Federal Register / Vol. 73, No. 168 / Thursday, August 28, 2008 / Notices 50821 

Dated: August 22, 2008. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E8–19968 Filed 8–27–08; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Consolidated Vaccine Information 

Materials for Multiple Infant Vaccines; 

Revised Instructions for Use of 

Vaccine Information Statements 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: Under the National 

Childhood Vaccine Injury Act (NCVIA) 

(42 U.S.C. § 300aa–26), the CDC must 

develop vaccine information materials 

that all health care providers are 

required to give to patients/parents prior 

to administration of specific vaccines. 

CDC seeks written comment on a 

proposed new vaccine information 

statement that consolidates the six 

vaccine information statements for the 

following childhood vaccines: DTaP, 

Haemophilus influenzae type b, 

inactivated polio vaccine, 

pneumococcal conjugate vaccine, 

hepatitis B, and rotavirus. This 

consolidated Vaccine Information 

Statement would be available to be used 

by vaccination providers as an 

alternative to providing the six 

individual Vaccine Information 

Statements for the same vaccines. On 

October 4, 2007, CDC published a notice 

in the Federal Register (72 FR 56765) 

seeking public comments on the 

proposed consolidated vaccine 

information materials. The 60 day 

comment period ended on December 3, 

2007. Following review of the 

comments submitted and consultation 

as required under the law, CDC has 

finalized these vaccine information 

materials. The final materials, and 

revised instructions for their use and for 

use of materials for other covered 

vaccines, are contained in this notice. 

DATES: Beginning August 28, 2008, each 

health care provider who administers 

vaccine that contains diphtheria, 

tetanus, pertussis, hepatitis B, 

pneumococcal conjugate, inactivated 

polio, Haemophilus influenzae type b, 

or rotavirus vaccines may, prior to 

administration of each dose of these 

vaccines, provide a copy of the vaccine 

information materials contained in this 

notice, dated January 30, 2008, to the 

parent or legal representative of any 

child to whom such provider intends to 

administer the vaccines, in lieu of 

providing vaccine information materials 

for each individual vaccine. 

FOR FURTHER INFORMATION CONTACT: 

Anne Schuchat, M.D., Director, National 

Center for Immunization and 

Respiratory Diseases, Centers for 

Disease Control and Prevention, 

Mailstop E–05, 1600 Clifton Road, NE., 

Atlanta, Georgia 30333, telephone (404) 

639–8200. 

SUPPLEMENTARY INFORMATION: The 

National Childhood Vaccine Injury Act 

of 1986 (Pub. L. 99–660), as amended by 

section 708 of Public Law 103–183, 

added section 2126 to the Public Health 

Service Act. Section 2126, codified at 42 

U.S.C. 300aa–26, requires the Secretary 

of Health and Human Services to 

develop and disseminate vaccine 

information materials for distribution by 

all health care providers in the United 

States to any patient (or to the parent or 

legal representative in the case of a 

child) receiving vaccines covered under 

the National Vaccine Injury 

Compensation Program. 

Development and revision of the 

vaccine information materials, also 

known as Vaccine Information 

Statements (VIS), have been delegated 

by the Secretary to the Centers for 

Disease Control and Prevention (CDC). 

Section 2126 requires that the materials 

be developed, or revised, after notice to 

the public, with a 60-day comment 

period, and in consultation with the 

Advisory Committee on Childhood 

Vaccines, appropriate health care 

provider and parent organizations, and 

the Food and Drug Administration. The 

law also requires that the information 

contained in the materials be based on 

available data and information, be 

presented in understandable terms, and 

include: 

(1) A concise description of the 

benefits of the vaccine, 

(2) a concise description of the risks 

associated with the vaccine, 

(3) a statement of the availability of 

the National Vaccine Injury 

Compensation Program, and 

(4) such other relevant information as 

may be determined by the Secretary. 

The vaccines initially covered under 

the National Vaccine Injury 

Compensation Program were diphtheria, 

tetanus, pertussis, measles, mumps, 

rubella and poliomyelitis vaccines. 

Since April 15, 1992, any health care 

provider in the United States who 

intends to administer one of these 

covered vaccines is required to provide 

copies of the relevant vaccine 

information materials prior to 

administration of any of these vaccines. 

Hepatitis B, Haemophilus influenzae 

type b (Hib), varicella (chickenpox), 

pneumococcal conjugate, hepatitis A, 

meningococcal conjugate and 

polysaccharide, rotavirus, human 

papillomavirus (HPV), and trivalent 

influenza vaccines have subsequently 

been added to the National Vaccine 

Injury Compensation Program. Use of 

the Vaccine Information Statements 

applicable to all of these vaccines, 

[except meningococcal, rotavirus and 

HPV,] is also required. [(Interim 

versions of Vaccine Information 

Statements for meningococcal, rotavirus 

and HPV vaccines are available for 

discretionary use pending completion of 

the statutory process for finalizing VISs 

applicable to those vaccines.)] 

Instructions for use of the vaccine 

information materials and copies of the 

materials can be found on the CDC Web 

site at: http://www.cdc.gov/vaccines/ 

pubs/vis. In addition, single cameraready copies are available from State 

health departments. A list of State 

health department contacts for obtaining 

copies of these materials is included in 

a December 17, 1999 Federal Register 

notice (64 FR 70914). 

Consolidated Vaccine Information 

Materials 

With six vaccines recommended for 

infants from birth through 6 months of 

age—all covered by the National 

Vaccine Injury Compensation 

Program—CDC, as required under 42 

U.S.C. 300aa–26, developed Vaccine 

Information Statements for each of those 

vaccines. CDC proposed an alternative 

consolidated Vaccine Information 

Statement covering those six vaccines in 

one document, which providers could 

choose to use instead of the existing 

individual Vaccine Information 

Statements for the same vaccines. 

Following consultation as required 

under the law and review of comments 

submitted, these vaccine information 

materials have been finalized and are 

contained in this notice. They are 

entitled Your Baby’s First Vaccines: 

What You Need to Know, and are dated 

January 30, 2008. CDC has also revised 

the Instructions for the Use of Vaccine 

Information Statements. The revised 

instructions, dated May 12, 2008, are 

included in this notice. These 

instructions and copies of the materials 

for all covered vaccines can also be 

found on the CDC Web site at: http:// 

www.cdc.gov/vaccines/pubs/VIS. 

* * * * * 


jlentini on PROD1PC65 with NOTICES
50822 Federal Register / Vol. 73, No. 168 / Thursday, August 28, 2008 / Notices 

Instructions for the Use of Vaccine 

Information Statements 

Required Use 

1. Provide Vaccine Information 

Statement (VIS) when vaccination is 

given.As required under the National 

Childhood Vaccine Injury Act (42 U.S.C. 

§ 300aa-26), all health care providers in 

the United States who administer, to 

any child or adult, any vaccine 

containing diphtheria, tetanus, 

pertussis, measles, mumps, rubella, 

polio, hepatitis A, hepatitis B, 

Haemophilus influenzae type b (Hib), 

trivalent influenza, pneumococcal 

conjugate, or varicella (chickenpox) 

vaccine shall, prior to administration of 

each dose of the vaccine, provide a copy 

to keep of the relevant current edition 

vaccine information materials that have 

been produced by the Centers for 

Disease Control and Prevention (CDC): 

—to the parent or legal representative*

of any child to whom the provider 

intends to administer such vaccine, 

and 

(* ‘‘Legal representative’’ is defined as 

a parent or other individual who is 

qualified under State law to consent to 

the immunization of a minor or 

incompetent adult) 

—to any adult to whom the provider 

intends to administer such vaccine. 

(In the case of an incompetent adult, 

relevant VISs shall be provided to the 

individual’s legal representative.* If 

the incompetent adult is living in a 

long-term care facility, all relevant 

VISs may be provided at the time of 

admission, or at the time of consent 

if later than admission, rather than 

prior to each immunization.) 

If there is not a single VIS for a 

combination vaccine, use the VISs for 

all component vaccines. 

The materials shall be supplemented 

with visual presentations or oral 

explanations, as appropriate. 

2. Record information for each VIS 

provided. 

Health care providers shall make a 

notation in each patient’s permanent 

medical record at the time vaccine 

information materials are provided 

indicating: 

(1) The edition date of the Vaccine 

Information Statement distributed, and 

(2) the date the VIS was provided. 

This recordkeeping requirement 

supplements the requirement of 42 

U.S.C. 300aa–25 that all health care 

providers administering these vaccines 

must record in the patient’s permanent 

medical record (or in a permanent office 

log): 

(3) the name, address and title of the 

individual who administers the vaccine, 

(4) the date of administration, and 

(5) the vaccine manufacturer and lot 

number of the vaccine used. 

Applicability of State Law 

Health care providers should consult 

their legal counsel to determine 

additional State requirements pertaining 

to immunization. The Federal 

requirement to provide the vaccine 

information materials supplements any 

applicable State laws. 

Availability of Copies 

Single camera-ready copies of the 

vaccine information materials are 

available from State health departments. 

Copies are also available on the Centers 

for Disease Control and 

Prevention’sWeb site at http:// 

www.cdc.gov/vaccines/pubs/vis. Copies 

are available in English and in other 

languages. 

Current VIS Editions 

Diphtheria, Tetanus, Pertussis (DTaP or 

DT): 5/17/07. 

Haemophilus influenzae type b: 12/16/ 

98. 

Hepatitis A: 3/21/06. 

Hepatitis B: 7/18/07. 

Human Papillomavirus (HPV): 2/2/07**. 

Inactivated Influenza: 7/24/08. 

Live, Intranasal Influenza: 10/4/07. 

Measles, Mumps, Rubella (MMR): 3/13/ 

08. 

Meningococcal: 1/28/08**. 

Pneumococcal conjugate: 9/30/02. 

Polio: 1/1/00. 

Rotavirus: 4/12/06**. 

Tetanus Diphtheria (Td): 6/10/94. 

Tetanus, Diphtheria, Pertussis (Tdap): 7/ 

12/06. 

Varicella (chickenpox): 3/13/08. 

Multi-Vaccine: 1/30/08***. ** Available interim VIS pending 

completion of statutory process. *** This VIS is an optional alternative 

when two or more routine childhood 

vaccines (i.e., DTaP, hepatitis B, Hib, 

pneumococcal, polio, or rotavirus) are 

administered at the same visit. 

Reference 42 U.S.C. 300aa–26. 

5/12/08. 

* * * * * 

Multi-vaccine Vaccine Information 

Statement: 

YOUR BABY’S FIRST VACCINES: 

WHAT YOU NEED TO KNOW 

Babies get six vaccines between birth 

and 6 months of age. 

These vaccines protect your baby 

from 8 serious diseases (see the next 

page). 

Your baby will get vaccines today that 

prevent these diseases: 

Æ Hepatitis B 

Æ Polio 

Æ Pneumococcal Disease 

Æ Diphtheria, Tetanus & Pertussis 

Æ Rotavirus 

Æ Hib 

(Provider: Check appropriate boxes) 

These vaccines may be given 

separately, or some might be given 

together in the same shot (for example, 

Hepatitis B and Hib can be given 

together, and so can DTaP, Polio and 

Hepatitis B). These ‘‘combination 

vaccines’’ are as safe and effective as the 

individual vaccines, and mean fewer 

shots for your baby. 

These vaccines may all be given at the 

same visit. Getting several shots at the 

same time will not harm your baby. 

This ‘‘Vaccine Information 

Statement’’ (VIS) tells you about the 

benefits and risks of these vaccines. It 

also contains information about 

reporting an adverse reaction, the 

National Vaccine Injury Compensation 

Program, and how to get more 

information about childhood diseases 

and vaccines. 

Please read this VIS before your child 

gets his or her immunizations, and take 

it home with you afterward. Ask your 

doctor, nurse, or other healthcare 

provider if you have questions. 

Individual Vaccine Information 

Statements are also available for these 

vaccines. Many Vaccine Information 

Statements are available in Spanish and 

other languages. See http:// 

www.immunize.org/vis. 

Department of Health and Human 

Services 

Centers for Disease Control and 

Prevention 

Vaccine Information Statement, 42 

U.S.C. 300aa–26, 1/30/2008. 

Vaccine Benefits: Why Get Vaccinated? 

Your children’s first vaccines protect 

them from 8 serious diseases, caused by 

viruses and bacteria. These diseases 

have injured and killed many children 

(and adults) over the years. Polio 

paralyzed about 37,000 people and 

killed about 1,700 each year in the 

1950s before there was a vaccine. In the 

1980s, Hib disease was the leading 

cause of bacterial meningitis in children 

under 5 years of age. About 15,000 

people a year died from diphtheria 

before there was a vaccine. Most 

children have had at least one rotavirus 

infection by their 5th birthday.None of 

these diseases has completely 

disappeared. Without vaccination, they 

will come back. This has happened in 

other parts of the world. 


jlentini on PROD1PC65 with NOTICES
Federal Register / Vol. 73, No. 168 / Thursday, August 28, 2008 / Notices 50823 

8 Diseases Prevented by Childhood 

Vaccines 

Diphtheria: Bacteria 

You can get it from contact with an 

infected person. 

Signs and symptoms include a thick 

covering in the back of the throat that 

can make it hard to breathe. 

It can lead to breathing problems, 

heart failure, and death. 

Tetanus (Lockjaw): Bacteria 

You can get it from a cut or wound. 

It does not spread from person to 

person. 

Signs and symptoms include painful 

tightening of the muscles, usually all 

over the body. 

It can lead to stiffness of the jaw, so 

the victim can’t open his mouth or 

swallow. It leads to death in about 1 

case out of 5. 

Pertussis (Whooping Cough): Bacteria 

You can get it from contact with an 

infected person. 

Signs and symptoms include violent 

coughing spells that can make it hard 

for an infant to eat, drink, or breathe. 

These spells can last for weeks. 

It can lead to pneumonia, seizures 

(jerking and staring spells), brain 

damage, and death. 

Hib (Haemophilus influenzae Type b): 

Bacteria 

You can get it from contact with an 

infected person. 

Signs and symptoms. There may be 

no signs or symptoms in mild cases. 

It can lead to meningitis (infection of 

the brain and spinal cord coverings); 

pneumonia; infections of the blood, 

joints, bones, and covering of the heart; 

brain damage; deafness; and death. 

Hepatitis B: Virus 

You can get it from contact with blood 

or body fluids of an infected person. 

Babies can get it at birth if the mother 

is infected, or through a cut or wound. 

Adults can get it from unprotected sex, 

sharing needles, or other exposures to 

blood. 

Signs and symptoms include 

tiredness, diarrhea and vomiting, 

jaundice (yellow skin or eyes), and pain 

in muscles, joints and stomach. 

It can lead to liver damage, liver 

cancer, and death. 

Polio Virus 

You can get it from close contact with 

an infected person. It enters the body 

through the mouth.Signs and symptoms 

can include a cold-like illness, or there 

may be no signs or symptoms at all.It 

can lead to paralysis (can’t move arm or 

leg), or death (by paralyzing breathing 

muscles). 

Pneumococcal: Bacteria 

You can get it from contact with an 

infected person. 

Signs and symptoms include fever, 

chills, cough, and chest pain. 

It can lead to meningitis (infection of 

the brain and spinal cord coverings), 

blood infections; ear infections, 

pneumonia, deafness, brain damage, 

and death. 

Rotavirus: Virus 

You can get it from contact with other 

children who are infected. 

Signs and symptoms include severe 

diarrhea, vomiting and fever. 

It can lead to dehydration, 

hospitalization (up to about 70,000 a 

year), and death. 

How Vaccines Work 

Immunity from Disease: When a child 

gets sick with one of these diseases, her 

immune system produces immunity, 

which keeps her from getting the same 

disease again. But getting sick is 

unpleasant, and can be dangerous. 

Immunity from Vaccines: Vaccines 

are made with the same bacteria or 

viruses that cause a disease, but they 

have been weakened or killed to make 

them safe. A child’s immune system 

responds to a vaccine the same way it 

would if the child had the disease. This 

means he will develop immunity 

without having to get sick first. 

Routine Childhood Vaccines 

Six vaccines are recommended for 

children between birth and 6 months of 

age. They can prevent the 8 diseases 

described on the previous page. 

Children will also get at least one 

‘‘booster’’ dose of most of these vaccines 

when they are older. 

• DTaP (Diphtheria, Tetanus & 

Pertussis) Vaccine: 5 doses—2 months, 

4 months, 6 months, 15–18 months, 4–

6 years. Some children should not get 

pertussis vaccine. These children can 

get a vaccine called DT, which does not 

contain pertussis. 

• Hepatitis B Vaccine: 3 doses—Birth, 

1–2 months, 6–18 months. 

• Polio Vaccine: 4 doses—2 months, 

4 months, 6–18 months, 4–6 years. 

• Hib (Haemophilus influenzae type 

b) Vaccine: 4 doses—2 months, 4 

months, 6 months, 12–15 months. 

Several Hib vaccines are available. With 

one type, the 6-month dose is not 

needed. 

• Pneumococcal Vaccine: 4 doses—2 

months, 4 months, 6 months, 12–15 

months. Older children with certain 

diseases may also need this vaccine. 

• Rotavirus Vaccine: 3 doses—2 

months, 4 months, 6 months. Rotavirus 

is an oral (swallowed) vaccine, not a 

shot. 

Vaccine Risks 

Vaccines can cause side effects, like 

any other medicine. Mostly these are 

mild ‘‘local reactions’’ such as 

tenderness, redness or swelling where 

the shot is given, or a mild fever. They 

happen in up to 1 child out of 4 for most 

childhood vaccines. They appear soon 

after the shot is given and go away 

within a day or two. 

More severe reactions can also occur, 

but this happens much less often. Some 

of these reactions are so uncommon that 

experts can’t tell whether they are 

caused by vaccines or not. Among the 

most serious reactions to vaccines are 

severe allergic reactions to a substance 

in a vaccine. These reactions happen 

very rarely—less than once in a million 

shots. They usually happen very soon 

after the shot is given. Doctor’s office or 

clinic staff are trained to deal with 

them. 

The risk of any vaccine causing 

serious harm, or death, is extremely 

small. Getting a disease is much more 

likely to harm a child than getting a 

vaccine. 

Other Reactions 

The following conditions have been 

associated with routine childhood 

vaccines. By ‘‘associated’’ we mean that 

they appear more often in children who 

have been recently vaccinated than in 

those who have not. An association 

doesn’t ‘‘prove’’ that a vaccine caused a 

reaction, but it does mean it is probable. 

DTaP Vaccine 

Mild Problems: Fussiness (up to 1 

child in 3); tiredness or poor appetite 

(up to 1 child in 10); vomiting (up to 1 

child in 50); swelling of the entire arm 

or leg for 1–7 days (up to 1 child in 

30)—usually after the 4th or 5th dose. 

Moderate Problems: Seizure (jerking 

or staring) (1 child in 14,000); non-stop 

crying for 3 hours or more (up to 1 child 

in 1,000); fever over 105°F (1 child in 

16,000). 

Serious Problems: Long-term seizures, 

coma, lowered consciousness, and 

permanent brain damage have been 

reported very rarely after DTaP vaccine. 

They are so rare we can’t be sure they 

are caused by the vaccine. 

Polio Vaccine/Hepatitis B Vaccine/Hib 

Vaccine 

These vaccines have not been 

associated with mild problems other 

than local reactions, or with moderate or 

serious problems. 


jlentini on PROD1PC65 with NOTICES
50824 Federal Register / Vol. 73, No. 168 / Thursday, August 28, 2008 / Notices 

Pneumococcal Vaccine 

Mild Problems: During studies of the 

vaccine, some children became fussy or 

drowsy or lost their appetite. 

Rotavirus Vaccine 

Mild Problems: Children who get 

rotavirus vaccine are slightly more 

likely than other children to have mild, 

temporary diarrhea or vomiting. This 

happens within the first week after 

getting a dose of vaccine. No moderate 

or serious problems have been 

associated with the vaccine. 

Precautions 

If your child is sick on the date 

vaccinations are scheduled, your 

provider may want to put them off until 

she recovers. A child with a mild cold 

or a low fever can usually be vaccinated 

that day. But for a more serious 

illnesses, it may be better to wait. 

Some children should not get certain 

vaccines. Talk with your provider if 

your child had a serious reaction after 

a previous dose of a vaccine, or has any 

life-threatening allergies. (These 

reactions and allergies are rare.) 

If your child had any of these 

reactions to a previous dose of DTaP: 

—A brain or nervous system disease 

within 7 days 

—Non-stop crying for 3 or more hours 

—A seizure or collapse 

—A fever over 105°F 

Talk to your provider before getting 

DTaP Vaccine. 

If your child has: 

—A life-threatening allergy to the 

antibiotics neomycin, streptomycin, 

or polymyxin B. 

Talk to your provider before getting 

Polio Vaccine. 

If your child has: 

—A life-threatening allergy to yeast 

Talk to your provider before getting 

Hepatitis B Vaccine. 

If your child has: 

—A weakened immune system 

—Ongoing digestive problems 

—Recently gotten a blood transfusion or 

other blood product 

—Ever had intussusception (an 

uncommon type of intestinal 

obstruction) 

Talk to your provider before getting 

Rotavirus Vaccine. 

What if my child has a moderate or 

severe reaction? 

What should I look for? 

Look for any unusual condition, such 

as a serious allergic reaction, high fever, 

weakness, or unusual behavior. 

Serious allergic reactions are 

extremely rare with any vaccine. If one 

were to happen, it would most likely 

come within a few minutes to a few 

hours after the shot. 

Signs of a serious allergic reaction can 

include: 

—difficulty breathing 

—weakness 

—hives 

—hoarseness or wheezing 

—dizziness 

—paleness 

—swelling of the throat 

—fast heart beat 

What should I do? 

Call a doctor, or get the child to a 

doctor right away. 

Tell your doctor what happened, the 

date and time it happened, and when 

the shot was given. 

Ask your healthcare provider to report 

the reaction by filing a Vaccine Adverse 

Event Reporting System (VAERS) form. 

Or you can file this report through the 

VAERS Web site at http:// 

www.vaers.hhs.gov, or by calling 1–800–

822–7967. 

VAERS does not provide medical 

advice. 

The National Vaccine Injury 

Compensation Program 

A federal program exists to help pay 

for the care of anyone who has a serious 

reaction to a vaccine. 

For information about the National 

Vaccine Injury Compensation Program, 

call 1–800–338–2382 or visit their Web 

site at http://www.hrsa.gov/ 

vaccinecompensation. 

For More Information 

Ask your healthcare provider. They 

can give you the vaccine package insert 

or suggest other sources of information. 

Call your local or state health 

department. 

Contact the Centers for Disease 

Control and Prevention (CDC) at 1–800–

232–4636 (1–800–CDC–INFO) . 

Visit CDC Web sites at: http:// 

www.cdc.gov/vaccines and http:// 

www.cdc.gov/ncidod/diseases/hepatitis. 

Dated: August 20, 2008. 

James D. Seligman, 

Chief Information Officer, Centers for Disease 

Control and Prevention (CDC). 

[FR Doc. E8–19965 Filed 8–27–08; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Board of Scientific Counselors, 

National Center for Health Statistics 

In accordance with section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention (CDC), National 

Center for Health Statistics (NCHS) 

announces the following meeting of the 

aforementioned committee. 

Times and Dates: 11 a.m.–5:30 p.m., 

September 18, 2008. 8:30 a.m.–2 p.m., 

September 19, 2008. 

Place: NCHS Headquarters, 3311 Toledo 

Road, Hyattsville, Maryland 20782. 

Status: Open to the public, limited only by 

the space available. The meeting room 

accommodates approximately 100 people. 

Purpose: This committee is charged with 

providing advice and making 

recommendations to the Secretary, 

Department of Health and Human Services; 

the Director, CDC; and the Director, NCHS, 

regarding the scientific and technical 

program goals and objectives, strategies, and 

priorities of NCHS. 

Matters To Be Discussed: The agenda will 

include welcome remarks by the Director, 

NCHS; introduction of members and key 

NCHS staff; scientific presentations and 

discussions; the review of the National 

Health Interview Survey; presentation of the 

long term care program in the initial stage of 

review; and an open session for comments 

from the public. 

Requests to make oral presentations should 

be submitted in writing to the contact person 

listed below. All requests must contain the 

name, address, telephone number, and 

organizational affiliation of the presenter. 

Written comments should not exceed five 

single-spaced typed pages in length and must 

be received by September 12, 2008. 

The agenda items are subject to change as 

priorities dictate. 

Contact Person for More Information: 

Virginia S. Cain, Ph.D., Director of 

Extramural Research, NCHS/CDC, 3311 

Toledo Road, Room 7211, Hyattsville, 

Maryland 20782, telephone (301) 458–4500, 

fax (301) 458–4020. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities for 

both CDC and the Agency for Toxic 

Substances and Disease Registry. 

Dated: August 22, 2008. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. E8–19947 Filed 8–27–08; 8:45 am] 

BILLING CODE 4163–18–P 


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