Vol. 76 Tuesday 

No. 7 January 11, 2011 

Part II 

Department of 

Health and Human 

Services 

Center for Medicare & Medicaid Services 

42 CFR Parts 405, 409, 410, et al. 

Medicare Program; Payment Policies Under the Physician Fee Schedule 

and Other Revisions to Part B CY 2011; Corrections; Final Rule 

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NARA.EPS FR.EPS
1670 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 405, 409, 410, 411, 413, 

414, 415, and 424 

[CMS–1503–CN2] 

RIN 0938–AP79 

Medicare Program; Payment Policies 

Under the Physician Fee Schedule and 

Other Revisions to Part B for CY 2011; 

Corrections 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Correction of final rule with 

comment period. 

SUMMARY: This document corrects 

several technical and typographical 

errors in the final rule with comment 

period that appeared in the November 

29, 2010 Federal Register entitled 

‘‘Medicare Program; Payment Policies 

Under the Physician Fee Schedule and 

Other Revisions to Part B for CY 2011; 

Final Rule’’ (75 FR 73170). 

DATES: Effective Date: This correction is 

effective January 1, 2011. 

FOR FURTHER INFORMATION CONTACT: 

Rebecca Cole or Erin Smith, (410) 786– 

4497. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 2010–27969 of November 

29, 2010 (75 FR 73170) (hereinafter 

referred to as the Calendar Year (CY) 

2011 Physician Fee Schedule (PFS) final 

rule with comment period), there were 

a number of technical and typographical 

errors that are identified and corrected 

in the Correction of Errors section of 

this notice. The provisions of this notice 

are effective as if they had been 

included in the CY 2011 PFS final rule 

with comment period. Accordingly, the 

corrections are effective January 1, 2011. 

On November 30, 2010, the Physician 

Payment and Therapy Relief Act of 2010 

(Pub. L. 111–286) was signed into law. 

Section 3 of Public Law 111–286 

changed the policy finalized in the CY 

2011 PFS final rule with comment 

period regarding payment reductions 

applied to multiple therapy services 

provided to the same patient on the 

same day and paid for under the PFS 

effective January 1, 2011. 

Further, on December 15, 2010, the 

Medicare and Medicaid Extenders Act 

of 2010 (Pub. L. 111–309) was signed 

into law. Section 101 of Public Law 

111–309 provides for a 1-year zeropercent update to the Medicare 

physician fee schedule (PFS) for CY 

2011. 

As this correction notice corrects the 

CY 2011 physician fee schedule final 

rule with comment period that was 

released prior to enactment of the 

statutory changes contained in the two 

laws noted above, the statutory changes 

to PFS payments for CY 2011 are not 

reflected in this correction notice. 

Payment files reflecting current law as 

of January 1, 2011 will be made 

available through usual CMS notices 

and data files. 

II. Summary of Errors 

A. Errors in the Preamble 

1. Errors in the Budget Neutrality, 

Conversion, Anesthesia, and Other 

Factors 

On page 73276, we are correcting the 

adjustments to the PE and malpractice 

RVUs to match the proportions of the 

RVU shares to the rebased and revised 

Medicare Economic Index (MEI), 

resulting from the corrections of work, 

PE, and malpractice RVUs discussed in 

this section. We are making the 

corresponding changes to Table 45— 

Calculation of the CY 2011 PFS CF. 

On pages 73283 and 73284, we are 

correcting the figures for the CY 2011 

budget neutrality factors, conversion 

factor (CF), and anesthesia CF to reflect 

the updated values resulting from the 

corrections to the work, PE, and 

malpractice RVUs discussed in this 

section. 

On page 73388, we are correcting 

Table 60—CY 2011 RVUs for CPT code 

77080 to reflect the corrected CF. 

2. Errors in Work RVUs 

On page 73328, we are correcting the 

count of AMA RUC work RVU 

recommendations with which we agreed 

or disagreed. Due to a typographical 

error, the published count was 

incorrect. 

On page 73340, we are correcting the 

CY 2011 Interim Final Work RVU value 

for CPT code 52332 that was listed 

incorrectly due to a typographical error. 

On page 73341, we are correcting the 

CY 2011 Interim Final Work RVU value 

for CPT code 77427 that was incorrect 

due to a technical error. 

On pages 73342 through 73349, we 

are correcting Table 53: AMA RUC 

Recommendations and Interim Final 

Work RVUs for CY 2011 New, Revised, 

and Potentially Misvalued Codes to 

reflect the corrections previously listed 

for CPT codes 52332 and 77427, and to 

make these additional corrections: 

• The AMA RUC–Recommended 

Work RVU value for CPT code 77427 

was incorrect due to a typographical 

error. 

• The CMS Decision and CY 2011 

Interim Final Work RVU fields for CPT 

code 64483 were incorrect due to 

typographical errors. 

3. Errors in the PE RVUs 

On pages 73352 and 73353, in Table 

54—CPT Codes With Accepted AMA 

RUC Direct PE Recommendations for CY 

2011 Codes, we listed codes for which 

we accepted on an interim final basis 

the AMA RUC direct PE 

recommendations. However, due to 

technical errors, we did not apply the 

correct inputs when calculating the PE 

values for the following CPT codes: 

31296, 31297, 37223, 90945, 95800, and 

95801. Similar technical errors in the 

creation of the direct practice expense 

database resulted in incorrect direct PE 

inputs for five other CPT codes: 77750, 

92506, 93224, 93225, and 93226. The 

corrections to these direct PE inputs are 

included in the corrected final CY 2011 

direct PE database available under 

downloads for the CY 2011 PFS final 

rule with comment period on the CMS 

Web site at: http://www.cms.gov/ 

PhysicianFeeSched/PFSFRN/ 

list.asp#TopOfPage. 

Changes to the PE RVUs resulting 

from the corrections to the direct PE 

inputs and the work RVU corrections 

previously noted are reflected in 

changes to Addendum B and 

Addendum C. We also note that because 

work RVUs factor into the calculation 

for both the malpractice (MP) and 

practice expense (PE) RVUs, those 

values for these CPT codes may have 

also changed, and these subsequent 

changes are reflected in Addenda B and 

C. In addition, on page 73188, we are 

correcting errors in Table 2— 

Calculation of PE RVUs Under 

Methodology for Selected Codes (we are 

correcting the table in its entirety) as a 

result of changed values for PE RVUs 

that indirectly resulted from the changes 

to work RVUs. 

Finally, we note that changes in the 

RVUs for these codes affect additional 

codes due to various factors related to 

the relativity of the system including 

budget neutrality and adjustments to 

maintain PE RVU shares. 

4. Errors in the Malpractice RVUs 

In section II.B.2 of the preamble to the 

CY 2011 PFS final rule with comment 

period, we discussed malpractice RVUs 

for new and revised services. These 

codes are listed on pages 73209 through 

73213 in Table 8: Source Codes for CY 

2011 New/Revised Codes Used to Set 

the Malpractice RVUs, and their MP 

RVU values are listed in Addendum B 


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and Addendum C. Due to a technical 

error in the application of the 

methodology used to calculate the MP 

RVUs as described in the CY 2011 PFS 

final rule with comment period, the MP 

RVU values listed for the following CPT 

codes were incorrect: 92606, 92607, 

92608, 92609, 93452, 93452TC, 93453, 

93453TC, 93454, 93454TC, 93457, 

93457TC, 93458, 93458TC, 93459, 

93459TC, 93460, 93460TC, 93461, 

93461TC. 

Additionally, changes to the MP 

RVUs resulting from the correction to 

the work RVUs for CPT codes 77427 and 

52332 as previously described are also 

reflected in Addendum B and 

Addendum C. Finally, we note that 

changes in RVUs previously described 

affect MP RVUs for additional codes due 

to various factors related to the relativity 

of the system. 

Due to the changes previously noted, 

we are correcting errors on pages 73595 

through 73596 in Table 101: CY 2011 

PFS Final Rule Total Allowed Charge 

Estimated Impact for RVU, MPPR, and 

MEI Rebasing Changes and on pages 

73598 through 73600 in Table 102: 

Impact of Final Rule with Comment 

Period and Estimated Physician Update 

on CY 2011 Payment for Selected 

Procedures by replacing the tables in 

their entirety. 

B. Errors in the Addenda 

On pages 73630 through 73809 and 

73810 through 73815, in Addendum B: 

CY 2011—Relative Value Units and 

Related Information Used in 

Determining Medicare Payments and 

Addendum C: Codes with Interim 

RVUs, respectively, we need to correct 

errors in the work, PE, or MP RVUs (or 

combinations of these RVUs) for certain 

existing new and revised CY 2011 CPT 

codes. These errors are a result of the 

technical and typographical errors 

identified and summarized in section 

II.A. of this correction notice. We note 

that we are providing these addenda in 

their entirety. 

On page 73831 in Addendum J: List 

of CPT1/HCPCS Codes Used to Define 

Certain Designated Health Service 

Categories 2 under Section 1877 of the 

Social Security Act Effective January 1, 

2011 we are correcting a technical error 

in the short descriptor for HCPCS code 

G0431. 

On pages 73841 through 73859, in 

Addendum K: CY 2011 ESRD Wage 

Index for Urban Areas Based on CBSA 

Labor Market Areas, we made technical 

and typographical errors in the 

composite rate wage index for CBSA 

codes 11540, 12060, 19060, 27740, and 

35380, and in the ESRD PPS wage index 

for CBSA codes 40980 and 43780. On 

page 73848, we also made a 

typographical error in the CBSA code 

for Houston-Sugar Land-Baytown, TX. 

On page 73859, in Addendum L: CY 

2011 ESRD Wage Index for Rural Areas 

Based on CBSA Labor Market Areas, we 

made a technical error in the composite 

wage index for the nonurban area of 

Alaska. 

III. Correction of Errors 

In FR Doc. 2010–27969 of November 

29, 2010 make the following corrections: 

A. Corrections to the Preamble 

1. On page 73188, in Table 2— 

Calculation of PE RVUs Under 

Methodology for Selected Codes, the 

table is corrected to read as follows: 


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TABLE 2—CALCULATION OF PE RVUS UNDER

METHODOLOGY FOR

SELECTED

CODES

Step Source Formula 

99213 

Office visit, 

est 

nonfacility 

33533 

CABG, 

arterial, 

single 

facility 

71020 

Chest x-ray 

nonfacility 

71020–TC 

71020–26 

Chest xray 

nonfacility 

93000 

ECG, 

complete 

nonfacility 

93005 

ECG, tracing 

nonfacility 

93010 

ECG, report 

nonfacility 

(1) Labor cost (Lab) ...... Step 1 ............. AMA ........................ ................................ 13.32 77.52 5.74 5.74 0.00 6.12 6.12 0.00 (2) Supply cost (Sup) .... Step 1 ............. AMA ........................ ................................ 2.98 7.34 3.39 3.39 0.00 1.19 1.19 0.00 (3) Equipment cost 

(Eqp.).

Step 1 ............. AMA ........................ ................................ 0.19 0.65 8.17 8.17 0.00 0.12 0.12 0.00 

(4) Direct cost (Dir) ........ Step 1 ............. ................................. =(1)+(2)+(3) 16.50 85.51 17.31 17.31 0.00 7.43 7.43 0.00 (5) Direct adjustment 

(Dir. Adj).

Steps 2–4 ....... See footnote* ......... ................................ 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 

(6) Adjusted Labor ......... Steps 2–4 ....... =Lab * Dir Adj ......... =(1)*(5) 6.65 38.68 2.86 2.86 0.00 3.05 3.05 0.00 (7) Adjusted Supplies .... Steps 2–4 ....... = Sup * Dir Adj ....... =(2)*(5) 1.49 3.66 1.69 1.69 0.00 0.60 0.60 0.00 (8) Adjusted Equipment Steps 2–4 ....... = Eqp * Dir Adj ....... =(3)*(5) 0.10 0.33 4.08 4.08 0.00 0.06 0.06 0.00 (9) Adjusted direct ......... Steps 2–4 ....... ................................. =(6)+(7)+(8) 8.23 42.67 8.64 8.64 0.00 3.71 3.71 0.00 (10) Conversion Factor 

(CF).

Step 5 ............. PFS ........................ ................................ 36.87 36.87 36.87 36.87 36.87 36.87 36.87 36.87 

(11) Adj. labor cost converted. Step 5 ............. =(Lab * Dir Adj)/CF =(6)/(10) 0.18 1.05 0.08 0.08 0.00 0.08 0.08 0.00 (12) Adj. supply cost 

converted.

Step 5 ............. =(Sup * Dir Adj)/CF =(7)/(10) 0.04 0.10 0.05 0.05 0.00 0.02 0.02 0.00 

(13) Adj. equipment cost 

converted.

Step 5 ............. =(Eqp * Dir Adj)/CF =(8)/(10) 0.00 0.01 0.11 0.11 0.00 0.00 0.00 0.00 

(14) Adj. direct cost converted. Step 5 ............. ................................. =(11)+(12)+(13) 0.22 1.16 0.23 0.23 0.00 0.10 0.10 0.00 (15) Work RVU .............. Setup File ....... PFS ........................ ................................ 0.97 33.75 0.22 0.00 0.22 0.17 0.00 0.17 (16) Dir_pct .................... Steps 6, 7 ....... Surveys .................. ................................ 0.26 0.18 0.29 0.29 0.29 0.29 0.29 0.29 (17) Ind_pct ................... Steps 6, 7 ....... Surveys .................. ................................ 0.74 0.82 0.71 0.71 0.71 0.71 0.71 0.71 (18) Ind. Alloc. Formula 

(1st part).

Step 8 ............. See Step 8 ............. ................................ ((14)/(16)) * 

(17) 

((14)/(16)) * 

(17) 

((14)/(16)) * 

(17) 

((14)/(16)) * 

(17) 

((14)/(16)) * 

(17) 

((14)/(16)) * 

(17) 

((14)/(16)) * 

(17) 

((14)/(16)) * 

(17) 

(19) Ind. Alloc. (1st part) Step 8 ............. ................................. See (18) 0.65 5.27 0.58 0.58 0.00 0.25 0.25 0.00 (20) Ind. Alloc. Formulas 

(2nd part).

Step 8 ............. See Step 8 ............. ................................ (15) (15) (15)+(11) (11) (15) (15)+(11) (11) (15) 

(21) Ind. Alloc. (2nd 

part).

Step 8 ............. ................................. See (20) 0.97 33.75 0.30 0.08 0.22 0.25 0.08 0.17 

(22) Indirect Allocator 

(1st + 2nd).

Step 8 ............. ................................. =(19)+(21) 1.62 39.02 0.88 0.66 0.22 0.50 0.33 0.17 

(23) Indirect Adjustment 

(Ind. Adj.).

Steps 9–11 ..... See footnote** ........ ................................ 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 

(24) Adjusted indirect allocator. Steps 9–11 ..... =Ind Alloc * Ind Adj ................................ 0.60 14.46 0.32 0.24 0.08 0.19 0.12 0.06 (25) Ind. Practice Cost 

Index (IPCI).

Steps 12–16 ... See Steps 12–16 ... ................................ 1.11 0.83 0.89 0.89 0.89 0.92 0.92 0.92 

(26) Adjusted Indirect .... Step 17 ........... = Adj.Ind Alloc * 

PCI.

=(24) * (25) 0.67 12.05 0.29 0.22 0.07 0.17 0.11 0.06 

(27) MEI Rebasing Adjustment. Step 18 ........... PFS ........................ ................................ 1.18 1.18 1.18 1.18 1.18 1.18 1.18 1.18 (28) MPPR Adjustment Step 18 ........... PFS ........................ ................................ 1.01 1.01 1.01 1.01 1.01 1.01 1.01 1.01 (29) PE RVU ................. Step 18 ........... =(Adj Dir + Adj Ind) 

* budn * MEI Adj * MPPR Adj.

=((14)+(26)) * budn 

* (27) * (28) 

1.06 15.69 0.62 0.53 0.09 0.32 0.25 0.07 

Note: PE RVUs in table 2, row 29, may not match Addendum B due to rounding. * The direct adj = [current pe rvus * CF * avg dir pct]/[sum direct inputs] = [Step 2]/[Step 3]. ** The indirect adj = [current pe rvus * avg ind pct]/[sum of ind allocators] = [Step 9]/[Step 10]. 


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2. On page 73276, third column, 

a. Second full paragraph, 

(1) Line 23, the figure ‘‘1.181’’ is 

corrected to read ‘‘1.182.’’ 

(2) Line 24, the figure ‘‘1.358’’ is 

corrected to read ‘‘1.361.’’ 

(3) Line 28, the figure ‘‘1.358’’ is 

corrected to read ‘‘1.361.’’ 

b. Last partial paragraph, 

(1) Line 10, the figure ‘‘0.9181’’ is 

corrected to read ‘‘0.9175.’’ 

(2) Line 11, the figure ‘‘1.181’’ is 

corrected to read ‘‘1.182.’’ 

(3) Line 12, the figure ‘‘1.358’’ is 

corrected to read ‘‘1.361.’’ 

3. On page 73283, 

a. Top half of the page, 

(1) First column, first full paragraph, 

(a) Line 1, the figure ‘‘$25.5217’’ is 

corrected to read ‘‘$25.4999.’’ 

(b) Line 3, the figure ‘‘$15.8085’’ is 

corrected to read ‘‘$15.7999.’’ 

(2) Second column, second partial 

paragraph, last line, the figure ‘‘1.0045’’ 

is corrected to read ‘‘1.0043.’’ 

(3) Third column, first partial 

paragraph, 

(a) Line 6, the figure ‘‘0.9181’’ is 

corrected to read ‘‘0.9175.’’ 

(b) Line 15, the figure ‘‘$25.5217’’ is 

corrected to read ‘‘$25.4999’’ 

b. Bottom half of the page, in Table 

45—Calculation of the CY 2011 PFS CF, 

the listed entries are corrected to read as 

follows: 

CY 2011 RVU Budget Neutrality Adjustment .............................................................. 0.4 percent (1.0043). 

CY 2011 Rescaling to Match MEI Weights Budget Neutrality Adjustment ................. ¥8.3 percent (0.9175). 

CY 2011 Conversion Factor ......................................................................................... ................................................................... $25.4999 

4. On pages 73283 and 73284, top of 

the page, in Table 46—Calculation of 

the CY 2011 Anesthesia Conversion 

Factor, the listed entries are corrected to 

read as follows: 

CY 2011 Anesthesia Adjustment ................................................................................. ¥2.4 percent (0.9760). 

CY 2011 Anesthesia Conversion Factor ...................................................................... ................................................................... $15.7999 

5. On page 73328, first column, last 

paragraph, 

a. Line 4, the figure ‘‘207’’ is corrected 

to read ‘‘206.’’ 

b. Line 7, the figure ‘‘84’’ is corrected 

to read ‘‘85.’’ 

6. On page 73340, first column, first 

full paragraph, 

a. Line 9, the number ‘‘1.47’’ is 

corrected to read ‘‘2.60.’’ 

b. Line 10, the phrase ‘‘25th 

percentile’’ is corrected to read ‘‘low 

value.’’ 

c. Line 14, the number ‘‘1.47’’ is 

corrected to read ‘‘2.60.’’ 

7. On page 73341, third column, last 

paragraph, line 12, the figure ‘‘2.92’’ is 

corrected to read ‘‘3.37.’’ 

8. On pages 73342 through 73349, in 

Table 53—AMA RUC Recommendations 

and Interim Final Work RVUs for CY 

2011 New, Revised, and Potentially 

Misvalued Codes the listed entries are 

corrected to read as follows: 

CPT code Short descriptor 

Valued in relation 

to a potentially 

misvalued code 

screen 

AMA RUCrecommended 

work RVUs 

CMS 

decision 

CY 2011 

interim final 

work RVUs 

52332 ..... Cystoscopy and treatment .......................................................... x 2.83 Disagree .. 2.60 

64483 ..... Inj foramen epidural l/s ................................................................ x 1.90 Disagree .. 1.75 

77427 ..... Radiation tx management x5 ...................................................... x 3.45 Disagree .. 3.37 

9. On page 73388, lower third of the 

page, 

a. First column, first paragraph, last 

line, the figure ‘‘$25.5217’’ is corrected 

to read ‘‘$25.4999.’’ 

b. Table 60—CY 2011 RVUs for CPT 

Code 77080, the table is corrected to 

read as follows: 

TABLE 60—CY 2011 RVUS FOR CPT CODE 77080 

[Note: Calculated using the current law CY 2011 CF of $25.4999] 

CY 2011 CPT code Mod CY 2011 physician work RVUs 

CY 2011 nonfacility PE RVUs CY 2011 facility 

PE RVUs 

CY 2011 malpractice RVUs 

77080 ......................................................................... 26 ............. 0.31 0.10 0.10 0.01 

77080 ......................................................................... TC ............ 0.00 3.23 NA 0.18 

77080 ......................................................................... .................. 0.31 3.33 NA 0.19 

10. On pages 73595 and 73596, in 

Table 101—CY 2011 PFS Final Rule 

Total Allowed Charge Estimate Impact 

for RVU, MPPR, and MEI Rebasing Changes, the table is corrected to read 

as follows: 

BILLING CODE 4120–01–P 


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11. On pages 73598 through 73600, in 

Table 102—Impact of Final Rule with 

Comment Period and Estimated 

Physician Update on CY 2011 Payment 

for Selected Procedures, the table is 

corrected to read as follows: 


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B. Corrections to the Addenda 

1. On pages 73630 through 73809, in 

Addendum B: CY 2011–Relative Value 

Units and Related Information Used in 

Determining Medicare Payments, the 

addendum is corrected to read as 

follows: 


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1704 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.030</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1705 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.031</GPH>
1706 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.032</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1707 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.033</GPH>
1708 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.034</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1709 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.035</GPH>
1710 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.036</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1711 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.037</GPH>
1712 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.038</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1713 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.039</GPH>
1714 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.040</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1715 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.041</GPH>
1716 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.042</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1717 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.043</GPH>
1718 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.044</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1719 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.045</GPH>
1720 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1721 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.047</GPH>
1722 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.048</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1723 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.049</GPH>
1724 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.050</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1725 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.051</GPH>
1726 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.052</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1727 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.053</GPH>
1728 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.054</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1729 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.055</GPH>
1730 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.056</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1731 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.057</GPH>
1732 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.058</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1733 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.059</GPH>
1734 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1735 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.061</GPH>
1736 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1737 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.063</GPH>
1738 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1739 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.065</GPH>
1740 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1741 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.067</GPH>
1742 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1743 


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1744 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1745 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.071</GPH>
1746 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1747 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.073</GPH>
1748 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1749 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.075</GPH>
1750 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1751 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.077</GPH>
1752 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.078</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1753 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.079</GPH>
1754 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1755 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.081</GPH>
1756 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1757 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.083</GPH>
1758 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1759 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.085</GPH>
1760 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1761 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.087</GPH>
1762 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1763 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.089</GPH>
1764 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1765 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.091</GPH>
1766 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1767 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.093</GPH>
1768 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1769 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.095</GPH>
1770 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1771 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.097</GPH>
1772 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1773 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.099</GPH>
1774 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.100</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1775 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.101</GPH>
1776 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.102</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1777 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.103</GPH>
1778 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.104</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1779 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.105</GPH>
1780 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.106</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1781 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.107</GPH>
1782 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.108</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1783 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.109</GPH>
1784 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.110</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1785 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.111</GPH>
1786 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.112</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1787 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.113</GPH>
1788 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.114</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1789 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.115</GPH>
1790 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.116</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1791 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.117</GPH>
1792 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.118</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1793 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.119</GPH>
1794 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.120</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1795 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.121</GPH>
1796 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.122</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1797 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.123</GPH>
1798 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1799 


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1800 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1801 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.127</GPH>
1802 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1803 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.129</GPH>
1804 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1805 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.131</GPH>
1806 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1807 


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1808 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1809 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.135</GPH>
1810 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1811 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.137</GPH>
1812 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1813 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.139</GPH>
1814 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1815 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.141</GPH>
1816 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1817 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.143</GPH>
1818 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1819 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.145</GPH>
1820 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.146</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1821 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.147</GPH>
1822 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1823 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.149</GPH>
1824 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1825 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.151</GPH>
1826 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.152</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1827 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.153</GPH>
1828 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1829 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.155</GPH>
1830 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.156</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1831 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.157</GPH>
1832 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.158</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1833 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.159</GPH>
1834 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1835 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.161</GPH>
1836 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1837 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.163</GPH>
1838 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1839 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.165</GPH>
1840 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.166</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1841 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.167</GPH>
1842 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1843 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.169</GPH>
1844 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.170</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1845 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.171</GPH>
1846 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.172</GPH>
Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1847 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.173</GPH>
1848 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 1849 


kgrant on DSKGBLS3C1PROD with BILLSER11JA11.175</GPH>
1850 Federal Register / Vol. 76, No. 7 / Tuesday, January 11, 2011 / Rules and Regulations 


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3. On page 73831, in Addendum J: 

List of CPT1/HCPCS Codes Used to 

Define Certain Designated Health 

Service Categories 2 under Section 1877 

of the Social Security Act Effective 

January 1, 2011, the listed entry is 

corrected to read as follows: 

4. On pages 73841 through 73859, in 

Addendum K: CY 2011 ESRD Wage 

Index for Urban Areas Based on CBSA 

Labor Market Areas, the listed entries 

are corrected to read as follows: 


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4. On page 73859, in Addendum L: 

CY 2011 ESRD Wage Index for Rural 

Areas Based on CBSA Labor Market 

Areas, the listed entry is corrected to 

read as follows: 

III. Waiver of Proposed Rulemaking 

and Delay in Effective Date 

We ordinarily publish a notice of 

proposed rulemaking in the Federal 

Register to provide a period for public 

comment before the provisions of a rule 

take effect in accordance with section 

553(b) of the Administrative Procedure 

Act (APA) (5 U.S.C. 553(b)). However, 

we can waive the notice and comment 

procedure if the Secretary finds, for 

good cause, that the notice and 

comment process is impracticable, 

unnecessary, or contrary to the public 

interest, and incorporates a statement of 

the finding and the reasons for it in the 

rule. 

Section 553(d) of the APA ordinarily 

requires a 30-day delay in the effective 

date of final rules after the date of their 

publication. This 30-day delay in 

effective date can be waived, however, 

if an agency finds for good cause that 

the delay is impracticable, unnecessary, 

or contrary to the public interest, and 

the agency incorporates a statement of 

the findings and its reasons in the rule 

issued. 

This document merely corrects 

typographical and technical errors made 

in the CY 2011 PFS final rule with 

comment period, which appeared in the 

November 29, 2010 Federal Register 

(75 FR 73170), and is (with limited 

exceptions not relevant to these 

corrections, but noted in the rule), 

effective January 1, 2011. The 

provisions of the final rule with 

comment period have been subjected 

previously to notice and comment 

procedures. The corrections contained 

in this document are consistent with, 

and do not make substantive changes to, 

the payment methodologies and policies 

adopted in the CY 2011 PFS final rule 

with comment period. As such, these 

corrections are being made to ensure the 

CY 2011 PFS final rule with comment 

period accurately reflects the policies 

adopted in that rule. Therefore, we find 

for good cause that it is unnecessary and 

would be contrary to the public interest 

to undertake further notice and 

comment procedures to incorporate 

these corrections into the CY 2011 PFS 

final rule with comment period. 

For the same reasons, we are also 

waiving the 30-day delay in effective 

date for these corrections. We believe 

that it is in the public interest to ensure 

that the CY 2011 PFS final rule with 

comment period accurately states our 

policies as of the date they take effect. 

Therefore, we find that delaying the 

effective date of these corrections 

beyond the effective date of the final 

rule with comment period would be 

contrary to the public interest. In so 

doing, we find good cause to waive the 

30-day delay in the effective date. 

Authority: (Catalog of Federal Domestic 

Assistance Program No. 93.774, Medicare— 

Supplementary Medical Insurance Program) 

Dated: December 29, 2010. 

Dawn L. Smalls, 

Executive Secretary to the Department. 

[FR Doc. 2010–33264 Filed 12–30–10; 4:15 pm] 

BILLING CODE 4120–01–C 


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