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9068 Federal Register / Vol. 73, No.

33 / Tuesday, February 19, 2008 / Proposed Rules

Commission shall provide individuals in violation of section 504. This section Commission shall resolve the appeal
with disabilities covered by this section also applies to all complaints alleging a through a vote.
with the information and data involved violation of the agency’s responsibility (k) The Commission shall notify the
by an alternative means of access that to procure electronic and information complainant of the results of the appeal
allows the individual to use the technology under section 508 whether within ninety calendar days of the
information and data. filed by members of the public or EEOC receipt of the appeal from the
14. Section 1615.140 is revised to read employees or applicants. complainant. * * *
as follows: (b) The Commission shall process * * * * *
complaints alleging violations of section (n) Civil actions. The remedies,
§ 1615.140 Employment. 504 with respect to employment procedures, and rights set forth in
No qualified individual with a according to the procedures established sections 505(a)(2) and 505(b) of the
disability shall, on the basis of by EEOC in 29 CFR part 1614 pursuant Rehabilitation Act, 29 U.S.C. 794a(a)(2)
disability, be subjected to to section 501 of the Rehabilitation Act and 794a(b) shall be the remedies,
discrimination in employment under of 1973 (29 U.S.C. 791). With regard to procedures, and rights available to any
any program or activity conducted by employee claims concerning agency individual with a disability filing a
the Commission. The definitions, procurements made in violation of complaint under this section.
requirements, and procedures of section section 508, the procedures set out in
501 of the Rehabilitation Act of 1973 (29 paragraphs (d) through (m) of this Dated: February 7, 2008.
U.S.C. 791), as established by this section shall be used. Naomi C. Earp,
Commission in 29 CFR part 1614, shall (c) Responsibility for implementation Chair.
apply to employment in federally and operation of this section shall be [FR Doc. E8–2863 Filed 2–15–08; 8:45 am]
conducted programs or activities. As vested in the Director, Office of Equal BILLING CODE 6570–01–P
noted in 29 CFR 1614.203(b), the Opportunity (Director of OEO).
standards used to determine whether (d) * * * (1) * * * Any person who
section 501 of the Rehabilitation Act has believes that he or she has been
DEPARTMENT OF VETERANS
been violated in a complaint alleging subjected to discrimination prohibited
AFFAIRS
non-affirmative action employment by this part or that the agency’s
discrimination under part 1614 shall be procurement of electronic and 38 CFR Part 17
the standards applied under Title I and information technology has violated
Title V (sections 501 through 504 and section 508, or authorized RIN 2900–AM22
510) of the Americans with Disabilities representative of such person, may file
a complaint with the Director of OEO. Civilian Health and Medical Program of
Act of 1990, as amended (42 U.S.C.
* * * the Department of Veterans Affairs
12101, 12111, 12201) as such sections
(2) * * * Complaints shall be filed (CHAMPVA): Expansion of Benefit
relate to employment. These standards
with the Director of OEO within one Coverage for Prostheses and Enuretic
are set forth in the Commission’s ADA
hundred and eighty calendar days of the (Bed-wetting) Devices; Miscellaneous
regulations at 29 CFR part 1630. If a
alleged acts of discrimination. * * * Provisions
section 501 complaint is filed against
the Commission in the part 1614 * * * * * AGENCY: Department of Veterans Affairs.
process and it is found to include a (i) * * * An appeal shall be deemed
ACTION: Proposed rule.
separate section 508 claim, the part filed on the date it is postmarked, or, in
1614 process will be used to process the the absence of a postmark, on the date SUMMARY: This document proposes to
section 501 claim. The section 508 it is received by the Chair at EEOC amend the Department of Veterans
claim will be processed separately in headquarters. It should be clearly Affairs (VA) regulations for the Civilian
accordance with the procedures set marked ‘‘Appeal of Section 504 Health and Medical Program of the
forth at § 1615.170. decision’’ or ‘‘Appeal of Section 508 Department of Veterans Affairs
decision’’ and should contain specific (CHAMPVA) to expand the benefits
§ 1615.150 [Amended] objections explaining why the person available by covering, in addition to
15. Section 1615.150(c) and (d) are believes the initial decision was currently-covered prostheses, any non-
removed. factually or legally wrong. * * * dental prostheses determined medically
16. Section 1615.170 is amended as (j) Timely appeals shall be decided by necessary for treatment of certain
follows: the Chair of the Commission unless the medical conditions. It also proposes to
A. Revise paragraphs (a), (b), and (c). Commission determines that an appeal no longer exclude coverage of enuretic
B. Revise the first sentences of raises a policy issue which should be (bed-wetting) devices. In addition, this
paragraphs (d)(1) and (d)(2). addressed by the full Commission. document proposes to make changes in
C. Revise the third and fourth (1) The Chair will draft a decision delegations of authority, technical
sentences of paragraph (i). within 30 days of receipt of an appeal changes, and nonsubstantive changes
D. Revise paragraph (j). and circulate it to the Commission. for purposes of clarity in VA’s
E. Revise the first sentence of (2) If a Commissioner believes an regulations governing CHAMPVA.
paragraph (k). appeal raises a policy issue that should
be addressed by the full Commission, he DATES: Comments must be received on
F. Add a new paragraph (n).
The revisions and additions read as or she shall so inform the Chair by or before April 21, 2008.
follows: notice in writing within ten calendar ADDRESSES: Written comments may be
days of the circulation of the draft submitted through http://
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§ 1615.170 Compliance procedures. decision on appeal. www.Regulations.gov; by mail or hand


(a) Except as provided in paragraph (3) If the Chair does not receive such delivery to the Director, Regulations
(b) of this section, this section applies written notice, the decision on appeal Management (00REG), Department of
to all allegations of discrimination on shall be issued. Veterans Affairs, 810 Vermont Ave.,
the basis of disability in programs or (4) If the Chair receives written notice NW., Room 1068, Washington, DC
activities conducted by the Commission as described in subparagraph (2), the 20420; or by fax to (202) 273–9026.

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Federal Register / Vol. 73, No. 33 / Tuesday, February 19, 2008 / Proposed Rules 9069

Comments should indicate that they are same or similar manner and with the excluded except as specifically
submitted in response to ‘‘RIN 2900- same or similar limitations’’ as medical provided in current § 17.272(a)(44)(v).
AM22—Civilian Health and Medical care under TRICARE/CHAMPUS. As another change authorized under
Program of the Department of Veterans First, we propose to add certain the statutory requirement to furnish
Affairs (CHAMPVA)—Expansion of prostheses to the benefits available CHAMPVA benefits in the same or
Benefit Coverage for Prostheses and under the CHAMPVA program to be similar manner and with the same or
Enuretic (Bed-wetting) Devices; consistent with benefits authorized for similar limitations as medical care
Miscellaneous Provisions.’’ Copies of TRICARE/CHAMPUS in section 702 of under TRICARE/CHAMPUS, we
comments received will be available for Public Law 105–85 (1999), the National propose to amend § 17.272(a)(52) to
public inspection in the Office of Defense Authorization Act for Fiscal permit enuretic (bed-wetting) devices
Regulation Policy and Management, Year 1998. That statutory provision (alarms) to be furnished to CHAMPVA
Room 1063B, between the hours of 8 amended TRICARE/CHAMPUS beneficiaries. This proposed change
a.m. and 4:30 p.m., Monday through coverage to include prosthetic devices would be consistent with DoD’s
Friday (except holidays). Please call ‘‘as determined by the Secretary of regulations at 32 CFR 199.4(g)(58). That
(202) 461–4902 for an appointment. Defense to be necessary because of paragraph was amended to no longer
(This is not a toll-free number.) In significant conditions resulting from exclude such devices. See 67 FR 18825,
addition, during the comment period, trauma, congenital anomalies, or Apr. 17, 2002. Currently, enuretic (bed-
comments may be viewed online disease.’’ The Department of Defense wetting) devices and enuretic
through the Federal Docket Management (DoD) amended the TRICARE/ conditioning programs are excluded
System (FDMS) at http:// CHAMPUS regulations in 32 CFR 199.4 from CHAMPVA coverage. The
www.Regulations.gov. accordingly. See 65 FR 58224–25, Sept. proposed rule would remove the
FOR FURTHER INFORMATION CONTACT:
28, 2000 (final rule); 64 FR 45453– exclusion for enuretic (bed-wetting)
45454, August 20, 1999 (interim final devices now found at § 17.272(a)(52),
Richard M. Trabert, Policy &
rule). As discussed in the preambles in but would, like TRICARE/CHAMPUS,
Compliance Division, VA Health
those rulemaking documents, DoD continue to exclude enuretic
Administration Center, P.O. Box 65020,
determined that noses, ears, and fingers conditioning programs. We believe it is
Denver, CO 80206–9020; (303) 331–
are examples of additional prostheses in the public interest to implement in
7549. (This is not a toll-free number.)
that are authorized under that statutory the CHAMPVA program this TRICARE/
SUPPLEMENTARY INFORMATION: This amendment for TRICARE/CHAMPUS CHAMPUS change. The basis for
document proposes to amend VA’s coverage. See 65 FR 58224; 64 FR excluding enuretic conditioning
medical regulations in 38 CFR part 17 45453–45454. The regulations programs is to restrict the payment for
concerning CHAMPVA. CHAMPVA is a promulgated by DoD exclude from professional guidance on the use of
VA medical benefits program for certain coverage all dental prostheses, ‘‘except these devices to an authorized health
(1) spouses and children of veterans for those specifically required in care provider, such as the attending
who have a permanent and total service- connection with otherwise covered physician, a physician assistant, or a
connected disability and (2) surviving orthodontia directly related to the nurse practitioner.
spouses and children of veterans who surgical correction of a cleft palate This proposed rule would also amend
died as a result of a service-connected anomaly.’’ 32 CFR 199.4(g)(48). the delegations of authority in 38 CFR
disability or while rated permanently or Under VA’s current regulations for 17.275, ‘‘Claim filing deadline,’’ and 38
totally disabled from a service- CHAMPVA at 38 CFR 17.272(a)(44), CFR 17.276, ‘‘Appeal/review process.’’
connected disability, or who died in the coverage for the purchase of prosthetic Currently, § 17.275(b) provides that only
active military, naval, or air service in devices is limited to artificial limbs, the ‘‘Center Director’’ has the authority
the line of duty. CHAMPVA is voice prostheses, eyes, items surgically to grant exceptions to the claim filing
authorized at 38 U.S.C. 1781 (formerly inserted in the body as an integral part deadline. This proposed rule would
38 U.S.C. 1713). To be eligible for of a surgical procedure, and dental amend § 17.275(b) by referring to the
CHAMPVA benefits, among other prostheses that are specifically required Center Director by his or her title, the
requirements, the spouses, surviving in connection with otherwise covered ‘‘Director, Health Administration
spouses, and children may not be orthodontia directly related to the Center’’, and would permit the Director
otherwise eligible for medical care surgical correction of a cleft palate to extend that authority to his or her
under 10 U.S.C. chapter 55 (authorizing anomaly. (These are also subject to the designee. Similarly, § 17.276 currently
TRICARE, formerly CHAMPUS; referred requirements generally applicable to provides that, in response to a
to in this preamble as TRICARE/ CHAMPVA benefits, including being beneficiary’s request for review of a
CHAMPUS). By the terms of section medically necessary and appropriate for decision by a CHAMPVA benefits
1781(b), VA is required to provide the treatment of a condition.) We advisor, only the Center Director has the
benefits under CHAMPVA in the same propose to amend § 17.272(a)(44) to authority to issue a decision that is the
or similar manner and subject to the extend prosthetic coverage to any other final decision with respect to benefit
same or similar limitations as medical prostheses (other than dental coverage and computation of benefits,
care that is furnished to certain prostheses) considered medically and that affirms, reverses, or modifies
dependents and survivors of active duty necessary because of significant the prior decision. This proposed rule
and retired members of the Armed conditions resulting from trauma, would amend § 17.276 to permit the
Forces under TRICARE/CHAMPUS. congenital anomalies, or disease. The Director, Health Administration Center,
Needed medical care is largely provided proposed changes to § 17.272(a)(44) are or his or her designee, to issue that final
to CHAMPVA beneficiaries through also intended to clarify that ears, noses, decision.
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non-VA providers. and fingers and the prostheses currently Finally, the proposed rule would
This proposed rule would amend 38 referred to in § 17.272(a)(44)(i) through make technical changes and other
CFR 17.272, ‘‘Benefits limitations/ (iv) are examples of what the newly- nonsubstantive changes for purposes of
exclusions,’’ in accordance with the listed category would include. clarity in §§ 17.270 through 17.278.
requirements under 38 U.S.C. 1781(b) to Consistent with 32 CFR 199.4(g)(48), These include technical changes to
furnish CHAMPVA benefits ‘‘in the dental prostheses would continue to be conform with Public Law 107–135,

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9070 Federal Register / Vol. 73, No. 33 / Tuesday, February 19, 2008 / Proposed Rules

which redesignated the statutory section planned by another agency; (3) (Authority: 38 U.S.C. 501, 1781)
authorizing the CHAMPVA program as materially alter the budgetary impact of 3. Amend § 17.271 by revising the
38 U.S.C. 1781 (formerly 38 U.S.C. entitlements, grants, user fees, or loan authority citations after paragraph (a)
1713). programs or the rights and obligations of and at the end of the section to read as
recipients thereof; or (4) raise novel follows:
Regulatory Flexibility Act
legal or policy issues arising out of legal
The Secretary of Veterans Affairs mandates, the President’s priorities, or § 17.271 Eligibility.
hereby certifies that this proposed rule the principles set forth in the Executive (a) * * *
would not have a significant economic Order. (Authority: 38 U.S.C. 501, 1781)
impact on a substantial number of small The economic, interagency,
entities as they are defined in the budgetary, legal, and policy * * * * *
Regulatory Flexibility Act, 5 U.S.C. 601– implications of this proposed rule have (Authority: 38 U.S.C. 501, 1781)
612. Individuals eligible for CHAMPVA been examined and it has been
benefits are widely dispersed 4. Amend § 17.272 by:
determined not to be a significant a. Redesignating paragraphs (a)(44)(i)
geographically and thus services regulatory action under Executive Order
provided to them would not have a through (a)(44)(iv) as paragraphs
12866. (a)(44)(ii)(A) through (D), respectively.
significant impact on any small entity.
Catalog of Federal Domestic Assistance b. Redesignating paragraph (a)(44)(v)
Therefore, pursuant to 5 U.S.C. 605(b),
as new paragraph (a)(44)(i).
this proposed rule is exempt from the This proposed rule affects the Civilian c. Adding paragraphs (a)(44)(ii)
initial and final regulatory flexibility Health and Medical Program of the introductory text and (a)(44)(ii)(E).
analysis requirements of sections 603 Department of Veterans Affairs d. Revising paragraph (a)(52) and the
and 604. (CHAMPVA), for which there is no authority citation.
Paperwork Reduction Act of 1995 Catalog of Federal Domestic Assistance The additions and revisions read as
program number. follows:
This document contains no provisions
constituting a new collection of List of Subjects in 38 CFR Part 17 § 17.272 Benefits limitations/exclusions.
information under the Paperwork Administrative practice and (a) * * *
Reduction Act of 1995 (44 U.S.C. 3501– procedure, Alcohol abuse, Alcoholism, (44) * * *
3521). Claims, Day care, Dental health, Drug (ii) Any prostheses, other than dental
Unfunded Mandates abuse, Foreign relations, Government prostheses, determined to be medically
contracts, Grant programs—health, necessary because of significant
The Unfunded Mandates Reform Act Grant programs—veterans, Health care, conditions resulting from trauma,
of 1995 requires, at 2 U.S.C. 1532, that Health facilities, Health professionals, congenital anomalies, or disease,
agencies prepare an assessment of Health records, Homeless, Medical and including, but not limited to:
anticipated costs and benefits before dental schools, Medical devices, * * * * *
issuing any rule that may result in the Medical research, Mental health (E) Ears, noses, and fingers.
expenditure by State, local, and tribal programs, Nursing homes, Philippines,
governments, in the aggregate, or by the * * * * *
Reporting and recordkeeping (52) Enuretic (bed-wetting)
private sector, of $100 million or more requirements, Scholarships and conditioning programs.
(adjusted annually for inflation) in any fellowships, Travel and transportation
year. This proposed rule would have no * * * * *
expenses, and Veterans.
such effect on State, local, and tribal (Authority: 38 U.S.C. 501, 1781)
governments, or on the private sector. Approved: February 11, 2008.
Gordon H. Mansfield,
5. Amend § 17.273 by revising the
Executive Order 12866 authority citation to read as follows:
Deputy Secretary of Veterans.
Executive Order 12866 directs For the reasons stated above, the § 17.273 Preauthorization.
agencies to assess all costs and benefits Department of Veterans Affairs proposes * * * * *
of available regulatory alternatives and, to amend 38 CFR part 17 as follows:
when regulation is necessary, to select (Authority: 38 U.S.C. 501, 1781)
regulatory approaches that maximize PART 17—MEDICAL 6. Amend § 17.274 by revising the
net benefits (including potential authority citation to read as follows:
economic, environmental, public health 1. The authority citation for part 17
and safety, and other advantages; continues to read as follows: § 17.274 Cost sharing.
distributive impacts; and equity). The Authority: 38 U.S.C. 501, 1721, and as * * * * *
Executive Order classifies a ‘‘significant noted in specific sections. (Authority: 38 U.S.C. 501, 1781)
regulatory action,’’ requiring review by 2. Amend § 17.270 by: 7. Amend § 17.275 by:
the Office of Management and Budget a. In paragraph (a), removing ‘‘1713’’ a. In paragraph (b), removing ‘‘Center
(OMB) unless OMB waives such review, and adding, in its place, ‘‘1781’’. Director’’ and adding, in its place,
as any regulatory action that is likely to b. In paragraph (b), removing ‘‘this ‘‘Director, Health Administration
result in a rule that may: (1) Have an section’’ and adding, in its place, Center, or his or her designee’’; and
annual effect on the economy of $100 ‘‘§§ 17.270 through 17.278’’, removing removing ‘‘paragraph (a) if’’ and adding,
million or more or adversely affect in a ‘‘ ‘‘fiscal’’ year refers to October 1’’, and in its place, ‘‘paragraph (a) of this
material way the economy, a sector of adding, in its place, ‘‘ ‘‘fiscal year’’ refers section if’’.
rwilkins on PROD1PC63 with PROPOSALS

the economy, productivity, competition, to October 1’’. b. Adding an authority citation at the
jobs, the environment, public health or c. Revising the authority citation. end of the section.
safety, or State, local, or tribal The revision reads as follows: The addition reads as follows:
governments or communities; (2) create
a serious inconsistency or otherwise § 17.270 General provisions. § 17.275 Claim filing deadline.
interfere with an action taken or * * * * * * * * * *

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Federal Register / Vol. 73, No. 33 / Tuesday, February 19, 2008 / Proposed Rules 9071

(Authority: 38 U.S.C. 501, 1781) ADDRESSES: This proposed rule is II. Section-by-Section Analysis
8. Amend § 17.276 by: available and comments may be The Department proposes to amend
a. Removing ‘‘Center Director’’ and submitted to the Federal Electronic the DEAR as follows:
‘‘Director’’ each time they appear and Rulemaking Portal at http:// Section 904.401 is amended to revise
adding, in their place, ‘‘Director, Health www.regulations.gov. Comments may the definitions of classified information
Administration Center, or his or her also be submitted electronically to and Restricted Data.
designee’’. Richard.Langston@hq.doe.gov. Section 904.404, Solicitation
b. Revising the authority citation. Comments may be mailed to: Richard provision and contract clause, is
c. In the Note, removing ‘‘20 CFR’’ Langston, Procurement Policy Analyst; amended by adding ‘‘or access to special
and adding, in its place ‘‘38 CFR’’. MA–61/Forrestal Building; U.S. nuclear materials’’ after ‘‘classified
The revision reads as follows: Department of Energy; 1000 information’’ at the end of the first
§ 17.276 Appeal/review process.
Independence Avenue, SW.; sentence of paragraph (d)(1).
Washington, DC 20585. Section 952.204–2, Security
* * * * *
FOR FURTHER INFORMATION CONTACT: requirements, is amended by revising its
(Authority: 38 U.S.C. 501, 1781) title to ‘‘Security’’; by revising the
Richard Langston at 202–287–1339 or
* * * * * Richard.Langston@hq.doe.gov. definitions in paragraphs (c) through (g);
9. Amend § 17.277 by adding an by revising the title of paragraph (h)
authority citation to read as follows: SUPPLEMENTARY INFORMATION: from ‘‘Security clearances of personnel’’
§ 17.277 Third-party liability/medical care I. Background
to ‘‘Access authorizations for
cost recovery. II. Section-by-Section Analysis personnel’’ and redesignating its text as
III. Procedural Requirements paragraph (h)(1); by adding new
* * * * *
A. Review Under Executive Order 12866 paragraphs (h)(2) and (i); by
(Authority: 28 U.S.C. 2651; 38 U.S.C. 501, redesignating existing paragraphs (i) and
1781) B. Review Under Executive Order 12988
C. Review Under the Regulatory Flexibility (j) as (j) and (k); and by adding new
10. Amend § 17.278 by adding an Act paragraphs (l) and (m). Paragraphs
authority citation to read as follows: D. Review Under the Paperwork Reduction (h)(2), (i), and (i)(1) contain language
Act similar to that found in management
§ 17.278 Confidentiality of records.
E. Review Under the National and operating contract policy guidance
* * * * * Environmental Policy Act at 970.2201–1–2(a)(1) and (2). The
(Authority: 5 U.S.C. 552, 552a; 38 U.S.C. 501, F. Review Under Executive Order 13132 language in (h)(2) has been augmented
1781, 5701, 7332) G. Review Under the Unfunded Mandates by referencing the criteria at 10 CFR
[FR Doc. E8–3003 Filed 2–15–08; 8:45 am] Reform Act of 1995 710.8 that are used to grant or deny
BILLING CODE 8320–01–P
H. Review Under the Treasury and General access authorizations, by adding a
Government Appropriations Act, 1999 requirement that a candidate for a DOE
I. Review Under Executive Order 13211 access authorization must be tested to
J. Review Under the Treasury and General demonstrate the absence of any illegal
DEPARTMENT OF ENERGY Government Appropriations Act, 2001 drug, as defined in 10 CFR 707.4, and
K. Approval by the Office of the Secretary by directing contractors to select for
48 CFR Parts 904, 952 and 970
of Energy employment only those whom they
RIN 1991–AB71 believe can pass the rigorous
I. Background
Acquisition Regulation: Security background investigation required for
Clause Many DOE contractor and such positions. A new paragraph (h)(3)
subcontractor employees require access has been added making it clear that drug
AGENCY: Department of Energy. authorizations for access to classified testing is applicable to all employees on
ACTION: Notice of proposed rulemaking. information (Restricted Data, Formerly an applicant, random or ‘‘for cause’’
Restricted Data, or National Security basis. Paragraph (i), Criminal liability is
SUMMARY: The Department of Energy Information) or certain quantities of amended to add ‘‘special nuclear
(DOE) is proposing to amend the special nuclear material in order to material, and other Government
Department of Energy Acquisition perform official duties. Section 904.404 property’’ to ‘‘classified information’’ as
Regulation (DEAR) to revise the security is being revised to add a requirement in items the contractor must protect.
clause used in all contracts and paragraph (d)(1) that the security clause Paragraph (j), Foreign Ownership,
subcontracts involving access is required in any contract that will Control or Influence, is amended by
authorizations to specifically require involve contractor employees’ access to moving the flow down to subcontracts
background checks and tests for the special nuclear material. That requirement of (j)(4) to (l) and
absence of any illegal drug, as defined requirement reflects past DOE practice redesignating paragraph (j)(5) as (j)(4).
in DOE regulations of uncleared and is being added to make the New paragraph (k), Employment
personnel (employment applicants and instruction clear and complete. Section announcements, requires that
current employees) who will require 952.204–2, Security requirements, is contractors include a notice in vacancy
access authorizations. Background revised by changing the title of the announcements for positions requiring
checks would not be required for section to ‘‘Security’’ and by revising its access authorizations that background
applicants for DOE access authorization introductory text to conform to the more checks and testing for the absence of
who possess a current access recent Federal Acquisition Regulation any illegal drug, as defined in 10 CFR
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authorization from another Federal format. Some of the requirements at 707.4, will be performed, and that the
agency. 970.2201–1–2 are appropriate to other Federal government may conduct a
DATES: Written comments on the types of contracts if access background investigation, subsequent
proposed rulemaking must be received authorizations are required, so language reinvestigations, and, in the case of
on or before close of business March 20, at 970.2201–1–2 is being restated in the counterintelligence positions (as
2008. security clause. defined in 10 CFR 709.3), a

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