54832 Federal Register / Vol. 74, No. 204 / Friday, October 23, 2009 / Notices 

(Compliance Progress) of the report 

format and include clarifications to 

Questions 4a, 5b, 5e and 5f. 

Additionally, three new questions (5c, 

5d and 5g) have been added and two 

items have been added to Question 7b. 

Information on these additions appears 

below: 

Question 5c: Level of Enforcement— 

This question, which asks the State to 

select whether enforcement is 

conducted only at those outlets 

randomly selected for the Synar survey, 

only at a subset of outlets not randomly 

selected for the Synar survey, or a 

combination of the two, has been newly 

added to the ASR format. It has been 

added to provide additional information 

about State enforcement programs, 

which is frequently requested by partner 

agencies and can also be used to target 

technical assistance. 

Question 5d: Frequency of 

Enforcement—This question, which 

asks the State to select whether every 

tobacco outlet in the State did or did not 

receive at least one enforcement 

compliance check in the last year, has 

been newly added to the ASR format. It 

has been added to provide additional 

information about State enforcement 

programs, which is frequently requested 

by partner agencies and can also be used 

to target technical assistance. 

Question 5g. Relationship of State 

Synar Program to FDA-Funded 

Enforcement Program—This question, 

which asks the State to describe the 

relationship between the State’s Synar 

program and the Food and Drug 

Administration (FDA)-funded 

enforcement program, has been added to 

the ASR format. The Family Smoking 

Prevention and Tobacco Control Act, 

recently signed into law by President 

Obama, requires the FDA to reissue the 

1996 regulation aimed at reducing 

young people’s access to tobacco 

products and curbing the appeal of 

tobacco to the young. This regulation 

must be reissued by April 2010. As part 

of the implementation of this regulation, 

FDA will be contracting with States to 

enforce new Federal youth access 

provisions. This question asks the State 

to describe the relationship and 

coordination between its Synar program 

and the enforcement program funded by 

FDA. 

Question 7b. Synar Survey Results for 

States that Do Not Use the Synar Survey 

Estimation System (SSES)—Two items 

have been added to this question 

(accuracy rate and completion rate). 

These items were added to ensure that 

the same statistical parameters are asked 

of both States that do and do not use the 

SSES to analyze their Synar survey 

results. 

ANNUAL REPORTING BURDEN

45 CFR Citation Number of 

respondents 1

Responses 

per 

respondents 

Hours per 

response 

Total hour 

burden 

Annual Report (Section 1—States and Territories) 96.130(e)(1–3) ................ 59 1 15 885 

State Plan (Section II–States and Territories) 96.130(e)(4,5), 96.130(g) ....... 59 1 3 177 

Total .......................................................................................................... 59 ........................ ........................ 1,062 

1 Red Lake Indian Tribe is not subject to tobacco requirements. 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

Room 7–1044, One Choke Cherry Road, 

Rockville, MD 20857. Written comments 

should be received within 60 days of 

this notice. 

Dated: October 15, 2009. 

Elaine Parry, 

Director, Office of Program Services. 

[FR Doc. E9–25528 Filed 10–22–09; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2900–FN] 

Medicare and Medicaid Programs; 

Conditional Approval of the 

Community Health Accreditation 

Program for Continued Deeming 

Authority for Hospices 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final notice. 

SUMMARY: This notice announces our 

decision to conditionally approve, with 

a 180-day probationary period, the 

Community Health Accreditation 

Program’s (CHAP’s) request for 

continued recognition as a national 

accreditation program for hospices 

seeking to participate in the Medicare or 

Medicaid programs. 

DATES: Effective Date: This final notice 

is effective November 20, 2009 through 

November 20, 2012, with a 180-day 

probationary period beginning 

November 20, 2009 through May 19, 

2010. 

FOR FURTHER INFORMATION CONTACT: 

Aviva Walker-Sicard, (410) 786–8648. 

Alexis Prete, (410) 786–0375. Patricia 

Chmielewski (410) 786–6899. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Under the Medicare program, eligible 

beneficiaries may receive covered 

services in a hospice, provided certain 

requirements are met. Section 

1861(dd)(1) of the Social Security Act 

(the Act) establishes distinct criteria for 

entities seeking designation as a hospice 

program. Under this authority, the 

regulations at 42 CFR part 418 specify 

the conditions that a hospice must meet 

in order to participate in the Medicare 

program, the scope of covered services, 

and the conditions for Medicare 

payment for hospice care. Provider 

agreement regulations are located in 42 

CFR part 489 and regulations pertaining 

to the survey and certification of 

facilities are located in 42 CFR part 488. 

Generally, in order to enter into an 

agreement, a hospice facility must first 

be certified by a State survey agency as 

complying with conditions or 

requirements set forth in part 418 of our 

regulations. Then, the hospice is subject 

to regular surveys by a State survey 

agency to determine whether it 

continues to meet these requirements. 

There is an alternative, however, to 

surveys by State agencies. 

Section 1865(a)(1) of the Act provides 

that, if a provider entity demonstrates 

through accreditation by an approved 

national accreditation organization that 

all applicable Medicare conditions are 

met or exceeded, we may deem those 

provider entities as having met the 

requirements. Accreditation by an 

accreditation organization is voluntary 

and is not required for Medicare 

participation. 

If an accreditation organization is 

recognized by the Secretary as having 

standards for accreditation that meet or 


CPrice-Sewell on DSKGBLS3C1PROD with NOTICES
Federal Register / Vol. 74, No. 204 / Friday, October 23, 2009 / Notices 54833 

exceed Medicare requirements, any 

provider entity accredited by the 

national accrediting body’s approved 

program would be deemed to meet the 

Medicare conditions. A national 

accreditation organization applying for 

approval of deeming authority under 

part 488, subpart A, must provide us 

with reasonable assurance that the 

accreditation organization requires the 

accredited provider entities to meet 

requirements that are at least as 

stringent as the Medicare conditions. 

Our regulations concerning reapproval 

of accrediting organizations are set forth 

at § 488.4 and § 488.8(d)(3). The 

regulations at § 488.8(d)(3) require 

accreditation organizations to reapply 

for continued approval of deeming 

authority every 6 years, or sooner as 

determined by CMS. CHAP’s term of 

approval as a recognized accreditation 

program for hospices expires November 

20, 2009. 

II. Deeming Applications Approval 

Process 

Section 1865(a)(3)(A) of the Act 

provides a statutory timetable to ensure 

that our review of deeming applications 

is conducted in a timely manner. The 

Act provides us with 210 calendar days 

after the date of receipt of an application 

to complete our survey activities and 

application review process. Within 60 

days of receiving a completed 

application, we must publish a notice in 

the Federal Register that identifies the 

national accreditation body making the 

request, describes the request, and 

provides no less than a 30-day public 

comment period. At the end of the 210- 

day period, we must publish a notice in 

the Federal Register of our approval or 

denial of the application. 

III. Provisions of the Proposed Notice 

On May 22, 2009, we published a 

proposed notice (74 FR 24015) 

announcing CHAP’s request for 

reapproval as a deeming organization 

for hospices. In this notice, we specified 

in detail our evaluation criteria. Under 

section 1865(a)(2) of the Act and in our 

regulations at § 488.4 (application and 

reapplication procedures for 

accreditation organizations), we 

conducted a review of the CHAP 

application in accordance with the 

criteria specified in our regulation, 

which include, but are not limited to the 

following: 

• An onsite administrative review of 

CHAP’s—(1) Corporate policies; (2) 

financial and human resources available 

to accomplish the proposed surveys; (3) 

procedures for training, monitoring, and 

evaluation of its surveyors; (4) ability to 

investigate and respond appropriately to 

complaints against accredited facilities; 

and (5) survey review and decisionmaking process for accreditation. 

• A comparison of CHAP’s hospice 

accreditation standards to our current 

Medicare conditions for participation 

(CoPs). 

• A documentation review of CHAP’s 

survey processes to— 

++ Determine the composition of the 

survey team, surveyor qualifications, 

and the ability of CHAP to provide 

continuing surveyor training. 

++ Compare CHAP’s processes to that 

of State survey agencies, including 

survey frequency, and the ability to 

investigate and respond appropriately to 

complaints against accredited facilities. 

++ Evaluate CHAP’s procedures for 

monitoring providers or suppliers found 

to be out of compliance with CHAP 

program requirements. The monitoring 

procedures are used only when the 

CHAP identifies noncompliance. If 

noncompliance is identified through 

validation reviews, the survey agency 

monitors corrections as specified at 

§ 488.7(d). 

++ Assess CHAP’s ability to report 

deficiencies to the surveyed facilities 

and respond to the facility’s plan of 

correction in a timely manner. 

++ Establish CHAP’s ability to 

provide us with electronic data and 

reports necessary for effective validation 

and assessment of CHAP’s survey 

process. 

++ Determine the adequacy of staff 

and other resources. 

++ Review CHAP’s ability to provide 

adequate funding for performing 

required surveys. 

++ Confirm CHAP’s policies with 

respect to whether surveys are 

announced or unannounced. 

++ Obtain CHAP’s agreement to 

provide us with a copy of the most 

current accreditation survey together 

with any other information related to 

the survey as we may require, including 

corrective action plans. 

In accordance with section 

1865(a)(3)(A) of the Act, the May 22, 

2009 proposed notice also solicited 

public comments regarding whether 

CHAP’s requirements met or exceeded 

the Medicare CoPs for hospices. We 

received no public comments in 

response to our proposed notice. 

IV. Provisions of the Final Notice 

A. Differences Between CHAP’s 

Standards and Requirements for 

Accreditation and Medicare’s 

Conditions and Survey Requirements 

We compared the standards contained 

in CHAP’s accreditation requirements 

and survey process with the Medicare 

hospice CoPs and survey process as 

outlined in the State Operations Manual 

(SOM). Our review and evaluation of 

CHAP’s deeming application, which 

were conducted as described in section 

III of this final notice, yielded the 

following: 

• CHAP modified its policies related 

to the accreditation effective date in 

accordance with the requirements at 

§ 489.13. 

• CHAP amended its policies to 

include required timeframes for 

investigation of complaints in 

accordance with the requirements at 

section 5075.9 of the SOM. 

• CHAP developed a policy to ensure 

facilities with condition level noncompliance on a recertification survey 

submit an acceptable plan of correction 

(PoC), and receive a follow-up focused 

survey, in order to meet the 

requirements at § 488.20(a) and 

§ 488.28(a). 

• CHAP modified its policies 

surrounding timeframes for sending and 

receiving PoCs, and to ensure that 

approved PoCs contain all required 

elements to meet Medicare requirements 

at section 2728 of the SOM. 

• CHAP developed and incorporated 

measures to improve the accuracy and 

consistency of data submissions to CMS, 

in order to meet the requirements at 

§ 488.4(b). 

• CHAP developed an action plan to 

ensure that deemed status survey files 

are complete, accurate, and consistent 

with the requirements at § 488.6(a). 

• CHAP developed an action plan to 

ensure recertification surveys are 

conducted no later than 36 months after 

the date of the previous standard 

survey, in order to meet the 

requirements at § 488.20(a). 

• CHAP amended its policies by 

eliminating recommendations from the 

written survey findings, in order to meet 

the requirements at § 488.28(a) and 

section 2726 of the SOM. 

• CHAP revised its standards to 

include the definitions used in the 

revised Medicare hospice CoPs set out 

at § 418.3. 

• CHAP revised its standard to 

address the requirement that 

investigations and/or documentation of 

alleged violations must be conducted in 

accordance with established procedures, 

in order to meet the requirements at 

§ 418.52(b)(4)(ii). 

• CHAP revised its standards to 

include the requirement that the 

hospice document the patient’s need for 

psychosocial, emotional and spiritual 

care as part of the comprehensive 

assessment, in order to meet the 

requirements at § 418.54. 


CPrice-Sewell on DSKGBLS3C1PROD with NOTICES
54834 Federal Register / Vol. 74, No. 204 / Friday, October 23, 2009 / Notices 

• CHAP revised its standard to 

include the word ‘‘individualized’’, to 

meet the requirements at § 418.56(b). 

• CHAP revised it standards to 

address the requirement that the Quality 

Assessment and Performance 

Improvement (QAPI) program be 

capable of showing improvement in 

hospice services, in order to meet the 

requirements at § 418.58(a)(1). 

• CHAP revised its standards to 

address the requirement that patient 

care quality data be included in the 

QAPI program, in order to meet the 

requirements at § 418.58(b)(1). 

• CHAP revised its standards to 

address the requirement that the 

hospice’s performance improvement 

activities must affect palliative 

outcomes, patient safety, and quality of 

care, in order to meet the requirements 

at § 418.58(c)(1)(iii). 

• CHAP revised its standards to 

include the requirement that the 

number of performance improvement 

projects must reflect the scope, 

complexity and past performance of the 

hospices services and operations, in 

order to meet the requirements at 

§ 418.58(d)(1). 

• CHAP revised its standards to 

include the requirement that the 

hospice’s infection control program 

protect patients, families, visitors and 

hospice personnel by preventing and 

controlling infections and 

communicable diseases, in order to 

meet the requirements at § 418.60. 

• CHAP revised its standards to 

address the requirement that the 

infection control program is an integral 

part of the QAPI program, in order to 

meet the requirements at § 418.60(b)(1). 

• CHAP revised its standards to 

address the requirement that the 

hospice’s infection control program 

include a method for identifying 

infectious and communicable disease 

problems, in order to meet the 

requirements at § 418.60(b)(2)(i). 

• CHAP revised its standards to 

address the requirement that the 

hospice’s infection control program 

include a plan for implementing the 

appropriate actions that are expected to 

result in improvement and disease 

prevention, in order to meet the 

requirements at § 418.60(b)(2)(ii). 

• CHAP revised its standards to 

include language to address the CMS 

waiver requirements for physical 

therapy, occupational therapy, speechlanguage pathology and dietary 

counseling in non-urbanized areas, in 

order to meet the requirements at 

§ 418.74. 

• CHAP revised its standards to 

ensure that the hospice aide training 

program addressed the requirements of 

reading, writing and verbally reporting 

clinical information to patients, 

caregivers, and other hospice staff, in 

order to meet the requirements at 

§ 418.76(b)(3)(i). 

• CHAP revised its standards to 

require the hospice aide training 

program include instruction in 

appropriate and safe techniques in 

performing personal hygiene and 

grooming tasks, in order to meet the 

requirements at § 418.76(b)(3)(ix)(A) 

through (F), and § 418.76(b)(3)(x) 

through (xiii). 

• CHAP revised its standards to 

include the requirement that hospice 

aide in-service training be supervised by 

a registered nurse, in order to meet the 

requirements at § 418.76(d)(1). 

• CHAP revised its standards to 

require a registered nurse, who is a 

member of the interdisciplinary group, 

assign patients to hospice aides, in order 

to meet the requirements at 

§ 418.76(g)(1). 

• CHAP revised its standards to 

address the requirement that hospice 

aide assignment be ordered by the 

interdisciplinary group, in order to meet 

the requirements at § 418.76(g)(2)(i). 

• CHAP revised its standards to 

ensure that the supervising registered 

nurse assesses an aide’s ability to 

comply with infection control policies 

and procedures, in order to meet the 

requirements at § 418.76(h)(3)(iv). 

• CHAP revised its standards to 

ensure the supervising registered nurse 

assess an aide’s ability to report changes 

in the patient’s condition, in order to 

meet the requirements at 

§ 418.76(h)(3)(v). 

• CHAP revised its standards to 

ensure that the hospice continually 

monitors and manages all services 

provided at all locations so that each 

patient and family receives the 

necessary care and services, in order to 

meet the requirements at § 418.100(f)(2). 

• CHAP developed a surveyor tool 

that includes the requirement to review 

three new hires for documentation of 

training and competency on the use of 

restraints and seclusions, in order to 

meet the requirements at 

§ 418.110(n)(4). 

• CHAP revised its standards to 

ensure all entries in the medical record 

are legible and appropriately 

authenticated, in order to meet the 

requirements at § 418.104(b). 

• CHAP revised its standards to 

ensure necessary medical appliances 

and durable medical equipment are 

provided by the hospice, in order to 

meet the requirements at § 418.106. 

• CHAP revised its standards to 

address the hospices’ responsibility to 

provide adequate staffing to ensure the 

plan of care outcomes are achieved and 

negative outcomes are avoided, in order 

to meet the requirements at § 418.110(a). 

• CHAP added new standards to 

address CMS’ ability to waive space and 

occupancy requirements for facilities 

occupied by Medicare participating 

hospices on December 2, 2008, in order 

to meet the requirements at 

§ 418.110(f)(4)(i) through (ii). 

• CHAP revised its accreditation 

decision letters to ensure they are 

accurate and contain all the required 

elements necessary for the CMS 

Regional Office to render a decision 

regarding deemed status of a hospice. 

To verify CHAP’s continued 

compliance with the provisions of this 

final notice, we will conduct a followup corporate onsite visit within 6 

months of the date of publication of this 

notice. 

Our review of CHAP’s renewal 

application for hospice deeming 

authority revealed that CHAP has 

ongoing, serious, widespread areas of 

noncompliance, specifically CHAP’s 

inability to provide us with accurate 

and timely data on deemed providers, 

lack of complete and accurate deemed 

facility survey files, and failure to 

ensure that recertification surveys are 

conducted on an interval not exceeding 

36 months. Due to the significant 

number of areas of noncompliance 

identified during the review of CHAP’s 

renewal application for hospice 

deeming authority, we have concerns 

that CHAP’s accreditation program for 

hospices may no longer provide 

reasonable assurance that its accredited 

entities meet the Medicare 

requirements. 

In accordance with § 488.8(d)(3), 

every 6 years, or sooner as determined 

by CMS, an approved accreditation 

organization must reapply for continued 

approval of deeming authority. CMS 

notifies the organization of the materials 

the organization must submit as part of 

the reapplication procedure. An 

accreditation organization that is not 

meeting the requirements of this 

subpart, as determined through a 

comparability review, must furnish 

CMS, upon request and at any time, 

with the reapplication materials CMS 

requests. CMS will establish a deadline 

by which the materials are to be 

submitted. 

In accordance with § 488.8(f)(3)(i), if 

we determine that an accreditation 

organization has failed to adopt 

requirements comparable to CMS 

requirements, we may grant a 

conditional approval of the 

accreditation organization’s deeming 

authority for a period of up to 1 year to 

adopt comparable requirements; in this 


CPrice-Sewell on DSKGBLS3C1PROD with NOTICES
Federal Register / Vol. 74, No. 204 / Friday, October 23, 2009 / Notices 54835 

case, we are providing CHAP with a 

probationary period of 180 days. Within 

60 days after the end of CHAP’s 

probationary period, we will make a 

final determination as to whether or not 

CHAP’s hospice accreditation 

requirements are comparable to CMS 

requirements and issue an appropriate 

notice that includes reasons for our 

determination, no later than July 18, 

2010. If CHAP has not made 

improvements acceptable to CMS 

during the 180-day probationary period, 

we may remove recognition of deemed 

authority for its hospice program 

effective 30 days after the date we 

provide written notice to CHAP that its 

hospice deeming authority will be 

removed. In addition, due to the 

significant number of areas of 

noncompliance, we will conduct a 

follow-up corporate onsite visit to 

validate compliance with the provisions 

of this final notice. 

B. Term of Approval 

Based on the review and observations 

described in section III of this final 

notice, we have determined that CHAP’s 

accreditation program for hospices 

requires further revision and subsequent 

review. We believe that with additional 

time, CHAP will be able to make the 

necessary revisions to ensure that 

CHAP’s accreditation program for 

hospices meets or exceeds the Medicare 

requirements as stated in Part 418. 

Therefore, we conditionally approve 

CHAP as a national accreditation 

organization for hospices that request 

participation in the Medicare program, 

effective November 20, 2009 through 

November 20, 2012, with a 180-day 

probationary period beginning 

November 20, 2009 through May 19, 

2010. As stated above, we will publish 

a final determination giving final 

approval or revoking such approval no 

later than July 18, 2010. 

IV. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. 35). 

(Catalog of Federal Domestic Assistance 

Program No. 93.778, Medical Assistance 

Program; No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: September 24, 2009. 

Charlene Frizzera, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. E9–25072 Filed 10–22–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1505–N] 

Medicare Program; Criteria for 

Medicare Coverage of Inpatient 

Hospital Rehabilitation Services 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Rescission of Ruling. 

SUMMARY: This notice rescinds HCFA 

Ruling 85–2, ‘‘Medicare Criteria for 

Coverage of Inpatient Hospital 

Rehabilitation Services,’’ 50 FR 31040 

(July 31, 1985), as corrected at 50 FR 

32643 (Aug. 13, 1985) which established 

the criteria for Medicare coverage of 

inpatient hospital rehabilitation 

services. 

DATES: Effective Date: This notice is 

effective on January 1, 2010. 

FOR FURTHER INFORMATION CONTACT: Julie 

Stankivic, (410) 786–5725. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The criteria for Medicare coverage of 

inpatient hospital rehabilitation services 

set forth in HCFA Ruling 85–2 (HCFAR– 

85–2) were developed more than 25 

years ago, and were designed to provide 

coverage criteria for a small subset of 

providers furnishing intensive and 

complex therapy services in a fee-forservice environment to a small segment 

of patients whose rehabilitation needs 

could only be safely furnished at a 

hospital level of care. In the final rule 

implementing the Inpatient 

Rehabilitation Facility Prospective 

Payment System for Federal FY 2010, 

published August 7, 2009 in the Federal 

Register (74 FR 39762), we adopted 

inpatient rehabilitation facility (IRF) 

coverage requirements and technical 

revisions to certain other IRF 

requirements to reflect the changes that 

have occurred in medical practice 

during the past 25 years. The new IRF 

coverage requirements adopted in the 

final rule are effective for IRF discharges 

occurring on or after January 1, 2010. As 

discussed in the final rule (74 FR 39762, 

at 39797), we anticipate that these new 

coverage requirements will be further 

interpreted by new manual provisions 

in Chapter 1, Section 110 of the 

Medicare Benefit Policy Manual that 

will also go into effect on January 1, 

2010. Thus, HCFAR 85–2 (and the 

current manual provisions, rev. 1, 

effective October 1, 2003) will continue 

to apply for all IRF discharges that occur 

prior to January 1, 2010. 

II. Provisions of the Notice 

Effective January 1, 2010, this notice 

rescinds HCFAR 85–2 published in the 

Federal Register on July 31, 1985 (50 FR 

31040). 

III. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995. 

Authority: Sections 1812, 1814, 1861 and 

1862 of the Social Security Act (42 U.S.C. 

1395d, 1395f, and 1395x, and 1395y). 

(Catalog of Federal Domestic Assistance 

Program No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: September 24, 2009. 

Charlene Frizzera, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. E9–25544 Filed 10–22–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket Number NIOSH–187] 

Proposed Enhancements to 

Occupational Health Surveillance Data 

Collection Through the Healthcare 

Personnel Safety (HPS) Component of 

the National Healthcare Safety Network 

(NHSN); Correction 

A notice of public meeting and 

availability for public comment was 

published in the Federal Register, 

September 21, 2009, (74 FR 48081). This 

notice is corrected as follows: 

On page 48081, third column: The 

heading ‘‘Place’’ the name of the hotel 

has been changed to the Doubletree 

Hotel. 


CPrice-Sewell on DSKGBLS3C1PROD with NOTICES