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The commenter stated that this indicates that the threshold of 200 completed surveys is not feasible

We have examined the OPPS and ASC provisions included in this final rule with comment period in accordance with Executive Order 13132, Federalism, and have determined that they will not have a substantial direct effect on State, local, or tribal governments, preempt State law, or otherwise have a federalism implication

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Vitamin B12 Vitamin B12 is found in foods such as beef, poultry, fish, eggs, and milk