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in new §303.303(c)(4) (proposed §303.302(c)(4)).

Comment: None.

Discussion: To clarify that primary referral sources may include not only public health facilities and other social service agencies, but also public health agencies that are neither public health facilities nor social service agencies, we have added a reference to public health

agencies in new §303.303(c)(7) (proposed §303.302(c)(7)).

For example, other public health or social service agencies may include the Maternal, Infant, and Early Childhood Home Visiting Program, under Title V of the Social Security Act, as amended, or the Early Hearing Detection and Intervention (EHDI) systems administered by the Centers for Disease Control.

Changes: We have added the phrase “public health or”

before the words “social service agencies” in new

§303.303(c)(7) (proposed §303.302(c)(7)).

Forty-five day timelines (new §303.310)(proposed


Comment: We received a large number of comments, questions, and recommendations regarding the 45-day

timeline requirement in proposed §303.320(e) that lead

agencies complete the initial evaluation, the initial assessments, and the initial IFSP meeting within 45 days