.html.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>240</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 2017 Census of Governments—Organization Table 2. Local Governments by Type and State: 2017 [CG1700ORG02], 
                            <E T="03">https://www.census.gov/data/tables/2017/econ/gus/2017-governments.html.</E>
                             Local governmental jurisdictions are made up of general purpose governments (county, municipal and town or township) and special purpose governments (special districts and independent school districts). 
                            <E T="03">See also</E>
                             tbl.2. CG1700ORG02 Table Notes_Local Governments by Type and State_2017.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>241</SU>
                             
                            <E T="03">See id.</E>
                             at tbl.5. County Governments by Population-Size Group and State: 2017 [CG1700ORG05], 
                            <E T="03">https://www.census.gov/data/tables/2017/econ/gus/2017-governments.html.</E>
                             There were 2,105 county governments with populations less than 50,000. This category does not include subcounty (municipal and township) governments.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>242</SU>
                             
                            <E T="03">See id.</E>
                             at tbl.6. Subcounty General-Purpose Governments by Population-Size Group and State: 2017 [CG1700ORG06], 
                            <E T="03">https://www.census.gov/data/tables/2017/econ/gus/2017-governments.html.</E>
                             There were 18,729 municipal and 16,097 town and township governments with populations less than 50,000.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>243</SU>
                             
                            <E T="03">See id.</E>
                             at tbl.10. Elementary and Secondary School Systems by Enrollment-Size Group and State: 2017 [CG1700ORG10], 
                            <E T="03">https://www.census.gov/data/tables/2017/econ/gus/2017-governments.html.</E>
                             There were 12,040 independent school districts with enrollment populations less than 50,000. 
                            <E T="03">See also</E>
                             tbl.4. Special-Purpose Local Governments by State Census Years 1942 to 2017 [CG1700ORG04], CG1700ORG04 Table Notes_Special Purpose Local Governments by State_Census Years 1942 to 2017.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>244</SU>
                             While the special purpose governments category also includes local special district governments, the 2017 Census of Governments data does not provide data aggregated based on population size for the special purpose governments category. Therefore, only data from independent school districts is included in the special purpose governments category.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>245</SU>
                             This total is derived from the sum of the number of general purpose governments (county, municipal and town or township) with populations of less than 50,000 (36,931) and the number of special purpose governments—independent school districts with enrollment populations of less than 50,000 (12,040), from the 2017 Census of Governments—Organizations tbls.5, 6 &amp; 10.
                        </P>
                    </FTNT>
                    <P>
                        95. 
                        <E T="03">Radio Frequency Equipment Manufacturers (RF Manufacturers).</E>
                         There are several analogous industries with an SBA small business size standard that are applicable to RF Manufacturers. These industries are Fixed Microwave Services, Other Communications Equipment Manufacturing, Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing. A description of these industries and the SBA small business size standards are detailed below.
                    </P>
                    <P>
                        96. 
                        <E T="03">Fixed Microwave Services.</E>
                         Fixed microwave services include common carrier,
                        <SU>246</SU>
                        <FTREF/>
                         private-operational fixed,
                        <SU>247</SU>
                        <FTREF/>
                         and broadcast auxiliary radio services.
                        <SU>248</SU>
                        <FTREF/>
                         They also include the Upper Microwave Flexible Use Service (UMFUS),
                        <SU>249</SU>
                        <FTREF/>
                         Millimeter Wave Service (70/80/90 GHz),
                        <SU>250</SU>
                        <FTREF/>
                         Local Multipoint Distribution Service (LMDS),
                        <SU>251</SU>
                        <FTREF/>
                         the Digital Electronic Message Service (DEMS),
                        <SU>252</SU>
                        <FTREF/>
                         24 GHz Service,
                        <SU>253</SU>
                        <FTREF/>
                         Multiple Address Systems (MAS),
                        <SU>254</SU>
                        <FTREF/>
                         and Multichannel Video Distribution and Data Service (MVDDS),
                        <SU>255</SU>
                        <FTREF/>
                         where in some bands licensees can choose between common carrier and non-common carrier status.
                        <SU>256</SU>
                        <FTREF/>
                         Wireless Telecommunications Carriers (
                        <E T="03">except</E>
                         Satellite) 
                        <SU>257</SU>
                        <FTREF/>
                         is the closest industry with an SBA small business size standard applicable to these services. The SBA small size standard for this industry classifies a business as small if it has 1,500 or fewer employees.
                        <SU>258</SU>
                        <FTREF/>
                         U.S. Census Bureau data for 2017 show that there were 2,893 firms that operated in this industry for the entire year.
                        <SU>259</SU>
                        <FTREF/>
                         Of this number, 2,837 firms employed fewer than 250 employees.
                        <SU>260</SU>
                        <FTREF/>
                         Thus, under the SBA size standard, the Commission estimates that a majority of fixed microwave service licensees can be considered small.
                    </P>
                    <FTNT>
                        <P>
                            <SU>246</SU>
                             
                            <E T="03">See</E>
                             47 CFR part 101, subparts C and I.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>247</SU>
                             
                            <E T="03">See id.</E>
                             subparts C and H.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>248</SU>
                             Auxiliary Microwave Service is governed by part 74 of title 47 of the Commission's Rules. 
                            <E T="03">See</E>
                             47 CFR part 74. Available to licensees of broadcast stations and to broadcast and cable network entities, broadcast auxiliary microwave stations are used for relaying broadcast television signals from the studio to the transmitter, or between two points such as a main studio and an auxiliary studio. The service also includes mobile TV pickups, which relay signals from a remote location back to the studio.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>249</SU>
                             
                            <E T="03">See</E>
                             47 CFR part 30.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>250</SU>
                             
                            <E T="03">See</E>
                             47 CFR part 101, subpart Q.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>251</SU>
                             
                            <E T="03">See id.</E>
                             subpart L.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>252</SU>
                             
                            <E T="03">See id.</E>
                             subpart G.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>253</SU>
                             
                            <E T="03">See id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>254</SU>
                             
                            <E T="03">See id.</E>
                             subpart O.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>255</SU>
                             
                            <E T="03">See id.</E>
                             subpart P.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>256</SU>
                             
                            <E T="03">See</E>
                             47 CFR 101.533, 101.1017.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>257</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 NAICS Definition, “517312 Wireless Telecommunications Carriers</E>
                             (
                            <E T="03">except Satellite</E>
                            ),” 
                            <E T="03">https://www.census.gov/naics/?input=517312&amp;year=2017&amp;details=517312.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>258</SU>
                             
                            <E T="03">See</E>
                             13 CFR 121.201, NAICS Code 517312 (as of 10/1/22, NAICS Code 517112).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>259</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 Economic Census of the United States, Employment Size of Firms for the U.S.: 2017,</E>
                             Table ID: EC1700SIZEEMPFIRM, NAICS Code 517312, 
                            <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=517312&amp;tid=ECNSIZE2017.EC1700SIZEEMPFIRM&amp;hidePreview=false.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>260</SU>
                             
                            <E T="03">Id.</E>
                             The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard.
                        </P>
                    </FTNT>
                    <P>97. The Commission does not generally track subsequent business size unless, in the context of assignments or transfers, unjust enrichment issues are implicated. Additionally, since the Commission does not collect data on the number of employees for licensees providing these services, at this time the Commission is not able to estimate the number of licensees with active licenses that would qualify as small under the SBA's small business size standard.</P>
                    <P>
                        98. 
                        <E T="03">Other Communications Equipment Manufacturing.</E>
                         This industry comprises establishments primarily engaged in manufacturing communications equipment (except telephone apparatus, and radio and television broadcast, and wireless communications equipment).
                        <SU>261</SU>
                        <FTREF/>
                         Examples of such manufacturing include fire detection and alarm systems manufacturing, Intercom systems and equipment manufacturing, and signals (
                        <E T="03">e.g.,</E>
                         highway, pedestrian, railway, traffic) manufacturing.
                        <SU>262</SU>
                        <FTREF/>
                         The SBA small business size standard for this industry classifies firms having 750 or fewer employees as small.
                        <SU>263</SU>
                        <FTREF/>
                         For this industry, U.S. Census Bureau data for 2017 shows that 321 firms operated for the entire year.
                        <SU>264</SU>
                        <FTREF/>
                         Of that number, 310 firms operated with fewer than 250 
                        <PRTPAGE P="43960"/>
                        employees.
                        <SU>265</SU>
                        <FTREF/>
                         Based on this data, the Commission concludes that the majority of Other Communications Equipment Manufacturers are small.
                    </P>
                    <FTNT>
                        <P>
                            <SU>261</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 NAICS Definitions, “334290 Other Communications Equipment Manufacturing,” https://www.census.gov/naics/?input=334290&amp;year=2017&amp;details=334290.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>262</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>263</SU>
                             
                            <E T="03">See</E>
                             13 CFR 121.201, NAICS Code 334290.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>264</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 Economic Census of the United States, Selected Sectors: Employment Size of Firms for the U.S.: 2017,</E>
                             Table ID: EC1700SIZEEMPFIRM, NAICS Code 334290, 
                            <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=334290&amp;tid=ECNSIZE2017.EC1700SIZEEMPFIRM&amp;hidePreview=false.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>265</SU>
                             
                            <E T="03">Id.</E>
                             The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard.
                        </P>
                    </FTNT>
                    <P>
                        99. 
                        <E T="03">Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing.</E>
                         This industry comprises establishments primarily engaged in manufacturing radio and television broadcast and wireless communications equipment.
                        <SU>266</SU>
                        <FTREF/>
                         Examples of products made by these establishments are: transmitting and receiving antennas, cable television equipment, GPS equipment, pagers, cellular phones, mobile communications equipment, and radio and television studio and broadcasting equipment.
                        <SU>267</SU>
                        <FTREF/>
                         The SBA small business size standard for this industry classifies firms having 1,250 employees or less as small.
                        <SU>268</SU>
                        <FTREF/>
                         U.S. Census Bureau data for 2017 show that there were 656 firms in this industry that operated for the entire year.
                        <SU>269</SU>
                        <FTREF/>
                         Of this number, 624 had fewer than 250 employees.
                        <SU>270</SU>
                        <FTREF/>
                         Based on this data, the Commission concludes that a majority of manufacturers in this industry are small.
                    </P>
                    <FTNT>
                        <P>
                            <SU>266</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 NAICS Definition,</E>
                             “
                            <E T="03">334220 Radio and Television Broadcasting and Wireless Communications Equipment Manufacturing,” https://www.census.gov/naics/?input=334220&amp;year=2017&amp;details=334220.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>267</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>268</SU>
                             
                            <E T="03">See</E>
                             13 CFR 121.201, NAICS Code 334220.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>269</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 Economic Census of the United States, Employment Size of Firms for the U.S.: 2017,</E>
                             Table ID: EC1700SIZEEMPFIRM, NAICS Code 334220, 
                            <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=334220&amp;tid=ECNSIZE2017.EC1700SIZEEMPFIRM&amp;hidePreview=false.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>270</SU>
                             
                            <E T="03"> Id.</E>
                             The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard.
                        </P>
                    </FTNT>
                    <P>
                        100. 
                        <E T="03">Broadcast Auxiliary Services (BAS) Remote Pickup (RPU) Licensees (TV Stations).</E>
                         Only licensees of broadcast stations, broadcast networks, and cable networks can hold RPU licenses. BAS involves a variety of transmitters, generally used to relay broadcast programming to the public (through translator and booster stations) or within the program distribution chain (from a remote news gathering unit to the studio or from the studio to the transmitter). The Commission nor the SBA has developed a small business size standard for Broadcast Auxiliary Services (BAS) Remote Pickup (RPU) licensees. Television Broadcasting 
                        <SU>271</SU>
                        <FTREF/>
                         is the closest industry with a SBA small business size standard for Remote pickup BAS when used by a TV station. The SBA small business size standard for this industry classifies a business as small if it has $41.5 million or less in annual receipts.
                        <SU>272</SU>
                        <FTREF/>
                         2017 U.S. Census Bureau indicates that 744 firms in this industry operated for the entire year.
                        <SU>273</SU>
                        <FTREF/>
                         Of that number, 657 firms had revenue of less than $25,000,000.
                        <SU>274</SU>
                        <FTREF/>
                         Based on this data the Commission estimates that the majority of firms are small entities under the SBA size standard.
                    </P>
                    <FTNT>
                        <P>
                            <SU>271</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 NAICS Definition, “515120 Television Broadcasting,” https://www.census.gov/naics/?input=515120&amp;year=2017&amp;details=515120.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>272</SU>
                             
                            <E T="03">See</E>
                             13 CFR 121.201, NAICS Code 515120 (as of 10/1/22 NAICS Code 516120).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>273</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 Economic Census of the United States, Selected Sectors: Sales, Value of Shipments, or Revenue Size of Firms for the U.S.: 2017,</E>
                             Table ID: EC1700SIZEREVFIRM, NAICS Code 515120,
                            <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=515120&amp;tid=ECNSIZE2017.EC1700SIZEREVFIRM&amp;hidePreview=false.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>274</SU>
                             
                            <E T="03">Id.</E>
                             The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard. The Commission also notes that according to the U.S. Census Bureau glossary, the terms receipts and revenues are used interchangeably, 
                            <E T="03">see https://www.census.gov/glossary/#term_ReceiptsRevenueServices.</E>
                        </P>
                    </FTNT>
                    <P>
                        101. 
                        <E T="03">Wireless Telecommunications Carriers (except Satellite).</E>
                         This industry comprises establishments engaged in operating and maintaining switching and transmission facilities to provide communications via the airwaves.
                        <SU>275</SU>
                        <FTREF/>
                         Establishments in this industry have spectrum licenses and provide services using that spectrum, such as cellular services, paging services, wireless internet access, and wireless video services.
                        <SU>276</SU>
                        <FTREF/>
                         The SBA size standard for this industry classifies a business as small if it has 1,500 or fewer employees.
                        <SU>277</SU>
                        <FTREF/>
                         U.S. Census Bureau data for 2017 show that there were 2,893 firms in this industry that operated for the entire year.
                        <SU>278</SU>
                        <FTREF/>
                         Of that number, 2,837 firms employed fewer than 250 employees.
                        <SU>279</SU>
                        <FTREF/>
                         Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 594 providers that reported they were engaged in the provision of wireless services.
                        <SU>280</SU>
                        <FTREF/>
                         Of these providers, the Commission estimates that 511 providers have 1,500 or fewer employees.
                        <SU>281</SU>
                        <FTREF/>
                         Consequently, using the SBA's small business size standard, most of these providers can be considered small entities.
                    </P>
                    <FTNT>
                        <P>
                            <SU>275</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 NAICS Definition, “517312 Wireless Telecommunications Carriers (except Satellite),” https://www.census.gov/naics/?input=517312&amp;year=2017&amp;details=517312.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>276</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>277</SU>
                             
                            <E T="03">See</E>
                             13 CFR 121.201, NAICS Code 517312 (as of 10/1/22, NAICS Code 517112).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>278</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 Economic Census of the United States, Employment Size of Firms for the U.S.: 2017,</E>
                             Table ID: EC1700SIZEEMPFIRM, NAICS Code 517312, 
                            <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=517312&amp;tid=ECNSIZE2017.EC1700SIZEEMPFIRM&amp;hidePreview=false.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>279</SU>
                             
                            <E T="03">Id.</E>
                             The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>280</SU>
                             Federal-State Joint Board on Universal Service, Universal Service Monitoring Report at 26, Table 1.12 (2022), 
                            <E T="03">https://docs.fcc.gov/public/attachments/DOC-391070A1.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>281</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <P>
                        102. 
                        <E T="03">Satellite Telecommunications.</E>
                         This industry comprises firms “primarily engaged in providing telecommunications services to other establishments in the telecommunications and broadcasting industries by forwarding and receiving communications signals via a system of satellites or reselling satellite telecommunications.” 
                        <SU>282</SU>
                        <FTREF/>
                         Satellite telecommunications service providers include satellite and earth station operators. The SBA small business size standard for this industry classifies a business with $38.5 million or less in annual receipts as small.
                        <SU>283</SU>
                        <FTREF/>
                         U.S. Census Bureau data for 2017 show that 275 firms in this industry operated for the entire year.
                        <SU>284</SU>
                        <FTREF/>
                         Of this number, 242 firms had revenue of less than $25 million.
                        <SU>285</SU>
                        <FTREF/>
                         Additionally, based on Commission data in the 2022 Universal Service Monitoring Report, as of December 31, 2021, there were 65 providers that reported they were engaged in the provision of satellite telecommunications services.
                        <SU>286</SU>
                        <FTREF/>
                         Of these providers, the Commission estimates that approximately 42 providers have 1,500 or fewer employees.
                        <SU>287</SU>
                        <FTREF/>
                         Consequently, using the SBA's small business size standard, a 
                        <PRTPAGE P="43961"/>
                        little more than half of these providers can be considered small entities.
                    </P>
                    <FTNT>
                        <P>
                            <SU>282</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 NAICS Definition, “517410 Satellite Telecommunications,” https://www.census.gov/naics/?input=517410&amp;year=2017&amp;details=517410.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>283</SU>
                             
                            <E T="03">See</E>
                             13 CFR 121.201, NAICS Code 517410.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>284</SU>
                             
                            <E T="03">See</E>
                             U.S. Census Bureau, 
                            <E T="03">2017 Economic Census of the United States, Selected Sectors: Sales, Value of Shipments, or Revenue Size of Firms for the U.S.: 2017,</E>
                             Table ID: EC1700SIZEREVFIRM, NAICS Code 517410, 
                            <E T="03">https://data.census.gov/cedsci/table?y=2017&amp;n=517410&amp;tid=ECNSIZE2017.EC1700SIZEREVFIRM&amp;hidePreview=false.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>285</SU>
                             
                            <E T="03">Id.</E>
                             The available U.S. Census Bureau data does not provide a more precise estimate of the number of firms that meet the SBA size standard. The Commission also notes that according to the U.S. Census Bureau glossary, the terms receipts and revenues are used interchangeably, 
                            <E T="03">see https://www.census.gov/glossary/#term_ReceiptsRevenueServices.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>286</SU>
                             Federal-State Joint Board on Universal Service, Universal Service Monitoring Report at 26, Table 1.12 (2022), 
                            <E T="03">https://docs.fcc.gov/public/attachments/DOC-391070A1.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>287</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <HD SOURCE="HD2">C. Description of Projected Reporting, Recordkeeping, and Other Compliance Requirements for Small Entities</HD>
                    <P>103. The Commission expects the rules proposed in the NPRM governing the operations of new licensees in the 12.7 GHz band will impose new reporting or recordkeeping and/or other compliance obligations on small entities as well as other applicants and licensees, if adopted. The rule changes proposed in this NPRM sunsetting fixed service operations in the 12.7 GHz band, repacking mobile BAS/CARS operations, and prohibiting certain fixed satellite service operations in the band, could also impose other new compliance obligations on small and other entities. In the event these proposed actions are adopted, the NPRM seeks comment on relocation options and on transition and protection mechanisms for incumbent non-Federal operations. In the alternative, the NPRM explores the possibility of shared use of the band. Finally, for newly licensed mobile and other expanded uses in the 12.7 GHz band, the NPRM seeks comment on various service rules that should apply, including construction benchmarks and technical operating requirements. The projected reporting, recordkeeping, and other compliance obligations proposed for small entities and other licensees are described below.</P>
                    <P>
                        104. 
                        <E T="03">Certification.</E>
                         In the 
                        <E T="03">Certification Requirement for Part 74 and Part 78 Licensees Order</E>
                         (
                        <E T="03">Order</E>
                        ) (FR 2023-13502), the Commission directs each BAS and CARS licensee for each of their authorizations to use the 12.7 GHz band to certify the accuracy of all information reflected on each license, including whether the facilities are 
                        <E T="03">operating</E>
                         as authorized. If a licensee is unable to make such a certification for a given license, it must cancel or modify the license in accordance with the Commission's rules. The Commission proposes in the NPRM to protect only those BAS and CARS stations licensed in the Universal Licensing System (ULS) and the Cable Operations and Licensing System (COALS), respectively, for which the licensee timely files the certification required in the 
                        <E T="03">Order.</E>
                         To minimize burdens on entities, including small entities, the Commission exempted from the certification requirement of 12.7 GHz band licenses for which the licensee has filed an application in ULS or COALS on or after January 1, 2021. The NPRM does not require other incumbents to provide certifications for their existing authorized operations at this time. However, the Commission encourages all licensees to timely submit their data and update their information because it may use this data to inform its deliberations regarding the future use of the 12.7 GHz band. Moreover, the NPRM emphasizes that the Commission's rules require all in-band incumbents to operate in accordance with their authorizations and that the latter must be kept current. Therefore, while providing updated information may come at some cost, the revisions the Commission may ultimately adopt should benefit small entities by providing them with increased access to wireless spectrum, more information about opportunities in the 12.7 GHz band, and more flexibility to provide a wider range of services.
                    </P>
                    <P>
                        105. 
                        <E T="03">Transitioning Mechanism.</E>
                         In the NPRM, the Commission proposes using the Emerging Technologies (ET) framework to relocate incumbent licensees and to introduce new services into the 12.7 GHz band. Pursuant to those procedures, if adopted, the Commission will set a sunset date for this band by which incumbent licensees may not cause harmful interference to new band entrants. Prior to this date, new entrants will be allowed to negotiate with incumbents to gain early entry into the band and, if necessary, may relocate the incumbents to comparable facilities. Because new entrants may have to relocate incumbents from a larger frequency range or greater geographic area than where the new entrants will operate, certain expenses will be placed upon incumbents by the proposed rules, and the Commission may establishes a companion set of cost-sharing procedures.
                        <SU>288</SU>
                        <FTREF/>
                         This process may require small entities that are incumbent operators in the band to participate in negotiations to reassign their spectrum access rights, involving additional attendant costs. Incumbents operating in the spectrum designated for new licensed mobile and expanded use would further be required to relocate their operations to different bands, potentially requiring reconfiguration or replacement of their existing facilities, also at additional cost.
                    </P>
                    <FTNT>
                        <P>
                            <SU>288</SU>
                             
                            <E T="03">See Amendment to the Commission's Rules Regarding a Plan for Sharing the Costs of Microwave Relocation,</E>
                             WT Docket No. 95-157, Notice of Proposed Rule Making, 11 FCC Rcd 1923 (1995).
                        </P>
                    </FTNT>
                    <P>
                        106. 
                        <E T="03">The 12.7 GHz Band Plan.</E>
                         The Commission proposes to allocate the 12.7 GHz band as an unpaired band and to license it on an exclusive, geographic license area (using Partial Economic Areas (PEA)) basis, and in roughly 100 megahertz blocks without guard bands, which will permit the filing of mutually exclusive applications. The Commission's statutory authority to resolve mutually exclusive applications for initial licenses through a system of competitive bidding has lapsed.
                        <SU>289</SU>
                        <FTREF/>
                         Accordingly, in the event the Commission determines to adopt a mutually exclusive application approach, the Commission seeks comments on how the Commission should resolve mutually exclusive applications for new initial licenses in the 12.7 GHz band in light of the lapse in its authority to use competitive bidding. In the event that the Commission's statutory authority with respect to auctions is restored, the Commission delegates authority to WTB and OEA to seek comment on appropriate competitive bidding rules and procedures, consistent with prior Commission guidance.
                    </P>
                    <FTNT>
                        <P>
                            <SU>289</SU>
                             
                            <E T="03">See</E>
                             47 U.S.C. 309(j)(11).
                        </P>
                    </FTNT>
                    <P>
                        107. 
                        <E T="03">Licensing and Operating Rules.</E>
                         In the NPRM, the Commission proposes that licensees in the 12.7 GHz band would be required to comply with certain licensing and operating rules applicable to all part 27 services,
                        <SU>290</SU>
                        <FTREF/>
                         flexible use,
                        <SU>291</SU>
                        <FTREF/>
                         regulatory status,
                        <SU>292</SU>
                        <FTREF/>
                         foreign ownership reporting,
                        <SU>293</SU>
                        <FTREF/>
                         compliance with construction notification requirements,
                        <SU>294</SU>
                        <FTREF/>
                         renewal criteria,
                        <SU>295</SU>
                        <FTREF/>
                         permanent discontinuance of operations,
                        <SU>296</SU>
                        <FTREF/>
                         partitioning and disaggregation,
                        <SU>297</SU>
                        <FTREF/>
                         and spectrum leasing.
                        <SU>298</SU>
                        <FTREF/>
                         The Commission seeks comment on this proposal and on certain other part 27 rules that may be appropriate to apply to 12.7 GHz band licensees, or whether there are any aspects of its general part 27 service 
                        <PRTPAGE P="43962"/>
                        rules that should be modified to accommodate the particular characteristics of the 12.7 GHz band. In addition, small entities and other future 12.7 GHz band licensees will have to comply with service-specific requirements for the band addressing eligibility, mobile spectrum holdings policies, license term, performance requirements, renewal term construction obligations, and other licensing and operating rules, some of which include reporting and recordkeeping obligations.
                    </P>
                    <FTNT>
                        <P>
                            <SU>290</SU>
                             The 
                            <E T="03">WRS Renewal 2nd R&amp;O and FNPRM</E>
                             adopted a unified framework for construction, renewal, and service continuity rules for flexible use geographic licenses in the Wireless Radio Services. 
                            <E T="03">See Amendment of Parts 1, 22, 24, 27, 74, 80, 90, 95, and 101 To Establish Uniform License Renewal et al.,</E>
                             WT Docket No. 10-112, Second Report and Order and Further 
                            <E T="03">Notice</E>
                             of Proposed Rulemaking and Order, 32 FCC Rcd 8874 (2017) (
                            <E T="03">WRS Renewal Reform 2nd R&amp;O and FNPRM</E>
                            ).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>291</SU>
                             47 CFR 2.106, 27.2, 27.3. Section 303(y) of the Act provides the Commission with authority to provide for flexibility of use if: “(1) such use is consistent with international agreements to which the United States is a party; and (2) the Commission finds, after notice and an opportunity for public comment, that (A) such an allocation would be in the public interest; (B) such use would not deter investment in communications services and systems, or technology development; and (C) such use would not result in harmful interference among users.” Balanced Budget Act of 1997, Public Law 105-33, 111 Stat. 251, 268-69; 47 U.S.C. 303(y).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>292</SU>
                             47 CFR 27.10.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>293</SU>
                             47 U.S.C. 310; 47 CFR 27.12.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>294</SU>
                             47 CFR 27.14(k).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>295</SU>
                             
                            <E T="03">Id.</E>
                             § 1.949.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>296</SU>
                             
                            <E T="03">Id.</E>
                             § 1.953.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>297</SU>
                             
                            <E T="03">Id.</E>
                             § 1.950.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>298</SU>
                             
                            <E T="03">Id.</E>
                             § 1.9001 through 1.9080.
                        </P>
                    </FTNT>
                    <P>
                        108. 
                        <E T="03">Alternatives for Sharing the Band.</E>
                         The sharing methods that have been proven for white space devices and Citizens Broadband Radio Service (CBRS), in conjunction with new or developing sharing technologies, may be used in the 12.7 GHz band to maximize the use of spectrum. Accordingly, the NPRM seeks comment on such methods as well as on using an automated spectrum management system such as the Automated Frequency Coordination (AFC) systems used in the 6 GHz band or spectrum access systems used in CBRS as a method to enable spectrum sharing in the 12.7 GHz band as an alternative to relocating incumbents or repacking the band.
                    </P>
                    <P>
                        109. 
                        <E T="03">Eligibility, License Term and Renewal.</E>
                         An open eligibility standard has been proposed for licensing in the 12.7 GHz band along with a 10-year initial term for new licenses. The Commission also proposes to apply its general part 27 renewal requirements for wireless licenses as the renewal standard for the 12.7 GHz as the Commission did in the 3.7 GHz Service and the 3.5 GHz band orders.
                    </P>
                    <P>
                        110. 
                        <E T="03">Performance Requirements.</E>
                         The NPRM seeks comment on requiring a 12.7 GHz band licensee, deploying mobile or point-to-multipoint service in accordance with its part 27 rules, to provide reliable signal coverage and offer service to at least 30% to 45% of the population in each of their license areas within five years of their license issue date (interim performance benchmark), and to at least 60% to 80% of the population in each of their license areas within ten years from the license issue date (final performance benchmark). For licensees deploying point-to-point service, the NPRM seeks comment on requiring them to demonstrate within five years of the license issue date (interim performance benchmark) that they have four links operating and providing service, if the population within the license area is equal to or less than 268,000. If the population within the license area is greater than 268,000, a licensee deploying point-to-point service would need to demonstrate that it has at least one link in operation and providing service, either to customers or for internal use, per every 67,000 persons within a license area. The Commission proposes to require licensees deploying point-to-point service to demonstrate within ten years of the license issue date (final performance benchmark) that they have eight links operating and providing service, either to customers or for internal use, if the population within the license area is equal to or less than 268,000. If the population within the license area is greater than 268,000, the Commission proposes to require a licensee deploying point-to-point service to demonstrate it is providing service and has at least two links in operation per every 67,000 persons within a license area.
                    </P>
                    <P>
                        111. While the NPRM seeks comment on performance benchmarks based on population coverage applicable for a range of fixed and mobile services, the NPRM recognizes that 12.7 GHz licenses have flexibility to provide services potentially less suited to a population coverage metric. In particular, licensees providing Internet of Things-type (IoT-type) fixed and mobile services may benefit from an alternative performance benchmark metric. To account for this, the Commission proposes that licensees providing IoT-type services would have flexibility to demonstrate that they offer geographic area coverage of at least 25% to 35% of the license area at the interim (five-year) performance benchmark, and geographic area coverage of at least 50% to 65% of the license area at the final (ten-year) performance benchmark.
                        <SU>299</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>299</SU>
                             
                            <E T="03">See, e.g.,</E>
                             47 CFR 27.14(v)(2) (requiring a 3.7 GHz Service licensee providing Internet of Things service to offer geographic area coverage of 35% of the license area within 8 years of initial grant and geographic area coverage of 65% of the license area within 12 years of initial grant); 27.14(w)(1)(iii) (requiring a 3.45 GHz Service licensee providing Internet of Things service to offer geographic area coverage of 35% of the license area within 4 years of initial grant and geographic area coverage of 65% of the license area within 8 years of initial grant); 47 CFR 30.103, 30.104(b) (requiring a UMFUS licensee providing Internet of Things or other services deployed along non-traditional lines to offer geographic area coverage of 25% of the license area within 10 years of initial grant).
                        </P>
                    </FTNT>
                    <P>112. Along with performance benchmarks, the NPRM seeks comment on which penalties will most effectively ensure timely build-out. Specifically, the NPRM states that, in the event a licensee fails to meet the first performance benchmark, the licensee's final benchmark and license term would be reduced by two years, thereby requiring it to meet the final performance benchmark two years sooner (at eight years into the license term) and reducing its license term to eight years. If a licensee fails to meet the final performance benchmark for a particular license area, its authorization for each license area in which it fails to meet the performance requirement shall terminate automatically without Commission action. The Commission seeks comment on how, in the event a 12.7 GHz band licensee's authority to operate terminates, its spectrum rights should become available for reassignment pursuant to the licensing framework the Commission adopts for this band. The Commission also seeks comment on whether, consistent with the Commission's rules for other part 27 licenses, the Commission should require that any 12.7 GHz band flexible use licensee that forfeits its license for failure to meet its performance requirements be precluded from regaining that license. Finally, the Commission seeks comment on other performance requirements and enforcement mechanisms that would effectively ensure timely buildout.</P>
                    <P>
                        113. 
                        <E T="03">Compliance Procedures.</E>
                         In addition to compliance procedures applicable to all part 27 licensees, including the filing of electronic coverage maps and supporting documentation, the NPRM proposes that such electronic coverage maps must accurately depict the boundaries of each license area in the licensee's service territory. If a licensee does not provide reliable signal coverage to an entire license area, the NPRM proposes that its map must accurately depict the boundaries of the area or areas within each license area not being served. Further, the NPRM proposes that each licensee also must file supporting documentation certifying the type of service it is providing for each licensed area within its service territory and the type of technology used to provide such service. Supporting documentation must include the assumptions used to create the coverage maps, including the propagation model and the signal strength necessary to provide reliable service with the licensee's technology. The Commission seeks comment on these proposals. The Commission also seeks comment on whether small entities face any special or unique issues with respect to the transition such that they would require additional time to comply.
                    </P>
                    <P>
                        114. 
                        <E T="03">Mobile Spectrum Holdings and Initial Licensing.</E>
                         Small entities could be impacted by additional requirements pursuant to its request for comment on how to address spectrum holdings issues involving the 12.7 GHz band. The Commission also seeks comment on whether or not to include the 12.7 GHz band in the total spectrum screen or in 
                        <PRTPAGE P="43963"/>
                        a separate spectrum screen; on how to address spectrum aggregation issues in the initial licensing of this band; and, on whether there should be a limit on the amount of 12.7 GHz band spectrum held by a single entity at the licensing stage.
                    </P>
                    <P>
                        115. 
                        <E T="03">Technical Rules.</E>
                         Small entities and other licensees would also be subject to certain technical rules established to maximize flexible use of the 12.7 GHz band spectrum while minimizing the impact on adjacent band incumbents, consistent with the public interest. In that context, the NPRM proposes to adopt the same power limits that are applied to UMFUS operations and it seeks comment on whether incumbent satellite services and new terrestrial mobile services can coexist if the latter will be subject to these power limits.
                    </P>
                    <P>
                        116. For out-of-band-emissions, the NPRM proposes that emissions be kept to a level that will provide protection to incumbent services in adjacent bands, while allowing the full use of the new band, and additionally proposes to adopt a requirement that the conductive power or the total radiated power of any emission outside a licensee's frequency block shall be −13 dBm/MHz or lower. Further, the NPRM seeks comment on whether additional technical protection criteria, beyond out-of-band-emission limits, are necessary to ensure effective coexistence with adjacent band FSS operations. To implement field strength limit at market boundaries, the NPRM proposes to adopt a −77.6 dBm/m
                        <SU>2</SU>
                        /MHz power flux density limit at the service-area boundaries. The NPRM also proposes that fixed and mobile operations be subject to international agreements with Mexico and Canada.
                    </P>
                    <P>117. To comply with the proposed rules in the NPRM, small entities may be required to hire attorneys, engineers, consultants, or other professionals. In particular, for small entities that are not existing operators and do not have existing staffing dedicated to regulatory compliance, engineering and legal expertise may be necessary to make the requisite filings and to demonstrate compliance with the proposed performance obligations. At this time, while the Commission cannot quantify the cost of compliance with the proposed rule changes, the Commission notes that several of the proposed changes are consistent with and mirror existing policies and requirements used for other part 27 flexible use licenses. Therefore, small entities with existing licenses in other bands may already be familiar with such policies and requirements and have the processes and procedures in place to facilitate compliance resulting in minimal incremental costs to comply if similar requirements are adopted for this band. The Commission also note that for most of the proposals and requests for comments in the NPRM, the Commission also requests cost-benefit analyses. The Commission expects that the information it receives in comments and through cost-benefit analyses will help it identify and evaluate all relevant matters associated with the proposed reallocation and the relocation of public safety operations out of the band, including compliance costs and other burdens on small entities.</P>
                    <HD SOURCE="HD2">D. Steps Taken To Minimize the Significant Economic Impact on Small Entities, and Significant Alternatives Considered</HD>
                    <P>
                        118. The RFA requires an agency to describe any significant, specifically small business, alternatives that it has considered in reaching its proposed approach, which may include the following four alternatives (among others): “(1) the establishment of differing compliance or reporting requirements or timetables that take into account the resources available to small entities; (2) the clarification, consolidation, or simplification of compliance and reporting requirements under the rule for such small entities; (3) the use of performance rather than design standards; and (4) an exemption from coverage of the rule, or any part thereof for such small entities.” 
                        <SU>300</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>300</SU>
                             5 U.S.C. 603(c)(1)-(4).
                        </P>
                    </FTNT>
                    <P>
                        119. In the NPRM, the Commission seeks to identify potential opportunities for additional flexible access—particularly for wireless broadband services—in the 12.7 GHz band. Throughout the NPRM, the Commission considered the economic impact the proposed rules could have on small businesses. For example, the Commission considered if there were particular instances where certain parameters—such as use of smaller license areas—could help small businesses. The use of smaller license areas could potentially assist those small entities that favor shared licensing regimes, and also could help promote rural deployments by facilitating access to spectrum by small and regional service providers and beyond.
                        <SU>301</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>301</SU>
                             
                            <E T="03">See supra</E>
                             at para. 46.
                        </P>
                    </FTNT>
                    <P>120. The Commission also considered applying ten-year license terms for any licensees issued in the 12.7 GHz band. This approach specifically considers the potential impact to small entities, as they must allocate resources carefully over the length of their license term. Moreover, as small entities tend to have more limited funds, should they be required to compete at auction for a particular license, the certainty of a longer license term would provide licensees with sufficient incentive to make the long-term investments necessary for compliance. In the NPRM, the Commission seeks comments on this matter.</P>
                    <P>
                        121. With respect to its proposal in the NPRM to protect only those BAS and CARS stations licensed in ULS and COALS for which the licensee timely files the certification required in the 
                        <E T="03">Order, see</E>
                         FCC 23-36, paras. 143-147 (FR 2023-13502), published elsewhere in this issue of the 
                        <E T="04">Federal Register</E>
                        , to minimize burdens on small and other entities, the Commission exempted from the certification requirement 12.7 GHz band licenses for which the licensee has filed an application in ULS and COALS on or after January 1, 2021. Further, to minimize the economic impact for any small entity that is required to be repacked to a smaller portion of the 12.7 GHz band, the date that the Commission will set for mobile BAS/CARS operators to cease operations in this band will be set to provide them with enough notice to allow them to relocate without causing disruption to their services. Likewise, the sunset period for incumbent FS operations could potentially be set to provide additional time in order to aid small entities.
                    </P>
                    <P>122. To assist with the Commission's evaluation of the economic impact on small entities that may result from the actions and alternatives that have been proposed in this proceeding, the NPRM seeks alternative proposals and requests information on the potential costs of such alternatives to licensees. The Commission expects to consider more fully the economic impact on small entities following its review of comments filed in response to the NPRM, including costs and benefits information. Alternative proposals and approaches from commenters would also help the Commission further minimize the economic impact on small entities. The Commission's evaluation of the comments filed in this proceeding will shape the final conclusions it reaches, the final alternatives it considers, and the actions it ultimately takes in this proceeding to minimize any significant economic impact that may occur on small entities from the final rules that are ultimately adopted.</P>
                    <HD SOURCE="HD2">E. Federal Rules That May Duplicate, Overlap, or Conflict With the Proposed Rules</HD>
                    <P>
                        123. None.
                        <PRTPAGE P="43964"/>
                    </P>
                    <HD SOURCE="HD1">III. Ordering Clauses</HD>
                    <P>
                        124. 
                        <E T="03">It is ordered</E>
                         that, pursuant to sections 1, 2, 4, 5, 301, 302, 303, 304, 307, 309, 310, and 316 of the Communications Act of 1934, 47 U.S.C. 151, 152, 154, 155, 301, 302a, 303, 304, 307, 309, 310, 316, and § 1.411 of the Commission's rules, 47 CFR 1.411, the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order in the captioned dockets 
                        <E T="03">is adopted.</E>
                    </P>
                    <P>
                        125. The inquiry in 
                        <E T="03">Expanding Flexible Use in Mid-Band Spectrum Between 3.7-24 GHz,</E>
                         GN Docket No. 17-183, is 
                        <E T="03">terminated</E>
                         as to the mid-band spectrum between 12.2 GHz and 13.25 GHz.
                    </P>
                    <P>
                        126. 
                        <E T="03">It is further ordered</E>
                         that, pursuant to applicable procedures set forth in §§ 1.415 and 1.419 of the Commission's rules, 47 CFR 1.415, 1.419, interested parties may file comment on the Further Notice of Proposed Rulemaking in WT Docket No. 20-443 and the Notice of Proposed Rulemaking in GN Docket No. 22-352 on or before the number of days shown on the first page of this document after publication in the 
                        <E T="04">Federal Register</E>
                        , and reply comment on or before the number of days shown on the first page of this document after publication in the 
                        <E T="04">Federal Register</E>
                        .
                    </P>
                    <P>
                        127. 
                        <E T="03">It is further ordered</E>
                         that the Commission's Office of the Secretary, Reference Information Center, 
                        <E T="03">shall send</E>
                         a copy of the Report and Order and Further Notice of Proposed Rulemaking and Notice of Proposed Rulemaking and Order, including the associated Initial Regulatory Flexibility Analyses, to the Chief Counsel for Advocacy of the Small Business Administration.
                    </P>
                    <LSTSUB>
                        <HD SOURCE="HED">List of Subjects</HD>
                        <CFR>47 CFR Part 1</CFR>
                        <P>Administrative practice and procedure.</P>
                        <CFR>47 CFR Part 25</CFR>
                        <P>Administrative practice and procedure, Satellites.</P>
                        <CFR>47 CFR Part 27</CFR>
                        <P>Common carriers, Communications, Radio.</P>
                        <CFR>47 CFR Part 74</CFR>
                        <P>Mexico, Television.</P>
                        <CFR>47 CFR Part 78</CFR>
                        <P>Cable television, Television.</P>
                        <CFR>47 CFR Part 101</CFR>
                        <P>Administrative practice and procedure.</P>
                    </LSTSUB>
                    <SIG>
                        <FP>Federal Communications Commission.</FP>
                        <NAME>Marlene Dortch,</NAME>
                        <TITLE>Secretary, Office of the Secretary.</TITLE>
                    </SIG>
                    <HD SOURCE="HD1">Proposed Rules</HD>
                    <P>For the reasons discussed in the preamble, the Federal Communications Commission proposes to amend 47 CFR parts 1, 2, 25, 27, 74, 78, and 101 as follows:</P>
                    <PART>
                        <HD SOURCE="HED">PART 1—PRACTICE AND PROCEDURE</HD>
                    </PART>
                    <AMDPAR>1. The authority citation for part 1 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>47 U.S.C. chs. 2, 5, 9, 13; 28 U.S.C. 2461 note, unless otherwise noted.</P>
                    </AUTH>
                    <AMDPAR>2. Amend § 1.907 by revising the definition of “Covered geographic licenses” to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 1.907</SECTNO>
                        <SUBJECT>Definitions.</SUBJECT>
                        <STARS/>
                        <P>
                            <E T="03">Covered geographic licenses.</E>
                             Covered geographic licenses consist of the following services: 1.4 GHz Service (part 27, subpart I of this chapter); 1.6 GHz Service (part 27, subpart J); 24 GHz Service and Digital Electronic Message Services (part 101, subpart G of this chapter); 218-219 MHz Service (part 95, subpart F, of this chapter); 220-222 MHz Service, excluding public safety licenses (part 90, subpart T, of this chapter); 600 MHz Service (part 27, subpart N); 700 MHz Commercial Services (part 27, subparts F and H); 700 MHz Guard Band Service (part 27, subpart G); 800 MHz Specialized Mobile Radio Service (part 90, subpart S); 900 MHz Specialized Mobile Radio Service (part 90, subpart S); 900 MHz Broadband Service (part 27, subpart P); 3.45 GHz Service (part 27, subpart Q); 3.7 GHz Service (part 27, subpart O); Advanced Wireless Services (part 27, subparts K and L); 12.7 GHz Service (part 27, subpart R); Air-Ground Radiotelephone Service (Commercial Aviation) (part 22, subpart G, of this chapter); Broadband Personal Communications Service (part 24, subpart E, of this chapter); Broadband Radio Service (part 27, subpart M); Cellular Radiotelephone Service (part 22, subpart H); Citizens Broadband Radio Service (part 96, subpart C, of this chapter); Dedicated Short Range Communications Service, excluding public safety licenses (part 90, subpart M); Educational Broadband Service (part 27, subpart M); H Block Service (part 27, subpart K); Local Multipoint Distribution Service (part 101, subpart L); Multichannel Video Distribution and Data Service (part 101, subpart P); Multilateration Location and Monitoring Service (part 90, subpart M); Multiple Address Systems (EAs) (part 101, subpart O); Narrowband Personal Communications Service (part 24, subpart D); Paging and Radiotelephone Service (part 22, subpart E; part 90, subpart P); VHF Public Coast Stations, including Automated Maritime Telecommunications Systems (part 80, subpart J, of this chapter); Upper Microwave Flexible Use Service (part 30 of this chapter); and Wireless Communications Service (part 27, subpart D of this chapter).
                        </P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>3. Amend § 1.9005 by:</AMDPAR>
                    <AMDPAR>a. Removing the word “and” at the end of paragraph (nn);</AMDPAR>
                    <AMDPAR>b. Removing the period at the end of paragraph (pp) and adding “; and” in its place; and</AMDPAR>
                    <AMDPAR>c. Adding paragraph (qq).</AMDPAR>
                    <P>The addition reads as follows:</P>
                    <SECTION>
                        <SECTNO>§ 1.9005</SECTNO>
                        <SUBJECT>Included services.</SUBJECT>
                        <STARS/>
                        <P>(qq) The 12.7 GHz Service in the 12.7-13.25 GHz band (part 27 of this chapter).</P>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 2—FREQUENCY ALLOCATIONS AND RADIO TREATY MATTERS; GENERAL RULES AND REGULATIONS</HD>
                    </PART>
                    <AMDPAR>4. The authority citation for part 2 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>47 U.S.C. 154, 302a, 303, and 336, unless otherwise noted</P>
                    </AUTH>
                    <AMDPAR>5. Amend § 2.106, as amended June 7, 2023, at 88 FR 37318, effective July 7, 2023, by revising “Page 49” in the Table of Frequency Allocations and paragraphs (d)(52), (53), (57), and (118) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 2.106</SECTNO>
                        <SUBJECT>Table of Frequency Allocations.</SUBJECT>
                        <STARS/>
                        <GPH SPAN="3" DEEP="463">
                            <PRTPAGE P="43965"/>
                            <GID>EP10JY23.107</GID>
                        </GPH>
                        <STARS/>
                        <P>(d) * * *</P>
                        <P>
                            (52) NG 52 Except as provided for by paragraph (d)(527) of this section, use of the band 10.7-11.7 GHz (space-to-Earth) by geostationary satellites in the fixed-satellite service shall be limited to international systems, 
                            <E T="03">i.e.,</E>
                             other than domestic systems.
                        </P>
                        <P>(53) NG53 The mobile BAS/CARS repack band(s) is reserved for eligible incumbent television pickup (TVPU) and cable television relay service (CARS) pickup stations (collectively, mobile BAS/CARS) that were licensed to operate in the 12.7-13.25 GHz band pursuant to applications filed before September 19, 2022.</P>
                        <STARS/>
                        <P>(57) NG57 In the band 12.7-13.25 GHz, the following provisions shall apply:</P>
                        <P>
                            (i) 
                            <E T="03">Emerging Technologies.</E>
                             Except as provided in paragraph (d)(53) of this section and this paragraph (d)(57), the band is designated for emerging technologies under part 27 of this chapter.
                        </P>
                        <P>
                            (ii) 
                            <E T="03">Fixed Satellite Service incumbents.</E>
                             Any FSS space station or earth station authorized to serve or operate in the United States in accordance with the Table of Allocations based on a petition for market access or application filed before September 19, 2022, may continue such Earth-to-space operations on a primary basis. For such incumbent FSS stations, the use of the band 12.75-13.25 GHz by geostationary satellites is limited to international systems, 
                            <E T="03">i.e.,</E>
                             other than domestic systems; non-geostationary-satellite systems are limited to communications with individually licensed incumbent earth stations. In the sub-band 13.15-13.2125 GHz, NGSO FSS gateway uplink transmissions shall be limited to a maximum e.i.r.p. of 3.2 dBW towards 0° on the radio horizon.
                        </P>
                        <P>(A) On or after September 19, 2022, petitions for market access or applications for new or modified FSS space stations and earth stations are unacceptable for filing and shall be dismissed, with the following exceptions:</P>
                        <P>
                            (
                            <E T="03">1</E>
                            ) 
                            <E T="03">Space stations.</E>
                             Applications for space stations limited to serving earth stations outside the United States, 
                            <PRTPAGE P="43966"/>
                            applications for modification of existing space station authorizations, see § 25.117 of this chapter, applications to relocate existing space stations pursuant to the Commission's fleet management policy, see § 25.118(e) of this chapter, and applications for replacement space stations.
                        </P>
                        <P>
                            (
                            <E T="03">2</E>
                            ) 
                            <E T="03">Earth stations.</E>
                             Applications for renewal or cancellation of incumbent earth station authorizations, modifications to correct location or other data required in the incumbent earth station file, and modifications not requiring prior Commission authorization, see § 25.118(a) and (b) of this chapter.
                        </P>
                        <P>(B) [Reserved]</P>
                        <P>
                            (iii) 
                            <E T="03">Fixed Service and Mobile Service incumbents.</E>
                             Licensees of Fixed Service or Mobile Service authorized based on an application filed before September 19, 2022, pursuant to part 74, 78, or 101 of this chapter may continue to operate as authorized until the applicable sunset date.
                        </P>
                        <P>(A) On or after September 19, 2022, applications for new or modified Fixed Service or Mobile Service operations under parts 74, 78, and 101 are unacceptable for filing and shall be dismissed, with the following exceptions:</P>
                        <P>
                            (
                            <E T="03">1</E>
                            ) 
                            <E T="03">Mobile BAS/CARS repack.</E>
                             Applications for modification by incumbent mobile BAS/CARS licensees to relocate to the mobile BAS/CARS repack band (see paragraph (d)(53) of this section).
                        </P>
                        <P>
                            (
                            <E T="03">2</E>
                            ) 
                            <E T="03">Other.</E>
                             Applications for renewal, cancellation, or minor modification (if the incumbent licensee establishes that the modification would not add to any relocation costs).
                        </P>
                        <P>(B) [Reserved]</P>
                        <STARS/>
                        <P>(118) NG118 In the bands 2025-2110 MHz, and 6875-7125 MHz, television translator relay stations may be authorized to use frequencies on a secondary basis to other stations in the Television Broadcast Auxiliary Service that are operating in accordance with the Table of Frequency Allocations in this section.</P>
                        <STARS/>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 25—SATELLITE COMMUNICATIONS</HD>
                    </PART>
                    <AMDPAR>6. The authority citation for part 25 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 47 U.S.C. 154, 301, 302, 303, 307, 309, 310, 319, 332, 605, and 721, unless otherwise noted.</P>
                    </AUTH>
                    <AMDPAR>7. Amend § 25.115 by revising the paragraph (e) heading and adding paragraphs (e)(2) and (f)(4) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 25.115</SECTNO>
                        <SUBJECT>Applications for earth station authorizations.</SUBJECT>
                        <STARS/>
                        <P>
                            (e) 
                            <E T="03">GSO FSS earth stations in 12.7-13.25 GHz and 17.8-30 GHz.</E>
                             * * *
                        </P>
                        <P>(2) On or after September 19, 2022, applications for new or modified GSO FSS earth station licenses in the 12.7-13.25 GHz band are unacceptable for filing and shall be dismissed, with the exception of applications for renewal or cancellation of incumbent earth station authorizations, and modifications to correct location or other data required in the incumbent earth station file, and modifications not requiring prior Commission authorization, see § 25.118(a) and (b).</P>
                        <P>(f) * * *</P>
                        <P>(4) On or after September 19, 2022, applications for new or modified earth station licenses in the 12.7-13.25 GHz band are unacceptable for filing and shall be dismissed, with the exception of applications for renewal or cancellation of incumbent earth station authorizations, and modifications to correct location or other data required in the incumbent earth station file, and modifications not requiring prior Commission authorization, see § 25.118(a) and (b).</P>
                        <STARS/>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 27—MISCELLANEOUS WIRELESS COMMUNICATIONS SERVICES</HD>
                    </PART>
                    <AMDPAR>8. The authority citation for part 27 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>47 U.S.C. 154, 301, 302a, 303, 307, 309, 332, 336, 337, 1403, 1404, 1451, and 1452, unless otherwise noted.</P>
                    </AUTH>
                    <AMDPAR>9. Amend § 27.1 by adding paragraph (b)(18) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.1</SECTNO>
                        <SUBJECT>Basis and purpose.</SUBJECT>
                        <STARS/>
                        <P>(b) * * *</P>
                        <P>(18) 12.7-13.25 GHz.</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>10. Amend § 27.2 by adding paragraph (f) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.2</SECTNO>
                        <SUBJECT>Permissible communications.</SUBJECT>
                        <STARS/>
                        <P>
                            (f) 
                            <E T="03">12.7-13.25 GHz band.</E>
                             The 12.7-13.25 GHz frequencies may not be used for downlink satellite transmission.
                        </P>
                    </SECTION>
                    <AMDPAR>11. Amend § 27.4 by adding a definition for “12.7 GHz Service” in alphanumerical order to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.4</SECTNO>
                        <SUBJECT>Terms and definitions.</SUBJECT>
                        <STARS/>
                        <P>
                            <E T="03">12.7 GHz Service.</E>
                             A radiocommunication service licensed under this part for the frequency bands specified in § 27.5(p) (12.7-13.25 GHz band).
                        </P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>12. Amend § 27.5 by adding paragraph (p) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.5</SECTNO>
                        <SUBJECT>Frequencies.</SUBJECT>
                        <STARS/>
                        <P>
                            (p) 
                            <E T="03">12.7-13.25 GHz band.</E>
                             The 12.7 GHz Service is licensed as five individual 100 megahertz blocks [and one smaller block depending on resolution of mobile BAS/CARS repack band] available for assignment on a Partial Economic Area basis, 
                            <E T="03">see</E>
                             § 27.6(o).
                        </P>
                    </SECTION>
                    <AMDPAR>13. Amend § 27.6 by adding paragraph (o) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.6</SECTNO>
                        <SUBJECT>Service areas.</SUBJECT>
                        <STARS/>
                        <P>
                            (o) 
                            <E T="03">12.7-13.25 GHz band.</E>
                             Service areas in the 12.7 GHz Service are based on Partial Economic Areas (PEAs) as defined by appendix A to this subpart.
                        </P>
                    </SECTION>
                    <AMDPAR>14. Amend § 27.11 by adding paragraph (n) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.11</SECTNO>
                        <SUBJECT>Initial authorization.</SUBJECT>
                        <STARS/>
                        <P>
                            (n) 
                            <E T="03">12.7-13.25 GHz band.</E>
                             Authorizations for licenses in the 12.7 GHz Service will be based on Partial Economic Areas (PEAs), as specified in § 27.6(o), and the frequency blocks specified in § 27.5(p).
                        </P>
                    </SECTION>
                    <AMDPAR>15. Amend § 27.13 by adding paragraph (p) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.13</SECTNO>
                        <SUBJECT>License period.</SUBJECT>
                        <STARS/>
                        <P>
                            (p) 
                            <E T="03">12.7-13.25 GHz band.</E>
                             Authorization for the band will have a term not to exceed ten (10) years from the date of issuance.
                        </P>
                    </SECTION>
                    <AMDPAR>16. Amend § 27.14 by revising paragraphs (a) and (k) and adding paragraph (x) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.14</SECTNO>
                        <SUBJECT>Construction requirements.</SUBJECT>
                        <P>
                            (a) AWS and WCS licensees, with the exception of WCS licensees holding authorizations for the 600 MHz band, Block A in the 698-704 MHz and 728-734 MHz bands, Block B in the 704-710 MHz and 734-740 MHz bands, Block E in the 722-728 MHz band, Block C, C1 or C2 in the 746-757 MHz and 776-787 MHz bands, Block A in the 2305-2310 MHz and 2350-2355 MHz bands, Block B in the 2310-2315 MHz and 2355-2360 MHz bands, Block C in the 2315-2320 MHz band, Block D in the 2345-2350 MHz band, in the 3450-3550 MHz band, in the 3700-3980 MHz band, and in the 12.7-13.25 GHz band, and with the exception of licensees holding AWS authorizations in the 1915-1920 MHz and 1995-2000 MHz bands, the 2000-
                            <PRTPAGE P="43967"/>
                            2020 MHz and 2180-2200 MHz bands, or 1695-1710 MHz, 1755-1780 MHz and 2155-2180 MHz bands, must, as a performance requirement, make a showing of “substantial service” in their license area within the prescribed license term set forth in § 27.13. “Substantial service” is defined as service which is sound, favorable and substantially above a level of mediocre service which just might minimally warrant renewal. Failure by any licensee to meet this requirement will result in forfeiture of the license and the licensee will be ineligible to regain it.
                        </P>
                        <STARS/>
                        <P>(k) Licensees holding WCS or AWS authorizations in the spectrum blocks enumerated in paragraphs (g), (h), (i), (q), (r), (s), (t), (v), (w), and (x) of this section, including any licensee that obtained its license pursuant to the procedures set forth in paragraph (j) of this section, shall demonstrate compliance with performance requirements by filing a construction notification with the Commission, within 15 days of the expiration of the applicable benchmark, in accordance with the provisions set forth in § 1.946(d) of this chapter. The licensee must certify whether it has met the applicable performance requirements. The licensee must file a description and certification of the areas for which it is providing service. The construction notifications must include electronic coverage maps, supporting technical documentation and any other information as the Wireless Telecommunications Bureau may prescribe by public notice.</P>
                        <STARS/>
                        <P>(x) The following provisions apply to any licensee holding an authorization in the 12.7-13.25 GHz band:</P>
                        <P>(1) Licensees relying on mobile or point-to-multipoint service shall provide reliable signal coverage and offer service within five (5) years from the date of the initial license to at least forty-five (45) percent of the population in each of its license areas (“First Buildout Requirement”). Licensee shall provide reliable signal coverage and offer service within ten (10) years from the date of the initial license to at least eighty (80) percent of the population in each of its license areas (“Second Buildout Requirement”). Licensees relying on point-to-point service shall demonstrate within five years of the license issue date that they have four links operating and providing service to customers or for internal use if the population within the license area is equal to or less than 268,000 and, if the population is greater than 268,000, that they have at least one link in operation and providing service to customers, or for internal use, per every 67,000 persons within a license area (“First Buildout Requirement”). Licensees relying on point-to-point service shall demonstrate within 10 years of the license issue date that they have eight links operating and providing service to customers or for internal use if the population within license area is equal to or less than 268,000 and, if the population within the license area is greater than 268,000, shall demonstrate they are providing service and have at least two links in operation per every 67,000 persons within a license area (“Second Buildout Requirement”).</P>
                        <P>(2) In the alternative, a licensee offering Internet of Things-type services shall provide geographic area coverage within five (5) years from the date of the initial license to at least thirty-five (35) percent of the license (“First Buildout Requirement”). A licensee offering Internet of Things-type services shall provide geographic area coverage within ten (10) years from the date of the initial license to at least sixty-five (65) percent of the license (“Second Buildout Requirement”).</P>
                        <P>(3) If a licensee fails to establish that it meets the First Buildout Requirement for a particular license area, the licensee's Second Buildout Requirement deadline and license term will be reduced by two years. If a licensee fails to establish that it meets the Second Buildout Requirement for a particular license area, its authorization for each license area in which it fails to meet the Second Buildout Requirement shall terminate automatically without Commission action, and the licensee will be ineligible to regain it if the Commission makes the license available at a later date.</P>
                        <P>(4) To demonstrate compliance with these performance requirements, licensees shall use the most recently available decennial U.S. Census Data at the time of measurement and shall base their measurements of population or geographic area served on areas no larger than the Census Tract level. The population or area within a specific Census Tract (or other acceptable identifier) will be deemed served by the licensee only if it provides reliable signal coverage to and offers service within the specific Census Tract (or other acceptable identifier). To the extent the Census Tract (or other acceptable identifier) extends beyond the boundaries of a license area, a licensee with authorizations for such areas may include only the population or geographic area within the Census Tract (or other acceptable identifier) towards meeting the performance requirement of a single, individual license. If a licensee does not provide reliable signal coverage to an entire license area, the license must provide a map that accurately depicts the boundaries of the area or areas within each license area not being served. Each licensee also must file supporting documentation certifying the type of service it is providing for each licensed area within its service territory and the type of technology used to provide such service. Supporting documentation must include the assumptions used to create the coverage maps, including the propagation model and the signal strength necessary to provide reliable service with the licensee's technology.</P>
                    </SECTION>
                    <AMDPAR>17. Amend § 27.50 by adding paragraph (l) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.50</SECTNO>
                        <SUBJECT>Power limits and duty cycle.</SUBJECT>
                        <STARS/>
                        <P>(l) The following power requirements apply to stations transmitting in the 12.7-13.25 GHz band:</P>
                        <P>(1) For fixed and base stations operating in connection with mobile systems, the average power of the sum of all antenna elements is limited to an equivalent isotopically radiated power (EIRP) density of +75dBm/100 MHz. For channel bandwidths less than 100 megahertz the EIRP must be reduced proportionally and linearly based on the bandwidth relative to 100 megahertz.</P>
                        <P>(2) For mobile stations, the average power of the sum of all antenna elements is limited to a maximum EIRP of +43 dBm.</P>
                        <P>(3) For transportable stations (transmitting equipment that is not intended to be used while in motion, but rather at stationary locations), the average power of the sum of all antenna elements is limited to a maximum EIRP of +55 dBm.</P>
                        <P>(4) Equipment employed must be authorized in accordance with the provisions of § 27.51. Power measurements for transmissions by stations authorized under this section may be made either in accordance with a Commission-approved average power technique or in compliance with paragraph (j)(5) of this section.</P>
                        <P>
                            (5) Peak transmit power must be measured over any interval of continuous transmission using instrumentation calibrated in terms of an rms-equivalent voltage. The measurement results shall be properly adjusted for any instrument limitations, such as detector response times, limited resolution bandwidth capability when compared to the emission bandwidth, sensitivity, and any other relevant factors, so as to obtain a true peak 
                            <PRTPAGE P="43968"/>
                            measurement for the emission in question over the full bandwidth of the channel.
                        </P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>18. Amend § 27.53 by adding paragraph (p) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.53</SECTNO>
                        <SUBJECT>Emission limits.</SUBJECT>
                        <STARS/>
                        <P>
                            (p) 
                            <E T="03">12.7 GHz Service.</E>
                             The following emission limits apply to stations transmitting in the 12.7-13.25 GHz band:
                        </P>
                        <P>(1) For base station operations in the 12.7-13.25 GHz band, the conducted power or the total radiated power of any emission outside the licensee's authorized bandwidth shall not exceed −13 dBm/MHz. Compliance with this paragraph (p)(1) is based on the use of measurement instrumentation employing a resolution bandwidth of 1 megahertz or greater. However, in the 1 megahertz bands immediately outside and adjacent to the licensee's frequency block, a resolution bandwidth of at least one percent of the emission bandwidth of the fundamental emission of the transmitter may be employed.</P>
                        <P>(2) For mobile operations in the 12.7-13.25 GHz band, the conducted power or the total radiated power of any emission outside the licensee's authorized bandwidth shall not exceed −13 dBm/MHz. Compliance with this paragraph (p)(2) is based on the use of measurement instrumentation employing a resolution bandwidth of 1 megahertz or greater.</P>
                    </SECTION>
                    <AMDPAR>19. Amend § 27.55 by adding paragraph (f) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.55</SECTNO>
                        <SUBJECT>Power strength limits.</SUBJECT>
                        <STARS/>
                        <P>
                            (f) 
                            <E T="03">Power flux density for</E>
                             stations 
                            <E T="03">operating in the 12.7-13.25 GHz band.</E>
                             For base and fixed stations operation in the 12.7-13.25 GHz band in accordance with the provisions of § 27.50(j), the power flux density (PFD) at any location on the geographical border of a licensee's service area shall not exceed −77.6 dBm/m
                            <SU>2</SU>
                            /MHz. This power flux density will be measured at 1.5 meters above ground. Licensees in adjacent geographic areas may voluntarily agree to operate under a higher PFD at their common boundary.
                        </P>
                    </SECTION>
                    <AMDPAR>20. Amend § 27.57 by revising paragraph (c) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 27.57</SECTNO>
                        <SUBJECT>International coordination.</SUBJECT>
                        <STARS/>
                        <P>(c) Operation in the 1695-1710 MHz, 1710-1755 MHz, 1755-1780 MHz, 1915-1920 MHz, 1995-2000 MHz, 2000-2020 MHz, 2110-2155 MHz, 2155-2180 MHz, 2180-2200 MHz, 3450-3550 MHz, 3700-3980 MHz, and 12.7-13.25 GHz bands is subject to international agreements with Mexico and Canada.</P>
                    </SECTION>
                    <AMDPAR>21. Add subpart R to read as follows:</AMDPAR>
                    <SUBPART>
                        <HD SOURCE="HED">Subpart R—12.7 GHz Service (12.7-13.25 GHz)</HD>
                    </SUBPART>
                    <CONTENTS>
                        <SECHD>Sec.</SECHD>
                        <HD SOURCE="HD1">Relocation of Incumbent Operations in the 12.7-13.25 GHz Band</HD>
                        <SECTNO>27.1711</SECTNO>
                        <SUBJECT>Relocation of fixed microwave services, broadcast auxiliary services, and cable television relay services in the 12.7-13.25 GHz band.</SUBJECT>
                        <HD SOURCE="HD1">Protection of Incumbent Operations in the 12.7-13.25 GHz Band</HD>
                        <SECTNO>27.1712</SECTNO>
                        <SUBJECT>Protection of fixed operations in the 12.7-13.25 GHz band.</SUBJECT>
                        <SECTNO>27.1713</SECTNO>
                        <SUBJECT>Protection of Federal Government operations in the 12.7-13.25 GHz band.</SUBJECT>
                        <SECTNO>27.1714</SECTNO>
                        <SUBJECT>Interference to Emerging Technologies licensees in the 12.7-13.25 GHz band from Earth stations in the Fixed Satellite Service.</SUBJECT>
                        <HD SOURCE="HD1">Cost-Sharing Policies Governing Relocation From the 12.7-13.25 GHz Band</HD>
                        <SECTNO>27.1760</SECTNO>
                        <SUBJECT>Cost-sharing requirements for Emerging Technologies in the 12.7-13.25 GHz band.</SUBJECT>
                        <SECTNO>27.1761</SECTNO>
                        <SUBJECT>Administration of the cost-sharing plan.</SUBJECT>
                        <SECTNO>27.1762</SECTNO>
                        <SUBJECT>The cost-sharing formula.</SUBJECT>
                        <SECTNO>27.1763</SECTNO>
                        <SUBJECT>Reimbursement under the cost-sharing plan.</SUBJECT>
                        <SECTNO>27.1764</SECTNO>
                        <SUBJECT>Triggering a reimbursement obligation.</SUBJECT>
                        <SECTNO>27.1765</SECTNO>
                        <SUBJECT>Payment issues.</SUBJECT>
                        <SECTNO>27.1766</SECTNO>
                        <SUBJECT>Dispute resolution under the cost-sharing plan.</SUBJECT>
                        <SECTNO>27.1767</SECTNO>
                        <SUBJECT>Termination of cost-sharing obligations.</SUBJECT>
                    </CONTENTS>
                    <SUBPART>
                        <HD SOURCE="HED">Subpart R—12.7 GHz Service (12.7-13.25 GHz)</HD>
                        <HD SOURCE="HD1">Relocation of Incumbent Operations in the 12.7-13.25 GHz Band</HD>
                        <SECTION>
                            <SECTNO>§ 27.1711</SECTNO>
                            <SUBJECT>Relocation of fixed microwave services, broadcast auxiliary services, and cable television relay services in the 12.7-13.25 GHz band.</SUBJECT>
                            <P>This part and parts 74, 78, and 101 of this chapter contain provisions governing the relocation of incumbent Fixed Microwave Services (FS) (see part 101), Broadcast Auxiliary Services (BAS) (see part 74), and Cable Television Relay Services (CARS) (see part 78) in the 12.7-13.25 GHz bands. The relocation of fixed microwave, BAS, and CARS are governed by this part and part 101. The relocation of mobile BAS and CARS licensees are governed, respectively, by §§ 74.690 and 78.40 of this chapter.</P>
                            <HD SOURCE="HD1">Protection of Incumbent Operations in the 12.7-13.25 GHz Band</HD>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1712</SECTNO>
                            <SUBJECT>Protection of fixed operations in the 12.7-13.25 GHz band.</SUBJECT>
                            <P>All Emerging Technologies (ET) licensees, prior to initiating operations from any base or fixed station in the 12.7-13.25 GHz band, must coordinate their frequency usage with co-channel and adjacent-channel fixed incumbents authorized under parts 74, 78, and 101 of this chapter. Coordination shall be conducted in accordance with the provisions of § 24.237 of this chapter.</P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1713</SECTNO>
                            <SUBJECT>Protection of Federal Government operations in the 12.7-13.25 GHz band.</SUBJECT>
                            <P>The band 12.75-13.25 GHz is allocated to the space research (deep space) (space-to-Earth) service for reception only at Goldstone, CA (35°20′ N, 116°53′ W). See § 2.106(c)(251) of this chapter. The 12.7-13.25 GHz band includes a Federal allocation for reception-only by a satellite ground station at the Goldstone Deep Space Communications Complex (Goldstone Observatory), operated by the National Aeronautics and Space Administration (NASA).</P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1714</SECTNO>
                            <SUBJECT>Interference to Emerging Technologies licensees in the 12.7-13.25 GHz band from Earth stations in the Fixed Satellite Service.</SUBJECT>
                            <P>An ET licensee in the 12.7-13.25 GHz band must accept or protect itself from interference from earth stations that were authorized to transmit (Earth-to-space) in the band based on an application filed before September 19, 2022.</P>
                            <HD SOURCE="HD1">Cost-Sharing Policies Governing Relocation From the 12.7-13.25 GHz Band</HD>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1760</SECTNO>
                            <SUBJECT>Cost-sharing requirements for Emerging Technologies in the 12.7-13.25 GHz band.</SUBJECT>
                            <P>
                                Frequencies in the 12.7-13.25 GHz band have been reallocated from Fixed Microwave Services (FS) (see part 101 of this chapter), Broadcast Auxiliary Services (BAS) (see part 74 of this chapter), Cable Television Relay Services (CARS) (see part 78 of this chapter), and Fixed Satellite Services (FSS) (see part 25 of this chapter) to use by Emerging Technologies (ET) (as reflected in § 2.106 of this chapter). The relocation of fixed microwave links, including fixed BAS and CARS, are governed by this part and part 101 and referred to as microwave licensee(s) in this section. The relocation of mobile BAS and CARS operations are governed, respectively, by §§ 74.690 and 78.40 of this chapter. ET entities are required to 
                                <PRTPAGE P="43969"/>
                                relocate an existing microwave licensee in these bands if interference to the existing microwave licensee would occur. All ET entities that benefit from the clearance of this spectrum by other ET entities or by a voluntarily relocating microwave incumbent must contribute to such relocation costs. ET entities may satisfy their reimbursement requirement by entering into private cost-sharing agreements or agreeing to terms other than those specified in § 27.1762. However, ET entities are required to reimburse other ET entities or voluntarily relocating microwave incumbents that incur relocation costs and are not parties to the alternative agreement. In addition, parties to a private cost-sharing agreement may seek reimbursement through the clearinghouse (as discussed in § 27.1761) from ET entities that are not parties to the agreement. The cost-sharing plan is in effect during all phases of the relocation. If an ET licensee enters into a spectrum leasing arrangement (as set forth in part 1, subpart X, of this chapter) and the spectrum lessee triggers a cost-sharing obligation, the licensee is the ET entity responsible for satisfying the cost-sharing obligations under §§ 27.1760 through 27.1767.
                            </P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1761</SECTNO>
                            <SUBJECT>Administration of the cost-sharing plan.</SUBJECT>
                            <P>The Wireless Telecommunications Bureau, under delegated authority, will select one or more entities to operate as a neutral, not-for-profit clearinghouse(s). This clearinghouse(s) will administer the cost-sharing plan by, inter alia, determining the cost-sharing obligation of ET entities for the relocation of incumbents from the 12.7-13.25 GHz band. The clearinghouse filing requirements (see §§ 27.1763 through 27.1765) will not take effect until an administrator is selected.</P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1762</SECTNO>
                            <SUBJECT>The cost-sharing formula.</SUBJECT>
                            <P>
                                An ET relocator who relocates an interfering microwave link, 
                                <E T="03">i.e.,</E>
                                 one that is in all or part of its market area and in all or part of its frequency band or a voluntarily relocating microwave incumbent, is entitled to 
                                <E T="03">pro rata</E>
                                 reimbursement based on the following formula:
                            </P>
                            <GPH SPAN="3" DEEP="54">
                                <GID>EP10JY23.108</GID>
                            </GPH>
                            <P>
                                (a) 
                                <E T="03">RN</E>
                                 equals the amount of reimbursement.
                            </P>
                            <P>
                                (b) 
                                <E T="03">C</E>
                                 equals the actual cost of relocation. Actual relocation costs include, but are not limited to, such items as: Radio terminal equipment (TX and/or RX—antenna, necessary feed lines, MUX/Modems); towers and/or modifications; back-up power equipment; monitoring or control equipment; engineering costs (design/path survey); installation; systems testing; FCC filing costs; site acquisition and civil works; zoning costs; training; disposal of old equipment; test equipment (vendor required); spare equipment; project management; prior coordination notification under § 101.103(d) of this chapter; site lease renegotiation; required antenna upgrades for interference control; power plant upgrade (if required); electrical grounding systems; Heating Ventilation and Air Conditioning (HVAC) (if required); alternate transport equipment; and leased facilities. Increased recurring costs represent part of the actual cost of relocation and, even if the compensation to the incumbent is in the form of a commitment to pay five years of charges, the ET relocator is entitled to seek immediate reimbursement of the lump sum amount based on present value using current interest rates, provided it has entered into a legally binding agreement to pay the charges. 
                                <E T="03">C</E>
                                 also includes voluntarily relocating incumbent's independent third-party appraisal of its compensable relocation costs and incumbent transaction expenses that are directly attributable to the relocation, subject to a cap of two percent of the “hard” costs involved. Hard costs are defined as the actual costs associated with providing a replacement system, such as equipment and engineering expenses. 
                                <E T="03">C</E>
                                 may not exceed $125,000 per link, with an additional $150,000 permitted if a new or modified tower is required.
                            </P>
                            <P>
                                (c) 
                                <E T="03">N</E>
                                 equals the number of ET entities that have triggered a cost-sharing obligation. For the ET relocator, 
                                <E T="03">N</E>
                                 = 1. For the next ET entity triggering a cost-sharing obligation, 
                                <E T="03">N</E>
                                 = 2, and so on. In the case of a voluntarily relocating incumbent, 
                                <E T="03">N</E>
                                 = 1 for the first ET entity triggering a cost-sharing obligation. For the next ET entity triggering a cost-sharing obligation, 
                                <E T="03">N</E>
                                 = 2, and so on.
                            </P>
                            <P>
                                (d) 
                                <E T="03">Tm</E>
                                 equals the number of months that have elapsed between the month the ET relocator or voluntarily relocating incumbent obtains reimbursement rights for the link and the month in which an ET entity triggers a cost-sharing obligation. An ET relocator obtains reimbursement rights for the link on the date that it signs a relocation agreement with an incumbent. A voluntarily relocating incumbent obtains reimbursement rights for the link on the date that the incumbent notifies the Commission that it intends to discontinue, or has discontinued, the use of the link, pursuant to § 101.305, if applicable, or § 1.953 of this chapter.
                            </P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1763</SECTNO>
                            <SUBJECT>Reimbursement under the cost-sharing plan.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">Registration of reimbursement rights.</E>
                                 Claims for reimbursement under the cost-sharing plan are limited to relocation expenses incurred on or after the date when the first ET license is issued in the relevant 12.7-13.25 GHz band (start date). If a clearinghouse is not selected by that date (see § 27.1764) claims for reimbursement under this section and notices of operation (see § 27.1765) for activities that occurred after the start date but prior to the clearinghouse selection must be submitted to the clearinghouse within 30 calendar days of the selection date.
                            </P>
                            <P>(1) To obtain reimbursement, an ET relocator must submit documentation of the relocation agreement to the clearinghouse within 30 calendar days of the date a relocation agreement is signed with an incumbent. In the case of involuntary relocation, an ET relocator must submit documentation of the relocated system within 30 calendar days after the end of the relocation.</P>
                            <P>(2) To obtain reimbursement, a voluntarily relocating incumbent must submit documentation of the relocation of the link to the clearinghouse within 30 calendar days of the date that the incumbent notifies the Commission that it intends to discontinue, or has discontinued, the use of the link, pursuant to § 101.305 of this chapter.</P>
                            <P>
                                (b) 
                                <E T="03">Documentation of expenses.</E>
                                 Once relocation occurs, the ET relocator, or the voluntarily relocating incumbent, must submit documentation itemizing 
                                <PRTPAGE P="43970"/>
                                the amount spent for items specifically listed in § 27.1762(b), as well as any reimbursable items not specifically listed in § 27.1762(b) that are directly attributable to actual relocation costs. Specifically, the ET relocator, or the voluntarily relocating incumbent must submit, in the first instance, only the uniform cost data requested by the clearinghouse along with a copy, without redaction, of either the relocation agreement, if any, or the third party appraisal described in paragraph (b)(1) of this section, if relocation was undertaken by the microwave incumbent. ET relocators and voluntarily relocating incumbents must maintain documentation of cost-related issues until the applicable sunset date and provide such documentation upon request, to the clearinghouse, the Commission, or entrants that trigger a cost-sharing obligation. If an ET relocator pays an incumbent a monetary sum to relocate its own facilities, the ET relocator must estimate the costs associated with relocating the incumbent by itemizing the anticipated cost for items listed in § 27.1762(b). If the sum paid to the incumbent cannot be accounted for, the remaining amount is not eligible for reimbursement.
                            </P>
                            <P>
                                (1) 
                                <E T="03">Third party appraisal.</E>
                                 A voluntarily relocating incumbent, must also submit an independent third party appraisal of its compensable relocation costs. The appraisal should be based on the actual cost of replacing the incumbent's system with comparable facilities and should exclude the cost of any equipment upgrades or items outside the scope of § 27.1762(b).
                            </P>
                            <P>
                                (2) 
                                <E T="03">Identification of links.</E>
                                 The ET relocator or the voluntarily relocating incumbent must identify the particular link associated with appropriate expenses (
                                <E T="03">i.e.,</E>
                                 costs may not be averaged over numerous links).
                            </P>
                            <P>
                                (c) 
                                <E T="03">Full reimbursement.</E>
                                 An ET relocator who relocates a microwave link that is either fully outside its market area or its licensed frequency band may seek full reimbursement through the clearinghouse of compensable costs, up to the reimbursement cap as defined in § 27.1762(b). Such reimbursement will not be subject to depreciation under the cost-sharing formula.
                            </P>
                            <P>
                                (d) 
                                <E T="03">Good faith requirement.</E>
                                 New entrants and incumbent licensees are expected to act in good faith in satisfying the cost-sharing obligations under §§ 27.1760 through 27.1767. The requirement to act in good faith extends to, but is not limited to, the preparation and submission of the documentation required in paragraph (b) of this section.
                            </P>
                            <P>
                                (e) 
                                <E T="03">Reimbursement for self-relocating incumbents in the 12.7-13.25 GHz band.</E>
                                 Where a voluntarily relocating incumbent relocates its own links, it is entitled to reimbursement from the first ET beneficiary for its actual costs for relocating the links, subject to the reimbursement cap in § 27.1762(b). This amount is subject to depreciation as specified in § 27.1762(b). An ET licensee who is obligated to reimburse relocation costs under this paragraph (e) is entitled to obtain reimbursement from other ET beneficiaries in accordance with §§ 27.1762 and 27.1764. For purposes of applying the cost-sharing formula relative to other ET licensees that benefit from the self-relocation, depreciation shall run from the date on which the clearinghouse issues the notice of an obligation to reimburse the voluntarily relocating microwave incumbent.
                            </P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1764</SECTNO>
                            <SUBJECT>Triggering a reimbursement obligation.</SUBJECT>
                            <P>(a) The clearinghouse will apply the following test to determine when an ET entity has triggered a cost-sharing obligation and therefore must pay an ET relocator or a voluntarily relocating incumbent in accordance with the formula detailed in § 27.1762:</P>
                            <P>(1) All or part of the relocated microwave link was initially co-channel with the licensed ET band of the ET entity;</P>
                            <P>(2) An ET relocator or a voluntarily relocating incumbent has paid the relocation costs of the incumbent; and</P>
                            <P>(3) The ET entity is operating or preparing to turn on a fixed base station at commercial power and the fixed base station is located within a rectangle (Proximity Threshold) described as follows:</P>
                            <P>(i) The length of the rectangle shall be x where x is a line extending through both nodes of the microwave link to a distance of 48 kilometers (30 miles) beyond each node. The width of the rectangle shall be y where y is a line perpendicular to x and extending for a distance of 24 kilometers (15 miles) on both sides of x. Thus, the rectangle is represented as follows:</P>
                            <GPH SPAN="3" DEEP="141">
                                <GID>EP10JY23.109</GID>
                            </GPH>
                            <P>(ii) If the application of the Proximity Threshold Test indicates that a reimbursement obligation exists, the clearinghouse will calculate the reimbursement amount in accordance with the cost-sharing formula and notify the ET entity of the total amount of its reimbursement obligation.</P>
                            <P>(b) Once a reimbursement obligation is triggered, the ET entity may not avoid paying its cost-sharing obligation by deconstructing or modifying its facilities.</P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1765</SECTNO>
                            <SUBJECT>Payment issues.</SUBJECT>
                            <P>
                                Prior to initiating operations for a newly constructed site or modified existing site, an ET entity is required to file a notice containing site-specific data with the clearinghouse. The notice regarding the new or modified site must provide a detailed description of the proposed site's spectral frequency use and geographic location, including but not limited to the applicant's name and address, the name of the transmitting 
                                <PRTPAGE P="43971"/>
                                base station, the geographic coordinates corresponding to that base station, the frequencies and polarizations to be added, changed or deleted, and the emission designator. If a prior coordination notice (PCN) under § 101.103(d) of this chapter is prepared, ET entities can satisfy the site-data filing requirement by submitting a copy of their PCN to the clearinghouse. ET entities that file either a notice or a PCN have a continuing duty to maintain the accuracy of the site-specific data on file with the clearinghouse. Utilizing the site-specific data, the clearinghouse will determine if any reimbursement obligation exists and notify the ET entity in writing of its repayment obligation, if any. When the ET entity receives a written copy of such obligation, it must pay directly to the relocator the amount owed within 30 calendar days.
                            </P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1766</SECTNO>
                            <SUBJECT>Dispute resolution under the cost-sharing plan.</SUBJECT>
                            <P>
                                (a) 
                                <E T="03">Disputes.</E>
                                 Disputes arising out of the cost-sharing plan, such as disputes over the amount of reimbursement required, must be brought, in the first instance, to the clearinghouse for resolution. To the extent that disputes cannot be resolved by the clearinghouse, parties are encouraged to use expedited Alternative Dispute Resolution (ADR) procedures, such as binding arbitration, mediation, or other ADR techniques.
                            </P>
                            <P>
                                (b) 
                                <E T="03">Evidentiary requirement.</E>
                                 Parties of interest contesting the clearinghouse's determination of specific cost-sharing obligations must provide evidentiary support to demonstrate that their calculation is reasonable and made in good faith. Specifically, these parties are expected to exercise due diligence to obtain the information necessary to prepare an independent estimate of the relocation costs in question and to file the independent estimate and supporting documentation with the clearinghouse.
                            </P>
                        </SECTION>
                        <SECTION>
                            <SECTNO>§ 27.1767</SECTNO>
                            <SUBJECT>Termination of cost-sharing obligations.</SUBJECT>
                            <P>The cost-sharing plan will sunset for all ET entities on the same date on which the relocation obligation for the 12.7-13.25 GHz band terminates. ET entrants that trigger a cost-sharing obligation prior to the sunset date must satisfy their payment obligation in full.</P>
                        </SECTION>
                    </SUBPART>
                    <PART>
                        <HD SOURCE="HED">PART 74—EXPERIMENTAL RADIO, AUXILIARY, SPECIAL BROADCAST AND OTHER PROGRAM DISTRIBUTIONAL SERVICES</HD>
                    </PART>
                    <AMDPAR>22. The authority citation for part 74 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 47 U.S.C. 154, 302a, 303, 307, 309, 310, 325, 336 and 554.</P>
                    </AUTH>
                    <AMDPAR>23. Amend § 74.602 by revising paragraph (a) introductory text and footnote 2 in the table following paragraph (a) introductory text to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 74.602</SECTNO>
                        <SUBJECT>Frequency assignment.</SUBJECT>
                        <P>(a) The following frequencies are available for assignment to television pickup, television STL, television relay and television translator relay stations. The band segments 17,700-18,580, and 19,260-19,700 MHz are available for broadcast auxiliary stations as described in paragraph (g) of this section. The band segment 6425-6525 MHz is available for broadcast auxiliary stations as described in paragraph (i) of this section. The bands 6875-7125 MHz and 12700-13200 MHz are co-equally shared with stations licensed pursuant to parts 78 and 101 of this chapter. Broadcast network-entities may also use the 1990-2110, 6425-6525 and 6875-7125 MHz bands for mobile television pickup only. On or after September 19, 2022, applications for new or modified stations in the 12.7-13.25 GHz band under this part and parts 78 and 101 are unacceptable for filing and shall be dismissed, except for applications of eligible incumbent television pickup (TVPU) and cable television relay service (CARS) pickup stations (collectively, mobile BAS/CARS) licensees to modify incumbent authorizations to the repacked mobile BAS/CARS sub-band.</P>
                        <STARS/>
                        <P>
                            <SU>2</SU>
                             The mobile BAS/CARS repack band(s) is reserved for mobile BAS/CARS licensees that were licensed to operate in the 12.7-13.25 GHz band pursuant to applications filed before September 19, 2022, that timely certified such authorizations as required in accordance with the procedures set-forth in GN Docket No. 22-352.
                        </P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>24. Amend § 74.690 by revising the section heading and paragraphs (a) through (d) and adding paragraph (f) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 74.690</SECTNO>
                        <SUBJECT> Transition of the 1990-2025 MHz and 12,700-13,250 MHz bands from the Broadcast Auxiliary Service to emerging technologies and reimbursement and cost-sharing.</SUBJECT>
                        <P>(a) New Entrants are collectively defined as those licensees proposing to use emerging technologies to implement Mobile Satellite Services in the 2000-2020 MHz band (MSS licensees), those licensees authorized after July 1, 2004, to implement new Fixed and Mobile services in the 1990-1995 MHz band, those licensees authorized after September 9, 2004, in the 1995-2000 MHz and 2020-2025 MHz bands, and those licensees authorized under part 27 of this chapter after September 19, 2022, in the 12,700-13,250 MHz band. New entrants may negotiate with Broadcast Auxiliary Service licensees operating on a primary basis and fixed service licensees operating on a primary basis in the 1990-2025 MHz band (Existing Licensees) for the purpose of agreeing to terms under which the Existing Licensees would relocate their operations to the 2025-2110 MHz band, to other authorized bands, or to other media; or, alternatively, would discontinue use of the 1990-2025 MHz band. New licensees in the 1995-2000 MHz and 2020-2025 MHz bands are subject to the specific relocation procedures adopted in WT Docket 04-356. New Entrants in the 12,700-13,250 MHz band are subject to the specific relocation procedures adopted in GN Docket No. 22-352. New Entrants may negotiate with Broadcast Auxiliary Service (BAS) licensees operating on a primary basis and fixed service licensees operating on a primary basis in the 12,700-13,250 MHz band (Existing 12.7 GHz Licensees) for the purpose of agreeing to terms under which the Existing 12.7 GHz Licensees in the 12,700-13,250 MHz band would relocate their authorized operation, if timely certified as required in accordance with the procedures set-forth in GN Docket No. 22-352, or discontinue use of the 12,700-13,250 MHz band.</P>
                        <P>(b) An Existing Licensee and Existing 12.7 GHz Licensee will maintain primary status in the band until the operations of the Existing Licensee or Existing 12.7 GHz Licensee are relocated by a New Entrant, are discontinued under the terms of paragraph (a) of this section, or become secondary under the terms of paragraph (e)(6) or (f)(6) of this section or the Existing Licensee or Existing 12.7 GHz Licensee indicates to a New Entrant that it declines to be relocated.</P>
                        <P>(c) The Commission will amend the operating license of the Existing Licensee or Existing 12.7 GHz Licensee, other than the mobile operations of an Existing 12.7 GHz Licensee that has been transitioned to the repack band, to secondary status only if the following requirements are met:</P>
                        <P>
                            (1) The service applicant, provider, licensee, or representative using an emerging technology guarantees payment of all relocation costs, including all engineering, equipment, site and FCC fees, as well as any reasonable additional costs that the 
                            <PRTPAGE P="43972"/>
                            relocated Existing Licensee or Existing 12.7 GHz Licensee might incur as a result of operation in another authorized band or migration to another medium;
                        </P>
                        <P>(2) The New Entrant completes all activities necessary for implementing the replacement facilities, including engineering and cost analysis of the relocation procedure and, if radio facilities are used, identifying and obtaining, on the incumbents' behalf, new microwave or Local Television Transmission Service frequencies and frequency coordination.</P>
                        <P>(3) The New Entrant builds the replacement system and tests it for comparability with the existing system.</P>
                        <P>(d) The Existing Licensee or Existing 12.7 GHz Licensee is not required to relocate until the alternative facilities are available to it for a reasonable time to make adjustments, determine comparability, and ensure a seamless handoff. If, within one year after the relocation to new facilities the Existing Licensee or Existing 12.7 GHz Licensee demonstrates that the new facilities are not comparable to the former facilities, the New Entrant must remedy the defects.</P>
                        <STARS/>
                        <P>(f) Subject to the terms of this paragraph (f), the relocation of Existing 12.7 GHz Licensees will be carried out by New Entrants in the following manner:</P>
                        <P>(1) Existing 12.7 GHz Licensees and New Entrants may negotiate individually or collectively for relocation of Existing 12.7 GHz Licensees to comparable facilities, as that term is used in § 101.73 of this chapter. Parties may not decline to negotiate, though Existing 12.7 GHz Licensees may decline to be relocated.</P>
                        <P>(i) New Entrants are required to relocate the fixed microwave links of Existing 12.7 GHz Licensees prior to commencing operations if interference would occur. A New Entrant must conform to the technical criteria specified in TIA Bulletin TSB 10-F, or procedures other than TSB 10-F that follow generally acceptable good engineering practices pursuant to § 101.105(c) of this chapter, to determine if interference would occur such that their relocation would be necessary before a New Entrant's operations could commence.</P>
                        <P>(ii) New Entrants must relocate the non-fixed and mobile operations of all Existing 12.7 GHz Licensees on a market-by-market basis in a Nielsen Designated Market Areas (DMA), as such DMAs existed on September 19, 2022, in which it seeks to provide service prior to commencing operations, except those Existing 12.7 GHz Licensees that decline relocation.</P>
                        <P>(iii) Such relocation negotiations shall be conducted as “mandatory negotiations,” as that term is used in § 101.73 of this chapter. If these parties are unable to reach a negotiated agreement prior to the expiration of the mandatory negotiation period, New Entrants may involuntarily relocate such Existing 12.7 GHz Licensees in accordance with procedures set-forth in § 101.75 of this chapter.</P>
                        <P>(iv) After the end of the mandatory negotiation period, a New Entrant may involuntary relocate any Existing 12.7 GHz Licensees with which they have been unable to reach a negotiated agreement.</P>
                        <P>(2) Notwithstanding paragraph (f)(1) of this section, the non-fixed and mobile operations of Existing 12.7 GHz Licensees' operations in an adjacent market may need to be relocated even though the New Entrant does not initiate operations in that adjacent market. A New Entrant undertaking clearing would be obligated to relocate all incumbent non-fixed and mobile operations of Existing 12.7 GHz Licensees in all affected markets, including those markets where the New Entrant provides partial, minimal, or even no service. A New Entrant must conform to the technical criteria specified in TIA Bulletin TSB 10-F, or procedures other than TSB 10-F that follow generally acceptable good engineering practices pursuant to § 101.105(c) of this chapter, to determine any additional market(s) where a New Entrant would cause interference to the non-fixed and mobile operations of Existing 12.7 GHz Licensees, such that their relocation would be necessary before a New Entrant commences operations.</P>
                        <P>(3) The obligations of a New Entrant to relocate an Existing 12.7 GHz Licensee will terminate on the sunset date for Existing 12.7 GHz Licensee to retain primary operations in the band. On this date, all Existing 12.7 GHz Licensees will become secondary in the 12.7-13.25 GHz band with the exception of mobile BAS relocated to the repacked band. Upon written demand by a New Entrant that intends to commence operations in the 12.7-13.25 GHz band, Existing 12.7 GHz Licensees that have not been relocated to the repacked band must cease operations in the 12.7-13.25 GHz band within six months.</P>
                        <P>
                            (4) The cost-sharing obligations of New Entrants for the relocation of the fixed microwave links of Existing 12.7 GHz Licensees is governed by §§ 27.1760 through 27.1767 of this chapter. The cost-sharing obligations of New Entrants for the relocation of non-fixed and mobile operations of Existing 12.7 GHz Licensee is governed by this paragraph (f)(4). All New Entrants to the 12.7-13.25 GHz band are required to bear a proportional share of the costs incurred in the relocation of the non-fixed or mobile operations of an Existing 12.7 GHz Licensees, on a 
                            <E T="03">pro rata</E>
                             basis according to the amount of spectrum each licensee is assigned relative to the amount of 12.7 GHz spectrum that has been licensed. New Entrants that incur relocation costs may seek reimbursement for compensable costs from other New Entrants that have been licensed to provide service in a relocated market prior to the sunset date, 
                            <E T="03">i.e.,</E>
                             the date on which the relocation obligation terminates. New Entrants that are licensed prior to the sunset date must satisfy their reimbursement obligations for relocated markets in full. Because a New Entrant may be required to relocate the non-fixed and mobile operations of Existing 12.7 GHz Licensees in adjacent markets pursuant to paragraph (f)(2) of this section, the New Entrant may seek full reimbursement of compensable costs for the relocation of an adjacent market from New Entrants that have been licensed to provide service in the adjacent market. Reimbursement of compensable costs for a relocated market is not subject to depreciation. Compensable costs are limited to the actual costs of relocation and based on the definition set-forth in § 27.1762(b) of this chapter, as adjusted to reflect mobile operations of Existing 12.7 GHz Licensees. New Entrants must maintain and, as requested, share documentation of relocation costs consistent with § 27.1763(b) of this chapter, as modified to reflect mobile operations of Existing 12.7 GHz Licensees. New entrants are expected to act in good faith in satisfying the cost-sharing obligations. Parties are encouraged to use expedited Alternative Dispute Resolution (ADR) procedures, such as binding arbitration, mediation, or other ADR techniques to resolve disputes arising out of reimbursement and cost-sharing, such as disputes over the amount of reimbursement required. Parties of interest contesting cost-sharing obligations must provide evidentiary support to demonstrate that their calculation is reasonable and made in good faith. Specifically, these parties are expected to exercise due diligence to obtain the information necessary to prepare an independent estimate of the relocation costs in question and to file the independent estimate and 
                            <PRTPAGE P="43973"/>
                            supporting documentation with other affected parties and, if necessary, with the Commission.
                        </P>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 78—CABLE TELEVISION RELAY SERVICE </HD>
                    </PART>
                    <AMDPAR>25. The authority citation for part 78 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: 4</HD>
                        <P>7 U.S.C. 152, 153, 154, 301, 303, 307, 308, 309.</P>
                    </AUTH>
                    <AMDPAR>26. Amend § 78.18 by:</AMDPAR>
                    <AMDPAR>a. Revising paragraph (b); and</AMDPAR>
                    <AMDPAR>b. Removing paragraph (m).</AMDPAR>
                    <P>The revision reads as follows:</P>
                    <SECTION>
                        <SECTNO>§ 78.18</SECTNO>
                        <SUBJECT>Frequency assignments.</SUBJECT>
                        <STARS/>
                        <P>(b) On or after September 19, 2022, applications for new or modified stations in the 12.7-13.25 GHz band under this part and parts 74 and 101 of this chapter are unacceptable for filing and shall be dismissed, except for applications of eligible incumbent Television pickup (TVPU) and cable television relay service (CARS) pickup stations (collectively, mobile BAS/CARS) to modify incumbent authorizations to the repacked mobile BAS/CARS sub-band. The mobile BAS/CARS repack band(s) is reserved for eligible incumbent that were licensed to operate in the 12.7-13.25 GHz band pursuant to applications filed before September 19, 2022.</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>27. Amend § 78.40 by revising the section heading and paragraphs (a) through (e) and adding paragraph (g) to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 78.40</SECTNO>
                        <SUBJECT>Transition of the 1990-2025 MHz and 12,700-13,250 MHz bands from the Cable Television Relay Service to emerging technologies and reimbursement and cost-sharing in the 12,700-13,250 MHz band.</SUBJECT>
                        <P>(a) New Entrants are collectively defined as those licensees proposing to use emerging technologies to implement Mobile Satellite Services in the 2000-2020 MHz band (MSS licensees), those licensees authorized after July 1, 2004, to implement new Fixed and Mobile services in the 1990-1995 MHz band, those licensees authorized after September 9, 2004, in the 1995-2000 MHz and 2020-2025 MHz bands, and those licensees authorized after September 19, 2022, in the 12,700-13,250 MHz band. New entrants may negotiate with Cable Television Relay Service licensees operating on a primary basis and fixed service licensees operating on a primary basis in the 1990-2025 MHz band (Existing Licensees) for the purpose of agreeing to terms under which the Existing Licensees would relocate their operations to the 2025-2110 MHz band, to other authorized bands, or to other media; or, alternatively, would accept a sharing arrangement with the New Entrants that may result in an otherwise impermissible level of interference to the Existing Licensee's operations. New licensees in the 1995-2000 MHz and 2020-2025 MHz bands are subject to the specific relocation procedures adopted in WT Docket 04-356. New Entrants in the 12,700-13,250 MHz band are subject to the specific relocation procedures adopted in GN Docket No. 22-352. New entrants may negotiate with Cable Television Relay Service licensees operating on a primary basis and fixed service licensees operating on a primary basis in the 12,700-13,250 MHz bands (Existing 12.7 GHz Licensees) for the purpose of agreeing to terms under which the Existing 12.7 GHz Licensees in the 12,700-13,250 MHz band would relocate their operations to the repacked band, to other authorized bands, or to other media; or, alternatively, would accept a sharing arrangement with the New Entrants that may result in an otherwise impermissible level of interference to the Existing 12.7 GHz Licensee's operations in the 12,700-13,250 MHz band.</P>
                        <P>(b) An Existing Licensee and Existing 12.7 GHz Licensee will maintain primary status in the band until the operations of the Existing Licensee or Existing 12.7 GHz Licensee are relocated by a New Entrant, or become secondary under the terms of paragraph (g)(3) of this section or the Existing Licensee or Existing 12.7 GHz Licensee indicates to a New Entrant that it declines to be relocated.</P>
                        <P>(c) The Commission will amend the operating license of the Existing Licensee or Existing 12.7 GHz Licensee to secondary status only if the following requirements are met:</P>
                        <P>(1) The service applicant, provider, licensee, or representative using an emerging technology guarantees payment of all relocation costs, including all engineering, equipment, site and FCC fees, as well as any reasonable additional costs that the relocated Existing Licensee or Existing 12.7 GHz Licensee might incur as a result of operation in another authorized band or migration to another medium.</P>
                        <P>(2) The New Entrant completes all activities necessary for implementing the replacement facilities, including engineering and cost analysis of the relocation procedure and, if radio facilities are used, identifying and obtaining, on the incumbents' behalf, new microwave or Cable Television Relay Service frequencies and frequency coordination.</P>
                        <P>(3) The New Entrant builds the replacement system and tests it for comparability with the existing system.</P>
                        <P>(d) The Existing Licensee or Existing 12.7 GHz Licensee is not required to relocate until the alternative facilities are available to it for a reasonable time to make adjustments, determine comparability, and ensure a seamless handoff.</P>
                        <P>(e) If, within one year after the relocation to new facilities the Existing Licensee or Existing 12.7 GHz demonstrates that the new facilities are not comparable to the former facilities, the New Entrant must remedy the defect.</P>
                        <STARS/>
                        <P>(g) Subject to the terms of this paragraph (g), the relocation of Existing 12.7 GHz Licensees will be carried out by New Entrants in the following manner:</P>
                        <P>(1) Existing 12.7 GHz Licensees and New Entrants may negotiate individually or collectively for relocation of Existing 12.7 GHz Licensees to comparable facilities, as that term is used in § 101.73 of this chapter. Parties may not decline to negotiate, though Existing 12.7 GHz Licensees may decline to be relocated.</P>
                        <P>(i) New Entrants are required to relocate the fixed microwave links of Existing 12.7 GHz Licensees prior to commencing operations if interference would occur. A New Entrant must conform to the technical criteria specified in TIA Bulletin TSB 10-F, or procedures other than TSB 10-F that follow generally acceptable good engineering practices pursuant to § 101.105(c) of this chapter, to determine if interference would occur such that their relocation would be necessary before a New Entrant's operations could commence.</P>
                        <P>(ii) New Entrants must relocate all non-fixed and mobile operations of Existing 12.7 GHz Licensees on a market-by-market basis in a Nielsen Designated Market Areas (DMA), as such DMAs existed on September 19, 2022, where it seeks to provide service prior to commencing operations, except those Existing 12.7 GHz Licensees that decline relocation.</P>
                        <P>
                            (iii) Relocation negotiations shall be conducted as “mandatory negotiations,” as that term is used in § 101.73 of this chapter. If these parties are unable to reach a negotiated agreement prior to the expiration of the mandatory negotiation period, New Entrants may involuntarily relocate such Existing 12.7 GHz Licensees in accordance with procedures set forth in § 101.75 of this chapter.
                            <PRTPAGE P="43974"/>
                        </P>
                        <P>(iv) After the end of the mandatory negotiation period, a New Entrant may involuntary relocate any Existing 12.7 GHz Licensees with which they have been unable to reach a negotiated agreement.</P>
                        <P>(2) Notwithstanding paragraph (g)(1) of this section, the non-fixed and mobile operations of Existing 12.7 GHz Licensees' operations in an adjacent market may need to be relocated even though the New Entrant does not initiate operations in that adjacent market. A New Entrant undertaking clearing would be obligated to relocate all incumbent non-fixed and mobile operations of Existing 12.7 GHz Licensees in all affected markets, including those markets where the New Entrant provides partial, minimal, or even no service. A New Entrant must conform to the technical criteria specified in TIA Bulletin TSB 10-F, or procedures other than TSB 10-F that follow generally acceptable good engineering practices pursuant to § 101.105(c) of this chapter, to determine any additional market(s) where a New Entrant would cause interference to the non-fixed and mobile operations of Existing 12.7 GHz Licensees, such that their relocation would be necessary before a New Entrant commences operations.</P>
                        <P>(3) The obligations of a New Entrant to relocate an Existing 12.7 GHz Licensee will terminate on the sunset date for Existing 12.7 GHz Licensee to retain primary operations in the band. On this date, all Existing 12.7 GHz Licensees will become secondary in the 12.7-13.25 GHz band with the exception of those relocated to the repacked band. Upon written demand by a New Entrant that intends to commence operations in the 12.7-13.25 GHz band, Existing 12.7 GHz Licensees that have not been relocated to the repacked band must cease operations in the 12.7-13.25 GHz band within six months.</P>
                        <P>
                            (4) The cost-sharing obligations of New Entrants for the relocation of the fixed microwave links of Existing 12.7 GHz Licensees is governed by §§ 27.1760 through 27.1767 of this chapter. The cost-sharing obligations of New Entrants for the relocation of non-fixed and mobile operations of Existing 12.7 GHz Licensee is governed by this paragraph (g)(4). All New Entrants to the 12.7-13.25 GHz band are required to bear a proportional share of the costs incurred in the relocation of the non-fixed or mobile operations of an Existing 12.7 GHz Licensees, on a 
                            <E T="03">pro rata</E>
                             basis according to the amount of spectrum each licensee is assigned relative to the amount of 12.7 GHz spectrum that has been licensed. New Entrants that incur relocation costs may seek reimbursement for compensable costs from other New Entrants that have been licensed to provide service in a relocated market prior to the sunset date, 
                            <E T="03">i.e.,</E>
                             the date on which the relocation obligation terminates. New Entrants that are licensed prior to the sunset date must satisfy their reimbursement obligations for relocated markets in full. Because a New Entrant may be required to relocate the non-fixed and mobile operations of Existing 12.7 GHz Licensees in adjacent markets pursuant to paragraph (g)(2) of this section, the New Entrant may seek full reimbursement of compensable costs for the relocation of an adjacent market from New Entrants that have been licensed to provide service in the adjacent market. Reimbursement of compensable costs for a relocated market is not subject to depreciation. Compensable costs are limited to the actual costs of relocation and based on the definition set forth in § 27.1762(b) of this chapter, as adjusted to reflect mobile operations of Existing 12.7 GHz Licensees. New Entrants must maintain and, as requested, share documentation of relocation costs consistent with § 27.1763(b) of this chapter, as modified to reflect mobile operations of Existing 12.7 GHz Licensees. New entrants are expected to act in good faith in satisfying the cost-sharing obligations. Parties are encouraged to use expedited Alternative Dispute Resolution (ADR) procedures, such as binding arbitration, mediation, or other ADR techniques to resolve disputes arising out of reimbursement and cost-sharing, such as disputes over the amount of reimbursement required. Parties of interest contesting cost-sharing obligations must provide evidentiary support to demonstrate that their calculation is reasonable and made in good faith. Specifically, these parties are expected to exercise due diligence to obtain the information necessary to prepare an independent estimate of the relocation costs in question and to file the independent estimate and supporting documentation with other affected parties and, if necessary, with the Commission.
                        </P>
                    </SECTION>
                    <PART>
                        <HD SOURCE="HED">PART 101—FIXED MICROWAVE SERVICES</HD>
                    </PART>
                    <AMDPAR>28. The authority citation for part 101 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority:</HD>
                        <P> 47 U.S.C. 154, 303.</P>
                    </AUTH>
                    <AMDPAR>29. Revise the undesignated center heading immediately preceding § 101.69 to read as follows:</AMDPAR>
                    <HD SOURCE="HD1">Policies Governing Microwave Relocation From the 1850-1990, 2110-2200, and 12,700-13,250 MHz Bands</HD>
                    <AMDPAR>30. Amend § 101.69 by revising the introductory text, paragraph (a) introductory text, and the first sentence of paragraph (d) introductory text to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 101.69</SECTNO>
                        <SUBJECT>Transition of the 1850-1990 MHz, 2110-2150 MHz, 2160-2200, and 12,700-13,250 MHz bands from the fixed microwave services to personal communications services and emerging technologies.</SUBJECT>
                        <P>Fixed Microwave Services (FMS) in the 1850-1990 MHz, 2110-2150 MHz, 2160-2200, and 12,700-13,250 MHz bands have been allocated for use by emerging technology (ET) services, including Personal Communications Services (PCS), Advanced Wireless Services (AWS), and Mobile Satellite Services (MSS). The rules in this section provide for a transition period during which ET licensees may relocate existing FMS licensees using these frequencies to other media or other fixed channels, including those in other microwave bands.</P>
                        <P>(a) ET licensees may negotiate with FMS licensees authorized to use frequencies in the 1850-1990 MHz, 2110-2150 MHz, 2160-2200 MHz and 12,700-13,2500 MHz bands, for the purpose of agreeing to terms under which the FMS licensees would:</P>
                        <STARS/>
                        <P>(d) Relocation of FMS licensees in the 2110-2150, 2160-2200, and 12,700-13,250 MHz band will be subject to mandatory negotiations only. * * *</P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>31. Amend § 101.73 by revising paragraph (a) and the paragraph (d) heading to read as follows:</AMDPAR>
                    <SECTION>
                        <SECTNO>§ 101.73</SECTNO>
                        <SUBJECT> Mandatory negotiations.</SUBJECT>
                        <P>(a) A mandatory negotiation period may be initiated at the option of the ET licensee. Relocation of FMS licensees by Mobile Satellite Service (MSS) operators and AWS licensees in the 2110-2150 MHz and 2160-2200 MHz bands or ET licensee in the 12,700-13,250 MHz band will be subject to mandatory negotiations only.</P>
                        <STARS/>
                        <P>
                            (d) 
                            <E T="03">Provisions for Relocation of Fixed Microwave Licensees in the 2110-2150, 2160-2200 MHz, and 12,700-13,250 MHz bands.</E>
                             * * *
                        </P>
                        <STARS/>
                    </SECTION>
                    <AMDPAR>32. Amend § 101.79 by revising the section heading and paragraph (a) introductory text and adding paragraph (a)(3) to read as follows:</AMDPAR>
                    <SECTION>
                        <PRTPAGE P="43975"/>
                        <SECTNO>§ 101.79</SECTNO>
                        <SUBJECT>Sunset provisions for licensees in the 1850-1990 MHz, 2110-2150 MHz, 2160-2200 MHz, and 12,700-13,250 MHz bands.</SUBJECT>
                        <P>(a) FMS licensees will maintain primary status in the 1850-1990 MHz, 2110-2150 MHz, 2160-2200 MHz, and 12,700-13,250 MHz bands unless and until an ET licensee requires use of the spectrum. ET licensees are not required to pay relocation costs after the relocation rules sunset. Once the relocation rules sunset, an ET licensee may require the incumbent to cease operations, provided that the ET licensee intends to turn on a system within interference range of the incumbent, as determined by TIA TSB 10-F (for terrestrial-to-terrestrial situations) or TIA TSB 86 (for MSS satellite-to-terrestrial situations) or any standard successor. ET licensee notification to the affected FMS licensee must be in writing and must provide the incumbent with no less than six months to vacate the spectrum. After the six-month notice period has expired, the FMS licensee must turn its license back into the Commission, unless the parties have entered into an agreement which allows the FMS licensee to continue to operate on a mutually agreed upon basis. The date that the relocation rules sunset is determined as follows:</P>
                        <STARS/>
                        <P>(3) For the 12,700-13,250 MHz band, the sunset date shall be three years after the first ET license is issued in the band.</P>
                        <STARS/>
                    </SECTION>
                </SUPLINF>
                <FRDOC>[FR Doc. 2023-13500 Filed 7-7-23; 8:45 am]</FRDOC>
                <BILCOD>BILLING CODE 6712-01-P</BILCOD>
            </PRORULE>
        </PRORULES>
    </NEWPART>
    <VOL>88</VOL>
    <NO>130</NO>
    <DATE>Monday, July 10, 2023</DATE>
    <UNITNAME>Proposed Rules</UNITNAME>
    <NEWPART>
        <PTITLE>
            <PRTPAGE P="43977"/>
            <PARTNO>Part VI</PARTNO>
            <AGENCY TYPE="P">Department of Health and Human Services</AGENCY>
            <CFR>42 CFR Part 71</CFR>
            <HRULE/>
            <TITLE>Control of Communicable Diseases; Foreign Quarantine: Importation of Dogs and Cats; Proposed Rule</TITLE>
        </PTITLE>
        <PRORULES>
            <PRORULE>
                <PREAMB>
                    <PRTPAGE P="43978"/>
                    <AGENCY TYPE="S">DEPARTMENT OF HEALTH AND HUMAN SERVICES</AGENCY>
                    <CFR>42 CFR Part 71</CFR>
                    <DEPDOC>[CDC Docket No. CDC-2023-0051]</DEPDOC>
                    <RIN>RIN 0920-AA82</RIN>
                    <SUBJECT>Control of Communicable Diseases; Foreign Quarantine: Importation of Dogs and Cats</SUBJECT>
                    <AGY>
                        <HD SOURCE="HED">AGENCY:</HD>
                        <P>Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS).</P>
                    </AGY>
                    <ACT>
                        <HD SOURCE="HED">ACTION:</HD>
                        <P>Notice of proposed rulemaking.</P>
                    </ACT>
                    <SUM>
                        <HD SOURCE="HED">SUMMARY:</HD>
                        <P>The Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services (HHS), proposes to amend its foreign quarantine regulation to provide additional clarity and safeguards to address the public health risk of dog-maintained rabies virus variant (DMRVV) associated with the importation of dogs into the United States. The United States has been DMRVV-free since 2007, and reintroduction poses significant risk to human and animal health. The close relationship between dogs and people means there is a direct public health risk to individuals that interact with inadequately vaccinated dogs imported from countries at high risk of DMRVV (high-risk countries). The notice of proposed rulemaking (NPRM) also addresses the importation of cats because both dogs and cats are included in the current regulation. Cats are not required to have proof of rabies vaccination and CDC is not proposing new substantive changes relating to the importation of cats.</P>
                    </SUM>
                    <EFFDATE>
                        <HD SOURCE="HED">DATES:</HD>
                        <P>Written or electronic comments on the NPRM must be received by September 8, 2023.</P>
                        <P>Written comments on the proposed data collection requirements under the Paperwork Reduction Act must be received by September 8, 2023.</P>
                    </EFFDATE>
                    <ADD>
                        <HD SOURCE="HED">ADDRESSES:</HD>
                        <P/>
                        <P>
                            <E T="03">For the NPRM:</E>
                             You may submit comments, identified by Docket No. CDC-2023-0051 or RIN 0920-AA82, by either of the following ways:
                        </P>
                        <P>
                            • 
                            <E T="03">Federal Rulemaking Portal: http://www.regulations.gov.</E>
                             Follow the instructions for submitting comments.
                        </P>
                        <P>
                            • 
                            <E T="03">Mail:</E>
                             Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H16-4, Atlanta, GA 30329.
                        </P>
                        <P>
                            <E T="03">Instructions:</E>
                             All submissions received must include the agency name and docket number or Regulatory Information Number (RIN) for this action. All relevant comments received, including any personal information provided, will be posted without change to 
                            <E T="03">https://www.regulations.gov/.</E>
                             Do not submit comments by email. CDC does not accept comments by email.
                        </P>
                        <P>
                            To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Jeffrey M. Zirger, Information Collection Review Office Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570; Email: 
                            <E T="03">omb@cdc.gov.</E>
                        </P>
                    </ADD>
                    <FURINF>
                        <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD>
                        <P>Ashley C. Altenburger, J.D., Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H16-4, Atlanta, GA 30329. Telephone: 1-800-232-4636. For information regarding CDC operations and importations related to this NPRM, please contact Dr. Emily Pieracci, D.V.M., Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS H16-4, Atlanta, GA 30329; Telephone: 1-800-232-4636.</P>
                    </FURINF>
                </PREAMB>
                <SUPLINF>
                    <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
                    <P>The NPRM is organized as follows:</P>
                    <EXTRACT>
                        <FP SOURCE="FP-2">I. Executive Summary</FP>
                        <FP SOURCE="FP1-2">A. Purpose of This Regulatory Action</FP>
                        <FP SOURCE="FP1-2">B. Summary of Major Provisions</FP>
                        <FP SOURCE="FP1-2">C. Costs and Benefits</FP>
                        <FP SOURCE="FP-2">II. Public Participation</FP>
                        <FP SOURCE="FP-2">III. Background</FP>
                        <FP SOURCE="FP1-2">A. Legal Authority</FP>
                        <FP SOURCE="FP1-2">B. Historical Background</FP>
                        <FP SOURCE="FP1-2">C. Current Process</FP>
                        <FP SOURCE="FP-2">IV. Summary of Proposed Changes</FP>
                        <FP SOURCE="FP-2">V. Alternatives Considered</FP>
                        <FP SOURCE="FP-2">VI. Required Regulatory Analyses</FP>
                        <FP SOURCE="FP1-2">A. Executive Orders 12866 and 13563</FP>
                        <FP SOURCE="FP1-2">B. Regulatory Flexibility Act</FP>
                        <FP SOURCE="FP1-2">C. Paperwork Reduction Act of 1995</FP>
                        <FP SOURCE="FP1-2">D. National Environmental Policy Act (NEPA)</FP>
                        <FP SOURCE="FP1-2">E. Executive Order 12988: Civil Justice Reform</FP>
                        <FP SOURCE="FP1-2">F. Executive Order 13132: Federalism</FP>
                        <FP SOURCE="FP1-2">G. Plain Language Act of 2010</FP>
                    </EXTRACT>
                    <HD SOURCE="HD1">I. Executive Summary</HD>
                    <HD SOURCE="HD2">A. Purpose of This Regulatory Action</HD>
                    <P>
                        Through this NPRM, HHS/CDC proposes to revise its regulation at 42 CFR 71.51 to prevent the reintroduction and spread of dog-maintained rabies virus variant (DMRVV) in the United States. HHS/CDC also proposes amendments to 42 CFR 71.50, which contains definitions applicable to animal importations under 42 CFR part 71, subpart F. The United States was declared DMRVV-free in 2007.
                        <SU>1</SU>
                        <FTREF/>
                         The importation of just one dog infected with DMRVV risks re-introduction of the virus into the United States; such a public health threat could result in the loss of human and animal life and consequential economic impact.
                        <E T="51">2 3 4</E>
                        <FTREF/>
                         The rabies virus can infect any mammal, and, once clinical signs appear, the disease is almost always fatal.
                        <SU>5</SU>
                        <FTREF/>
                         A DMRVV-infected dog can transmit the virus to humans, domestic pets, livestock, or wildlife. Importing inadequately vaccinated dogs from countries at high risk of DMRVV (high-risk countries) 
                        <SU>6</SU>
                        <FTREF/>
                         involves a significant public health risk to people who directly interact with those dogs. In 2019, the importation of a DMRVV-infected dog cost the affected State governments more than $400,000 U.S. dollars (USD) for the ensuing public health investigations and rabies post-exposure prophylaxis (PEP) treatments administered to exposed persons.
                        <E T="51">7 8</E>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>1</SU>
                             Centers for Disease Control and Prevention. US Declared Canine-Rabies Free. 
                            <E T="03">https://www.cdc.gov/media/pressrel/2007/r070907.htm.</E>
                             Accessed June 1, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>2</SU>
                             World Bank (2012). People, Pathogens and Our Planet: The Economics of One Health. Retrieved from 
                            <E T="03">https://openknowledge.worldbank.org/handle/10986/11892.</E>
                        </P>
                        <P>
                            <SU>3</SU>
                             Raybern, C et al. Rabies in a dog imported from Egypt-Kansas, 2019. 
                            <E T="03">MMWR Morb Mort Wkly Rep</E>
                             2020; 69 (38): 1374-1377.
                        </P>
                        <P>
                            <SU>4</SU>
                             Jeon S, Cleaton J, Meltzer M, et al. Determining the post-elimination level of vaccination needed to prevent re-establishment of dog rabies. 
                            <E T="03">PLoS Neg Trop Dis 2019; 13 (12): e0007869.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>5</SU>
                             Fooks AR, Banyard AC, Horton DL, Johnson N, McElhinney LM, Jackson AC. Current status of rabies and prospects for elimination. Lancet 2014;384:1389-99.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>6</SU>
                             A complete list of countries with high risk of DMRVV is available at “High-Risk Countries for Dog Rabies.” 
                            <E T="03">https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/high-risk.html.</E>
                             Accessed June 8, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>7</SU>
                             Raybern, C et al. Rabies in a dog imported from Egypt-Kansas, 2019. 
                            <E T="03">MMWR Morb Mort Wkly Rep</E>
                             2020; 69 (38): 1374-1377.
                        </P>
                        <P>
                            <SU>8</SU>
                             Centers for Disease Control and Prevention (2022). Rabies Postexposure Prophylaxis. Retrieved from 
                            <E T="03">https://www.cdc.gov/rabies/medical_care/index.html.</E>
                        </P>
                    </FTNT>
                    <P>
                        Through this proposed rulemaking, HHS/CDC also seeks to prevent and deter the importation of dogs with falsified or fraudulent rabies vaccine documentation. In 2020, CDC observed a 52 percent increase in the number of dogs that were ineligible for admission due to falsified or fraudulent documentation, as compared to 2018 and 2019 (450 dogs compared to the previous baseline of 300 dogs per year).
                        <SU>9</SU>
                        <FTREF/>
                         This troubling trend continued in 2021, with an additional 24 percent increase of dogs ineligible for admission in just 
                        <PRTPAGE P="43979"/>
                        the first half of the year, compared to the full 2020 calendar year (January-December) (approximately 560 dogs with falsified or fraudulent documentation).
                        <SU>10</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>9</SU>
                             Centers for Disease Control and Prevention. Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog importation data, 2018-2020. Accessed: 15 February 2021.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>10</SU>
                             Centers for Disease Control and Prevention. Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog importation data, January 1, 2021-July 14, 2021. Accessed: 01 October 2021.
                        </P>
                    </FTNT>
                    <P>
                        The use of a single false rabies vaccination certificate (RVC) 
                        <SU>11</SU>
                        <FTREF/>
                         or rabies vaccination documents as part of a larger shipment of multiple dogs raises suspicion that the other rabies vaccination documents for the remaining dogs may also be false and creates an additional burden on CDC and State health departments to track, test, and evaluate the remaining dogs in the shipment. CDC and U.S. Customs and Border Protection (CBP) have documented numerous importations every year in which flight parents 
                        <SU>12</SU>
                        <FTREF/>
                         transport dogs for the purpose of resale, adoption, or transfer of ownership that do not meet CDC's entry requirements. These flight parents often claim the dogs are their personal pets to avoid U.S. Department of Agriculture (USDA) Animal Care entry requirements and potential tariffs or fees under CBP regulations. Even when well-meaning, these importers jeopardize public health, as many of them do not know the history of the animals they are transporting. Deterring individuals who serve as flight parents from supporting fraudulent dog importations has proven difficult despite the existence of CBP penalties relating to aiding unlawful importations and fraudulent conduct. 
                        <E T="03">See</E>
                         19 U.S.C. 1592 and 19 U.S.C. 1595a.
                    </P>
                    <FTNT>
                        <P>
                            <SU>11</SU>
                             Centers for Disease Control and Prevention. What is a valid rabies vaccination certificate? Available at: 
                            <E T="03">www.cdc.gov/importation/bringing-an-animal-into-the-united-states/vaccine-certificate.html.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>12</SU>
                             A flight parent refers to a person accompanying an animal into the country. Flight parents are often solicited through social media, not affiliated with the sponsoring dog rescue organization, and usually compensated with an airline ticket or other funds.
                        </P>
                    </FTNT>
                    <P>
                        The documented increase in fraudulent vaccine documentation and importers circumventing dog import regulations was shortly followed by the advent of the coronavirus disease 2019 (COVID-19) pandemic. Many public health resources were redirected to the COVID-19 response, reducing the availability of resources to respond to dog importation issues. In light of this confluence of events, in June 2021, CDC published a temporary suspension of dogs entering the United States from DMRVV high-risk countries.
                        <SU>13</SU>
                        <FTREF/>
                         The temporary suspension created a system that, among other things, implemented the use of standardized forms, required titer test results demonstrating the presence of rabies antibodies in dogs, and developed a reservation system allowing for the rapid quarantine of dogs from DMRVV high-risk countries arriving with inadequate proof of titers. During the temporary suspension, CDC has documented decreased instances of fraud, fewer dogs being denied admission into the country, fewer sick and dead dogs arriving in the United States, and fewer federal and state agency resources devoted to addressing issues related to inadequately vaccinated dogs upon arrival. This NPRM proposes a similar regulatory framework based on the documented successes of the temporary suspension.
                    </P>
                    <FTNT>
                        <P>
                            <SU>13</SU>
                             Temporary Suspension of Dogs Entering the United States from High-Risk Rabies Countries. 
                            <E T="04">Federal Register</E>
                            , 86 FR 32041 (June 16, 2021).
                        </P>
                    </FTNT>
                    <P>In parallel with the publication of this NPRM, CDC has published an extension of the temporary suspension through July 31, 2024. A suspension remains necessary to protect the public's health against the reintroduction of DMRVV into the United States because there is a continued threat posed by dogs from DMRVV high-risk countries that are unvaccinated or inadequately vaccinated against rabies. This continued threat is due to various factors, including: a high volume of dogs being imported into the United States contemporaneous with insufficient veterinary controls in DMRVV high-risk countries to prevent the export of inadequately vaccinated dogs, inadequate veterinary supply chains for vaccines and related materials, and persistent workforce capacity shortages, particularly in DMRVV high-risk countries that export dogs to the United States.</P>
                    <P>This NPRM proposes to incorporate practices used during the temporary suspension period that CDC found effective to better protect the public's health from introductions of DMRVV from high-risk countries and reduce potential instances of fraudulent documentation. The NPRM outlines a framework and set of operations that CDC believes would mitigate the need for suspending dog imports from high-risk countries should these procedures be adopted. We welcome feedback from the public on all proposals contained within this NRPM.</P>
                    <HD SOURCE="HD2">B. Summary of Major Provisions</HD>
                    <P>
                        In this NPRM, HHS/CDC proposes to align U.S. import requirements for dogs with the importation requirements of other DMRVV-free countries by requiring proof of rabies vaccination and adequate serologic test results from a CDC-approved laboratory. This NPRM proposes for all dog imports: a microchip, six-month minimum age requirement for admission, importer submission of a CDC import form (
                        <E T="03">CDC Import Submission Form</E>
                        ), and requirements for airlines to confirm documentation, provide safe housing, and assist public health officials in determining animal cause of death.
                    </P>
                    <P>HHS/CDC proposes all importers of dogs that have been in a DMRVV high-risk country in the past six months, regardless of whether foreign- or U.S.-vaccinated, would be required to submit a standardized vaccination form verifying the rabies vaccination status of dogs. For dogs that have been in a DMRVV high-risk country in the past six months and have a valid U.S.-issued rabies vaccination certificate, this NPRM proposes that the dog be required to arrive at a U.S. airport with a CDC quarantine station. For dogs that have been in a DMRVV high-risk country in the past six months, and were vaccinated in a foreign country, this NPRM proposes that the dog be required to arrive a U.S. airport with a CDC quarantine station and a CDC-registered Animal Care Facility. This NPRM further proposes that dogs imported from DMRVV-free or DMRVV low-risk countries be eligible to arrive at any U.S. port. In lieu of a CDC vaccination form, which would be required for dogs imported from DMRVV high-risk countries, these importers may instead provide proof that the dogs have only been in DMRVV-free or DMRVV low-risk countries during the previous six months prior to arriving in the United States.</P>
                    <P>
                        HHS/CDC also proposes to require that all dogs arriving from any country, including dogs returning to the United States after traveling abroad, be properly microchipped with an International Standards Organization (ISO)-compatible microchip prior to travel into the United States. The microchip information would be included on importation documents to help ensure that dogs presented for admission are the same dogs as those listed on the rabies vaccination records. Microchips are already used globally and required for importation in many DMRVV-free countries. Microchips are recommended by the international veterinary community and animal rescue and welfare organizations to reunite lost animals with their owners and ensure the veterinary records for an animal can be linked to the animal.
                        <SU>14</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>14</SU>
                             American Veterinary Medical Association. Microchipping FAQ. 
                            <E T="03">https://www.avma.org/resources-tools/pet-owners/petcare/microchips-reunite-pets-families/microchipping-faq.</E>
                             Accessed June 1, 2023.
                        </P>
                    </FTNT>
                    <P>
                        The microchip requirement will also promote greater confidence in the 
                        <PRTPAGE P="43980"/>
                        information recorded on the rabies vaccination records. CDC has documented several instances of importers attempting to present records of vaccinated dogs that became ill or died before travel as the vaccination records for dogs that lacked appropriate veterinary paperwork, presenting the original dogs' vaccination records for the replacement dogs and attempting to import the unvaccinated dogs into the United States without detection.
                        <SU>15</SU>
                        <FTREF/>
                         Because microchips are not currently required for entry into the United States and the dogs in question were not microchipped, the public health investigation to confirm the identity of these dogs was both resource intensive and challenging. Further, during CDC's temporary suspension of dogs entering the United States from DMRVV high-risk countries, CDC documented that 99 percent (&gt;20,000) of permit applications received were for dogs that had microchips implanted prior to the announcement of the suspension. Microchips are frequently used by pet owners and required for international transit by many foreign countries. Therefore, CDC's proposed requirement would have minimal impact on dog importations, although costs to some importers would still be incurred. We welcome feedback on this proposal.
                    </P>
                    <FTNT>
                        <P>
                            <SU>15</SU>
                             Centers for Disease Control and Prevention. Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog importation data, 2018-2020. Accessed: February 15, 2021.
                        </P>
                    </FTNT>
                    <P>
                        To address concerns about importations of puppies that are too young to be properly vaccinated against rabies, through this NPRM, HHS/CDC proposes requiring that any dog arriving in the United States be at least six months of age. Dogs cannot be vaccinated effectively against rabies before 12 weeks of age and are not considered fully vaccinated until 28 days after vaccination.
                        <SU>16</SU>
                        <FTREF/>
                         Establishing a six-month minimum age requirement for the import of dogs aligns with current USDA requirements for commercial dog imports under the Animal Welfare Act 
                        <SU>17</SU>
                        <FTREF/>
                         and will better protect the public's health from rabies. Under this proposal, an exception would be included to permit an owner to import a maximum of three individual (personal pet) dogs under six months of age in the same calendar year (January-December) if arriving in the United States via a U.S. land port through Canada or Mexico, provided the dogs have not been in a DMRVV high-risk or DMRVV-restricted country since birth. CDC notes that both Canada and Mexico are currently DMRVV-free countries, and a limited exception to accommodate personal pet owners who travel by land between the U.S. and Canada or Mexico is unlikely to threaten the public's health. HHS/CDC specifically welcomes public comment this proposal.
                    </P>
                    <FTNT>
                        <P>
                            <SU>16</SU>
                             National Association of State Public Health Veterinarians. Compendium of animal rabies prevention and control, 2016. 
                            <E T="03">JAVMA</E>
                             2016; 248 (5):505-517.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>17</SU>
                             7 U.S.C. 2148.
                        </P>
                    </FTNT>
                    <P>
                        In this NPRM, HHS/CDC also proposes to require all dog importers to submit a 
                        <E T="03">CDC Import Submission Form</E>
                         (
                        <E T="03">i.e.,</E>
                         an online form that includes the importers' contact information and information related to each dog being imported) via a CDC-approved system prior to travel to the United States. This proposed requirement would apply to all imported dogs (including dogs arriving from DMRVV-free and DMRVV low-risk countries) arriving in the United States by air, land, or sea. Upon arrival at a U.S. port,
                        <SU>18</SU>
                        <FTREF/>
                         importers will present a receipt confirming they submitted a completed 
                        <E T="03">CDC Import Submission Form;</E>
                         additionally, importers arriving by air will present the receipt to the airline prior to boarding. The receipt will contain the information submitted on the 
                        <E T="03">CDC Import Submission Form,</E>
                         which will allow government officials to verify that the details from the 
                        <E T="03">CDC Import Submission Form</E>
                         match the dog being presented for entry. CDC's import submission system would operate as a free online system. Requiring documentation for all imported dogs would allow CDC to track the total number of dog importations (including the number imported from DMRVV high-risk countries), something CDC is unable to do currently.
                    </P>
                    <FTNT>
                        <P>
                            <SU>18</SU>
                             U.S. Port means any seaport, airport, or border crossing point under the control of the United States. 42 CFR 71.1(b).
                        </P>
                    </FTNT>
                    <P>HHS/CDC further proposes that an airline, prior to accepting a dog for transport, must confirm that the dog possess all required import documentation based on the country of origin. Airlines must also ensure dogs from DMRVV high-risk countries will only be entering the United States through a designated U.S. airport with a CDC quarantine station (if U.S.-vaccinated) or a U.S. airport with both a CDC quarantine station and a CDC-registered Animal Care Facility (if foreign-vaccinated) and that the importer possesses a reservation with the CDC-registered Animal Care Facility for examination, vaccination, and quarantine (if required). As needed, CDC will coordinate with the airline regarding transport of the dog to the CDC-registered Animal Care Facility. These regulatory actions (if finalized as proposed) would help ensure that dogs arriving in the United States from DMRVV high-risk countries are adequately protected against rabies and do not pose a public health threat. We welcome feedback from the public on this proposal.</P>
                    <P>HHS/CDC proposes to require that airlines return dogs or cats denied admission to the country of departure within 72 hours after arrival. The responsibility for a dog or cat pending admission into the United States or awaiting return to the country of departure has been a point of confusion for many airlines, resulting in delayed care and improper housing for numerous animals. Delays in returning dogs to their countries of departure also potentially threaten U.S. public health by exposing people to dogs with unknown rabies vaccination status. HHS/CDC proposes that the airline on which a dog or cat is brought to the United States must arrange for and ensure transportation and care until the animal is either returned to the county of departure or cleared for entry into the United States.</P>
                    <P>
                        HHS/CDC also proposes a provision regarding dogs and cats that die 
                        <E T="03">en route</E>
                         to the United States or that die while detained pending determination of their admissibility. This provision is primarily directed at airlines and would require that they transport deceased dogs and cats and arrange for necropsy requiring gross and histopathologic examination and any subsequent infectious disease testing based on the findings. The importer is responsible for all costs associated with necropsy and testing. The airline would also be required to notify the CDC quarantine station of jurisdiction 
                        <SU>19</SU>
                        <FTREF/>
                         prior to transporting a dead dog or cat for a necropsy to determine whether rabies testing is required and provide the quarantine station with the final necropsy report and all test results. These measures will help CDC rule out foreign animal diseases of public health concern 
                        <SU>20</SU>
                        <FTREF/>
                         as a potential cause of death and will protect both animal and human health. The provisions of this paragraph may also be applied to other carriers transporting such dogs and cats in the very rare event when the death of a dog or cat occurs 
                        <E T="03">en route</E>
                         to the United 
                        <PRTPAGE P="43981"/>
                        States, or the animal dies while detained pending determination of their admissibility. HHS/CDC welcomes public comment specifically on these proposed requirements.
                    </P>
                    <FTNT>
                        <P>
                            <SU>19</SU>
                             CDC quarantine station jurisdictions, available at: 
                            <E T="03">www.cdc.gov/quarantine/quarantinestationsjurisdictionscounties.html.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>20</SU>
                             U.S. Department of Agriculture. Notifiable Diseases and Conditions. 
                            <E T="03">https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/nvap/NVAP-Reference-Guide/Animal-Health-Emergency-Management/Notifiable-Diseases-and-Conditions.</E>
                        </P>
                    </FTNT>
                    <P>Through this NPRM, HHS/CDC proposes to remove the current requirement for a valid RVC in 42 CFR 71.51(c) and replace it with new rabies vaccination forms for dogs imported from DMRVV high-risk countries. The proposed rabies vaccination forms would include the rabies vaccination status of the dog and other required information similar to the current valid RVC requirement. However, unlike the current requirement for a valid RVC, the proposed rabies vaccination forms would be standardized.</P>
                    <P>
                        The rabies vaccination form for foreign-vaccinated dogs would also be certified by a government official in the exporting country, as an added measure to prevent falsification. The acceptable rabies vaccination form to fulfill this requirement for foreign-vaccinated dogs from DMRVV high-risk countries would be titled “
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States.”</E>
                         This proposed change would help ensure that foreign-vaccinated dogs imported from DMRVV high-risk countries meet CDC entry requirements prior to traveling to the United States and allow for follow-up with the exporting country's government officials if repeated import violations occur. HHS/CDC welcomes public comment on this proposed requirement.
                    </P>
                    <P>
                        Under the proposed rule, importers of U.S.-vaccinated dogs presenting for re-entry into the United States from countries at high risk for DMRVV would be required to arrive at a U.S. airport with a CDC quarantine station. Additionally, prior to traveling out of the United States, a USDA-Accredited Veterinarian would need to complete and sign a form titled “
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States.”</E>
                         This form would then be certified by a USDA Official Veterinarian prior to departing the United States and would need to be presented by the importer to the airline to board the dog on its return flight to the United States. The importer would also need to present this form when requested to do so by U.S. government officials upon arrival. The use of this form would decrease the likelihood of falsification or fraud because it would include information in a standardized format and rely on USDA's existing veterinary accreditation system. Dogs arriving with this form would not be subject to the requirement for veterinary examination (unless ill, injured, or exposed), revaccination, verification of adequate rabies serologic tests, and/or post-vaccination quarantine at a CDC-registered Animal Care Facility.
                    </P>
                    <P>In this NPRM, CDC/HHS proposes to require importers of foreign-vaccinated dogs from DMRVV high-risk countries to enter the United States through an airport with a CDC quarantine station and a CDC-registered Animal Care Facility. The importer would also need to obtain a rabies serologic test from a CDC-approved laboratory for their foreign-vaccinated dogs demonstrating adequate titer levels. In addition, the importer would also need to have a reservation at the CDC-registered Animal Care Facility and have their dog(s) undergo a veterinary exam and revaccination with a USDA-licensed rabies vaccine at the CDC-registered Animal Care Facility. Importers of foreign-vaccinated dogs who cannot obtain serologic test results prior to importation would be required to have their dog remain under quarantine at the facility for 28 days after revaccination or until verification of adequate rabies serologic test from a CDC-approved laboratory is obtained, whichever occurs first. HHS/CDC is requesting comment on this proposed process.</P>
                    <P>
                        HHS/CDC proposes a narrow exception for both U.S.- and foreign-vaccinated service dogs that have been in a DMRVV high-risk country within the last six months. This exception would allow such dogs to enter the U.S. at a U.S. seaport if the dog is at least six months of age, has a microchip, has either a complete, accurate, and valid 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         form or a complete, accurate, and valid 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         form, as appropriate, and has sufficient and valid titer results from a CDC-approved laboratory (if the dog is foreign-vaccinated). To be considered a valid service dog, the dog would need to meet the definition of a “service animal” under 14 CFR 382.3, be accompanied by an “individual with a disability” as defined under 14 CFR 382.3, and work or perform tasks directly related to that individual's disability. HHS/CDC is requesting comment on this proposed exception. HHS/CDC also proposes to prohibit or otherwise restrict importation of dogs into the United States from certain countries that have a history of exporting dogs infected with DMRVV to other countries or have demonstrated a lack of appropriate veterinary controls to prevent the exportation of rabid dogs. To implement this provision, HHS/CDC proposes to maintain a “List of DMRVV-Restricted Countries” from which the importation of dogs into the United States would be prohibited. The list of DMRVV-restricted countries would be maintained on CDC's website. Additions or removals of countries would also be announced in notices published in the 
                        <E T="04">Federal Register</E>
                        . Under this proposal, CDC would retain the ability to issue a special exemption on an extremely limited basis for dogs that have been in a DMRVV-restricted country in the six months prior to their importation into the United States (
                        <E T="03">e.g.,</E>
                         for dogs imported for scientific purposes, for use as a trained service animal for individuals with disabilities,
                        <SU>21</SU>
                        <FTREF/>
                         or in furtherance of an important government interest). HHS/CDC welcomes public comment on public health standards and evidence used to maintain a list of DMRVV-restricted countries and the length of time or conditions to be met before a country is added or eligible for removal from the list. Additionally, HHS/CDC welcomes public comment on how the list will be maintained and whether publication on CDC's website and through 
                        <E T="04">Federal Register</E>
                         notices would be sufficient to adequately inform importers.
                    </P>
                    <FTNT>
                        <P>
                            <SU>21</SU>
                             Emotional support animals are not recognized as service animals. U.S. Department of Transportation. Service Animals. 
                            <E T="03">https://www.transportation.gov/individuals/aviation-consumer-protection/service-animals,</E>
                             last updated June 9, 2021.
                        </P>
                    </FTNT>
                    <P>
                        HHS/CDC proposes that airlines be required to confirm prior to boarding that the dog is scheduled to arrive at an approved U.S. airport and, if foreign-vaccinated, that the importer has documentation confirming a reservation at the CDC-registered Animal Care Facility. This will ensure that CDC and USDA can follow up with airlines more easily to ensure animals are being properly handled (
                        <E T="03">e.g.,</E>
                         not left in cargo warehouses for prolonged periods of time that endanger the health of the animal). Additionally, to address concerns relating to the movement of dogs or cats that are sick or dead upon arrival, HHS/CDC proposes to require that airlines transport all sick or dead animals (regardless of vaccination status and country of origin) to a CDC-registered Animal Care Facility or, under certain conditions, to other CDC- or USDA-approved veterinary clinic within six hours of arrival. CDC acknowledges that extraordinary circumstances, such as extreme weather, may delay the transport of animals beyond the six-hour window. Under 
                        <PRTPAGE P="43982"/>
                        such circumstances, CDC will work closely with airlines to address these rare and unforeseen events while ensuring the safe handling of animals. CDC also will work with importers who arrive at unapproved U.S. ports based on circumstances beyond their control (
                        <E T="03">e.g.,</E>
                         re-routing of their flight due to extreme weather). CDC quarantine station staff are available 24 hours a day to assist streamlined coordination and processing of dog and cat importation at U.S. ports and provide coverage for geographic areas beyond the U.S. port in which the CDC quarantine station is located.
                    </P>
                    <P>HHS/CDC also proposes establishing requirements for businesses that wish to become CDC-registered Animal Care Facilities. Requirements would include a USDA intermediate handlers license and approval by CBP to act as a CBP-bonded facility with an active Facilities Information and Resource Management System (FIRMS) code. This will ensure dogs and cats receive appropriate veterinary care and are housed in a way that prevents the spread of infectious diseases while protecting the safety of the animals.</P>
                    <P>The requirements HHS/CDC is proposing in this NPRM for dog importation into the United States are summarized below in Table 1. Since HHS/CDC is not proposing substantial changes to cat importation requirements, Table 1 does not apply to cats.</P>
                    <GPOTABLE COLS="5" OPTS="L2,nj,p7,7/8,i1" CDEF="s50,r30,xs40,r75,r50">
                        <TTITLE>Table 1—Summary Table of Proposed Importation Requirements for Dogs Based on Vaccination Status and Country of Origin</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">Requirements for admission</CHED>
                            <CHED H="2">Age</CHED>
                            <CHED H="2">
                                ISO-
                                <LI>compatible </LI>
                                <LI>microchip</LI>
                            </CHED>
                            <CHED H="2">Documentation</CHED>
                            <CHED H="2">Approved U.S. ports</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">U.S.-Vaccinated Dog from DMRVV High-Risk Country</ENT>
                            <ENT>At least six months of age</ENT>
                            <ENT>Yes</ENT>
                            <ENT>
                                Valid 
                                <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                                 Form and 
                                <E T="03">CDC Import Submission</E>
                                 Form receipt
                            </ENT>
                            <ENT>Only U.S. airports with a CDC quarantine station.*</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Foreign-Vaccinated Dog from DMRVV High-Risk Country</ENT>
                            <ENT>At least six months of age</ENT>
                            <ENT>Yes</ENT>
                            <ENT>
                                Reservation with a CDC-registered Animal Care Facility, 
                                <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                                 Form, 
                                <E T="03">CDC Import Submission Form</E>
                                 receipt, titer results from a CDC-approved laboratory (dogs without titer results will be required to quarantine)
                            </ENT>
                            <ENT>Only U.S. airports with a CDC quarantine station and a CDC-registered Animal Care Facility.*</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Dog from Rabies-Free or DMRVV Low-Risk Country</ENT>
                            <ENT>At least six months of age **</ENT>
                            <ENT>Yes</ENT>
                            <ENT>
                                There are no vaccination requirements, however, written documentation that the dog has resided or otherwise been only in a DMRVV low-risk or rabies-free country for the six months prior to the attempted entry and 
                                <E T="03">CDC Import Submission Form</E>
                                 receipt
                            </ENT>
                            <ENT>All U.S. ports.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">U.S.- or Foreign-Vaccinated Dog from DMRVV-Restricted Country</ENT>
                            <ENT>At least six months of age</ENT>
                            <ENT>Yes</ENT>
                            <ENT>
                                <E T="03">CDC Dog Import Permit</E>
                                 for limited groups of dogs (i.e., service animals, government-owned animals)
                            </ENT>
                            <ENT>Only U.S. airports with a CDC quarantine station and a CDC-registered Animal Care Facility.</ENT>
                        </ROW>
                        <TNOTE>
                            * Dogs arriving at U.S. land ports that have been in DMRVV high-risk countries within the last six months will be denied admission. All service dogs entering at U.S. seaports must be six months of age, have an ISO-compatible microchip, and have a receipt confirming submission of a 
                            <E T="03">CDC Import Submission Form.</E>
                             Service dogs that have been in DMRVV high-risk countries within the last six months may enter the United States at U.S. seaports if they have either a valid 
                            <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                             Form or both a valid 
                            <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                             Form and sufficient and valid titer results from a CDC-approved laboratory.
                        </TNOTE>
                        <TNOTE>** Dogs arriving at U.S. land ports are subject to the six-month minimum age requirement. However, an importer may import up to three dogs younger than six months of age in a calendar year if the dogs have not been in a DMRVV high-risk country since birth.</TNOTE>
                    </GPOTABLE>
                    <P>The forms HHS/CDC is proposing be required in this NPRM for dog importation into the United States are summarized below in Table 2. Since HHS/CDC is not proposing substantial changes to cat importation requirements, Table 2 does not apply to cats.</P>
                    <GPOTABLE COLS="5" OPTS="L2,nj,p7,7/8,i1" CDEF="s50,xs60,xs60,xs60,xs60">
                        <TTITLE>Table 2—Summary Table of Proposed Forms Required From Importers of Dogs Based on Vaccination Status and Country of Origin</TTITLE>
                        <BOXHD>
                            <CHED H="1">Form</CHED>
                            <CHED H="1">Dog from rabies-free or DMRVV low-risk country</CHED>
                            <CHED H="1">U.S.-vaccinated dog from DMRVV high-risk country</CHED>
                            <CHED H="1">Foreign-vaccinated dog from DMRVV high-risk country</CHED>
                            <CHED H="1">U.S.-vaccinated dog from DMRVV-restricted country</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">
                                <E T="03">CDC Import Submission Form</E>
                            </ENT>
                            <ENT>Required</ENT>
                            <ENT>Required</ENT>
                            <ENT>Required</ENT>
                            <ENT>Required.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                                 Form
                            </ENT>
                            <ENT>Not Required</ENT>
                            <ENT>Required</ENT>
                            <ENT>N/A</ENT>
                            <ENT>Required.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                                 Form
                            </ENT>
                            <ENT>Not Required</ENT>
                            <ENT>N/A</ENT>
                            <ENT>Required</ENT>
                            <ENT>N/A.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                <E T="03">Application for Special Exemption for a Permitted Dog Import</E>
                                 Form
                            </ENT>
                            <ENT>Not Required</ENT>
                            <ENT>Not Required</ENT>
                            <ENT>Not Required</ENT>
                            <ENT>Required.</ENT>
                        </ROW>
                        <TNOTE>* Importers of foreign-vaccinated dogs from DMRVV high-risk countries will also be required to provide additional information to the CDC-registered Animal Care Facilities to make a reservation for their dog prior to arrival in the United States.</TNOTE>
                    </GPOTABLE>
                    <P>
                        The documentation HHS/CDC is proposing in this NPRM be presented at the U.S. port upon arrival for dog importation into the United States is summarized below in Table 3. Since HHS/CDC is not proposing substantial changes to cat importation requirements, Table 3 does not apply to cats.
                        <PRTPAGE P="43983"/>
                    </P>
                    <GPOTABLE COLS="5" OPTS="L2,nj,p7,7/8,i1" CDEF="s50,xs60,xs60,xs60,xs60">
                        <TTITLE>Table 3—Summary Table of Proposed Required Documentation To Be Presented at U.S. Port Upon Arrival for Dogs Based on Vaccination Status and Country of Origin</TTITLE>
                        <BOXHD>
                            <CHED H="1">Documentation to be presented at U.S. port upon arrival</CHED>
                            <CHED H="1">Dog from rabies-free or DMRVV low-risk country</CHED>
                            <CHED H="1">U.S.-vaccinated dog from DMRVV high-risk country</CHED>
                            <CHED H="1">Foreign-vaccinated dog from DMRVV high-risk country</CHED>
                            <CHED H="1">U.S.-vaccinated dog from DMRVV-restricted country</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">
                                <E T="03">CDC Import Submission Form</E>
                                 Receipt
                            </ENT>
                            <ENT>Required</ENT>
                            <ENT>Required</ENT>
                            <ENT>Required</ENT>
                            <ENT>Required.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Written documentation that the animal has resided or otherwise been only in a rabies-free or DMRVV low-risk country for the six months prior to the attempted entry</ENT>
                            <ENT>Required</ENT>
                            <ENT>N/A</ENT>
                            <ENT>N/A</ENT>
                            <ENT>N/A.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                                 Form
                            </ENT>
                            <ENT>Not Required</ENT>
                            <ENT>Required</ENT>
                            <ENT>N/A</ENT>
                            <ENT>Not Required.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Reservation with a CDC-registered Animal Care Facility</ENT>
                            <ENT>Not Required</ENT>
                            <ENT>Not Required</ENT>
                            <ENT>Required</ENT>
                            <ENT>May be required.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                <E T="03">CDC Dog Import Permit</E>
                            </ENT>
                            <ENT>N/A</ENT>
                            <ENT>N/A</ENT>
                            <ENT>N/A</ENT>
                            <ENT>Required.</ENT>
                        </ROW>
                    </GPOTABLE>
                    <HD SOURCE="HD2">C. Costs and Benefits</HD>
                    <P>CDC conducted an analysis to estimate the distributions of costs and benefits that may be incurred if a final rule is published in the future with the requirements proposed in this NPRM. The provisions of this NPRM (if finalized as proposed) are not likely to have an effect on the economy of $200 million or more in any one year, although there is considerable uncertainty around the number of dogs imported at baseline, including the number of dogs imported from DMRVV high-risk countries. HHS/CDC is soliciting public comment on costs to importers, airlines and other carriers, and State and local health departments of the proposed requirements in this NPRM to improve the accuracy of cost and benefit estimates for a future final rule.</P>
                    <P>The provisions of this NPRM (if finalized as proposed) will address the market inefficiency in which dog importers do not account for the potential detrimental impacts to public health that may result from the importation of ill dogs, especially dogs infected with DMRVV. Federal regulation is necessary to mitigate the risk of importing infected dogs. Federal action allows risks to be addressed prior to dogs' arrival in the United States and for dogs to be evaluated, revaccinated, and possibly quarantined (if required) in controlled conditions after their arrival in the United States. The regulatory changes proposed in this NPRM (if finalized as proposed) are expected to affect the following categories of interested parties and implementing partners:</P>
                    <P>• Importers of dogs from countries that are DMRVV-free or are low risk for DMRVV;</P>
                    <P>• Importers of dogs from countries that are at high risk of DMRVV;</P>
                    <P>• Airlines and other carriers;</P>
                    <P>• CBP;</P>
                    <P>• CDC;</P>
                    <P>• USDA; and</P>
                    <P>• State and local public health and animal health departments.</P>
                    <P>The changes proposed in the NPRM incorporate different requirements for dogs imported from DMRVV high-risk countries than those imported from DMRVV-free or DMRVV low-risk countries. The annualized and present value estimates of monetized costs and benefits over the 10-year period from 2023 through 2032 using three percent and seven percent discount rates are summarized below. The annualized, monetized costs (2020 USD) of the provisions in the NPRM (if finalized as proposed) are estimated to be $29 million (range: $7.7 to $87 million) using a three percent discount rate; the estimated monetized costs using a seven percent discount rate are largely the same.</P>
                    <P>
                        Most monetized costs are expected to be incurred by importers (84 percent of costs is the most likely estimate). The estimated monetized costs are about 3.8 times greater for importers of dogs from DMRVV high-risk countries compared to importers of dogs from DMRVV-free or low-risk countries. The provisions proposed in the NPRM estimated to result in the greatest increase in costs for importers of dogs are those associated with the veterinary examination and revaccination against rabies at a CDC-registered Animal Care Facility for foreign-vaccinated dogs from DMRVV high-risk countries in proposed section 71.51(k), costs for titer testing of foreign-vaccinated dogs from DMRVV high-risk countries, additional costs associated with the proposed 
                        <E T="03">CDC Import Submission Form</E>
                         requirements and including the information from the form for all dogs in CDC data systems prior to or upon entry, the proposed minimum age for imported dogs, and the proposed microchip requirements for all imported dogs. Other costs include (1) an expected reduction in the number of dogs imported from DMRVV high-risk countries, (2) the proposed requirements to arrive at one of 18 U.S. airports with a CDC quarantine station such that some travelers would need to arrange their travel plans to arrive at these approved U.S. airports (required for U.S.-vaccinated dogs arriving from DMRVV high-risk countries) or a more limited number of U.S. airports with CDC-registered Animal Care Facilities (required for foreign-vaccinated dogs arriving from DMRVV high-risk countries) rather than other airports without CDC staff, and (3) the proposed requirement of obtaining a 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form or a 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form with certification by an Official Government Veterinarian for all dogs from DMRVV high-risk countries.
                    </P>
                    <P>Airlines are estimated to absorb about 8.7 percent of the estimated annualized costs associated with the NPRM (if finalized as proposed). Most airline costs would result from ensuring that all transported dogs comply with the new requirements in the NPRM (if finalized as proposed) and from a small reduction in the number of dogs transported.</P>
                    <P>CDC is estimated to incur about 6.9 percent of the annualized, monetized costs (most likely estimate) associated with the provisions of this NPRM (if finalized as proposed). Most CDC costs would be associated with the oversight of animal care facilities, which must be approved by and registered with CDC, and the establishment of a laboratory proficiency testing program to support serologic testing for foreign-vaccinated dogs imported from DMRVV high-risk countries. CBP is expected to incur about 0.5 percent of the annualized costs (most likely estimate) associated with the provisions of this NPRM (if finalized as proposed). Most CBP costs would result from training on the proposed new requirements.</P>
                    <P>
                        The annualized monetized benefits of the provisions in the NPRM (if finalized as proposed) are estimated to be about $1.9 million (range: $0.80 to $4.2 million) using a three percent or seven percent discount rate. Most benefits would accrue to importers (46 percent of the most likely estimates) and to CBP 
                        <PRTPAGE P="43984"/>
                        (41 percent of the most likely estimate). Some of the benefits estimated for both importers and CBP would result from reduced time spent on screening dogs from high-risk countries at U.S. ports. The requirements in the NPRM (if finalized as proposed) are estimated to reduce the amount of time required to verify admissibility per dog at U.S. ports because it is assumed that rabies vaccination documentation will be included in standardized forms for importers of dogs from DMRVV high-risk countries. The provisions in this NPRM (if finalized as proposed) are also estimated to reduce the number of dogs arriving ill or dead and the number of dogs denied entry, with benefits estimated for importers, airlines, and CDC.
                    </P>
                    <P>The wide range between the lower-bound and upper-bound cost and benefit estimates demonstrates that there is considerable uncertainty in these results. At present, the number of dogs imported into the United States is neither accurately nor completely tracked by any data system, and the uncertainty in the cost and benefit estimates reflect uncertainty in both the total number of dogs imported and the number of dogs imported from DMRVV high-risk countries, as well as the cost of the new requirements in the NPRM (if finalized as proposed). The net annualized, monetized costs (total cost estimate − total benefit estimate) were estimated to be about $26 million per year (range: $6.9 to $83 million) using a three percent discount rate. The annualized estimates were relatively unaffected by using a seven percent discount rate.</P>
                    <P>
                        The importation of just one dog infected with DMRVV risks reintroduction of the virus into the United States, which could result in loss of human and animal life and substantial public health response costs.
                        <E T="51">22 23 24</E>
                        <FTREF/>
                         The average cost per importation of a single DMRVV-infected dog is estimated to be $320,000 (range: $220,000 to $520,000) for conducting public health investigations and administering rabies PEP to exposed persons. The primary public health benefit of the provisions in the NPRM (if finalized as proposed) is the reduced risk that a dog with DMRVV will be imported from a DMRVV high-risk country. The above estimate of the cost of importation of a dog with DMRVV does not account for the worst-case outcomes, which include (1) transmission of rabies to a person who dies from the disease, and (2) ongoing transmission to other domestic and wildlife species in the United States. The cost of re-introduction could be especially high if DMRVV spreads to other species of U.S. wildlife. Re-establishment of DMRVV in the United States could result in costly efforts over several years to eliminate the virus again. The costs to contain any reintroduction would depend on the time period before the reintroduction was realized, the wildlife species in which DMRVV was transmitted, and the geographic area over which reintroduction occurs.
                    </P>
                    <FTNT>
                        <P>
                            <SU>22</SU>
                             Smith J, le Gall F, Stephenson S, et al. People, pathogens and our planet. The Economics of One Health 2012;2.
                        </P>
                        <P>
                            <SU>23</SU>
                             Raybern, C et al. Rabies in a dog imported from Egypt-Kansas, 2019. 
                            <E T="03">MMWR Morb Mort Wkly Rep</E>
                             2020; 69 (38): 1374-1377.
                        </P>
                        <P>
                            <SU>24</SU>
                             Jeon S, Cleaton J, Meltzer M, et al. Determining the post-elimination level of vaccination needed to prevent re-establishment of dog rabies. 
                            <E T="03">PLoS Neg Trop Dis 2019; 13 (12): e0007869</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        An increase in human deaths from DMRVV could occur following the re-introduction of DMRVV to the United States, as the risk of exposure would increase. Human deaths from rabies continue to occur in the United States after exposures to wild animals, and there have been eight deaths among U.S. residents bitten by rabid dogs while traveling abroad in DMRVV high-risk countries since 2009.
                        <SU>25</SU>
                        <FTREF/>
                         CDC uses the value of statistical life (VSL) to support quantifying benefits for interventions that can result in mortality risk reductions. HHS recommends using a median estimate of $11.6 million and a range of $5.5 to $17.7 million (2020 USD).
                        <SU>26</SU>
                        <FTREF/>
                         CDC is unable to estimate the potential magnitude of the mortality risk reduction associated with the proposed rule. Based on the median VSL, averting three human deaths per year would mean the benefits of the NPRM (if finalized as proposed) would exceed its costs.
                    </P>
                    <FTNT>
                        <P>
                            <SU>25</SU>
                             Human Rabies. 
                            <E T="03">https://www.cdc.gov/rabies/location/usa/surveillance/human_rabies.html</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>26</SU>
                             U.S. Department of Health and Human Services, 2016. Office of the Assistant Secretary for Planning and Evaluation. Guidelines for Regulatory Impact Analysis. 
                            <E T="03">https://aspe.hhs.gov/sites/default/files/private/pdf/242926/HHS_RIAGuidance.pdf</E>
                            . Accessed: April 20, 2020.
                        </P>
                    </FTNT>
                    <P>
                        CDC and other Federal government agencies do not know with precision the number of dogs imported each year or the countries from which the dogs originate. More comprehensive data on where dogs are imported from may benefit public health investigations. Arrival data on animals exposed to a dog with DMRVV on U.S.-bound flights, for example, would expedite follow-up of exposed dogs in the United States. The lack of data received from implementing the current regulations also inhibits the Federal government's ability to target interventions for dogs imported from specific countries. Of note, the COVID-19 pandemic weakened rabies control programs in some DMRVV high-risk countries, increasing the risk that imported dogs may be infected with DMRVV.
                        <SU>27</SU>
                        <FTREF/>
                         The provisions of this NPRM (if finalized as proposed) would be of particular public health benefit in light of the ongoing resource concerns for global rabies vaccination campaigns in the wake of the pandemic.
                    </P>
                    <FTNT>
                        <P>
                            <SU>27</SU>
                             A Kunkel, Jeon S, Haim, Dilius CJP, Crowdis K, Meltzer MI, Wallace R (2021) The urgency of resuming disrupted dog rabies vaccination campaigns: a modeling and cost-effectiveness analysis. 
                            <E T="03">Scientific Reports</E>
                             (2021) 11:12476. 
                            <E T="03">https://doi.org/10.1038/s41598-021-92067-5</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        These data would also benefit agencies such as USDA's Animal and Plant Health Inspection Service (APHIS), which have an interest in regulating dog imports with the intent of reducing the risk of introduction of diseases that may affect U.S. livestock. For example, in 2021, APHIS issued a Federal Order 
                        <SU>28</SU>
                        <FTREF/>
                         that established additional post-entry requirements on dogs for resale imported from countries with ongoing African swine fever transmission, which poses a significant risk to U.S. pork producers.
                        <SU>29</SU>
                        <FTREF/>
                         The potential economic benefits of reducing the risk of the importation of African swine fever could be significant; in fact, a recent outbreak in China in 2019 was estimated to have total economic losses equivalent to 0.78 percent of China's gross domestic product.
                        <SU>30</SU>
                        <FTREF/>
                         Thus, some of the requirements in this NPRM (if finalized as proposed) may mitigate the risks of introduction and transmission of diseases that impact livestock in addition to reducing the risk of dogs being imported while infected with DMRVV.
                    </P>
                    <FTNT>
                        <P>
                            <SU>28</SU>
                             USDA/APHIS (2021) Federal Order for Importation of Live Dogs for Resale from Regions Where African Swine Fever Exists or is Reasonably Believed to Exist. 
                            <E T="03">https://www.aphis.usda.gov/import_export/downloads/vs-federal-order-asf.pdf</E>
                             and 
                            <E T="03">https://www.aphis.usda.gov/aphis/newsroom/news/sa_by_date/sa-2021/asf-dog-imports</E>
                            . Accessed June 5, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>29</SU>
                             Animal and Plant Health Inspection Service (Aug. 4, 2021) USDA Announces Requirements for Importing Dogs from Countries Affected with African Swine Fever. 
                            <E T="03">https://www.aphis.usda.gov/aphis/newsroom/news/sa_by_date/sa-2021/asf-dog-imports</E>
                            . Accessed: February 5, 2022.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>30</SU>
                             Shibing You, Tingyi Liu, Miao Zhang, Xue Zhao, Yizhe Dong, Bi Wu, Yanzhen Wang, Juan Li, Xinjie Wei and Baofeng Shi (2021). African swine fever outbreaks in China led to gross domestic product and economic losses. 
                            <E T="03">Nature Food</E>
                            ; 2: 802-808.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD1">II. Public Participation</HD>
                    <P>
                        Interested persons or organizations are invited to participate in this proposed rulemaking by submitting written views, recommendations, and 
                        <PRTPAGE P="43985"/>
                        data on all aspects of the proposed rule notice. Comments received should reference a specific portion of the notice. Attachments and other supporting materials are part of the public record and subject to public disclosure. Submitters should not include any information in their comments or supporting materials that they consider confidential or inappropriate for public disclosure. HHS/CDC welcome comments on all aspects of this proposed rule, including the use of any forms or information collected and whether proposed requirements should be modified in any way.
                    </P>
                    <P>HHS/CDC will carefully review, consider, and address all comments submitted and may revise the content of the rule as appropriate at the final rulemaking stage. HHS/CDC will publish a final rule after the comment period that reflects any content changes made because of comments received.</P>
                    <HD SOURCE="HD1">III. Background</HD>
                    <HD SOURCE="HD2">A. Legal Authority</HD>
                    <P>HHS/CDC has reviewed this rule under Executive Order 12988 on Civil Justice Reform and determines that this proposed rule meets the standard in the Executive Order. In this action, HHS/CDC proposes to revise 42 CFR 71.50 and 71.51.</P>
                    <P>
                        The primary legal authority supporting this proposed rulemaking is section 361 of the Public Health Service Act (PHS Act) (42 U.S.C. 264). Under section 361, the Secretary of HHS (Secretary) may make and enforce such regulations as in the Secretary's judgment are necessary to prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the United States and from one State or possession into any other State or possession.
                        <SU>31</SU>
                        <FTREF/>
                         It also authorizes the Secretary to promulgate and enforce a variety of public health regulations to prevent the spread of communicable diseases, including through inspection, fumigation, disinfection, sanitation, pest extermination, destruction of animals or articles found to be sources of dangerous infection to human beings, and other measures. Since at least 1956, Federal quarantine regulations (currently found at 42 CFR 71.51) have controlled the entry of dogs and cats into the United States.
                        <SU>32</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>31</SU>
                             Although the statute assigns authority to the Surgeon General, all statutory powers and functions of the Surgeon General were transferred to the Secretary of HHS in 1966, 31 FR 8855, 80 Stat. 1610 (June 25, 1966), 
                            <E T="03">see also</E>
                             Public Law  96-88,  509(b), October 17, 1979, 93 Stat. 695 (codified at 20 U.S.C. 3508(b)). The Secretary has retained these authorities despite the reestablishment of the Office of the Surgeon General in 1987.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>32</SU>
                             
                            <E T="03">See</E>
                             21 FR 9870 (Dec. 12, 1956).
                        </P>
                    </FTNT>
                    <P>
                        In addition to section 361, other sections of the PHS Act relevant to this proposed rulemaking are section 362 (42 U.S.C. 265), section 365 (42 U.S.C. 268), section 367 (42 U.S.C. 270), and section 368 (42 U.S.C. 271). Section 362, among other things, authorizes the Secretary to promulgate regulations prohibiting, in whole or in part, the introduction of property from foreign countries or places, for such period of time and as necessary for such purpose, to avert the serious danger of introducing communicable disease into the United States. Section 365 provides that it shall be the duty of customs officers and of Coast Guard officers to aid in the enforcement of quarantine rules and regulations.
                        <SU>33</SU>
                        <FTREF/>
                         Through this statutory provision, CBP provides critical assistance in enforcing Federal quarantine regulations at U.S. ports. Section 367 (42 U.S.C. 270) also authorizes the application of certain sections of the PHS Act to air navigation and aircraft to such extent and upon such conditions as deemed necessary for safeguarding public health and authorizes the promulgation of regulations, including provisions for penalties and forfeitures for violations.
                    </P>
                    <FTNT>
                        <P>
                            <SU>33</SU>
                             42 U.S.C. 268(b). The terms “officer of the customs” and “customs officer” are defined by statute to mean, “any officer of the United States Customs Service of the Treasury Department (also hereinafter referred to as the “Customs Service”) or any commissioned, warrant, or petty officer of the Coast Guard, or any agent or other person, including foreign law enforcement officers, authorized by law or designated by the Secretary of the Treasury to perform any duties of an officer of the Customs Service.” 19 U.S.C. 1401(i). Although this provision refers to the Secretary of the Treasury, the Homeland Security Act transferred to the Secretary of Homeland Security all “the functions, personnel, assets, and liabilities of . . . the United States Customs Service of the Department of the Treasury, including the functions of the Secretary of the Treasury relating thereto . . . [,]” 6 U.S.C. 203(1), such that reference to the Secretary of the Treasury should be read to reference the Secretary of Homeland Security.
                        </P>
                    </FTNT>
                    <P>Section 368 of the PHS Act provides that any person who violates regulations implementing sections 361 or 362 is subject to imprisonment of not more than one year, a fine, or both. Pursuant to 18 U.S.C. 3559 and 3571, an individual may face a fine of up to $100,000 for a violation not resulting in death and up to $250,000 for a violation resulting in death. Under section 368, HHS/CDC may refer violators to the U.S. Department of Justice for criminal prosecution. HHS/CDC does not have independent authority under section 368 to impose criminal fines or imprison violators.</P>
                    <P>Through this NPRM, HHS/CDC proposes new language advising individuals and organizations that it may request that DHS/CBP take additional action pursuant to 19 U.S.C. 1592 and 19 U.S.C. 1595a. Specifically, CDC may request that DHS/CBP issue additional fines, citations, or penalties to importers or carriers whenever the CDC Director (Director) has reason to believe that an importer or carrier has violated any of the provisions of this section or otherwise engaged in conduct contrary to law. HHS/CDC stresses that it does not administer Title 19, and decisions regarding whether to issue such fines, citations, or other penalties would be entirely at the discretion of DHS/CBP and subject to its policies and procedures. Notwithstanding, HHS/CDC believes it important to include this language to advise individuals and organizations that it may request that DHS/CBP pursue such actions.</P>
                    <P>
                        Through this NPRM, HHS/CDC further clarifies that there is no agency policy of using the “least restrictive means” (as that concept is typically understood and applied in cases involving interests protected by the U.S. Constitution) in regard to animal importations under 42 CFR part 71. “The Due Process Clause of the Fourteenth Amendment imposes procedural constraints on governmental decisions that deprive individuals of liberty or property interests.” 
                        <E T="03">Nozzi</E>
                         v. 
                        <E T="03">Hous. Auth. of City of Los Angeles,</E>
                         806 F.3d 1178, 1190 (9th Cir. 2015). However, “[d]ue process protections extend only to deprivations of protected interests.” 
                        <E T="03">Shinault</E>
                         v. 
                        <E T="03">Hawks,</E>
                         782 F.3d 1053, 1057 (9th Cir. 2015). Because individuals have no protected property or liberty interest in importing dogs or other animals into the United States, it is HHS/CDC's policy to not employ a constitutional analysis of “least restrictive means” in regard to animal imports under 42 CFR part 71. 
                        <E T="03">See Ganadera Ind.</E>
                         v. 
                        <E T="03">Block,</E>
                         727 F.2d 1156, 1160 (D.C. Cir. 1984) (“no constitutionally-protected right to import into the United States”); 
                        <E T="03">see also Arjay Assoc.</E>
                         v. 
                        <E T="03">Bush,</E>
                         891 F.2d. 894, 896 (Fed. Cir. 1989) (“It is beyond cavil that no one has a constitutional right to conduct foreign commerce in products excluded by Congress.”). Members of the public are invited to comment regarding this clarification to HHS/CDC's animal import policy.
                    </P>
                    <HD SOURCE="HD2">B. Historical Background</HD>
                    <P>
                        Rabies is one of the deadliest zoonotic diseases and accounts for an estimated 59,000 human deaths globally each 
                        <PRTPAGE P="43986"/>
                        year.
                        <SU>34</SU>
                        <FTREF/>
                         Over 98 percent of those deaths are due to DMRVV.
                        <SU>35</SU>
                        <FTREF/>
                         The rabies virus can infect any mammal and, once clinical signs appear, the disease is almost always fatal.
                        <SU>36</SU>
                        <FTREF/>
                         In September 2007, at the Inaugural World Rabies Day Symposium, HHS/CDC declared the United States to be free of DMRVV.
                        <SU>37</SU>
                        <FTREF/>
                         While bat rabies lyssaviruses and multiple terrestrial variants of rabies continue circulating in wildlife species (
                        <E T="03">e.g.,</E>
                         fox, raccoon, and skunk) in the United States, the country has been free of DMRVV since 2007 and focuses its regulatory efforts on preventing the reintroduction of this rabies virus variant. The close relationship between dogs and people means there is a direct public health risk to individuals that interact with inadequately vaccinated dogs imported from countries at high risk of DMRVV. One of CDC's principal goals is to prevent the reintroduction and spread of DMRVV in the United States.
                    </P>
                    <FTNT>
                        <P>
                            <SU>34</SU>
                             World Health Organization (2018). 
                            <E T="03">WHO Expert Consultation on Rabies</E>
                             (WHO Technical Report Series 1012). Retrieved from 
                            <E T="03">https://www.who.int/publications/i/item/WHO-TRS-1012</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>35</SU>
                             Hampson K, Coudeville L, Lembo T, et al.; Global Alliance for Rabies Control Partners for Rabies Prevention. Estimating the global burden of endemic canine rabies. 
                            <E T="03">PLoS Negl Trop Dis</E>
                             2015;9:e0003709. 
                            <E T="03">https://doi.org/10.1371/journal.pntd.0003709</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>36</SU>
                             Fooks, A.R., Banyard, A.C., Horton, D.L., Johnson, N., McElhinney, L.M., and Jackson, A.C. (2014) Current status of rabies and prospects for elimination. 
                            <E T="03">Lancet, 384(9951),</E>
                             1389-1399. doi: 10.1016/S0140-6736(13)62707-5.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>37</SU>
                             Velasco-Villa, A., Mauldin, M., Shi, M., Escobar, L., Gallardo-Romero, N., Damon, I., Emerson, G. (2017) The history of rabies in the Western Hemisphere. 
                            <E T="03">Antiviral Res,</E>
                             146, 221-232. doi:10.1016/j.antiviral.2017.03.013.
                        </P>
                    </FTNT>
                    <P>
                        DMRVV is still a serious public health threat in the more than 100 countries where it remains enzootic.
                        <SU>38</SU>
                        <FTREF/>
                         DMRVV has been highly successful at adapting to new host species, particularly wildlife, that can further transmit the virus.
                        <SU>39</SU>
                        <FTREF/>
                         Although the U.S. Government does not precisely track the total number of dogs imported each year, CDC previously estimated that approximately 1 million dogs are imported into the United States annually, of which 100,000 dogs are from DMRVV high-risk countries.
                        <SU>40</SU>
                        <FTREF/>
                         This estimate was based on information provided by airlines, CBP, and a public health study conducted at a U.S.-Mexico land border crossing.
                        <SU>41</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>38</SU>
                             Hampson K, Coudeville L, Lembo T, et al.; Global Alliance for Rabies Control Partners for Rabies Prevention. Estimating the global burden of endemic canine rabies. 
                            <E T="03">PLoS Negl Trop Dis</E>
                             2015;9:e0003709. 
                            <E T="03">https://doi.org/10.1371/journal.pntd.0003709</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>39</SU>
                             Velasco-Villa A, Mauldin MR, Shi M, et al. The history of rabies in the Western Hemisphere. 
                            <E T="03">Antiviral Res.</E>
                             2017;146:221-232. doi:10.1016/j.antiviral.2017.03.013.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>40</SU>
                             HHS/CDC. Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 84 FR 724,724-730 (Jan. 31, 2019).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>41</SU>
                             McQuiston, J.H., et al., Importation of dogs into the United States: risks from rabies and other zoonotic diseases. 
                            <E T="03">Zoonoses Public Health,</E>
                             2008. 55(8-10): p. 421-6.
                        </P>
                    </FTNT>
                    <P>Preventing the entry of animals infected with DMRVV into the United States is a public health priority. When it is discovered that a rabid dog has been imported into the United States, a multi-agency response is required. This can involve CDC, USDA, CBP, State and local health departments and animal health officials, and veterinarians in the local community. Local, State, and Federal government agencies primarily incur the costs of investigation, testing, and response efforts. Since 2015 there have been four known rabid dogs imported into the United States. Each of the dogs was imported by a different animal rescue organization for the purposes of U.S. adoption. These four cases, discussed in detail below, highlight the vast amount of public health resources that are required to investigate, respond to, and mitigate the public health threat posed by the importation of a rabid dog.</P>
                    <P>
                        In 2015, a rabid dog was part of a group of eight dogs and 27 cats imported from Egypt by an animal rescue group. The dog had an unhealed leg fracture and began showing signs of rabies four days after arrival. Following the DMRVV diagnosis, animal rescue workers in Egypt admitted that the dog's rabies vaccination documentation had been intentionally falsified to evade CDC entry requirements.
                        <SU>42</SU>
                        <FTREF/>
                         As a result of this single importation, public health officials recommended that 18 people receive rabies PEP, seven dogs underwent a six-month quarantine, and eight additional dogs housed in the same home as the rabid dog had to receive rabies booster vaccinations and undergo a 45-day monitoring period.
                        <SU>43</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>42</SU>
                             Sinclair JR, Wallace RM, Gruszynski K, et al. Rabies in a dog imported from Egypt with a falsified rabies vaccination certificate—Virginia, 2015. 
                            <E T="03">MMWR Morb Mort Wkly Rep</E>
                             2015;64:1359-62. 
                            <E T="03">https://doi.org/10.15585/mmwr.mm6449a2</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>43</SU>
                             Quarantine periods for animals exposed to rabies can vary between 30 days to six months based on several factors, including vaccination history, serologic titers or prospective serologic monitoring results, or jurisdictional requirements.
                        </P>
                    </FTNT>
                    <P>
                        In 2017, a flight parent imported four dogs from Egypt on behalf of an animal rescue organization. One of the dogs appeared agitated and bit the flight parent prior to the flight. A U.S. veterinarian examined the dog one day after its arrival and then euthanized and tested the dog for rabies. A post-mortem rabies test showed that the dog was positive for DMRVV.
                        <SU>44</SU>
                        <FTREF/>
                         Public health officials recommended that at least four people receive rabies PEP, and the remaining three dogs underwent quarantine periods ranging from 30 days to six months. An investigation revealed the possibility of falsified rabies vaccination documentation presented on entry to the United States.
                        <SU>45</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>44</SU>
                             The diagnosis of rabies requires laboratory confirmation on the basis of a positive result for the direct fluorescent antibody test performed on CNS tissue collected post-mortem. National Association of State Public Health Veterinarians. Compendium of animal rabies prevention and control, 2016. 
                            <E T="03">JAVMA</E>
                             2016; 248 (5):505-517.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>45</SU>
                             Hercules Y, Bryant NJ, Wallace RM, et al. Rabies in a dog imported from Egypt—Connecticut, 2017. 
                            <E T="03">MMWR Morb Mort Wkly Rep 2018;</E>
                             67:1388-91. 
                            <E T="03">https://doi.org/10.15585/mmwr.mm6750a3</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        Another example in 2019 involved 26 dogs that were imported into the United States from Egypt by a rescue organization. All dogs had rabies vaccination documentation and serologic documentation indicating the presence of rabies antibodies in response to immunization, based on results from an Egyptian government-affiliated rabies laboratory. However, one dog developed signs of rabies three weeks after arrival and, when euthanized, tested positive for DMRVV. The resulting public health investigation raised suspicions that the rabies vaccination documents and serological test results were falsified for all 26 dogs in the shipment because 18 dogs in the shipment lacked serologic evidence of vaccination when re-tested in the United States. Due to this event, 44 people were required to receive PEP and the 25 other dogs imported on the same flight underwent re-vaccination and quarantines that ranged from four to six months. The rabid dog had been released into an individual's home because of its false paperwork and subsequently had contact with an additional 12 dogs, all of which had to be revaccinated and undergo quarantine periods ranging from 45 days to six months.
                        <SU>46</SU>
                        <FTREF/>
                         The public health investigations and administration of rabies PEP to exposed persons in this case cost more than $400,000 in state resources.
                        <E T="51">47 48</E>
                        <FTREF/>
                         As a result of the rabid dog importations that occurred in 2015, 2017, and 2019, CDC issued a temporary suspension for dogs entering the United States from Egypt.
                        <E T="51">49 50</E>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>46</SU>
                             Raybern, C et al. Rabies in a dog imported from Egypt—Kansas, 2019. 
                            <E T="03">MMWR Morb Mort Wkly Rep</E>
                             2020; 69 (38): 1374-1377.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>47</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                        <P>
                            <SU>48</SU>
                             Centers for Disease Control and Prevention (2022). Rabies Postexposure Prophylaxis. Retrieved from 
                            <E T="03">https://www.cdc.gov/rabies/medical_care/index.html</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>49</SU>
                             84 FR 20628 (May 10, 2019).
                            <PRTPAGE/>
                        </P>
                        <P>
                            <SU>50</SU>
                             CDC implemented this suspension because of the lack of veterinary controls available in Egypt to prevent the exportation of rabid dogs. With limited exceptions, CDC began requiring a 
                            <E T="03">CDC Dog Import Permit</E>
                             and documentation of the dog's rabies serologic tests from World Organisation for Animal Health (WOAH)-approved laboratories for eligible importers. Since these permit and serologic test requirements were implemented, no rabid dogs have been imported from Egypt.
                        </P>
                    </FTNT>
                    <PRTPAGE P="43987"/>
                    <P>
                        In June 2021, 33 dogs and one cat were imported into the United States from Azerbaijan by an animal rescue organization. All dogs had rabies vaccination documents that appeared valid upon arrival in the United States. Three days after arrival, one dog developed signs of rabies and was euthanized. CDC confirmed the dog was infected with DMRVV known to circulate in the Caucasus Mountains region of Azerbaijan. The remaining rescue animals exposed to the rabid dog during travel were quickly dispersed across nine states, leading to what is believed to be the largest, multi-state, imported rabid dog investigation in U.S. history.
                        <SU>51</SU>
                        <FTREF/>
                         Eighteen people received PEP to prevent rabies because of exposure to the rabid dog. CDC performed the test known as the “Prospective Serologic Monitoring” test on the remaining dogs and the public health investigation revealed that improper vaccination practices by the veterinarian in Azerbaijan likely contributed to the inadequate vaccination response documented in 48 percent of the imported animals, including the rabid dog.
                        <SU>52</SU>
                        <FTREF/>
                         The 33 exposed animals were revaccinated and placed in quarantine for periods ranging from 45 days to six months.
                        <SU>53</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>51</SU>
                             Whitehill F, Bonaparte S, Hartloge C, et al. Rabies in a Dog Imported from Azerbaijan—Pennsylvania, 2021. 
                            <E T="03">MMWR Morb Mortal Wkly Rep</E>
                             2022; 71: 686-689.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>52</SU>
                             Centers for Disease Control and Prevention (2021). CDC responds to a case of rabies in an imported dog. Retrieved from 
                            <E T="03">https://www.cdc.gov/worldrabiesday/disease-detectives/rabies-imported-dog.html</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>53</SU>
                             Whitehill F, Bonaparte S, Hartloge C, et al. Rabies in a Dog Imported from Azerbaijan—Pennsylvania, 2021. 
                            <E T="03">MMWR Morb Mort Wkly Rep</E>
                             2022; 71: 686-689.
                        </P>
                    </FTNT>
                    <P>
                        CDC estimates a range of costs for public health investigations and subsequent cost of care for people exposed to rabid dogs to be between $220,00 and $520,000 per importation event, as summarized in Section VI.
                        <E T="51">54 55</E>
                        <FTREF/>
                         This cost estimate does not include the cost to evaluate, vaccinate, test, and quarantine exposed animals. This cost estimate also does not account for the worst-case outcomes, which include: (1) transmission of rabies to a person who dies from the disease; and (2) ongoing transmission to other domestic and wildlife species in the United States.
                    </P>
                    <FTNT>
                        <P>
                            <SU>54</SU>
                             Raybern, C et al. Rabies in a dog imported from Egypt-Kansas, 2019. 
                            <E T="03">MMWR Morb Mort Wkly Rep</E>
                             2020; 69 (38): 1374-1377.
                        </P>
                        <P>
                            <SU>55</SU>
                             CDC. Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 84 FR 724 (Jan. 31, 2019).
                        </P>
                    </FTNT>
                    <P>
                        DMRVV becoming re-established in the United States would result in costly efforts over several years to eliminate the virus again. The extraordinary cost of re-introduction of DMRVV is demonstrated by an instance of reintroduction that occurred in Texas, where DMRVV had been previously eliminated. The reintroduction resulted in several human deaths; the subsequent re-elimination of DMRVV cost $60 million (in 2022 USD) and required over 10 years of effort.
                        <E T="51">56 57</E>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>56</SU>
                             Thomas, S., Wilson, P., Moore, G., Oertli, E., Hicks, B., Rohde, R., Johnston, D. (2005). Evaluation of oral rabies vaccination programs for control of rabies epizootics in coyotes and gray foxes: 1995-2003. 
                            <E T="03">Journal of the American Veterinary Medicine Association,</E>
                             227(5),785-92. doi: 10.2460/javma.2005.227.785.
                        </P>
                        <P>
                            <SU>57</SU>
                             Sterner, R., Meltzer, M., Shwiff, S., Slate, D. (2009). Tactics and Economics of Wildlife Oral Rabies Vaccination, Canada and the United States. 
                            <E T="03">Emerging Infectious Diseases,</E>
                             1
                            <E T="03">5</E>
                            (8), 1176-1184. doi: 10.3201/eid1508.081061.
                        </P>
                    </FTNT>
                    <P>
                        Historically, approximately 60 to 70 percent of CDC's dog entry denials (or about 200 cases annually) have been based on fraudulent, incomplete, or inaccurate paperwork.
                        <SU>58</SU>
                        <FTREF/>
                         However, between January 2020 and July 2021 (
                        <E T="03">i.e.,</E>
                         during the COVID-19 pandemic, prior to the temporary suspension), CDC documented more than 1,000 instances of incomplete, inadequate, or fraudulent rabies vaccination certificates for dogs arriving from DMRVV high-risk countries.
                        <SU>59</SU>
                        <FTREF/>
                         These cases resulted in dogs being denied entry into the United States and ultimately returned to their country of origin.
                    </P>
                    <FTNT>
                        <P>
                            <SU>58</SU>
                             Centers for Disease Control and Prevention (2021). Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog Importation data, 2010-2019. Accessed 1 October 2022.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>59</SU>
                             Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                            <E T="03">PLoS ONE,</E>
                            16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                        </P>
                    </FTNT>
                    <P>
                        The significant increase in the number of dogs from DMRVV high-risk countries arriving with incomplete, inadequate, or fraudulent rabies vaccination documentation observed in 2020 and 2021 coincided with increased interest in purchasing dogs from the international rescues and breeders during the COVID-19 pandemic.
                        <E T="51">60 61 62</E>
                        <FTREF/>
                         Since 2021, the demand for puppies and rescue dogs has remained high. The trend in purchasing and rescuing dogs from abroad has been noted in many countries, including the United States.
                        <E T="51">63 64 65 66</E>
                        <FTREF/>
                         Internationally, there has been significant growth within the companion animal breeding industry with increasing international trade.
                        <SU>67</SU>
                        <FTREF/>
                         Multiple international and U.S. investigations have identified importations of puppies that were too young to meet rabies vaccination requirements.
                        <E T="51">68 69 70 71</E>
                        <FTREF/>
                         In addition, there is growing evidence that criminal networks are becoming involved in the lucrative dog trade, and the illegal puppy trade was reported to have increased during the
                        <FTREF/>
                         pandemic.
                        <E T="51">72 73 74</E>
                          
                        <PRTPAGE P="43988"/>
                        Because imported dogs will typically encounter multiple people, pets, and other animals throughout their journey—beginning at the airport in the country of departure and continuing with the airline, through the U.S. port, and pet adoption and pet socialization process—an increase in inadequately vaccinated dogs likewise increases the risk of human and animal exposure.
                        <SU>75</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>60</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                        <P>
                            <SU>61</SU>
                             Wynne E. Dog lovers find prices rise steeply amid COVID-fueled demand. 
                            <E T="03">Australian Broadcasting Corporation News</E>
                            . May 20, 2021.
                        </P>
                        <P>
                            <SU>62</SU>
                             Morgan L, Protopopova A, Birkler RID, Itin-Shwatz B, Sutton G, Gamliel A, et al. Human-dog relationships during the COVID-19 pandemic: booming dog adoption during social isolation. 
                            <E T="03">Humanities and Social Science Communications</E>
                            . 2021; 7(150): 1-11.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>63</SU>
                             Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                            <E T="03">PLoS ONE,</E>
                            16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                        </P>
                        <P>
                            <SU>64</SU>
                             Wynne E. Dog lovers find prices rise steeply amid COVID-fueled demand. 
                            <E T="03">Australian Broadcasting Corporation News</E>
                            . May 20, 2021.
                        </P>
                        <P>
                            <SU>65</SU>
                             Morgan L, Protopopova A, Birkler RID, Itin-Shwatz B, Sutton G, Gamliel A, et al. Human-dog relationships during the COVID-19 pandemic: booming dog adoption during social isolation. 
                            <E T="03">Humanities and Social Science Communications</E>
                            . 2021; 7(150): 1-11.
                        </P>
                        <P>
                            <SU>66</SU>
                             Velez M. I adopted my dog Cannoli from overseas. It's easier than you think. 9/20/2020. Available at: 
                            <E T="03">https://www.thedailybeast.com/i-adopted-my-dog-cannoli-from-overseas-its-easier-than-you-think</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>67</SU>
                             Maher J, Wyatt T. European illegal puppy trade and organized crime. 
                            <E T="03">Trends in Organized Crime</E>
                            . 2021; 24(4) 506-525.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>68</SU>
                             Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                            <E T="03">PLoS ONE,</E>
                            16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                        </P>
                        <P>
                            <SU>69</SU>
                             Zucca P, Rossman MC, Osorio JE, Karem K, De Benedictis P, Haifsl J, et al. The `bio-crime model' of cross-border cooperation among veterinary public health, justice, law enforcements, and customs to tackle the illegal animal trade/bio-terrorism and to prevent the spread of zoonotic diseases among human population. 
                            <E T="03">Frontiers in Veterinary Science</E>
                            . 2020; 7: 1-13.
                        </P>
                        <P>
                            <SU>70</SU>
                             Cocchi M, Danesi P, DeZan G, Leati M, Gagliazzo L, et al. A three-year biocrime sanitary surveillance on illegally imported companion animals. 
                            <E T="03">Pathogens</E>
                            . 2021; 10(80):1-12.
                        </P>
                        <P>
                            <SU>71</SU>
                             Houle MK. Perspective from the field: Illegal puppy imports uncovered at JFK airport. 2017. Available at: 
                            <E T="03">www.cdc.gov/ncezid/dgmq/feature-stories/operation-dog-catcher.html</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>72</SU>
                             Maher J, Wyatt T. Rural-urban dynamics in the UK illegal puppy trade: trafficking and trade in man's best friend. 
                            <E T="03">International Journal of Rural Law and Policy</E>
                            . 2019; 9 (2): 1-20.
                        </P>
                        <P>
                            <SU>73</SU>
                             Zucca P, Rossman MC, Osorio JE, Karem K, De Benedictis P, Haifsl J, et al. The `bio-crime model' of cross-border cooperation among veterinary public health, justice, law enforcements, and customs to tackle the illegal animal trade/bio-terrorism and to prevent the spread of zoonotic diseases among human population. 
                            <E T="03">Frontiers in Veterinary Science</E>
                            . 2020; 7: 1-13.
                        </P>
                        <P>
                            <SU>74</SU>
                             British Broadcasting Corporation. Illegal puppy trade warning as sales boom during the COVID 
                            <PRTPAGE/>
                            pandemic. 18 NOV 2020. 
                            <E T="03">British Broadcasting Corporation News</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>75</SU>
                             Centers for Disease Control and Prevention. Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog importation data, 2018-2020. Accessed: February 15, 2021.
                        </P>
                    </FTNT>
                    <HD SOURCE="HD3">Temporary Suspension of the Importation of Dogs From DMRVV High-Risk Countries</HD>
                    <P>
                        In light of these concerns, on June 16, 2021, CDC announced a temporary suspension of the importation of dogs from DMRVV high-risk countries to protect the public's health. The temporary suspension was issued because public health resources were being diverted to the response to the COVID-19 pandemic, which limited the availability of resources to respond to dog importation issues. This diversion of resources coincided with the documented increase in fraudulent vaccine documentation and importers circumventing dog import regulations. To address these concerns, CDC developed a framework for dog importation requiring importers to apply for special permission to import a dog into the United States. Importers were required to submit an 
                        <E T="03">Application for Special Exemption for a Permitted Dog Import</E>
                         form 
                        <SU>76</SU>
                        <FTREF/>
                         and obtain a 
                        <E T="03">CDC Dog Import Permit</E>
                         prior to importing a dog into the United States. To obtain a permit, an importer had to demonstrate that the dog was at least six months old, had a microchip, had proof of rabies vaccination, and had obtained a serologic titer test from a CDC-approved laboratory if the dog was vaccinated outside the United States.
                    </P>
                    <FTNT>
                        <P>
                            <SU>76</SU>
                             Approved under OMB Control Number 0920-1383 Importation Regulations (42 CFR 71 Subpart F) (exp. 1/31/2026, or as revised).
                        </P>
                    </FTNT>
                    <P>
                        From July 14, 2021, to June 9, 2022, CDC issued 
                        <E T="03">CDC Dog Import Permits</E>
                         on a limited basis, for persons permanently relocating to the United States, importers of government-owned working dogs, or owners of service animals 
                        <SU>77</SU>
                        <FTREF/>
                         to alleviate the potential burden of the temporary suspension for these categories of importers. On December 1, 2021, consistent with public health standards of practice, CDC eased some of the temporary suspension restrictions. CDC allowed dogs six months of age or older that were microchipped and accompanied by valid U.S. RVCs to re-enter the United States without a 
                        <E T="03">CDC Dog Import Permit</E>
                        . Because these dogs were vaccinated in the United States, CDC determined that allowing them to enter without a 
                        <E T="03">CDC Dog Import Permit</E>
                         would be unlikely to endanger the public's health. To provide additional resources for importers of foreign-vaccinated dogs, CDC expanded the number of approved rabies serologic testing laboratories from five to 60 laboratories.
                        <SU>78</SU>
                        <FTREF/>
                         CDC also reduced the wait time following collection of a serologic sample to permit dogs to be eligible to enter the United States after only 45 days, rather than the previous 90-day waiting period. In addition, based on data from the latter part of 2021 showing a significant decrease in the arrival of ill dogs and dogs being denied entry, CDC allowed imported dogs from DMRVV high-risk countries to enter through any of the 18 U.S. airports with a CDC quarantine station.
                        <E T="51">79 80</E>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>77</SU>
                             A service dog must meet the definition of a “service animal” under 14 CFR 382.3, be accompanied by an “individual with a disability” as defined under 14 CFR 382.3, and work or perform tasks directly related to that individual's disability.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>78</SU>
                             List of CDC-approved labs can be found at 
                            <E T="03">www.cdc.gov/importation/bringing-an-animal-into-the-United-States/approved-labs.html</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>79</SU>
                             List of U.S. ports with a CDC quarantine station available at: 
                            <E T="03">www.cdc.gov/quarantine/quarantinestationcontactlistfull.html</E>
                            .
                        </P>
                        <P>
                            <SU>80</SU>
                             At the time the 
                            <E T="04">Federal Register</E>
                             announcing the temporary suspension was published, dogs imported from high-risk countries were only allowed to enter the United States through the one port of entry with an animal care facility. However, CDC's review of dog importation data from July 14-November 30, 2021, noted a significant decrease in the arrival of ill dogs and dogs denied entry, reducing the need for dogs to enter only through U.S. ports with an animal care facility.
                        </P>
                    </FTNT>
                    <P>Even with the temporary suspension in place, CDC documented multiple instances of importers attempting to circumvent entry requirements by using fraudulent rabies vaccination documents that had been fabricated to make them appear as if they had been issued in the United States. CDC also documented instances of importers presenting fraudulent rabies vaccination documents purporting to be from DMRVV-free countries to import young puppies from DMRVV high-risk countries into the United States, presumably for resale. These factors highlight the need for rabies vaccination documentation to be standardized for all dogs arriving from DMRVV high-risk countries to reduce the likelihood of falsified documentation in the future.</P>
                    <P>
                        On June 1, 2022, CDC announced that effective June 10, 2022, it would modify and extend the temporary suspension through January 31, 2023.
                        <SU>81</SU>
                        <FTREF/>
                         The suspension was extended based on the continued risk of the reintroduction of DMRVV into the United States and the ongoing need to commit global public health resources towards the COVID-19 pandemic. Between the temporary suspension going into effect on July 14, 2021, and June 1, 2022, CDC documented a decrease in dog importation issues that existed prior to the suspension (
                        <E T="03">e.g.,</E>
                         the number of suspected fraudulent rabies vaccination documents, the number of dogs that were sick or dead upon arrival). CDC's ability to track and monitor dog imports from DMRVV high-risk countries also improved during this timeframe. For these reasons, CDC modified the terms of the temporary suspension to allow more dog imports into the United States by a wider range of importers building upon the requirements that had already been in place and had been successful in reducing dog importation issues. On February 1, 2023, CDC extended the temporary suspension without modifications through July 31, 2023, because of a continued risk of reintroduction of DMRVV due to insufficient veterinary controls in DMRVV high-risk countries to prevent the export of inadequately vaccinated dogs and veterinary supply chain and workforce capacity shortages that have persisted since the global COVID-19 pandemic.
                        <SU>82</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>81</SU>
                             Notice of Extension and Modification of Temporary Suspension of Dogs Entering the United States From High-Risk Rabies Countries. 87 FR 33158 (June 1, 2022).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>82</SU>
                             88 FR 5348 (Jan. 27, 2023).
                        </P>
                    </FTNT>
                    <P>
                        In parallel with the publication of this NPRM, CDC has published an extension of the temporary suspension through July 31, 2024. A suspension remains necessary to protect the public's health against the reintroduction of DMRVV into the United States because there is a continued threat posed by dogs from high-risk countries that are unvaccinated or inadequately vaccinated against rabies. This continued threat is due to various factors, including: a high volume of dogs being imported into the United States contemporaneous with insufficient veterinary controls in high-risk countries to prevent the export of inadequately vaccinated dogs, inadequate veterinary supply chains for vaccines and related materials, and persistent workforce capacity shortages, particularly in high-risk countries that export dogs to the United States. Through this NPRM, HHS/CDC proposes to address the various concerns with the importation of dogs 
                        <PRTPAGE P="43989"/>
                        observed in recent years by establishing a regulatory framework based on the documented successes of the temporary suspension. In addition, the requirements and standards proposed in the rule would help ensure the health and safety of imported animals while also protecting the public's health and preventing the reintroduction of DMRVV into the United States.
                    </P>
                    <P>There are numerous challenges associated with reviewing rabies vaccination documentation from around the world, including the lack of a standardized rabies vaccination documents, different required elements on a rabies vaccination documents, differences in who can vaccinate and issue rabies vaccination documents, and limited to no accountability for unlicensed or unauthorized vaccinators. CDC has documented numerous instances of fraudulent or erroneous paperwork for dogs based on various factors. These include:</P>
                    <P>• Dogs that were younger than the age indicated on their rabies vaccination paperwork (based on dental examination by U.S. veterinarians);</P>
                    <P>• Differences between the breed, sex, color, or microchip number listed on the rabies vaccination documents and the dog presented for admission;</P>
                    <P>• Suspicious veterinary stamps and inconsistent signatures across veterinary paperwork;</P>
                    <P>• Inconsistent dates of rabies vaccination between different veterinary documents; and</P>
                    <P>• Vaccines administered after the expiration date of the vaccine lot.</P>
                    <P>
                        The international public health community has recognized that rabies vaccination documentation alone is no longer sufficient to ensure adequate protection against rabies.
                        <E T="51">83 84</E>
                        <FTREF/>
                         Numerous DMRVV-free countries, including Australia, New Zealand, and European Union member states, already require a two-step verification of rabies vaccination status for dogs imported from DMRVV high-risk countries (when direct importation is allowed), by which a valid RVC and proof of adequate rabies serologic test are required for importation. The international standard is to capture any required information for movement of animals via an “import (movement) certificate.” Import certificates can be standardized, which helps to ensure all required information is included and the information is verified by an Official Government Veterinarian in the exporting country prior to the animal's shipment to the United States. Implementing the use of standardized import certificates, which have long been used for the international movement of animals and are well understood by foreign governments, would enhance compliance with CDC entry requirements and ensure that follow-up with the exporting country can occur if import violations are noted.
                        <SU>85</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>83</SU>
                             World Organisation for Animal Health. Terrestrial Code Online Access—WOAH—World Organisation for Animal Health, Chapter 2.1.17 and 8.14. 
                            <E T="03">https://www.woah.org/en/what-we-do/standards/codes-and-manuals/terrestrial-code-online-access/?id=169&amp;L=1&amp;htmfile=chapitre_certif_rabies.htm</E>
                            .
                        </P>
                        <P>
                            <SU>84</SU>
                             World Health Organization. Expert Consultation on Rabies, Third Report. Geneva, Switzerland. 2018.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>85</SU>
                             
                            <E T="03">https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/export/iregs-for-animal-exports/ct_iregs_animal_exports_home</E>
                            .
                        </P>
                    </FTNT>
                    <P>In addition to issues with fraudulent or incomplete rabies vaccination documents, CDC has observed in recent years a number of practices that raised concerns relating to how airlines transport and house animals. Some airlines have chosen to leave dogs denied admission or pending determination of admissibility in cargo warehouses, which can create an unsafe environment for workers exposed to dogs with zoonotic diseases (such as rabies, brucellosis, leptospirosis, and numerous intestinal or external parasites). Workers also risk bites, scratches, and other injuries, as they are not trained to handle live animals and are required to feed, water, and provide breaks or cage cleaning for the animals in accordance with USDA Animal Welfare Act standards. As a result, many animals are left in crates for extended periods of time without immediate supervision while warehouse workers conduct routine duties. These conditions are often unsafe for dogs due to the prolonged periods of time between flights, inadequate cooling and heating, non-compliant cleaning and sanitization of crates, and the inability to physically separate the animals from areas of the warehouse where other equipment, machinery, and goods are used and stored.</P>
                    <P>
                        CDC has documented numerous instances of dogs housed under inadequate conditions while in the care of airlines. For example, during the COVID-19 pandemic, fewer international flights worldwide 
                        <E T="51">86 87</E>
                        <FTREF/>
                         resulted in delayed returns for dogs denied admission to the United States. In August 2020, a dog died in the custody of an airline at Chicago O'Hare International Airport after CDC denied admission to a group of dogs based on falsified rabies vaccination documentation. Despite CDC's request to find appropriate housing at a local kennel or veterinary clinic, the airline left 18 dogs in a cargo warehouse without food and water for more than 48 hours contributing to the death of one dog.
                        <SU>88</SU>
                        <FTREF/>
                         In March 2023, a dog arrived at a U.S airport without a CDC-registered Animal Care Facility. The dog was later found dead in the airline's cargo warehouse.
                        <SU>89</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>86</SU>
                             
                            <E T="03">https://www.cnbc.com/2020/04/02/coronavirus-update-american-airlines-cuts-summer-international-flights-by-60percent-as-demand-suffers.html</E>
                            .
                        </P>
                        <P>
                            <SU>87</SU>
                             
                            <E T="03">https://news.aa.com/news/news-details/2020/American-Airlines-Announces-Additional-Schedule-Changes-in-Response-to-Customer-Demand-Related-to-COVID-19-031420-OPS-DIS-03/default.aspx</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>88</SU>
                             
                            <E T="03">https://www.cbsnews.com/chicago/news/dog-dies-at-ohare-airport-warehouse-17-others-saved-after-being-left-without-food-or-water-for-3-days/</E>
                            .
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>89</SU>
                             Centers for Disease Control and Prevention. Quarantine Activity Reporting System. March 2023.
                        </P>
                    </FTNT>
                    <P>Because there are insufficient numbers of animal care facilities with a USDA intermediate handlers license and a CBP-issued FIRMS code available to house dogs that are denied admission, CDC worked with USDA, CBP, and local businesses to identify and approve five new animal care facilities in 2021 and 2022 as part of the strategic shift towards safer importation controls. As of June 1, 2023, there are five CDC-registered Animal Care Facilities with a USDA intermediate handlers license and a FIRMS code issued by CBP. The five facilities are located at Atlanta Hartsfield-Jackson International Airport, John F. Kennedy International Airport (New York), Los Angeles International Airport, Miami International Airport, and Washington Dulles International Airport (Washington DC Metropolitan Area).</P>
                    <P>
                        While airlines are ultimately responsible for finding appropriate housing for dogs denied admission, the inadequate number of facilities with a CBP-issued FIRMS code and USDA intermediate handlers license for holding and providing care for live animals creates significant administrative and financial burdens for Federal, State, and local governments. To address these concerns, this NPRM proposes that if a CDC-registered Animal Care Facility with a CBP-issued FIRMS code and USDA intermediate handlers license is not available to hold a dog while the U.S. Government determines admissibility, the airline that has transported the dog would be required to, at a minimum, arrange transfer of the animal to a veterinary clinic or kennel that meets USDA Animal Welfare Act standards 
                        <SU>90</SU>
                        <FTREF/>
                         and is approved by CDC.
                    </P>
                    <FTNT>
                        <P>
                            <SU>90</SU>
                             U.S. Department of Agriculture. Animal Welfare Regulations; Part 3, Subpart A: 
                            <PRTPAGE/>
                            Transportation Standards. Sections 3.14-3.20. July 2020. Available at: 
                            <E T="03">https://www.aphis.usda.gov/animal_welfare/downloads/AC_BlueBook_AWA_508_comp_version.pdf</E>
                            .
                        </P>
                    </FTNT>
                    <PRTPAGE P="43990"/>
                    <P>
                        While costs associated with housing, caring for dogs, and returning dogs are the responsibility of the importer (or airline if the importer abandons the dog), some importers and airlines have been reluctant to pay these costs, requiring the Federal government to find appropriate interim housing facilities, and veterinary care. The cost to house, care for, and return inadequately vaccinated dogs ranges between $1,000 and $4,000 per dog, depending on the location and time required until the next available return flight. The Federal government has been required to find individualized solutions to ensure appropriate accommodations for prolonged periods of time for these animals pending return to their countries of departure and has been left to bear the costs for such housing, care, and return of dogs when airlines and importers have not. The increasing demand to vaccinate and quarantine dogs that have been denied admission presents an increasing burden to Federal, State, and local public health agencies.
                        <E T="51">91 92</E>
                        <FTREF/>
                         The increased need for inspections, veterinary medical care, and appropriate quarantine of dogs inadequately vaccinated against rabies has financially burdened Federal and State agencies while also putting the public's health at risk.
                    </P>
                    <FTNT>
                        <P>
                            <SU>91</SU>
                             Pieracci EG, Maskery B, Stauffer K, Gertz A, Brown C. Risk factors for death and illness in dogs imported into the United States, 2010-2018. 
                            <E T="03">Transbound Emerg Dis</E>
                             2022. DOI: 10.1111/tbed.14510.
                        </P>
                        <P>
                            <SU>92</SU>
                             Pieracci EG, Williams CE, Wallace RM, Kalapura CR, Brown CM (2021) U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                            <E T="03">PLoS ONE</E>
                             16(9): e0254287. 
                            <E T="03">https://doi.org/10.1371/journal.pone.0254287</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        Additionally, an increasing number of dogs being imported do not meet age requirements of multiple agencies. CDC has noted that 61 percent (890/1463) of dogs denied admission and 46 percent of ill or dead dogs arriving in the United States from 2019 to 2021 were under six months of age. During the first six months of 2021, CDC investigated 35 instances of sick or dead puppies under six months of age. CDC has also documented an increase in fraudulent rabies vaccination documentation from importers claiming the dogs were over four months of age.
                        <SU>93</SU>
                        <FTREF/>
                         Many of these dogs were imported into the United States for resale or adoption. USDA requires any dog entering the United States for resale or adoption to be six months of age; however, many importers claim the animals as personal pets to avoid the age requirement because younger dogs may be sold for more money.
                        <SU>94</SU>
                        <FTREF/>
                         This has led to multiple instances where young puppies, some as young as six weeks of age, were transported in violation of the Animal Welfare Act, which requires dogs to be at least eight weeks of age to be eligible to fly, in an attempt to circumvent the entry requirements of multiple agencies. Updated and standardized vaccination information collection and minimum age requirements will help address these issues.
                    </P>
                    <FTNT>
                        <P>
                            <SU>93</SU>
                             Pieracci, EG; Williams, CE; Wallace, RM; Kalapura, CR; Brown CM. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                            <E T="03">PLoS ONE</E>
                             2021;16 (9): e0254287.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>94</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <P>
                        The requirements proposed in this NPRM, if adopted, would also help address public health concerns regarding sick or dead animals being imported to the United States. If an animal arrives in the United States and appears ill or is dead, a public health investigation is required to ensure the ill or dead animal does not present a public health threat. The overall health of an animal can play a significant role in whether it can maintain core body functions (
                        <E T="03">i.e.,</E>
                         body temperature regulation and glucose levels) during prolonged flights. Stressed, malnourished, and young animals are more likely to become ill and can transmit communicable diseases that can affect humans; 
                        <E T="51">95 96</E>
                        <FTREF/>
                         therefore, safety and welfare concerns for the transport of dogs have a public health impact that requires a degree of oversight from public health agencies to ensure human and animal health is protected.
                        <SU>97</SU>
                        <FTREF/>
                         Additionally, diagnostic testing or necropsy of ill or dead animals, respectively, is critical to understand the underlying cause of illness or death and ensure the animals do not pose a public health risk.
                    </P>
                    <FTNT>
                        <P>
                            <SU>95</SU>
                             Galanis E et al. Brucellosis and other diseases imported with dogs. 
                            <E T="03">BCMJ</E>
                             2019; 61 (4): 177-190. Available at: 
                            <E T="03">https://bcmj.org/bccdc/brucellosis-and-other-diseases-imported-dogs.</E>
                        </P>
                        <P>
                            <SU>96</SU>
                             Denstedt E. Echinococcus multilocularis as an emerging public health threat in Canada: A knowledge synthesis and needs assessment. Accessed: 28 February 2019. Available at: 
                            <E T="03">www.ncceh.ca/sites/default/files/Guelph-Denstedt-2017.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>97</SU>
                             Pieracci EG, Maskery B, Stauffer K, Gertz A, Brown C. Risk factors for death and illness in dogs imported into the United States, 2010-2018. 
                            <E T="03">Transbound Emerg Dis</E>
                             2022. DOI: 10.1111/tbed.14510.
                        </P>
                    </FTNT>
                    <P>The creation of standards for CDC-registered Animal Care Facilities; the requirement that all foreign-vaccinated dogs be examined, vaccinated, and quarantined (when applicable) at one of these facilities prior to entry into the United States; and the prevention measures in this proposed rule will mitigate the need for future broadly applied suspensions and help ensure the health and safety of imported animals while also serving to protect public health and prevent the reintroduction of DMRVV into the United States.</P>
                    <HD SOURCE="HD2">C. Current Process</HD>
                    <P>Currently, per regulation at 42 CFR 71.51(c), there is no standard form used to capture rabies vaccination information. However, importers must present valid RVCs which must include all of the following information to be valid:</P>
                    <P>• Identifies a dog on the basis of breed, sex, age, color, markings, and other identifying information.</P>
                    <P>• Specifies a date of rabies vaccination at least 30 days before the date of arrival of the dog at a U.S. port.</P>
                    <P>• Specifies a date of expiration which is after the date of arrival of the dog at a U.S. port. If no date of expiration is specified, then the date of vaccination shall be no more than 12 months before the date of arrival at a U.S. port.</P>
                    <P>• Bears the signature of a licensed veterinarian.</P>
                    <P>Upon the dog's arrival in the United States, Federal officials examine the RVC and ensure the description of the dog listed on the paperwork matches the dog presented. For a rabies vaccine to be effective, the dog must be at least 12 weeks (84 days) of age at the time of administration. A dog's initial vaccine must also be administered at least four weeks (28 days) before arrival in the United States.</P>
                    <P>
                        Under HHS/CDC's regulatory authority, dogs arriving from DMRVV high-risk countries without appropriate RVCs are denied admission and returned to the country of departure on the next available flight.
                        <SU>98</SU>
                        <FTREF/>
                         CDC currently recommends that airlines house dogs awaiting return to their country of departure at a USDA-accredited facility that meets the USDA's Animal Welfare Act standards during transit. However, these facilities are often cargo warehouses that are not equipped to house live animals for more than several hours.
                    </P>
                    <FTNT>
                        <P>
                            <SU>98</SU>
                             Guidance Regarding Agency Interpretation of “Rabies-Free” as it Relates to the Importation of Dogs into the United States, 84 FR 724 (Jan. 31, 2019).
                        </P>
                    </FTNT>
                    <P>
                        The transportation, care, and payment for sick or dead animals are highly variable and depend on whether the animal is suspected of having rabies. Ideally, local veterinarians are consulted 
                        <PRTPAGE P="43991"/>
                        immediately to provide care for sick animals; however, importers and owners frequently refuse to pay for the care of sick animals resulting in confusion and delayed care for often critically ill animals. When owners have refused to pay for the care of their sick animals, the responsibility has been transferred to the airline that transported the animals into the United States, but some airlines have been reluctant to pay costs associated with the care and housing of animals. While State health departments and CDC will test blood samples free of charge when rabies is suspected, in some instances, CDC has been left to cover the costs of animal care.
                    </P>
                    <P>HHS/CDC believes that clarifying the regulatory requirements delineating importer and carrier responsibilities would streamline the animal importation process and help ensure sick animals receive timely veterinary care upon arrival in the United States if needed. We welcome input from the public on all proposals contained herein.</P>
                    <HD SOURCE="HD1">IV. Summary of Proposed Changes</HD>
                    <HD SOURCE="HD2">Proposed Changes to 71.50</HD>
                    <P>Section 71.50(b) contains definitions applicable to animal importations under subpart F of 42 CFR part 71. The definitions contained in paragraph (b) are of general scientific applicability and thus would apply to different animal imports, not just dogs and cats. HHS/CDC proposes adding the following definitions to 42 CFR 71.50(b): Authorized Veterinarian, histopathology, in-transit shipments, microchip, necropsy, Official Government Veterinarian.</P>
                    <P>
                        <E T="03">Authorized Veterinarian</E>
                         means an individual who has obtained both an advanced degree and valid license and is authorized to practice animal medicine in the exporting country.
                    </P>
                    <P>
                        <E T="03">Histopathology</E>
                         means the study of changes in animal tissue caused by disease.
                    </P>
                    <P>
                        <E T="03">In-Transit Shipment</E>
                         means a cargo shipment originating in a foreign country that is moved through one or more U.S. ports while transiting through the United States to a third-country destination.
                    </P>
                    <P>
                        <E T="03">Microchip</E>
                         means an implanted radio-frequency device placed under the skin of an animal that contains a unique identification tag that meets the International Standards Organization (ISO) compatibility through ISO 11784 or ISO 11785, or similar technologies as approved by the Director.
                    </P>
                    <P>
                        <E T="03">Necropsy</E>
                         means an animal autopsy in which the cause of death may be determined through the examination and collection of tissues, organs, or bodily fluids post-mortem.
                    </P>
                    <P>
                        <E T="03">Official Government Veterinarian</E>
                         means a veterinarian who performs work on behalf of an exporting country's government and can verify the license or credentials of an Authorized Veterinarian.
                    </P>
                    <P>HHS/CDC also proposes adding a new subsection at 42 CFR 71.50(c) addressing the legal severability of provisions found in 42 CFR part 71 Subpart F—Importations. Because the provisions relating to importations under Subpart F are designed to protect the public's health from various zoonotic disease threats, HHS/CDC intends that these provisions have maximum legal effect. Accordingly, HHS/CDC proposes adding language that in the event any provision of this subpart is held by a reviewing court of law to be invalid or unenforceable by its terms, or as applied to any person or circumstance, that the provision be construed so as to continue to give the maximum effect to the provision permitted by law. If a reviewing court should hold that a provision is utterly invalid or unenforceable, then HHS/CDC intends that the provision be severable from Subpart F and not affect the remainder or the application of the provision to persons not similarly situated or to dissimilar circumstances. HHS/CDC seeks public comment regarding this and other proposed changes to 71.50.</P>
                    <HD SOURCE="HD2">Proposed Changes to 71.51</HD>
                    <P>(a) Definitions.</P>
                    <P>
                        Section 71.51(a) contains definitions specifically applicable to importations of dogs and cats under this section. Among other things, HHS/CDC proposes definitions for animal, CDC-registered Animal Care Facility, 
                        <E T="03">CDC Import Submission Form,</E>
                         conditional release, confinement, DMRVV-free countries, DMRVV high-risk countries, DMRVV low-risk countries, DMRVV-restricted countries, importer, SAFE TraQ, serologic testing, USDA-Accredited Veterinarian, and USDA Official Veterinarian. Some of these definitions were previously published in guidance.
                        <SU>99</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>99</SU>
                             CDC. Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 84 FR 724 (Jan. 31, 2019).
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Animal</E>
                         means all domestic cats (
                        <E T="03">Felis catus</E>
                        ) or domestic dogs (
                        <E T="03">Canis familiaris</E>
                        ).
                    </P>
                    <P>
                        <E T="03">CDC-registered Animal Care Facility</E>
                         means a facility registered by CDC for the purpose of providing veterinary care and housing to animals imported into the United States.
                    </P>
                    <P>
                        <E T="03">CDC Import Submission Form</E>
                         means an OMB-approved declaration 
                        <SU>100</SU>
                        <FTREF/>
                         submitted to CDC through an online portal that includes the importer's name and contact information; description of the dog, including microchip number, current photographs of the dog's face and body; purpose of importation; travel information, including dates of departure and arrival, country of departure, countries visited in the past six months, and U.S. port of entry; and other information as described in CDC technical instructions. A receipt confirming successful submission of this form must accompany all dogs departing foreign locations for travel to the United States. For dogs departing from airports overseas with a U.S. final destination, the responsible airline must confirm the receipt prior to dogs being loaded onto departing aircraft.
                    </P>
                    <FTNT>
                        <P>
                            <SU>100</SU>
                             Current OMB approval no. 0920-1383 (exp. 1/31/26).
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Conditional release,</E>
                         when applied to a dog or cat, means the temporary release of a dog or cat from the custody of a carrier into the care of a licensed veterinarian approved by CDC for the purpose of receiving emergency medical care or a public health evaluation, pending removal of the dog or cat from the United States. Dogs and cats must be returned immediately to the carrier's custody upon the conclusion of such medical care or evaluation for removal from the United States.
                    </P>
                    <P>
                        <E T="03">Confinement,</E>
                         when applied to a dog or cat, means restriction to a building or other enclosure at a U.S. port or other location approved by CDC, including 
                        <E T="03">en route</E>
                         to a destination, in isolation from other dogs and cats, and from persons except for contact necessary for its care. If the animal is allowed out of the enclosure, it must be muzzled and kept on a leash.
                    </P>
                    <P>
                        <E T="03">DMRVV-free countries</E>
                         means countries assessed by CDC based on internationally accepted standards as not having DMRVV present.
                    </P>
                    <P>
                        <E T="03">DMRVV low-risk countries</E>
                         means countries assessed by CDC as low risk for DMRVV transmission based on factors such as the virus being limited to a localized area, adequacy of surveillance and dog vaccination programs to prevent further geographic distribution of the virus, and the virus being in a controlled status with the country or countries heading toward eventual DMRVV-free status.
                    </P>
                    <P>
                        <E T="03">DMRVV high-risk countries</E>
                         means countries assessed by CDC as high risk for DMRVV transmission based on factors such as the presence and 
                        <PRTPAGE P="43992"/>
                        geographic distribution of the virus or low quality of or low confidence in rabies surveillance systems or dog vaccination programs.
                    </P>
                    <P>
                        <E T="03">DMRVV-restricted countries</E>
                         means countries for which the export of dogs into the United States has been prohibited or otherwise restricted based on the countries' export of dogs infected with DMRVV to any other countries within a period determined by CDC or based on evidence of lacking adequate controls, as determined by CDC, to monitor and prevent the export of dogs to the United States with falsified or fraudulent vaccine credentials, invalid rabies vaccination forms, or other fraudulent, inaccurate, or invalid importation documents.
                    </P>
                    <P>
                        <E T="03">Importer of dogs or cats</E>
                         means any person importing or attempting to import a dog or cat into the United States, including the animal's legal owner or a person acting on behalf of the importer, such as a broker licensed with CBP. Individuals compensated or hired to transport animals on behalf of the importer must have a valid USDA license or registration. CDC believes that requiring that individuals who are compensated or hired to transport animals have a valid USDA license or registration pursuant to the Animal Welfare Act would help deter fraudulent conduct.
                    </P>
                    <P>HHS/CDC is also providing a new definition for what constitutes proof of rabies vaccination. These definitions are needed to provide clarity regarding HHS/CDC's proposed admission requirements.</P>
                    <P>
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form means the OMB-approved form 
                        <SU>101</SU>
                        <FTREF/>
                         that must be: (1) completed by an Authorized Veterinarian in the exporting country, which may include an Official Government Veterinarian in the exporting country; and (2) reviewed and certified by an Official Government Veterinarian in the exporting country attesting that the information listed is true and correct.
                    </P>
                    <FTNT>
                        <P>
                            <SU>101</SU>
                             OMB approval no. 0920-1383 (exp. 1/31/26).
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form means the OMB-approved form 
                        <SU>102</SU>
                        <FTREF/>
                         that must be completed by a USDA-Accredited Veterinarian and certified by a USDA Official Veterinarian prior to exporting a dog from the United States in order to demonstrate compliance with admissibility requirements upon returning to the United States.
                    </P>
                    <FTNT>
                        <P>
                            <SU>102</SU>
                             OMB approval no. 0579-0020, 0036, 0048, 0101, 0156, 0278, 0432.
                        </P>
                    </FTNT>
                    <P>
                        <E T="03">SAFE TraQ</E>
                         means the System for Animal Facilities Electronic Tracking of Quarantine or other system as approved by the Director for tracking the quarantine of animals approved for admission into the United States.
                    </P>
                    <P>
                        <E T="03">Serologic Testing,</E>
                         when applied to an imported animal, means an antibody titration test performed by a CDC-approved rabies laboratory using a CDC-approved technique. The serology sample must be drawn and submitted in accordance with CDC technical instructions. The current list of CDC-approved laboratories is available online.
                    </P>
                    <P>
                        <E T="03">USDA-Accredited Veterinarian</E>
                         is defined in 9 CFR 160.1 and is an Accredited Veterinarian who has completed formal training from the National Veterinary Accreditation Program in the State in which they are licensed to practice as a veterinarian.
                    </P>
                    <P>
                        <E T="03">USDA Official Veterinarian</E>
                         is a USDA/APHIS veterinarian who is assigned by the USDA Administrator to supervise and perform official work of APHIS in a State or group of states.
                    </P>
                    <P>(b) Authorized U.S. airports for dogs and cats.</P>
                    <P>
                        Dogs from DMRVV-free or DMRVV low-risk countries that have not been in any DMRVV high-risk country within the last six months and all cats may continue to enter through any U.S. port. CDC does not currently have any restrictions on the U.S. ports for dogs arriving in the United States from DMRVV high-risk countries. Through this NPRM, HHS/CDC proposes that if a U.S.-vaccinated dog has been in a DMRVV high-risk country in the previous six months, the dog must arrive at an airport with a CDC quarantine station. The importer would also be required to have a USDA-Accredited Veterinarian complete the 
                        <E T="03">Certification of U.S.-Issued Rabies Vaccination For Live Dog Re-entry into the United States</E>
                         Form and present this form to the airline prior to boarding. All foreign-vaccinated dogs that have been in a DMRVV high-risk country in the previous six months would be required to enter the United States at a U.S. airport with a CDC quarantine station and a CDC-registered Animal Care Facility. The importer would also be required to have an Authorized Veterinarian complete the 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form and present this form to the airline prior to boarding.
                    </P>
                    <P>
                        This requirement that dogs from DMRVV high-risk countries arrive at specified airports is being proposed to ensure dogs can be evaluated by CDC quarantine station staff or a USDA-Accredited Veterinarian upon arrival to confirm they have all required documentation for admission and do not appear ill. Visual examinations of animals may be conducted by CDC quarantine station staff to look for overt signs of illness (
                        <E T="03">i.e.,</E>
                         vomiting, diarrhea, bleeding, seizures, or ocular or nasal discharge). Animals showing signs of illness will not be released for entry until a USDA-Accredited Veterinarian completes a physical exam and administers a USDA-licensed rabies vaccine (if applicable). As of June 1, 2023, five U.S. airports have CDC-registered Animal Care Facilities. The CDC-registered Animal Care Facilities will help to ensure animals that arrive ill, or must be detained, will be held in a facility that meets CDC requirements, USDA Animal Welfare Act Standards,
                        <SU>103</SU>
                        <FTREF/>
                         and maintains an active CBP FIRMS code. This requirement would further help ensure that facilities have staff who are properly trained to provide food, water, shelter, and veterinary care to animals if needed. CDC will continue to register live-animal care facilities at the remaining 13 U.S. airports with CDC quarantine stations to protect the health and safety of airline and warehouse staff, as well as the health and safety of animals arriving in the United States at these ports.
                    </P>
                    <FTNT>
                        <P>
                            <SU>103</SU>
                             7 U.S.C. 2148.
                        </P>
                    </FTNT>
                    <P>(c) Authorized U.S. land ports for dogs and cats.</P>
                    <P>
                        HHS/CDC is not proposing any changes to the authorized U.S. land ports for dogs arriving to the United States from DMRVV low-risk or DMRVV-free countries that have not been in a DMRVV high-risk country within the last six months. There are also no proposed changes for cats; cats may continue to enter through any U.S. port, including land ports. CDC is proposing to prohibit entry into the United States through any U.S. land port for dogs that have been in a DMRVV high-risk country within the last six months. There are no CDC-registered Animal Care Facilities along the U.S-Mexico and U.S.-Canada borders that can safely house or quarantine dogs arriving from DMRVV high-risk countries. Additionally, local and State animal and public health authorities do not have capacity on a routine basis to house and quarantine dogs arriving from DMRVV high-risk countries without additional burdens being placed on local public health resources.
                        <PRTPAGE P="43993"/>
                    </P>
                    <P>(d) Authorized U.S. seaports for dogs and cats.</P>
                    <P>HHS/CDC is not proposing any changes to the authorized U.S. seaports for dogs arriving to the United States from DMRVV low-risk or DMRVV-free countries that have not been in any DMRVV high-risk country within the last six months. There are also no proposed changes for cats; cats may continue to enter through any U.S. port, including seaports. HHS/CDC is proposing to prohibit entry into the United States through any U.S. seaport for dogs that have been in a DMRVV high-risk country within the last six months. There are no CDC-registered Animal Care Facilities at U.S. seaports that can safely house or quarantine dogs arriving from DMRVV high-risk countries. Additionally, local and State animal and public health authorities do not have capacity on a routine basis to house and quarantine dogs arriving from DMRVV high-risk countries without additional burdens being placed on local public health resources.</P>
                    <P>However, HHS/CDC is proposing an exception for dogs meeting the definition of a “service animal” under 14 CFR 382.3 that have been in a DMRVV high-risk country within the last six months. HHS/CDC would permit entry if the dog is accompanied by an “individual with a disability” as defined under 14 CFR 382.3 and the dog does work or performs tasks that are directly related to the individual's disability. CDC believes this exception would apply to a small number of individuals who require that their service dog accompany them on cruise ships with U.S. destination ports. The dog must be otherwise admissible under this section and would be allowed entry if:</P>
                    <P>
                        1. The dog was vaccinated against rabies in the United States and is accompanied by a valid 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form; or
                    </P>
                    <P>
                        2. The dog was vaccinated against rabies in a foreign country and is accompanied by both a valid foreign-issued 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form and a valid serologic titer from a CDC-approved laboratory.
                    </P>
                    <P>(e) Limitation on U.S. ports for dogs and cats.</P>
                    <P>HHS/CDC is proposing to explicitly authorize the Director to limit the times, U.S. ports, and/or conditions under which dogs or cats may arrive at and be admitted to the United States based on an importer's or carrier's failure to comply with the provisions of this section or as needed to protect the public's health. If the Director determines such a limitation is required, the Director will notify importers or carriers in writing of the specific times, U.S. ports, and/or conditions under which dogs and cats may be permitted to arrive at and be admitted to the United States.</P>
                    <P>(f) Age requirement for all dogs.</P>
                    <P>Through this NPRM, HHS/CDC proposes that all dogs arriving into the United States (regardless of whether from DMRVV-free, DMRVV low-risk, or DMRVV high-risk countries) be, at minimum, six months of age. HHS/CDC currently requires dogs to be at least four months of age to enter the United States if arriving from a DMRVV high-risk country because this is the age at which a dog can be considered adequately vaccinated for rabies. Verification of a dog's age is made via dental examination, with dogs six months of age or older being easily identified by the presence of adult incisors and canine teeth. HHS/CDC is proposing to require imported dogs be at least six months of age, which would allow veterinarians to more easily estimate the ages of young dogs to ensure adequate DMRVV vaccination.</P>
                    <P>The proposed requirement that all dogs arriving into the United States be at least six months of age will align with USDA/APHIS Animal Care requirements for the importation of dogs that are being imported for rescue or resale and will help ensure pet dogs can be safely transported without risk to their health and welfare. HHS/CDC is proposing as an exception to allow an importer to import a maximum of three personal pet dogs under six months of age in a calendar year if arriving via a U.S. land port from Canada or Mexico if the dog has not been in a DMRVV high-risk country in the previous six months.</P>
                    <P>Based on communication with Federal partner agencies and data in CDC's quarantine activity reporting system, persons importing three or more dogs in a calendar year are less likely to be doing so in connection with their personal pet ownership and more likely to be associated with commercial importations of animals, including importers attempting to circumvent HHS/CDC entry requirements by transporting dogs from DMRVV high-risk countries through Canada and Mexico for resale or adoption in the United States. Therefore, HHS/CDC proposes this age requirement to protect public health, as well as the health and safety of young puppies being purchased and sold internationally.</P>
                    <P>(g) Microchip requirements for all dogs.</P>
                    <P>
                        HHS/CDC does not currently require a microchip for importation of dogs into the United States. Requiring a microchip for all dogs would help ensure that veterinary paperwork and animal identification can be verified. It will also align with the admission requirements of other DMRVV-free countries and bring the United States into international alignment with the World Organisation for Animal Health (WOAH) standards that all dogs have permanent identification or marking for international movement.
                        <SU>104</SU>
                        <FTREF/>
                         HHS/CDC proposes to require that all dogs have an Individual Standards Organization (ISO)-compliant microchip prior to arrival in the United States or prior to traveling out of the United States and returning.
                    </P>
                    <FTNT>
                        <P>
                            <SU>104</SU>
                             World Organisation for Animal Health. Terrestrial Code Online Access—WOAH—World Organisation for Animal Health: 
                            <E T="03">https://www.woah.org/en/what-we-do/standards/codes-and-manuals/terrestrial-code-online-access/?id=169&amp;L=1&amp;htmfile=chapitre_certif_rabies.htm.</E>
                        </P>
                    </FTNT>
                    <P>
                        (h) 
                        <E T="03">CDC Import Submission Form</E>
                         for all dogs.
                    </P>
                    <P>
                        CDC and Federal partners have documented numerous instances of importers moving dogs from DMRVV high-risk countries through DMRVV low-risk country to circumvent U.S. dog entry requirements.
                        <E T="51">105 106</E>
                        <FTREF/>
                         HHS/CDC proposes requiring that importers submit a 
                        <E T="03">CDC Import Submission Form</E>
                         via a CDC-approved system for each imported dog to help mitigate the risk of importers presenting dogs from DMRVV high-risk countries at U.S. ports that have traveled through DMRVV low-risk countries for short periods of time (less than six months) and do not meet CDC entry requirements. The 
                        <E T="03">CDC Import Submission Form</E>
                         must be submitted to CDC prior to a dog's departure from the foreign country.
                    </P>
                    <FTNT>
                        <P>
                            <SU>105</SU>
                             The importer of the rabid dog into the United States in 2019 first flew into Canada before crossing a land border into the United States. 
                            <E T="03">See</E>
                             Raybern, C et al. Rabies in a dog imported from Egypt-Kansas, 2019. 
                            <E T="03">MMWR Morb Mort Wkly Rep</E>
                             2020; 69 (38): 1374-1377.
                        </P>
                        <P>
                            <SU>106</SU>
                             Centers for Disease Control and Prevention. Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog importation data, 2018-2020. Accessed: February 15, 2021.
                        </P>
                    </FTNT>
                    <P>(i) Inspection requirements for admission of dogs and cats.</P>
                    <P>
                        HHS/CDC currently requires that all dogs and cats arriving in the United States be inspected to ensure they appear healthy. While the requirement for inspection of dogs and cats is not new, HHS/CDC proposes clarifying that dogs and cats may be denied admission if an importer refuses to consent to the required screening. HHS/CDC believes that this additional clarification is 
                        <PRTPAGE P="43994"/>
                        needed because of numerous documented instances of confusion among importers and some carriers regarding CDC's ability to mandate a public health evaluation of a dog or cat prior to admission. Additionally, CDC may coordinate with other federal and state partners to engage in routine disease surveillance of animals arriving in the United States.
                    </P>
                    <P>(j) Examination by a USDA-Accredited Veterinarian and confinement of exposed dogs and cats or those that appear unhealthy.</P>
                    <P>HHS/CDC currently requires examination by a veterinarian and confinement if, upon examination, a dog or cat appears unhealthy upon arrival, and such measures are needed to protect the public's health. While the requirement for examination and confinement are not new, this proposed provision is primarily intended to require airlines to assume responsibility for housing and caring for dogs and cats that arrive sick in the event the importer abandons the shipment. CDC has documented numerous instances of sick animals not receiving care in a timely manner and animals denied admission being left by airlines in unacceptable housing conditions.</P>
                    <P>
                        HHS/CDC proposes, in the event a dog or cat arrives ill, is denied admission, or is exposed to a sick animal in transit,
                        <E T="51">107 108</E>
                        <FTREF/>
                         that the airline arrange for confinement in a CDC-approved veterinary clinic and that the importer bears the expenses of such confinement, examination, testing, and treatment. If an importer fails to pay for such expenses, then the animal may be considered abandoned, and the airline will be required to assume financial responsibility. This provision is needed to help ensure airlines assume responsibility for sick or exposed dogs and cats and that such animals do not remain in unsafe conditions for prolonged periods of time (
                        <E T="03">e.g.,</E>
                         longer than six hours). The proposed rule further clarifies an airline's responsibilities in the event an importer abandons a dog or cat. This provision may also be applied to other carriers transporting dogs and cats in the rare circumstances where it is necessary for public health reasons to require that the carrier arrange for examination and confinement.
                    </P>
                    <FTNT>
                        <P>
                            <SU>107</SU>
                             National Association of State Public Health Veterinarians. Compendium of animal rabies prevention and control, 2016. 
                            <E T="03">JAVMA</E>
                             2016; 248 (5):505-517.
                        </P>
                        <P>
                            <SU>108</SU>
                             Manning SE, Rupprecht CE, Fishbein D, et al. Human rabies prevention—United States, 2008: recommendations of the Advisory Committee on Immunization Practices. 
                            <E T="03">MMWR Recomm Rep</E>
                             2008;57(RR-3):1-28.
                        </P>
                    </FTNT>
                    <P>(k) Veterinary examination and revaccination against rabies at a CDC-registered Animal Care Facility for foreign-vaccinated dogs.</P>
                    <P>
                        HHS/CDC proposes to require all dogs arriving from DMRVV high-risk countries without a valid 
                        <E T="03">Certification of U.S.-Issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form to have a valid 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form and undergo veterinary examination and revaccination against rabies at a CDC-registered Animal Care Facility upon arrival.
                    </P>
                    <P>
                        The importer would be responsible for making a reservation and all arrangements relating to the examination, revaccination, and quarantine (if quarantine is required) of dogs with a CDC-registered Animal Care Facility prior to the dogs' arrival in the United States. Airlines must deny boarding to dogs if the importer fails to present a receipt of the completed 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form. The costs of examination, vaccination, and quarantine (if required) would be borne by the importer and not the United States Government. Animals that are abandoned before meeting requirements outlined below become the legal responsibility of the airline.
                    </P>
                    <P>HHS/CDC proposes that the dogs remain in the custody of a CDC-registered Animal Care Facility until all of the following requirements are met:</P>
                    <P>(i) Veterinary health examination by a USDA-Accredited Veterinarian for signs of disease. Suspected or confirmed zoonotic or foreign animal diseases would be required to be reported to CDC, USDA, the State or County Public Health Veterinarian, and the State Veterinarian prior to release of the animals.</P>
                    <P>(ii) Vaccination against rabies with a USDA-licensed rabies vaccine and administered by a USDA-Accredited Veterinarian.</P>
                    <P>(iii) Confirmation of microchip number.</P>
                    <P>(iv) Confirmation of age through dental examination by a USDA-Accredited Veterinarian.</P>
                    <P>
                        (v) Verification of adequate rabies serologic test from a CDC-approved laboratory. To be considered valid, serologic tests must be drawn prior to arrival within an established timeframe and display results within parameters as specified in CDC technical instructions.
                        <SU>109</SU>
                        <FTREF/>
                         Currently, this means that serologic tests must be drawn 45 to 365 days before arrival and have a result greater than or equal to 0.5 IU/mL. Dogs that arrive without an adequate rabies serologic test results from a CDC-approved laboratory would be housed at the CDC-registered Animal Care Facility for a 28-day quarantine following administration of the U.S. rabies vaccine or until an adequate rabies serologic test from a CDC-approved laboratory is confirmed.
                    </P>
                    <FTNT>
                        <P>
                            <SU>109</SU>
                             CDC Technical Instructions will be posted to CDC's website (
                            <E T="03">www.cdc.gov/dogtravel</E>
                            ) upon publication of the final rule.
                        </P>
                    </FTNT>
                    <P>(l) Registration or renewal of CDC-registered Animal Care Facilities.</P>
                    <P>Through this NPRM, HHS/CDC proposes to establish a registration mechanism for CDC-registered Animal Care Facilities used in the importation of foreign-vaccinated dogs arriving in the United States from DMRVV high-risk countries. Before housing any imported live dog in the United States, an animal care facility would be required to register with and receive written approval from CDC, USDA, and CBP to submit their facility application. The applicant would need to provide written standard operating procedures outlining how CDC's regulatory requirements will be met and the health and safety of animals and staff will be ensured. A copy of all Federal, State, or local registrations, licenses, or permits would also be required to be submitted to CDC. Additionally, CDC would require the facility to have a USDA intermediate handlers license and a FIRMS code issued by CBP. The facility would be subject to inspection by CDC at least annually and required to renew their registration every two years. Animal health records, facilities, vehicles, or equipment to be used in receiving, examining, and processing imported animals would also be subject to inspection.</P>
                    <P>(m) Record-keeping requirements at CDC-registered Animal Care Facilities.</P>
                    <P>HHS/CDC proposes to require that any CDC-registered Animal Care Facilities retain records regarding each imported animal for three years after the distribution or transfer of the animal. Each record must include:</P>
                    <P>(i) The bill of lading for each shipment;</P>
                    <P>(ii) The name, address, phone number, and email address of the importer and owner (if different from the importer);</P>
                    <P>(iii) The number of animals in each shipment;</P>
                    <P>
                        (iv) The identity of each animal in each shipment, including name, 
                        <PRTPAGE P="43995"/>
                        microchip number, date of birth, sex, breed, and coloring;
                    </P>
                    <P>(v) The airline, flight number, date of arrival, and port of each shipment; and</P>
                    <P>(vi) Veterinary medical records for each animal, including:</P>
                    <P>
                        (a) 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form and rabies serology obtained before arrival in the United States (if applicable);
                    </P>
                    <P>(b) The USDA-licensed rabies vaccine administered upon arrival;</P>
                    <P>(c) Veterinary exam records upon arrival and while in quarantine;</P>
                    <P>(d) Rabies serology performed while in quarantine in the United States (if applicable); and</P>
                    <P>(e) All diagnostic test, histopathology and necropsy results performed during quarantine (if applicable).</P>
                    <P>The facility would be required to maintain these records electronically and allow CDC to inspect the records.</P>
                    <P>(n) Worker protection plan and personal protective equipment (PPE).</P>
                    <P>
                        HHS/CDC proposes to require that a CDC-registered Animal Care Facility establish and maintain a worker protection plan with standards comparable to those in CDC's National Institute for Occupational Safety and Health (NIOSH) Veterinary Safety and Health guidelines 
                        <SU>110</SU>
                        <FTREF/>
                         and the National Association of Public Health Veterinarians (NASPHV) Compendium of Veterinary Standard Precautions for Zoonotic Disease Prevention in Veterinary Personnel.
                        <SU>111</SU>
                        <FTREF/>
                         Such a worker protection plan must include rabies pre-exposure prophylaxis for workers handling imported animals in quarantine, post-exposure procedures that provide potentially exposed workers with direct and rapid access to a medical consultant, and procedures for documenting the frequency of worker training, including for those working in the quarantine area. As part of the worker protection plan, a facility would also need to establish, implement, and maintain hazard evaluation and worker communication procedures that include descriptions of the known zoonotic disease and injury hazards associated with handling animals, the need for PPE when handling animals and training in the proper use of PPE, and procedures for disinfection of garments, supplies, equipment, and waste.
                    </P>
                    <FTNT>
                        <P>
                            <SU>110</SU>
                             
                            <E T="03">https://www.cdc.gov/niosh/topics/veterinary/biological.html.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>111</SU>
                             
                            <E T="03">http://www.nasphv.org/Documents/VeterinaryStandardPrecautions.pdf.</E>
                        </P>
                    </FTNT>
                    <P>(o) CDC-registered Animal Care Facility standard operating procedures, requirements, and equipment standards for crating, caging, and transporting live animals.</P>
                    <P>
                        HHS/CDC proposes to outline equipment standards for crating, caging, and transporting live animals for CDC-registered Animal Care Facilities. The standards must be in accordance with USDA Animal Welfare regulation standards 
                        <SU>112</SU>
                        <FTREF/>
                         (9 CFR parts 1, 2, and 3) and International Air Transport Association standards.
                        <SU>113</SU>
                        <FTREF/>
                         Violations of the USDA Animal Welfare Act may result in immediate revocation of an animal care facility's status as a CDC-registered Animal Care Facility.
                    </P>
                    <FTNT>
                        <P>
                            <SU>112</SU>
                             U.S. Department of Agriculture. Animal Welfare Act. 
                            <E T="03">https://www.aphis.usda.gov/aphis/ourfocus/animalwelfare/sa_awa.</E>
                             Accessed June 7, 2023.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>113</SU>
                             International Air Transport Association. Live Animals. 
                            <E T="03">https://www.iata.org/en/programs/cargo/live-animals.</E>
                             Accessed June 7, 2023.
                        </P>
                    </FTNT>
                    <P>(p) Health reporting requirements for animals at CDC-registered Animal Care Facilities.</P>
                    <P>HHS/CDC proposes to establish health reporting requirements for all dogs being evaluated at a CDC-registered Animal Care Facility. A facility would need to provide the following services for each dog from a DMRVV high-risk country with a foreign-issued rabies vaccine upon arrival and ensure each animal meets CDC, USDA, and state and local entry requirements prior to release from the facility:</P>
                    <P>(i) Veterinary examination by a USDA-Accredited Veterinarian within one business day of arrival;</P>
                    <P>(ii) Verification of microchip and confirmation that the microchip number matches the animal's health records;</P>
                    <P>(iii) Verification of animal's age via a dental examination;</P>
                    <P>(iv) Vaccination against rabies using a USDA-licensed vaccine; and</P>
                    <P>(v) Verification of an adequate serologic test from a CDC-approved laboratory OR 28-day quarantine after administration of the USDA-licensed rabies vaccine.</P>
                    <P>
                        HHS/CDC further proposes that the facility notify CDC within 24 hours of the occurrence of any morbidity or mortality of animals in the facility. Any animal that dies at a CDC-registered Animal Care Facility would be required to undergo a necropsy and diagnostic testing to determine the cause of death. An animal that arrives ill or becomes ill while at the CDC-registered Animal Care Facility would need to be examined by a USDA-Accredited Veterinarian immediately and undergo diagnostic testing to determine the cause of illness prior to release from the facility. Suspected or confirmed zoonotic diseases would need to be reported to CDC and the State or County Public Health Veterinarian within 24 hours of identification. Suspected or confirmed foreign animal diseases or infectious animal diseases would be reported to USDA and the State or County Veterinarian within 24 hours of identification.
                        <SU>114</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>114</SU>
                             Zoonotic disease are diseases that can spread from animals to people; infectious animal diseases spread only between animals; foreign animal diseases are not present in the United States and may or may not be zoonotic.
                        </P>
                    </FTNT>
                    <P>(q) Quarantine requirements for CDC-registered Animal Care Facilities.</P>
                    <P>HHS/CDC proposes to establish requirements for the quarantine area at CDC-registered Animal Care Facilities to ensure animals are safely housed and do not present a public health risk to humans or other animals. The proposed requirements include building security to prevent unintended public exposure to quarantined animals, cleaning and disinfection standards, and diagnostic testing or necropsy for ill or deceased animals.</P>
                    <P>(r) Revocation and reinstatement of a CDC-registered Animal Care Facility's registration.</P>
                    <P>HHS/CDC proposes procedures to revoke a CDC-registered Animal Care Facility's registration if the Director determines that it has failed to comply with any applicable provisions of this section. CDC would send the facility a notice of revocation stating the grounds upon which the proposed revocation is based. If the facility contested the revocation, the facility would be required to file a written response to the notice within five business days after receiving the notice. All the grounds listed in the proposed revocation would be deemed admitted if the facility failed to respond.</P>
                    <P>If a facility's response is timely, the Director will review the registration, the notice of revocation, and the response. The Director would then decide whether to revoke the facility's registration based on the written record and communicate this decision in writing to the facility. The Director could reinstate a revoked registration after inspecting the facility, examining its records, conferring with the facility, and receiving information and assurance from the facility of compliance with the requirements of this section.</P>
                    <P>
                        (s) Requirement for the 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form to import a foreign-vaccinated dog from DMRVV high-risk countries.
                    </P>
                    <P>
                        HHS/CDC currently requires in 42 CFR 71.51(c) that importers of dogs 
                        <PRTPAGE P="43996"/>
                        arriving from DMRVV high-risk countries provide a valid RVC, as defined in 42 CFR 71.51(a), upon arrival; this includes proof of vaccination but importers are not required to use a standardized form. Without a standardized form, there is tremendous variation among countries in documenting proof of vaccination. This lack of standardization creates confusion for port staff who are responsible for reviewing the rabies proof of vaccination.
                    </P>
                    <P>Through this NPRM, HHS/CDC proposes to require a new, standardized rabies vaccination form for all foreign-vaccinated dogs arriving from DMRVV high-risk countries. This rabies vaccination form will be standardized and help importers and Federal agencies ensure dogs being imported from DMRVV high-risk countries are imported with all the required information on one form. This requirement will reduce confusion and ensure Official Government Veterinarians in the exporting country have reviewed the veterinary records and examined dogs prior to travel. HHS/CDC proposes that this form replace the current valid RVC requirement, which was not aligned with internationally accepted standards for the international movement of animals. This form will also permit CDC and other U.S. Government agencies to confirm the accuracy of documentation with exporting country officials if discrepancies in the forms are noted.</P>
                    <P>
                        All foreign-vaccinated dogs from DMRVV high-risk countries will be required to be examined by a USDA-Accredited Veterinarian and revaccinated with a USDA-licensed vaccine at a CDC-registered Animal Care Facility upon arrival to align with State rabies vaccination requirements and recommendations from the NASPHV.
                        <SU>115</SU>
                        <FTREF/>
                         Dogs arriving without a 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         form will be required to present the 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         form to the CDC-registered Animal Care Facility along with a valid serologic test from a CDC-approved laboratory (if applicable).
                    </P>
                    <FTNT>
                        <P>
                            <SU>115</SU>
                             National Association of State Public Health Veterinarians. Compendium of Animal Rabies Prevention and Control, 2016. JAVMA 2016; 248 (5): 505-517.
                        </P>
                    </FTNT>
                    <P>To be considered valid, serologic tests must be drawn prior to arrival within a timeframe and display results within parameters as specified in CDC technical instructions. Currently, to be considered valid, serologic tests must be drawn within a timeframe of 45 to 365 days before arrival and have a result greater than or equal to 0.5 IU/ml. Dogs that arrive without an adequate rabies serologic test from a CDC-approved laboratory will be subject to a mandatory 28-day quarantine after revaccination at a CDC-registered Animal Care Facility at the importer's expense. HHS/CDC is requesting public comments on all aspects of this proposal as it relates to persons traveling abroad with their dogs.</P>
                    <P>
                        (t) Requirement for 
                        <E T="03">Certification of U.S.-Issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form for importers seeking to import U.S.-vaccinated dogs from DMRVV high-risk countries.
                    </P>
                    <P>
                        HHS/CDC proposes to require that U.S.-vaccinated dogs re-entering the United States from DMRVV high-risk countries arrive at a U.S. airport with a CDC quarantine station and be accompanied by a 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form. The form must be completed by a USDA-Accredited Veterinarian and signed by a USDA Official Veterinarian prior to the animal departing the United States. Importers returning to the United States from a DMRVV high-risk country with this form may present their dog for admission without a rabies serologic test from a CDC-approved laboratory, without the dog undergoing veterinary examination (unless ill, injured, or exposed), and without revaccination against rabies at a CDC-registered Animal Care Facility. People who leave the United States with their dogs without first obtaining this form will be required to have their dogs re-enter the United States as if they are foreign-vaccinated dogs and be required to meet all the requirements as outlined in section (s) for the dogs to be eligible for re-entry from a DRMVV high-risk country. HHS/CDC solicits feedback on this proposed process.
                    </P>
                    <P>(u) Requirement for proof that a dog has only been in a DMRVV low-risk or DMRVV-free country.</P>
                    <P>
                        HHS/CDC proposes to require that dogs being imported from DMRVV low-risk or DMRVV-free countries be accompanied by appropriate written documentation demonstrating that they have not been in any DMRVV high-risk country during the past six months. An importer would need to provide written documentation, such as veterinary medical records, upon request confirming that the dog is at least six months of age, is microchipped, and has been only in a DMRVV low-risk or DMRVV-free country for the six months prior to importation into the United States. There are no proposed changes for cat rabies vaccination importation requirements. CDC recommends importers comply with State or Territorial requirements for rabies vaccination in cats. The 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         form would not be required for importers able to meet the requirements of this paragraph. HHS/CDC is requesting public comment on whether a standardized form should be required for dogs arriving from DMRVV-free and DMRVV low-risk countries in order to avoid potential fraud. HHS/CDC is requesting public comment on all aspects of this proposal as it relates to cats and dogs.
                    </P>
                    <P>(v) Denial of admission of dogs and cats.</P>
                    <P>This proposed section outlines the circumstances under which CDC can deny admission to a dog or cat being presented for admission into the United States. CDC shall notify CBP in writing to enforce this action. This includes:</P>
                    <P>• Any dog arriving from a DMRVV low-risk or DMRVV-free country without written documentation that the dog has resided in a DMRVV low-risk or rabies-free country for the six months prior to the attempted entry, or if the Director reasonably suspects fraud.</P>
                    <P>
                        • Any dog that is not accompanied by a receipt confirming that a 
                        <E T="03">CDC Import Submission Form</E>
                         has been submitted to CDC through a CDC-approved system.
                    </P>
                    <P>• Any dog arriving at a U.S. airport for which a bill of lading has not been created by the airline prior to arrival.</P>
                    <P>• Any dog arriving at a U.S. land port that has been in a DMRVV high-risk country within the last six months prior to the attempted entry.</P>
                    <P>• Any dog arriving at a U.S. seaport that has been in a DMRVV high-risk country within the last six months prior to the attempted entry, except for a dog qualifying as a service animal that is otherwise admissible under this section.</P>
                    <P>• Any dog imported by an importer who refuses to comply with the requirement (if applicable) for the dog to undergo disease surveillance screening, veterinary examination, revaccination, provide proof of sufficient rabies serologic tests, or quarantine at a CDC-registered Animal Care Facility upon arrival.</P>
                    <P>
                        • Any dog that has been in a DMRVV high-risk country in the previous six months and arrives without a valid 
                        <E T="03">Certification of U.S.-Issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form or a valid 
                        <E T="03">
                            CDC Import Certification of Rabies 
                            <PRTPAGE P="43997"/>
                            Vaccination and Microchip Required for Live Dog Importations into the United States
                        </E>
                         Form.
                    </P>
                    <P>• Any dog that has been in a DMRVV high-risk country in the previous six months and does not arrive via air at a U.S. airport with a CDC quarantine station or via air at a U.S. airport with a CDC-registered Animal Care Facility (if applicable).</P>
                    <P>• Any dog imported from a DMRVV high-risk country that arrives without a reservation at a CDC-registered Animal Care Facility (if applicable).</P>
                    <P>
                        • Any dog from a DMRVV-restricted country that arrives without a valid 
                        <E T="03">CDC Dog Import Permit.</E>
                    </P>
                    <P>• Any dog imported from a DMRVV high-risk country if the Director reasonably suspects fraud in any documentation required for admission or if such documentation is otherwise untruthful, inaccurate, or incomplete.</P>
                    <P>• Any dog or cat, regardless of country of departure, that poses a public health risk, including dogs or cats that appear unhealthy upon arrival or demonstrate signs or symptoms of communicable disease.</P>
                    <P>• Any dog under six months of age that is arriving at a U.S. airport or seaport, or any dog under six months of age that is arriving at a U.S. land port if the importer has imported three or more individual dogs under six months of age in the same calendar year (January-December).</P>
                    <P>HHS/CDC solicits public comment regarding this proposed paragraph, including whether the grounds for the proposed denial of admission are sufficient to protect the public's health.</P>
                    <P>(w) Disposal or disposition of dogs and cats denied admission or abandoned prior to admission that were transported to the United States.</P>
                    <P>Through this NPRM, HHS/CDC proposes an operational framework primarily applicable to airlines regarding how dogs denied admission would be handled by carriers and importers. HHS/CDC clarifies that airlines must provide housing for animals awaiting return to their country of departure at a CDC-registered Animal Care Facility or a CDC-approved animal facility if a CDC-registered Animal Care Facility is not available. Airlines are required to return animals denied admission to the country of departure within 72 hours of arrival, regardless of carrier or route. This is to ensure airlines do not leave animals in warehouses unattended for prolonged periods of time. As proposed, airlines would be able to request extensions for an animal's return in the event the animal is not medically fit for travel. This proposed operational framework provides that importers are responsible for all associated costs relating to the housing, care, and treatment of a dog or cat denied admission pending return to its country of departure. However, if an importer fails to pay any costs or fails to comply with any requirements, the animal will be considered abandoned, and the relevant carrier would be required to assume responsibility.</P>
                    <P>
                        In instances where a dog or cat is fatally ill or injured, the importer or airline may choose a humane euthanasia option in accordance with the standards of the American Veterinary Medical Association 
                        <SU>116</SU>
                        <FTREF/>
                         performed by a licensed veterinarian. The importer or airline must notify CDC and CBP in writing of this decision. This decision does not relieve the importer or airline of the obligation to obtain and report results of necropsy or diagnostic testing required by CDC.
                    </P>
                    <FTNT>
                        <P>
                            <SU>116</SU>
                             
                            <E T="03">https://www.avma.org/resources-tools/avma-policies/avma-guidelines-euthanasia-animals.</E>
                        </P>
                    </FTNT>
                    <P>In the case of dogs and cats denied admission to the United States upon arrival at a U.S. seaport, the vessel's master or operator would be required to reembark the animal immediately and return it to its country of departure on the next voyage. In the case of dogs and cats denied admission to the United States upon arrival at a U.S. land port, the importer or carrier would be required to immediately return it to its country of departure.</P>
                    <P>
                        CDC does not expect the above operational framework relating to housing, care, and treatment of a dog or cat denied admission to be applied on a routine basis to carriers or importers arriving with dogs or cats at U.S. land or seaports because the circumstances leading to a delay in returning a dog or cat to its country of departure are not typically present at these U.S. ports. However, CDC acknowledges that there may be rare and unforeseen circumstances where it may be necessary to apply such procedures. Accordingly, CDC has added language authorizing it to apply these provisions in circumstances where a dog or cat is denied entry at a U.S. land or seaport and cannot be immediately returned to its country of departure (
                        <E T="03">e.g.,</E>
                         because it is unfit to travel). HHS/CDC specifically solicits public comment regarding the possible application of these measures to dogs and cat arriving in the United States at U.S. land or seaports.
                    </P>
                    <P>(x) Appeals of CDC denials to admit a dog or a cat upon arrival into the United States.</P>
                    <P>This section proposes an appeal process for importers of dogs and cats in the event their animals are denied admission to the United States upon arrival.</P>
                    <P>If CDC denies admission to a dog or cat under this section, the importer may appeal that denial to the Director. The importer must submit the appeal in writing to the Director that states the reasons for the appeal and demonstrates that there is a genuine and substantial issue of fact in dispute. The importer must submit the appeal within one business day of the denial. Submitting an appeal will not delay the return of the animal to the country of departure. CDC will issue a written response, which shall constitute final agency action.</P>
                    <P>Because denial of admission to dogs and cats under these limited circumstances is likely to occur at a port, HHS/CDC proposes that any appeal be submitted within one business day so as not to unnecessarily prolong the appeal process and allow for expedited decision-making regarding whether an animal should be returned to its country of departure. Pending a determination regarding the appeal the animal will remain the legal responsibility of the carrier. HHS/CDC solicits public comment regarding this proposal.</P>
                    <P>(y) Record of death of dogs and cats while en route to the United States and disposition of dead animals.</P>
                    <P>
                        The requirement that carriers maintain a record of sickness or death for any animals that die during transit is longstanding. Through this NPRM, HHS/CDC proposes to require necropsy and diagnostic testing for any dog or cat that dies 
                        <E T="03">en route</E>
                         to the United States or at a U.S. port prior to admission to determine the cause of death. Consistent with current requirements, carriers would be required to report deaths to the CDC quarantine station of jurisdiction. HHS/CDC proposes these amendments to ensure it can detect, provide referrals to appropriate agencies, and respond to potential zoonotic disease importation risks in a timely manner. Importers would be responsible for the costs unless they abandon the animal, in which case the airline or master or operator of a vessel would assume responsibility for the costs.
                    </P>
                    <P>(z) Abandoned shipments of dogs and cats.</P>
                    <P>
                        Through this NPRM, HHS/CDC proposes an operational framework primarily applicable to airlines for when a dog or cat would be considered abandoned prior to admission and thus require the carrier to assume responsibility for the shipment. CDC has documented several instances in which importers have chosen to abandon dogs. 
                        <PRTPAGE P="43998"/>
                        Federal and State public health agencies have incurred financial costs because of importers abandoning dogs and the subsequent refusal by airlines to provide safe housing and return for dogs. HHS/CDC proposes that an animal shipment be deemed abandoned under the following circumstances:
                    </P>
                    <P>• When explicitly stated by the importer verbally or in writing to the carrier, CDC, or CBP; or</P>
                    <P>• If the importer fails to cooperate with or respond to the carrier's attempts to comply with the regulations listed in 42 CFR 71.51 within 24 hours; or</P>
                    <P>• If the importer refuses payment within 24 hours for CDC-mandated examinations, testing, holding, or treatment needed to ensure the safe importation of animals into the United States.</P>
                    <P>The provisions of this paragraph may also be applied to other carriers transporting such dogs and cats in the rare circumstances where the dog or cat is abandoned by the importer at a U.S. land port or seaport and other options are not available.</P>
                    <P>(aa) Sanitation of cages and containers of dogs and cats.</P>
                    <P>The requirement that animal cages and containers be kept in a sanitary condition is long-standing. This language appears as a separate paragraph in the proposed regulation, but HHS/CDC is not proposing any changes to the existing language, which requires that animals be transported in clean crates or cages. CDC is republishing this section to provide context and for the convenience of the reader.</P>
                    <P>(bb) Requirements for in-transit shipments of dogs and cats.</P>
                    <P>HHS/CDC proposes to clarify the definition of an in-transit shipment and outlines the requirements for dogs and cats that transit the United States as part of an in-transit shipment. CDC's definition would align with that of the USDA, and HHS/CDC clarifies that dogs and cats cannot be considered in transit if they are transported as hand-carried baggage or checked baggage. In-transit shipments may only be transported as cargo.</P>
                    <P>(cc) Bill of lading and other airline requirements for dogs.</P>
                    <P>
                        To help mitigate the risk of importers presenting dogs from DMRVV high-risk countries at U.S. airports that have traveled through DMRVV low-risk countries for short periods of time (less than six months) and do not meet CDC entry requirements, this NPRM proposes to require that airlines create a bill of lading accounting for all live dog imports through a U.S. airport, regardless of whether the dogs are transported as cargo, checked baggage, or hand-carried baggage, or otherwise accompany a traveler arriving in the United States on their person. Requiring airlines to create a bill of lading specifically for all live dog imports arriving at a U.S. airport will also help ensure airlines are accountable for the safety of the dog upon arrival in the United States. Dogs that do not have bills of lading by an airline are more likely to be left by the airline in unsafe conditions, and airlines often refuse to take responsibility for the safety and entry requirements for dogs flown as checked-baggage or hand-carried baggage.
                        <SU>117</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>117</SU>
                             Centers for Disease Control and Prevention. Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog importation data, 2018-2020. Accessed: February 15, 2021.
                        </P>
                    </FTNT>
                    <P>
                        CDC also proposes to require that airlines confirm that all importers have a receipt of a completed 
                        <E T="03">CDC Import Submission Form</E>
                         prior to boarding. For U.S.-vaccinated dogs, CDC proposes that airlines confirm that importers have a valid 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form. For foreign-vaccinated dogs, CDC proposes that airlines confirm that importers have a reservation at a CDC-registered Animal Care Facility. For dogs from DMRVV-free or low-risk countries, CDC proposes that airlines confirm that the importer has documentation showing that the dog is over six months of age, has a microchip, and has not been in a DMRVV high-risk country in the previous six months.
                    </P>
                    <P>
                        CDC is also proposing that a representative of an airline transporting live dogs into the United States be on-site at the U.S. airport and available to coordinate the entry/clearance of the dogs with federal government officials until all live dogs transported on an arriving flight into the United States have either been cleared for admission or arrangements have been made to transport the dogs to a CDC-registered Animal Care Facility or other facility (
                        <E T="03">e.g.,</E>
                         veterinary clinic or kennel) approved by CDC pending admissibility determination.
                    </P>
                    <P>
                        HHS/CDC is seeking public comment on whether airline staff should be required to present dogs for entry and be available until all dogs have been cleared for entry or arrangements have been made to transport the dogs to a CDC-registered Animal Care Facility or other facility (
                        <E T="03">e.g.,</E>
                         veterinary clinic or kennel) approved by CDC pending an admissibility determination. HHS/CDC is also seeking public comment on how airlines can present dogs for inspection in the cargo area, except dogs meeting the definition of a “service animal” under 14 CFR 382.3.
                    </P>
                    <P>(dd) Order prohibiting carriers from transporting dogs and cats.</P>
                    <P>HHS/CDC proposes procedures for the Director to issue an order revoking a carrier's permission to transport live dogs and cats into the United States if a carrier has endangered the public health of the United States by acting or failing to act to prevent the introduction of DMRVV, as would occur by failing to comply with the provisions of this section. HHS/CDC believes that the circumstances giving rise to such an order would be exceedingly rare, such that HHS/CDC would issue an order only after repeated attempts to consult with and obtain voluntary compliance and remedial action from the carrier have failed. The Director would rescind the order after working with the carrier to obtain remedial action, such as: inspecting the carrier's facilities; examining its records; conferring with the carrier's owners or operators, contractors, or staff; or after receiving information and written assurances from the carrier owner or operator that it has taken remedial steps to ensure future compliance with HHS/CDC dog and cat importation requirements. Such an order would be subject to an administrative appeal. The appeal must be in writing, addressed to the Director, state the reasons for the appeal, and demonstrate that there is a genuine and substantial issue of fact in dispute. As soon as practicable after completing the appeal review, the Director will issue a decision in writing that would constitute final agency action. The Director will serve the carrier owners or operators with a copy of the written decision.</P>
                    <P>(ee) Prohibition on imports of dogs from DMRVV-restricted countries.</P>
                    <P>
                        Through this NPRM, HHS/CDC proposes to prohibit or otherwise restrict the import of dogs into the United States from certain countries that have repeatedly exported rabid dogs to any other country or that lack adequate controls to monitor and prevent the export of dogs to the United States with falsified or fraudulent vaccine credentials. Such a prohibition or other restriction would remain in place until CDC was satisfied that sufficient controls had been established to prevent the reintroduction of DMRVV into the United States, including preventing the use of falsified or fraudulent vaccine credentials. To implement this provision, this NPRM proposes that HHS/CDC maintain a list of DMRVV-restricted countries. The list would be maintained on CDC's website and 
                        <PRTPAGE P="43999"/>
                        updated annually. Amendments to the list of DMRVV-restricted countries would be published as a notice in the 
                        <E T="04">Federal Register</E>
                        . Under this proposal, CDC may allow the importation of certain categories of dogs from DMRVV-restricted countries, such as service animals or government-owned animals. HHS/CDC solicits comment as to whether such 
                        <E T="04">Federal Register</E>
                         notices would be sufficient to inform the public.
                    </P>
                    <P>(ff) Request for issuance of additional fines or penalties.</P>
                    <P>Under 42 U.S.C. 268(b), CBP and Coast Guard officers may aid in the enforcement of HHS/CDC's quarantine rules and regulations. HHS/CDC is proposing to add a paragraph recognizing that HHS/CDC may request that CBP pursue enforcement actions using CBP's existing authorities under 19 U.S.C. 1592 and 19 U.S.C. 1595a against importers, brokers, or carriers who violate HHS/CDC's dog and cat importation requirements. This provision does not create new authority. Its purpose is to inform the public of actions that CDC may take to request CBP assistance in enforcing HHS/CDC's dog and cat importation requirements. HHS/CDC stresses that it does not administer Title 19, and decisions regarding whether to pursue enforcement actions under Title 19 would be entirely at the discretion of DHS/CBP and subject to its policies and procedures.</P>
                    <HD SOURCE="HD1">V. Alternatives Considered</HD>
                    <P>In developing this NPRM, HHS/CDC considered more and less restrictive policy alternatives. The provisions included in the NPRM were determined to minimize the cost and burden of the proposed regulatory provisions while protecting and reducing risks to the public's health. To reduce the costs associated with the provisions of the NPRM, many proposed requirements only apply to dogs imported from DMRVV high-risk countries, and some apply only to dogs vaccinated outside the United States imported from DMRVV high-risk countries.</P>
                    <P>
                        Table 4 summarizes alternatives to selected proposed requirements expected to be associated with most of the monetized costs and benefits for this NPRM (if finalized as proposed) relative to the current status quo. A semi-quantitative analysis of the costs and benefits is available in Section F of an Appendix found in the Supplemental Materials tab of the docket.
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>118</SU>
                             The current requirements do not take account of the temporary suspension of dogs from DMRVV high-risk countries, because it is a temporary measure.
                        </P>
                    </FTNT>
                    <GPOTABLE COLS="5" OPTS="L2,nj,i1" CDEF="s50,r50,r50,r50,r50">
                        <TTITLE>Table 4—Summary Table of Important Changes to Regulatory Requirements Based on the Provisions of This NPRM and Alternatives Considered</TTITLE>
                        <BOXHD>
                            <CHED H="1">
                                NPRM requirement
                                <LI>(proposed)</LI>
                            </CHED>
                            <CHED H="1">
                                Current requirements 
                                <SU>118</SU>
                                <LI>(baseline)</LI>
                            </CHED>
                            <CHED H="1">Option 1—more restrictive</CHED>
                            <CHED H="1">Option 2—less restrictive</CHED>
                            <CHED H="1">Justification</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">
                                Proposed 71.51(f)
                                <LI>Dogs must be at least six months of age to be imported from a DMRVV high-risk country</LI>
                                <LI>Dogs must be at least six months of age to arrive via aircraft regardless of country origin</LI>
                                <LI>Only three or fewer dogs less than six months of age may be imported at land ports by an importer/owner (per calendar year). Dogs that have been in DMRVV high-risk countries are not eligible to arrive at land ports</LI>
                            </ENT>
                            <ENT>
                                DMRVV High-risk countries: Dogs must be at least four months of age (based on the earliest age at which a dog could be considered fully vaccinated against rabies)
                                <LI>No requirement for DMRVV-free or DMRVV low-risk countries since rabies vaccination documentation is not currently required for these dogs</LI>
                            </ENT>
                            <ENT>Dogs must be at least six months of age regardless of country of origin or type of conveyance</ENT>
                            <ENT O="xl">
                                Dogs must be at least four months of age to arrive via aircraft regardless of country of origin, which is the youngest age a dog may be considered fully vaccinated against rabies.
                                <LI>No limit to the number of dogs that may be imported at land ports</LI>
                            </ENT>
                            <ENT>The increased age requirement will improve health and safety for dogs being transported and result in fewer public health investigations of dogs found to be ill or to have died during air travel. The 6-month versus 4-month age requirement will also make it easier to estimate the age of dogs based on examination of their teeth. This age requirement will also improve alignment with USDA import requirements (7 CFR 2148) for dogs imported for resale.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                Proposed section 71.51(g)
                                <LI>All dogs must have a microchip regardless of country of origin</LI>
                            </ENT>
                            <ENT>No dog-identification requirement other than a description on the rabies vaccination documentation</ENT>
                            <ENT>
                                All dogs must be implanted with microchips 
                                <E T="03">and</E>
                                 have tattoos for identification purposes
                            </ENT>
                            <ENT>
                                Either no identification requirement 
                                <E T="03">or</E>
                                 allow use of tattoos or other dog-identifying technology instead of requiring microchips
                            </ENT>
                            <ENT>This requirement is needed to confirm that the arriving dogs match their paperwork because CDC has documented a dramatic increase in the number of dogs arriving with falsified rabies vaccination documentation. The microchip requirement will allow for matching microchip information (obtained by scanning the dog) with the microchip number documented on the dog's proof of rabies vaccination.</ENT>
                        </ROW>
                        <ROW>
                            <PRTPAGE P="44000"/>
                            <ENT I="01">
                                Proposed section 71.51(h)
                                <LI>Require importers to submit advance data for each dog via a CDC-approved system and require airlines to create bill of lading for all live dog imports</LI>
                            </ENT>
                            <ENT>No requirement for dog importers to submit data with CDC and no requirement for airlines to create a bill of lading for all live dog imports</ENT>
                            <ENT>Require importers to use the more complicated and costly CBP formal entry requirements</ENT>
                            <ENT>Only require dogs from DMRVV high-risk countries to submit data via a CDC-approved system and require airlines to create a bill of lading for all live dog imports</ENT>
                            <ENT>
                                This requirement will help Federal agencies detect dogs that move from DMRVV high-risk to DMRVV low-risk countries to avoid U.S. requirements.
                                <LI>This requirement will also support Federal agencies' targeting of interventions for dogs arriving from countries presenting significant risks to human or animal health.</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                Proposed 71.51 (t)
                                <LI>
                                    Require standardized rabies vaccination information using a CDC form: 
                                    <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                                     Form for dogs originating in the United States and wanting to re-enter the U.S. after traveling to a DMRVV high-risk country
                                </LI>
                            </ENT>
                            <ENT>Rabies vaccine certificates are required for dogs imported from DMRVV high-risk countries and do not need to be entered into a standardized form or certified by an Official Government Veterinarian</ENT>
                            <ENT>
                                Require 
                                <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                                 form be certified by a USDA Official Veterinarian for all dogs leaving the U.S. with planned re-entry into the U.S
                            </ENT>
                            <ENT>
                                Require veterinarians to fill out the 
                                <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                                 Form, but do not require certification by an Official Government Veterinarian
                            </ENT>
                            <ENT>At present, the information on rabies vaccination documents is not standardized; different formats are used in different countries and even within the U.S. Lack of a standardized format may lead to dogs from DMRVV high-risk countries arriving at a U.S. port with rabies vaccination documentation s that does not align with current CDC requirements and subsequent entry denials. This provision will also align the United States with import/export requirements commonly required in other countries.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                Proposed 71.51(k)
                                <LI>Requirement for veterinary examination and revaccination against rabies at a CDC-registered Animal Care Facility for foreign-vaccinated dogs from DMRVV high-risk countries, no requirement for dogs imported from DMRVV-free or DMRVV low-risk countries or U.S.-vaccinated dogs from DMRVV high-risk countries if U.S.-vaccinated dogs are healthy and meet all other requirements</LI>
                                <LI>The laboratory testing requirements in proposed 71.51(k)(4)(v) are addressed separately below</LI>
                            </ENT>
                            <ENT>No follow-up examination or revaccination required</ENT>
                            <ENT>Require veterinary examination and revaccination for all dogs imported from DMRVV high-risk countries, including dogs with valid U.S.-issued rabies vaccinations</ENT>
                            <ENT>In lieu of requiring follow-up at a CDC-registered Animal Care Facility, allow dogs imported from DMRVV high-risk countries that were vaccinated outside the United States to visit any licensed U.S. veterinarian for examination and revaccination</ENT>
                            <ENT>
                                This process will better align U.S. requirements with existing requirements of other DMRVV-free countries
                                <LI>This requirement for veterinary examination and revaccination will reduce the risk of dogs potentially infecting people or wildlife with DMRVV and potentially other zoonotic diseases or diseases which impact livestock in the United States.</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <PRTPAGE P="44001"/>
                            <ENT I="01">
                                Proposed 71.51(k)(4)
                                <LI>Foreign-vaccinated dogs from DMRVV high-risk countries must have serologic test results from a CDC-approved laboratory with a waiting period, or such time period as specified in CDC technical instructions, before entry or be quarantined for 28 days after revaccination with a USDA-licensed rabies vaccine</LI>
                            </ENT>
                            <ENT>No laboratory testing requirement for dog imports from any country</ENT>
                            <ENT>
                                Serologic test from a CDC-approved laboratory with a longer, 
                                <E T="03">e.g.,</E>
                                 90-day waiting period before entry for dogs vaccinated outside the United States and arriving from DMRVV high-risk countries or all dogs imported from DMRVV high-risk countries require serologic test results
                            </ENT>
                            <ENT>
                                Allow serologic test results for dogs imported from DMRVV high-risk countries with foreign-issued rabies vaccinations from any laboratory (
                                <E T="03">i.e.,</E>
                                 not limited to CDC-approved laboratories)
                            </ENT>
                            <ENT>This laboratory testing provision will better align U.S. requirements with existing requirements of other DMRVV-free countries that require laboratory confirmation because rabies vaccination documentation alone is considered insufficient as proof of rabies immunity. However, this requirement is still less restrictive than many DMRVV-free countries because there is no serologic test requirement for U.S.-vaccinated dogs.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                Proposed 71.51(b)
                                <LI>U.S.-vaccinated dogs imported from DMRVV high-risk countries must enter through one of 18 U.S. airports with a CDC quarantine station. Foreign-vaccinated dogs from DMRVV high-risk countries must arrive at a U.S. port with a CDC-registered Animal Care Facility. Such facilities must have an active custodial bond and a FIRMS code issued by CBP, and a USDA intermediate handlers license. Five U.S. ports currently have facilities that meet this standard</LI>
                            </ENT>
                            <ENT>No U.S. port requirement</ENT>
                            <ENT>For all dogs from DMRVV high-risk countries, limit entry to U.S. port with CDC-registered Animal Care Facilities. Five U.S. ports currently have facilities that meet this standard</ENT>
                            <ENT>Allow foreign-vaccinated dogs imported from DMRVV high-risk countries to enter at any U.S. port with a CDC quarantine station and allow U.S.-vaccinated dogs from any country to enter at any U.S. port</ENT>
                            <ENT>This requirement will ensure dogs denied entry or placed on hold have safe housing locations available and/or CDC oversight. This will reduce the risk that dogs pending or denied entry will be placed in cargo warehouses or other unsafe locations while awaiting CDC determination or return to their countries of origin. This would ensure appropriate veterinary follow up for foreign-vaccinated dogs from DMRVV high-risk countries.</ENT>
                        </ROW>
                    </GPOTABLE>
                    <HD SOURCE="HD1">VI. Required Regulatory Analyses</HD>
                    <HD SOURCE="HD2">A. Executive Orders 12866 and 13563</HD>
                    <P>Under Executive Order 12866 (E.O. 12866), Regulatory Planning and Review (58 FR 51735, October 4, 1993), HHS/CDC is required to determine whether this regulatory action would be “significant” and therefore subject to review by the Office of Management and Budget (OMB) and the requirements of the Executive Order. E.O. 12866, as amended by Executive Order 14094, defines “significant regulatory action” as an action that is likely to result in a rule:</P>
                    <P>• Having an annual effect on the economy of $200 million or more (adjusted every 3 years by the Administrator of OIRA for changes in gross domestic product), or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, territorial, or tribal governments or communities;</P>
                    <P>• Creating a serious inconsistency or otherwise interfere with an action taken or planned by another agency;</P>
                    <P>• Materially altering the budgetary impact of entitlements, grants, user fees, or loan programs or the rights and obligations of recipients thereof; or</P>
                    <P>• Raising legal or policy issues for which centralized review would meaningfully further the President's priorities, or the principles set forth in E.O. 12866, as specifically authorized in a timely manner by the Administrator of OIRA in each case.</P>
                    <P>OMB's Office of Information and Regulatory Affairs has determined that this rulemaking is “significant”.</P>
                    <P>The provisions of this NPRM (if finalized as proposed) are not likely to have an annual effect on the economy of $200 million or more, although there is considerable uncertainty around the number of dogs imported at baseline, including the number of dogs imported from DMRVV high-risk countries. HHS/CDC conducted an analysis to estimate the costs and benefits of the proposed provisions of this NPRM relative to a baseline without any change in requirements. To conduct this analysis, CDC assumed the NPRM would be finalized as proposed. HHS/CDC requests public comment on costs associated with these changes to importers, airlines, and State and local health departments to improve the accuracy of cost and benefit estimates. More details on the assumptions used to develop this analysis are included in an Appendix found in the Supplemental Materials tab of the docket, including more specific solicitations for public comment.</P>
                    <P>
                        The economic baseline is based on the provisions included in the existing 42 
                        <PRTPAGE P="44002"/>
                        CFR 71.51. The baseline analysis does not incorporate the impact of the temporary suspension of dogs imported from DMRVV high-risk countries that has been in effect since July 14, 2021.
                        <SU>119</SU>
                        <FTREF/>
                         The economic baseline does not account for the temporary suspension but does account for a change to the definition of rabies-free country published in 2019.
                        <SU>120</SU>
                        <FTREF/>
                         This baseline is used as a comparator to assess the impact of the provisions of the NPRM if finalized as proposed.
                    </P>
                    <FTNT>
                        <P>
                            <SU>119</SU>
                             On June 14, 2021, CDC published the “Notice of Temporary Suspension of Dogs Entering the United States from High-Risk Rabies Countries.” Through this notice, CDC informed the public that, effective July 14, 2021, it was temporarily suspending the importation of dogs from: countries classified by CDC as high risk for DMRVV; AND countries that are NOT at high risk if the dogs have been in high-risk countries during the previous six months. 
                            <E T="03">See</E>
                             86 FR 32041 (June 16, 2021). The suspension was extended effective June 10, 2022. 
                            <E T="03">See</E>
                             87 FR 33158 (June 1, 2022).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>120</SU>
                             HHS/CDC. Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 84 FR 724 (Jan. 31, 2019).
                        </P>
                    </FTNT>
                    <P>The provisions of this NPRM (if finalized as proposed) would address the market inefficiency in which dog importers do not consider the potential detrimental impacts to the public's health that may result from the importation of ill dogs, especially dogs infected with DMRVV. Regulation at the Federal level is necessary to address the risk of unhealthy dog imports upon entry to the United States. Federal action allows risks to be addressed prior to dogs' arrival in the United States. The provisions of this NPRM (if finalized as proposed) are expected to affect the following categories of interested parties and implementing partners:</P>
                    <P>• Importers of dogs from countries that are DMRVV-free or at low risk for DMRVV;</P>
                    <P>• Importers of dogs from countries that are at high risk of DMRVV;</P>
                    <P>• Airlines and other carriers;</P>
                    <P>• CBP;</P>
                    <P>• CDC;</P>
                    <P>• USDA; and</P>
                    <P>• State and local public health and animal health departments.</P>
                    <P>
                        As discussed above, the changes proposed in the NPRM incorporate different requirements depending on whether dogs are imported from DMRVV high-risk countries compared to countries that are DMRVV-free or DMRVV low-risk. Proposed requirements for dogs from DMRVV high-risk countries are further differentiated depending on whether imported dogs have received their rabies vaccines in the United States or in another country. Dogs imported from DMRVV high-risk countries would have to arrive at one of five airports with a CDC-registered Animal Care Facility (foreign-vaccinated dogs) or at one of 18 airports with a CDC quarantine station (U.S.-vaccinated dogs). Importers of foreign-vaccinated dogs from DMRVV high-risk countries would make reservations with a CDC-registered Animal Care Facility for a veterinary examination and revaccination prior to arrival. As part of the proposed entry requirements in the NPRM (if finalized as proposed), importers would either agree to a 28-day quarantine period for the dog or submit samples of the dog's blood to a CDC-approved laboratory for serologic testing to demonstrate immunity to rabies virus. CDC assumes that most importers would choose serologic testing in lieu of the quarantine period. All importers of dogs from DMRVV high-risk countries would submit the 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for All Live Dog Importations into the United States</E>
                         Form or 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form, which require certification by an Official Government Veterinarian. However, dogs imported from DMRVV-free or DMRVV low-risk countries do not require evaluation at CDC-registered Animal Care Facilities and are eligible to arrive at any U.S. port. In lieu of the 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for All Live Dog Importations into the United States</E>
                         Form or 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form, importers may provide proof that the dogs have only been in DMRVV-free or DMRVV low-risk countries during the six months prior to arriving in the United States (
                        <E T="03">i.e.,</E>
                         to demonstrate the dog had not been in a high-risk country).
                    </P>
                    <P>
                        All dog imports arriving on aircraft conveyances, regardless of whether they arrive from countries that are DMRVV-free or at low- or high-risk for DMRVV, are subject to a six-month minimum age requirement. Dog imports arriving at land ports are only subject to the six-month minimum age requirement if an importer needs to import three or more dogs younger than six months of age in a calendar year. In addition, all dogs would need to be implanted with microchips for identification purposes (if the NPRM is finalized as proposed). All dogs, regardless of country of origin, would be listed on a bill of lading by the airline, if entering the U.S. via air. All importers of dogs arriving at an air, land, or seaport would have to submit a 
                        <E T="03">CDC Import Submission Form</E>
                         to CDC via a CDC-approved system prior to the dog's departure from the foreign country. The form would need to be presented to the airline or other carrier prior to boarding and upon arrival in the United States.
                    </P>
                    <P>
                        The annualized and present value estimates of monetized costs and benefits over the 10-year period from 2023 through 2032 using three percent and seven percent discount rates are summarized in Tables 5 and 6. The annualized, monetized costs (2020 USD) of the provisions in the NPRM (if finalized as proposed) are estimated to be $29 million (range: $7.8 to $88 million) using a three percent discount rate, and the results were almost unchanged using a seven percent discount rate. Most monetized costs are expected to be incurred by importers (84 percent for the most likely estimate). The estimated monetized costs are expected to be less for importers of dogs from DMRVV-free or DMRVV low-risk countries compared to importers of dogs from DMRVV high-risk countries. The proposed provisions estimated to result in the greatest increase in costs for importers of dogs imported from DMRVV-free countries were associated with the additional costs associated with the minimum age, and with the microchip requirements, and completing the new 
                        <E T="03">CDC Import Submission Form.</E>
                    </P>
                    <P>
                        The provisions estimated to result in the greatest increase in costs for importers of dogs from DMRVV high-risk countries were associated with the requirements regarding use of a CDC-registered Animal Care Facility for foreign-vaccinated dogs from DMRVV high-risk countries in proposed section 71.51(k). Other costs included: (1) laboratory testing, (2) an expected reduction in the number of dogs imported from DMRVV high-risk countries, (3) the need for some travelers to re-route travel to an airport with a CDC quarantine station or airport with a CDC-registered Animal Care Facility, and (4) the costs with providing a 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for All Live Dog Importations into the United States</E>
                         Form or 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form (certified by an Official Government Veterinarian). Airlines are expected to incur the greatest costs among carriers and their costs are estimated to comprise about 8.7 percent of the estimated annualized, monetized costs, with most of their costs associated with ensuring that all transported dogs comply with the bill of 
                        <PRTPAGE P="44003"/>
                        lading requirements of the NPRM (if finalized as proposed) and a reduction in the number of dogs transported. HHS/CDC was unable to estimate costs from other types of carriers of dogs arriving by land or sea and welcomes public comment on their potential costs. CDC is estimated to incur about 6.9 percent of the annualized, monetized costs (most likely estimate) associated with the provisions of this NPRM (if finalized as proposed). Most CDC costs would be associated with the oversight of animal care facilities and laboratory proficiency testing programs for dogs imported from high-risk countries. CBP is expected to incur about 0.5 percent of the annualized costs (most likely estimate) associated with the provisions of this NPRM (if finalized as proposed). Most CBP costs would result from training personnel to implement the proposed requirements.
                    </P>
                    <P>The annualized monetized benefits of the provisions in the NPRM (if finalized as proposed) are estimated to be about $1.9 million (range: $0.80 to $4.0 million) using a three percent or seven percent discount rate, with most of the benefits accruing to importers (46 percent of the most likely estimates) and to CBP (33 percent of the most likely estimates). Some of the benefits estimated for both importers and CBP would result from reduced time spent on screening dogs from high-risk countries at U.S. ports. The amount of time required per dog at U.S. ports would be reduced because it is assumed that the CDC standardized vaccination forms would be easier to review compared to non-standardized documentation for dogs arriving from DMRVV high-risk countries. The provisions in this NPRM (if finalized as proposed) are also estimated to reduce the number of dogs denied entry or arriving ill or dead, with benefits estimated for importers, airlines, CBP, and CDC.</P>
                    <P>The wide range between the lower-bound and upper-bound cost and benefit estimates demonstrates that there is considerable uncertainty in these results. More details on the input parameters and assumptions used to generate these estimates may be found in the Appendix under the Supplemental Materials tab of the docket. At present, the number of dogs imported into the United States is neither accurately nor completely tracked by any data system, and the uncertainty in the cost and benefit estimates reflect uncertainty in both the total number of dogs imported and the number of dogs imported from DMRVV high-risk countries, as well as the cost of the new requirements included in the NPRM (if finalized as proposed). The net annualized, monetized costs (total cost estimate−total benefit estimate) are estimated to be about $26 million per year (range: $6.9 to $83 million) using a three percent discount rate.</P>
                    <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s75,12,12,12,xs54">
                        <TTITLE>Table 5—Annualized, Monetized Costs and Benefits Summary Table</TTITLE>
                        <TDESC>[In 2020 million dollars, over a 10-year time horizon relative to baseline, three percent or seven percent discount rate]</TDESC>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Most likely
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="1">Lower bound</CHED>
                            <CHED H="1">Upper bound</CHED>
                            <CHED H="1">
                                Source
                                <LI>(RIA section)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW EXPSTB="04" RUL="s">
                            <ENT I="21">
                                <E T="02">Annualized, monetized benefits (reduced costs)</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="22">Three percent discount rate:</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Importer benefits</ENT>
                            <ENT>$0.89</ENT>
                            <ENT>$0.37</ENT>
                            <ENT>$1.8</ENT>
                            <ENT>B1, B2, B3.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airline benefits</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.038</ENT>
                            <ENT>0.59</ENT>
                            <ENT>B4.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">DHS/CBP benefits</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.30</ENT>
                            <ENT>0.95</ENT>
                            <ENT>B5.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">HHS/CDC benefits</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.090</ENT>
                            <ENT>0.59</ENT>
                            <ENT>B6.</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">State and local health department benefits</ENT>
                            <ENT>0.05</ENT>
                            <ENT>0.0</ENT>
                            <ENT>0.022</ENT>
                            <ENT>B7.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="05">Total benefits (A1)</ENT>
                            <ENT>1.9</ENT>
                            <ENT>0.8</ENT>
                            <ENT>4.0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">Seven percent discount rate:</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Importer benefits</ENT>
                            <ENT>0.89</ENT>
                            <ENT>0.37</ENT>
                            <ENT>1.8</ENT>
                            <ENT>B1, B2, B3.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airline benefits</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.038</ENT>
                            <ENT>0.59</ENT>
                            <ENT>B4.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">DHS/CBP benefits</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.30</ENT>
                            <ENT>0.95</ENT>
                            <ENT>B5.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">HHS/CDC benefits</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.090</ENT>
                            <ENT>0.59</ENT>
                            <ENT>B6.</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">State and local health department benefits</ENT>
                            <ENT>0.005</ENT>
                            <ENT>0.0</ENT>
                            <ENT>0.022</ENT>
                            <ENT>B7.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="05">Total benefits (A2)</ENT>
                            <ENT>1.9</ENT>
                            <ENT>0.80</ENT>
                            <ENT>4.0</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Quantified, but unmonetized, benefits</ENT>
                            <ENT A="L02">The response costs associated with a dog imported while infected with DMRVV were estimated to be about $320,000, ranging from $220,000 to $520,000. The requirements in the NPRM (if finalized as proposed) reduce the risk of imported dogs arriving with DMRVV, and the costs associated with rabies response activities will decrease.</ENT>
                            <ENT>C1.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <PRTPAGE P="44004"/>
                            <ENT I="01">Qualitative (unquantified) benefits</ENT>
                            <ENT A="L02">
                                With each importation of a dog infected with DMRVV, there is a risk that a person may become infected and die or that DMRVV may be re-introduced in the U.S. wildlife population, which could dramatically increase costs relative to the public health response cost summarized above. In addition, by obtaining high-quality data on the number of dogs imported by country, CDC and other Federal agencies, including USDA, will improve preparedness for outbreaks of new and emerging infectious disease threats to humans (
                                <E T="03">e.g.,</E>
                                 DMRVV) and animals (
                                <E T="03">e.g.,</E>
                                 African swine fever). The provisions of the NPRM (if finalized as proposed) will also ensure that dogs that are denied entry or arrive ill will receive the veterinary care needed to protect their health and safety.
                            </ENT>
                            <ENT>D1.</ENT>
                        </ROW>
                        <ROW EXPSTB="04" RUL="s">
                            <ENT I="21">
                                <E T="02">Annualized, monetized costs</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="22">Three percent discount rate:</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Importer costs</ENT>
                            <ENT>23.8</ENT>
                            <ENT>5.2</ENT>
                            <ENT>79.1</ENT>
                            <ENT>B1, B2, B3.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airline costs</ENT>
                            <ENT>2.5</ENT>
                            <ENT>1.0</ENT>
                            <ENT>5.2</ENT>
                            <ENT>B4.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">DHS/CBP costs</ENT>
                            <ENT>0.1</ENT>
                            <ENT>0.05</ENT>
                            <ENT>0.3</ENT>
                            <ENT>B5.</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">HHS/CDC costs</ENT>
                            <ENT>1.9</ENT>
                            <ENT>1.4</ENT>
                            <ENT>2.5</ENT>
                            <ENT>B6.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="05">Total costs (B1)</ENT>
                            <ENT>28.3</ENT>
                            <ENT>7.7</ENT>
                            <ENT>87.1</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">Seven percent discount rate:</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Importer costs</ENT>
                            <ENT>23.9</ENT>
                            <ENT>5.3</ENT>
                            <ENT>79.6</ENT>
                            <ENT>B1, B2, B3.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airline costs</ENT>
                            <ENT>2.5</ENT>
                            <ENT>1.0</ENT>
                            <ENT>5.2</ENT>
                            <ENT>B4.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">DHS/CBP costs</ENT>
                            <ENT>0.2</ENT>
                            <ENT>0.06</ENT>
                            <ENT>0.4</ENT>
                            <ENT>B5.</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">HHS/CDC costs</ENT>
                            <ENT>2.0</ENT>
                            <ENT>1.4</ENT>
                            <ENT>2.6</ENT>
                            <ENT>B6.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="05">Total costs (B2)</ENT>
                            <ENT>28.6</ENT>
                            <ENT>7.8</ENT>
                            <ENT>87.8</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Quantified, but unmonetized, costs</ENT>
                            <ENT A="L02">Not applicable.</ENT>
                            <ENT>C2.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Qualitative (unquantified) costs</ENT>
                            <ENT A="L02">CDC would monitor countries and may suspend entry of dogs from countries with repeated instances of dogs with falsified or fraudulent rabies vaccination documentation. The lost value of these imports would impact some U.S. businesses and dog purchasers. In addition, the duration of any suspensions for these countries is highly uncertain and may be ended in the event of improvement of those countries' dog export controls. CDC is proposing the authority to issue orders to revoke a carrier's or importer's permission to transport live dogs and cats if either has endangered the public's health; however, CDC does not have any plans to suspend any carriers or importers at this time. Owners of dogs that undergo a 28-day quarantine period may suffer qualitative costs from being separated from their dogs during quarantine.</ENT>
                            <ENT>D2.</ENT>
                        </ROW>
                        <ROW EXPSTB="04" RUL="s">
                            <ENT I="21">
                                <E T="02">Net annualized costs</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Total (three percent discount rate), (B1)-(A1)</ENT>
                            <ENT>26.4</ENT>
                            <ENT>6.9</ENT>
                            <ENT>83.1</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Total (seven percent discount rate), (B1)-(A1)</ENT>
                            <ENT>26.6</ENT>
                            <ENT>7.0</ENT>
                            <ENT>83.8</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        The present value of the estimated monetized cost over a 10-year period for the provisions in the NPRM (if finalized as proposed) is estimated to be $240 million (range: $65 to $740 million) using a three percent discount or $200 million (range: $53 to $610 million) using a seven percent discount rate. The present value of monetized benefits over a 10-year period of the provisions in the NPRM (if finalized as proposed) is estimated at $17 million (range: $6.9 to 
                        <PRTPAGE P="44005"/>
                        $34 million) using a three percent discount rate or $14 million (range: $5.7 to $28 million) using a seven percent discount rate. The net annualized monetized cost (total costs−total benefits) is estimated at $230 million per year (range: $58 to $700 million) using a three percent discount rate and $190 million per year (range: $48 to $580 million) using a seven percent discount rate.
                    </P>
                    <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s75,12,12,12,xs54">
                        <TTITLE>Table 6—Present Value of Costs and Benefits Summary Table</TTITLE>
                        <TDESC>[In 2020 million dollars, over a 10-year time horizon relative to baseline, three percent or seven percent discount rate]</TDESC>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Most likely
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="1">Lower bound</CHED>
                            <CHED H="1">Upper bound</CHED>
                            <CHED H="1">
                                Source
                                <LI>(RIA section)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW EXPSTB="04" RUL="s">
                            <ENT I="21">
                                <E T="02">Present value of monetized benefits (reduced costs)</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="22">Three percent discount rate:</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Importer benefits</ENT>
                            <ENT>$7.6</ENT>
                            <ENT>$3.2</ENT>
                            <ENT>$16</ENT>
                            <ENT>B1, B2, B3.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airline benefits</ENT>
                            <ENT>1.5</ENT>
                            <ENT>0.32</ENT>
                            <ENT>5.0</ENT>
                            <ENT>B4.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">DHS/CBP benefits</ENT>
                            <ENT>5.5</ENT>
                            <ENT>2.6</ENT>
                            <ENT>8.1</ENT>
                            <ENT>B5.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">HHS/CDC benefits</ENT>
                            <ENT>1.9</ENT>
                            <ENT>0.77</ENT>
                            <ENT>5.0</ENT>
                            <ENT>B6.</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">State and local health department benefits</ENT>
                            <ENT>0.042</ENT>
                            <ENT>0.0</ENT>
                            <ENT>0.19</ENT>
                            <ENT>B7.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="05">Total benefits (A)</ENT>
                            <ENT>17</ENT>
                            <ENT>6.9</ENT>
                            <ENT>34</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">Seven percent discount rate:</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Importer benefits</ENT>
                            <ENT>6.3</ENT>
                            <ENT>2.6</ENT>
                            <ENT>13</ENT>
                            <ENT>B1, B2, B3.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airline benefits</ENT>
                            <ENT>1.2</ENT>
                            <ENT>0.27</ENT>
                            <ENT>4.1</ENT>
                            <ENT>B4.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">DHS/CBP benefits</ENT>
                            <ENT>4.6</ENT>
                            <ENT>2.1</ENT>
                            <ENT>6.7</ENT>
                            <ENT>B5.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">HHS/CDC benefits</ENT>
                            <ENT>1.6</ENT>
                            <ENT>0.63</ENT>
                            <ENT>4.1</ENT>
                            <ENT>B6.</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">State and local health department benefits</ENT>
                            <ENT>0.034</ENT>
                            <ENT>0.0</ENT>
                            <ENT>0.16</ENT>
                            <ENT>B7.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="05">Total benefits</ENT>
                            <ENT>14</ENT>
                            <ENT>5.7</ENT>
                            <ENT>28</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Quantified, but unmonetized, benefits</ENT>
                            <ENT A="L02">The response costs associated with a dog imported while infected with DMRVV were estimated to be about $320,000, ranging from $220,000 to $520,000. The requirements in the NPRM (if finalized as proposed) reduce the risk of imported dogs arriving with DMRVV, and the costs associated with rabies response activities will decrease.</ENT>
                            <ENT>C1.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Qualitative (unquantified) benefits</ENT>
                            <ENT A="L02">
                                With each importation of a dog infected with DMRVV, there is a risk that a person may become infected and die or that DMRVV may be re-introduced in the U.S. wildlife population, which could dramatically increase costs relative to the public health response cost summarized above. In addition, by obtaining high-quality data on the number of dogs imported by country, CDC and other Federal agencies, including USDA, will improve preparedness for outbreaks of new and emerging infectious disease threats to humans (
                                <E T="03">e.g.,</E>
                                 DMRVV) and animals (
                                <E T="03">e.g.,</E>
                                 African swine fever). The provisions of the NPRM (if finalized as proposed) will also ensure that dogs that are denied entry or arrive ill will receive the veterinary care needed to protect their health and safety.
                            </ENT>
                            <ENT>D1.</ENT>
                        </ROW>
                        <ROW EXPSTB="04" RUL="s">
                            <ENT I="21">
                                <E T="02">Present value of monetized costs</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="22">Three percent discount rate:</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Importer costs</ENT>
                            <ENT>203</ENT>
                            <ENT>45</ENT>
                            <ENT>675</ENT>
                            <ENT>B1, B2, B3.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airline costs</ENT>
                            <ENT>21</ENT>
                            <ENT>8</ENT>
                            <ENT>41</ENT>
                            <ENT>B4.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">DHS/CBP costs</ENT>
                            <ENT>1.1</ENT>
                            <ENT>0.4</ENT>
                            <ENT>2.6</ENT>
                            <ENT>B5.</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">CDC costs</ENT>
                            <ENT>17</ENT>
                            <ENT>11</ENT>
                            <ENT>18</ENT>
                            <ENT>B6.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="05">Total costs (B)</ENT>
                            <ENT>242</ENT>
                            <ENT>64</ENT>
                            <ENT>737</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="22">Seven percent discount rate:</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Importer costs</ENT>
                            <ENT>168</ENT>
                            <ENT>37</ENT>
                            <ENT>559</ENT>
                            <ENT>B1, B2, B3.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airline costs</ENT>
                            <ENT>17</ENT>
                            <ENT>6.6</ENT>
                            <ENT>33</ENT>
                            <ENT>B4.</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">DHS/CBP costs</ENT>
                            <ENT>1.1</ENT>
                            <ENT>0.4</ENT>
                            <ENT>2.4</ENT>
                            <ENT>B5.</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">CDC costs</ENT>
                            <ENT>14</ENT>
                            <ENT>9.3</ENT>
                            <ENT>14</ENT>
                            <ENT>B6.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="05">Total costs</ENT>
                            <ENT>200</ENT>
                            <ENT>53</ENT>
                            <ENT>608</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <PRTPAGE P="44006"/>
                            <ENT I="01">Quantified, but unmonetized, costs</ENT>
                            <ENT A="L02">Not applicable.</ENT>
                            <ENT>C2.</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Qualitative (unquantified) costs</ENT>
                            <ENT A="L02">CDC would monitor countries and may suspend entry of dogs from countries with repeated instances of dogs with falsified or fraudulent vaccine credentials or invalid rabies vaccination documentation. The lost value of these imports would impact some U.S. businesses and dog purchasers. In addition, the duration of any suspensions for these countries is highly uncertain and may be ended in the event of improvement of those countries' dog export controls. CDC is proposing the authority to issue orders to revoke a carrier's or importer's permission to transport live dogs and cats if either has endangered the public's health; however, CDC does not have any plans to suspend any carriers or importers at this time. Owners of dogs that undergo a 28-day quarantine period may suffer qualitative costs from being separated from their dogs during quarantine.</ENT>
                            <ENT>D2.</ENT>
                        </ROW>
                        <ROW EXPSTB="04" RUL="s">
                            <ENT I="21">
                                <E T="02">Net annualized costs</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Total (three percent discount rate), (B1)-(A1)</ENT>
                            <ENT>225</ENT>
                            <ENT>58</ENT>
                            <ENT>702</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Total (seven percent discount rate), (B1)-(A1)</ENT>
                            <ENT>187</ENT>
                            <ENT>48</ENT>
                            <ENT>581</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        The United States was declared DMRVV-free in 2007. Importing dogs from DMRVV high-risk countries involves a significant public health risk. The proposed provisions of this NPRM (if finalized as proposed) would better align U.S. dog importation requirements with those of other countries that have been declared DMRVV-free. Further, the serologic testing requirements are consistent with recommendations in the WOAH Terrestrial Manual for dogs imported from DMRVV high-risk countries to DMRVV-free countries.
                        <SU>121</SU>
                        <FTREF/>
                         One DMRVV-infected dog may cause transmission to humans, domestic pets, livestock, or wildlife. The average cost per importation of a DMRVV-infected dog was estimated to be $320,000 (range: $220,000 to $520,000) to conduct public health investigations and administer rabies PEP to exposed persons.
                    </P>
                    <FTNT>
                        <P>
                            <SU>121</SU>
                             WOAH Terrestrial Animal Health Code. Chapter 5.11. Available at: Access online: WOAH—World Organisation for Animal Health 
                            <E T="03">https://www.woah.org/en/what-we-do/standards/codes-and-manuals/terrestrial-code-online-access/?id=169&amp;L=0&amp;htmfile=chapitre_certif_rabies.htm</E>
                            .
                        </P>
                    </FTNT>
                    <P>
                        Historically, CDC's has denied entry to approximately 200 dogs annually due to fraudulent, incomplete, or inaccurate paperwork.
                        <SU>122</SU>
                        <FTREF/>
                         However, between January 2020 and July 2021 (
                        <E T="03">i.e.,</E>
                         during the COVID-19 pandemic, prior to the temporary suspension), CDC documented more than 1000 instances of incomplete, inadequate, or fraudulent rabies vaccination certificates for dogs arriving from DMRVV high-risk countries.
                        <SU>123</SU>
                        <FTREF/>
                         The diversion of public health resources globally to COVID-19 response activities has contributed to a lapse in canine rabies vaccination efforts and a related increase in the prevalence of dogs infected with DMRVV in some high-risk countries. The combination of an increasing number of dogs imported without adequate documentation of rabies vaccination,
                        <SU>124</SU>
                        <FTREF/>
                         in addition to the potential increase in the prevalence of DMRVV in high-risk countries,
                        <SU>125</SU>
                        <FTREF/>
                         would increase the risk of importation of dogs that are infected with DMRVV. This combination of factors would increase the likelihood of DMRVV-importation events relative to the time-period before the COVID-19 pandemic.
                    </P>
                    <FTNT>
                        <P>
                            <SU>122</SU>
                             Centers for Disease Control and Prevention (2021). Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog Importation data, 2010-2019. Accessed October 1, 2022.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>123</SU>
                             Pieracci, E., Williams, C., Wallace, R., Kalapura, C., Brown, C. U.S. dog importations during the COVID-19 pandemic: Do we have an erupting problem? 
                            <E T="03">PLoS ONE,</E>
                             16(9), e0254287. doi: 10.1371/journal.pone.0254287.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>124</SU>
                             Centers for Disease Control and Prevention. Quarantine Activity Reporting System (version 4.9.8.8.2.2A). Dog importation data, 2018-2020. Accessed: 15 February 2021.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>125</SU>
                             A Kunkel, Jeon S, Haim, Dilius CJP, Crowdis K, Meltzer MI, Wallace R. (2021) The urgency of resuming disrupted dog rabies vaccination campaigns: a modeling and cost-effectiveness analysis. 
                            <E T="03">Scientific Reports;</E>
                             11:12476. 
                            <E T="03">https://https://doi.org/10.1038/s41598-021-92067-5.</E>
                        </P>
                    </FTNT>
                    <P>
                        CDC is unable to predict future trends with or without the proposed provisions included in this NPRM to estimate how many dogs infected with DMRVV may be imported. Two rabid dog imports (both from Iran) have been reported in Canada within a seven-month period (specifically July 2021 and January 2022) at around the same time the United States implemented a temporary suspension of dogs imported from DMRVV high-risk countries. Prior to these two imports, Canada had not reported a dog infected with DMRVV since the 1960s.
                        <SU>126</SU>
                        <FTREF/>
                         Given the limited number of reported dogs with DMRVV, this observation may be indicative of a higher risk for dogs imported from DMRVV high-risk countries during the COVID-19 pandemic or could be anomalous occurrences in Canada. However, the provisions included in the NPRM (if finalized as proposed) is expected to substantively reduce the risk of importation of dogs infected with DMRVV relative to baseline.
                    </P>
                    <FTNT>
                        <P>
                            <SU>126</SU>
                             
                            <E T="03">Outbreak News Today</E>
                             (Feb. 10, 2022) Rabies case reported in Toronto in a dog imported from Iran. 
                            <E T="03">http://outbreaknewstoday.com/rabies-case-reported-in-toronto-in-a-dog-imported-from-iran-46958.</E>
                             Accessed: February 14, 2022.
                        </P>
                    </FTNT>
                    <P>
                        The primary public health benefit of this NPRM (if finalized as proposed) is 
                        <PRTPAGE P="44007"/>
                        the reduced risk that a dog infected with DMRVV will be imported from a high-risk country. Using the most likely estimates of the net monetized cost estimate ($26.4 million) and the most likely estimate of the potential benefit of averting the importation of one dog with DMRVV from a high-risk country ($320,000), it is possible to calculate the change in the number of imported dogs infected with DMRVV if the provisions of the NPRM are finalized as proposed relative to the baseline such that the benefit would equal cost. The net cost ($26.4 million) divided by the cost per importation ($320,000) suggests that the provisions of the NPRM (if finalized as proposed) relative to baseline would have to avert the importation of 82 dogs infected with DMRVV for the benefit to exceed the cost. This would require an increase in the number of dogs imported into the United States while infected with DMRVV, which could only occur because of widespread failures of rabies control programs in multiple countries. However, this analysis does not consider the potential for fatal rabies cases in people or the risk of reintroduction of DMRVV in the United States, as analyzed below.
                    </P>
                    <P>The above estimate of the cost of an importation of a dog with DMRVV does not account for the worst-case outcomes, which include (1) transmission of rabies to a person who dies from the disease, or (2) ongoing transmission to other domestic and wildlife species in the United States. The cost of re-introduction could be especially high if DMRVV spreads to other species of U.S. wildlife. Re-establishment of DMRVV in the United States could result in costly efforts over several years to eliminate the virus again. Both worst-case outcomes may be more likely to occur after the COVID-19 pandemic because public health resources were diverted to COVID-19 response activities and disruptions in rabies control programs in high-risk countries. Disruptions to rabies control programs in DMRVV high-risk countries may contribute to elevated risks even as the COVID-19 pandemic wanes.</P>
                    <P>
                        Human deaths from rabies continue to occur in the United States after exposure to wild animals; however, no U.S. resident has died after exposure to an imported dog with DMRVV in at least 20 years. CDC uses the value of statistical life (VSL) to assign a value to interventions that can result in mortality risk reductions. For fatal cases, HHS recommends the use of the value of statistical life to estimate the potential benefits of averted deaths, an estimate of $11.6 million in 2020 USD and a range of $5.5 to $17.7 million.
                        <SU>127</SU>
                        <FTREF/>
                         However, CDC is unable to estimate the potential magnitude of the mortality risk reduction associated with the proposed rule. Based on the median VSL, the provisions of the NPRM (if finalized as proposed) would need to help avert three or more human deaths per year for the benefits to exceed costs (or an average of 2.3 deaths per year over multiple years).
                    </P>
                    <FTNT>
                        <P>
                            <SU>127</SU>
                             U.S. Department of Health and Human Services, 2016. Office of the Assistant Secretary for Planning and Evaluation. Guidelines for Regulatory Impact Analysis. 
                            <E T="03">https://aspe.hhs.gov/system/files/pdf/242926/HHS_RIAGuidance.pdf.</E>
                             Accessed: April 20, 2020.
                        </P>
                    </FTNT>
                    <P>
                        Efforts to eliminate DMRVV if re-established in the United States would also prove costly. A previous campaign to eliminate domestic dog-coyote rabies virus variant jointly with gray fox (Texas fox) rabies virus variant in Texas over the period from 1995 through 2003 cost $34 million,
                        <E T="51">128 129</E>
                        <FTREF/>
                         or $55 million in 2022 USD. The costs to contain any reintroduction would depend on the time-period before the reintroduction was realized, the wildlife species in which DMRVV was transmitted, and the geographic area over which reintroduction occurs. The above estimate is limited to the cost of rabies vaccination programs for targeted wildlife and does not include the costs to administer PEP to any persons exposed after the reintroduction has been identified. Human deaths from DMRVV could increase following the re-introduction of DMRVV to the United States as the risk of exposure would increase.
                    </P>
                    <FTNT>
                        <P>
                            <SU>128</SU>
                             TJ Sidwa et al. (2005) Evaluation of oral rabies vaccination programs for control of rabies epizootics in coyotes and gray foxes: 1995-2003. 
                            <E T="03">Journal of the American Veterinary Medicine Association;</E>
                             227(5):785-92.
                        </P>
                        <P>
                            <SU>129</SU>
                             R.T. Sterner et al. (2009) Tactics and Economics of Wildlife Oral Rabies Vaccination, Canada and the United States. 
                            <E T="03">Emerging Infectious Diseases;</E>
                             15(8), 1176-1184.
                        </P>
                    </FTNT>
                    <P>
                        The provisions of the NPRM (if finalized as proposed) would also ensure that dogs that are denied admission or arrive ill will be housed appropriately and receive the veterinary care needed to protect their health and safety. This will reduce the likelihood that dogs may be left in unsafe conditions in cargo warehouses for extended periods of time (
                        <E T="03">i.e.,</E>
                         longer than six hours) with the potential to expose workers who are not trained to handle live animals safely.
                        <SU>130</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>130</SU>
                             
                            <E T="03">https://www.cbsnews.com/chicago/news/dog-dies-at-ohare-airport-warehouse-17-others-saved-after-being-left-without-food-or-water-for-3-days/.</E>
                        </P>
                    </FTNT>
                    <P>
                        Under the current baseline, the number of dogs imported into the United States is neither accurately nor completely tracked. The more comprehensive data collection proposed in this NPRM through the 
                        <E T="03">CDC Import Submission Form</E>
                         would benefit public health investigations and enable better and more timely contact tracing of all animals exposed to an imported dog with DMRVV. The current lack of data also inhibits the Federal government's ability to target interventions for dogs imported from specific countries. The collection of data from the 
                        <E T="03">CDC Import Submission Form</E>
                         as proposed in this NPRM may also benefit other agencies such as USDA/APHIS that may want to regulate dog imports based on the risk of introduction of diseases that may affect U.S. livestock. For example, in 2021, APHIS regulated importers of dogs for resale based on whether the dogs were imported from countries where African swine fever exists.
                        <SU>131</SU>
                        <FTREF/>
                         The potential economic benefits of reducing the risk of the importation of African swine fever could be significant. For example, a recent African swine fever outbreak in China was estimated to have total economic losses equivalent to 0.78 percent of China's gross domestic product in 2019.
                        <SU>132</SU>
                        <FTREF/>
                         The requirement in the NPRM (if finalized as proposed) to report all dogs to CDC via a CDC-approved system would reduce the risk of importation of infected dogs from countries with ongoing disease outbreaks that may affect livestock.
                    </P>
                    <FTNT>
                        <P>
                            <SU>131</SU>
                             Animal and Plant Health Inspection Service (Aug. 4, 2021) USDA Announces Requirements for Importing Dogs from Countries Affected with African Swine Fever. 
                            <E T="03">https://www.aphis.usda.gov/aphis/newsroom/news/sa_by_date/sa-2021/asf-dog-imports.</E>
                             Accessed: 05 February 2022.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>132</SU>
                             Shibing You, Tingyi Liu, Miao Zhang, Xue Zhao, Yizhe Dong, Bi Wu, Yanzhen Wang, Juan Li, Xinjie Wei and Baofeng Shi (2021) African swine fever outbreaks in China led to gross domestic product and economic losses. 
                            <E T="03">Nature Food;</E>
                             2: 802-808.
                        </P>
                    </FTNT>
                    <P>
                        Viruses exploiting new host species have led to some of the most devastating disease epidemics, such as influenza, Ebola, and the HIV/AIDS pandemic.
                        <SU>133</SU>
                        <FTREF/>
                         Viruses continually evolve in their animal hosts. This has been observed in viruses such as avian and swine influenza viruses, constituting a permanent pandemic threat to humans.
                        <SU>134</SU>
                        <FTREF/>
                         Although CDC cannot predict when future zoonotic diseases may emerge or whether future zoonotic diseases may be associated with transmission from dogs to humans, such events remain a possibility. Future dog-
                        <PRTPAGE P="44008"/>
                        mediated zoonotic diseases may pose an acute risk to the public's health because, in contrast to other animal imports, most dogs are imported as pets and will be in close contact with their owners.
                    </P>
                    <FTNT>
                        <P>
                            <SU>133</SU>
                             Woolhouse M, Haydon D, Antia R. Emerging pathogens: the epidemiology and evolution of species jumps. 
                            <E T="03">Trends in Ecology &amp; Evolution</E>
                             2005; 20 (5): 238-244. 
                            <E T="03">https://doi.org/10.1016/j.tree.2005.02.009.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>134</SU>
                             Woolhouse M, Haydon D, Antia R. Emerging pathogens: the epidemiology and evolution of species jumps. 
                            <E T="03">Trends in Ecology &amp; Evolution</E>
                             2005; 20 (5): 238-244. 
                            <E T="03">https://doi.org/10.1016/j.tree.2005.02.009.</E>
                        </P>
                    </FTNT>
                    <P>
                        During the COVID-19 pandemic a variant of the SARS-CoV-2 virus was detected in mink populations in Europe and entered human populations from this animal host. Between February 18, 2020, and December 15, 2021, 457 mink farms in 12 countries experienced SARS-CoV-2 outbreaks 
                        <SU>135</SU>
                        <FTREF/>
                         and mink-to-human transmission of the SARS-CoV-2 virus was documented on mink farms in the Netherlands, Denmark, Poland, and the United States.
                        <E T="51">136 137 138</E>
                        <FTREF/>
                         In August and September of 2020, Denmark documented a mink-associated SARS-CoV-2 variant strain found in 12 people, eight of whom had links to the mink farming industry. Due to concerns about transmissibility, immunity, and potential impacts on vaccine efficacy, the Danish government ordered that all 15-17 million minks in the country be culled. Following a risk assessment of live mink importations from the Western European region to the United States, CDC determined additional regulatory action to prohibit live mink importations was unnecessary due to public health prevention measures taken by mink importers and the low numbers of imported mink. In comparison, CDC would not have the same data available to conduct a risk assessment for dog imports in the event of a future dog-mediated zoonotic disease outbreak because dog imports are neither accurately nor completely tracked in any government data system in the absence of the dog import submission data requirement proposed in this NPRM.
                    </P>
                    <FTNT>
                        <P>
                            <SU>135</SU>
                             Koopmans M. SARS-CoV-2 and the human-animal interface: outbreaks on mink farms. 
                            <E T="03">The Lancet Infectious Diseases</E>
                             2021; 21 (1): 18-19.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>136</SU>
                             Hammer AS, Quaade ML, Rasmussen TB, et al. SARS-CoV-2 Transmission between Mink (Neovison vison) and Humans, Denmark. 
                            <E T="03">Emerg Infect Dis.</E>
                             2021 Feb;27(2):547-551. doi: 10.3201/eid2702.203794. Epub 2020 Nov 18. PMID: 33207152; PMCID: PMC7853580.
                        </P>
                        <P>
                            <SU>137</SU>
                             Oude Munnink BB, Sikkema RS, Nieuwenhuijse DF, et al. Transmission of SARS-CoV-2 on mink farms between humans and mink and back to humans. 
                            <E T="03">Science.</E>
                             2021 Jan 8;371(6525):172-177. doi: 10.1126/science.abe5901. Epub 2020 Nov 10. PMID: 33172935; PMCID: PMC7857398.
                        </P>
                        <P>
                            <SU>138</SU>
                             Rabalski L, Kosinki M, Mazur-Panasiuk N, et al. Zoonotic spillover of SARS-CoV-2: mink-adapted virus in humans. Available at: 
                            <E T="03">https://www.biorxiv.org/content/10.1101/2021.03.05.433713v1.full.pdf.</E>
                        </P>
                    </FTNT>
                    <P>The proposed reporting of dog import volumes by country in an approved CDC import submission data system provides an opportunity to target interventions for dogs imported from specific countries. Such reporting as proposed in 42 CFR 71.51(h) would allow CDC or other Federal agencies to more easily implement preventive measures to mitigate the risk of introductions of new zoonotic diseases targeted to specific countries of concern. The import submission data requirement may also help CDC and other Federal agencies, as well as State and local health departments, retrospectively inspect shipments from specific countries. This would reduce the costs of future interventions; however, CDC is not able to quantify future savings.</P>
                    <P>
                        The provisions of the NPRM (if finalized as proposed) are expected to reduce the risk of dogs arriving while ill. If an animal arrives in the United States and appears ill or is dead, a public health investigation is required to ensure the ill or dead animal does not present a public health threat. The overall health of an animal can play a significant role in whether it can maintain core body functions (
                        <E T="03">i.e.,</E>
                         body temperature regulation and glucose levels) during prolonged flights. Stressed, malnourished, and young animals are more likely to become ill and can transmit communicable diseases that can affect humans; 
                        <E T="51">139 140</E>
                        <FTREF/>
                         therefore, safety and welfare concerns for the transport of dogs have a public health impact that requires a degree of oversight from public health agencies to ensure human and animal health is protected.
                        <SU>141</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>139</SU>
                             Galanis E et al. Brucellosis and other diseases imported with dogs. 
                            <E T="03">BCMJ</E>
                             2019; 61 (4): 177-190. Available at: 
                            <E T="03">https://bcmj.org/bccdc/brucellosis-and-other-diseases-imported-dogs.</E>
                        </P>
                        <P>
                            <SU>140</SU>
                             Denstedt E. Echinococcus multilocularis as an emerging public health threat in Canada: A knowledge synthesis and needs assessment. Accessed: February 28, 2019. Available at: 
                            <E T="03">www.ncceh.ca/sites/default/files/Guelph-Denstedt-2017.pdf.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>141</SU>
                             Pieracci EG, Maskery B, Stauffer K, Gertz A, Brown C. Risk factors for death and illness in dogs imported into the United States, 2010-2018. 
                            <E T="03">Transbound Emerg Dis.</E>
                             2022 Mar 15. doi: 10.1111/tbed.14510.
                        </P>
                    </FTNT>
                    <P>In addition to the unmonetized benefits described above, there may be additional unmonetized costs. CDC plans to monitor countries and may suspend entry of dogs from countries with repeated instances of falsified or fraudulent dog vaccine credentials or invalid rabies vaccination documents. The lost value of imports from DMRVV-restricted countries would impact some U.S. businesses and dog purchasers. However, the duration of any suspensions for these countries is highly uncertain and may be ended in the event of improvement of those countries' export controls.</P>
                    <P>HHS/CDC is proposing the authority to issue orders to revoke a carrier's permission to transport live dogs and cats if a carrier has endangered the public's health; however, CDC does not have plans to suspend any carriers at this time.</P>
                    <P>
                        CDC lacks data on the cost to airlines of ensuring that a representative of an airline transporting live dogs into the United States be on-site at the U.S. port and available to coordinate the entry/clearance of the dogs with Federal government officials until all live dogs on an arriving flight into the United States have either been cleared for entry or arrangements have been made to transport the dogs to a CDC-registered Animal Care Facility or other facility (
                        <E T="03">e.g.,</E>
                         veterinary clinic or kennel) approved by CDC pending admissibility determination. CDC believes this will only incur additional costs on occasion since airline staff are typically available on-site. However, HHS/CDC requests public comment to provide more data to estimate costs associated with this proposed requirement.
                    </P>
                    <HD SOURCE="HD3">Impact of the NPRM (if Finalized as Proposed) on Dog Import Volumes</HD>
                    <P>
                        Although the U.S. Government does not precisely track the total number of dogs imported each year, it was previously estimated that approximately 1 million dogs are imported into the United States annually, of which 100,000 dogs are from DMRVV high-risk countries.
                        <SU>142</SU>
                        <FTREF/>
                         This estimate was based on information provided by airlines, CBP, and a zoonoses public health study conducted at a U.S.-Mexico land border crossing.
                        <SU>143</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>142</SU>
                             HHS/CDC. Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 84 FR 724 (Jan. 31, 2019).
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>143</SU>
                             McQuiston, J.H., et al., Importation of dogs into the United States: risks from rabies and other zoonotic diseases. 
                            <E T="03">Zoonoses Public Health,</E>
                             2008. 55(8-10): p. 421-6.
                        </P>
                    </FTNT>
                    <P>
                        CBP does record, by country, the number of dogs imported with formal entry under Harmonized Tariff Schedule (HTS) code 0106.19.91.20 and HTS Description: Other live animals, other, other, dogs. CDC used these data from CBP to update its estimates of the annual number of imported dogs. The total number of dogs imported into the United States from all countries under this HTS category varied from 25,232 in 2018 to 58,540 in 2020. The number of dogs from DMRVV high-risk countries under this HTS category averaged 16,390 and varied from 9,966 to 24,031 over this three-year period. Over the three-year period, 43,000 dogs on average were imported per year, with 
                        <PRTPAGE P="44009"/>
                        about 38 percent arriving from DMRVV high-risk countries. The number of dogs reported under this HTS category does not include dogs imported as checked baggage, hand-carried in airplane cabins, or crossing land borders without formal entry. Thus, the number underestimates the true number of dogs imported into the United States. The fraction of dogs with this HTS code arriving from DMRVV high-risk countries (38 percent) is much greater than the fraction estimated by CBP field staff (15 percent) in a previous data collection.
                        <SU>144</SU>
                        <FTREF/>
                         This could result if the composition of dogs imported for resale or adoption under the HTS code is different than the full distribution of imported dogs. In other words, more individuals may travel internationally with their personal pets or relocate to the United States from DMRVV-free or DMRVV low-risk countries. CDC adjusted for the difference in the fraction of dogs imported from DMRVV-free or DMRVV low-risk countries based on estimates from CBP field staff of this fraction and then re-estimated the number of imported dogs arriving at airports, as summarized in Section A2 of the Regulatory Impact Analysis.
                    </P>
                    <FTNT>
                        <P>
                            <SU>144</SU>
                             CDC. Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 84 FR 724 (Jan. 31, 2019).
                        </P>
                    </FTNT>
                    <P>
                        CDC used previously reported estimates of the number of dogs arriving at the land ports with Canada and Mexico.
                        <SU>145</SU>
                        <FTREF/>
                         The updated estimates for dog imports under the baseline are summarized in Table 7. In total, CDC estimated that under the current regulatory baseline, about 800,000 imported dogs would arrive in the United States each year and that about 500 dogs from DMRVV high-risk countries would be denied admission. The number denied entry is based on CDC data from 2020 and the first six months of 2021 prior to the suspension of dog imports from DMRVV high-risk countries. This approach may overestimate the number of dogs denied entry in the future if the COVID-19 pandemic was associated with a significant increase in dogs denied admission due to pandemic-associated factors. Since dog rabies vaccine certificates are not currently required for dogs from DMRVV-free or DMRVV low-risk countries, CDC did not assume any dogs from these countries would be denied admission under the baseline.
                    </P>
                    <FTNT>
                        <P>
                            <SU>145</SU>
                             CDC. Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 84 FR 724 (Jan. 31, 2019).
                        </P>
                    </FTNT>
                    <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s100,12,12,12">
                        <TTITLE>Table 7—Estimated Annual Numbers of Dogs Imported Into the United States Under the Current Regulatory Baseline</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Most likely 
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="1">Lower bound</CHED>
                            <CHED H="1">Upper bound</CHED>
                        </BOXHD>
                        <ROW EXPSTB="03" RUL="s">
                            <ENT I="21">
                                <E T="02">Baseline estimate of dog imports</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">From DMRVV-free or DMRVV low-risk countries under baseline, total</ENT>
                            <ENT>733,787</ENT>
                            <ENT>619,229</ENT>
                            <ENT>848,344</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Airports</ENT>
                            <ENT>371,507</ENT>
                            <ENT>297,205</ENT>
                            <ENT>445,808</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Land ports</ENT>
                            <ENT>362,280</ENT>
                            <ENT>322,024</ENT>
                            <ENT>402,536</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="05">
                                Canada-U.S. land ports 
                                <SU>146</SU>
                            </ENT>
                            <ENT>120,780</ENT>
                            <ENT>96,624</ENT>
                            <ENT>144,936</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="05">
                                Mexico-U.S. land ports 
                                <SU>147</SU>
                            </ENT>
                            <ENT>241,500</ENT>
                            <ENT>225,400</ENT>
                            <ENT>257,600</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Dogs temporarily denied admission</ENT>
                            <ENT>0</ENT>
                            <ENT>0</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">From DMRVV high-risk countries</ENT>
                            <ENT>65,560</ENT>
                            <ENT>32,780</ENT>
                            <ENT>98,340</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Dogs approved entry with adequate rabies vaccination documentation</ENT>
                            <ENT>65,060</ENT>
                            <ENT>32,480</ENT>
                            <ENT>97,590</ENT>
                        </ROW>
                        <ROW RUL="n,s">
                            <ENT I="03">Dogs denied admission</ENT>
                            <ENT>500</ENT>
                            <ENT>300</ENT>
                            <ENT>750</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="07">Total dog imports at baseline</ENT>
                            <ENT>798,847</ENT>
                            <ENT>651,709</ENT>
                            <ENT>945,934</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        The provisions
                        <FTREF/>
                         of the NPRM (if finalized as proposed) that are expected to reduce the number of dog imports include: (1) age restrictions on air travel for all dogs under six months of age, including dogs from both DMRVV high-risk and DMRVV low-risk countries; (2) restricting the number of dogs under six months of age allowed to enter the United States at land ports to three or fewer; and (3) the additional costs of fulfilling the requirements for follow-up and revaccination at CDC-registered Animal Care Facilities for foreign-vaccinated dogs from DMRVV high-risk countries. At the same time, CDC believes that the number of dogs denied admission and returned to their countries of origin would decrease if the provisions included in the NPRM are finalized as proposed.
                    </P>
                    <FTNT>
                        <P>
                            <SU>146</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                        <P>
                            <SU>147</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <P>The estimated impact of the NPRM (if finalized as proposed) on the number of dog imports is summarized in Table 8. CDC lacks data on what fraction of dogs arriving by air are less than six months old under the baseline. In the absence of this information, CDC assumes five percent (range: three to eight percent) of dogs currently arriving by air are less than six months and would not be eligible to be imported into the United States under the NPRM (if finalized as proposed). CDC also lacks data on the importers who would want to bring in more than three dogs less than six months of age within a calendar year, which would no longer be allowed with the NPRM (if finalized as proposed). CDC notes that these provisions should primarily impact individuals traveling with their personal pets because the importation of dogs for resale or adoption that are less than six months of age is already prohibited by USDA regulations (7 CFR 2148). Another provision of the NPRM (if finalized as proposed) would require importers of dogs from DMRVV low-risk countries to submit written documentation, such as veterinary medical records, documenting that the animal has been in a DMRVV low-risk or DMRVV-free country for the six months prior to importation into the United States. CDC does not anticipate denying admission to dogs that may arrive from DMRVV low-risk countries without such documentation if the NPRM is finalized as proposed, but there may be delays at U.S. ports while CDC confirms dogs from DMRVV low-risk countries have not been in a DMRVV high-risk country within the previous six months.</P>
                    <P>
                        CDC assumes that the additional costs associated with importing dogs from DMRVV high-risk countries with foreign-issued rabies vaccination documentation would reduce the 
                        <PRTPAGE P="44010"/>
                        number of imports by about 20 percent (range: 10 to 30 percent) if the NPRM is finalized as proposed. In addition, CDC believes the number of dogs from DMRVV high-risk countries that are denied entry will decrease if the provisions of the NPRM are finalized as proposed because CDC will be able to require the use of standardized forms to confirm rabies vaccination and animal care facility follow-up requirements should be clear to importers. Based in part on the number of dogs denied entry during CDC's temporary suspension, CDC estimated that about 50 dogs from DMRVV high-risk countries would be denied entry under the provisions of the NPRM (if finalized as proposed). Overall, the provisions in the NPRM (if finalized as proposed) are expected to have a small impact on the total number of dogs imported (from about 799,000 at baseline to 770,000 with the provisions of the NPRM in effect and finalized as proposed).
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>148</SU>
                             CDC. Guidance Regarding Agency Interpretation of “Rabies-Free” as It Relates to the Importation of Dogs Into the United States. 84 FR 724 (Jan. 31, 2019).
                        </P>
                        <P>
                            <SU>149</SU>
                             
                            <E T="03">Id.</E>
                        </P>
                    </FTNT>
                    <GPOTABLE COLS="4" OPTS="L2,nj,i1" CDEF="s150,12,12,12">
                        <TTITLE>Table 8—Estimated Average Annual Numbers of Dog Imports by DMRVV Risk Category and by Immunization Status</TTITLE>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Best 
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="1">
                                Lower 
                                <LI>
                                    bound 
                                    <SU>b</SU>
                                </LI>
                            </CHED>
                            <CHED H="1">
                                Upper 
                                <LI>
                                    bound 
                                    <SU>c</SU>
                                </LI>
                            </CHED>
                        </BOXHD>
                        <ROW EXPSTB="03">
                            <ENT I="21">
                                <E T="02">Baseline estimate of dog imports</E>
                            </ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="21">
                                <E T="02">From rabies-free, DMRVV-free, or DMRVV low-risk countries under previous guidance</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Total</ENT>
                            <ENT>733,787</ENT>
                            <ENT>619,229</ENT>
                            <ENT>848,344</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">Airports</ENT>
                            <ENT>371,507</ENT>
                            <ENT>297,205</ENT>
                            <ENT>445,808</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">Land ports</ENT>
                            <ENT>362,280</ENT>
                            <ENT>322,024</ENT>
                            <ENT>402,536</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">
                                Canada-U.S. land ports 
                                <SU>148</SU>
                            </ENT>
                            <ENT>120,780</ENT>
                            <ENT>96,624</ENT>
                            <ENT>144,936</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">
                                Mexico-U.S. land ports 
                                <SU>149</SU>
                            </ENT>
                            <ENT>241,500</ENT>
                            <ENT>225,400</ENT>
                            <ENT>257,600</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="02">Dogs denied entry from rabies-free, DMRVV-free, or low-risk</ENT>
                            <ENT>0</ENT>
                            <ENT>0</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW EXPSTB="03" RUL="s">
                            <ENT I="21">
                                <E T="02">Dogs from countries at high risk of DMRVV</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Total</ENT>
                            <ENT>65,560</ENT>
                            <ENT>32,780</ENT>
                            <ENT>98,340</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">Dogs approved entry with rabies vaccination documentation</ENT>
                            <ENT>65,060</ENT>
                            <ENT>32,480</ENT>
                            <ENT>97,590</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">Estimated fraction of imported dogs from DMRVV high-risk countries that are U.S.-vaccinated</ENT>
                            <ENT>50%</ENT>
                            <ENT>65%</ENT>
                            <ENT>35%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">Estimated U.S.-vaccinated dogs</ENT>
                            <ENT>32,530</ENT>
                            <ENT>21,112</ENT>
                            <ENT>34,157</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">Estimated foreign-vaccinated dogs</ENT>
                            <ENT>32,530</ENT>
                            <ENT>11,368</ENT>
                            <ENT>63,434</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">
                                Dogs denied entry 
                                <SU>a</SU>
                            </ENT>
                            <ENT>500</ENT>
                            <ENT>300</ENT>
                            <ENT>750</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">
                                Total imported dogs 
                                <SU>a</SU>
                            </ENT>
                            <ENT>798,847</ENT>
                            <ENT>651,709</ENT>
                            <ENT>945,934</ENT>
                        </ROW>
                        <ROW EXPSTB="03">
                            <ENT I="21">
                                <E T="02">With NPRM (if finalized as proposed)</E>
                            </ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="21">
                                <E T="02">From rabies-free, DMRVV-free, or low-risk countries</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Fraction of dogs who are unable to be imported with NPRM (if finalized as proposed) at airports (due to age restrictions)</ENT>
                            <ENT>5%</ENT>
                            <ENT>3%</ENT>
                            <ENT>8%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">Airports</ENT>
                            <ENT>352,931</ENT>
                            <ENT>288,289</ENT>
                            <ENT>410,143</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">Dogs approved entry</ENT>
                            <ENT>352,578</ENT>
                            <ENT>288,145</ENT>
                            <ENT>409,528</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">Dogs temporarily denied entry</ENT>
                            <ENT>353</ENT>
                            <ENT>144</ENT>
                            <ENT>615</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Fraction of dogs unable to be imported with NPRM (if finalized as proposed) at land ports (due to age restrictions)</ENT>
                            <ENT>1.0%</ENT>
                            <ENT>0.5%</ENT>
                            <ENT>1.5%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">Land ports</ENT>
                            <ENT>358,657</ENT>
                            <ENT>320,414</ENT>
                            <ENT>396,498</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">Canada-U.S. land ports</ENT>
                            <ENT>119,572</ENT>
                            <ENT>96,141</ENT>
                            <ENT>142,762</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="06">Dogs approved entry</ENT>
                            <ENT>119,453</ENT>
                            <ENT>96,093</ENT>
                            <ENT>142,548</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="06">Dogs temporarily denied entry</ENT>
                            <ENT>120</ENT>
                            <ENT>48</ENT>
                            <ENT>214</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="04">Mexico-U.S. land ports</ENT>
                            <ENT>239,085</ENT>
                            <ENT>224,273</ENT>
                            <ENT>253,736</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="06">Dogs approved entry</ENT>
                            <ENT>238,846</ENT>
                            <ENT>224,161</ENT>
                            <ENT>253,355</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="06">Dogs temporarily denied entry</ENT>
                            <ENT>239</ENT>
                            <ENT>112</ENT>
                            <ENT>381</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="02">Dogs temporarily denied entry from rabies-free, DMRVV-free, or low-risk (total)</ENT>
                            <ENT>712</ENT>
                            <ENT>304</ENT>
                            <ENT>1,210</ENT>
                        </ROW>
                        <ROW EXPSTB="03" RUL="s">
                            <ENT I="21">
                                <E T="02">Dogs from countries at high risk of DMRVV</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">Fraction of dog imports that would not occur under the provisions of the NPRM (if finalized as proposed) due to the higher costs associated with importing foreign-vaccinated dogs from DMRVV high-risk countries</ENT>
                            <ENT>20%</ENT>
                            <ENT>30%</ENT>
                            <ENT>10%</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Total</ENT>
                            <ENT>58,554</ENT>
                            <ENT>29,070</ENT>
                            <ENT>91,247</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">Number of U.S.-vaccinated dogs approved entry</ENT>
                            <ENT>32,530</ENT>
                            <ENT>21,112</ENT>
                            <ENT>34,157</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">Number of foreign-vaccinated dogs approved entry</ENT>
                            <ENT>25,974</ENT>
                            <ENT>7,928</ENT>
                            <ENT>57,090</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Total dogs approved entry</ENT>
                            <ENT>58,504</ENT>
                            <ENT>29,040</ENT>
                            <ENT>91,172</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">
                                Dogs denied entry and returned to country-of-origin 
                                <SU>a</SU>
                            </ENT>
                            <ENT>50</ENT>
                            <ENT>30</ENT>
                            <ENT>75</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                Total imported dogs (with NPRM, if finalized as proposed) 
                                <SU>a</SU>
                            </ENT>
                            <ENT>770,093</ENT>
                            <ENT>637,743</ENT>
                            <ENT>897,813</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">
                                Total imported dogs (Baseline) 
                                <SU>a</SU>
                            </ENT>
                            <ENT>798,847</ENT>
                            <ENT>651,709</ENT>
                            <ENT>945,934</ENT>
                        </ROW>
                        <TNOTE>
                            <SU>a</SU>
                             Since these dogs are denied entry and returned to their countries of origin, they are not included in the total number of imports.
                        </TNOTE>
                    </GPOTABLE>
                    <PRTPAGE P="44011"/>
                    <P>CDC did not attempt to project future changes to the volume of dogs imported annually because of insufficient data. CDC believed that introducing another factor to project future volumes was not prudent. HHS/CDC requests public comment from airlines on whether the number of imported dogs has increased, decreased, or remained relatively constant in recent years. Such data may be available to airlines if they track the number of dogs transported each year. While CDC observed an increase in the number of dogs arriving with fraudulent paperwork prior to implementing the temporary suspension, this may not correspond to changes in the total number of dogs imported, of which only a small fraction arrive with fraudulent paperwork.</P>
                    <P>The most likely estimates of the annual monetized costs and benefits for each interested party or implementing partner are summarized in Table 9 over a 10-year period from 2023 through 2032 using the estimated values presented in Sections B1 through B8 of the Appendix found in the Supplemental Materials tab of the docket. The most likely estimate of monetized costs across interested parties is $39 million in the first year and $27 million in subsequent years. The most likely estimate of monetized benefits across interested parties was estimated to be $1.9 million each year.</P>
                    <P>The annual costs and benefits for importers are split into importers of dogs from DMRVV-free or DMRVV low-risk countries versus importers of dogs from DMRVV high-risk countries. However, it is likely that some importers of dogs from DMRVV high-risk countries may also be importers of dogs from DMRVV-free or low-risk countries. In addition, the provisions of the NPRM (if finalized as proposed) may result in some importers switching from importing dogs from DMRVV high-risk countries to those from DMRVV-free or low-risk countries.</P>
                    <P>As a percentage of total costs, importers were estimated to incur 79 to 85 percent of the total costs (most likely estimates), with a higher fraction of total costs incurred in the subsequent years after the first year of implementation. Importer costs are approximately 3.8 times greater for dogs imported from DMRVV high-risk countries compared to dogs from DMRVV-free or low-risk countries. In addition, it is important to note that more than 10 times as many dogs are estimated to be imported from DMRVV-free or low-risk countries. Thus, the cost per dog for importers of dogs from DMRVV high-risk countries is significantly greater than for importers of dogs from DMRVV-free or low-risk countries. This is especially true for foreign-vaccinated dogs from DMRVV high-risk countries.</P>
                    <P>The costs to airlines are expected to comprise 8.0 to 8.8 percent of total costs. Among Federal government agency costs for the provisions included in the NPRM (if finalized as proposed), CBP's additional costs (0.5 to 2.8 percent of the total) are expected to be less than CDC's additional costs (6.2 to 10.4 percent of the total).</P>
                    <GPOTABLE COLS="8" OPTS="L2,i1" CDEF="s25,10,12,10,10,10,12,10">
                        <TTITLE>Table 9—Most Likely Estimates of Annual Monetized Costs and Benefits by Affected Party or Implementing Partner From 2023-2032 Relative to Baseline in 2020 USD</TTITLE>
                        <BOXHD>
                            <CHED H="1">Year</CHED>
                            <CHED H="1">Importers of dogs from DMRVV high-risk countries</CHED>
                            <CHED H="1">
                                Importers of
                                <LI>dogs from</LI>
                                <LI>DMRVV-free</LI>
                                <LI>or low-risk</LI>
                                <LI>countries</LI>
                            </CHED>
                            <CHED H="1">Airlines</CHED>
                            <CHED H="1">Customs and Border Protection</CHED>
                            <CHED H="1">Centers for Disease Control and Prevention</CHED>
                            <CHED H="1">
                                State/local
                                <LI>public health</LI>
                                <LI>and animal</LI>
                                <LI>health</LI>
                                <LI>departments</LI>
                            </CHED>
                            <CHED H="1">Total</CHED>
                        </BOXHD>
                        <ROW EXPSTB="07" RUL="s">
                            <ENT I="21">
                                <E T="02">Annual monetized costs (million)</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">2023</ENT>
                            <ENT>$24.6</ENT>
                            <ENT>$6.5</ENT>
                            <ENT>$3.2</ENT>
                            <ENT>$1.1</ENT>
                            <ENT>$4.1</ENT>
                            <ENT>$0</ENT>
                            <ENT>$39</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2024</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2025</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2026</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2027</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2028</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2029</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2030</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2031</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">2032</ENT>
                            <ENT>18.1</ENT>
                            <ENT>4.8</ENT>
                            <ENT>2.4</ENT>
                            <ENT>0.004</ENT>
                            <ENT>1.7</ENT>
                            <ENT>0</ENT>
                            <ENT>27</ENT>
                        </ROW>
                        <ROW EXPSTB="07" RUL="s">
                            <ENT I="21">
                                <E T="02">Annual monetized benefits (million)</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">2023</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2024</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2025</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2026</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2027</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2028</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2029</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2030</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2031</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2032</ENT>
                            <ENT>0.81</ENT>
                            <ENT>0.088</ENT>
                            <ENT>0.18</ENT>
                            <ENT>0.65</ENT>
                            <ENT>0.22</ENT>
                            <ENT>0.0049</ENT>
                            <ENT>1.9</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>
                        The greatest fractions of the most likely estimates of the monetized benefits associated with the provisions in the NPRM (if finalized as proposed) would accrue to importers of dogs from DMRVV high-risk countries (41 percent) and to CBP (33 percent). For both groups, the costs of screening dogs at U.S. ports would be reduced since documentation of rabies vaccination would be standardized. This would result in cost savings for both groups at U.S. ports, although costs for importers to obtain the standardized forms would increase (as documented in the cost estimates). Additional benefits are estimated to accrue to importers of dogs from DMRVV high-risk countries, airlines, CBP, and CDC from a reduction in the number of dogs denied entry and returned to their countries of origin.
                        <PRTPAGE P="44012"/>
                    </P>
                    <P>The estimates included in this economic impact analysis are highly uncertain. HHS/CDC requests comments on several parameter estimates and assumptions in the Appendix found in the Supplemental Materials tab of the docket. Specifically, HHS/CDC is requesting comment from the public on the topics listed below:</P>
                    <P>• Procedures applicable at U.S. land and seaports and whether and how procedures for U.S. land or seaports should differ from procedures for U.S. airports.</P>
                    <P>• The numbers of dogs imported each year and the numbers of dogs imported from DMRVV high-risk countries. Such data may be available from airline operating data for air imports. Public comment about dogs imported at land or seaports could help to improve estimates.</P>
                    <P>• The impact of the requirements of this NPRM (if finalized as proposed) to reduce the number of dogs imported from DMRVV high-risk countries.</P>
                    <P>• The fraction of imported dogs arriving on air conveyances that are less than six months of age.</P>
                    <P>• The number of importers that bring in more than three dogs at land or seaports that are less than six months of age during a calendar year.</P>
                    <P>• Data showing whether the number of imported dogs has increased, decreased, or remained relatively constant in recent years. Such data may be available to airlines if they track the number of dogs transported each year.</P>
                    <P>
                        • The number of dogs imported at one time or as part of one shipment on average and if the requirements of this NPRM (if finalized as proposed) would impact how dogs are imported (
                        <E T="03">e.g.,</E>
                         would importers wait to import a larger group of dogs in a single shipment).
                    </P>
                    <P>• The number of times individuals who travel internationally with their dogs enter the United States each year.</P>
                    <P>• How this proposed rulemaking would impact the ability of individuals with foreign-vaccinated service dogs to enter the United States.</P>
                    <P>
                        • How frequently importers of dogs for adoption or resale import dogs (
                        <E T="03">i.e.,</E>
                         among businesses that import dogs for commercial purposes, how many shipments are received each year on average). This information would be used to improve CDC's estimate of the number of repeat importers.
                    </P>
                    <P>• Costs to owners of young dogs who would have to forego international travel with their pets.</P>
                    <P>• The additional travel costs and travel time associated with re-routing travel through an airport with a CDC quarantine station or an airport with a CDC-registered Animal Care Facility.</P>
                    <P>• The average cost to return a dog to the country of departure after denial of entry and the cost to importers whose dogs have been denied entry.</P>
                    <P>• The appropriate range of estimates from airlines for the profit margin per dog imported on international flights.</P>
                    <P>• The cost to airlines if they were prevented from transporting dogs on flights in the future.</P>
                    <P>• The cost to CDC-registered Animal Care Facilities to comply with proposed CDC requirements for these facilities.</P>
                    <HD SOURCE="HD2">B. Regulatory Flexibility Act</HD>
                    <P>Under the Regulatory Flexibility Act, as amended by the Small Business Regulatory Enforcement Fairness Act (SBREFA), agencies are required to analyze regulatory options to minimize the significant economic impact of a rule on small businesses, small governmental units, and small not-for-profit organizations. CDC examined the potential impact of the provisions of this NPRM (if finalized as proposed) on small entities, including small businesses that may import dogs for commercial purposes as well as airlines that transport dogs internationally. HHS/CDC lacks key data on the number of dogs imported and requests public comment from airlines and small businesses on the number of dogs imported and the impact of the provisions of the NPRM (if finalized as proposed) on their standard practices. In the absence of data on the number of dogs imported, CDC made several assumptions to estimate revenues from small businesses for different categories of businesses that may import dogs and used these revenue estimates to calculate how many dogs could be imported such that the costs associated with the provisions of this NPRM (if finalized as proposed) would be less than two percent of estimated revenues.</P>
                    <P>Based on these analyses, CDC believes that the only small entities for which this NPRM (if finalized as proposed) would have significant impacts would be those that specialize in importing dogs from DMRVV high-risk countries. The provisions of this NPRM (if finalized as proposed) would not have a significant economic impact on small airlines and probably would not have a significant impact on small entities that import dogs from DMRVV-free or DMRVV low-risk countries. CDC notes that the importation of dogs less than six months of age for resale or adoption in the United States is already prohibited by USDA regulations (7 CFR 2148). Thus, the minimum age requirements in this proposed NPRM (if finalized as proposed) should not impact entities that sell or resell imported dogs but may impact entities that import young dogs for commercial purposes other than resale. The NPRM (if finalized as proposed) does not include provisions that would reduce costs for small entities relative to other categories of importers.</P>
                    <P>As part of the economic impact analysis, CDC calculated the marginal cost associated with the proposed provisions in the NPRM per dog imported from DMRVV-free or DMRVV low-risk countries ($9.10, range: $2.60 to $25 per imported dog). The marginal cost associated with the proposed provisions in the NPRM per dog imported from DMRVV high-risk countries was further subdivided between foreign-vaccinated dogs (vaccinated outside the United States) ($810, range: $550 to $1,180) compared to U.S.-vaccinated dogs ($110, range: $44 to $510). These estimates cover the first year of implementation after a final rule is published, assuming the NPRM requirements are finalized as proposed. Marginal costs in the second year and later are estimated to be about 25 percent less per dog compared to the first year of implementation.</P>
                    <P>The estimates summarized below are subject to a great degree of uncertainty. CDC does not know how many dogs any small individual entity currently imports or the average number of imported dogs across entities. However, based on the relative estimates of annual revenues by type of entity and subdivided by the number of employees, CDC calculated how many dogs each entity could import before this NPRM (if finalized as proposed) would have a significant economic impact on their businesses. HHS/CDC welcomes public comments to improve and refine these estimates.</P>
                    <HD SOURCE="HD3">Small Entities That Import Dogs for Commercial Purposes</HD>
                    <P>
                        The estimated revenues of small businesses likely to import and resell dogs are summarized in Table 10. Since there are no specific codes in the North American Industry Classification System (NAICS) specific to dog importers, CDC used the codes 115210, 423820, 424990, 485991, 812910, and 813312 to estimate the revenue of the small businesses that may import and resell dogs. The businesses affected by the NPRM (if finalized as proposed) would be a fraction of the firms summarized in Table 10, as CDC does not know how many dog importers are in these categories. Small business status was determined based on either firms' revenue or the numbers of employees, according to the Small Business Association's (SBA) table of 
                        <PRTPAGE P="44013"/>
                        small business size standards.
                        <SU>150</SU>
                        <FTREF/>
                         The revenue of firms in each business category subdivided by the number of employees was not available. Using annual payroll data from the Statistics of U.S. Businesses (SUSB),
                        <SU>151</SU>
                        <FTREF/>
                         CDC estimated the revenue based on the assumption that each firm's payroll expense would be approximately 15 to 30 percent.
                        <SU>152</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>150</SU>
                             SBA, Table of small business size standards. Effective August 19, 2019. 
                            <E T="03">https://www.sba.gov/document/support-table-size-standards.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>151</SU>
                             2019 SUSB Annual Data Tables by Establishment Industry. 
                            <E T="03">https://www.census.gov/data/tables/2019/econ/susb/2019-susb-annual.html.</E>
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>152</SU>
                             How to figure the gross percent of payroll. 
                            <E T="03">https://smallbusiness.chron.com/figure-gross-percent-payroll-66395.html.</E>
                        </P>
                    </FTNT>
                    <GPOTABLE COLS="8" OPTS="L2,p7,7/8,i1" CDEF="s12,r100,10,10,10,10,10,10">
                        <TTITLE>Table 10—Estimated Revenue of Small Businesses That May Import Dogs for Commercial Purposes, 2020 USD</TTITLE>
                        <BOXHD>
                            <CHED H="1">NAICS code</CHED>
                            <CHED H="1">Description</CHED>
                            <CHED H="1">Number of employees</CHED>
                            <CHED H="1">Firms</CHED>
                            <CHED H="1">
                                Annual 
                                <LI>payroll per firm </LI>
                                <LI>(thousand USD)</LI>
                            </CHED>
                            <CHED H="1">
                                Revenue per firm 
                                <LI>
                                    (thousand USD) 
                                    <SU>a</SU>
                                </LI>
                            </CHED>
                            <CHED H="2">
                                Lower bound
                                <LI>(payroll/30%)</LI>
                            </CHED>
                            <CHED H="2">
                                Upper bound
                                <LI>(payroll/15%)</LI>
                            </CHED>
                            <CHED H="2">Most likely estimate (midpoint)</CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">115210</ENT>
                            <ENT>Support Activities for Animal Production</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                3,633
                                <LI>585</LI>
                                <LI>238</LI>
                                <LI>118</LI>
                            </ENT>
                            <ENT>
                                $48
                                <LI>181</LI>
                                <LI>406</LI>
                                <LI>1,259</LI>
                            </ENT>
                            <ENT>
                                $161
                                <LI>605</LI>
                                <LI>1,355</LI>
                                <LI>4,197</LI>
                            </ENT>
                            <ENT>
                                $321
                                <LI>1,210</LI>
                                <LI>2,709</LI>
                                <LI>8,394</LI>
                            </ENT>
                            <ENT>
                                $241
                                <LI>907</LI>
                                <LI>2,032</LI>
                                <LI>6,296</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">423820</ENT>
                            <ENT>Farm and Garden Machinery and Equipment Merchant Wholesalers</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                1,808
                                <LI>958</LI>
                                <LI>835</LI>
                                <LI>820</LI>
                            </ENT>
                            <ENT>
                                90
                                <LI>308</LI>
                                <LI>693</LI>
                                <LI>2,094</LI>
                            </ENT>
                            <ENT>
                                300
                                <LI>1,026</LI>
                                <LI>2,309</LI>
                                <LI>6,980</LI>
                            </ENT>
                            <ENT>
                                599
                                <LI>2,053</LI>
                                <LI>4,619</LI>
                                <LI>13,960</LI>
                            </ENT>
                            <ENT>
                                450
                                <LI>1,539</LI>
                                <LI>3,464</LI>
                                <LI>10,470</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">424990</ENT>
                            <ENT>Other Miscellaneous Nondurable Goods Merchant Wholesalers</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                7,068
                                <LI>1,493</LI>
                                <LI>791</LI>
                                <LI>670</LI>
                            </ENT>
                            <ENT>
                                75
                                <LI>299</LI>
                                <LI>657</LI>
                                <LI>1,755</LI>
                            </ENT>
                            <ENT>
                                249
                                <LI>996</LI>
                                <LI>2,191</LI>
                                <LI>5,850</LI>
                            </ENT>
                            <ENT>
                                499
                                <LI>1,992</LI>
                                <LI>4,383</LI>
                                <LI>11,700</LI>
                            </ENT>
                            <ENT>
                                374
                                <LI>1,494</LI>
                                <LI>3,287</LI>
                                <LI>8,775</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">485991</ENT>
                            <ENT>Special Needs Transportation</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                1,553
                                <LI>554</LI>
                                <LI>500</LI>
                                <LI>611</LI>
                            </ENT>
                            <ENT>
                                55
                                <LI>148</LI>
                                <LI>338</LI>
                                <LI>1,050</LI>
                            </ENT>
                            <ENT>
                                184
                                <LI>493</LI>
                                <LI>1,127</LI>
                                <LI>3,500</LI>
                            </ENT>
                            <ENT>
                                368
                                <LI>986</LI>
                                <LI>2,254</LI>
                                <LI>6,999</LI>
                            </ENT>
                            <ENT>
                                276
                                <LI>740</LI>
                                <LI>1,691</LI>
                                <LI>5,249</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">812910</ENT>
                            <ENT>Pet Care (except Veterinary) Services</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                12,257
                                <LI>4,026</LI>
                                <LI>2,580</LI>
                                <LI>1,213</LI>
                            </ENT>
                            <ENT>
                                43
                                <LI>140</LI>
                                <LI>280</LI>
                                <LI>663</LI>
                            </ENT>
                            <ENT>
                                142
                                <LI>466</LI>
                                <LI>932</LI>
                                <LI>2,210</LI>
                            </ENT>
                            <ENT>
                                283
                                <LI>931</LI>
                                <LI>1,863</LI>
                                <LI>4,421</LI>
                            </ENT>
                            <ENT>
                                213
                                <LI>698</LI>
                                <LI>1,398</LI>
                                <LI>3,316</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">813312</ENT>
                            <ENT>Environment, Conservation and Wildlife Organizations</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                3,575
                                <LI>1,262</LI>
                                <LI>922</LI>
                                <LI>745</LI>
                            </ENT>
                            <ENT>
                                75
                                <LI>263</LI>
                                <LI>516</LI>
                                <LI>1,551</LI>
                            </ENT>
                            <ENT>
                                249
                                <LI>875</LI>
                                <LI>1,720</LI>
                                <LI>5,169</LI>
                            </ENT>
                            <ENT>
                                498
                                <LI>1,751</LI>
                                <LI>3,441</LI>
                                <LI>10,338</LI>
                            </ENT>
                            <ENT>
                                373
                                <LI>1,313</LI>
                                <LI>2,580</LI>
                                <LI>7,754</LI>
                            </ENT>
                        </ROW>
                        <TNOTE>
                            <SU>a</SU>
                             Revenue was estimated from the annual payroll reported in the 2019 SUSB Annual Data Tables by Establishment Industry (
                            <E T="03">https://www.census.gov/data/tables/2019/econ/susb/2019-susb-annual.html</E>
                            ). Estimated were updated to 2020 USD using the Consumer Price Index for All Urban Consumers (CPI-U).
                        </TNOTE>
                    </GPOTABLE>
                    <P>
                        CDC assumes that the costs associated with the proposed provisions of the NPRM (if finalized as proposed) would be significant if the additional costs would exceed two percent of the estimated revenue shown in Table 10 by category. Unless a small entity only specialized in importing dogs for resale or adoption, the costs associated with dog importation would only constitute a portion of each firm's operational costs. Other operational costs by an entity should be unaffected by the proposed provisions included in this NPRM (if finalized as proposed). CDC is unaware of the proportion of dog import costs relative to all the other activities for each type of entity. Thus, CDC was not able to directly estimate the impact of the NPRM (if finalized as proposed) as a fraction of total revenue. Instead, CDC calculated a threshold for each category representing the number of imported dogs at which the cost of the provisions in the NPRM to importers (if finalized as proposed) would begin to exceed two percent of the revenue of firms in each category. To calculate the number of dogs at which point the costs associated with the NPRM (if finalized as proposed) would be likely to exceed two percent of revenue for each category of the firm, the category-specific revenue per firm in Table 10 (most likely estimate, lower bound, and upper bound) were multiplied by 2 percent and then divided by the marginal cost per foreign-vaccinated dog from high-risk countries ($810, range: $550 to $1,180). This was repeated for U.S.-vaccinated dogs from DMRVV high-risk countries ($110, range: $44 to $510) and dogs from DMRVV-free or DMRVV low-risk countries ($9.10, range: $2.60 to $25). The estimated thresholds for the number of imported dogs per firm for each small business category are summarized in Tables 11a and 11b. For example, if a Wildlife Organization (NAICS code 813312) with fewer than five employees import more than ten foreign-vaccinated dogs (most likely NPRM cost estimate and midpoint revenue estimate) from high-risk countries, the costs associated with the NPRM (if finalized as proposed) would be expected to exceed two percent of revenue. For U.S.-vaccinated dogs, the threshold would increase from about ten dog imports to 68 dog imports using the most likely cost estimate and midpoint revenue estimate. This NAICS category may include dog rescue organizations that are likely to work with dogs imported from DMRVV high-risk countries, most or all of which would be foreign-vaccinated. Because the marginal cost estimate per dog imported from DMRVV-free or DMRVV low-risk countries (assuming the NPRM is finalized as proposed) is much less than per dog imported from DMRVV high-risk countries, the threshold numbers of dogs that may be imported from DMRVV-free or DMRVV low-risk countries are much greater than for DMRVV high-risk countries. The values shown in Tables 11a and 11b are estimated by assuming that all dogs imported by each firm are either from DMRVV-free or DMRVV low-risk 
                        <PRTPAGE P="44014"/>
                        countries or, alternatively, from DMRVV high-risk countries. Some firms may import dogs from both types of countries, in which case, the threshold values would be in between the two sets of estimates. The difference in costs may also cause some entities to shift from importing dogs from DMRVV high-risk countries to dogs imported from DMRVV-free or DMRVV low-risk countries if the NPRM is finalized as proposed. In this case, for a business with NAICS code of 813312, the estimated threshold number of dogs would increase from ten imported foreign-vaccinated dogs from DMRVV high-risk countries to 823 dogs imported from DMRVV-free or DMRVV low-risk countries (both thresholds calculated using most likely NPRM cost estimate and midpoint revenue estimate). HHS/CDC welcomes public comments from the dog importation industry to improve these threshold estimates.
                    </P>
                    <GPOTABLE COLS="8" OPTS="L2,p7,7/8,i1" CDEF="s50,12,12,12,12,12,12,12">
                        <TTITLE>
                            Table 11
                            <E T="01">a</E>
                            —Estimated Threshold for the Number of Imported Dogs From DMRVV High-Risk Countries Per Firm at Which NPRM Costs (if Finalized as Proposed) Would Exceed Two Percent of Revenue During the First Year of Implementation of the Proposed Requirements
                        </TTITLE>
                        <BOXHD>
                            <CHED H="1">NAICS code</CHED>
                            <CHED H="1">Number of employees</CHED>
                            <CHED H="1">Foreign-vaccinated dogs from high-risk countries</CHED>
                            <CHED H="2">
                                Most likely 
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="2">Lower bound</CHED>
                            <CHED H="2">Upper bound</CHED>
                            <CHED H="1">U.S.-vaccinated dogs from high-risk countries</CHED>
                            <CHED H="2">
                                Most likely 
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="2">Lower bound</CHED>
                            <CHED H="2">Upper bound</CHED>
                        </BOXHD>
                        <ROW EXPSTB="01" RUL="s">
                            <ENT I="01">Marginal NPRM cost per dog (USD, if finalized as proposed)</ENT>
                            <ENT>$810</ENT>
                            <ENT>$553</ENT>
                            <ENT>$1,178</ENT>
                            <ENT>$110</ENT>
                            <ENT>$44</ENT>
                            <ENT>$507</ENT>
                        </ROW>
                        <ROW EXPSTB="07" RUL="s">
                            <ENT I="21">
                                <E T="02">Number of imported dogs per year at which NPRM cost &gt;2 percent of revenue</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">115210, Support Activities for Animal Production</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                6
                                <LI>23</LI>
                                <LI>51</LI>
                                <LI>156</LI>
                            </ENT>
                            <ENT>
                                6
                                <LI>22</LI>
                                <LI>49</LI>
                                <LI>152</LI>
                            </ENT>
                            <ENT>
                                6
                                <LI>21</LI>
                                <LI>46</LI>
                                <LI>143</LI>
                            </ENT>
                            <ENT>
                                44
                                <LI>164</LI>
                                <LI>366</LI>
                                <LI>1,132</LI>
                            </ENT>
                            <ENT>
                                72
                                <LI>271</LI>
                                <LI>606</LI>
                                <LI>1,876</LI>
                            </ENT>
                            <ENT>
                                13
                                <LI>48</LI>
                                <LI>106</LI>
                                <LI>328</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">423820, Farm and Garden Machinery and Equipment Merchant Wholesalers</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99 </LI>
                            </ENT>
                            <ENT>
                                12
                                <LI>38</LI>
                                <LI>86</LI>
                                <LI>259</LI>
                            </ENT>
                            <ENT>
                                11
                                <LI>37</LI>
                                <LI>84</LI>
                                <LI>252</LI>
                            </ENT>
                            <ENT>
                                11
                                <LI>35</LI>
                                <LI>79</LI>
                                <LI>237</LI>
                            </ENT>
                            <ENT>
                                81
                                <LI>277</LI>
                                <LI>623</LI>
                                <LI>1,882</LI>
                            </ENT>
                            <ENT>
                                134
                                <LI>459</LI>
                                <LI>1,032</LI>
                                <LI>3,119</LI>
                            </ENT>
                            <ENT>
                                24
                                <LI>81</LI>
                                <LI>181</LI>
                                <LI>545</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">424990, Other Miscellaneous Nondurable Goods Merchant Wholesalers</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                10
                                <LI>37</LI>
                                <LI>82</LI>
                                <LI>217</LI>
                            </ENT>
                            <ENT>
                                9
                                <LI>36</LI>
                                <LI>79</LI>
                                <LI>211</LI>
                            </ENT>
                            <ENT>
                                9
                                <LI>34</LI>
                                <LI>75</LI>
                                <LI>199</LI>
                            </ENT>
                            <ENT>
                                68
                                <LI>269</LI>
                                <LI>591</LI>
                                <LI>1,577</LI>
                            </ENT>
                            <ENT>
                                112
                                <LI>445</LI>
                                <LI>979</LI>
                                <LI>2,614</LI>
                            </ENT>
                            <ENT>
                                20
                                <LI>78</LI>
                                <LI>172</LI>
                                <LI>457</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">485991, Special Needs Transportation</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                7
                                <LI>19</LI>
                                <LI>42</LI>
                                <LI>130</LI>
                            </ENT>
                            <ENT>
                                7
                                <LI>18</LI>
                                <LI>41</LI>
                                <LI>127</LI>
                            </ENT>
                            <ENT>
                                7
                                <LI>17</LI>
                                <LI>39</LI>
                                <LI>119</LI>
                            </ENT>
                            <ENT>
                                50
                                <LI>133</LI>
                                <LI>304</LI>
                                <LI>944</LI>
                            </ENT>
                            <ENT>
                                83
                                <LI>221</LI>
                                <LI>504</LI>
                                <LI>1,564</LI>
                            </ENT>
                            <ENT>
                                15
                                <LI>39</LI>
                                <LI>88</LI>
                                <LI>274</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">812910, Pet Care (except Veterinary) Services</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                6
                                <LI>18</LI>
                                <LI>35</LI>
                                <LI>82</LI>
                            </ENT>
                            <ENT>
                                6
                                <LI>17</LI>
                                <LI>34</LI>
                                <LI>80 </LI>
                            </ENT>
                            <ENT>
                                5
                                <LI>16</LI>
                                <LI>32</LI>
                                <LI>75</LI>
                            </ENT>
                            <ENT>
                                39
                                <LI>126</LI>
                                <LI>252</LI>
                                <LI>596 </LI>
                            </ENT>
                            <ENT>
                                64
                                <LI>208</LI>
                                <LI>417</LI>
                                <LI>988</LI>
                            </ENT>
                            <ENT>
                                12
                                <LI>37</LI>
                                <LI>73</LI>
                                <LI>173</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">813312, Environment, Conservation and Wildlife Organizations</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                10
                                <LI>33</LI>
                                <LI>64</LI>
                                <LI>192</LI>
                            </ENT>
                            <ENT>
                                9
                                <LI>32</LI>
                                <LI>62</LI>
                                <LI>187</LI>
                            </ENT>
                            <ENT>
                                9
                                <LI>30</LI>
                                <LI>59</LI>
                                <LI>176</LI>
                            </ENT>
                            <ENT>
                                68
                                <LI>236</LI>
                                <LI>464</LI>
                                <LI>1,394</LI>
                            </ENT>
                            <ENT>
                                112
                                <LI>392</LI>
                                <LI>769</LI>
                                <LI>2,310</LI>
                            </ENT>
                            <ENT>
                                20
                                <LI>69</LI>
                                <LI>135</LI>
                                <LI>404</LI>
                            </ENT>
                        </ROW>
                    </GPOTABLE>
                    <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s50,10,11,6,6">
                        <TTITLE>
                            Table 11
                            <E T="01">b</E>
                            —Estimated Threshold for the Number of Imported Dogs from DMRVV-Free or DMRVV Low-Risk Countries per Firm at Which NPRM Costs (if Finalized as Proposed) Would Exceed Two Percent of Revenue During the First Year of Implementation of the Proposed Requirements
                        </TTITLE>
                        <BOXHD>
                            <CHED H="1">NAICS code</CHED>
                            <CHED H="1">
                                Number of
                                <LI>employees</LI>
                            </CHED>
                            <CHED H="1">
                                Foreign-vaccinated dogs from 
                                <LI>high-risk countries</LI>
                            </CHED>
                            <CHED H="2">
                                Most likely 
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="2">Lower bound</CHED>
                            <CHED H="2">Upper bound</CHED>
                        </BOXHD>
                        <ROW EXPSTB="01" RUL="s">
                            <ENT I="01">Marginal NPRM cost per dog (if finalized as proposed, USD)</ENT>
                            <ENT>$9.10</ENT>
                            <ENT>$2.60</ENT>
                            <ENT>$25</ENT>
                        </ROW>
                        <ROW EXPSTB="04" RUL="s">
                            <ENT I="21">
                                <E T="02">Number of imported dogs per year at which NPRM cost &gt; two percent of revenue</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">115210, Support Activities for Animal Production</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                531
                                <LI>1,999</LI>
                                <LI>4,476</LI>
                                <LI>13,867</LI>
                            </ENT>
                            <ENT>
                                1,257
                                <LI>4,736</LI>
                                <LI>10,605</LI>
                                <LI>32,856</LI>
                            </ENT>
                            <ENT>
                                258
                                <LI>973</LI>
                                <LI>2,177</LI>
                                <LI>6,744</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">423820, Farm and Garden Machinery and Equipment Merchant Wholesalers</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                991
                                <LI>3,391</LI>
                                <LI>7,630</LI>
                                <LI>23,061</LI>
                            </ENT>
                            <ENT>
                                2,347
                                <LI>8,034</LI>
                                <LI>18,079</LI>
                                <LI>54,641</LI>
                            </ENT>
                            <ENT>
                                482
                                <LI>1,649</LI>
                                <LI>3,711</LI>
                                <LI>11,215</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">424990, Other Miscellaneous Nondurable Goods Merchant Wholesalers</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                824
                                <LI>3,291</LI>
                                <LI>7,240</LI>
                                <LI>19,327</LI>
                            </ENT>
                            <ENT>
                                1,953
                                <LI>7,797</LI>
                                <LI>17,155</LI>
                                <LI>45,794</LI>
                            </ENT>
                            <ENT>
                                401
                                <LI>1,601</LI>
                                <LI>3,522</LI>
                                <LI>9,400</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <PRTPAGE P="44015"/>
                            <ENT I="01">485991, Special Needs Transportation</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                608
                                <LI>1,630</LI>
                                <LI>3,725</LI>
                                <LI>11,562</LI>
                            </ENT>
                            <ENT>
                                1,441
                                <LI>3,860</LI>
                                <LI>8,825</LI>
                                <LI>27,396</LI>
                            </ENT>
                            <ENT>
                                296
                                <LI>793</LI>
                                <LI>1,812</LI>
                                <LI>5,623</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">812910, Pet Care (except Veterinary) Services</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                469
                                <LI>1,539</LI>
                                <LI>3,079</LI>
                                <LI>7,303</LI>
                            </ENT>
                            <ENT>
                                1,110
                                <LI>3,645</LI>
                                <LI>7,294</LI>
                                <LI>17,305</LI>
                            </ENT>
                            <ENT>
                                228
                                <LI>749</LI>
                                <LI>1,497</LI>
                                <LI>3,552</LI>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">813312, Environment, Conservation and Wildlife Organizations</ENT>
                            <ENT>
                                &lt;5
                                <LI>5-9</LI>
                                <LI>10-19</LI>
                                <LI>20-99</LI>
                            </ENT>
                            <ENT>
                                823
                                <LI>2,893</LI>
                                <LI>5,684</LI>
                                <LI>17,078</LI>
                            </ENT>
                            <ENT>
                                1,949
                                <LI>6,853</LI>
                                <LI>13,468</LI>
                                <LI>40,466</LI>
                            </ENT>
                            <ENT>
                                401
                                <LI>1,407</LI>
                                <LI>2,765</LI>
                                <LI>8,306</LI>
                            </ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>The marginal cost per dog imported (if the NPRM is finalized as proposed) relative to the reported commercial values of imported dogs were estimated using data from CBP for dogs imported under Harmonized Tariff Schedule code 0106.19.91.20, Other live animals, other, other, dogs is shown in Table 12. The estimated ratio of the marginal cost of NPRM requirements (if finalized as proposed) relative to the reported value of the commercially imported dogs from DMRVV-free or DMRVV low-risk countries is 1.2 percent (range: 0.33 percent to 3.2 percent). Based on this ratio, the expected marginal increase in cost per dog imported should not change much for dogs imported from DMRVV-free or low-risk countries.</P>
                    <P>However, for the foreign-vaccinated dogs imported from DMRVV high-risk countries, the estimated ratio is 227 percent (range: 155 percent to 330 percent). This ratio is much larger both because the marginal cost per dog imported (assuming the NPRM is finalized as proposed) is much greater and because the reported commercial value of dogs imported from DMRVV high-risk countries is lower compared to dogs imported from DMRVV-free or low-risk countries. Since CBP's commercial values of imported dogs only provide a comparison of the estimated marginal cost of the NPRM (if finalized as proposed) to reported commercial value, these ratios cannot be directly compared to the revenue estimates by firm since the costs associated with dog imports would only be a portion of each firm's operational cost. However, it does provide an estimate of the potential increase in cost per dog imported from either DMRVV-free or low countries or from DMRVV high-risk countries if the NPRM is finalized as proposed. For this analysis, CDC assumes that most of the dogs imported from DMRVV high-risk countries for commercial purposes would have been vaccinated outside the United States.</P>
                    <GPOTABLE COLS="4" OPTS="L2,i1" CDEF="s50,11,11,11">
                        <TTITLE>Table 12—Estimated Impact of the NPRM (if Finalized as Proposed) on the Cost per Dog Imported for Commercially Imported Dogs </TTITLE>
                        <TDESC>[2020 USD]</TDESC>
                        <BOXHD>
                            <CHED H="1"> </CHED>
                            <CHED H="1">
                                Most likely
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="1">Lower bound</CHED>
                            <CHED H="1">Upper bound</CHED>
                        </BOXHD>
                        <ROW EXPSTB="03" RUL="s">
                            <ENT I="21">
                                <E T="02">Importers from DMRVV-free or low-risk countries</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="22">
                                Baseline: 
                                <SU>a</SU>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Total dogs imported (A)</ENT>
                            <ENT>57,860</ENT>
                            <ENT/>
                            <ENT/>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Average commercial value per dog (B)</ENT>
                            <ENT>$777</ENT>
                            <ENT/>
                            <ENT/>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Total commercial value (C) = (A) × (B)</ENT>
                            <ENT>$44,957,220</ENT>
                            <ENT/>
                            <ENT/>
                        </ROW>
                        <ROW>
                            <ENT I="22">With NPRM (if finalized as proposed):</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Estimated marginal NPRM cost per dog imported (if finalized as proposed) (D)</ENT>
                            <ENT>$9.08</ENT>
                            <ENT>$2.55</ENT>
                            <ENT>$24.89</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Total marginal NPRM costs for dogs imported for commercial purposes (if finalized as proposed) (E) = (D) × (A)</ENT>
                            <ENT>$525,369</ENT>
                            <ENT>$147,543</ENT>
                            <ENT>$1,440,135</ENT>
                        </ROW>
                        <ROW RUL="s">
                            <ENT I="01">Estimated ratio of marginal NPRM costs to commercial value of imported dogs (E)/(C)</ENT>
                            <ENT>1.17%</ENT>
                            <ENT>0.33%</ENT>
                            <ENT>3.20%</ENT>
                        </ROW>
                        <ROW EXPSTB="03" RUL="s">
                            <ENT I="21">
                                <E T="02">Importers from high-risk countries of foreign-vaccinated dogs</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="22">
                                Baseline: 
                                <SU>a</SU>
                            </ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Total dogs imported (F)</ENT>
                            <ENT>43,382</ENT>
                            <ENT/>
                            <ENT/>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Average commercial value per dog (G)</ENT>
                            <ENT>$357</ENT>
                            <ENT/>
                            <ENT/>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Total commercial value (H) = (F) × (G)</ENT>
                            <ENT>$15,487,374</ENT>
                            <ENT/>
                            <ENT/>
                        </ROW>
                        <ROW>
                            <ENT I="22">With NPRM (if finalized as proposed):</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Estimated marginal NPRM costs per dog imported (if finalized as proposed) (I)</ENT>
                            <ENT>$810</ENT>
                            <ENT>$553</ENT>
                            <ENT>$1,178</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="02">—Total marginal NPRM costs for dogs imported for commercial purposes (if finalized as proposed) (J) = (I) × (F)</ENT>
                            <ENT>$35,139,420</ENT>
                            <ENT>$23,990,246</ENT>
                            <ENT>$51,103,996</ENT>
                        </ROW>
                        <ROW>
                            <PRTPAGE P="44016"/>
                            <ENT I="01">Estimated ratio of marginal NPRM costs to commercial value of imported dogs (J)/(H)</ENT>
                            <ENT>227%</ENT>
                            <ENT>155%</ENT>
                            <ENT>330%</ENT>
                        </ROW>
                        <TNOTE>
                            <SU>a</SU>
                             Baseline values were based on the data received from CBP, not publicly available (HTS code 0106.19.91.20).
                        </TNOTE>
                    </GPOTABLE>
                    <HD SOURCE="HD3">U.S. Airlines</HD>
                    <P>
                        The provisions of this NPRM (if finalized as proposed) would affect U.S. airlines conducting international flight operations arriving in the United States. Of the 60 U.S. airlines with international flights in 2020, 35 airlines can be identified as small business entities. This is based on the size standard of “fewer than 1,500 employees” from the SBA for small businesses within NAICS Code 481111, Scheduled Passenger Air Transportation, and those within NAICS Code 481211, Nonscheduled Chartered Passenger Air Transportation in 2019.
                        <SU>153</SU>
                        <FTREF/>
                         For the analysis, airline employee counts were estimated from the U.S. Department of Transportation's Bureau of Transportation Statistics.
                        <SU>154</SU>
                        <FTREF/>
                         Monthly average numbers of employees in 2019, including part- and full-time employment, were used for U.S. airlines.
                    </P>
                    <FTNT>
                        <P>
                            <SU>153</SU>
                             Small Business Association (SBA), Table of small business size standards. Effective August 19, 2019. 
                            <E T="03">https://www.sba.gov/document/support-table-size-standards.</E>
                             Accessed: February 21, 2022.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>154</SU>
                             Bureau of Transportation Statistics. Air Carrier Financial Reports (Form 41 Financial Data). Air Carrier Financial: Schedule P-1(a) Employees. Bureau of Transportation Statistics. 
                            <E T="03">https://www.transtats.bts.gov/DL_SelectFields.asp?gnoyr_VQ=GEF&amp;QO_fu146_anzr=Nv4percent20Pn44vr4percent20Sv0n0pvny</E>
                             Accessed: February 21, 2022.
                        </P>
                    </FTNT>
                    <P>
                        The annual revenue per U.S. airline was estimated based on the 2019 revenue of each airline.
                        <SU>155</SU>
                        <FTREF/>
                         Lower-bound and upper-bound estimates were calculated by multiplying by 75 and 125 percent (Table 13). Among the selected 35 airlines, seven had zero U.S. international arrivals in 2019.
                        <SU>156</SU>
                        <FTREF/>
                    </P>
                    <FTNT>
                        <P>
                            <SU>155</SU>
                             Bureau of Transportation Statistics. Air Carrier Financial Reports (Form 41 Financial Data). Air Carrier Financial: Schedule P-1.1, and P-1.2 Operating revenues. 
                            <E T="03">https://www.transtats.bts.gov/DL_SelectFields.asp?gnoyr_VQ=FMD&amp;QO_fu146_anzr=Nv4percent20Pn44vr4percent20Sv0n0pvny;</E>
                             and 
                            <E T="03">https://www.transtats.bts.gov/DL_SelectFields.asp?gnoyr_VQ=FMI&amp;QO_fu146_anzr=Nv4percent20Pn44vr4percent20Sv0n0pvny.</E>
                             Accessed: February 21, 2022.
                        </P>
                    </FTNT>
                    <FTNT>
                        <P>
                            <SU>156</SU>
                             Air Carriers: T-100 International Market (U.S. Carriers Only) 
                            <E T="03">https://www.transtats.bts.gov/DL_SelectFields.asp?gnoyr_VQ=GDJ&amp;QO_fu146_anzr=Nv4percent20Pn44vr45.</E>
                             Accessed: February 21, 2022.
                        </P>
                    </FTNT>
                    <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s50,12,12,12,12">
                        <TTITLE>Table 13—Estimated Annual Revenue of Small Business U.S. Airlines</TTITLE>
                        <BOXHD>
                            <CHED H="1">Airline</CHED>
                            <CHED H="1">
                                Total revenue 
                                <LI>(million USD)</LI>
                            </CHED>
                            <CHED H="2">
                                Most likely 
                                <LI>estimate</LI>
                            </CHED>
                            <CHED H="2">Lower bound</CHED>
                            <CHED H="2">Upper bound</CHED>
                            <CHED H="1">
                                2019 U.S.
                                <LI>arrivals</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">1</ENT>
                            <ENT>$290</ENT>
                            <ENT>$218</ENT>
                            <ENT>$363</ENT>
                            <ENT>317</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2</ENT>
                            <ENT>78</ENT>
                            <ENT>58</ENT>
                            <ENT>97</ENT>
                            <ENT>279</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">3</ENT>
                            <ENT>112</ENT>
                            <ENT>84</ENT>
                            <ENT>140</ENT>
                            <ENT>169</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4</ENT>
                            <ENT>241</ENT>
                            <ENT>181</ENT>
                            <ENT>301</ENT>
                            <ENT>136</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">5</ENT>
                            <ENT>38</ENT>
                            <ENT>28</ENT>
                            <ENT>47</ENT>
                            <ENT>116</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">6</ENT>
                            <ENT>44</ENT>
                            <ENT>33</ENT>
                            <ENT>55</ENT>
                            <ENT>114</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">7</ENT>
                            <ENT>230</ENT>
                            <ENT>173</ENT>
                            <ENT>288</ENT>
                            <ENT>113</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">8</ENT>
                            <ENT>541</ENT>
                            <ENT>406</ENT>
                            <ENT>677</ENT>
                            <ENT>111</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">9</ENT>
                            <ENT>218</ENT>
                            <ENT>164</ENT>
                            <ENT>273</ENT>
                            <ENT>96</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">10</ENT>
                            <ENT>115</ENT>
                            <ENT>87</ENT>
                            <ENT>144</ENT>
                            <ENT>86</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">11</ENT>
                            <ENT>558</ENT>
                            <ENT>419</ENT>
                            <ENT>698</ENT>
                            <ENT>80</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">12</ENT>
                            <ENT>1,296</ENT>
                            <ENT>972</ENT>
                            <ENT>1,620</ENT>
                            <ENT>75</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">13</ENT>
                            <ENT>42</ENT>
                            <ENT>31</ENT>
                            <ENT>52</ENT>
                            <ENT>73</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">14</ENT>
                            <ENT>52</ENT>
                            <ENT>39</ENT>
                            <ENT>66</ENT>
                            <ENT>57</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">15</ENT>
                            <ENT>169</ENT>
                            <ENT>127</ENT>
                            <ENT>212</ENT>
                            <ENT>57</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">16</ENT>
                            <ENT>37</ENT>
                            <ENT>28</ENT>
                            <ENT>46</ENT>
                            <ENT>55</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">17</ENT>
                            <ENT>104</ENT>
                            <ENT>78</ENT>
                            <ENT>130</ENT>
                            <ENT>49</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">18</ENT>
                            <ENT>147</ENT>
                            <ENT>110</ENT>
                            <ENT>183</ENT>
                            <ENT>46</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">19</ENT>
                            <ENT>265</ENT>
                            <ENT>199</ENT>
                            <ENT>331</ENT>
                            <ENT>45</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">20</ENT>
                            <ENT>7</ENT>
                            <ENT>6</ENT>
                            <ENT>9</ENT>
                            <ENT>41</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">21</ENT>
                            <ENT>40</ENT>
                            <ENT>30</ENT>
                            <ENT>50</ENT>
                            <ENT>40</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">22</ENT>
                            <ENT>2</ENT>
                            <ENT>1</ENT>
                            <ENT>2</ENT>
                            <ENT>31</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">23</ENT>
                            <ENT>105</ENT>
                            <ENT>79</ENT>
                            <ENT>131</ENT>
                            <ENT>18</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">24</ENT>
                            <ENT>59</ENT>
                            <ENT>44</ENT>
                            <ENT>74</ENT>
                            <ENT>13</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">25</ENT>
                            <ENT>20</ENT>
                            <ENT>15</ENT>
                            <ENT>25</ENT>
                            <ENT>12</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">26</ENT>
                            <ENT>19</ENT>
                            <ENT>14</ENT>
                            <ENT>23</ENT>
                            <ENT>6</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">27</ENT>
                            <ENT>9</ENT>
                            <ENT>7</ENT>
                            <ENT>12</ENT>
                            <ENT>2</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">28</ENT>
                            <ENT>313</ENT>
                            <ENT>235</ENT>
                            <ENT>391</ENT>
                            <ENT>1</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">29</ENT>
                            <ENT>12</ENT>
                            <ENT>9</ENT>
                            <ENT>14</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">30</ENT>
                            <ENT>115</ENT>
                            <ENT>86</ENT>
                            <ENT>143</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">31</ENT>
                            <ENT>117</ENT>
                            <ENT>88</ENT>
                            <ENT>146</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">32</ENT>
                            <ENT>13</ENT>
                            <ENT>10</ENT>
                            <ENT>16</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">33</ENT>
                            <ENT>10</ENT>
                            <ENT>7</ENT>
                            <ENT>12</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">34</ENT>
                            <ENT>21</ENT>
                            <ENT>16</ENT>
                            <ENT>27</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <PRTPAGE P="44017"/>
                            <ENT I="01">35</ENT>
                            <ENT>19</ENT>
                            <ENT>14</ENT>
                            <ENT>23</ENT>
                            <ENT>0</ENT>
                        </ROW>
                    </GPOTABLE>
                    <P>The threshold numbers of dogs that may be transported by each airline such that the costs associated with the provisions of this NPRM (if finalized as proposed) to airlines would be less than two percent of annual revenue were estimated using the same methodology as for the dog importers above. However, the annualized marginal cost per dog transported by airlines was only estimated to be about $6.00 per dog (range: $3.20 to $10.30 per dog) if the requirements in the NPRM are finalized as proposed. This was calculated based on the annualized costs to airlines divided by the number of dogs transported. However, costs were estimated to be higher in the first year of implementation and some airlines may be disproportionately affected if their customers are proportionally more likely to reduce the number of dogs transported to the United States. The estimated number of dogs was calculated by multiplying the revenue per airline in Table 13 by 2 percent and then dividing by the marginal airline cost per dog imported if the NPRM is finalized as proposed. As shown in Table 14, the estimated numbers of dogs that each airline could transport were significantly greater than the number of international passengers reported in 2019 and, in most cases, greater than the total estimated number of dogs estimated to be imported into the United States each year. CDC did not separately estimate marginal costs to airlines for dogs imported from DMRVV-free or DMRVV low-risk countries versus dogs imported from DMRVV high-risk countries. The estimated marginal cost per dog may be higher for airlines to transport dogs imported from DMRVV high-risk countries because dogs from these countries are more likely to be denied entry and abandoned by importers. Thus, marginal costs may be slightly higher for airlines that specialize in travel to DMRVV high-risk countries. However, the general finding still holds that the provisions of this NPRM (if finalized as proposed) should not have a significant impact on airlines.</P>
                    <GPOTABLE COLS="5" OPTS="L2,i1" CDEF="s50,10,10,10,10">
                        <TTITLE>Table 14—Estimated Threshold of the Annual Number of Imported Dogs per Airline at Which the Marginal Costs of the NPRM (if Finalized as Proposed) Begin To Exceed 2 Percent of Annual Revenue</TTITLE>
                        <BOXHD>
                            <CHED H="1">Airline</CHED>
                            <CHED H="1">Most likely estimate</CHED>
                            <CHED H="1">Lower bound</CHED>
                            <CHED H="1">Upper bound</CHED>
                            <CHED H="1">2019 U.S. arrivals</CHED>
                        </BOXHD>
                        <ROW RUL="s">
                            <ENT I="01">Marginal NPRM cost per dog (if finalized as proposed)</ENT>
                            <ENT>$6.00</ENT>
                            <ENT>$3.20</ENT>
                            <ENT>$10.30</ENT>
                            <ENT/>
                        </ROW>
                        <ROW EXPSTB="04" RUL="s">
                            <ENT I="21">
                                <E T="02">Annual number of transported dogs at which NPRM cost &gt;2 percent of annual revenue</E>
                            </ENT>
                        </ROW>
                        <ROW EXPSTB="00">
                            <ENT I="01">1</ENT>
                            <ENT>48,333,333</ENT>
                            <ENT>68,125,000</ENT>
                            <ENT>35,242,718</ENT>
                            <ENT>317</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">2</ENT>
                            <ENT>13,000,000</ENT>
                            <ENT>18,125,000</ENT>
                            <ENT>9,417,476</ENT>
                            <ENT>279</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">3</ENT>
                            <ENT>18,666,667</ENT>
                            <ENT>26,250,000</ENT>
                            <ENT>13,592,233</ENT>
                            <ENT>169</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">4</ENT>
                            <ENT>40,166,667</ENT>
                            <ENT>56,562,500</ENT>
                            <ENT>29,223,301</ENT>
                            <ENT>136</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">5</ENT>
                            <ENT>6,333,333</ENT>
                            <ENT>8,750,000</ENT>
                            <ENT>4,563,107</ENT>
                            <ENT>116</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">6</ENT>
                            <ENT>7,333,333</ENT>
                            <ENT>10,312,500</ENT>
                            <ENT>5,339,806</ENT>
                            <ENT>114</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">7</ENT>
                            <ENT>38,333,333</ENT>
                            <ENT>54,062,500</ENT>
                            <ENT>27,961,165</ENT>
                            <ENT>113</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">8</ENT>
                            <ENT>90,166,667</ENT>
                            <ENT>126,875,000</ENT>
                            <ENT>65,728,155</ENT>
                            <ENT>111</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">9</ENT>
                            <ENT>36,333,333</ENT>
                            <ENT>51,250,000</ENT>
                            <ENT>26,504,854</ENT>
                            <ENT>96</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">10</ENT>
                            <ENT>19,166,667</ENT>
                            <ENT>27,187,500</ENT>
                            <ENT>13,980,583</ENT>
                            <ENT>86</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">11</ENT>
                            <ENT>93,000,000</ENT>
                            <ENT>130,937,500</ENT>
                            <ENT>67,766,990</ENT>
                            <ENT>80</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">12</ENT>
                            <ENT>216,000,000</ENT>
                            <ENT>303,750,000</ENT>
                            <ENT>157,281,553</ENT>
                            <ENT>75</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">13</ENT>
                            <ENT>7,000,000</ENT>
                            <ENT>9,687,500</ENT>
                            <ENT>5,048,544</ENT>
                            <ENT>73</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">14</ENT>
                            <ENT>8,666,667</ENT>
                            <ENT>12,187,500</ENT>
                            <ENT>6,407,767</ENT>
                            <ENT>57</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">15</ENT>
                            <ENT>28,166,667</ENT>
                            <ENT>39,687,500</ENT>
                            <ENT>20,582,524</ENT>
                            <ENT>57</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">16</ENT>
                            <ENT>6,166,667</ENT>
                            <ENT>8,750,000</ENT>
                            <ENT>4,466,019</ENT>
                            <ENT>55</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">17</ENT>
                            <ENT>17,333,333</ENT>
                            <ENT>24,375,000</ENT>
                            <ENT>12,621,359</ENT>
                            <ENT>49</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">18</ENT>
                            <ENT>24,500,000</ENT>
                            <ENT>34,375,000</ENT>
                            <ENT>17,766,990</ENT>
                            <ENT>46</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">19</ENT>
                            <ENT>44,166,667</ENT>
                            <ENT>62,187,500</ENT>
                            <ENT>32,135,922</ENT>
                            <ENT>45</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">20</ENT>
                            <ENT>1,166,667</ENT>
                            <ENT>1,875,000</ENT>
                            <ENT>873,786</ENT>
                            <ENT>41</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">21</ENT>
                            <ENT>6,666,667</ENT>
                            <ENT>9,375,000</ENT>
                            <ENT>4,854,369</ENT>
                            <ENT>40</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">22</ENT>
                            <ENT>333,333</ENT>
                            <ENT>312,500</ENT>
                            <ENT>194,175</ENT>
                            <ENT>31</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">23</ENT>
                            <ENT>17,500,000</ENT>
                            <ENT>24,687,500</ENT>
                            <ENT>12,718,447</ENT>
                            <ENT>18</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">24</ENT>
                            <ENT>9,833,333</ENT>
                            <ENT>13,750,000</ENT>
                            <ENT>7,184,466</ENT>
                            <ENT>13</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">25</ENT>
                            <ENT>3,333,333</ENT>
                            <ENT>4,687,500</ENT>
                            <ENT>2,427,184</ENT>
                            <ENT>12</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">26</ENT>
                            <ENT>3,166,667</ENT>
                            <ENT>4,375,000</ENT>
                            <ENT>2,233,010</ENT>
                            <ENT>6</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">27</ENT>
                            <ENT>1,500,000</ENT>
                            <ENT>2,187,500</ENT>
                            <ENT>1,165,049</ENT>
                            <ENT>2</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">28</ENT>
                            <ENT>52,166,667</ENT>
                            <ENT>73,437,500</ENT>
                            <ENT>37,961,165</ENT>
                            <ENT>1</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">29</ENT>
                            <ENT>2,000,000</ENT>
                            <ENT>2,812,500</ENT>
                            <ENT>1,359,223</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">30</ENT>
                            <ENT>19,166,667</ENT>
                            <ENT>26,875,000</ENT>
                            <ENT>13,883,495</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">31</ENT>
                            <ENT>19,500,000</ENT>
                            <ENT>27,500,000</ENT>
                            <ENT>14,174,757</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">32</ENT>
                            <ENT>2,166,667</ENT>
                            <ENT>3,125,000</ENT>
                            <ENT>1,553,398</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">33</ENT>
                            <ENT>1,666,667</ENT>
                            <ENT>2,187,500</ENT>
                            <ENT>1,165,049</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <PRTPAGE P="44018"/>
                            <ENT I="01">34</ENT>
                            <ENT>3,500,000</ENT>
                            <ENT>5,000,000</ENT>
                            <ENT>2,621,359</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">35</ENT>
                            <ENT>3,166,667</ENT>
                            <ENT>4,375,000</ENT>
                            <ENT>2,233,010</ENT>
                            <ENT>0</ENT>
                        </ROW>
                    </GPOTABLE>
                    <HD SOURCE="HD2">C. Paperwork Reduction Act of 1995</HD>
                    <P>HHS/CDC has determined that this NPRM includes proposed information collections and recordkeeping requirements that are subject to review by the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3520). A description of these proposed provisions is given below, with an estimate of the annual reporting and recordkeeping burden. Included in the estimate is the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing each collection of information. Comments are invited on the following subjects:</P>
                    <P>• Whether the proposed collection of information is necessary for the proper performance of the functions of CDC, including whether the information will have practical utility.</P>
                    <P>• The accuracy of CDC's estimate of the burden of the collection of information.</P>
                    <P>• Ways to enhance the quality, utility, and clarity of the information to be collected.</P>
                    <P>• Ways to minimize the burden of the collection of information on respondents, including by using information technology.</P>
                    <P>
                        Under the PRA, Federal agencies must obtain approval from OMB for each collection of information they conduct or sponsor. In addition, the PRA also requires Federal agencies to provide a 60-day notice in the 
                        <E T="04">Federal Register</E>
                         concerning each proposed collection of information, including each new proposed collection, each proposed extension of an existing collection of information, and each reinstatement of previously approved information collection before submitting the collection to OMB for approval. To comply with this requirement, we are publishing this notice of a revised data collection as described below.
                    </P>
                    <P>OMB is particularly interested in comments that will help:</P>
                    <P>1. Evaluate whether the revised collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility;</P>
                    <P>2. Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;</P>
                    <P>3. Enhance the quality, utility, and clarity of the information to be collected;</P>
                    <P>
                        4. Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology (
                        <E T="03">e.g.,</E>
                         permitting electronic submissions of responses); and,
                    </P>
                    <P>5. Assess information collection costs.</P>
                    <HD SOURCE="HD3">Proposed Project</HD>
                    <P>
                        <E T="03">Importation Regulations (42 CFR 71 Subpart F</E>
                        )—Revised Information Collection—National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC).
                    </P>
                    <HD SOURCE="HD3">Background and Brief Description</HD>
                    <P>
                        This information collection is a revision to OMB Control Number 0920-1383 related to the importation of animals, animal products, and human remains. HHS/CDC is amending the 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Record</E>
                         Form and renaming it 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form. HHS/CDC is instituting a new import submission system that will collect information similar to what is currently approved to be collected for the 
                        <E T="03">Application for Special Exemption for a Permitted Dog Import</E>
                         form. CDC is also proposing to require per 42 CFR 71.51 that importers of dogs have either a 
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                         Form or a 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form, which is a form approved under OMB Control No. 0579- 0020, 0036, 0048, 0101, 0156, 0278, and 0432. The 
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                         Form will be revised as part of information collection OMB Control No. 0579-0020, 0036, 0048, 0101, 0156, 0278, and 0432.
                    </P>
                    <P>Section 361 of the PHS Act (42 U.S.C. 264) authorizes the Secretary of HHS to make and enforce regulations necessary to prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the United States. The existing regulations governing foreign quarantine activities (42 CFR 71) authorize quarantine officers and other personnel to inspect and undertake necessary control measures with respect to conveyances, persons, shipments of animals, articles, and other items to protect the public's health.</P>
                    <P>CDC regulations govern the importation of animals and animal products capable of causing human disease. Animals that are regulated by CDC include dogs, cats, turtles, nonhuman primates (NHPs), civets, African rodents, and bats. CDC controls the importation of these animals to ensure that these animals, or animal products, being imported into the United States meet CDC regulations. CDC does this through a permitting process for certain animals.</P>
                    <P>
                        The currently approved form (
                        <E T="03">Application for Special Exemption for a Permitted Dog Import)</E>
                         for individuals to apply for a 
                        <E T="03">CDC Dog Import Permit</E>
                         is an online form that includes a series of questions. It also requires applicants to upload proof of eligibility to import under the current requirements, serology results, a proof of rabies vaccination, and photos of their dog's teeth.
                    </P>
                    <P>
                        The process for dog importation under the provisions of the NPRM (if finalized as proposed) will require issuing far fewer 
                        <E T="03">CDC Dog Import Permits</E>
                         compared to the currently approved information collection, since only people seeking approval to import dogs from DMRVV-restricted countries would need to apply. Under the currently approved information collection, importers of foreign-vaccinated dogs from high-risk countries can apply for a 
                        <E T="03">CDC Dog Import Permit</E>
                         in lieu of making a reservation with a CDC-approved animal care facility. The option to apply for a 
                        <E T="03">CDC Dog Import Permit</E>
                         for 
                        <PRTPAGE P="44019"/>
                        importers of foreign-vaccinated dogs from high-risk countries, however, is not being proposed in this NPRM. At this time, CDC is not including any countries on the DMRVV-restricted countries list; therefore, the annual burden in the burden table reflects a change in burden hours to zero hours for the 
                        <E T="03">Application for Special Exemption for a Permitted Dog Import</E>
                         form. The most significant changes to the current information collection will be the requirement to complete a standardized form for U.S.-vaccinated dogs (
                        <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States;</E>
                         approved under OMB Control No. 0579-0020, 0036, 0048, 0101, 0156, 0278, and 0432) or an amended standardized form for foreign-vaccinated dogs (
                        <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                        ) and a new 
                        <E T="03">CDC Import Submission Form.</E>
                         The 
                        <E T="03">CDC Import Submission Form</E>
                         will contain similar information to the current 
                        <E T="03">Application for Special Exemption for a Permitted Dog Import</E>
                         form and is proposed to be required for all dog importations.
                    </P>
                    <P>The standardized rabies vaccination forms will be completed by the importers' veterinarian to ensure all required information is on the form and signed by a government official. Currently, to be valid, rabies vaccination documentation must include the name and address of the owner; dog's breed, sex, date of birth, color, and markings; microchip number; date of vaccination and vaccine product information, including product expiration date; date the vaccination expires; and name, license number, address, and signature of the veterinarian who administered the vaccination. CDC found that despite these being requirements for importation, many people submitted incomplete rabies vaccination documentation, which both delayed the issuance of the requestor's permit and used staff time for multiple communications with requestors to ensure they obtained complete rabies vaccination documentation. It also meant some requestors made multiple requests to their veterinarian, increasing the time burden on them as well. CDC is attempting to solve this issue by requiring that importers have their veterinarian complete one of the standardized CDC forms that contains all the required information and have it verified by a government official, making the form harder to falsify.</P>
                    <P>
                        Additionally, CDC proposes to require importers to submit a 
                        <E T="03">CDC Import Submission Form</E>
                         online via a new CDC import submission system for each dog being imported. Importers would submit contact information and details about the dog similar to what is currently collected in the 
                        <E T="03">Application for Special Exemption for a Permitted Dog Import</E>
                         form. The new information that would be collected in this system compared to what is currently approved to be collected in the 
                        <E T="03">Application for Special Exemption for a Permitted Dog Import</E>
                         form is: whether the submission is a new CDC submission or a change to an existing submission; the method by which someone is traveling to the United States (air, sea, or land); and, if they marked change to an existing submission, an explanation of that change. It would also not require that an importer upload their rabies vaccination documentation.
                    </P>
                    <P>The burden table below has been updated to reflect the burden hours on veterinarians to complete the rabies vaccination forms and the total amount of time it will take an importer to complete the online import submission form.</P>
                    <GPOTABLE COLS="6" OPTS="L2,nj,p7,7/8,i1" CDEF="s50,r50,10,12,10,10">
                        <TTITLE>Estimated Annualized Burden Hours</TTITLE>
                        <BOXHD>
                            <CHED H="1">Type of respondents</CHED>
                            <CHED H="1">Form name</CHED>
                            <CHED H="1">
                                Number of
                                <LI>respondents</LI>
                            </CHED>
                            <CHED H="1">
                                Number of
                                <LI>responses per</LI>
                                <LI>respondent</LI>
                            </CHED>
                            <CHED H="1">
                                Average
                                <LI>burden per</LI>
                                <LI>response</LI>
                                <LI>(in hours)</LI>
                            </CHED>
                            <CHED H="1">
                                Total
                                <LI>burden</LI>
                                <LI>(in hours)</LI>
                            </CHED>
                        </BOXHD>
                        <ROW>
                            <ENT I="01">Dog Importers with Foreign-vaccinated dogs</ENT>
                            <ENT>
                                <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                            </ENT>
                            <ENT>13,671</ENT>
                            <ENT>1</ENT>
                            <ENT>15/60</ENT>
                            <ENT>3,418</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Veterinarians for Foreign-vaccinated dogs</ENT>
                            <ENT>
                                <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                            </ENT>
                            <ENT>13,671</ENT>
                            <ENT>1</ENT>
                            <ENT>15/60</ENT>
                            <ENT>3,418</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Official Government Veterinarian in Exporting Country</ENT>
                            <ENT>
                                <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                            </ENT>
                            <ENT>13,671</ENT>
                            <ENT>1</ENT>
                            <ENT>15/60</ENT>
                            <ENT>3,418</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Importers of U.S.-vaccinated dogs</ENT>
                            <ENT>
                                <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                            </ENT>
                            <ENT>17,121</ENT>
                            <ENT>1</ENT>
                            <ENT>15/60</ENT>
                            <ENT>4,280</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Veterinarians for U.S.-vaccinated dogs</ENT>
                            <ENT>
                                <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                            </ENT>
                            <ENT>17,121</ENT>
                            <ENT>1</ENT>
                            <ENT>15/60</ENT>
                            <ENT>4,280</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">Importers of Dogs from DMRVV-restricted Countries</ENT>
                            <ENT>
                                <E T="03">Application for Special Exemption for a Permitted Dog Import</E>
                            </ENT>
                            <ENT>0</ENT>
                            <ENT>0</ENT>
                            <ENT>60/60</ENT>
                            <ENT>0</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="01">All dog importers</ENT>
                            <ENT>
                                <E T="03">CDC Import Submission Form</E>
                            </ENT>
                            <ENT>800,000</ENT>
                            <ENT>1</ENT>
                            <ENT>7/60</ENT>
                            <ENT>93,333</ENT>
                        </ROW>
                        <ROW RUL="n,n,s">
                            <ENT I="01">Animal Care Facilities</ENT>
                            <ENT>
                                <E T="03">Application</E>
                            </ENT>
                            <ENT>10</ENT>
                            <ENT>1</ENT>
                            <ENT>60/60</ENT>
                            <ENT>10</ENT>
                        </ROW>
                        <ROW>
                            <ENT I="03">Total</ENT>
                            <ENT/>
                            <ENT/>
                            <ENT/>
                            <ENT/>
                            <ENT>112,157</ENT>
                        </ROW>
                    </GPOTABLE>
                    <HD SOURCE="HD2">D. National Environmental Policy Act (NEPA)</HD>
                    <P>HHS/CDC has determined that amendments to 42 CFR part 71 will not have a significant impact on the human environment. Therefore, neither an environmental assessment nor an environmental impact statement is needed.</P>
                    <HD SOURCE="HD2">E. Executive Order 12988: Civil Justice Reform</HD>
                    <P>HHS/CDC has reviewed this rule under Executive Order 12988 on Civil Justice Reform and determines that this NPRM meets the standard in the Executive Order.</P>
                    <HD SOURCE="HD2">F. Executive Order 13132: Federalism</HD>
                    <P>Under Executive Order 13132, if the rulemaking would limit or preempt State, local, or tribal authorities, then a federalism analysis is required. The agency must consult with State, local, and tribal officials to determine whether the rule would have a substantial direct effect on State or local governments, as well as whether it would either preempt State law or impose a substantial direct cost of compliance on them.</P>
                    <P>
                        HHS/CDC has determined that this NPRM will not have sufficient federalism implications to warrant the 
                        <PRTPAGE P="44020"/>
                        preparation of a federalism summary impact statement.
                    </P>
                    <HD SOURCE="HD2">G. Plain Language Act of 2010</HD>
                    <P>Under 63 FR 31883 (June 10, 1998), Executive Departments and Agencies are required to use plain language in all proposed and final rules. HHS/CDC has attempted to use plain language in this proposed rulemaking to make our intentions and rationale clear and requests input from the public in this regard.</P>
                    <LSTSUB>
                        <HD SOURCE="HED">List of Subjects in 71.50, 71.51</HD>
                        <P>Airline, animal, border, canine rabies virus variant, carrier, cat, communicable diseases, confinement, DMRVV, Director, dog, exemption, importation, importer, microchip, necropsy, permit, public health, quarantine, rabies, rabies vaccination, rabies virus, serologic testing, valid rabies vaccination certificate, zoonotic diseases. </P>
                    </LSTSUB>
                    <P>For the reasons discussed in the preamble, we propose to amend 42 CFR part 71 as follows:</P>
                    <PART>
                        <HD SOURCE="HED">PART 71—FOREIGN QUARANTINE</HD>
                    </PART>
                    <AMDPAR>1. The authority citation for part 71 continues to read as follows:</AMDPAR>
                    <AUTH>
                        <HD SOURCE="HED">Authority: </HD>
                        <P>Secs. 215 and 311 of Public Health Service (PHS) Act. as amended (42 U.S.C. 216, 243); secs. 361-369, PHS Act, as amended (42 U.S.C. 264-272). </P>
                    </AUTH>
                    <AMDPAR>2. Amend § 71.50 by:</AMDPAR>
                    <AMDPAR>a. Adding in alphabetical order to paragraph (b) definitions for “Authorized veterinarian”, “Cat”, “Dog”, “Histopathology”, “In-transit shipment”, “Microchip”, “Necropsy”, and “Official government veterinarian”; and</AMDPAR>
                    <AMDPAR>b. Adding paragraph (c).</AMDPAR>
                    <P>The additions read as follows:</P>
                    <SECTION>
                        <SECTNO>§ 71.50</SECTNO>
                        <SUBJECT> Scope and definitions.</SUBJECT>
                        <STARS/>
                        <P>(b) * * *</P>
                        <P>
                            <E T="03">Authorized veterinarian</E>
                             means an individual who has obtained both an advanced degree and valid license and is authorized to practice animal medicine in the exporting country.
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">Cat</E>
                             means all domestic cats (
                            <E T="03">Felis catus</E>
                            ).
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">Dog</E>
                             means all domestic dogs (
                            <E T="03">Canis familiaris</E>
                            ).
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">Histopathology</E>
                             means the study of changes in human or animal tissue caused by disease.
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">In-transit shipment</E>
                             means a cargo shipment originating in a foreign country that is moved through one or more U.S. ports of entry while transiting through the United States to a third-country destination. In-transit shipments pass through a U.S. port of entry and a U.S. port of exit, which may be in the same location, or which may involve numerous stopping points.
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">Microchip</E>
                             means an implanted radio-frequency device placed under the skin of an animal that contains a unique identification tag that meets the International Standards Organization (ISO) compatibility through ISO 11784 or ISO 11785, or similar technologies as approved by the Director.
                        </P>
                        <P>
                            <E T="03">Necropsy</E>
                             means an animal autopsy in which the cause of death may be determined through the examination and collection of tissues, organs, or bodily fluids post-mortem.
                        </P>
                        <P>
                            <E T="03">Official government veterinarian</E>
                             means a veterinarian who performs work on behalf of an exporting country's government and can verify the license or credentials of an Authorized Veterinarian.
                        </P>
                        <STARS/>
                        <P>(c) Any provision of this subpart held to be invalid or unenforceable by its terms, or as applied to any person or circumstance, shall be construed so as to continue to give the maximum effect to the provision permitted by law, unless such holding shall be one of utter invalidity or unenforceability, in which event the provision shall be severable from this subpart and shall not affect the remainder thereof or the application of the provision to persons not similarly situated or to dissimilar circumstances.</P>
                    </SECTION>
                    <AMDPAR>3. Amend § 71.51:</AMDPAR>
                    <AMDPAR>a. In paragraph (a) by:</AMDPAR>
                    <AMDPAR>i. Adding in alphabetical order definitions for “Animal”, CDC-registered animal care facility”, “CDC import submission form”, “CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States”, “Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States”, and “Conditional release”;</AMDPAR>
                    <AMDPAR>ii. Revising the definition of “Confinement”;</AMDPAR>
                    <AMDPAR>iii. Adding in alphabetical order definitions for “DMRVV”, “DMRVV-free countries”, “DMRVV high-risk countries”, “DMRVV low-risk countries”, “DMRVV-restricted countries”, “Importer”, “SAFE TraQ”, “Serologic testing”, “USDA-accredited veterinarian”, and “USDA official veterinarian”; and</AMDPAR>
                    <AMDPAR>iv. Redesignating paragraphs (1) through (4) in the definition of “Valid rabies vaccination certificate” as paragraphs (i) through (iv);</AMDPAR>
                    <AMDPAR>d. By revising paragraphs (b) through (g); and</AMDPAR>
                    <AMDPAR>e. By adding paragraphs (h) through (ff).</AMDPAR>
                    <P>The additions and revisions read as follows:</P>
                    <SECTION>
                        <SECTNO>§ 71.51</SECTNO>
                        <SUBJECT> Dogs and cats.</SUBJECT>
                        <P>(a) * * *</P>
                        <P>
                            <E T="03">Animal</E>
                             means, for purposes of this section, all domestic cats (
                            <E T="03">Felis catus</E>
                            ) or domestic dogs (
                            <E T="03">Canis familiaris</E>
                            ).
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">CDC-registered animal care facility</E>
                             means a facility registered by CDC for the purpose of providing veterinary care and housing to animals imported into the United States.
                        </P>
                        <P>
                            <E T="03">CDC import submission form</E>
                             means an OMB-approved declaration submitted to CDC through an online portal that includes the importer's name and contact information; description of the dog, including microchip number and current photographs of the dog's face and body; purpose of importation; travel information, including dates of departure and arrival, country of departure, countries visited in the past six months, and U.S. port of entry; and other information as described in CDC technical instructions.
                        </P>
                        <P>
                            <E T="03">CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States</E>
                             means the OMB-approved form that must be:
                        </P>
                        <P>(i) Completed by an authorized veterinarian in the exporting country, which may include an official government veterinarian in the exporting country; and</P>
                        <P>(ii) Reviewed and signed by an official government veterinarian in the exporting country attesting that the information listed is true and correct.</P>
                        <P>
                            <E T="03">Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States</E>
                             means the OMB-approved form that must be completed by a U.S. Department of Agriculture (USDA)-accredited veterinarian and certified by a USDA official veterinarian prior to exporting the dog from the United States in order to demonstrate compliance with admissibility requirements upon returning to the United States.
                        </P>
                        <P>
                            <E T="03">Conditional release,</E>
                             when applied to an animal, means the temporary release of an animal from the custody of a carrier into the care of a licensed veterinarian approved by the Director for the purpose of receiving emergency medical care or a public health evaluation, pending removal of the animal from the United States. The 
                            <PRTPAGE P="44021"/>
                            licensed veterinarian must return animals immediately to the carrier's custody upon the conclusion of such medical care or evaluation for removal from the United States.
                        </P>
                        <P>
                            <E T="03">Confinement,</E>
                             when applied to an animal, means restriction to a building or other enclosure at a U.S. port or other location approved by the Director, including 
                            <E T="03">en route</E>
                             to a destination, separate from other animals, and from persons except for contact necessary for its care. If the animal is allowed out of the enclosure, it must be muzzled and kept on a leash.
                        </P>
                        <P>
                            <E T="03">DMRVV</E>
                             means dog-maintained rabies virus variant and includes any rabies virus variant that is known or suspected to have an enzootic transmission cycle in which dogs are essential for the maintenance of the viral variant. This includes epidemiologic situations in which dogs are the only recognized reservoir species, as well as situations in which dogs and other species (typically wildlife) both play an epidemiologically relevant role in maintaining enzootic transmission.
                        </P>
                        <P>
                            <E T="03">DMRVV-free countries</E>
                             mean countries determined by the Director as not having DMRVV present based on internationally accepted standards.
                        </P>
                        <P>
                            <E T="03">DMRVV high-risk countries</E>
                             mean countries determined by the Director as having high risk for DMRVV transmission based on factors such as the presence and geographic distribution of the virus or low quality of or low confidence in rabies surveillance systems or dog vaccination programs.
                        </P>
                        <P>
                            <E T="03">DMRVV low-risk countries</E>
                             mean countries determined by the Director as having low risk for DMRVV transmission based on factors such as the virus being limited to a localized area, adequacy of surveillance and dog vaccination programs to prevent further geographic distribution of the virus, and the virus being in a controlled status with the country or countries heading toward eventual DMRVV-free status.
                        </P>
                        <P>
                            <E T="03">DMRVV-restricted countries</E>
                             means countries for which the export of dogs into the United States has been prohibited or otherwise restricted based on the countries' export of dogs infected with DMRVV to any other countries within a timeframe determined by the Director or based on the countries' lacking adequate controls, as determined by the Director, to monitor and prevent the export of dogs to the United States with falsified or fraudulent vaccine credentials, invalid rabies vaccination documentation, or other fraudulent, inaccurate, or invalid importation documents.
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">Importer</E>
                             for purposes of this section means any person importing or attempting to import an animal into the United States, including an owner or a person acting on behalf of an importer, such as a broker registered with U.S. Customs and Border Protection (CBP). Individuals compensated or hired to transport animals must have a valid USDA license or registration.
                        </P>
                        <STARS/>
                        <P>
                            <E T="03">SAFE TraQ</E>
                             means the System for Animal Facilities Electronic Tracking of Quarantine or other system as approved by the Director for tracking the quarantine of animals approved for admission into the United States.
                        </P>
                        <P>
                            <E T="03">Serologic testing,</E>
                             when applied to an imported animal, means a rabies antibody titration test performed by a CDC-approved rabies laboratory using a CDC-approved technique. The serology sample must be drawn, submitted and tested in accordance with CDC technical instructions. The current list of CDC-approved laboratories is available online on CDC's website. CDC will update its website as needed.
                        </P>
                        <P>
                            <E T="03">USDA-accredited veterinarian</E>
                             shall have the same definition as accredited veterinarian under 9 CFR 160.1.
                        </P>
                        <P>
                            <E T="03">USDA official veterinarian</E>
                             means the Animal and Plant Health Inspection Service (APHIS) veterinarian who is assigned by the USDA Administrator to supervise and perform the official work of APHIS in any U.S. State or several U.S. States.
                        </P>
                        <STARS/>
                        <P>
                            (b) 
                            <E T="03">Authorized U.S. airports for dogs and cats.</E>
                             (1) Cats may arrive at and be admitted into the United States through any U.S. airport.
                        </P>
                        <P>(2) Dogs arriving to the United States from DMRVV low-risk or DMRVV-free countries that have not been in any DMRVV high-risk country within the last six months may arrive at and be admitted into the United States through any U.S. airport.</P>
                        <P>(3) Dogs that have been in a DMRVV high-risk country within the last six months and were vaccinated against rabies in the United States must arrive at and may only be admitted through a U.S. airport with a CDC quarantine station.</P>
                        <P>(4) Dogs that have been in a DMRVV high-risk country within the last six months and were vaccinated against rabies in a foreign country must arrive at and may only be admitted through a U.S. airport with a CDC quarantine station and a CDC-registered Animal Care Facility.</P>
                        <P>(5) Dogs that have been in a DMRVV high-risk country within the last six months that arrive at an unauthorized U.S. airport shall be denied admission and returned to their countries of departure via air pursuant to paragraph (v) of this section.</P>
                        <P>(6) The current list of U.S. airports with CDC quarantine stations is available on CDC's website. CDC also maintains a list of U.S. airports with CDC-registered Animal Care Facilities on its website. CDC will update these lists as needed.</P>
                        <P>
                            (c) 
                            <E T="03">Authorized U.S. land ports for dogs and cats.</E>
                             (1) Cats may arrive at and be admitted into the United States through any U.S. land port.
                        </P>
                        <P>(2) Dogs arriving to the United States from DMRVV low-risk or DMRVV-free countries that have not been in any DMRVV high-risk country within the last six months may arrive at and be admitted into the United States through any U.S. land port.</P>
                        <P>(3) Dogs that have been in a DMRVV high-risk country within the last six months are not authorized to enter the United States through any U.S. land port and shall be denied admission into the United States.</P>
                        <P>
                            (d) 
                            <E T="03">Authorized U.S. seaports for dogs and cats.</E>
                             (1) Cats may arrive at and be admitted into the United States through any U.S. seaport.
                        </P>
                        <P>(2) Dogs arriving to the United States from DMRVV low-risk or DMRVV-free countries that have not been in any DMRVV high-risk country within the last six months may arrive at and be admitted into the United States through any U.S. seaport.</P>
                        <P>(3) Dogs that have been in a DMRVV high-risk country within the last six months are not authorized to enter the United States through any U.S. seaport and shall be denied admission into the United States.</P>
                        <P>(4) Notwithstanding paragraph (d)(3) of this section, a dog meeting the definition of a “service animal” under 14 CFR 382.3 that has been in a DMRVV high-risk country within the last six months may be admitted through a U.S. seaport if:</P>
                        <P>(i) The dog is accompanied by an “individual with a disability” as defined under 14 CFR 382.3 and the dog does work or performs tasks that are directly related to the individual's disability; and</P>
                        <P>(ii) The dog was vaccinated against rabies in the United States and is accompanied by a valid Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States form; or</P>
                        <P>
                            (iii) The dog was vaccinated against rabies in a foreign country and is accompanied by a valid foreign-issued CDC Import Certification of Rabies Vaccination and Microchip Required for 
                            <PRTPAGE P="44022"/>
                            Live Dog Importations into the United States form and a valid serologic titer from a CDC-approved laboratory.
                        </P>
                        <P>
                            (e) 
                            <E T="03">Limitation on U.S. ports for dogs and cats.</E>
                             The Director may limit the times, U.S. ports, or conditions under which dogs or cats may arrive at and be admitted to the United States based on an importer's or carrier's failure to comply with the provisions of this section or as needed to protect the public's health. If the Director determines a limitation is required, the Director will notify importers or carriers in writing of the specific times, U.S. ports, or conditions under which dogs and cats may be permitted to arrive at and be admitted to the United States.
                        </P>
                        <P>
                            (f) 
                            <E T="03">Age requirement for all dogs.</E>
                             All dogs presented for admission into the United States must be at least six (6) months old at the time of arrival into the United States. However, an importer may present for admission up to three (3) individual dogs within the same calendar year below the age of six (6) months if the dogs are arriving in the United States by land from Canada or Mexico and the dogs have not been in a DMRVV high-risk or DMRVV-restricted country since birth.
                        </P>
                        <P>
                            (g) 
                            <E T="03">Microchip requirements for all dogs.</E>
                             (1) All dogs presented for admission into the United States must have a microchip implanted prior to arrival at the U.S. port.
                        </P>
                        <P>(2) The microchip number must be documented on the CDC Import Certification of Rabies Vaccination and Microchip Required for All Live Dog Importations into the United States form or the Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States form or documented on the veterinary health records of the dog if arriving from a DMRVV low-risk or DMRVV-free country. The microchip number must also be documented on the CDC import submission form.</P>
                        <P>(3) The importer must consent to the scanning of the dog's microchip upon arrival by CDC quarantine public health officers or their representatives.</P>
                        <P>(4) Dogs arriving in the United States without a microchip, with a microchip that cannot be detected, with a microchip that does not match the accompanying documentation, or if the importer refuses to have the dogs' microchip scanned, may be denied admission and returned to the country of departure pursuant to paragraph (v) of this section.</P>
                        <P>
                            (h) 
                            <E T="03">CDC Import Submission Form for all dogs.</E>
                             (1) All importers of dogs into the United States must submit a 
                            <E T="03">CDC Import Submission Form</E>
                             to CDC via a CDC-registered system prior to the dogs' arrival. This includes accompanied or unaccompanied dogs arriving by air, land, and sea regardless of whether arriving as cargo, checked-baggage, or hand-carried baggage.
                        </P>
                        <P>(2) Dogs that arrive without a complete and accurate CDC import submission form filed prior to arrival may be denied admission and returned to the country of departure pursuant to paragraph (v) of this section, regardless of the value of the shipment.</P>
                        <P>(3) Dogs arriving by air without a complete and accurate CDC import submission form may be held on a space-available basis for up to 24 hours after arrival in the care of a CDC-registered animal care facility or a licensed veterinarian if the animal care facility cannot house the dog until the form is filed or if the dog arrives at an airport without a CDC-registered animal care facility. The importer (or airline if the importer abandons the animal) is responsible for making all necessary arrangements with a CDC-registered animal care facility or a veterinary clinic if the animal care facility cannot house the dog or is not available at the airport, including arranging transportation to the facility. The airline may require reimbursement from an importer for any associated costs incurred by the airline on the importer's behalf.</P>
                        <P>(4) Dogs arriving by sea without a complete and accurate CDC import submission form may be held onboard the vessel until the form is filed. The vessel's owner or operator may require reimbursement from an importer for any associated costs incurred by the vessel on the importer's behalf.</P>
                        <P>(5) Dogs arriving by land without a complete and accurate CDC import submission form shall be denied admission and returned immediately to the dogs' country of departure, but such denial does not prevent the importer from reapplying for admission of the dogs after the form is filed.</P>
                        <P>(6) A receipt confirming submission of the form to CDC must accompany all dogs departing foreign locations for travel to the United States. For dogs departing from foreign airports to the United States, the airline must deny boarding to dogs unless the importer has presented this receipt prior to boarding.</P>
                        <P>(7) Airlines are required to create a bill of lading for all dogs arriving in the United States prior to arrival. This includes dogs transported as cargo, checked-baggage, or hand-carried baggage.</P>
                        <P>(8) Dogs arriving by air for which a bill of lading has not been filed prior to arrival in the United States may be denied admission and returned to the country of departure pursuant to paragraph (v) of this section.</P>
                        <P>
                            (i) 
                            <E T="03">Inspection requirements for admission of all dogs and cats.</E>
                             (1) All animals arriving at a U.S. port shall be inspected upon arrival, and only those animals that show no signs of communicable disease as defined in 42 CFR 71.1 shall be admitted into the United States.
                        </P>
                        <P>(2) All animals presented for admission into the United States may be subject to additional examination and disease surveillance screening for the purpose of communicable disease surveillance. Ill animals may be required to undergo additional diagnostic testing prior to release of the animal; such testing is not considered surveillance screening.</P>
                        <P>(3) The Director may require confinement of an animal and examination by a veterinarian when necessary to determine whether the animal is admissible into the United States, for instance, if dental examination would assist in determining the animal's age.</P>
                        <P>(4) Importers who refuse to consent to inspection, examination, or disease surveillance screening of the animal upon arrival may have the animal denied admission and returned to its country of departure pursuant to paragraph (v) of this section.</P>
                        <P>
                            (j) 
                            <E T="03">Examination by a USDA-accredited veterinarian and confinement of exposed dogs and cats or those that appear unhealthy.</E>
                             (1) If an animal, upon inspection, does not appear to be in good health (
                            <E T="03">e.g.,</E>
                             it has symptoms such as emaciation, lesions of the skin, discharge of the eyes or nose, coughing, sneezing, nervous system disturbances, inability to stand or walk, difficulty breathing, jaundice, vomiting, or diarrhea), or appears healthy but, during shipment, may have been exposed to a sick or dead animal (including an animal other than a dog or cat) suspected of having a communicable disease, the Director may require prompt confinement and veterinary examination.
                        </P>
                        <P>
                            (2) In the case of animals that appear unhealthy or those that were potentially exposed and arriving by air or sea, the Director may require the airline or vessel's master or operator to arrange for a licensed veterinarian to examine the animal and give or arrange for any tests or treatment indicated. In the case of animals that appear unhealthy or those that were potentially exposed and arriving by land, the Director may deny admission, but such denial does not prevent the importer from reapplying for admission after providing the Director with satisfactory evidence that a licensed veterinarian has examined 
                            <PRTPAGE P="44023"/>
                            the animal and administered any tests or treatment as needed.
                        </P>
                        <P>(3) Carriers shall maintain a record of sickness of animals occurring while en route to the United States and shall submit the record upon arrival to the CDC quarantine station with jurisdiction for the U.S. port.</P>
                        <P>(4) Animals that become sick while en route or on arrival shall be separated from other animals (including an animal other than a dog or cat) as soon as the sickness is discovered and shall be held in confinement pending any necessary examination as determined by the Director.</P>
                        <P>(5) Airlines (in the case of arrivals by air) or a vessel's master or operator (in the case of arrivals by sea) shall immediately arrange for medical evaluation by a licensed veterinarian of any animals that arrive sick and for transportation as needed to a facility for confinement or medical evaluation of any sick animals. In the case of sick animals arriving by land, the Director may deny admission, but such denial does not prevent the importer from reapplying for admission after providing the Director with satisfactory evidence of confinement (as needed) and examination by a licensed veterinarian.</P>
                        <P>(6) The Director will consider the findings of the examination and tests in determining whether the animal may have a communicable disease.</P>
                        <P>
                            (7) The airline or vessel's master or operator shall arrange for confinement at a CDC-registered animal care facility or CDC-approved veterinary clinic which, in the judgment of the Director, affords protection against transmission of any communicable disease and suitable housing in accordance with the Animal Welfare Act (7 U.S.C. 2131 
                            <E T="03">et seq.,</E>
                             as may be amended).
                        </P>
                        <P>(8) The importer shall bear the expenses of confinement, examination, tests, and treatment under this paragraph. If an importer fails to arrange for or pay for such expenses or cooperate with any CDC-mandated public health evaluations, then the animal will be considered abandoned, and the carrier shall assume financial responsibility pursuant to paragraph (z) of this section.</P>
                        <P>(9) Confinement shall be subject to conditions specified by the Director to protect the public's health.</P>
                        <P>(10) CDC may request that CBP conditionally release animals in need of medical evaluation or treatment. Animals eligible for conditional release shall remain under the legal custody of the carrier or CDC-registered animal care facility for the purpose of receiving emergency veterinary medical care or examination. Such animals must be returned immediately to a CDC-registered animal care facility or other CDC-approved kennel or veterinary facility (if a CDC-registered animal care facility is not available) once medical treatment is no longer required or upon request by either CDC or CBP.</P>
                        <P>
                            (11) If an importer (or carrier if the animal is abandoned by the importer) opts to have an animal euthanatized (
                            <E T="03">e.g.,</E>
                             under circumstances where the animal is fatally ill or injured), the importer or carrier shall promptly communicate this decision to CDC and CBP in writing and prior to euthanasia. Euthanasia does not relieve importers or carriers of the obligation to arrange and pay for testing and necropsy required by CDC.
                        </P>
                        <P>
                            (k) 
                            <E T="03">Veterinary examination and revaccination against rabies at a CDC-registered animal care facility for foreign-vaccinated dogs.</E>
                             (1) All dogs arriving from DMRVV high-risk countries that do not have a valid certification of U.S.-issued rabies vaccination for live dog re-entry into the United States form shall undergo veterinary examination and revaccination against rabies at a CDC-registered animal care facility upon arrival.
                        </P>
                        <P>(2) The importer is responsible for making all arrangements relating to the examination, revaccination, and quarantine of dogs with a CDC-registered animal care facility prior to arrival in the United States. The costs of examination, vaccination, or quarantine shall be borne by the importer and not at the government's expense.</P>
                        <P>(3) Importers are required to present to airlines documentation confirming their reservation at a CDC-registered animal care facility prior to their dogs boarding a flight to the United States. Airlines must deny boarding to dogs if the importer fails to present such documentation.</P>
                        <P>(4) Prior to granting a reservation, CDC-registered animal care facilities must ensure they have received the following:</P>
                        <P>(i) The completed CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States form;</P>
                        <P>(ii) Serologic test results collected in accordance with CDC's technical instruction from a CDC-approved laboratory (if applicable);</P>
                        <P>(iii) Photos of the dog's teeth to assist with age verification;</P>
                        <P>(iv) The travel itinerary for the dog confirming that the dog will only be arriving at a U.S. airport with a CDC quarantine station and a CDC-registered animal care facility and will not be arriving at any other U.S. port; and</P>
                        <P>(v) A receipt confirming submission of the CDC import submission form.</P>
                        <P>(5) Airlines must deny boarding to any foreign-vaccinated dog for which the importer has not presented a receipt confirming submission of the CDC import submission form and proof of a reservation at a CDC-registered animal care facility, or that is being presented for travel to an unauthorized U.S. airport.</P>
                        <P>(6) The airline shall arrange for dogs to be transported by a CBP-bonded transporter to a CDC-registered animal care facility immediately upon arrival at the U.S. airport.</P>
                        <P>(7) The dog shall remain in the custody of the CDC-registered animal care facility until the following requirements are met:</P>
                        <P>
                            (i) Veterinary health examination by a USDA-accredited veterinarian for signs of illness. All illnesses must be documented in SAFE TraQ. CDC will review these illness case reports and determine admissibility prior to the animal's release. Suspected or confirmed zoonotic or foreign animal diseases, including the presence of ecto-parasites (
                            <E T="03">i.e.,</E>
                             ticks and fleas), must be reported to CDC, USDA, the State or county public health veterinarian, and the State veterinarian prior to release of the animal.
                        </P>
                        <P>(ii) Vaccination against rabies with a USDA-licensed rabies vaccine that is administered by a USDA-accredited veterinarian.</P>
                        <P>(iii) Confirmation of microchip number.</P>
                        <P>(iv) Confirmation of age through dental examination by a USDA-accredited veterinarian.</P>
                        <P>(v) Verification of adequate rabies serologic test from a CDC-approved laboratory. Serologic tests must be drawn within a timeframe as specified in CDC technical instructions. Dogs that arrive without an adequate rabies serologic test results from a CDC-approved laboratory, or with a serologic test result drawn outside the acceptable timeframe, or with serologic test results outside acceptable parameters, shall be housed, at the CDC-registered animal care facility for a 28-day quarantine period following administration of the USDA-licensed rabies vaccine.</P>
                        <P>
                            (l) 
                            <E T="03">Registration or renewal of CDC-registered animal care facilities.</E>
                             (1) Before housing any live dog imported into the United States, a facility must register with and receive written approval from the Director to function as a CDC-registered animal care facility. Applications and all required 
                            <PRTPAGE P="44024"/>
                            documents must be submitted to 
                            <E T="03">cdcanimalimports@cdc.gov.</E>
                        </P>
                        <P>(2) To register or to renew a registration certificate, a facility must submit the following documents to CDC:</P>
                        <P>(i) A completed registration/application form;</P>
                        <P>(ii) A statement of intent that describes the number and types of animals the facility can house at one time, including the number of animals that can be housed in the quarantine area;</P>
                        <P>(iii) Written standard operating procedures that include all elements required in paragraphs (k) through (q) of this section;</P>
                        <P>(iv) A copy of all Federal, State, or local registrations, licenses, and/or permits; a facility must have a USDA Class H intermediate handlers license (and any additional class licenses or registrations as deemed appropriate by USDA) and a CBP Facilities Information and Resource Management System (FIRMS) code.</P>
                        <P>(v) A self-certification signed by the owner or manager of the CDC-registered Animal Care Facility stating that the facility is in compliance and agrees to continue to comply with the regulations in this section.</P>
                        <P>(3) Upon receiving the documentation required by this section, the Director will review the application and either grant or deny the application for registration as a CDC-registered Animal Care Facility. Applications that are denied may be appealed under paragraph (r) of this section.</P>
                        <P>(i) Before issuing a registration, the Director may inspect any animal health record, facility, vehicle, or equipment to be used in management, examination, and clearance of imported animals. Thereafter, animal health records, facilities, vehicles, and equipment used in importing animals may be inspected during annual site inspection visits or when otherwise needed to protect the public's health.</P>
                        <P>(ii) Unless revoked in accordance with paragraph (r) of this section, a registration certificate issued under this section is effective for two years beginning from the date CDC issues the registration certificate.</P>
                        <P>(iii) A CDC-registered animal care facility must apply to CDC for renewal of the registration certificate not less than 60 days and not more than 90 days before the existing registration expires.</P>
                        <P>(4) The Director may deny an application to register, renew, or reinstate a facility as a CDC-registered animal care facility if the registrant has had a previous registration revoked in accordance with paragraph (r) of this section within the last five years.</P>
                        <P>(5) All CDC-registered animal care facilities must comply with the requirements of paragraphs (k) through (q) of this section.</P>
                        <P>
                            (m) 
                            <E T="03">Record-keeping requirements at CDC-registered animal care facilities.</E>
                             (1) A CDC-registered animal care facility must retain records regarding each imported animal for three years after the distribution or transfer of the animal. Each record must include:
                        </P>
                        <P>(i) The bill of lading for each shipment;</P>
                        <P>(ii) The name, address, phone number, and email address of the importer and owner (if different from the importer);</P>
                        <P>(iii) The number of animals in each shipment;</P>
                        <P>(iv) The identity of each animal in each shipment, including name, microchip number, date of birth, sex, breed, and coloring;</P>
                        <P>(v) The airline, flight number, date of arrival, and port of arrival of each shipment;</P>
                        <P>(vi) Veterinary medical records for each animal, including:</P>
                        <P>(A) CDC import certification of rabies vaccination and microchip required for live dog importations into the United States form and rabies serology obtained before arrival in the United States (if applicable);</P>
                        <P>(B) The USDA-licensed rabies vaccine administered upon arrival;</P>
                        <P>(C) Veterinary examination records upon arrival and while in quarantine;</P>
                        <P>(D) Rabies serology performed while in quarantine in the United States (if applicable);</P>
                        <P>(E) All diagnostic test results performed during quarantine; and</P>
                        <P>(F) Necropsy reports for imported animals that die while in the care of the CDC-registered animal care facility.</P>
                        <P>(2) A CDC-registered animal care facility must maintain these records electronically in SAFE TraQ.</P>
                        <P>(i) Copies of all records must be entered directly into or uploaded into SAFE TraQ;</P>
                        <P>(ii) Records must be uploaded and complete prior to the animal's release from the facility; and</P>
                        <P>(iii) CDC will audit records remotely as needed and in-person during the annual site inspection visit(s) at the facility.</P>
                        <P>
                            (n) 
                            <E T="03">Worker protection plan and personal protective equipment (PPE).</E>
                             (1) A CDC-registered Animal Care Facility must establish and maintain a worker protection plan with standards comparable to those in the National Institute for Occupational Safety and Health (NIOSH) Veterinary Safety and Health guidelines and the National Association of Public Health Veterinarians (NASPHV) Compendium of Veterinary Standard Precautions for Zoonotic Disease Prevention in Veterinary Personnel.
                        </P>
                        <P>(2) In addition to complying with the requirements of this section, a facility must comply with all relevant Federal and State requirements relating to occupational health and safety.</P>
                        <P>(3) Rabies pre-exposure prophylaxis is required for workers handling imported animals in rabies quarantine.</P>
                        <P>(4) Post-exposure procedures that provide potentially exposed workers with direct and rapid access to a medical consultant.</P>
                        <P>(5) Procedures for documenting the frequency of worker training, including for those working in the quarantine area.</P>
                        <P>(6) As part of the worker protection plan, a facility must establish, implement, and maintain hazard evaluation and worker communication procedures that include the following:</P>
                        <P>(i) Descriptions of the known zoonotic disease and injury hazards associated with handling animals;</P>
                        <P>(ii) The need for PPE when handling animals and training in the proper use of PPE, including re-training and reinforcement of appropriate use; and</P>
                        <P>(iii) Procedures for disinfection of garments, supplies, equipment, and waste.</P>
                        <P>
                            (o) 
                            <E T="03">CDC-registered animal care facility standard operating procedures, requirements, and equipment standards for crating, caging, and transporting live animals.</E>
                             (1) Equipment standards for crating, caging, and transporting live animals must be in accordance with USDA Animal Welfare regulation standards (9 CFR parts 1, 2, and 3) and International Air Transport Association standards.
                        </P>
                        <P>(2) Animals must not be removed from crates during transport.</P>
                        <P>(3) Used PPE, bedding, and other potentially contaminated material must be removed from the ground transport vehicle upon arrival at the animal care facility and disposed of or disinfected in a manner that would destroy potential pathogens of concern.</P>
                        <P>
                            (p) 
                            <E T="03">Health reporting requirements for animals at CDC-registered animal care facilities.</E>
                             (1) A CDC-registered animal care facility must provide the following services for each animal upon arrival and ensure each animal meets CDC entry requirements prior to release from the facility:
                        </P>
                        <P>(i) Veterinary examination by a USDA-accredited veterinarian within one business day of arrival;</P>
                        <P>
                            (ii) Verification of microchip and confirmation that the microchip number matches the animal's health records;
                            <PRTPAGE P="44025"/>
                        </P>
                        <P>(iii) Verification of animal's age via a dental examination;</P>
                        <P>(iv) Revaccination against rabies using a USDA-licensed vaccine; and</P>
                        <P>(v) Verification of a valid serology test from a CDC-approved laboratory drawn from a dog prior to arrival within a timeframe and results within parameters as specified in CDC technical instructions or 28-day quarantine after administration of the USDA-licensed rabies vaccine.</P>
                        <P>(2) A CDC-registered animal care facility must provide the following services upon the occurrence of any morbidity or mortality in an imported animal in the facility:</P>
                        <P>(i) Notification to CDC within 24 hours of the arrival of an ill animal or occurrence of any illness or death occurring in an animal.</P>
                        <P>(ii) Examination by a USDA-accredited veterinarian immediately upon detection of illness and diagnostic testing to determine the cause of illness. All costs associated with examination and diagnostics are the responsibility of the importer.</P>
                        <P>(iii) Reporting of suspected or confirmed zoonotic diseases and ecto-parasites to CDC and the State or county public health veterinarian within 24 hours of identification. Suspected or confirmed foreign animal diseases or infectious animal diseases must be reported to USDA and the State or county veterinarian within 24 hours of identification.</P>
                        <P>(iv) Necropsy and diagnostic testing to determine the cause of death. The importer is responsible for all costs associated with necropsy and testing.</P>
                        <P>(3) Upon completion of the quarantine period and before a facility releases any animal from quarantine, the facility must ensure that the facility's USDA- accredited veterinarian has verified the health status of the animal and all required paperwork is uploaded into SAFE TraQ.</P>
                        <P>(4) Any report required under this paragraph must be uploaded to SAFE TraQ prior to the release of the animal.</P>
                        <P>
                            (q) 
                            <E T="03">Quarantine requirements for animals at CDC-registered animal care facilities.</E>
                             (1) A CDC-registered animal care facility must maintain a quarantine area for holding dogs during the required quarantine period. Dogs must be quarantined for 28 days after revaccination with a USDA-licensed rabies vaccine at the facility if they do not have a valid rabies serologic test from a CDC-approved laboratory. CDC may extend the quarantine period if a facility or CDC finds or suspects that a dog is infected with, or has been exposed to, a zoonotic disease or if a facility or CDC determines that additional diagnostic testing is warranted.
                        </P>
                        <P>(2) For any quarantine area established or maintained under this section, a facility must establish, implement, maintain, and adhere to standard operating procedures that meet the following physical security requirements:</P>
                        <P>(i) The CDC-registered animal care facility must be locked and secure, with access limited to authorized, trained, and knowledgeable personnel.</P>
                        <P>(ii) A CDC-registered animal care facility must limit access to animal quarantine areas to authorized personnel responsible for the transport, care, or treatment of the animals.</P>
                        <P>(3) During the quarantine period, a CDC-registered animal care facility must monitor animals for signs of any zoonotic illness, including, but not limited to, signs consistent with rabies, brucellosis, leptospirosis, leishmaniasis, or ecto- or endo-parasites.</P>
                        <P>(4) If any animals appear ill during quarantine, the CDC-registered animal care facility must notify CDC through SAFE TraQ and monitor that animal for signs of zoonotic illness and ensure appropriate treatment. Suspected or confirmed zoonotic diseases in animals or facility workers must be reported to CDC within 48 hours.</P>
                        <P>(5) A CDC-registered animal care facility must not knowingly release any ill animal from quarantine under paragraph (q)(3) of this section without prior consultation with and written approval from CDC.</P>
                        <P>(6) Quarantined animals must be housed in such a manner that they do not expose non-quarantined animals (including an animal other than a dog or cat) to other potentially infectious materials, including soiled bedding, caging, and other potentially contaminated items.</P>
                        <P>(7) If CDC notifies a CDC-registered animal care facility of any evidence that animals have been exposed to a zoonotic disease, the facility must, at the facility's expense, implement or cooperate in the CDC's implementation of additional measures to rule out the spread of suspected zoonotic disease before releasing an animal or shipment of animals from quarantine, including examination, additional diagnostic procedures, treatment, detention, isolation, seizure, or destruction of exposed animals.</P>
                        <P>(8) A CDC-registered animal care facility must establish, implement, and adhere to standard operating procedures for safe handling and necropsy of any animal that dies in quarantine.</P>
                        <P>
                            (r) 
                            <E T="03">Revocation and reinstatement of a CDC-registered animal care facility's registration.</E>
                             (1) If the Director determines that a CDC-registered animal care facility has failed to comply with any applicable provisions of this section, including failure to abide by the facility's standard operating procedures, the Director may revoke the facility's registration.
                        </P>
                        <P>(2) CDC will send the CDC-registered animal care facility a notice of revocation stating the grounds upon which the proposed revocation is based.</P>
                        <P>(3) If the CDC-registered animal care facility wishes to contest the revocation, the facility must file a written response to the notice within five business days after receiving the notice.</P>
                        <P>(4) As part of the response, a CDC-registered animal care facility may request that the Director review the written record.</P>
                        <P>(5) If a CDC-registered animal care facility fails to file a response within five business days, all of the grounds listed in the proposed revocation will be deemed admitted, in which case the notice shall constitute final agency action.</P>
                        <P>(6) If a CDC-registered animal care facility's response is timely, the Director will review the registration, the notice of revocation, and the response, and make a decision in writing based on the written record.</P>
                        <P>(7) As soon as practicable after completing the written record review, the Director will issue a decision in writing that shall constitute final agency action. The Director will provide the facility with a copy of the written decision.</P>
                        <P>(8) The Director may reinstate a revoked registration after inspecting the facility, examining its records, conferring with the facility, and receiving information and assurance from the facility of compliance with the requirements of this section.</P>
                        <P>
                            (s) 
                            <E T="03">Requirement for the CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States form to import foreign-vaccinated dogs from DMRVV high-risk countries.</E>
                             (1) Importers of foreign-vaccinated dogs from DMRVV high-risk countries must submit the CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States form to the CDC-registered animal care facility in order to make a reservation at that facility.
                        </P>
                        <P>
                            (2) Importers must present documentation confirming the dog's reservation at a CDC-registered animal care facility to the airline prior to boarding and to CBP upon arrival at a U.S. port for admission of foreign-
                            <PRTPAGE P="44026"/>
                            vaccinated dogs from DMRVV high-risk countries.
                        </P>
                        <P>(3) The CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States form must be truthful and accurate, completed in English, and include:</P>
                        <P>(i) The name of person importing the dog (consignee), physical address, phone number, email address, passport number and date of birth;</P>
                        <P>(ii) The owner's name, phone number, and email address;</P>
                        <P>(iii) The destination address (physical address) where the dog will reside upon arrival in the United States;</P>
                        <P>(iv) The dog's name, microchip number, microchip implant date, breed, sex, date of birth or approximate age if the date of birth is unknown, and color or markings of the dog;</P>
                        <P>(v) Rabies vaccination information for the dog administered within a timeframe and in accordance with the vaccination schedule as specified in CDC technical instructions;</P>
                        <P>(vi) Rabies vaccine product information (product name, manufacturer, lot number, and product expiration date);</P>
                        <P>(vii) Rabies vaccine expiration date (date when next vaccine is due), which must be after the dog's date of arrival at a U.S. port;</P>
                        <P>(viii) The name, license number or official stamp, address, telephone number, email address, and signature of the authorized veterinarian or official government veterinarian that examined the dog in the exporting country; and</P>
                        <P>(ix) The name, address, official seal or stamp, and signature of an official government veterinarian attesting that the authorized veterinarian is licensed or authorized to practice veterinary medicine in the exporting country and further attesting that the information listed on the form is true and correct.</P>
                        <P>(4) Importers who fail or refuse to present the CDC Import Certification of Rabies Vaccination and Microchip Required for Live Dog Importations into the United States form or present a form that is untruthful, inaccurate, and incomplete may result in the dog denied admission and returned to the country of departure pursuant to paragraph (v) of this section.</P>
                        <P>
                            (t) 
                            <E T="03">Requirement for Certification Of U.S.-Issued Rabies Vaccination for Live Dog Re-entry into the United States form for importers seeking to import U.S.-vaccinated dogs from DMRVV high-risk countries.</E>
                             (1) Importers returning to the United States from a DMRVV high-risk country with their U.S.-vaccinated dog may present their dog for admission without a rabies serologic test from a CDC-approved laboratory, without the dog undergoing veterinary examination (unless ill, injured, or exposed), and without revaccination against rabies at a CDC-registered animal care facility upon arrival under the following circumstances:
                        </P>
                        <P>(i) The importer presents a Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States form that is truthful, complete, and accurate.</P>
                        <P>(ii) The dog must arrive by air and entry must be made through a U.S. airport with a CDC quarantine station.</P>
                        <P>(iii) The importer presents a valid Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States form that sufficiently and reliably demonstrates that a USDA-licensed rabies vaccine was administered within a timeframe and age parameters as specified in CDC technical instructions.</P>
                        <P>(2) The Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States form must be completed prior to the dog leaving the United States and cannot be completed upon arrival at a U.S. port or after the dog has left the United States.</P>
                        <P>(3) Importers returning to the United States from a DMRVV high-risk country with their U.S.-vaccinated dog that are unable to meet the requirements of this paragraph (t) shall have the dog treated as if it was vaccinated in a foreign country in accordance with the provisions of paragraph (k) of this section and this paragraph (t) or, alternatively, have the dog denied admission and returned to the country of departure pursuant to the paragraph (v) of this section.</P>
                        <P>(4) If an importer fails to immediately (within 24 hours of arrival) arrange for the dog's return to the country of departure, then the animal will be considered abandoned pursuant to paragraph (z) of this section.</P>
                        <P>
                            (u) 
                            <E T="03">Requirement for proof that a dog has only been in a DMRVV low-risk or DMRVV-free country.</E>
                             Dogs arriving, including those returning to the United States, from a DMRVV low-risk or DMRVV-free country may be admitted into the United States subject to the requirements in this section if the importer submits written documentation (
                            <E T="03">i.e.,</E>
                             veterinary records, veterinary import/export certificate) satisfactory to the Director that for the six months before arrival, the dog has been only in a DMRVV low-risk or DMRVV-free country.
                        </P>
                        <P>
                            (v) 
                            <E T="03">Denial of admission of dogs and cats.</E>
                             (1) The Director may deny admission to the following categories of animals:
                        </P>
                        <P>
                            (i) Any dog arriving from a DMRVV low-risk or DMRVV-free country without written documentation (
                            <E T="03">i.e.,</E>
                             veterinary records, veterinary import/export certificate) that the dog has only been in a DMRVV low-risk or DMRVV-free country for the six months prior to the attempted entry, or if the Director reasonably suspects fraud.
                        </P>
                        <P>(ii) Any dog that is not accompanied by a receipt confirming that a CDC import submission form has been submitted to CDC through a CDC-approved system.</P>
                        <P>(iii) Any dog arriving by air for which a bill of lading has not been created by the airline prior to arrival.</P>
                        <P>(iv) Any dog arriving by land to the United States from DMRVV high-risk countries.</P>
                        <P>(v) Any dog arriving by sea to the United States from DMRVV high-risk countries, except for a dog qualifying as a service animal and meeting the standards set forth in paragraph (d)(4) of this section.</P>
                        <P>(vi) Any dog imported by an importer who refuses to comply with the requirement (if applicable) to undergo disease surveillance screening, microchip scanning, veterinary examination, revaccination, provide proof of sufficient rabies serologic tests, or quarantine at a CDC-registered animal care facility or other CDC-approved facility (if a CDC-registered Animal Care Facility is not available) upon arrival.</P>
                        <P>(vii) Any dog that has been in a DMRVV high-risk country in the previous six months and arrives without a valid Certification of U.S.-issued Rabies Vaccination for Live Dog Re-entry into the United States form or a valid CDC import certification of rabies vaccination and microchip required for live dog importations into the United States form.</P>
                        <P>(viii) Any dog that has been in a DMRVV high-risk country in the previous six months and does not arrive via air at a U.S. airport with a CDC quarantine station and a CDC-registered animal care facility, except for a dog arriving by sea that qualifies as a service animal and meets the standards set forth in paragraph (d)(4) of this section.</P>
                        <P>(ix) Any dog imported from a DMRVV high-risk country that arrives without a reservation at a CDC-registered animal care facility (if applicable).</P>
                        <P>(x) Any dog from a DMRVV-restricted country that arrives without a valid CDC dog import permit.</P>
                        <P>
                            (xi) Any dog imported from a DMRVV high-risk country if the Director reasonably suspects fraud in any documentation required for admission or if such documentation is otherwise untruthful, inaccurate, or incomplete.
                            <PRTPAGE P="44027"/>
                        </P>
                        <P>(xii) Any animal, regardless of country of departure, that poses a public health risk, including animals that appear unhealthy upon arrival or demonstrate signs or symptoms of communicable disease.</P>
                        <P>(xiii) Any dog under six months of age that is arriving via air or sea into the United States, or any dog under six months of age imported via a land port if the importer has imported more than three individual dogs under six months of age in the same calendar year (January-December).</P>
                        <P>(2) Animals arriving by air that are awaiting an admissibility determination or denied admission must be held in CDC-registered animal care facilities or other CDC- or USDA-approved veterinary clinics (if a CDC-registered animal care facility is not available) in such a way as to prevent the potential spread of communicable diseases.</P>
                        <P>(3) Pursuant to 9 CFR 3.14(f), animals arriving by air that are denied admission must be transported to a CDC-registered animal care facility (or other boarding, kennel, or veterinary clinic approved by CDC if a CDC-registered animal care facility is not available) by the airline within six hours of denial of admission into the United States while awaiting return to the country of departure, excluding animals transiting through the United States. Animals arriving by sea that are denied admission must remain on the vessel while awaiting return to the country of departure.</P>
                        <P>(4) An importer must meet the admission requirements of all U.S. Government agencies for the admission of an animal into the United States. Satisfaction of CDC's requirements for the admission of animals does not fulfill the admission requirements of other U.S. Government agencies.</P>
                        <P>
                            (w) 
                            <E T="03">Disposal or disposition of dogs and cats denied admission to the United States.</E>
                             (1) Animals shall be subject to such additional requirements, including denial of admission, as may be deemed necessary by the Director to protect the public's health or suspension of entry under 42 CFR 71.63.
                        </P>
                        <P>(2) Animals denied admission to the United States that were transported to the United States via air must be returned by the airline to the country of departure at the importer's expense on the next available outbound flight (no later than 72 hours after arrival), regardless of airline or route, if fit to travel. Pending the animal's return, the animal shall be detained at the importer's expense in the custody of the carrier at a CDC-registered animal care facility (or other boarding, kennel, or veterinary clinic approved by CDC if a CDC-registered animal care facility is not available).</P>
                        <P>(3) Animals denied admission to the United States that were transported to the United States via sea shall be reembarked immediately by the vessel's master or operator and returned to its country of departure on the next voyage.</P>
                        <P>(4) Animals denied admission to the United States that were transported to the United States via land shall be returned immediately by importer or carrier to their country of departure.</P>
                        <P>
                            (5) If an animal is not fit to travel, poses a public health risk, or would pose a risk to other animals, then the carrier shall arrange for the animal to be transported to a CDC-registered animal care facility or a CDC- approved veterinary clinic (if a CDC-registered animal care facility is not available) for either housing and treatment by a licensed veterinarian until approved for travel by CDC or humanely euthanized (
                            <E T="03">e.g.,</E>
                             under circumstances where the animal is fatally ill or injured) by a licensed veterinarian. The importer shall be responsible for all costs associated with the denial, veterinary evaluation, care, or disposal of the animal. If the importer refuses to pay for any costs associated with the denial, evaluation, care, or disposal of the animal, then it will be considered abandoned, and the carrier shall assume custody and financial responsibility for these costs.
                        </P>
                        <P>
                            (6) If humane euthanasia is recommended by a veterinarian or chosen by an importer or carrier (
                            <E T="03">e.g.,</E>
                             under circumstances where the animal is fatally ill or injured), the animal must be euthanized by a U.S.-licensed veterinarian in accordance with American Veterinary Medical Association guidelines. Euthanasia does not relieve carriers or importers of the obligation to arrange and pay for testing and necropsy required by CDC.
                        </P>
                        <P>(7) The Director may grant temporary extensions of returns for animals that are not fit for travel as determined by a CDC veterinarian, but the importer (or carrier in the case of abandonment) must arrange for the return of the animal to its country of departure as soon as CDC notifies the carrier that the animal is fit for travel.</P>
                        <P>(8) The requirements of this paragraph shall additionally apply to dogs or cats abandoned by the importer prior to the dogs' or cats' admission into the United States. A dog or cat may be deemed abandoned pursuant to the provisions of paragraph (z) of this section.</P>
                        <P>(9) Carriers must provide transportation to/from and holding at a CDC-registered animal care facility (or other boarding, kennel, or veterinary clinic approved by CDC if a CDC-registered animal care facility is not available) while determining admissibility, undergoing veterinary evaluation or care, or upon denial of entry. Carriers may require reimbursement from an importer for any costs incurred on behalf of the importer.</P>
                        <P>(10) Importers must comply with CDC requirements for the return of an animal or for the veterinary assessment of an animal. Refusal to cooperate, including refusal to pay any associated veterinary fees, will result in the animal being considered abandoned by the importer, and custody of the animal will be transferred to the carrier who will assume financial responsibility for costs relating to the denial, evaluation, care, or disposal of the animal.</P>
                        <P>(11) A carrier may enter into contractual arrangements with an importer or a third party relating to the expenses of returning an animal to its country of departure, for veterinary care, or otherwise disposing of an animal, provided that no government costs are incurred. The return of an animal to its country of departure or the initiation of veterinary care shall not be delayed while the carrier attempts to enter into or negotiate contractual arrangements.</P>
                        <P>
                            (12) The provisions of this paragraph may be applied to importers of animals and to carriers transporting such animals in circumstances where an animal is denied entry at a land port or seaport of the United States and the animal cannot be immediately returned to its country of departure (
                            <E T="03">e.g.,</E>
                             because it is unfit to travel).
                        </P>
                        <P>
                            (x) 
                            <E T="03">Appeals of CDC denials to admit a dog or a cat upon arrival into the United States.</E>
                             (1) If CDC denies admission to an animal upon arrival, then the importer may appeal that denial to the Director.
                        </P>
                        <P>(2) The importer must submit the appeal in writing to the Director, stating the reasons for the appeal and demonstrating that there is a genuine and substantial issue of fact in dispute.</P>
                        <P>
                            (3) The importer must submit the appeal within one (1) business day of the denial by emailing 
                            <E T="03">CDCAnimalImports@cdc.gov.</E>
                        </P>
                        <P>(4) Submitting an appeal will not delay the return of the animal to the country of departure.</P>
                        <P>(5) The Director will issue a written response to the appeal, which shall constitute final agency action.</P>
                        <P>
                            (y) 
                            <E T="03">Record of death of dogs and cats en route to the United States and disposition of dead animals.</E>
                             (1) Carriers shall maintain a record of the death of animals occurring while 
                            <E T="03">en route</E>
                             to the United States and shall submit the record to the CDC quarantine station of 
                            <PRTPAGE P="44028"/>
                            jurisdiction for the U.S. port upon arrival.
                        </P>
                        <P>(2) Animals that become sick or die en route or are identified as sick or dead upon arrival shall be separated from other animals (including animals other than dogs or cats) as soon as the sickness or death is discovered and shall be held in confinement pending any necessary examination as determined by the Director. Sick animals shall be examined pursuant to the provisions of paragraph (j) of this section or disposed of pursuant to the provisions of paragraph (w) of this section.</P>
                        <P>(3) The carrier shall arrange for any animals that die en route to the United States or that die while detained pending determination of their admissibility to undergo a necropsy (gross and histopathologic examination are required), and any subsequent infectious disease testing based on gross or histopathology findings or as determined by CDC. The carrier or CDC-registered animal care facility must contact the CDC quarantine station of jurisdiction prior to transporting an animal for necropsy to determine whether rabies testing is required. In the event an importer abandons an animal, the carrier will become the owner and shall assume responsibility for all expenses described in this paragraph (y)(3).</P>
                        <P>(4) The carrier shall send copies of the final necropsy report and all test results to the CDC quarantine station of jurisdiction.</P>
                        <P>(5) Pursuant to paragraphs (p) and (w) of this section, the importer is responsible for costs associated with the necropsy, testing, and disposal of the body. In the event an importer abandons an animal, then pursuant to paragraph (z) of this section, the carrier will become the owner and shall assume responsibility for all expenses described in paragraph (y)(3) of this section.</P>
                        <P>
                            (z) 
                            <E T="03">Abandoned shipments of dogs and cats.</E>
                             (1) In the event an importer abandons an animal under this section, the carrier will become the owner and shall assume responsibility for all expenses described in this section.
                        </P>
                        <P>(2) An animal shipment will be deemed abandoned under the following circumstances:</P>
                        <P>(i) When explicitly stated by the importer verbally or in writing to the carrier, CDC, or CBP; or</P>
                        <P>(ii) If the importer fails to cooperate with or respond to the carrier's attempts to comply with the provisions of this section within 24 hours; or</P>
                        <P>(iii) If the importer refuses payment within 24 hours for CDC-mandated examinations, testing, holding, or treatment needed to ensure the safe importation of dogs and cats into the United States.</P>
                        <P>
                            (aa) 
                            <E T="03">Sanitation of cages and containers of dogs and cats.</E>
                             When the Director finds that the cages or other containers of animals arriving in the United States are in an unsanitary or other condition that may constitute a communicable disease risk, the animals shall not be admitted in such containers unless the carrier has the containers cleaned and disinfected or the animals are removed and placed in clean containers in accordance with USDA and, in the case of airlines, the International Air Transport Association (IATA) shipping requirements. Discarded containers must be cleaned and disinfected or destroyed in accordance with carrier policies. CDC may require documentation of crate disinfection or destruction by the carrier.
                        </P>
                        <P>
                            (bb) 
                            <E T="03">Requirements for in-transit shipments of dogs and cats.</E>
                             (1) In-transit shipments of live animals are not eligible for release into the United States.
                        </P>
                        <P>(2) In-transit shipments must be maintained under continuous confinement with USDA APHIS oversight onboard a conveyance until export or off-loaded and maintained under continuous confinement and APHIS oversight at a USDA APHIS-preapproved holding facility with a CBP-issued FIRMS code while awaiting a connecting conveyance, and then loaded and maintained under USDA APHIS oversight onboard the connecting conveyance until export.</P>
                        <P>(3) The provisions of this section shall apply to animals transiting through the United States from one foreign country to another, except as provided in paragraphs (bb)(3)(i) and (ii) of this section:</P>
                        <P>(i) Animals that appear healthy but have been exposed to a sick or dead animal (including an animal other than a dog or cat) suspected of having a communicable disease are not required to undergo examination or tests as provided in paragraph (j) of this section if the Director determines that the conditions under which the animals are being transported afford adequate protection against introduction of communicable disease into the United States.</P>
                        <P>(ii) The CDC Import Certification of Rabies Vaccination and Microchip Required For Live Dog Importations into the United States form or Certification Of U.S.-Issued Rabies Vaccination For Live Dog Re-entry into the United States form is not required for dogs that are transported by aircraft and are being transited through the United States if retained in the custody of the airline under conditions that would prevent transmission of communicable diseases.</P>
                        <P>
                            (cc) 
                            <E T="03">Bill of lading and other airline requirements for dogs.</E>
                             (1) Airlines are required to create a bill of lading for all dogs arriving in the United States prior to arrival. This includes dogs transported as cargo, checked-baggage, or hand-carried baggage.
                        </P>
                        <P>(2) Dogs arriving by air for which a bill of lading has not been filed prior to arrival in the United States may be denied admission and returned to the country of departure pursuant to paragraph (v) of this section.</P>
                        <P>(3) Airlines must deny boarding to any dogs for which the importer has not presented to the airline before boarding a receipt confirming submission of the CDC import submission form. Airlines must also deny boarding if the dog presented for travel does not match the description on the receipt of the CDC import submission form.</P>
                        <P>(4) For U.S.-vaccinated dogs that have been in a DMRVV high-risk country within the last six months, airlines must deny boarding unless the importer presents prior to boarding a valid certification of U.S.-issued rabies vaccination for live dog re-entry into the United States form. Airlines must also deny boarding if the dog presented for travel does not match the description on the Certification of U.S.-Issued Rabies Vaccination for Live Dog Re-entry into the United States form or if the dog is scheduled to arrive in the United States at a U.S. airport that does not have a CDC quarantine station.</P>
                        <P>(5) For foreign-vaccinated dogs that have been in a DMRVV high-risk country within the last six months, airlines must deny boarding unless the importer presents documentation to the airline before boarding of a reservation at a CDC-registered animal care facility and the dog is scheduled to arrive in the United States at the U.S. airport where the CDC-registered animal care facility is located.</P>
                        <P>(6) For dogs from DMRVV-free or low-risk countries, airlines must deny boarding unless the importer presents documentation to the airline before boarding by showing that the dog is over six months of age, has a microchip, and has not been in a DMRVV high-risk country in the previous six months. Airlines must also deny boarding if the dog presented for travel does not match the description on the documents presented by the importer for travel.</P>
                        <P>
                            (7) A representative of an airline transporting live dogs into the United States must be on-site at the U.S. airport and available to coordinate the entry/
                            <PRTPAGE P="44029"/>
                            clearance of the dogs with Federal Government officials until all live dogs transported on an arriving flight into the United States have either been cleared for entry or arrangements have been made to transport the dogs to a CDC-registered animal care facility or other facility (
                            <E T="03">e.g.,</E>
                             veterinary clinic or kennel) approved by CDC pending an admissibility determination.
                        </P>
                        <P>
                            (dd) 
                            <E T="03">Order prohibiting carriers from transporting dogs and cats.</E>
                             (1) If the Director determines that a carrier has endangered the public health of the United States by acting or failing to act to prevent the introduction of DMRVV, as would occur through failure to comply with any applicable provisions of this section, the Director may issue an order revoking the carrier's permission to transport live animals into the United States, which shall be served on the carrier's owner or operator.
                        </P>
                        <P>(2) The Director may rescind the order after inspecting the carrier's facilities; examining its records; conferring with the carrier's owners or operators, its contractors, or staff; or receiving information and written assurances from the carrier owner or operator that it has taken remedial steps to ensure future compliance with the requirements of this section.</P>
                        <P>
                            (3) A carrier owner or operator may appeal a revocation of a carrier's permission to transport live animals into the United States. The appeal shall be in writing, addressed to the Director, state the reasons for the appeal, and demonstrate that there is a genuine and substantial issue of fact in dispute. The appeal must be submitted via email to 
                            <E T="03">CDCAnimalImports@cdc.gov</E>
                        </P>
                        <P>(4) As soon as practicable after completing the appeal review, the Director will issue a decision in writing that shall constitute final agency action. The Director will serve the carrier with a copy of the written decision.</P>
                        <P>
                            (ee) 
                            <E T="03">Prohibition on imports of dogs from DMRVV-restricted countries.</E>
                             (1) The Director may prohibit or otherwise restrict the import of dogs into the United States from certain countries designated as DMRVV-restricted countries. CDC will maintain a list of DMRVV-restricted countries for which the import of dogs into the United States has been prohibited or otherwise restricted based on the countries' prior export of dogs infected with DMRVV to any other countries within a time frame determined by CDC or based on inadequate controls, as determined by CDC, in the countries to monitor and prevent the export of dogs to the United States with falsified or fraudulent rabies vaccine credentials, invalid rabies vaccination certificates, or other fraudulent, inaccurate, or invalid exportation/importation documents.
                        </P>
                        <P>(2) DMRVV-restricted countries may be subject to additional restrictions, including a complete prohibition on the importation of dogs into the United States from those countries as needed to prevent the reintroduction of DMRVV.</P>
                        <P>(3) The Director may maintain such additional restrictions or prohibitions in place until the Director is satisfied that the DMRVV-restricted country has established sufficient controls to prevent the reintroduction of DMRVV into the United States, including measures to prevent the use of falsified or fraudulent vaccine credentials or invalid rabies vaccination certificates.</P>
                        <P>
                            (4) The addition or removal of DMRVV-restricted countries from the list shall be announced through notification in the 
                            <E T="04">Federal Register</E>
                            , and a list will be maintained on CDC's website.
                        </P>
                        <P>(5) Notwithstanding the prohibition on imports of dogs from DMRVV-restricted countries, the Director may allow the importation of dogs for scientific purposes, when used as a service animal (as defined in 14 CFR 382.3) for individuals with disabilities, or in furtherance of an important government interest. In such instances CDC will issue a CDC dog import permit for the importation of dogs from DMRVV-restricted countries. Instructions for how to apply for a permit will be included in CDC technical instructions.</P>
                        <P>
                            (ff) 
                            <E T="03">Request for issuance of additional fines or penalties.</E>
                             CDC may request that U.S. Customs and Border Protection (CBP), pursuant to 19 U.S.C. 1592 and 19 U.S.C. 1595a, issue additional fines, citations, or penalties to importers, brokers, or carriers when the Director has reason to believe that an importer, broker, or carrier has violated any of the provisions of this section or otherwise engaged in conduct contrary to law.
                        </P>
                    </SECTION>
                    <SIG>
                        <DATED>Dated: June 30, 2023.</DATED>
                        <NAME>Xavier Becerra,</NAME>
                        <TITLE>Secretary, Department of Health and Human Services.</TITLE>
                    </SIG>
                </SUPLINF>
                <FRDOC>[FR Doc. 2023-14343 Filed 7-6-23; 4:15 pm]</FRDOC>
                <BILCOD>BILLING CODE 4163-18-P</BILCOD>
            </PRORULE>
        </PRORULES>
    </NEWPART>
</FEDREG>
