[Federal Register: December 23, 2009 (Volume 74, Number 245)]
[Notices]
[Page 68270-68271]
[DOCID:fr23de09-71]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2008-D-0399]

International Conference on Harmonisation; Guidance on Q4B
Evaluation and Recommendation of Pharmacopoeial Texts for Use in the
International Conference on Harmonisation Regions; Annex 5 on
Disintegration Test General Chapter; Availability

AGENCY:  Food and Drug Administration, HHS.

ACTION:  Notice.

-----------------------------------------------------------------------

SUMMARY:  The Food and Drug Administration (FDA) is announcing the
availability of a guidance entitled ``Q4B Evaluation and Recommendation
of Pharmacopoeial Texts for Use in the ICH Regions; Annex 5:
Disintegration Test General Chapter.'' The guidance was prepared under
the auspices of the International Conference on Harmonisation of
Technical Requirements for Registration of Pharmaceuticals for Human
Use (ICH). The guidance provides the results of the ICH Q4B evaluation
of the Disintegration Test General Chapter harmonized text from each of
the three pharmacopoeias (United States, European, and Japanese)
represented by the Pharmacopoeial Discussion Group (PDG). The guidance
conveys recognition of the three pharmacopoeial methods by the three
ICH regulatory regions and provides specific information regarding the
recognition.

The guidance is intended to recognize the interchangeability between
the local regional pharmacopoeias, thus avoiding redundant testing in
favor of a common testing strategy in each regulatory region. In the
Federal Register of February 21, 2008 (73 FR 9575), FDA made available
a guidance on the Q4B process entitled ``Q4B Evaluation and
Recommendation of Pharmacopoeial Texts for Use in the ICH Regions.''

DATES:  Submit written or electronic comments on agency guidance at any
time.

ADDRESSES:  Submit written requests for single copies of the guidance
to the Division of Drug Information (HFD-240), Center for Drug
Evaluation and Research, Food and Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, rm. 2201, Silver Spring, MD 20993-0002; or
the Office of Communication, Outreach and Development (HFM-40), Center
for Biologics Evaluation and Research (CBER), Food and Drug
Administration, 1401 Rockville Pike, suite 200N, Rockville, MD 20852-
1448. The guidance may also be obtained by mail by calling CBER at 1-
800-835-4709 or<PHONE_NUMBER>. Send two self-addressed adhesive labels
to assist the office in processing your requests. Requests and comments
should be identified with the docket number found in brackets in the
heading of this document. Submit written comments on the guidance to
the Division of Dockets Management (HFA-305), Food and Drug
Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852.
Submit electronic comments to http://www.regulations.gov. See the
SUPPLEMENTARY INFORMATION section for electronic access to the guidance
document.

FOR FURTHER INFORMATION CONTACT:
    Regarding the guidance: Robert H. King, Sr., Center for Drug
Evaluation and Research (HFD-003), Food and Drug Administration, 10903
New Hampshire Ave., Bldg. 51, rm. 4150, Silver Spring, MD 20993-0002,
301-796-1242; or Christopher Joneckis, Center for Biologics Evaluation
and Research (HFM-25), Food and Drug Administration, 1401 Rockville
Pike, suite 200N, Rockville, MD 20852-1448,<PHONE_NUMBER>.
    Regarding the ICH: Michelle Limoli, Office of International
Programs (HFG-1), Food and Drug Administration, 5600 Fishers Lane,
Rockville, MD 20857,<PHONE_NUMBER>.

SUPPLEMENTARY INFORMATION:

I. Background

    In recent years, many important initiatives have been undertaken by
regulatory authorities and industry associations to promote
international harmonization of regulatory requirements. FDA has
participated in many meetings designed to enhance harmonization and is
committed to seeking scientifically based harmonized technical
procedures for pharmaceutical development. One of the goals of
harmonization is to identify and then reduce differences in technical
requirements for drug development among regulatory agencies.
    ICH was organized to provide an opportunity for tripartite
harmonization initiatives to be developed with input from both
regulatory and industry representatives. FDA also seeks input from
consumer representatives and others. ICH is concerned with
harmonization of technical requirements for the registration of
pharmaceutical products among three regions: The European Union, Japan,
and the United States. The six ICH sponsors are the European
Commission; the European Federation of Pharmaceutical Industries
Associations; the Japanese Ministry of Health, Labour, and Welfare; the
Japanese Pharmaceutical Manufacturers Association; the Centers for Drug
Evaluation and Research and Biologics Evaluation and Research, FDA; and
the Pharmaceutical Research and Manufacturers of America. The ICH
Secretariat, which coordinates the preparation of documentation, is
provided by the International Federation of Pharmaceutical
Manufacturers Associations (IFPMA).
    The ICH Steering Committee includes representatives from each of
the ICH sponsors and the IFPMA, as well as observers from the World
Health Organization, Health Canada, and the European Free Trade Area.
    In the Federal Register of August 5, 2008 (73 FR 45466), FDA
published a notice announcing the availability of a draft tripartite
guidance entitled ``Q4B Evaluation and Recommendation of Pharmacopoeial
Texts for Use in the ICH Regions; Annex 5: Disintegration Test General
Chapter.'' The notice gave interested persons an opportunity to submit
comments by October 6, 2008.
    After consideration of the comments received and revisions to the
guidance, a final draft guidance entitled ``Q4B Evaluation and
Recommendation of Pharmacopoeial Texts for Use in the ICH Regions;
Annex 5: Disintegration Test General Chapter'' was submitted to the ICH
Steering Committee and endorsed by the three participating regulatory
agencies in June 2009.
    The guidance provides the specific evaluation outcome from the ICH
Q4B process for the Disintegration Test General Chapter harmonization
proposal originating from the three-party PDG. This guidance is in the
form of an annex to the core ICH Q4B guidance. When implemented, the
annex will provide guidance for industry and regulators on the use of
the specific pharmacopoeial texts evaluated by the ICH Q4B process.
Following receipt of comments on the draft, no substantive changes were
made to the annex.
    This guidance is being issued consistent with FDA's good guidance
practices regulation (21 CFR 10.115). The guidance represents the
agency's current thinking on this topic. It does not create or confer
any rights for or on any person and does not operate to bind FDA or the
public. An alternative approach may be used if such approach satisfies
the requirements of the applicable statutes and regulations.

II. Comments

    Interested persons may, at any time, submit to the Division of
Dockets Management (see ADDRESSES) written comments on the guidance.
Submit a single copy of electronic comments or two paper copies of any
mailed comments, except that individuals may submit one paper copy.
Comments are to be identified with the docket number found in brackets
in the heading of this document. Received comments may be seen in the
Division of Dockets Management between 9 a.m. and 4 p.m., Monday
through Friday.

III. Electronic Access

    Persons with access to the Internet may obtain the document at
http://www.regulations.gov, http://www.fda.gov/Drugs/
GuidanceComplianceRegulatoryInformation/Guidances/default.htm, or
http://www.fda.gov/BiologicsBloodVaccines/
GuidanceComplianceRegulatoryInformation/Guidances/default.htm.

    Dated: December 17, 2009.
David Dorsey,
Acting Deputy Commissioner for Policy, Planning, and Budget.
[FR Doc. E9-30441 Filed 12-22-09; 8:45 am]

BILLING CODE 4160-01-S


[Federal Register Volume 86, Number 151 (Tuesday, August 10, 2021)]
[Proposed Rules]
[Pages 43617-43618]
[FR Doc No: 2021-16846]

-----------------------------------------------------------------------

ENVIRONMENTAL PROTECTION AGENCY

40 CFR Part 52

[EPA-R07-OAR-2021-0475; FRL-8754-01-R7]

Air Plan Approval; Missouri; Restriction of Emissions From Batch-
Type Charcoal Kilns

AGENCY: Environmental Protection Agency (EPA).

ACTION: Proposed rule.

-----------------------------------------------------------------------

SUMMARY: The Environmental Protection Agency (EPA) is proposing
approval of a State Implementation Plan (SIP) revision submitted by
Missouri on January 19, 2021. Missouri requests that the EPA approve
into Missouri's SIP revisions to its rule related to control of
emissions from Batch-Type Charcoal Kilns. These revisions correct an
erroneous reference, update, correct and clarify references to test
methods, remove unnecessary words, and make other grammatical and
typographical corrections. These revisions are administrative in nature
and do not impact the stringency of the SIP or have an adverse impact
to air quality. The EPA's proposed approval of this rule revision is
being done in accordance with the requirements of the Clean Air Act
(CAA).

DATES: Comments must be received on or before September 9, 2021.

ADDRESSES: You may send comments, identified by Docket ID No. EPA-R07-
OAR-2021-0475 to https://www.regulations.gov. Follow the online
instructions for submitting comments.
    Instructions: All submissions received must include the Docket ID
No. for this rulemaking. Comments received will be posted without
change to https://www.regulations.gov/, including any personal
information provided. For detailed instructions on sending comments and
additional information on the rulemaking process, see the ``Written
Comments'' heading of the SUPPLEMENTARY INFORMATION section of this
document.

FOR FURTHER INFORMATION CONTACT: Robert F. Webber, Environmental
Protection Agency, Region 7 Office, Air Permitting and Standards
Branch, 11201 Renner Boulevard, Lenexa, Kansas 66219; telephone number:
(913) 551-7251; email address<EMAIL_ADDRESS>
SUPPLEMENTARY INFORMATION: Throughout this document ``we,'' ``us,'' and
``our'' refer to the EPA.

Table of Contents

I. Written Comments
II. What is being addressed in this document?
III. Have the requirements for approval of a SIP revision been met?
IV. What action is the EPA proposing to take?
V. Incorporation by Reference
VI. Statutory and Executive Order Reviews

I. Written Comments

    Submit your comments, identified by Docket ID No. EPA-R07-OAR-2021-
0475, at https://www.regulations.gov. Once submitted, comments cannot
be edited or removed from Regulations.gov. The EPA may publish any
comment received to its public docket. Do not submit electronically any
information you consider to be Confidential Business Information (CBI)
or other information whose disclosure is restricted by statute.
Multimedia submissions (audio, video, etc.) must be accompanied by a
written comment. The written comment is considered the official comment
and should include discussion of all points you wish to make. The EPA
will generally not consider comments or comment contents located
outside of the primary submission (i.e. on the web, cloud, or other
file sharing system). For additional submission methods, the full EPA
public comment policy, information about CBI or multimedia submissions,
and general guidance on making effective comments, please visit https://www.epa.gov/dockets/commenting-epa-dockets.

II. What is being addressed in this document?

    The EPA is proposing to approve revisions to the Missouri SIP
received on January 19, 2021. The revisions are to Title 10, Division
10 of the Code of State Regulations (CSR), 10 CSR 10-6.330
``Restriction of Emissions From Batch-Type Charcoal Kilns'' which
establishes emission limits for batch-type charcoal kilns based on
operational parameters that reflect the Best Available Control
Technology (BACT) for this industry as of August 20, 1997. These
revisions correct an erroneous reference to 10 CSR 10-6.030(21),
update, correct and clarify references to test methods, remove
unnecessary words, and make other grammatical and typographical
corrections. These revisions are described in detail in the technical
support document (TSD) included in the docket for this action.
    Missouri received no comments during the state public comment
period. The EPA is proposing to approve the revisions to this rule
because it will not have a negative impact on air quality.

III. Have the requirements for approval of a SIP revision been met?

    The State submission has met the public notice requirements for SIP
submissions in accordance with 40 CFR 51.102. The submission also
satisfied the completeness criteria of 40 CFR part 51, appendix V. The
State provided public notice on this SIP revision from September 16,
2019 to December 10, 2019 and received no comments on this rulemaking.
As explained above, the revision meets the substantive SIP requirements
of the CAA, including section 110 and implementing regulations.

IV. What action is the EPA proposing to take?

    The EPA is proposing to approve Missouri's request to revise 10 CSR
10-6.330. The EPA is soliciting comment on the substantive and
administrative revisions detailed in this proposal and the TSD. The EPA
is not soliciting comment on existing rule text that has been
previously approved by the EPA into the SIP. Final rulemaking will
occur after consideration of any comments.

V. Incorporation by Reference

    In this document, the EPA is proposing to include regulatory text
in an EPA final rule that includes incorporation by reference. In
accordance with requirements of 1 CFR 51.5, the EPA is proposing to
incorporate by reference the Missouri Regulation described in the
proposed amendments to 40 CFR part 52 set forth below. The EPA has
made, and will continue to make, these materials generally available
through www.regulations.gov and at the EPA Region 7 Office (please
contact the person identified in the FOR FURTHER INFORMATION CONTACT
section of this preamble for more information).

VI. Statutory and Executive Order Reviews

    Under the CAA, the Administrator is required to approve a SIP
submission

that complies with the provisions of the Act and applicable Federal
regulations. 42 U.S.C. 7410(k); 40 CFR 52.02(a). Thus, in reviewing SIP
submissions, the EPA's role is to approve state choices, provided that
they meet the criteria of the CAA. Accordingly, this action merely
approves state law as meeting Federal requirements and does not impose
additional requirements beyond those imposed by state law. For that
reason, this action:
     Is not a significant regulatory action subject to review
by the Office of Management and Budget under Executive Orders 12866 (58
FR 51735, October 4, 1993) and 13563 (76 FR 3821, January 21, 2011);
     Does not impose an information collection burden under the
provisions of the Paperwork Reduction Act (44 U.S.C. 3501 et seq.);
     Is certified as not having a significant economic impact
on a substantial number of small entities under the Regulatory
Flexibility Act (5 U.S.C. 601 et seq.);
     Does not contain any unfunded mandate or significantly or
uniquely affect small governments, as described in the Unfunded
Mandates Reform Act of 1995 (Pub. L. 104-4);
     Does not have Federalism implications as specified in
Executive Order 13132 (64 FR 43255, August 10, 1999);
     Is not an economically significant regulatory action based
on health or safety risks subject to Executive Order 13045 (62 FR
19885, April 23, 1997);
     Is not a significant regulatory action subject to
Executive Order 13211 (66 FR 28355, May 22, 2001);
     Is not subject to requirements of the National Technology
Transfer and Advancement Act (NTTA) because this rulemaking does not
involve technical standards; and
     Does not provide EPA with the discretionary authority to
address, as appropriate, disproportionate human health or environmental
effects, using practicable and legally permissible methods, under
Executive Order 12898 (59 FR 7629, February 16, 1994).
    The SIP is not approved to apply on any Indian reservation land or
in any other area where EPA or an Indian tribe has demonstrated that a
tribe has jurisdiction. In those areas of Indian country, the rule does
not have tribal implications and will not impose substantial direct
costs on tribal governments or preempt tribal law as specified by
Executive Order 13175 (65 FR 67249, November 9, 2000).

List of Subjects in 40 CFR Part 52

    Environmental protection, Air pollution control, Carbon monoxide,
Incorporation by reference, Particulate matter, Volatile organic
compounds.

    Dated: July 30, 2021.
Edward H. Chu,
Acting Regional Administrator, Region 7.

    For the reasons stated in the preamble, EPA proposes to amend 40
CFR part 52 as set forth below:

PART 52--APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS

0
1. The authority citation for part 52 continues to read as follows:

    Authority:  42 U.S.C. 7401 et seq.

Subpart AA--Missouri

0
2. In Sec.  52.1320, the table in paragraph (c) is amended by revising
the entry ``10-6.330'' to read as follows:

Sec.  52.1320  Identification of plan.

* * * * *
    (c) * * *

                                        EPA-Approved Missouri Regulations
----------------------------------------------------------------------------------------------------------------
                                                         State
     Missouri citation                Title            effective      EPA approval date         Explanation
                                                         date
----------------------------------------------------------------------------------------------------------------
                                    Missouri Department of Natural Resources
----------------------------------------------------------------------------------------------------------------

                                                  * * * * * * *
----------------------------------------------------------------------------------------------------------------
    Chapter 6--Air Quality Standards, Definitions, Sampling and Reference Methods, and Air Pollution Control
                                      Regulations for the State of Missouri
----------------------------------------------------------------------------------------------------------------

                                                  * * * * * * *
10-6.330...................  Restriction of            7/30/2020   [Date of publication
                              Emissions From Batch-                 of the final rule in
                              Type Charcoal Kilns.                  the Federal
                                                                    Register], [Federal
                                                                    Register citation of
                                                                    the final rule].

                                                  * * * * * * *
----------------------------------------------------------------------------------------------------------------

* * * * *
[FR Doc. 2021-16846 Filed 8-9-21; 8:45 am]
BILLING CODE 6560-50-P


	TELEPHONE SCREENING TOOL        	OMB No. 2060-0086
                                    For Surveillance Class     		Expires (###)

VEHICLE CONTROL NUMBER                                              DATE

ADMINISTERED BY

OWNER'S NAME

STREET ADDRESS

CITY                                                         STATE            ZIP

(CALL NUMBER BELOW THAT IS MARKED WITH AN "X")

TELEPHONE (Home)  /           /            (Business) /          /

BEST TIME TO CALL

                             Privacy Act Statement

Title 42, United States Code, Section 7451, Compliance by vehicles and engines in actual use, authorizes the collection of this information.  The primary use is to provide an instrument by which individuals may indicate interest in and eligibility for participating in EPA's Light-Duty In-Use Testing Program.  Additional disclosures of this information may be made pursuant to published routine uses, including to appropriate agencies for law enforcement purposes and to contractors working for EPA who have a need to know in the course of that work.
Providing the requested information is voluntary, but failing to do so will result in EPA's inability to approve your participation in the Light-Duty In-Use Testing Program.

DATE OF CONTACT _______________________ TIME OF CONTACT  __________________

INDIVIDUAL CONTACTED_______________________________________________________

TO BE COMPLETED ___________________ DATE AND TIME OF COMPLETION___________

--------------------------------------------------------------------------------
Public reporting burden for this collection of information is estimated to vary from 1 to 60 minutes per response, with an average of 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency,40l M St., S.W.  Washington, DC.  20460; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC. 20503.

You have been selected from a list of vehicle owners living in the Detroit/Ann Arbor metropolitan area to participate in a study of vehicle emissions being conducted by the U.S. Environmental Protection Agency. Vehicle recruiting is done by Jacobs, a contractor to the U.S. Environmental Protection Agency.  Your participation in this program is strictly voluntary.  Testing may take approximately 2 to 4 weeks, occasionally longer.  Maintenance may be performed on your vehicle depending upon program requirements.
You will be given a list of any parts that are replaced.

You can choose to bring your vehicle to the EPA facility or we can pick it up at your convenience from your home or workplace during normal business hours.

The following are incentives for participating in our program:

You will be offered $20.00 per day and a loaner vehicle for every day your vehicle is at the National Vehicle and Fuels Emission Laboratory (NVFEL).  If you do not want a loaner vehicle, you will be offered $50.00 per day.  The compensation will be based on whole days, beginning with the day your vehicle arrives.  It will end one day after you are notified your car is ready for return. If you bring your vehicle to the EPA and it is rejected, you will receive a $20 payment before you leave.

If your incentive is $600 or more we are required to ask for your Social Security Number for tax purposes.  If you do not wish to provide your social security number, you have the option to cap the total incentive at $599.
Are you willing to provide your Social Security Number if your incentive is $600 or more?  YES    NO

If NO, would you like the option to cap your incentive at $599?  YES    NO

Are you willing to participate?  YES       NO

If you are not, may we ask why not? ______________________________________________

IF "NO" ELIMINATE THIS VEHICLE. THIS PERSON CANNOT PARTICIPATE IN THE PROGRAM.

          SENTENCES IN CAPITAL LETTERS ARE INSTRUCTIONS TO THE CLERK
                 AND ARE NOT INTENDED TO BE READ TO THE OWNER
                           IF RESPONSE IS POSITIVE:

For the purpose of this study, I am going to ask you some questions about your vehicle's maintenance and usage history.  Please have your maintenance records in front of you for reference during the following questions.  You should answer these questions to the best of your knowledge and indicate when you are not sure of something.

1.  a. What is the test group of your vehicle?  The engine family can be found on a Vehicle Emission Control Information decal located underside of the hood.

   /  /  Owner is unable to locate.

   /  /  Owner located.  TG# ____________________________

   /  /  Test group located when vehicle arrived at the Lab.

   TEST GROUP

   Engine Family must be =

   b. 	What is the vehicle identification number?

   	___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___

   c.	What is the model of your vehicle?  ____________________

   d. 	What kind of transmission does your vehicle have?  AUTOMATIC   MANUAL   OTHER

   	   If other, describe:_________________________________________________________

   e.	Is your vehicle air conditioned?  YES   NO

   f.	What mileage is indicated on your odometer? ____________________

	Has the odometer ever not functioned properly?    YES      NO

   	If yes, approximately how long (months/miles) was it inoperable? 	________________

   CONSULT EPA STAFF FOR ELIGIBILITY IF THE RESPONSE IS "YES" to f.

2. Has your vehicle's catalyst ever been replaced or removed?

   YES /  /        NO /  /

   IF "YES" CALL EPA STAFF FOR ELIGIBILITY.

3. a) Have you kept records of the maintenance and repairs performed on your vehicle?

   YES /  /      NO /  /

  b) To prepare for testing, the glove box and trunk will need to be opened by Jacobs and EPA personnel. Frequently, records pertaining to the vehicle's maintenance history are found in the vehicle. Will you allow all records (those provided by you and those found) to be reviewed and duplicated?

   YES /  /      NO /  /

4. a, EPA may need to share the VIN, maintenance records and answers to this questionnaire with the manufacturer so that the vehicle is correctly tested and the results understood.  Do you agree to this?

   YES /  /      NO /  /

b. Occasionally the manufacturer wants to test the vehicle.  If the manufacturer requests your contact information may we share it with the manufacturer?

   YES /  /      NO /  /

     IF RECORDS ARE AVAILABLE, INFORM OWNER THAT: It is important that they are brought to the lab for review and duplication.

5. Have you ever used any fuel other than that recommended by the manufacturer in your vehicle (eg. super unleaded, diesel, gasahol) ? YES /  /   NO /  /

If Yes, what have you used? ___________________________________________________________

How often have you used it? ___________________________________________________________

When was the last time you used it?______________________________________________________

6.  Has your vehicle:

	a) Been in an accident? 						YES /  /   NO /  /
	b) Had any engine repairs?					YES /  /   NO /  /
	c) Any vehicle modifications to the interior or exterior?		YES /  /   NO /  /
   If "yes" to any of the above, please describe:                                                                                ____________________________________________________________________________________________________________________________________________________________________________

Has your vehicle had any:
					           					DATE:
	d) Body work?				YES /  /   NO /  /	 ________________
	e) Glass repair or replacement?		YES /  /   NO /  /	 ________________
	f) Paintwork or detailing?  		YES /  /   NO /  /	 ________________
	g) Rustproofing or undercoating? 	YES /  /   NO /  /	 ________________
	h) Other?                    	YES /  /   NO /  /  _________________
   If "yes" to a  -  h above, please describe:                                                                                ____________________________________________________________________________________________________________________________________________________________________________

   i) New tires?				YES /  /   NO /  /

   Date and mileage of the most recent tire installed?  Date_________   Mileage___________

   	j) Any Tire repairs?	YES /  /   NO /  /

      Date and mileage of the most recent tire repair?   Date__________   Mileage____________

   IF "YES" TO ANY a) THROUGH j) ABOVE AND DATE IS LESS THAN 6 MONTHS FROM THE TIME OF THIS QUESTIONNAIRE, AND/OR 6,000 MILES SINCE A TIRE REPLACEMENT, CONSULT WITH EPA STAFF BEFORE ACCEPTING THIS VEHICLE.  IF "NO"  TO ALL, GO TO 7

   If a replacement part was installed, was it an original manufacturer part? YES /  /   NO /  /

   What was the approximate cost of the work done?

   Do you have any documentation of the work that was done?

7.  Is your vehicle equipped with a trailer hitch?    Yes ____ No ____

	Was the hitch installed by:   dealer   other

   How much total weight has been hauled?

   trailer + cargo = _____________________________________________

   IF YES, CONSULT WITH EPA STAFF BEFORE ACCEPTING THIS VEHICLE.

8.  Other information needed for this class.
    _______________________________________________________________________________
    ______________________________________________________________________________
    ______________________________________________________________________________

INFORM THE OWNER THAT:
 All valuables should be removed from the vehicle (including those in the glove box) prior to bringing the vehicle to the lab.

   INFORMATION UPDATE PAGEHAS ANY MAINTENANCE BEEN PERFORMED ON YOUR VEHICLE SINCE THE TIME THE TELEPHONE QUESTIONNAIRE WAS ADMINISTERED?  (I.E., OIL CHANGE, FILTERS CHANGED, SPARK PLUG CHANGE, ANY ADJUSTMENTS, ETC.)  Y  N

   If "YES", please complete the following:

   What was done?

   When was it done?

   What was the odometer reading?

   Where was it done?

 Has any other significant incident occurred since the questionnaire was administered?  (i.e., accident, operational problems, pulled trailer, vehicle rust proofed, etc.)  Y  N

      If "YES", please complete the following:

      What happened?

      When did it happen (include odometer reading)?

      How does it affect the vehicle now?

   _______________________________________________       _____________________
Participant Signature                       Date              Jacob's Representative

                                               VIN________________________________

State of ________________________________County of_____________________________

I, _________________________________________________________________________,

being first duly sworn, depose and say:

      I am the owner (   ) and/or joint owner (   ) and/or principal driver (   ) of the vehicle

described in this questionnaire and have personal knowledge of all matters discussed herein.

I have read the responses to the questions stated above, and such responses are true and accurate

to the best of my knowledge and belief.

                                    _______________________________________
                                                     (Signature)

                                          ___________________________
                                                       (Date)

Subscribed and affirmed before me, a Notary Public, and I hereby certify that I am duly

authorized by the laws of the State of Michigan, County of Washtenaw, to administer oaths.

__________________________________
            Notary Public

__________________________________		(Seal)
              (Date)

My commission expires: _________________
                           (Date)