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to Congress. By the form, broadcast Dated: March 18, 2020. DEPARTMENT OF HEALTH AND licensees and permittees identify Sarah L. Stewart, HUMAN SERVICES employees by gender and race/ethnicity Deputy General Counsel, Federal Mine Safety in ten specified major job categories in and Health Review Commission. Centers for Disease Control and Prevention the form. [FR Doc. 2020–06113 Filed 3–23–20; 8:45 am] Federal Communications Commission. BILLING CODE 6735–01–P No Sail Order and Suspension of Cecilia Sigmund, Further Embarkation Federal Register Liaison Officer, Office of the Secretary. AGENCY: Centers for Disease Control and [FR Doc. 2020–06154 Filed 3–23–20; 8:45 am] FEDERAL RESERVE SYSTEM Prevention (CDC), Department of Health BILLING CODE 6712–01–P and Human Services (HHS). Formations of, Acquisitions by, and ACTION: Notice. Mergers of Bank Holding Companies SUMMARY: The Centers for Disease FEDERAL MINE SAFETY AND HEALTH The companies listed in this notice Control and Prevention (CDC), a REVIEW COMMISSION component of the Department of Health have applied to the Board for approval, and Human Services (HHS), announces Temporary Suspension of In-Person pursuant to the Bank Holding Company Hearings the issuance of a No Sail Order and Act of 1956 (12 U.S.C. 1841 et seq.) Suspension of Further Embarkation on AGENCY: Federal Mine Safety and Health (BHC Act), Regulation Y (12 CFR part March 14, 2020 for all cruise ships that Review Commission. 225), and all other applicable statutes are not voluntarily suspending and regulations to become a bank ACTION: Notice. operation. holding company and/or to acquire the DATES: This action was effective March SUMMARY: The Federal Mine Safety and assets or the ownership of, control of, or 14, 2020. Health Review Commission (the the power to vote shares of a bank or FOR FURTHER INFORMATION CONTACT: ‘‘Commission’’) is temporarily bank holding company and all of the Jennifer Buigut, Division of Global suspending all in-person hearings, and banks and nonbanking companies Migration and Quarantine, Centers for settlement judge conferences and owned by the bank holding company, mediations. Disease Control and Prevention, 1600 including the companies listed below. Clifton Road NE, MS V18–2, Atlanta, DATES: Applicable: March 18, 2019. The applications listed below, as well GA 30329. Phone: 404–498–1600. FOR FURTHER INFORMATION CONTACT: as other related filings required by the Email: [email protected]. Sarah Stewart, Deputy General Counsel, Board, if any, are available for SUPPLEMENTARY INFORMATION: On March Office of the General Counsel, Federal immediate inspection at the Federal 14, 2020, the Director of the Centers for Mine Safety and Health Review Reserve Bank indicated. The Disease Control and Prevention issued Commission, at (202) 434–9935. applications will also be available for the following No Sail Order and Other SUPPLEMENTARY INFORMATION: Pursuant inspection at the offices of the Board of Measures Related to Operations. A copy to guidance issued by the Office of Governors. Interested persons may of the order is provided below and a Management and Budget (M–20–16) and express their views in writing on the copy of the signed order can be found in view of the risks presented by the standards enumerated in the BHC Act at https://www.cdc.gov/quarantine/ novel coronavirus COVID–19, the (12 U.S.C. 1842(c)). cruise/index.html. Commission’s Office of the Chief U.S. Department of Health and Human Administrative Law Judges (‘‘OCALJ’’) Comments regarding each of these Services Centers for Disease Control is, effective March 18, 2019, suspending applications must be received at the and Prevention (CDC) Order Under all in-person hearings, and settlement Reserve Bank indicated or the offices of Sections 361 & 365 of the Public Health judge conferences and mediations until the Board of Governors, Ann E. Service Act (42 U.S.C. 264, 268) and 42 Friday, April 30, 2020. Misback, Secretary of the Board, 20th With the consent of the parties and in Street and Constitution Avenue NW, Code of Federal Regulations Part 70 (Interstate) and Part 71 (Foreign): No coordination with the presiding Washington, DC 20551–0001, not later Sail Order and Other Measures Related administrative law judge, hearings may than April 22, 2020. to Operations continue by telephone or other means. A. Federal Reserve Bank of Richmond Similarly, settlement judge conferences (Adam M. Drimer, Assistant Vice Applicability and mediations may be held by President) 701 East Byrd Street, This Notice of No Sail Order and telephone or by other means. If the Richmond, Virginia 23219. Comments Other Measures Related to Operations parties agree that an in-person can also be sent electronically to or shall apply only to the subset of evidentiary hearing is not needed, cases [email protected]: carriers 1 described below and may also be presented for a decision on hereinafter referred to as ‘‘cruise ships,’’ the record. 1. CSBH, LLC, Baltimore, Maryland; to except this Order shall not apply to any The parties will be notified if the become a bank holding company that voluntarily suspends hearing needs to be rescheduled. OCALJ through the acquisition of New Horizon operations for the period of this Order: will reassess the risks presented by in- Bank, National Association, Powhatan, All commercial, non-cargo,2 person hearings prior to April 30, 2020, Virginia. passenger-carrying vessels operating in and issue a subsequent order informing Board of Governors of the Federal Reserve the public as to whether the suspension 1 System, March 18, 2020. Carrier is defined by 42 CFR 71.1 to mean ‘‘a of in-person hearings will continue. ship, aircraft, train, road vehicle, or other means of The presiding administrative law Yao-Chin Chao, transport, including military.’’ judge may be contacted with questions Assistant Secretary of the Board. 2 Given the substantial risk of person-to-person transmission of COVID–19, as opposed to regarding this notice. [FR Doc. 2020–06094 Filed 3–23–20; 8:45 am] transmission via indirect contact, this Order is Authority: 30 U.S.C. 823. BILLING CODE P currently limited to passenger, non-cargo vessels.

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international, interstate, or intrastate International Health Regulations. The borders with ease. For example, the waterways and subject to the following day, the Secretary of the Islamic Republic of Iran has seeded at jurisdiction of the United States with Department of Health and Human least 97 COVID–19 cases in 11 other the capacity to carry 250 3 or more Services (HHS) declared that COVID–19 countries, as reported by the WHO, and individuals (passengers and crew) with constitutes a public health emergency as of March 9, 2020, the Schengen Area an itinerary anticipating an overnight under the Public Health Service Act. To of Europe has exported 201 COVID–19 stay onboard or a twenty-four (24) hour date, CDC has issued Level 3 Travel cases to 53 countries. stay onboard for either passengers or Health Notices recommending that In the United States, community crew.4 travelers avoid all nonessential travel to transmission has occurred in China, Iran, South Korea, and most of Washington State, California, and New General Background Europe; the U.S. Department of State York. CDC is closely monitoring COVID–19 is a communicable disease has issued a global Level 3 Health COVID–19 transmission and is caused by a novel (new) coronavirus, Advisory directing U.S. citizens to supporting state and local health SARS–CoV–2, that was first identified reconsider all travel abroad due to the departments in conducting contact as the cause of an outbreak of global impact of COVID–19 and Level 4 tracing investigations of confirmed respiratory illness that began in Wuhan, Travel Advisories (Do Not Travel) for COVID–19 cases identified in the China. The virus is thought to spread China, Iran, and certain parts of Italy. In United States. These investigations are primarily by person-to-person contact addition, CDC has recommended that complex and resource intensive; through respiratory droplets produced travelers, particularly those with persons identified as infected or at-risk when an infected person coughs or underlying health conditions, avoid all can require observation, movement sneezes; it may also spread through cruise ship travel worldwide; the U.S. restriction (such as isolation or contact with contaminated surfaces or Department of State has similarly issued quarantine), clinical evaluation, and objects. Manifestations of severe disease guidance that U.S. citizens should not care. Public health authorities in the have included severe pneumonia, acute travel by cruise ship at this time. As of United States are working concurrently respiratory distress syndrome (ARDS), March 11, 2020, the President of the to contain the spread of the disease and septic shock, and multi-organ failure. United States has suspended entry to mitigate its impact. According to the World Health the U.S. by most foreign nationals who Risk of Transmission on Cruise Ships Organization (WHO), approximately have recently visited China, Iran, and Cruise ships often involve the 3.6% of reported COVID–19 cases have most of Europe due to COVID–19. On movement of a number of people in resulted in death globally. This March 11, 2020, the WHO declared the closed and semi-closed settings. Cruises mortality rate is higher among the COVID–19 outbreak a pandemic. As of elderly or those with compromised vary in size, with larger cruises March 13, 2020, there have been over involving populations of more than immune systems. Older adults and 132,000 cases of COVID–19 globally in people who have severe chronic 4,000 passengers and crew. Like other over 122 locations resulting in over close-contact environments, cruise ships medical conditions like heart, lung, or 4,950 deaths; more than 1,620 cases kidney disease are also at higher risk for facilitate transmission of COVID–19. have been identified in the United There are several features of cruise more serious COVID–19 illness. Early States, with new cases being reported ships that increase the risk of COVID– data suggest older people are twice as daily and over 41 deaths due to the 19 transmission. A hallmark of cruise likely to have serious COVID–19 illness. disease. A Presidential Declaration of travel is the number and variety of On January 30, 2020, the Director National Emergency concerning person-to-person contacts an individual General of the WHO declared that the COVID–19 was issued on March 13, passenger may have daily. The outbreak of COVID–19 constitutes a 2020. dynamics of passenger-to-passenger, Public Health Emergency of Global efforts to slow transmission passenger-to-crew, crew-to-passenger, International Concern under the have included control measures and crew-to-crew intermingling in a with substantial societal and economic semi-closed setting are particularly 3 Based on substantial epidemiological evidence related to congregate settings and mass gatherings, impact. Countries such as Russia, conducive to SARS–CoV–2 spread, this Order suspends operation of vessels with the Australia, the Philippines, Japan, Israel, resulting in high transmission rates. capacity to carry 250 individuals or more. Evidence and the United States have imposed Cruises include frequent events that shows that settings as small as nursing homes or stringent restrictions on travelers who bring passengers and crew close movie theaters can proliferate the spread of a communicable disease. As the numbers of have recently been in China. Similar together, including group and buffet passengers and crew onboard a ship increases, travel restrictions have since been dining, entertainment events, and certain recommended mitigation efforts such as imposed on individuals from countries excursions. Cruise ship cabins are small, become more difficult to experiencing substantial outbreaks, increasing the risk of transmission implement. In light of the demonstrated rapid spread of this communicable disease in current including Iran, South Korea, and between cabinmates. Close quartering is cruise ship settings, application of this Order to Europe. In many countries, including a particular concern for crew, who vessels carrying 250 or more individuals is a the United States, citizens, permanent typically eat and sleep in small, prudent and warranted public health measure. residents, and their close relatives crowded spaces. Infection among crew Moreover, the management of current coronavirus cases in addition to existing seasonal care needs returning from areas known to have members may lead to transmission on (e.g., influenza) has placed an extreme burden on high rates of infection are being sequential cruises on the same vessel the public health and healthcare systems and this requested to self-quarantine for 14 days because crew members may continue Order will help avoid further stressing those (a period estimated to encompass the working and living onboard the ship systems. 4 This order shall not apply to vessels operated by incubation period for the virus) from one cruise to the next. Crew from a U.S. Federal or State government agency. Nor following return from countries with one ship may in turn serve onboard shall it apply to vessels being operated solely for sustained community transmission. multiple different ships for subsequent purposes of the provision of essential services, such Despite these unprecedented global voyages, which also has the potential to as the provision of medical care, emergency response, activities related to public health and efforts at containment, cases of COVID– amplify transmission. welfare, or government services, such as food, 19 have been shown to rapidly Transmission of COVID–19 on cruise water, and electricity. propagate, crossing international ships may also be amplified by

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difficulty decontaminating numerous returned home before any notifications evaluation and additional confirmed surfaces in common areas. about COVID–19 were provided, cases in multiple states/countries are Contamination of frequently touched potentially spreading the disease to anticipated. surfaces, such as door handles and their home communities. Evidence of The Director Has Reason To Believe faucets in public toilet rooms, elevator COVID–19 transmission onboard six That Cruise Ship Travel May Continue buttons, handrails in stairs and similar Nile River cruise ships, each To Introduce, Transmit, or Spread passageways, and utensils/dispensing carrying approximately 100 passengers, COVID–19 mechanisms (for beverages) in self- illustrates that even ships with service buffets, etc., is also likely to be moderate numbers of passengers and Cruise ship travel markedly increases a significant factor in transmission. Less crew onboard carry a substantial risk of the risk and impact of the COVID–19 obvious examples of frequently touched disease transmission and outbreak. disease outbreak within the United surfaces, include playing cards, slot The initial stages of the COVID–19 States. Disembarkation of passengers at machine levers, and chips in the casino; epidemic were marked by the outsized sequential ports may lead to disease computer keyboards in the internet cafe´; role of a single cruise ship, the Diamond transmission in those ports. Return of books, puzzles, and games in the library; Princess in Yokohama, Japan, which for disembarked infected passengers to gym equipment; counters and surfaces a period of 18 days was the setting for their communities could lead to in gift shops; and the cruise card used the largest number of cases outside the widespread disease transmission. Cases by passengers to pay/register for original epicenter in China. The that have been confirmed to date may everything on board and exit/enter the outbreak of COVID–19 onboard the have led to secondary transmission, ship in port. The high volume of people demonstrates the including in a healthcare worker. on board a cruise ship and wealth of speed and extent of disease Furthermore, the passenger high-touch surfaces make successful transmission that can occur onboard population of cruises often includes a control of this method of transmission cruise ships. Despite quarantine and substantial number of older adults, very difficult. isolation efforts, more than 700 cases of meaning there is higher risk for COVID– Moreover, the nature of cruise travel infection with the virus that causes 19 morbidity and mortality. Industry presents additional opportunities for COVID–19 were identified among trade publications report that 51% of spread of the disease to ports of calls Diamond Princess passengers and crew cruise ship passengers are over the age and passengers’ home communities. during the three weeks following the of 50. The median age of passengers During a cruise, disembarkation of identification of one case of COVID–19 onboard the Grand Princess Sailing B, passengers at sequential ports of call in a person who was symptomatic for example, was 66 and 1,200 under uncontrolled conditions may lead before leaving the ship. There are passengers on the ship were over age 70. to disease transmission in those ports. several cases of severe disease Given these demographics, many cruise Once a cruise concludes, passengers associated with the Diamond Princess, passengers are at high risk for severe residing in different countries or including at least six deaths. disease if they become infected. throughout the United States may Additionally, approximately half of the Beyond the risk to these individuals, require air transportation or other types infected passengers did not report the intensive care requirements for of common carriers to return home. symptoms at the time their infections cruise ship passengers with severe Return of disembarked infected were diagnosed. disease stresses a healthcare system passengers to their communities could On March 4, 2020, Placer County, already overburdened and facing a lead to widespread, interstate disease California officials reported the death of shortage of beds needed for influenza transmission. a passenger who had been onboard the and other seasonal and critical Quarantine and isolation measures are Grand Princess cruise ship during a healthcare conditions. The addition of difficult to implement effectively voyage from February 11–21, 2020 further cruise ship cases place onboard a cruise ship and only occur (Sailing A) and was a confirmed healthcare workers at substantial after an infection has already been COVID–19 case. As of March 7, 2020, increased risk. Specifically, these cases identified onboard a cruise. If ships are there were 22 presumptive positive divert medical resources away from at capacity, it may not be feasible to cases of COVID–19 among persons who persons with other medical problems fully separate ill and well persons were onboard Sailing A. The Grand and other COVID–19 cases, consuming onboard the ship, particularly among Princess left for a second precious diagnostics, therapeutics, and the crew. Because crew are required to sailing on February 21 (Sailing B). Sixty- protective equipment. Ongoing concerns continue working to keep a ship safely eight passengers and most of the crew with cruise ship transmission also draw operating, effective quarantine for crew from Sailing A were also on Sailing B. valuable resources away from the is particularly challenging. While testing of those who were immense Federal, state, and local effort onboard Sailing B continues, to date, 22 to contain and mitigate the spread of Already Observed Impact of Cruise Ship crew and 8 passengers have tested COVID–19. Safely evacuating, triaging, Travel in General and in the U.S. positive for COVID–19. As a result of quarantining, and repatriating cruise Cruise ship travel has already been the outbreak onboard the Grand ship passengers involves complex associated with a number of COVID–19 Princess, the Federal government logistics, incurs financial costs at all clusters and outbreaks, including on the engaged in a massive effort to disembark levels of government, and diverts Diamond Princess (Asia) and the Grand and quarantine American passengers resources away from larger efforts to Princess (California to Mexico, from the ship on four military bases to suppress or mitigate the virus. California to ). The threat of help prevent further transmission to the spread is not limited to larger cruise passengers’ home communities. Coordination Efforts With the Cruise ships. An outbreak onboard a Nile River Passengers from Sailing A were from Ship Industry cruise with 171 passengers and crew (29 more than 30 U.S. states and 25 To address the continued and of which were American citizens) countries; Sailing B included passengers significant risks and burdens posed by resulted in 45 confirmed COVID–19 from over 50 countries. More than 70 ongoing cruise ship operations, CDC cases (3 of which are American persons from this voyage have reported and other Federal agencies have citizens). Many of these passengers symptoms and require assessment and engaged with representatives from

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Cruise Lines International Association of COVID–19. The scope of this 7. This order does not prevent the (‘‘CLIA’’), the leading industry trade pandemic is inherently and necessarily periodic reboarding of the ship by HHS/ group. To that end, CLIA members and a problem that is international and CDC personnel and/or USCG and/or certain individual cruise lines have interstate in nature, and cannot be other Federal, state, or local agencies or voluntarily taken steps to try to mitigate controlled sufficiently by the cruise ship the taking on of ships’ stores and the impact of the spread of COVID–19. industry or individual state or local provisions under the supervision of On March 13, 2020, CLIA and their health authorities. Accordingly, under HHS/CDC personnel and/or USCG. associated members announced that all 42 CFR 70.2, the Director determines 8. This order does not prevent the member cruise lines would voluntarily that measures taken or likely to be taken ship from taking actions necessary to suspend cruise ship operations from by state and local health authorities maintain the seaworthiness or safety of U.S. ports of call for 30 days as public regarding COVID–19 onboard cruise the ship, or the safety of harbor health officials and the Federal ships are inadequate to prevent the conditions, such as movement to government continue to address further interstate spread of the disease. establish safe anchorage, or as otherwise COVID–19. The Federal government The Director further determines that directed by USCG personnel. recognizes the enormity and importance this Order provides public health CDC may modify this order by an of this action taken by CLIA and the authorities, in concert with the cruise updated publication in the Federal commitment it demonstrates to ship industry, the necessary pause in Register or by posting an advisory to protecting the health of both cruise ship operations to develop and implement an follow at www.cdc.gov. passengers and the public at large. appropriate and robust plan to prevent Authority Following the example set by CLIA and mitigate the spread of COVID–19, members, additional cruise lines have and acts to prevent the spread of the The authority for these orders is also voluntarily suspended operations disease and ensure cruise ship Sections 361 and 365 of the Public from U.S. ports of call. Although the passenger and crew health. Health Service Act (42 U.S.C. 264, 268) CLIA members and the additional cruise Therefore, in accordance with and 42 CFR 70.2, 71.32(b). lines implementing a voluntary Sections 361 and 365 of the Public Dated: March 19, 2020. suspension of operations represent a Health Service Act (42 U.S.C. 264, 268) Robert R. Redfield, and 42 CFR 70.2, 71.32(b), for all cruise large majority of the cruise industry, not Director, Centers for Disease Control and all cruise lines or ships have announced ships not voluntarily suspending Prevention. a voluntary suspension of operations or operations for the period described [FR Doc. 2020–06166 Filed 3–23–20; 8:45 am] that they will follow the important below, it is ordered: example set by CLIA members. This 1. Cruise ship operators shall be BILLING CODE 4163–18–P Order is intended to cover and allowed to disembark passengers and specifically apply to those cruise lines crew members at ports or stations only DEPARTMENT OF HEALTH AND or ships that do not undertake a as directed by the United States Coast HUMAN SERVICES voluntary suspension of operations. As Guard (USCG), in consultation with a result, this Order specifically excludes HHS/CDC personnel and, as Centers for Medicare & Medicaid from applicability any cruise line or appropriate, as coordinated with Services ship that voluntarily suspends Federal, state, and local authorities. operations for the period of this Order, 2. Cruise ship operators shall not [Document Identifier: CMS–10468, CMS– as CLIA members have done. reembark any crew member, except as 10418, CMS–10488, CMS–R–290 and CMS– approved by USCG, in consultation with 10525] Findings and Immediate Action HHS/CDC personnel, until further Agency Information Collection Accordingly, and consistent with 42 notice. Activities: Proposed Collection; CFR 71.32(b), the Director of CDC 3. Cruise ship operators shall not Comment Request (‘‘Director’’) finds evidence to support a embark any new passengers or crew, reasonable belief that cruise ships are or except as approved by USCG, or other AGENCY: Centers for Medicare & may become infected or contaminated Federal authorities as appropriate, in Medicaid Services, HHS. with a quarantinable communicable consultation with HHS/CDC personnel. ACTION: Notice. disease.5 This reasonable belief is based 4. Cruise ship operators shall not on information from epidemiologic and commence or continue operations (e.g., SUMMARY: The Centers for Medicare & other data regarding the nature and shifting berths, moving to anchor, or Medicaid Services (CMS) is announcing transmission of COVID–19 on cruise discharging waste), except as approved an opportunity for the public to ships from the recent outbreaks onboard by USCG, in consultation with HHS/ comment on CMS’ intention to collect the Diamond Princess, Grand Princess, CDC personnel, until further notice. information from the public. Under the and other cruise ships. As a result, 5. While in port, the cruise ship Paperwork Reduction Act of 1995 (the cruise ship passengers may be infected operator shall observe health PRA), federal agencies are required to with or exposed to COVID–19 by virtue precautions as directed by HHS/CDC publish notice in the Federal Register of having been onboard a cruise ship at personnel. concerning each proposed collection of a time when cases of COVID–19 are 6. The cruise ship operator shall information (including each proposed being reported in significant numbers comply with all HHS/CDC, USCG, and extension or reinstatement of an existing globally and specifically on cruise other Federal agency instructions to collection of information) and to allow ships, when testing is available. The follow CDC recommendations and 60 days for public comment on the Director also finds that cruise ship guidance for any public health actions proposed action. Interested persons are travel may exacerbate the global spread relating to passengers, crew, ship, or any invited to send comments regarding our article or thing on board the ship, as burden estimates or any other aspect of 5 COVID–19 is a communicable disease for which needed, including by making ship’s this collection of information, including quarantine is authorized under Section 361 of the manifests and logs available and the necessity and utility of the proposed Public Health Service Act (42 U.S.C. 264) and 42 CFR 70.1, 71.1, as listed in Executive Order 13295, collecting any specimens for COVID–19 information collection for the proper as amended by Executive Orders 13375 and 13674. testing. performance of the agency’s functions,

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