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Federal Register/Vol. 80, No. 39/Friday, February 27, 2015

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Federal Register/Vol. 80, No. 39/Friday, February 27, 2015 Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Proposed Rules 10637 Environmental Policy Act of 1969 (b) Definition. authorization. If authorization to enter, (NEPA) (42 U.S.C. 4321–4370f), and (1) The term ‘‘designated transit through, anchor in, or remain in have made a preliminary determination representative’’ means Coast Guard the regulated area is granted by the that this action is one of a category of Patrol Commanders, including Coast Captain of the Port Savannah or a actions that do not individually or Guard coxswains, petty officers, and designated representative, all persons cumulatively have a significant effect on other officers operating Coast Guard and vessels receiving such authorization the human environment. This proposed vessels, and Federal, state, and local must comply with the instructions of rule involves waterway use restrictions officers designated by or assisting the the Captain of the Port Savannah or a that would be otherwise published as a Captain of the Port Savannah in the designated representative. Temporary Final Rule within the enforcement of the regulated area. (5) Coast Guard Marine Safety Unit Savannah Captain of the Port Zone. This (2) Hurricane Port Condition Savannah will attempt to notify the rule is categorically excluded from YANKEE. Set when weather advisories maritime community of periods during further review under paragraph 34(g) of indicate that sustained Gale Force which these safety zones will be in Figure 2–1 of the Commandant winds from a tropical or hurricane force effect via Broadcast Notice to Mariners Instruction. A preliminary storm are predicted to make landfall at or by on-scene designated environmental analysis checklist the port within 24 hours. representatives. supporting this determination and a (3) Hurricane Port Condition ZULU. (6) The Coast Guard will provide Categorical Exclusion Determination are Set when weather advisories indicate notice of the regulated area via available in the docket where indicated that sustained Gale Force winds from a Broadcast Notice to Mariners or by on- under ADDRESSES. We seek any tropical or hurricane force storm are scene designated representatives. comments or information that may lead predicted to make landfall at the port (7) This regulation does not apply to to the discovery of a significant within 12 hours. authorized law enforcement agencies (c) Regulations. environmental impact from this operating within the regulated area. (1) Hurricane Port Condition Dated: February 2, 2015. proposed rule. YANKEE. All commercial, oceangoing A.M. Beach, List of Subjects in 33 CFR Part 165 vessels and barges over 500 gross tons are prohibited from entering the Commander, U.S. Coast Guard, Captain of Harbors, Marine safety, Navigation the Port Savannah. (water), Reporting and recordkeeping regulated areas designated as being in Port Condition YANKEE; within 24 [FR Doc. 2015–04163 Filed 2–26–15; 8:45 am] requirements, Security measures, BILLING CODE 9110–04–P Waterways. hours of anticipated landfall of gale force winds (39mph) from tropical or For the reasons discussed in the hurricane force storm; or upon the Coast preamble, the Coast Guard proposes to Guard setting Port Condition YANKEE DEPARTMENT OF VETERANS amend 33 CFR part 165 as follows: for inbound ocean going commercial AFFAIRS PART 165—REGULATED NAVIGATION vessel traffic over 500 GT. Oceangoing 38 CFR Part 4 AREAS AND LIMITED ACCESS AREAS commercial vessel traffic outbound will be authorized to transit through the RIN 2900–AP13 ■ regulated areas until Port Condition 1. The authority citation for part 165 Schedule for Rating Disabilities; continues to read as follows: ZULU. (2) Hurricane Port Condition ZULU. Gynecological Conditions and Authority: 33 U.S.C. 1231; 46 U.S.C. All commercial, oceangoing vessels and Disorders of the Breast Chapter 701, 3306, 3703; 50 U.S.C. 191, 195; 33 CFR 1.05–1, 6.04–1, 6.04–6, 160.5; Pub. L. barges over 500 gross tons are AGENCY: Department of Veterans Affairs. 107–295, 116 Stat. 2064; Department of prohibited from entering the regulated ACTION: Proposed rule. Homeland Security Delegation No. 0170.1. areas designated as being in Port ■ 2. Add § 165.732 to read as follows: Condition ZULU; within 12 hours of SUMMARY: The Department of Veterans anticipated landfall of a tropical storm Affairs (VA) proposes to amend the § 165.732 Safety Zone; Marine Safety Unit or hurricane; or upon the Coast Guard portion of the VA Schedule for Rating Savannah Safety Zone for Heavy Weather setting Port Condition ZULU, unless Disabilities (VASRD or rating schedule) and other Natural Disasters, Savannah written permission is obtained from the that addresses gynecological conditions Captain of the Port Zone, Savannah, GA. Captain of the Port. All ship-to-shore and disorders of the breast. The purpose (a) Regulated Areas. The following cargo operations must cease six hours of these changes is to incorporate areas are established as safety zones prior to setting Port Condition Zulu. medical advances that have occurred during the specified conditions: (3) Emergency Waterway Restriction since the last review, update current (1) Savannah, GA. All waters within for Other Disasters. Any natural or other medical terminology, and provide clear the Port of Savannah, GA, encompassed disasters that are anticipated to affect evaluation criteria. The proposed rule within following locations: starting at the Captain of the Port Savannah area of reflects advances in medical knowledge, the demarcation line drawn across the responsibility will result in the recommendations from the seaward extremity of the Savannah prohibition of commercial vessel traffic Gynecological Conditions and Disorders River entrance, and encompassing all of transiting or remaining in any of the two of the Breast Work Group (Work Group), the waters of the Savannah River, regulated areas predicted to be affected which is comprised of subject matter Savannah GA. as designated by the Captain of the Port experts from both the Veterans Benefits (2) Brunswick, GA. All waters starting Savannah. Administration (VBA) and the Veterans at the demarcation line drawn across the (4) Persons and vessels desiring to Health Administration (VHA), and seaward extremity of the Savannah enter, transit through, anchor in, or comments from experts and the public River entrance, and encompassing all of remain in the regulated area may gathered as part of a public forum. The the waters of the Brunswick River, contact the Captain of the Port public forum, focusing on revisions to Brunswick GA. Savannah via telephone at (912) 247– the gynecological conditions and (3) All coordinates are North 0073, or a designated representative via disorders of the breast section of the American Datum 1983. VHF radio on channel 16, to request VASRD, was held on January 24, 2012. VerDate Sep<11>2014 16:15 Feb 26, 2015 Jkt 235001 PO 00000 Frm 00011 Fmt 4702 Sfmt 4702 E:\FR\FM\27FEP1.SGM 27FEP1 tkelley on DSK3SPTVN1PROD with PROPOSALS 10638 Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Proposed Rules DATES: Comments must be received on Diagnostic Code 7610 ‘‘Vulva, disease women during and after service is or before April 28, 2015. or injury of (including vulvovaginitis)’’ essential. Women who suffer premature loss of function in both ovaries are at ADDRESSES: Current diagnostic code 7610 Written comments may be increased risk for cardiovascular submitted through addresses impairments associated with disease or injury of the vulva. The vulva disease, stroke, lung cancer, cognitive www.Regulations.gov; by mail or hand- impairment or dementia, Parkinsonism, refers to the exterior anatomical portion delivery to Director, Regulation Policy osteoporosis, depressive or anxiety of the female genitalia and includes the and Management (02REG), Department symptoms, and sexual dysfunction. The clitoris. ‘‘Vulva,’’ Mayo Clinic, http:// of Veterans Affairs, 810 Vermont risks appear to be greater for women www.mayoclinic.org/vulva/img- Avenue NW., Room 1068, Washington, who are younger at the time of 20005974 (last visited June 20, 2014). To DC 20420; or by fax to (202) 273–9026. premature loss of ovarian function. provide clarity as to the applicability of Comments should indicate that they are Studies have shown that even women this diagnostic code and to promote submitted in response to ‘‘RIN 2900– who have both ovaries removed ‘‘after consistent and adequate evaluations, VA AP13—Schedule for Rating Disabilities; the onset of natural menopause had an proposes to update the title of this Gynecological Conditions and Disorders increased risk of deleterious outcomes.’’ of the Breast.’’ Copies of comments diagnostic code to specifically include Lynne T. Shuster et al., ‘‘Prophylactic received will be available for public injury or disease of the clitoris, in bilateral oophorectomy jeopardizes inspection in the Office of Regulation addition to the vulva. long-term health,’’ 18(4), American Policy and Management, Room 1068, Diagnostic Code 7615 ‘‘Ovary, disease, Society for Reproductive Medicine, between the hours of 8:00 a.m. and 4:30 injury, or adhesions of’’ Menopausal Medicine S1, S1–S5 (2010). p.m., Monday through Friday (except Currently, a male Veteran is entitled holidays). Please call (202) 461–4902 for Current diagnostic code 7615 to a 30 percent evaluation for service- an appointment. (This is not a toll-free addresses impairments associated with connected removal of one testicle when number.) In addition, during the disease, injury or adhesions of the the second testicle, for reasons comment period, comments may be ovaries. VA proposes to place a note unrelated to service, is absent or ceases viewed online through the Federal under diagnostic code 7615 to identify to function. 38 CFR 4.115b, Diagnostic two common diseases associated with Docket Management System (FDMS) at Code 7524, Note. However, the current ovarian dysfunction resulting in www.Regulations.gov. VASRD does not provide a similar abnormal menstrual cycles: evaluation for a female Veteran whose FOR FURTHER INFORMATION CONTACT: Dysmenorrhea and secondary second ovary is absent or ceases to Ioulia Vvedenskaya, Medical Officer, amenorrhea.
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