Peer Review Report Combined: Phase 1 + Phase 2 United States

download Peer Review Report Combined: Phase 1 + Phase 2 United States

of 111

Transcript of Peer Review Report Combined: Phase 1 + Phase 2 United States

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    1/111

    OJLBIJ ALRSD LG PRIG^VIRCGN[ IG@ C]NMIGOCLA KGALRDIPKLG ALR PI] VSRVL^C^

    Vccr Rcqkcw Rcvlrp Nldbkgc`8 Vmi~c 9 % Vmi~c 2

    SGKPC@ ^PIPC^

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    2/111

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    3/111

    Ojlbij Alrsdlg Prig~vircgn{

    ig` C}nmigocla Kgalrdipklg alr Pi}

    Vsrvl~c~ Vccr Rcqkcw~8Sgkpc` ^pipc~ 2699

    NLDBKGC@8 VMI^C 9 % VMI^C 2

    Hsgc 2699-rcajcnpkgo pmc jcoij ig` rcosjiplr{ aridcwlre

    i~ ip Acbrsir{ 2699+

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    4/111

    Pmk~ wlre k~ vsbjk~mc` lg pmc rc~vlg~kbkjkp{ la pmc ^cnrcpir{$Ocgcrij la pmc LCN@'Pmc lvkgklg~ c}vrc~~c` ig` irosdcgp~ cdvjl{c` mcrckg `l glp gcnc~~irkj{ rcajcnppmc laaknkij qkcw~ la pmc LCN@ lr la pmc olqcrgdcgp~ la kp~ dcdbcr nlsgprkc~ lrpml~c la pmc Ojlbij Alrsd lg Prig~vircgn{ ig` C}nmigoc la Kgalrdipklg alr Pi}Vsrvl~c~'

    K^BG ;?=$;2$10$99363$? -vrkgp+K^BG ;?=$;2$10$99361$0 -V@A+

    ^crkc~8 Ojlbij Alrsd lg Prig~vircgn{ ig` C}nmigoc la Kgalrdipklg alr Pi} Vsrvl~c~8 Vccr Rcqkcw~K^^G 229;$01=9 -vrkgp+K^^G 229;$01;] -lgjkgc+

    Nlrrkocg`i pl LCN@ vsbjknipklg~ di{ bc alsg` lg jkgc ip8 www'lcn`'lro,vsbjk~mkgo,nlrrkocg`i'

    LCN@ 2699

    [ls nig nlv{* `lwgjli` lr vrkgp LCN@ nlgpcgp alr {lsr lwg s~c* ig` {ls nig kgnjs`c c}ncrvp~ arld LCN@vsbjknipklg~* `ipibi~c~ ig` dsjpkdc`ki vrl`snp~ kg {lsr lwg `lnsdcgp~* vrc~cgpipklg~* bjlo~* wcb~kpc~ ig`pcinmkgo dipcrkij~* vrlqk`c` pmip ~skpibjc ineglwjc`odcgp la LCN@ i~ ~lsrnc ig` nlv{rkomp lwgcr k~ okqcg'Ijj rcysc~p~ alr vsbjkn lr nlddcrnkij s~c ig` prig~jipklg rkomp~ ~mlsj` bc ~sbdkppc` pl rkomp~Flcn`'lroRcysc~p~ alr vcrdk~~klg pl vmlplnlv{ vlrpklg~ la pmk~ dipcrkij alr vsbjkn lr nlddcrnkij s~c ~mijj bc i``rc~~c``krcnpj{ pl pmc Nlv{rkomp Njcirignc Ncgpcr -NNN+ ip kgalFnlv{rkomp'nld lr pmc Ncgprc arigik~ `c}vjlkpipklg `s`rlkp `c nlvkc -NAN+ ip nlgpinpFnanlvkc~'nld '

    Vjci~c nkpc pmk~ vsbjknipklg i~8LCN@ -2699+*Ojlbij Alrsd lg Prig~vircgn{ ig` C}nmigoc la Kgalrdipklg alr Pi} Vsrvl~c~ VccrRcqkcw~8 Sgkpc` ^pipc~ 26998 Nldbkgc`8 Vmi~c 9 % Vmi~c 2* Ojlbij Alrsd lg Prig~vircgn{ ig`C}nmigoc la Kgalrdipklg alr Pi} Vsrvl~c~8 Vccr Rcqkcw~* LCN@ Vsbjk~mkgo'mppv8,,`}'`lk'lro,96'9?=?,;?=;210993610$cg

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    5/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    PIBJC LA NLGPCGP^ >

    Pibjc la Nlgpcgp~

    Iblsp pmc Ojlbij Alrsd ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 3

    C}cnspkqc ~sddir{ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ?

    Kgprl`snpklg ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '99

    Kgalrdipklg ig` dcpml`ljlo{ s~c` alr pmc vccr rcqkcw la pmc Sgkpc` ^pipc~ ' ' ' '99Lqcrqkcw la pmc Sgkpc` ^pipc~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 92Rcncgp `cqcjlvdcgp~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 9;

    Nldvjkignc wkpm pmc ^pig`ir`~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 2>

    I' Iqikjibkjkp{ la Kgalrdipklg ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 2>

    Lqcrqkcw ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 2>I'9' Lwgcr~mkv ig` k`cgpkp{ kgalrdipklg ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 23I'2'Innlsgpkgo rcnlr`~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 0?I'>' Bigekgo kgalrdipklg ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 31

    B' Innc~~ pl Kgalrdipklg ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 19

    Lqcrqkcw ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 19B'9' Nldvcpcgp Ispmlrkp{~ ibkjkp{ pl lbpikg ig` vrlqk`c kgalrdipklg ' ' ' ' ' ' ' ' 12B'2' Glpkaknipklg rcyskrcdcgp~ ig` rkomp~ ig` ~iacosir`~' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 1;

    N' C}nmigokgo Kgalrdipklg ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ?>

    Lqcrqkcw ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ?>N'9' C}nmigoc$la$kgalrdipklg dcnmigk~d~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ?0N'2' C}nmigoc$la$kgalrdipklg dcnmigk~d~ wkpm ijj rcjcqigp virpgcr~ ' ' ' ' ' ' ' ' ?;N'>' Nlgak`cgpkijkp{ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' =6N'0' Rkomp~ ig` ~iacosir`~ la pi}vi{cr~ ig` pmkr` virpkc~' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' =2N'3' Pkdcjkgc~~ la rc~vlg~c~ pl rcysc~p~ alr kgalrdipklg ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' =0

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    6/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    0 PIBJC LA NLGPCGP^

    ^sddir{ la @cpcrdkgipklg~ ig` Ainplr~ Sg`crj{kgo Rcnlddcg ipklg~ ' ' ' ;>

    Iggc} 98 Hsrk~`knpklg~ Rc~vlg~c pl pmc Rcqkcw Rcvlrp ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ;?

    Iggc} 28 Jk~p la ijj C}nmigoc$la$Kgalrdipklg Dcnmigk~d~ kg Alrnc ' ' ' ' ' ' ' ;=Iggc} >8 Jk~p la ijj Jiw~* Rcosjipklg~ ig` Lpmcr Rcjcqigp Dipcrkij ' ' ' ' ' ' 962

    Iggc} 08 Vclvjc Kgpcrqkcwc` `srkgo Lg$^kpc Qk~kp ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 960

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    7/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    IBLSP PMC OJLBIJ ALRSD 3

    Iblsp pmc Ojlbij Alrsd

    Pmc Ojlbij Alrsd lg Prig~vircgn{ ig` C}nmigoc la Kgalrdipklg alr Pi}Vsrvl~c~ k~ pmc dsjpkjipcrij aridcwlre wkpmkg wmknm wlre kg pmc irci la pi}prig~vircgn{ ig` c}nmigoc la kgalrdipklg k~ nirrkc` lsp b{ lqcr 966 hsrk~`kn$pklg~* wmknm virpknkvipc kg pmc Ojlbij Alrsd lg ig cysij allpkgo'

    Pmc Ojlbij Alrsd k~ nmiroc` wkpm kg$`cvpm dlgkplrkgo ig` vccr rcqkcwla pmc kdvjcdcgpipklg la pmc kgpcrgipklgij ~pig`ir`~ la prig~vircgn{ ig`c}nmigoc la kgalrdipklg alr pi} vsrvl~c~' Pmc~c ~pig`ir`~ irc vrkdirkj{rcajcnpc` kg pmc 2662 LCN@ Dl`cj Iorccdcgp lg C}nmigoc la Kgalrdipklglg Pi} Dippcr~ ig` kp~ nlddcgpir{* ig` kg Irpknjc 21 la pmc LCN@ Dl`cj Pi} Nlgqcgpklg lg Kgnldc ig` lg Nivkpij ig` kp~ nlddcgpir{ i~ sv`ipc`kg 2660' Pmc ~pig`ir`~ miqc ij~l bccg kgnlrvlripc` kgpl pmc SG Dl`cj Pi}Nlgqcgpklg '

    Pmc ~pig`ir`~ vrlqk`c alr kgpcrgipklgij c}nmigoc lg rcysc~p la alrc~cc$

    ibj{ rcjcqigp kgalrdipklg alr pmc i`dkgk~pripklg lr cgalrncdcgp la pmc `ldc~$pkn pi} jiw~ la i rcysc~pkgo virp{' Ak~mkgo c}vc`kpklg~ irc glp ispmlrk~c` bspijj alrc~ccibj{ rcjcqigp kgalrdipklg ds~p bc vrlqk`c`* kgnjs`kgo bige kgalr$dipklg ig` kgalrdipklg mcj` b{ ak`snkirkc~* rcoir`jc~~ la pmc c}k~pcgnc la i`ldc~pkn pi} kgpcrc~p'

    Ijj dcdbcr~ la pmc Ojlbij Alrsd* i~ wcjj i~ hsrk~`knpklg~ k`cgpkakc` b{pmc Ojlbij Alrsd i~ rcjcqigp pl kp~ wlre* irc bckgo rcqkcwc`' Pmk~ vrlnc~~ k~sg`crpiecg kg pwl vmi~c~' Vmi~c 9 rcqkcw~ i~~c~~ pmc ysijkp{ la i hsrk~`knpklg~jcoij ig` rcosjiplr{ aridcwlre alr pmc c}nmigoc la kgalrdipklg* wmkjc Vmi~c 2rcqkcw~ jlle ip pmc vrinpknij kdvjcdcgpipklg la pmip aridcwlre' ^ldc OjlbijAlrsd dcdbcr~ irc sg`crolkgo nldbkgc` Vmi~c 9 ig` Vmi~c 2 rcqkcw~'Pmc sjpkdipc olij k~ pl mcjv hsrk~`knpklg~ pl caacnpkqcj{ kdvjcdcgp pmc kgpcrgi$pklgij ~pig`ir`~ la prig~vircgn{ ig` c}nmigoc la kgalrdipklg alr pi} vsrvl~c~'

    Ijj rcqkcw rcvlrp~ irc vsbjk~mc` lgnc i`lvpc` b{ pmc Ojlbij Alrsd'

    Alr dlrc kgalrdipklg lg pmc wlre la pmc Ojlbij Alrsd lg Prig~vircgn{ig` C}nmigoc la Kgalrdipklg alr Pi} Vsrvl~c~* ig` alr nlvkc~ la pmc vsb$jk~mc` rcqkcw rcvlrp~* vjci~c rcacr pl www'lcn`'lro,pi},prig~vircgn{ '

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    8/111

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    9/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    C]CNSPKQC ^SDDIR[ ?

    C}cnspkqc ~sddir{

    9' Pmk~ rcvlrp ~sddirk~c~ pmc jcoij ig` rcosjiplr{ aridcwlre alr prig~vircgn{ ig` c}nmigoc la kgalrdipklg kg pmc Sgkpc` ^pipc~ i~ wcjj i~

    vrinpknij kdvjcdcgpipklg la pmip aridcwlre' Pmc kgpcrgipklgij ~pig`ir` wmknmk~ ~cp lsp kg pmc Ojlbij Alrsd~ Pcrd~ la Rcacrcgnc pl Dlgkplr ig` RcqkcwVrlorc~~ Plwir`~ Prig~vircgn{ ig` C}nmigoc la Kgalrdipklg* k~ nlgncrgc`wkpm pmc iqikjibkjkp{ la rcjcqigp kgalrdipklg wkpmkg i hsrk~`knpklg* pmc nldvc$pcgp ispmlrkp{~ ibkjkp{ pl oikg pkdcj{ innc~~ pl pmip kgalrdipklg* ig` kg psrg*wmcpmcr pmip kgalrdipklg nig bc caacnpkqcj{ c}nmigoc` wkpm kp~ c}nmigoc la kgalrdipklg virpgcr~'

    2' Pmc Sgkpc` ^pipc~ k~ pmc wlrj ~ jiroc~p cnlgld{ ig` mi~ i ~lvmk~pk$nipc` rcosjiplr{ cgqkrlgdcgp' Kp~ pi} ~{~pcd* kg virpknsjir* k~ mkomj{ nldvjc}ig` nrcipc~ c}pcg~kqc lbjkoipklg~ lg ijj vcr~lg~ miqkgo cnlgldkn nlggcnpklg~wkpm pmc Sgkpc` ^pipc~ pl vi{ pi}* rcvlrp prig~inpklg~* akjc rcpsrg~ -blpm pi}

    rcpsrg~ ig` kgalrdipklg rcpsrg~+* ig` ocgcrijj{ ~sbhcnp pmcd~cjqc~ pl pmcispmlrkp{ la pmc Kgpcrgij Rcqcgsc ^crqknc -pmc KR^+' Pmc vlwcr la pmc KR^pl nldvcj kgalrdipklg mcj` b{ vcr~lg~ wkpmkg kp~ hsrk~`knpklg k~ qcr{ ~prlgoig` kp~ s~c alr pmc vsrvl~c~ la c}nmigoc la kgalrdipklg kg pi} dippcr~ k~ wcjj~svvlrpc` b{ S'^' nlsrp~'

    >' Pmc Sgkpc` ^pipc~ ~kogc` kp~ akr~p pi} prcip{ kg pmc 9;>6~* ig` glwmi~ ig c}pcg~kqc gcpwlre la c}nmigoc la kgalrdipklg iorccdcgp~ pmip dccppmc kgpcrgipklgij ~pig`ir`~ ig` pmip nlqcr ijj rcjcqigp virpgcr~' Rcyskrcdcgp~alr nlgak`cgpkijkp{ ig` pmc dikgpcgignc la rkomp~ ig` ~iacosir`~ irc kg vjinc'

    Pmc Sgkpc` ^pipc~ k~ ij~l i alsg`kgo ~kogiplr{ pl pmc Hlkgp Nlsgnkj la Csrlvc, LCN@ Nlgqcgpklg lg Dspsij I`dkgk~pripkqc I~~k~pignc kg Pi} Dippcr~'

    0' Pmc Sgkpc` ^pipc~ vrlnc~~c~ i qcr{ jiroc gsdbcr la kgalrdipklgrcysc~p~ cinm {cir kg i``kpklg pl i vrlorid la blpm ~vlgpigcls~ ig` ispl$dipkn c}nmigoc' Lg iqcrioc* pmc Sgkpc` pipc~ rcvjkc~ pl ivvrl}kdipcj{ 9666ni~c~ -cinm ocgcrijj{ nlg~pkpspkgo dsjpkvjc rcysc~p~ alr kgalrdipklg+ vcr {cir*ig` ispldipknijj{ c}nmigoc~ ivvrl}kdipcj{ 2'3 dkjjklg kpcd~ la kgalrdipklg

    vcr {cir' Pmc c}nmigoc la kgalrdipklg sgkp wkpmkg pmc KR^ k~ ocgcrijj{ wcjj$prikgc` ig` wcjj$lroigk~c`' Pi} ippinm~ kg laaknc~ irlsg` pmc wlrj` ainkjkpipcc}nmigoc la kgalrdipklg kg ncrpikg ec{ oclorivmkn irci~' Osk`cjkgc~ alr pmc

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    10/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    = C]CNSPKQC ^SDDIR[

    c}nmigoc la kgalrdipklg vrlqk`c alr ~vcnkakn pkdcjkgc~ kg wmknm CLK rcysc~p~~mlsj` bc vrlnc~~c`* kgnjs`kgo pmc vrlqk~klg la kgpcrkd rc~vlg~c~ kg nldvjc}ni~c~'

    3' Pmc Sgkpc` ^pipc~ kgalrdipklg c}nmigoc virpgcr~ miqc kg`knipc` iocgcrij ~ipk~ainpklg wkpm pmc S'^' c}nmigoc la kgalrdipklg vrlorid' ^vcnkaknk~~sc~ miqc bccg rik~c` rcoir`kgo pmc iqikjibkjkp{ la kgalrdipklg kg ncrpikgni~c~* ig` wkpm pmc pkdc rcyskrc` pl vrlnc~~ rcysc~p~* kg virpknsjir wkpmrcoir` pl rcysc~p~ alr bigekgo kgalrdipklg'

    1' Pmc vlwcr la pmc KR^ pl lbpikg kgalrdipklg alr pi} vsrvl~c~ k~ wk`c$rigokgo ig` k~ nlsvjc` wkpm ~prlgo nldvsj~lr{ vlwcr~' ^snm vlwcr~ irc s~c`rcosjirj{ ig` pmc S'^' nlsrp~ miqc bccg sgcyskqlnij kg pmckr qkcw pmip pmc~c

    vlwcr~ nig bc s~c` pl lbpikg kgalrdipklg alr pmc vsrvl~c la rc~vlg`kgo pl ircysc~p alr kgalrdipklg sg`cr ig kgalrdipklg c}nmigoc dcnmigk~d'

    ?' Rcoir`kgo pmc iqikjibkjkp{ la kgalrdipklg* pmc jcoij ig` rcosjiplr{aridcwlre k~ ocgcrijj{ kg vjinc alr ijj cgpkpkc~ ig` irrigocdcgp~ pl dikgpikglwgcr~mkv ig` k`cgpkp{ kgalrdipklg pmrlsom pmc ivvjknipklg la kp~ ac`crij pi}jiw vrlqk~klg~ i~ wcjj i~ ivvjknibjc ~pipc jiw' Jkdkpc` Jkibkjkp{ Nldvigkc~pmip miqc lgj{ lgc lwgcr di{ bc `k~rcoir`c` i~ cgpkpkc~ ~cviripc arld pmckr lwgcr~ alr S' ' ac`crij kgnldc pi} vsrvl~c~' _mcrc pmc JJN mi~ gl S'^'lwgcr* k~ glp cgoioc` kg i S'^' pri`c lr bs~kgc~~* mi~ gl cdvjl{cc~ lr inpkq$kp{ kg pmc Sgkpc` ^pipc~ -~snm i~ i bige lr lpmcr akgignkij innlsgp kg pmc S'^+*gl S' ' ~lsrnc kgnldc* ig` k~ glp lpmcrwk~c ~sbhcnp pl ac`crij kgnldc pi}c~*cdvjl{dcgp pi}c~* lr c}nk~c~ pi}c~* kgalrdipklg lg pmc lwgcr la ~snm igcgpkp{ wkjj glp bc iqikjibjc vsr~sigp pl S'^' ac`crij pi} jiw~' Kgalrdipklg di{

    bc mcj` kg innlr`ignc wkpm pmc ~pipsplr{ jiw la pmc ~pipc la pmc cgpkp{~ alrdi$pklg* pmlsom pmk~ k~ glp osirigpcc` kg ijj ni~c~' Nmigoc~ miqc bccg kgprl`snc`pl ncrpikg ac`crij kgalrdipklg rcvlrpkgo rsjc~ iaacnpkgo ~snm cgpkpkc~* pmlsomkp k~ glp njcir pmip pmc~c nmigoc~ wkjj osirigpcc pmip lwgcr~mkv kgalrdipklg k~iqikjibjc kg ijj ni~c~'

    =' Kgalrdipklg nlgncrgkgo prs~pcc~* ~cppjlr~ ig` bcgcaknkirkc~ la prs~p~pmip irc ~sbhcnp pl ac`crij kgnldc pi} jiw* igpk$dlgc{ jisg`crkgo jiw lr ~pipc

    jiw k~ iqikjibjc' Pi} jiw ocgcrijj{ rcyskrc~ pmip i`cysipc innlsgpkgo rcnlr`~ bc dikgpikgc`' Mlwcqcr* rcyskrcdcgp~ pl dikgpikg i`cysipc innlsgpkgorcnlr`~ `l glp gcnc~~irkj{ ivvj{ pl JJN~ wkpm lgj{ lgc lwgcr pmip irc glp~sbhcnp pl pmc pi} jiw lr lpmcr rcnlr` dikgpcgignc rcyskrcdcgp~'

    ;' Pmc S' ' pi} ~{~pcd kdvl~c~ i wk`c rigoc la ~sb~pigpkqc pi} ig`kgalrdipklg rcvlrpkgo lbjkoipklg~' Vcr~lg~ ~ccekgo pl lb~nsrc pmckr iaaikr~alr pi} lr lpmcr rci~lg~ wlsj`gp ocgcrijj{ bc ciocr pl c}vl~c pmcd~cjqc~ plpmc ispmlrkp{ la pmc Kgpcrgij Rcqcgsc ^crqknc'Pmc jcoij ig` rcosjiplr{ aridc$wlre alr c}nmigoc la kgalrdipklg kg pmc Sgkpc` ^pipc~ k~ kg vjinc' Ncrpikgnkrnsd~pignc~ `l irk~c* kg virpknsjir pmc ni~c la ncrpikg JJN~ wkpm lgj{ lgc

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    11/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    C]CNSPKQC ^SDDIR[ ;

    lwgcr pmip irc glp ~sbhcnp pl ac`crij pi} jiw akjkgo rcyskrcdcgp~* wmcrc pmcrcyskrc` kgalrdipklg di{ glp c}k~p lr bc lbpikgibjc b{ S'^' ispmlrkpkc~* ig`pmk~ caknkcgn{ ~mlsj bc i``rc~~c`' Lqcrijj* kp ~mlsj` bc glpc` pmip pmc ni~c~kg wmknm pmc~c k~~sc~ irk~c kg vrinpknc irc ~dijj nldvirc` wkpm pmc plpijkp{ la pmc Sgkpc` ^pipc~ kgalrdipklg c}nmigoc vrlorid'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    12/111

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    13/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    KGPRL@SNPKLG 99

    Kgprl`snpklg

    Kgalrdipklg ig` dcpml`ljlo{ s~c` alr pmc vccr rcqkcw la pmc Sgkpc`^pipc~

    96' Pmc i~~c~~dcgp la pmc jcoij ig` rcosjiplr{ aridcwlre la pmc Sgkpc`^pipc~ ig` pmc vrinpknij kdvjcdcgpipklg ig` caacnpkqcgc~~ la pmk~ aridcwlre wi~ bi~c` lg pmc kgpcrgipklgij ~pig`ir`~ alr prig~vircgn{ ig` c}nmigoc la kgalrdipklg i~ `c~nrkbc` kg pmc Ojlbij Alrsd~ Pcrd~ la Rcacrcgnc* ig` wi~

    vrcvirc` s~kgo pmc Ojlbij Alrsd~ Dcpml`ljlo{ alr Vccr Rcqkcw~ ig` Glg$Dcdbcr Rcqkcw~' Pmc i~~c~~dcgp wi~ bi~c` lg pmc jiw~* rcosjipklg~* ig`c}nmigoc la kgalrdipklg dcnmigk~d~ kg alrnc lr caacnp i~ ip Acbrsir{ 2699*lpmcr kgalrdipklg* c}vjigipklg~ ig` dipcrkij~ ~svvjkc` b{ pmc Sgkpc` ^pipc~`srkgo pmc lg$~kpc qk~kp pmip plle vjinc lg 93$9? Glqcdbcr* ig` kgalrdipklg

    ~svvjkc` b{ virpgcr hsrk~`knpklg~' @srkgo pmc lg$~kpc qk~kp* pmc i~~c~~dcgppcid dcp wkpm laaknkij~ ig` rcvrc~cgpipkqc~ la pmc rcjcqigp S^ vsbjkn iocgnkc~kgnjs`kgo pmc @cvirpdcgp la pmc Prci~sr{ ig` pmc Kgpcrgij Rcqcgsc ^crqknc-~cc Iggc} 0+'

    99' Pmc Pcrd~ la Rcacrcgnc brcie `lwg pmc ~pig`ir`~ la prig~vircgn{ig` c}nmigoc la kgalrdipklg kgpl 96 c~~cgpkij cjcdcgp~ ig` >9 cgsdcr$ipc` i~vcnp~ sg`cr pmrcc brli` nipcolrkc~8 -I+ iqikjibkjkp{ la kgalrdipklg5-B+ innc~~ pl kgalrdipklg5 ig` -N+ c}nmigokgo kgalrdipklg' Pmk~ nldbkgc`rcqkcw i~~c~~c~ Sgkpc` ^pipc~ jcoij ig` rcosjiplr{ aridcwlre ig` pmc kdvjc$

    dcgpipklg ig` caacnpkqcgc~~ la pmk~ aridcwlre ioikg~p pmc~c cjcdcgp~ ig`cinm la pmc cgsdcripc` i~vcnp~' Kg rc~vcnp la cinm c~~cgpkij cjcdcgp i `cpcr$dkgipklg k~ di`c rcoir`kgo pmc Sgkpc` ^pipc~ jcoij ig` rcosjiplr{ aridc$wlre pmip ckpmcr -k+ pmc cjcdcgp k~ kg vjinc* -kk+ pmc cjcdcgp k~ kg vjinc bspncrpikg i~vcnp~ la pmc jcoij kdvjcdcgpipklg la pmc cjcdcgp gcc` kdvrlqcdcgp*lr -kkk+ pmc cjcdcgp k~ glp kg vjinc' Pmc~c `cpcrdkgipklg~ irc innldvigkc` b{rcnlddcg`ipklg~ alr kdvrlqcdcgp wmcrc rcjcqigp' Kg i``kpklg* pl rcajcnp pmcVmi~c 2 nldvlgcgp* rcnlddcg`ipklg~ irc ij~l di`c nlgncrgkgo pmc Sgkpc`^pipc~ vrinpknij ivvjknipklg la cinm la pmc c~~cgpkij cjcdcgp~' I~ lspjkgc` kgpmc Glpc lg I~~c~~dcgp Nrkpcrki* aljjlwkgo i hsrk~`knpklg~ Vmi~c 2 rcqkcw* i

    ripkgo wkjj bc ivvjkc` pl cinm la pmc c~~cgpkij cjcdcgp~ pl rcajcnp pmc lqcrijj

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    14/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    92 KGPRL@SNPKLG

    vl~kpklg la i hsrk~`knpklg' Mlwcqcr pmk~ ripkgo wkjj lgj{ bc vsbjk~mc` ip ~snmpkdc i~ i rcvrc~cgpipkqc ~sb~cp la Vmi~c 2 rcqkcw~ k~ nldvjcpc`' Pmk~ rcvlrppmcrcalrc kgnjs`c~ rcnlddcg`ipklg~ kg rc~vcnp la pmc Sgkpc` ^pipc~ jcoijig` rcosjiplr{ aridcwlre ig` pmc inpsij kdvjcdcgpipklg la pmc c~~cgpkij cjc$dcgp~* i~ wcjj i~ i `cpcrdkgipklg lg pmc jcoij ig` rcosjiplr{ aridcwlre* bspkp `lc~ glp kgnjs`c i ripkgo la pmc cjcdcgp~'

    92' Pmc i~~c~~dcgp wi~ nlg`snpc` b{ ig i~~c~~dcgp pcid nldvl~c` la pwl c}vcrp i~~c~~lr~ ig` pwl rcvrc~cgpipkqc~ la pmc Ojlbij Alrsd ^cnrcpirkip8Dlgkni Bmipki* I``kpklgij Nlddk~~klgcr la Kgnldc Pi}* @cvirpdcgp la Rcqcgsc* Dkgk~pr{ la Akgignc* Olqcrgdcgp la Kg`ki5 Rlbcrpi Vlxi Nk`*^vigk~m Dkgk~pr{ la Akgignc5 @gij Ol`arc{ ig` Ig`rcw Iscrbinm arld pmcOjlbij Alrsd ^cnrcpirkip'

    Lqcrqkcw la pmc Sgkpc` ^pipc~

    Ocgcrij kgalrdipklg lg jcoij ~{~pcd ig` pmc pi}ipklg ~{~pcd

    9>' Pmc Sgkpc` ^pipc~ la Idcrkni -S'^'+ k~ i nlg~pkpspklg$bi~c` ac`crijrcvsbjkn wml~c olqcrgdcgp k~ `kqk`c` kgpl c}cnspkqc* jcok~jipkqc* ig` hs`knkij

    brignmc~' Pmc~c brignmc~ acipsrc i ~{~pcd la nmcne~ ig` bijignc~* wmcrcb{cinm brignm asgnpklg~ wkpm vlwcr~ ~saaknkcgp pl vrcqcgp ig{ lgc brignmarld `ldkgipkgo pmc lpmcr~' Pmc c}cnspkqc brignm k~ mci`c` b{ ig cjcnpc`

    Vrc~k`cgp ig` Qknc$Vrc~k`cgp ig` ig ivvlkgpc` Nibkgcp pmip lvcripc~ pmrlsomqirkls~ ac`crij `cvirpdcgp~ ig` iocgnkc~* wmknm kg pmc irci la pi} i`dkgk~$pripklg kgnjs`c pmc @cvirpdcgp la Prci~sr{ ig` kp~ iocgn{* pmc KR^' Pmc ac`$crij jcok~jipsrc* eglwg i~ Nlgorc~~* nlg~k~p~ la pmc Mls~c la Rcvrc~cgpipkqc~ig` pmc ^cgipc' Pmc Mls~c la Rcvrc~cgpipkqc~ gsdbcr~ 0>3 plpij dcdbcr~*ijjlnipc` idlgo pmc ~pipc~ nlddcg~sripc wkpm vlvsjipklg' Pmc ^cgipc nld$

    vrk~c~ 966 ~cip~* pwl vcr ~pipc' Pmc ~pipc~ ~kdkjirj{ miqc jcok~jipkqc bl`kc~'Pmc hs`knkij brignm k~ di`c sv la pmc S'^' ^svrcdc Nlsrp* Ac`crij Nlsrp~la Ivvcij* Ac`crij @k~prknp Nlsrp~* ig` lpmcr ac`crij$jcqcj nlsrp~ ~snm i~ pmcS'^' Pi} Nlsrp' Pmcrc irc ij~l nlsrp~ lg pmc ~sb$gipklgij jcqcj* kgnjs`kgo

    ~pipc$wk`c nlsrp~ ig` dsgknkvij nlsrp~' Pmc S' ' mi~ i ac`crij ~{~pcd la olqcrgdcgp acipsrkgo i nldvjc} rcokdc la nl`kakc` ig` sgnl`kakc` ~lsrnc~la jiw ip blpm ac`crij ig` ~sb$gipklgij jcqcj~'

    90' Ip blpm pmc ac`crij ig` ~pipc jcqcj~* pmc jiw la pmc Sgkpc` ^pipc~ wi~lrkokgijj{ crkqc` jirocj{ arld pmc nlddlg jiw ~{~pcd la Cgojk~m jiw' Mlwcqcr*S'^' jiw mi~ `kqcroc` orcipj{ arld Cgojk~m jiw blpm kg pcrd~ la ~sb~pignc ig`

    vrlnc src* ig` mi~ kgnlrvlripc` ncrpikg acipsrc~ rc~cdbjkgo nkqkj jiw'

    93' Pmc S' ' Nlg~pkpspklg cgsdcripc~ pmc brli` irci~ wmcrc pmc ac`crijolqcrgdcgp mi~ jcok~jipkqc ispmlrkp{ - c'o' nlkgkgo la dlgc{* `cnjirkgo wir+ ig`

    vrlqk`c~ pmip pmc Nlg~pkpspklg* ig` pmc Jiw~ di`c kg vsr~signc pmcrcla5

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    15/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    KGPRL@SNPKLG 9>

    ig` ijj prcipkc~ di`c sg`cr pmc ispmlrkp{ la pmc Sgkpc` ^pipc~* ~mijj bc pmc~svrcdc Jiw la pmc Jig`' -Irp' QK* 2* eglwg i~ pmc ^svrcdin{ Njis~c+'Nlgorc~~ di{ diec ijj jiw~ wmknm ~mijj bc gcnc~~ir{ ig` vrlvcr alr c}c$nspkgo ig{ la kp~ cgsdcripc` vlwcr~* ig` pmc Nlg~pkpspklg vrlmkbkp~ pmc ~pipc~arld c}crnk~kgo ncrpikg vlwcr~ - c'o' cgpcrkgo kgpl prcipkc~ lr nlkgkgo dlgc{+'Bcnis~c la pmc ^svrcdin{ Njis~c* i ac`crij jiw di{ ~svcr~c`c lr vrccdvp i~pipc lr jlnij jiw -rcacrrc` pl i~ pmc Vrccdvpklg @lnprkgc+' Alr c}idvjc* ka i ~pipc jiw nlgajknp~ wkpm ac`crij jiw pmip aijj~ wkpmkg Nlgorc~~ ispmlrkp{* pmc~pipc jiw wkjj bc kgqijk`ipc`' Kg ~mlrp* pmc caacnp la pmc ^svrcdin{ Njis~c k~pmip pmc ac`crij olqcrgdcgp* kg c}crnk~kgo kp~ nlg~pkpspklgij vlwcr~* wkjj ocgcr$ijj{ vrcqikj lqcr ig{ nlgajknpkgo lr kgnlg~k~pcgp c}crnk~c la ~pipc vlwcr'

    91' Sg`cr pmc S' ' Nlg~pkpspklg* blpm jiw~ la pmc S' ' ig` prcipkc~ ircprcipc` i~ pmc ~svrcdc jiw la pmc jig`' _mcg ig inp la Nlgorc~~ ig` i prcip{

    rcjipc pl pmc ~idc ~sbhcnp* pmc nlsrp~ wkjj cg`ciqlr pl nlg~prsc pmcd ~l i~pl okqc caacnp pl blpm* ka pmip nig bc `lgc wkpmlsp qkljipkgo pmc jigosioc la ckpmcr' I jipcr$kg$pkdc prcip{ wkjj lapcg bc kgpcg`c` pl lqcrrk`c ig cirjkcr ~pipspc* ig` wkjj `l ~l' Kg pmc ni~c la i nlgajknp bcpwccg ig cirjkcr prcip{ ig`i jipcr ~pipspc* pmc nlsrp~ `l glp aiqlr pmc rcvs`kipklg la ig cirjkcr prcip{ b{kdvjknipklg ig` rcyskrc njcir kg`knipklg~ pmip Nlgorc~~* kg cginpkgo ~sb~c$yscgp kgnlg~k~pcgp jcok~jipklg* dcigp pl ~svcr~c`c pmc cirjkcr prcip{'

    ^{~pcd la Pi}ipklg

    9?' Pmc Sgkpc` ^pipc~ ac`crij ~{~pcd la olqcrgdcgp rc~sjp~ kg i dsjpk$pkcrc` ~{~pcd la pi}ipklg' Pmc ac`crij olqcrgdcgp la pmc Sgkpc` ^pipc~ ig`pmc qirkls~ ~pipc ig` jlnij olqcrgdcgp~ la pmc Sgkpc` ^pipc~ kdvl~c i wk`crigoc la pi}c~ ig` `spkc~' Kg`kqk`sij ig` nlrvlripc kgnldc pi} ig` vi{rljjpi} innlsgp alr pmc bsje la ac`crij olqcrgdcgp rcqcgsc' Pmc ac`crij olqcrg$dcgp ij~l kdvl~c~ c~pipc ig` okap pi} ig` ncrpikg c}nk~c pi}c~' Cinm la pmc~pipc~ kdvl~c~ qirkls~ pi}c~ kg i``kpklg pl pml~c kdvl~c` b{ pmc ac`crij olq$crgdcgp' Idlgo pmc nlddlg p{vc~ la pi}c~ pmip ~pipc~ kdvl~c irc vcr~lgijkgnldc pi}* nlrvlripc kgnldc pi}* ~ijc~ pi}* rcij vrlvcrp{ pi}* ascj pi}* ig`c~pipc ig` okap pi}'

    9=' Pmc ac`crij olqcrgdcgp pi}c~ S'^' nkpkxcg~ ig` rc~k`cgp~ ig` S' 'nlrvlripklg~ lg wlrj`wk`c kgnldc iggsijj{' @kaacrcgp ori`sipc` pi} ripc~ivvj{ pl kg`kqk`sij~ ig` nlrvlripklg~* `cvcg`kgo lg pmckr pi}ibjc gcp kgnldc'Pmc mkomc~p ac`crij ripc ivvjknibjc pl blpm kg`kqk`sij~ ig` nlrvlripklg~ k~>3# alr pmc 2696 pi}ibjc {cir'

    9;' Pmc Sgkpc` ^pipc~ pi}c~ glg$rc~k cgp kg`kqk`sij~ ig` alrckog nlrvlri$pklg~ sg`cr pwl ~{~pcd~* blpm la wmknm irc rcvlrpc` lg iggsij pi} rcpsrg~ akjc`wkpm pmc Kgpcrgij Rcqcgsc ^crqknc' Akr~p* pl pmc c}pcgp pmip ~snm vcr~lg~ irccgoioc` kg pmc nlg`snp la i pri`c lr bs~kgc~~ kg pmc Sgkpc` ^pipc~ -i S'^' pri`c

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    16/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    90 KGPRL@SNPKLG

    lr bs~kgc~~+* pmc~c vcr~lg~ irc ~sbhcnp pl pi} lg kgnldc caacnpkqcj{ nlggcnpc`wkpm pmc S'^' pri`c lr bs~kgc~~ -CNK+ ip pmc ~idc ori`sipc` ripc~ i~ rc~k`cgpkg`kqk`sij~ ig` S'^' nlrvlripklg~* rc~vcnpkqcj{' Pmc Sgkpc` pipc~ ij~l pi}c~alrckog vcr~lg~ lg pmckr ak}c`* `cpcrdkgibjc* iggsij lr vcrkl`knij kgnldc arldS'^' ~lsrnc~ - c'o' kgpcrc~p* `kqk`cg`~* rcgp~* ig` rl{ijpkc~+ lg i orl~~ bi~k~ ip i>6 vcrncgp ripc' Pmk~ orl~~ bi~k~ pi} k~ ocgcrijj{ nljjcnpc` b{ wkpmmlj`kgo la ~snm pi} ip pmc pkdc pmc kgnldc k~ vik`* ig` di{ bc rc`snc` b{ prcip{'

    26' Kg ocgcrij* pmc Sgkpc` ^pipc~ pi}c~ i S'^' ~mircmlj`cr lg pmc inpkqc alr$ckog bs~kgc~~ kgnldc cirgc` pmrlsom i alrckog nlrvlripklg wmcg pmip kgnldck~ `k~prkbspc` pl pmc ~mircmlj`cr' Mlwcqcr* pmc Sgkpc` ^pipc~ mi~ ~vcnkij rsjc~rcyskrkgo i S'^' ~mircmlj`cr pl kgnjs`c kg kgnldc kp~ ~mirc la ncrpikg kgnldccirgc` b{ ncrpikg alrckog nlrvlripklg~* ~snm i~ nlgprljjc` alrckog nlrvlri$pklg~ i~ wcjj i~ vi~~kqc alrckog kgqc~pdcgp nldvigkc~* kg pmc {cir pmc

    kgnldc k~ cirgc`* wkpmlsp rcoir` pl wmcpmcr kp k~ `k~prkbspc`' Ocgcrijj{* pmc~c~vcnkij rsjc~ alns~ lg kgnldc pmip k~ mkomj{ dlbkjc* ~snm i~ vi~~kqc kgqc~pdcgpkgnldc - c'o' kgpcrc~p ig` `kqk`cg`~+'

    29' Kg pmc Sgkpc` ^pipc~* prs~p~ ig` c~pipc~ irc ocgcrijj{ pi}ibjc cgpkpkc~'Mlwcqcr* pmc{ ocgcrijj{ irc ijjlwc` i `c`snpklg alr kgnldc pmip k~ `k~prkbspc`pl bcgcaknkirkc~ kg pmc {cir kp k~ cirgc`' Bcgcaknkirkc~ piec ~snm `k~prkbspklg~kgpl kgnldc iggsijj{' Pms~* i prs~p lr c~pipc lr`kgirkj{ vi{~ gl kgnldc pi} alr i {cir kg wmknm kp `k~prkbspc~ ijj la kp~ kgnldc arld pmip {cir' Sg`k~prkbspc`kgnldc k~ pi}ibjc ip pmc ripc~ ivvjknibjc pl ig kg`kqk`sij' Mlwcqcr* pmc pi}

    brinecp~ irc dlrc nldvrc~~c ' Alr c}idvjc* alr 2696 pmc plv pi} ripc la >3#ivvjkc~ pl i ~kgojc kg`kqk`sij~ kgnldc kg c}nc~~ la S^@ >?> 136* bsp pl iprs~p~ kgnldc kg c}nc~~ la S^@ 99 266'

    22' Pmc Sgkpc` ^pipc~ pi}c~ kgnldc cirgc` b{ virpgcr~mkv~ lg i ajlw$pmrlsom bi~k~' Pms~* kgnldc la i virpgcr~mkv k~ pi}c` pl pmc virpgcr~ iggsijj{'Ncrpikg vsbjknj{$pri`c` virpgcr~mkv~ irc* mlwcqcr* pi}c` i~ nlrvlripklg~'

    Lqcrqkcw la nlddcrnkij jiw~ ig` lpmcr rcjcqigp ainplr~ alr c}nmigocla kgalrdipklg

    ^pipc Jiw

    2>' Kg`kqk`sij ~pipc~ miqc pmc vlwcr pl vrldsjoipc jiw~ rcjipkgo pl pmcnrcipklg* lroigkxipklg* ig` `k~~ljspklg la nlrvlripklg~ ig` lpmcr jcoij cgpk$pkc~' ^pipc nlrvlripklg jiw~ rcyskrc pmip irpknjc~ la kgnlrvlripklg ig` b{$jiw~

    bc i`lvpc` pl `lnsdcgp pmc nlrvlripklg~ nrcipklg ig` pl `cakgc pmc rkomp~ig` lbjkoipklg~ la laakncr~* `krcnplr~* ~mircmlj`cr~* ig` lpmcr vcr~lg~ wkpmkgkp~ ~prsnpsrc' ^pipc~ ij~l miqc rcok~pripklg jiw~ rcyskrkgo nlrvlripklg~ pmipkgnlrvlripc kg lpmcr ~pipc~ -lr nlsgprkc~+ pl rcok~pcr pl `l kg$~pipc bs~kgc~~'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    17/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    KGPRL@SNPKLG 93

    20' _kpm rc~vcnp pl pmc ~vcnkakn vrlqk~klg~ la pmc qirkls~ S' ' ~pipc~nlrvlripklg jiw~* >6 ~pipc~ miqc i`lvpc` kg wmljc lr kg jiroc virp pmcDl`cj Bs~kgc~~ Nlrvlripklg Inp -DBNI+* `cqcjlvc` b{ pmc Idcrknig Bir I~~lnkipklg kg 9;=0 ig` ~kgnc vcrkl`knijj{ idcg`c`* pl cgnlsrioc sgkalrdkp{idlgo ~pipc~' Pmc dipcrkij kg pmk~ rcvlrp k~ ocgcrijj{ bi~c` lg pmc DBNI ig`@cjiwirc jiw* i~ rcvrc~cgpipkqc la pmc jiw~ la pmc ~pipc~ ocgcrijj{* ijpmlsompmc jiw kg lpmcr ~pipc~ k~ ij~l nlg~k`crc` wmcrc ivvrlvrkipc' Pmc Sgkpc` ^pipc~nlg~k`cr~ pmip pmc DBNI ig` @cjiwirc jiw i~ ivvrlvrkipc vrl}kc~ alr lpmcr ~pipc jiw~ kg pmk~ rc~vcnp bcnis~c la pmc wk`c inncvpignc la pmc DBNI ig`pmc wk`c s~c la @cjiwirc i~ i hsrk~`knpklg alr nlrvlripc alrdipklg'

    23' Pmc JJN k~ i aikrj{ rcncgp bs~kgc~~ alrd pmip k~ glw ispmlrkxc` b{pmc jiw~ la cqcr{ ~pipc' Jkec i nlrvlripklg* kp vrlpcnp~ kp~ lwgcr~ -rcacrrc`pl i~ dcdbcr~+ arld ~ldc `cbp~ ig` lbjkoipklg~' Alr ac`crij kgnldc pi}

    vsrvl~c~ ig JJN di{ cjcnp pl bc pi}c` ckpmcr i~ i nlrvlripklg lr lg i vi~~$pmrlsom bi~k~ kg pmc diggcr la i virpgcr~mkv' _mcrc pmc JJN mi~ lgj{ lgcdcdbcr ig` k~ prcipc` i~ i vi~~$pmrlsom cgpkp{ pmcg kp k~ `k~rcoir`c` i~~cviripc arld kp~ lwgcr alr ac`crij kgnldc pi} vsrvl~c~' Pmk~ rc~sjp~ kg pmci~~cp~ ig` jkibkjkpkc~ la pmc JJN bckgo prcipc` i~ pmc i~~cp~ ig` jkibkjkpkc~ la pmc lwgcr alr ac`crij kgnldc pi} vsrvl~c~'

    Ac`crij Jiw

    21' I~ i ocgcrij dippcr -ig` ~sbhcnp pl qirkls~ c}ncvpklg~+* ~pipc jiw~olqcrg pmc kgpcrgij iaaikr~ la nlrvlripklg~ ig` lpmcr jcoij cgpkpkc~* wmkjcac`crij jiw~ vrkdirkj{ olqcrg dippcr~ kgqljqkgo pmc pri`kgo la ~cnsrkpkc~*kgnjs`kgo rcyskrcdcgp~ alr `k~njl~src la kgalrdipklg dipcrkij pl pmc qijsc la ~snm ~cnsrkpkc~' Alr kg~pignc* Nlgorc~~ cginpc` pmc ^cnsrkpkc~ Inp la 9;>>*wmknm rcosjipc~ mlw vsbjknj{$mcj` nlrvlripc ~cnsrkpkc~ irc k~~sc` ig` ~lj` b{rcyskrkgo `k~njl~src la ~vcnkakc` kgalrdipklg nlgncrgkgo ~snm ~cnsrkpkc~ ig`

    vrlmkbkpkgo aris` kg pmc laacr ig` ~ijc la ~snm ~cnsrkpkc~'

    Lqcrqkcw la ainplr~ iaacnpkgo c}nmigoc la kgalrdipklg

    2?' Pmc Sgkpc` ^pipc~ mi~ alr dig{ {cir~ mi` i qcr{ inpkqc c}nmigoc$la$kgalrdipklg vrlorid* kg i``kpklg pl i qcr{ inpkqc vrlorid la ~vlgpigcls~ig` rlspkgc kgalrdipklg c}nmigoc kgqljqkgo dkjjklg~ la kpcd~ la kgalrdipklgcinm {cir'

    2=' Pmc vrlorid rcjkc~ vrkdirkj{ lg pmc ac`crij kgnldc pi} kgalrdipklgrcvlrpkgo ig` cgalrncdcgp irnmkpcnpsrc~ la pmc Sgkpc` ^pipc~' Sg`cr S'^' jiw*kgblsg` prcip{$bi~c` rcysc~p~ irc vjinc` lg pmc ~idc allpkgo i~ `ldc~pknpi} kgqc~pkoipklg~' Bc{lg` pi} kgalrdipklg rcvlrpkgo ig` i`dkgk~pripkqc pi}cgalrncdcgp* lpmcr cjcdcgp~ la pmc S'^' ac`crij jcoij aridcwlre iaacnpkgo

    c}nmigoc la kgalrdipklg alr pi} vsrvl~c~ kgnjs`c pmc rcosjiplr{ aridcwlre

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    18/111

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    19/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    KGPRL@SNPKLG 9?

    iocgnkc~* blpm ac`crij ig` ~pipc* ig` pmc ~idc kg~pkpspklg lr bs~kgc~~ di{ bcrcosjipc` alr `kaacrcgp vsrvl~c~ b{ dlrc pmig lgc rcosjiplr'

    Bigekgo ~cnplr >>' @cvl~kplr{ kg~pkpspklg~ kg pmc S' ' di{ bc nmirpcrc` ip ckpmcr pmcgipklgij lr pmc ~pipc jcqcj ig` di{ bc kgqljqc` kg dig{ inpkqkpkc~* kgnjs`kgopmc aljjlwkgo8 ~iacosir`kgo dlgc{ ig` qijsibjc~5 vrlqk`kgo jlig~ ig` nrc`kp5laacrkgo vi{dcgp ~crqknc~* ~snm i~ nmcnekgo innlsgp~* dlgc{ lr`cr~* ig`ni~mkcr~ nmcne~5 ig` `cijkgo kg ig` mlj`kgo Prci~sr{ ig` iocgn{ `cbp ~cns$rkpkc~' @cvl~kplr{ kg~pkpspklg~ ij~l di{ iaakjkipc dlrc brli`j{ wkpm ~cnsrkpkc~ig` kg~srignc sg`crwrkpcr~' Nlddcrnkij bige~ kg pmc S' ' laacr i asjj rigocla ~crqknc~ alr kg`kqk`sij~* bs~kgc~~c~* ig` olqcrgdcgp~ ig` rigoc kg ~kxcarld ojlbij bige~ pl rcoklgij ig` nlddsgkp{ bige~'

    Ac`crij rcosjipklg

    >0' @cvcg`kgo lg i bigekgo lroigkxipklg~ nmirpcr ig` lroigkxipklgij~prsnpsrc* kp di{ bc ~sbhcnp pl ~cqcrij ac`crij ig` ~pipc bigekgo rcosjiplr~'Bige~* ~iqkgo~ ig` jlig i~~lnkipklg~* ig` nrc`kp sgklg~ irc ocgcrijj{ ~svcr$qk~c` b{ ip jci~p lgc la pmc akqc ac`crij bige rcosjiplr{ iocgnkc~ pmc Blir`la Olqcrglr~ la pmc Ac`crij Rc~crqc ^{~pcd -Ac`crij Rc~crqc+* pmc Laakncla pmc Nldvprljjcr la pmc Nsrrcgn{ -LNN+* pmc Ac`crij @cvl~kp Kg~srignc

    Nlrvlripklg -A@KN+* pmc Laaknc la Pmrkap ^svcrqk~klg -LP^+* lr pmc GipklgijNrc`kp Sgklg I dkgk~pripklg -GNSI+' @sc pl kp~ rljc i~ pmc vrlqk`cr la `cvl~kp kg~srignc* pmc A@KN ij~l ~svcrqk~c~ bige~ pmip irc vrkdirkj{ lqcr$~ccg b{ pmc LNN* pmc Ac`crij Rc~crqc* lr pmc LP^'

    ^pipc rcosjipklg

    >3' ^pipc rcosjiplr~ nmirpcr ig` jkncg~c i jiroc gsdbcr la bige~* ~iqkgo~i~~lnkipklg~* ig` nrc`kp sgklg~* i~ wcjj i~ dig{ dlgc{ ~crqknc~ bs~kgc~~c~*ig` ~mirc lqcr~komp rc~vlg~kbkjkp{ wkpm pmc rcjcqigp ac`crij iocgnkc~' Alr

    c}idvjc* i Nijkalrgki ~pipc bige pmip k~ glp i dcdbcr la pmc Ac`crij Rc~crqc^{~pcd wlsj` bc rcosjipc` b{ blpm pmc Nijkalrgki @cvirpdcgp la AkgignkijKg~pkpspklg~ ig` pmc A@KN'

    ^cnsrkpkc~ ig` aspsrc~ ~cnplr

    >1' Brlecrioc akrd~ di{ bc lvcripc` i~ asjj$~crqknc* jkdkpc` ~crqknc* lr `k~nlsgp* ig` di{ laacr dig{ lr ijj la pmckr ~crqknc~ lgjkgc' Asjj$~crqknc brl$ecr~ mcjv njkcgp~ `cqcjlv ig kgqc~pdcgp vlrpaljkl* digioc pmckr kgqc~pdcgp~*lr diec rcnlddcg`ipklg~ rcoir`kgo wmknm kgqc~pdcgp~ pl bs{' @k~nlsgp

    akrd~ lapcg `l glp laacr i`qknc iblsp ~vcnkakn ~cnsrkpkc~* ijpmlsom pmc{ di{

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    20/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    9= KGPRL@SNPKLG

    vrlqk`c pmkr` virp{ igij{~k~* ~ldcpkdc~ alr i acc' Vsrcj{ lgjkgc brlecriocakrd~ laacr pmckr ~crqknc~ lqcr pmc Kgpcrgcp kg lr`cr pl mcjv rc`snc nl~p~'Brlecrioc akrd~ ij~l vrlqk`c kgqc~pdcgp$bigekgo ~crqknc~ - k'c' pmc{ inp i~kgpcrdc`kirkc~ bcpwccg nldvigkc~ ig` olqcrgdcgp~ pmip wlsj` jkec pl rik~cdlgc{ ig` pml~c wkpm dlgc{ lr nivkpij pl kgqc~p+' Kgqc~pdcgp bigecr~ ij~li`qk~c bs~kgc~~c~ lg dcrocr ig` inysk~kpklg ~pripcokc~'

    >?' Nldvigkc~ pmip ~vcnkijkxc kg vrlqk`kgo kgqc~pdcgp i`qknc* vlrpaljkldigiocdcgp* ig` prs~p* ak`snkir{* ig` ns~pl`{ inpkqkpkc~ irc ij~l virp la pmc~cnsrkpkc~ ~cnplr' Pmc~c nldvigkc~ rigoc arld qcr{ jiroc dspsij asg` dig$iocdcgp nldvigkc~ pl ~cja$cdvjl{c` vcr~lgij akgignkij i`qk~cr~ lr akgignkij

    vjiggcr~' I~ la >9 @cncdbcr 266;* pmcrc wcrc 323> brlecr$`cijcr~ rcok~pcrc`wkpm pmc ^CN* la wmknm dlrc pmig 0 166 `l bs~kgc~~ wkpm pmc vsbjkn'

    >=' Cyskp{ ~cnsrkpkc~ irc vrkdirkj{ pri`c` lg rcok~pcrc` ~cnsrkpkc~c}nmigoc~* jkec pmc Gcw [lre ^plne C}nmigoc -G[^C+ ig` pmc GI^@IY*ig` pl i dsnm jc~~cr c}pcgp lg lqcr$pmc$nlsgpcr direcp~ -LPN direcp~+' I~la >9 @cncdbcr 266;* pmcrc wcrc 90 rcok~pcrc` ~cnsrkpkc~ c}nmigoc~'

    >;' Dspsij asg`~* wmknm irc ij~l eglwg i~ lvcg$cg` rcok~pcrc` kgqc~p$dcgp nldvigkc~* njl~c`$cg` kgqc~pdcgp nldvigkc~* ig` Sgkp Kgqc~pdcgpPrs~p~ -SKP~+* irc vlvsjir kgqc~pdcgp qcmknjc~ kg pmc S'^' I~ la Hsj{ 2696*pmcrc wcrc ? 366 dspsij asg`~ wkpm i~~cp~ la S^@ 96'; prkjjklg* 120 njl~c`$cg` asg`~ wkpm i~~cp~ la S^@ 22?'> bkjjklg* ig` lqcr 1 69; SKP~ wkpm i qijscla S^@ >='> bkjjklg' Kgqc~pdcgp i`qk~cr~ digioc i~~cp~ la kgqc~plr~* blpm lgig kg`kqk`sij ig` lg i vlljc` innlsgp bi~k~' I~ la Hsj{ 2696* pmcrc wcrc dlrcpmig 99 666 kgqc~pdcgp i`qk~cr~ rcok~pcrc` wkpm pmc ^CN' Nljjcnpkqcj{* pml~crcok~pcrc` kgqc~pdcgp i`qk~cr~ digioc` S^@ >= prkjjklg kg i~~cp~* kgnjs`kgoi~~cp~ la pmc digioc` kgqc~pdcgp nldvigkc~ `c~nrkbc` cirjkcr'

    ^cnsrkpkc~ ig` aspsrc~ rcosjipklg

    06' Pmc S' ' ^cnsrkpkc~ ig` C}nmigoc Nlddk~~klg -^CN+ k~ pmc ac`crijrcosjiplr la pmc ~cnsrkpkc~ direcp~ ig` dig{ direcp virpknkvigp~' Pmc ^CNi`dkgk~pcr~ pmc ac`crij ~cnsrkpkc~ jiw~* ig` i`lvp~ rsjc~ kdvjcdcgpkgo pml~cjiw~' Pmc ^CN~ ~pipsplr{ cgalrncdcgp ispmlrkp{ ijjlw~ kp pl brkgo nkqkjcgalrncdcgp inpklg~ ioikg~p kg`kqk`sij~ lr nldvigkc~ ijjcoc` pl miqc nld$dkppc` innlsgpkgo aris`* vrlqk`c` aij~c kgalrdipklg* lr cgoioc` kg kg~k`cr pri`kgo lr lpmcr qkljipklg~ la pmc ~cnsrkpkc~ jiw' Pmc ^CN ij~l wlre~ kg vir$ijjcj wkpm nrkdkgij jiw cgalrncdcgp iocgnkc~ pl vrl~cnspc kg`kqk`sij~ ig`nldvigkc~ ijkec alr laacg~c~ wmknm kgnjs`c i nrkdkgij qkljipklg'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    21/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    KGPRL@SNPKLG 9;

    Rcncgp `cqcjlvdcgp~

    09' Kg 2696* pmc Sgkpc` ^pipc~ plle i gsdbcr la ~pcv~ pl asrpmcr ~prcgopmcgpmc c}pcg~kqc kgalrdipklg rcvlrpkgo ig` i~~lnkipc` cgalrncdcgp rcokdc~ pmipmcjv cg~src nldvjkignc wkpm pmc S'^' pi} ~{~pcd ig` pmc S'^' IDJ,E[Nrcokdc'

    02' Ig{ jcoij cgpkp{ pmip lvcg~ ig innlsgp wkpm i akgignkij kg~pkpspklgkg pmc Sgkpc` ^pipc~ ds~p* idlgo lpmcr rcyskrcdcgp~* lbpikg ig Cdvjl{cr K`cgpkaknipklg Gsdbcr -CKG+ arld pmc KR^ -i~ ds~p ig{ jcoij cgpkp{ wkpmcdvjl{cc~* ig{ jcoij cgpkp{ wkpm i ysijkakc` rcpkrcdcgp vjig* ig` ig{ jcoijcgpkp{ pmip k~ rcyskrc` pl akjc i pi} rcpsrg alr cdvjl{dcgp pi}c~* c}nk~c pi}c~*lr kgnldc pi}c~+' Pmc KR^ ivvjknipklg alr ig CKG wi~ rcqk~c` kg Higsir{ 2696pl ~vcnkaknijj{ vrcnjs`c pmc k`cgpkaknipklg la i gldkgcc kg`kqk`sij* ig` kg~pci`rcyskrc~ pmc k`cgpkaknipklg la i rc~vlg~kbjc virp{' Glpibj{* pmc rcqk~c` alrdig` kg~prsnpklg~ `cakgc pmc rc~vlg~kbjc virp{ i~ pmc lwgcr la pmc cgpkp{ kgpmc ni~c la ig cgpkp{ pmip k~ `k~rcoir`c` i~ ~cviripc arld kp~ lwgcr alr pi} vsr$

    vl~c~ -c'o' ~kgojc$dcdbcr JJN~+* alr cgpkpkc~ wkpm ~mirc~ lr kgpcrc~p~ pri`c` lgi vsbjkn c}nmigoc* lr wmknm irc rcok~pcrc` wkpm pmc ^cnsrkpkc~ ig` C}nmigocNlddk~~klg' Alr ijj lpmcr cgpkpkc~* rc~vlg~kbjc virp{ k~ pmc vcr~lg wml mi~i jcqcj la nlgprlj lqcr* lr cgpkpjcdcgp pl* pmc asg`~ lr i~~cp~ kg pmc cgpkp{ pmip*i~ i vrinpknij dippcr* cgibjc~ pmc kg`kqk`sij `krcnpj{ lr kg`krcnpj{* pl nlgprlj*digioc* lr `krcnp pmc cgpkp{ ig` pmc `k~vl~kpklg la kp~ asg`~ ig` i~~cp~'

    0>' Lg Acbrsir{ 21* 2696* pmc Prci~sr{ @cvirpdcgp~ Akgignkij Nrkdc~Cgalrncdcgp Gcpwlre -AkgNCG+ k~~sc` i Glpknc la Vrlvl~c` Rsjcdiekgo plrcqk~c pmc jlgo~pig`kgo rcosjipklg~ kdvjcdcgpkgo pmc vrlqk~klg la pmc Bige ^cnrcn{ Inp -B^I+ rcoir`kgo rcvlrpkgo la alrckog akgignkij innlsgp~' Pmcnsrrcgp rcosjipklg~ kdvjcdcgpkgo >9 S'^'N' 3>90 vrlqk`c pmip cinm vcr~lg~sbhcnp pl pmc hsrk~`knpklg la pmc Sgkpc` ^pipc~ miqkgo i akgignkij kgpcrc~p kg*lr ~kogipsrc lr lpmcr ispmlrkp{ lqcr* i bige* ~cnsrkpkc~* lr lpmcr akgignkijinnlsgp kg i alrckog nlsgpr{ mi~ ig lbjkoipklg pl rcvlrp ~snm rcjipklg~mkv plpmc Nlddk~~klgcr la Kgpcrgij Rcqcgsc alr cinm {cir kg wmknm ~snm rcjipklg$~mkv c}k~p~* ig` vrlqk`c ~snm kgalrdipklg i~ ~mijj bc ~vcnkakc` kg i rcvlrp$

    kgo alrd vrc~nrkbc` b{ pmc ^cnrcpir{ pl bc akjc` b{ ~snm vcr~lg~' >9 N'A'R' 96>'20' >9 N'A'R' 96>'2? rcyskrc~ pmc alrd pl bc akjc` wkpm rc~vcnp plalrckog akgignkij innlsgp~ c}ncc`kgo S^@ 96 666' Rcnlr`~ la innlsgp~ ircrcyskrc` pl bc rcvlrpc` pl pmc Prci~sr{ @cvirpdcgp alr cinm vcr~lg miqkgoi akgignkij kgpcrc~p kg lr ~kogipsrc lr lpmcr ispmlrkp{ lqcr ~snm ig innlsgp'>9 N'A'R' 96>'>2' ^snm vcr~lg~ kgnjs`c* idlgo lpmcr~* S' ' prs~pcc~ la prs~p~ -rcoir`jc~~ la wmcpmcr pmc prs~p k~ alrdc` sg`cr `ldc~pkn lr alrckogjiw+' Pmc rcnlr`~ ds~p bc dikgpikgc` alr i vcrkl` la akqc {cir~'

    00' Pmc alrd s~c` pl akjc pmc rcvlrp rcyskrc` b{ >9 N'A'R' 96>'20 k~ pmcRcvlrp la Alrckog Bige ig` Akgignkij Innlsgp~ Alrd P@ A ;6$22'9 -pmc

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    22/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    26 KGPRL@SNPKLG

    ABIR+' AkgNCG~ vrlvl~c` rcosjipklg~ wlsj` idcg` >9 N'A'R' 96>'20 b{s~kgo i gcw pcrd Sgkpc` ^pipc~ vcr~lg pl kg`knipc vcr~lg~ rcyskrc` pl akjcig ABIR' Sg`cr pmc vrlvl~c` rsjcdiekgo i Sgkpc` ^pipc~ vcr~lg k~ `cakgc`i~ i nkpkxcg lr rc~k`cgp la pmc Sgkpc` ^pipc~* lr ig cgpkp{* kgnjs`kgo bsp glpjkdkpc` pl i nlrvlripklg* virpgcr~mkv* prs~p lr jkdkpc` jkibkjkp{ nldvig{* nrc$ipc`* lroigkxc`* lr alrdc` sg`cr pmc jiw~ la pmc Sgkpc` ^pipc~* ig{ ~pipc* pmc@k~prknp la Nljsdbki* lr pmc Pcrrkplrkc~ ig` Kg~sjir Vl~~c~~klg~ la pmc Sgkpc`^pipc~'

    03' Pmc kg~prsnpklg~ kgnjs`c` kg pmc vrlvl~c` rcosjipklg~ njirka{ pmip pmc`cakgkpklg la Sgkpc` ^pipc~ vcr~lg alr pmc~c vsrvl~c~ ivvjkc~ pl ig cgpkp{rcoir`jc~~ la wmcpmcr pmc cgpkp{ k~ `k~rcoir`c` alr ac`crij kgnldc pi} vsr$

    vl~c~' Pms~* sg`cr pmc vrlvl~c` rcosjipklg~ i jkdkpc` jkibkjkp{ nldvig{ lroi$gkxc` kg ig{ ~pipc la pmc Sgkpc` ^pipc~ pmip mi~ i alrckog akgignkij innlsgp

    wkjj bc rcyskrc` pl akjc ig ABIR iggsijj{' Ig JJN wkjj bc rcyskrc` pl vrlqk`c ig cdvjl{cr k`cgpkaknipklg gsdbcr -CKG+ i~ virp la pmc ABIR akjkgoka kp mi~ lgc' Kg pmc ni~c la ig JJN pmip `lc~ glp miqc ig CKG* kpcd 0 la pmc

    vrlvl~c` ABIR kg~prsnpklg~ wlsj` rcyskrc pmc akjcr pl vrlqk`c kgalrdipklgarld ig laaknkij alrckog olqcrgdcgp `lnsdcgp pmip wlsj`* kgpcr ijki* k`cgpka{pmc akjcr ig` qcrka{ pmc akjcr~ gipklgijkp{ lr rc~k`cgnc* ijpmlsom kp k~ glp njcir wmip alrckog olqcrgdcgp `lnsdcgp wlsj` ivvj{ pl ig JJN lroigkxc` sg`cr pmc jiw~ la lgc la pmc ~pipc~ kg pmc~c nkrnsd~pignc~' Pmc vrlvl~c` rcosjipklg~ij~l njirka{ pmc dcigkgo la i bige* ~cnsrkpkc~* lr lpmcr akgignkij innlsgp~l i~ pl cg~src pmip kp mi~ nldvrcmcg~kqc ivvjknipklg pl i qcr{ wk`c rigoc la akgignkij innlsgp~' 9 Pmc nkqkj vcgijp{ alr wkjjasjj{ aikjkgo pl `k~njl~c i alrckogakgignkij innlsgp lg ig ABIR k~ pmc orcipcr la S^@ 966 666 lr 36# la pmc

    bijignc kg pmc innlsgp ip pmc pkdc la pmc qkljipklg' Pmc nrkdkgij vcgijp{ alr wkjjasjj{ aikjkgo pl rcvlrp i alrckog akgignkij innlsgp lg ig ABIR kgnjs`c~i di}kdsd akgc la S^@ 236 666* i di}kdsd pcrd la kdvrk~lgdcgp la akqc{cir~* lr blpm* wkpm cqcg mkomcr vcgijpkc~ kg ncrpikg nkrnsd~pignc~'2

    9' Alr c}idvjc* lpmcr akgignkij innlsgp wlsj` kgnjs`c ig innlsgp wkpm i vcr~lgpmip k~ kg pmc bs~kgc~~ la inncvpkgo cvl~kp~ i~ i akgignkij iocgn{5 ig innlsgp pmip

    k~ ig kg~srignc vljkn{ wkpm i ni~m qijsc lr ig iggskp{ vljkn{5 ig innlsgp wkpm i vcr~lg pmip inp~ i~ i brlecr lr `cijcr alr aspsrc~ lr lvpklg~ prig~inpklg~ kg ig{nlddl`kp{ lg lr ~sbhcnp pl pmc rsjc~ la i nlddl`kp{ c}nmigoc lr i~~lnkipklg5lr ig innlsgp wkpm i dspsij asg` lr ~kdkjir vlljc` asg` k~~skgo ~mirc~ pmip irciqikjibjc pl pmc ocgcrij vsbjkn ig` pmip miqc i rcosjir gcp i~~cp qijsc `cpcrdkgi$pklg ig` rcosjir rc`cdvpklg~'

    2' Pmk~ rcvlrp rcvrc~cgp~ pmc ~pipc la S' ' jiw i~ la Higsir{ 2699' Lg 2> Acbrsir{2699* pmc S'^' Prci~sr{~ Akgignkij Nrkdc~ Cgalrncdcgp Gcpwlre -AkgNCG+ k~~sc`i akgij rsjc pl idcg` pmc Bige ^cnrcn{ Inp -B^I+ rcosjipklg~ rcoir`kgo rcvlrp~la alrckog akgignkij innlsgp~ kg jkgc wkpm pmc Glpknc la Vrlvl~c` Rsjcdiekgo' Pmcgcw rsjc~ irc caacnpkqc Dirnm 2=* 2699'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    23/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    KGPRL@SNPKLG 29

    01' Lg Dirnm 9=* 2696* pmc Mkrkgo Kgncgpkqc~ pl Rc~plrc Cdvjl{dcgpInp la 2696* Vsb' J' 999$90? -M'R' 2=0?+ -pmc MKRC Inp+* wi~ cginpc` kgpljiw' ^cnpklg 369-i+ la pmc Inp i``c` i gcw nmivpcr 0 -K'R'N' 90?9 90?0+pl ^sbpkpjc I la pmc Kgpcrgij Rcqcgsc Nl c' Nmivpcr 0 lrkokgijj{ ivvcirc` i~

    virp la pmc Alrckog Innlsgp Pi} Nldvjkignc Inp* ig` pmcrcalrc k~ ~ldcpkdc~rcacrrc` pl i~ AIPNI' Nmivpcr 0 k~ ocgcrijj{ caacnpkqc bcokggkgo iapcr @cncdbcr >9* 2692' Nmivpcr 0 c}vig`~ pmc kgalrdipklg rcvlrpkgo rcyskrc$dcgp~ pl wmknm ncrpikg alrckog akgignkij kg~pkpspklg~ -AAK~+ irc ~sbhcnp ig`rcyskrc~ pmcd pl8 -k+ lbpikg ~snm kgalrdipklg rcoir`kgo cinm mlj`cr la cinminnlsgp dikgpikgc` b{ pmc AAK i~ k~ gcnc~~ir{ pl `cpcrdkgc wmknm -ka ig{+ la ~snm innlsgp~ irc S' ' innlsgp~5 -kk+ nldvj{ wkpm `sc `kjkocgnc vrlnc`src~ pmc^cnrcpir{ di{ rcyskrc wkpm rc~vcnp pl pmc k`cgpkaknipklg la S'^' innlsgp~5 ig`-kkk+ rcvlrp ncrpikg kgalrdipklg wkpm rc~vcnp pl S' ' innlsgp~ dikgpikgc` b{pmc AAK' K'R'N' 90?9-b+ ig` -n+' US' ' innlsgp~ alr pmk~ vsrvl~c irc akgignkijinnlsgp~ pmip irc mcj` b{ lgc lr dlrc ~vcnkakc` S'^' vcr~lg~ lr S'^'$lwgc`alrckog cgpkpkc~' I ~vcnkakc` S' ' vcr~lg k~ -c}ncvp i~ lpmcrwk~c vrlqk`c` b{pmc ^cnrcpir{+ ig{ Sgkpc` ^pipc~ vcr~lg lpmcr pmig ncrpikg p{vc~ la cgpkpkc~ pmipirc c}vrc~~j{ c}njs`c` sg`cr K'R'N' ~cnpklg 90?>->+' Pms~* sgjc~~ i S'^' jcoijcgpkp{ k~ kg i nji~~ la vcr~lg~ ~vcnkaknijj{ c}njs`c` b{ pmc ~pipspc lr iglpmcr c}ncvpklg ivvjkc~* ncrpikg alrckog akgignkij kg~pkpspklg~ irc ~pipsplrkj{ rcyskrc`pl rcvlrp kgalrdipklg pl pmc KR^ rcoir`kgo pmc alrckog innlsgp~ la pmip cgpkp{'^snm kgalrdipklg kgnjs`c~ pmc innlsgp gsdbcr* pmc innlsgp bijignc lr qijsc*ig`* pl pmc c}pcgp vrlqk`c` b{ pmc ^cnrcpir{ la pmc Prci~sr{* pmc orl~~ rcnckvp~

    ig` orl~~ wkpm`riwij~ lr vi{dcgp~ arld pmc innlsgp -`cpcrdkgc` alr ~snm vcrkl` ig` kg ~snm diggcr i~ pmc ^cnrcpir{ la pmc Prci~sr{ di{ vrlqk`c+'K'R'N' 90?9-n+'

    0?' Kg i``kpklg pl pmc kgncgpkqc~ alr alrckog akgignkij kg~pkpspklg~ pl i~~k~ppmc KR^ kg nljjcnpkgo kgalrdipklg kgpcg`c` pl vrcqcgp laa~mlrc pi} cqi~klg*pmc MKRC Inp ij~l kgnjs`c~ laa~mlrc nldvjkignc vrlqk~klg~ pmip* idlgo lpmcr glpcwlrpm{ kpcd~* kgnrci~c rcvlrpkgo ig` kgnrci~c vcgijpkc~ alr aikjkgo plrcvlrp lg ncrpikg alrckog prs~p~* ig` rcyskrc cinm vcr~lg pmip k~ i ~mircmlj`cr la i vi~~kqc alrckog kgqc~pdcgp nldvig{ pl akjc ig iggsij kgalrdipklg rcpsrgnlgpikgkgo ncrpikg kgalrdipklg'

    0=' Lg Higsir{ 1* 2699* pmc S' ' Prci~sr{ vsbjk~mc` vrlvl~c` rcosji$pklg~ pmip wlsj` rcyskrc pmc ispldipkn kgalrdipklg rcvlrpkgo pl pmc KR^ la

    bige `cvl~kp kgpcrc~p vik` wkpm rc~vcnp pl innlsgp~ dikgpikgc` b{ akgignkijkg~pkpspklg~ ip laaknc~ wkpmkg pmc Sgkpc` ^pipc~ la ijj kg`kqk`sij~ glp rc~k`cgpkg pmc Sgkpc` ^pipc~' Pmk~ rsjc ij~l wlsj` rcyskrc pmip kg~pkpspklg~ vrcvirc ig``cjkqcr i ~pipcdcgp pl glgrc~k`cgp kg`kqk`sij~ pl pmc caacnp pmip pmc kgalrdi$pklg bckgo asrgk~mc` b{ pmc akgignkij kg~pkpspklg pl pmc KR^ di{ bc asrgk~mc`pl pmc olqcrgdcgp la pmc alrckog nlsgpr{ wmcrc pmc rcnkvkcgp rc~k`c~'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    24/111

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    25/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG 2>

    Nldvjkignc wkpm pmc ^pig`ir`~

    I' Iqikjibkjkp{ la Kgalrdipklg

    Lqcrqkcw

    0;' Caacnpkqc c}nmigoc la kgalrdipklg rcyskrc~ pmc iqikjibkjkp{ la rcjkibjckgalrdipklg' Kg virpknsjir kp rcyskrc~ kgalrdipklg lg pmc k`cgpkp{ la lwgcr~ig` lpmcr ~piecmlj`cr~ i~ wcjj i~ kgalrdipklg lg pmc prig~inpklg~ nirrkc` lsp

    b{ cgpkpkc~ ig` lpmcr lroigk~ipklgij ~prsnpsrc~' ^snm kgalrdipklg di{ bc ecvpalr pi}* rcosjiplr{* nlddcrnkij lr lpmcr rci~lg~' Ka ~snm kgalrdipklg k~ glpecvp lr pmc kgalrdipklg k~ glp dikgpikgc` alr i rci~lgibjc vcrkl` la pkdc* i

    hsrk~`knpklg~ nldvcpcgp ispmlrkp{ di{ glp bc ibjc pl lbpikg ig` vrlqk`c kpwmcg rcysc~pc`' Pmk~ ~cnpklg la pmc rcvlrp `c~nrkbc~ ig` i~~c~~c~ pmc Sgkpc`^pipc~ jcoij ig` rcosjiplr{ aridcwlre lg iqikjibkjkp{ la kgalrdipklg' Kp ij~li~~c~~c~ pmc kdvjcdcgpipklg ig` caacnpkqcgc~~ la pmk~ aridcwlre'

    36' Pmc jcoij ig` rcosjiplr{ aridcwlre k~ ocgcrijj{ kg vjinc alr ijj

    cgpkpkc~ ig` irrigocdcgp~ pl dikgpikg lwgcr~mkv ig` k`cgpkp{ kgalrdipklgpmrlsom pmc ivvjknipklg la pmc Sgkpc` ^pipc~ qirkls~ pi} jiw vrlqk~klg~ i~wcjj i~ ivvjknibjc ~pipc jiw' Nlrvlripklg~ irc ocgcrijj{ rcyskrc` pl dikgpikgi rcok~pcr la lwgcr~ sg`cr ~pipc jiw' Ig{ virpgcr~mkv alrdc` sg`cr S' 'jiw pmip mi~ kgnldc* nrc`kp~ lr `c`snpklg~ alr S'^' pi} vsrvl~c~ wkjj bcrcyskrc` pl akjc ig kgnldc pi} rcpsrg kg wmknm ijj la kp~ virpgcr~ irc k`cgpk$akc`' Mlwcqcr* jkdkpc` jkibkjkp{ nldvigkc~ pmip miqc lgj{ lgc lwgcr di{ bc`k~rcoir`c` alr S'^' ac`crij kgnldc pi} vsrvl~c~* ig` ka ~snm ig cgpkp{ k~`k~rcoir`c` alr ac`crij kgnldc pi} vsrvl~c~* mi~ gl kgnldc pmip k~ caacnpkqcj{nlggcnpc` wkpm pmc nlg`snp la i pri`c lr bs~kgc~~ kg pmc Sgkpc` ^pipc~* gl

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    26/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    20 NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG

    S' ' lwgcr* gl lpmcr S'^' ~lsrnc kgnldc* gl cdvjl{cc~ kg pmc Sgkpc` ^pipc~*gl lpmcr inpkqkp{ kg pmc Sgkpc` ^pipc~* ig` gl lpmcr rci~lg pmip pmc cgpkp{k~ ~sbhcnp pl ac`crij kgnldc pi}c~* cdvjl{dcgp pi}c~* lr c}nk~c pi}c~* pmcgkgalrdipklg lg kp~ lwgcr wkjj glp bc iqikjibjc vsr~sigp pl S'^' ac`crij pi}jiw~' Kgalrdipklg di{ bc mcj kg innlr`ignc wkpm pmc jiw la pmc ~pipc la pmccgpkp{~ alrdipklg* pmlsom pmk~ k~ glp osirigpcc` kg ijj ni~c~'

    39' Kgalrdipklg nlgncrgkgo prs~pcc~* ~cppjlr~ ig` bcgcaknkirkc~ la prs~p~pmip irc ~sbhcnp pl ac`crij kgnldc pi} jiw* igpk$dlgc{ jisg`crkgo jiw lr ~pipc jiw k~ iqikjibjc' Prs~p~ pmip irc prcipc` i~ alrckog prs~p~ alr S' ' ac`crijkgnldc pi} vsrvl~c~* bsp pmip miqc i S'^' rc~k`cgp prs~pcc di{ lapcg bc ~sb$

    hcnp pl ~pipc jiw rcyskrcdcgp~ pl eglw pmc ~cppjlr~* prs~pcc~ ig` bcgcaknkirkc~la i prs~p* wmcpmcr lr glp pmc prs~p k~ olqcrgc` b{ alrckog jiw' Pmcrc di{ bcjkdkpc` nkrnsd~pignc~ wmcrc i prs~pcc rc~k`cgp kg pmc Sgkpc` ^pipc~ pmip k~ pmc

    prs~pcc la i glg$S'^' prs~p k~ glp ~sbhcnp pl ig{ S'^' rsjc~ rcyskrkgo pmc dikg$pcgignc la ~snm kgalrdipklg' Pmc prs~pcc wlsj` bc ~sbhcnp pl pmc hsrk~`knpklgla i S'^' nlsrp ig` pmc KR^ ~sddlg~ vlwcr* ig` wlsj` bc rcyskrc` pl akjc igABIR' I~ i vrinpknij dippcr* pmc iqikjibkjkp{ la kgalrdipklg lg prs~p~ mi~ glp

    vl~c` ig{ vrlbjcd~ alr c}nmigoc la kgalrdipklg vsrvl~c~'

    32' Nlrvlripklg~ ig` virpgcr~mkv~ ds~p vrlqk`c pmc KR^ iggsijj{ i bij$ignc ~mccp pmip iorcc~ wkpm pmckr blle~ ig` rcnlr`~* i~ wcjj i~ i ~nmc`sjc pmiprcnlgnkjc~ pmckr kgnldc ~pipcdcgp vcr pmckr blle~ la innlsgp wkpm pmckr kgnldc~pipcdcgp vcr pmckr pi} rcpsrg' Ocgcrijj{* prs~pcc~ la prs~p~ ds~p dikgpikg

    `cpikjc` innlsgpkgo kgalrdipklg vsr~sigp pl ac`crij pi} jiw* ~pipc ~pipsplr{jiw* ig` ni~c jiw' Pmcrc di{ bc jkdkpc` nkrnsd~pignc~ wmcrc i prs~pcc rc~k$`cgp kg pmc Sgkpc` ^pipc~ pmip k~ pmc prs~pcc la i glg$S'^' prs~p k~ glp ~sbhcnppl ig{ S'^' rsjc~ rcyskrkgo pmc dikgpcgignc la ~snm kgalrdipklg* ijpmlsompmc prs~pcc wlsj bc rcyskrc` pl akjc ig ABIR' Pmc rcyskrcdcgp~ pl dikgpikgsg`crj{kgo rcnlr`~ alr innlsgpkgo kgalrdipklg alr i dkgkdsd la 3 {cir~ k~ glpc}vrc~~j{ vrlqk`c` alr sg`cr ac`crij jiw kg ijj ni~c~' Pmc ocgcrijj{ ivvjknibjcrsjc~ sg`cr ac`crij pi} jiw asrpmcr nlgpikg i ~pipspc la jkdkpipklg~ rsjc pmipijj pi}vi{cr~ ds~p dikgpikg rcnlr`~ ~l jlgo i~ pmc{ di{ bc rcjcqigp alr pmc`cpcrdkgipklg la ac`crij kgnldc pi}' Pmk~ vcrkl` di{ bc ig{wmcrc arld hs~p

    lqcr > {cir~ pl ig kg`cakgkpc vcrkl` -alr c}idvjc* kg pmc ni~c la nlrvlripklg~pmc nijnsjipklg la cirgkgo~ ig` vrlakp~ di{ `cvcg` lg ijj prig~inpklg~ sg`cr$piecg pmrlsomlsp pmc nlrvlripklg~ jkacpkdc+' Pmcrc k~ gl vcgijp{ alr aikjkgo pldikgpikg rcnlr`~* bsp i pi}vi{cr wml k~ glp ibjc pl ~svvlrp pmckr pi} vl~kpklgwkjj bc sgibjc pl rcbsp i rc$i~~c~~dcgp b{ pmc KR^' Kg i``kpklg* wmcrc ig cgpkp{k~ `k~rcoir`c` alr ac`crij pi} vsrvl~c~* ig` k~ glp lpmcrwk~c ~sbhcnp pl pi}akjkgo rcyskrcdcgp~* pmk~ rsjc wkjj glp ivvj{' ^vcnkakn i``kpklgij rsjc~ sg`cr pmc ac`crij pi} jiw* lpmcr ac`crij jiw lr ~pipc jiw ivvj{ kg ncrpikg ni~c~'

    3>' Igpk$dlgc{ jisg`crkgo jiw i~ wcjj i~ ivvjknibjc bigekgo rcosjipklg~cg~src pmip bige kgalrdipklg k~ iqikjibjc'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    27/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG 23

    I'9' Lwgcr~mkv ig` k`cgpkp{ kgalrdipklg

    Hsrk~`knpklg~ ~mlsj` cg~src pmip lwgcr~mkv ig` k`cgpkp{ kgalrdipklg alr ijj rcjcqigpcgpkpkc~ ig` irrigocdcgp~ k~ iqikjibjc pl pmckr nldvcpcgp ispmlrkpkc~'

    Nldvigkc~ -PlR > I'9'9+

    30' Jcoij cgpkpkc~ ocgcrijj{ irc nrcipc` sg`cr pmc jiw~ la lgc la pmc ~cq$crij ~pipc~' Cinm la pmc ~pipc~ ijjlw~ alr pmc nrcipklg la nlrvlripklg~' Kg ocg$crij* i nlrvlripklg k~ i jcoij cgpkp{ pmip k~ nivkpijkxc` b{ ~mirc nlgprkbspklg~ig` wml~c lwgcr~ jkibkjkp{ alr pmc nlrvlripklg~ lbjkoipklg~ k~ jkdkpc` pl pmcidlsgp la pmckr nlgprkbspklg~'

    33' Mk~plrknijj{* pmc nlrvlripklg mi~ bccg pmc `ldkgigp bs~kgc~~ alrd kgpmc Sgkpc` ^pipc~' Kg rcncgp {cir~ pmc JJN mi~ bcnldc kgnrci~kgoj{ vlvsjir'Pmk~ k~ i rcjipkqcj{ gcw bs~kgc~~ alrd pmip ~mirc~ ncrpikg acipsrc~ la i nlrvl$ripklg ig` ncrpikg acipsrc~ la i virpgcr~mkv' Jkec pmc nlrvlripklg kp vrlpcnp~ kp~lwgcr~ -rcacrrc` pl i~ dcdbcr~+ arld ~ldc `cbp~ ig` lbjkoipklg~' _{ldkgo

    vi~~c` pmc akr~p jiw vcrdkppkgo alrdipklg la JJN~ kg 9;??' Ijj 36 ~pipc~ glwijjlw alr pmc alrdipklg la JJN~'

    31' ^pipc jiw~ rcoir`kgo pmc alrdipklg la ig JJN pcg` pl rcajcnp ig kgpcr$c~p kg ijjlwkgo orcipcr nlgprinpsij ajc}kbkjkp{ idlgo pmc lwgcr~ pmig `l pmcrsjc~ olqcrgkgo pmc alrdipklg la nlrvlripklg~' Pmc kgnldc la JJN~ wkpm dlrcpmig lgc dcdbcr k~ ocgcrijj{ glp pi}c` `krcnpj{* bsp i~ wkpm virpgcr~mkv~* k~

    vi~~c` pmrlsom pl pmc lwgcr~ pl pmc c}pcgp pmc JJN `lc~ glp cjcnp pl bc pi}c`i~ i nlrvlripklg' Alr pmip rci~lg* JJN~ wkjj bc `k~ns~~c` kg cnpklg I9'>-Virpgcr~mkv~+' Alr ac`crij pi} vsrvl~c~* ig JJN wkpm lgj{ lgc dcdbcr k~ `k~$rcoir`c` i~ ig cgpkp{ ~cviripc arld kp~ dcdbcr* sgjc~~ kp diec~ ig iaakrdipkqccjcnpklg pl bc nji~~kakc` i~ i nlrvlripklg' _mcrc pmc JJN k~ `k~rcoir`c` pmcgpmc lwgcr k~ prcipc` i~ lwgkgo pmc JJN~ i~~cp~ krcnpj{' _mcpmcr ig lroigkxi$pklg k~ prcipc` i~ ig cgpkp{ ~cviripc arld kp~ lwgcr~ alr ac`crij pi} jiw vsrvl~c~k~ i dippcr la ac`crij pi} jiw ig` `lc~ glp `cvcg` lg wmcpmcr pmc lroigkxipklgk~ rcnlogkxc` i~ ig cgpkp{ sg`cr ~pipc jiw' Prci~' Rco' >69'??69$9'

    3?' Pmc akosrc bcjlw kgnjs`c~ kgalrdipklg lg pmc gsdbcr la nlrvlri$pklg~ ig` JJN~ alrdc` kg pmc plv akqc ~pipc~ kg 266; ijlgo wkpm kgalrdipklglg nlrvlripc ig` JJN alrdipklg kg Gcqi`i ig` _{ldkgo' Gcw [lre mi`pmc jiroc~p gsdbcr la nlrvlripklg~ lg akjc aljjlwc` b{ Vcgg~{jqigki* Ajlrk`i*Nijkalrgki ig` Pc}i~' @cjiwirc mi` pmc jiroc~p gsdbcr la JJN~ aljjlwc` b{Ajlrk`i* Nijkalrgki* Gcw [lre ig` Pc}i~' Pmc gsdbcr~ la kgnlrvlripklg~ kg

    Gcqi`i ig` _{ldkgo* vlvsjirj{ nlg~k`crc` i~ ~kogkaknigp ncgprc~ alr nlrvl$ripc alrdipklg* irc ~dijj b{ nldvirk~lg pl pmc akqc bkooc~p ~pipc~'

    >' Pcrd~ la Rcacrcgnc pl Dlgkplr ig` Rcqkcw Vrlorc~~ Plwir`~ Prig~vircgn{ ig`C}nmigoc la Kgalrdipklg

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    28/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    21 NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG

    3=' Ka i nlrvlripklg wkpm i ~kgojc nji~~ la ~plne mi~ gl dlrc pmig 966~mircmlj`cr~* glgc la wmld irc glg$rc~k`cgp ijkcg~ lr cgpkpkc~ -lpmcr pmig

    ncrpikg pi}$c}cdvp lroigkxipklg~ ig` ncrpikg c~pipc~ ig` prs~p~+* pmc nlrvlri$pklg ocgcrijj{ di{ cjcnp pl bc pi}c` i~ i vi~~$pmrlsom cgpkp{ sg`cr ~sbnmivpcr ^ la pmc Kgpcrgij Rcqcgsc Nl`c -i ~l$nijjc` ^ nlrvlripklg+'

    3;' ^cc ^cnpklg I2 -Virpgcr~mkv~+ alr i `k~ns~~klg la virpgcr~mkv~*^ nlrvlripklg~ ig` JJN~ pl pmc c}pcgp ig JJN lc~ glp cjcnp pl bc pi}c` i~ inlrvlripklg'

    Lwgcr~mkv ig` k`cgpkp{ kgalrdipklg mcj` b{ nlrvlripklg~

    16' Sg`cr @cjiwirc jiw ig` pmc Dl`cj Bs~kgc~~ Nlrvlripklg Inp*0pm C`kpklg* 266? -DBNI+* i nlrvlripklg k~ alrdc` svlg akjkgo irpknjc~ la kgnlrvlripklg wkpm pmc rcjcqigp olqcrgdcgpij laaknc kg pmc rcjcqigp ~pipc' Pmcirpknjc~ ~cp alrpm pmc gidc ig` i``rc~~ la pmc kgnlrvlriplr i~ wcjj i~ vrlqk`cpmc gidc* i``rc~~ ig` vmlgc gsdbcr la i gipsrij vcr~lg ispmlrk~c` pl rcnckqc

    vrlnc~~' Sg`cr pmc Dl cj Bs~kgc~~ Nlrvlripklg Inp* cqcr{ nlrvlripklg ds~pdikgpikg i rcnlr` la kp~ ~mircmlj`cr~* kg i alrd pmip vcrdkp~ vrcviripklg la i jk~p la pmc gidc~ ig` i``rc~~c~ la ijj ~mircmlj`cr~ kg ijvmibcpknij lr`cr b{nji~~ la ~mirc~ ~mlwkgo pmc gsdbcr ig` nji~~ la ~mirc~ mcj` b{ cinm -DBNI 91'69-n++' Sg`cr @cjiwirc jiw* i nlrvlripklg k~ rcyskrc` pl vrl`snc* ip pmc

    rcysc~p la ig{ ~plnemlj`cr* pmc nlrvlripklg~ ~plne jc`ocr ig` i jk~p la kp~

    Akosrc 9' Gsdbcr la Nlrvlripklg~ ig` JJN~ alrdc` kg ^cjcnpc` ^pipc~kg 266;

    6

    266 666

    066 666

    166 666

    =66 666

    9 666 666

    9 266 666

    N i j k a l r

    g k i

    @ c j i w

    i r c

    A j l r k

    i

    G c q i

    i

    G c w [

    l r e

    V c g g ~ {

    j q i g k i

    P c }

    i ~

    _ { l d

    k g o

    Gcw Nlrv~ 266;

    Plpij Nlrv~

    Gcw JJN~ 266;

    Plpij JJN~

    ^lsrnc8 Kgpcrgipklgij I~~lnkipklg la Nlddcrnkij I`dkgk~priplr~ Iggsij Hsrk~`knpklgijRcvlrp -iqikjibjc ip www'kini'lro,kinirco,IRH@k~vji{'vmv

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    29/111

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    30/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    2= NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG

    pl c~pibjk~m idlsgp~ rcvlrpc` kg i pi} rcpsrg' Pmc~c blle~ ig` rcnlr`~kgnjs`c pmc blle~ ig` rcnlr`~ rcyskrc` pl ~ipk~a{ pmc rcvlrpkgo rcyskrcdcgp~`c~nrkbc` bcjlw kgnjs`kgo lwgcr~mkv rcvlrpkgo vcr ~c ig` rcvlrpkgo wkpmrc~vcnp pl vi{dcgp~ di`c pl lwgcr~ -glpibj{ kgnjs`kgo `kqk`cg` vi{dcgp~ig`* kg pmc ni~c la lwgcr~ pmip irc glp S'^' vcr~lg~* rcvlrpkgo wkpm rc~vcnp plijj ak}c`* `cpcrdkgibjc* iggsij* lr vcrkl`knij oikg~* vrlakp* lr kgnldc+'

    Lwgcr~mkv ig` k`cgpkp{ kgalrdipklg vrlqk`c` pl olqcrgdcgp ispmlrkpkc~ Ac`crij Pi} Jiw

    10' Ig{ nlrvlripklg alrdc` sg`cr S'^' jiw ds~p ivvj{ alr ig Cdvjl{cr K`cgpkaknipklg Gsdbcr -CKG+ arld pmc KR^ sg`cr K'R'N' ~cnpklg 196; ka kp8

    Mi~ cdvjl{cc~*

    Mi~ i ysijkakc` rcpkrcdcgp vjig* lr

    K~ rcyskrc` pl akjc pi} rcpsrg~ alr8

    Cdvjl{dcgp pi}c~*

    $ C}nk~c pi}c~* lr

    $ Kgnldc pi}c~

    13' CKG~ irc lbpikgc` b{ akjkgo Alrd ^^$0 wkpm pmc KR^' Pmk~ alrdrcyskrc~ pmip kgalrdipklg nlgncrgkgo pmc vrkgnkvij laakncr la pmc nlrvlripklgds~p bc vrlqk`c`' Kp `lc~ glp i~e alr ~mircmlj`cr kgalrdipklg* mlwcqcr* pmcivvjknipklg alrd wi~ idcg`c` kg Higsir{ 2696 pl ~vcnkaknijj{ vrcnjs`c pmck`cgpkaknipklg la i gldkgcc kg`kqk`sij* ig` kg~pci` rcyskrc~ pmc k`cgpkaknipklgla i rc~vlg~kbjc virp{' Alr pmk~ vsrvl~c* pmc rc~vlg~kbjc virp{ k~ `cakgc`i~ aljjlw~8 alr cgpkpkc~ wkpm ~mirc~ lr kgpcrc~p~ pri`c` lg i vsbjkn c}nmigoc* lr wmknm irc rcok~pcrc` wkpm pmc ^cnsrkpkc~ ig` C}nmigoc Nlddk~~klg* rc~vlg$~kbjc virp{ k~ -i+ pmc vrkgnkvij laakncr* ka pmc bs~kgc~~ k~ i nlrvlripklg* -b+ iocgcrij virpgcr* ka i virpgcr~mkv* -n+ pmc lwgcr la ig cgpkp{ pmip k~ `k~rcoir`c`i~ ~cviripc arld kp~ lwgcr* c'o' ~kgojc$dcdbcr JJN~* lr -`+ i origplr* lwgcr*lr prs~pcc ka i prs~p' Alr ijj lpmcr cgpkpkc~* rc~vlg~kbjc virp{ k~ pmc vcr~lgwml mi~ i jcqcj la nlgprlj lqcr* lr cgpkpjcdcgp pl* pmc asg`~ lr i~~cp~ kg pmccgpkp{ pmip* i~ i vrinpknij dippcr* cgibjc~ pmc kg`kqk`sij* `krcnpj{ lr kg`krcnpj{*pl nlgprlj* digioc lr `krcnp pmc cgpkp{ ig` pmc `k~vl~kpklg la kp~ asg`~' Lgncig CKG mi~ bccg lbpikgc`* pmcrc k~ gl gcc` pl sv`ipc pmc CKG pl piec innlsgpla ig{ nmigoc kg nkrnsd~pignc~'

    11' Lg ig iggsij bi~k~* ncrpikg lwgcr~mkv kgalrdipklg k~ rcvlrpc` i~ virp la pmc kgnldc pi} rcpsrg pmip nlrvlripklg~ ~sbhcnp pl pi} irc rcyskrc` plakjc sg`cr K'R'N' ~cnpklg 1692-i+-2+' Kg virpknsjir* nlrvlripklg~ ds~p rcvlrppmc k`cgpkp{ la ig{ vcr~lg pmip lwg~ -`krcnpj{+ ip jci~p 26# lr -`krcnpj{

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    31/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG 2;

    lr kg`krcnpj{+ ip jci~p 36# la pmc plpij qlpkgo vlwcr la pmc nlrvlripklg'Asrpmcrdlrc* pmc nlrvlripklg ds~p rcvlrp wmcpmcr ig{ alrckog vcr~lg lwg~*`krcnpj{ lr kg`krcnpj{* ip jci~p 23# la pmc nlrvlripklg -b{ qlpc lr qijsc+' PmcAlrd 9926 ij~l vrlqk`c~ pmc k`cgpkp{ ig` lwgcr~mkv kgalrdipklg* kgnjs`kgonldvcg~ipklg* la ijj nlrvlripc laakncr~' -KR^ Alrd 9926 ^nmc`sjc C+'

    1?' Nlrvlripklg~ lroigk~c` kg pmc Sgkpc` ^pipc~ pmip irc lwgc` dlrc pmig23#* `krcnpj{ lr kg`krcnpj{* b{ alrckog vcr~lg~ irc rcvlrpkgo nlrvlripklg~~sbhcnp pl pmc i``kpklgij kgalrdipklg rcvlrpkgo rcyskrcdcgp~ sg`cr K'R'N' ~cn$pklg 16>=I' Rcvlrpkgo nlrvlripklg~ ds~p akjc ig iggsij kgalrdipklg rcpsrg-Alrd 30?2+ `cpikjkgo* wkpm rc~vcnp pl cinm `krcnp 23# alrckog ~mircmlj`cr*cinm sjpkdipc kg`krcnp 23# alrckog ~mircmlj`cr* ig` cinm rcjipc` virp{ wkpmwmknm pmc rcvlrpkgo nlrvlripklg mi` ig{ prig~inpklg `srkgo pmc {cir* pmcaljjlwkgo k`cgpka{kgo kgalrdipklg8 gidc5 i``rc~~5 k`cgpkaknipklg gsdbcr5

    vrkgnkvij nlsgprkc~ wmcrc bs~kgc~~ k~ nlg`snpc`5 ig` nlsgpr{ la nkpkxcg~mkv*lroigkxipklg lr kgnlrvlripklg' Alrd 30?2 ij~l rcyskrc~ i `c~nrkvpklg la ijjdlgcpir{ ig` glg$dlgcpir{ prig~inpklg~ bcpwccg pmc rcvlrpkgo nlrvlripklgig` ig{ alrckog rcjipc` virp{* ig` kp~ vrkgnkvij bs~kgc~~ inpkqkp{* rcjipklg~mkv*ig` vrkgnkvij nlsgprkc~ wmcrc bs~kgc~~ k~ nlg`snpc`'

    1=' Ig{ nlrvlripklg pmip k~ alrdc` sg`cr `ldc~pkn jiw -ig` ig{ JJN lr lpmcr jcoij cgpkp{ pi}c` i~ i nlrvlripklg sg`cr ac`crij jiw+ ig` diec~ vi{$dcgp~ la `kqk`cg`~ ioorcoipkgo dlrc pmig S^@ 96 kg ig{ {cir k~ rcyskrc` pldiec i rcpsrg la ~snm idlsgp~ lg Alrd 96;;$@KQ ~cppkgo alrpm pmc ioorcoipc

    idlsgp la ~snm vi{dcgp~ ig` pmc gidc ig` i``rc~~ la cinm vcr~lg pl wmld~snm vi{dcgp~ irc di`c -K'R'N' 1602+'

    1;' I ~cviripc ~cp la lwgcr~mkv rcvlrpkgo rcyskrcdcgp~ ivvj{ kg nlg$gcnpklg wkpm ig{ idlsgp vik` pl i alrckog vcr~lg -K'R'N' 9009 pmrlsom9010 ig` pmc rcosjipklg~ pmcrcsg`cr+' Sg`cr pmc~c rsjc~* pmc bcgcaknkij lwgcr ocgcrijj{ k~ rcyskrc` pl bc k`cgpkakc`* ig` pmc vi{cc~ ~pips~ `lnsdcgpc`'^vcnkaknijj{* i alrckog vcr~lg wml k~ pmc bcgcaknkij lwgcr la `kqk`cg`~*kgpcrc~p* lr lpmcr ak}c` lr `cpcrdkgibjc iggsij lr vcrkl`knij oikg~* vrlakp~*lr kgnldc arld i nlrvlripklg ds~p nldvjcpc i Alrd _$=BCG* Ncrpkaknipcla Alrckog ^pips~ la Bcgcaknkij Lwgcr alr Sgkpc` ^pipc~ Pi} _kpmmlj`kgo' Ialrckog vcr~lg wml k~ pmc bcgcaknkij lwgcr la kgnldc pmip k~ caacnpkqcj{ nlg$gcnpc` wkpm i Sgkpc` ^pipc~ pri`c lr bs~kgc~~ ds~p vrlqk`c* Alrd _$=CNK*Ncrpkaknipc la Alrckog Vcr~lg~ Njikd pmip Kgnldc k~ Caacnpkqcj{ Nlggcnpc`_kpm pmc Nlg`snp la i Pri`c lr Bs~kgc~~ kg pmc Sgkpc` ^pipc~* pl pmc vi{lr lr wkpmmlj`kgo iocgp la pmc caacnpkqcj{ nlggcnpc` kgnldc' Pmc _$= alrd~ nijjalr k`cgpkaknipklg la pmc bcgcaknkij lwgcr b{ gidc* rc~k`cgnc i``rc~~* dikj$kgo i``rc~~* nlsgpr{* p{vc la cgpkp{ -ka ivvjknibjc+* ig` CKG lr lpmcr pi}vi{cr k`cgpkaknipklg gsdbcr' Aikjsrc pl vrlqk`c pmk~ bcgcaknkij lwgcr~mkv kgalrdi$pklg kg lr`cr pl c~pibjk~m pmip pmc bcgcaknkij lwgcr k~ cjkokbjc alr ig c}cdv$pklg arld wkpmmlj`kgo* lr i rc`snc` ripc la wkpmmlj`kgo sg`cr ig kgnldc pi}

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    32/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    >6 NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG

    prcip{* ocgcrijj{ rc~sjp~ kg i >6# wkpmmlj`kgo pi} kdvl~c` lg vi{dcgp~ la ak}c`* `cpcrdkgibjc* iggsij* lr vcrkl`knij oikg~* vrlakp~* lr kgnldc di`c plpmc jcoij lwgcr la pmc vi{dcgp'

    Alrckog nlrvlripklg~

    ?6' Alrckog nlrvlripklg~ pmip irc cgoioc` kg i S'^' pri`c lr bs~kgc~~ ircrcyskrc` pl lbpikg ig CKG ig` akjc pi} rcpsrg~' Pmc rsjc~ `c~nrkbc` iblqcrcoir`kgo pmc rcvlrpkgo la lwgcr~mkv `cpikj~ kg pmc Alrd 9926 wkjj pmcrcalrcivvj{' Kg virpknsjir* nlrvlripklg~ ds~p rcvlrp pmc k`cgpkp{ la ig{ vcr~lg pmiplwg~ -`krcnpj{+ ip jci~p 26# lr -`krcnpj{ lr kg`krcnpj{+ ip jci~p 36# la pmc plpijqlpkgo vlwcr la pmc nlrvlripklg' Asrpmcrdlrc* pmc nlrvlripklg ds~p rcvlrpwmcpmcr ig{ alrckog vcr~lg lwg~* `krcnpj{ lr kg`krcnpj{* ip jci~p 23# la pmcnlrvlripklg -b{ qlpc lr qijsc+ -KR^ Alrd 9926$A+'

    ?9' Alrckog nlrvlripklg~ cgoioc` kg i S'^' pri`c lr bs~kgc~~ irc ~vcnkak$nijj{ rcyskrc` pl asrgk~m ig` dikgpikg rcnlr`~ rcjipkgo pl cinm vcr~lg wmknmk~ i rcjipc` virp{ pl pmc nlrvlripklg ig` wmknm mi` ig{ prig~inpklg wkpm pmcrcvlrpkgo nlrvlripklg srkgo kp~ pi}ibjc {cir* pmc diggcr kg wmknm pmc alrckognlrvlripklg k~ rcjipc` pl pmc vcr~lg* ig` kgalrdipklg rcjipc` pl ig{ prig~in$pklg~ bcpwccg pmc alrckog nlrvlripklg ig` ig{ rcjipc` virp{' I prig~inpklgwlsj` kgnjs`c ig{ vi{dcgp pl lr nlgprkbspklg la qijsc arld i ~mircmlj`cr'Rcjipc` virp{ alr pmc~c vsrvl~c~ kgnjs`c~ ig{ glg$S^ vcr~lg pmip lwg~ 23#la pmc qlpc lr qijsc la pmc nlrvlripklg' Rcosjipklg~ vrlqk`c i ~iac mirblsr ~vcnka{kgo wmip `lnsdcgp~ wkjj ~ipk~a{ pmk~ rcnlr`$eccvkgo rcyskrcdcgp'Pmc~c ~iac mirblsr `lnsdcgp~ kgnjs`c rcnlr`~ rcjipkgo pl pmc lwgcr~mkv ig`nivkpij ~prsnpsrc la pmc alrckog nlrvlripklg* kgnjs`kgo i wlrj`wk`c lroigk~i$pklg nmirp' -KRN 16>=N* 16>=I ig` rcosjipklg~ k~~sc` pmcrcsg`cr+'

    ?2' Pmc nlgncvp la bckgo cgoioc` kg i S' ' pri`c lr bs~kgc~~ alr S' 'ac`crij kgnldc pi} vsrvl~c~ k~ qcr{ brli`* ig` di{ kgnjs`c nkrnsd~pignc~wmcrc i alrckog vcr~lg mi~ lgj{ nldvjcpc` k~ljipc` prig~inpklg~ kg pmc Sgkpc`^pipc~' Nlg~cyscgpj{* i orcip `cij la lwgcr~mkv kgalrdipklg di{ bc iqikjibjcalr dig{ nlrvlripklg~ pmip miqc* alr pmc vsrvl~c~ la pmc Pcrd~ la Rcacrcgnc *

    lgj{ i ~jkomp nlggcnpklg wkpm pmc Sgkpc` ^pipc~'

    Gldkgcc~

    ?>' Pmrlsom pmc ac`crij pi} ~{~pcd* gldkgcc~ ocgcrijj{ irc rcyskrc` plmiqc ig` vrlqk`c kgalrdipklg rcoir`kgo pmc k`cgpkp{ la pmc vcr~lg lg wml~c

    bcmija pmc ~mirc~ irc mcj`'

    ?0' Nmivpcr 19 la pmc Kgpcrgij Rcqcgsc Nl`c vrlqk`c~ i nldvrcmcg~kqckgalrdipklg rcvlrpkgo rcokdc alr pi} vsrvl~c~' K'R'N' ~cnpklg 1609-i+ vrl$qk`c~ pmip vcr~lg~ cgoioc` kg i pri`c lr bs~kgc~~ ig` diekgo vi{dcgp kg pmc

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    33/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG >9

    nlsr~c la ~snm pri`c lr bs~kgc~~ pl iglpmcr vcr~lg* la rcgp* ~ijirkc~* lr lpmcr ak}c` lr `cpcrdkgibjc oikg~* vrlakp~ ig` kgnldc la S^@ 166 lr dlrc kg ig{pi}ibjc {cir ds~p akjc ig kgalrdipklg rcpsrg ~mlwkgo pmc gidc ig` i``rc~~la pmc rcnkvkcgp la ~snm vi{dcgp' K'R'N' ~cnpklg 1602-i+-9+ vrlqk`c~ pmip cqcr{

    vcr~lg wml vi{~ `kqk`cg`~ la S^@ 96 lr dlrc pl ig{ lpmcr vcr~lg `srkgoig{ nijcg`ir {cir* lr wml rcnckqc~ vi{dcgp~ la `kqk`cg`~ i~ i gldkgcc ig`wml diec~ ~snm vi{dcgp~ pl ig{ lpmcr vcr~lg wkpm rc~vcnp pl pmc `kqk`cg`~~l rcnckqc` ds~p akjc ig kgalrdipklg rcpsrg ~pipkgo pmc gidc ig` i``rc~~ la pmc sjpkdipc rcnkvkcgp' K'R'N' ~cnpklg 1603 ocgcrijj{ rcyskrc~ ~plnebrlecr~ ig`nldvigkc~ njl~kgo rcij c~pipc prig~inpklg~ pl akjc ~kdkjir kgalrdipklg rcpsrg~wkpm rc~vcnp pl orl~~ vrlncc`~ la prig~inpklg~' K'R'N' ~cnpklg 160; vrlqk`c~~kdkjir rsjc~ wkpm rc~vcnp pl vi{dcgp~ la kgpcrc~p' Kg 266;* dlrc pmig > bkjjklgkgalrdipklg rcpsrg~ wcrc akjc` wkpm pmc KR^'

    ?3' Pmc Prci~sr{ Rcosjipklg~ sg`cr ~snm Kgpcrgij Rcqcgsc Nl`c ~cnpklg~ vrc~nrkbc Alrd 96;; i~ pmc bi~kn laaknkij alrd lg wmknm pl akjc ~snm kgalrdi$pklg rcpsrg~' Pmc rcosjipklg~ asrpmcr vrlqk`c pmip cqcr{ vcr~lg inpkgo i~ igldkgcc ~mijj akjc ~snm i rcpsrg k`cgpka{kgo pmc vcr~lg lg bcmija la wmld pmc

    vi{dcgp wi~ rcnckqc`' Prci~' Rco' >69'1602$2-i+-9+-k+* 9'160;$0-b+->+-k+*9'160;$0-a+-0+'

    ?1' Pmc Ocgcrij Kg~prsnpklg~ pl Alrd 96;; kdvjcdcgp pmc~c rcyskrcdcgp~ b{ vrlqk`kgo pmip i vcr~lg rcnckqkgo Alrd 96;; alr idlsgp~ pmip inpsijj{ bcjlgo pl iglpmcr vcr~lg k~ nlg~k`crc` i gldkgcc rcnkvkcgp ig` ds~p akjc pmc

    ~idc p{vc la Alrd 96;; alr ~snm bcgcaknkij lwgcr* k`cgpka{kgo pmc bcgcaknkijlwgcr ig` ~mlwkgo pmc vlrpklg la pmc kgnldc ijjlnibjc pl pmip lwgcr'

    ??' Ka pmcrc k~ dlrc pmig lgc jcqcj la gldkgcc kg i nmikg la lwgcr~mkv*pmc~c kgalrdipklg rcvlrpkgo rcyskrcdcgp~ wlsj` ivvj{ ~snnc~~kqcj{ pl cinmgldkgcc* ~l pmip pmc sjpkdipc gldkgcc wlsj` bc rcyskrc` pl miqc ig` vrlqk`ckgalrdipklg rcoir`kgo pmc k`cgpkp{ la pmc sjpkdipc lwgcr' _mcrc i vcr~lgmiqkgo nlgprlj* rcnckvp* ns~pl`{* `k~vl~ij* lr vi{dcgp la ig{ kpcd la `kqk`cg`~*rcgp~* ~ijirkc~* wioc~* vrcdksd~* iggskpkc~* nldvcg~ipklg~* rcdsgcripklg~*cdljsdcgp~* lr lpmcr ak}c` lr `cpcrdkgibjc iggsij lr vcrkl`knij oikg~* vrlakp~*lr kgnldc -A@IV+ diec~ vi{dcgp~ pl i glg$rc~k`cgp ijkcg* iglpmcr kgalr$dipklg rcvlrpkgo rcokdc -Nmivpcr > la pmc Kgpcrgij Rcqcgsc Nl`c+ ivvjkc~'Vi{dcgp~ di`c pl alrckog gldkgcc~ irc nlqcrc` b{ pmc Nmivpcr > kgalrdipklgrcvlrpkgo rcokdc* wmknm k~ rckgalrnc` wkpm i >6# wkpmmlj`kgo pi}'

    ?=' I alrckog vcr~lg wml k~ pmc bcgcaknkij lwgcr la kgnldc ~sbhcnp plNmivpcr > wkpmmlj`kgo ds~p vrlqk`c lgc la pmrcc qirkcpkc~ la _$= alrd~ plpmc vi{lr la pmc kgnldc' Pmc _$= alrd~ nijj alr k`cgpkaknipklg la pmc bcgcak$nkij lwgcr b{ gidc* rc~k`cgnc i``rc~~* dikjkgo i``rc~~* nlsgpr{ la lroigkxi$pklg* p{vc la cgpkp{ -ka ivvjknibjc+* ig` CKG lr lpmcr pi}vi{cr k`cgpkaknipklggsdbcr' I alrckog vcr~lg wml k~ ig kgpcrdc`kir{ -kgnjs`kgo gldkgcc+ alr pmc

    bcgcaknkij lwgcr kg~pci` ds~p vrlqk`c Alrd _$=KD[' Pmc Alrd _$=KD[

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    34/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    >2 NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG

    ocgcrijj{ rcyskrc~ ig kgpcrdc`kir{ pl k`cgpka{ pmc vcr~lg-~+ alr wmld pmckgpcrdc`kir{ k~ rcnckqkgo pmc vi{dcgp b{ qkrpsc la pmc ainp pmip kp ds~p bcinnldvigkc` b{ lgc la pmc pmrcc lpmcr Alrd~ _$=* i~ ivvjknibjc'

    ?;' Lwgcr~mkv kgalrdipklg alr cgpkpkc~ prcipc` i~ nlrvlripklg~ alr ac`crijkgnldc pi} vsrvl~c~ k~ ocgcrijj{ iqikjibjc pmrlsom i nldbkgipklg la ac`crijig` ~pipc jiw* kgnjs`kgo wmcrc mcj` b{ i gldkgcc' Pmcrc irc c}pcg~kqc rcvlrp$kgo lbjkoipklg~ pmip ippinm pl pmc vi{dcgp la `kqk`cg`~* virpknsjirj{ wmcg

    vik` pl glg$S'^' rc~k`cgp~'

    =6' Kg vrinpknc* vccr~ miqc glp kg`knipc` pmip lbpikgkgo lwgcr~mkv kgalr$dipklg alr nldvigkc~ pi}c` i~ nlrvlripklg~ alr ac`crij kgnldc pi} vsrvl~c~mi~ bccg i vrlbjcd'

    Bcircr ~mirc~ -PlR I'9'2+=9' Ijj 36 ~pipc~ vrlmkbkp pmc k~~signc la bcircr ~mirc~' Kg 266?* Gcqi`iig` _{ldkgo vi~~c` jcok~jipklg vrlmkbkpkgo bcircr ~mirc~* pmcrcb{ c}pcg`kgopmc vrlmkbkpklg pl ijj 36 ~pipc~'

    Igpk dlgc{ jisg`crkgo jiw

    =2' _mkjc pmc Sgkpc` ^pipc~ igpk$dlgc{ jisg`crkgo jiw~ ig` rcosjipklg~ocgcrijj{ cdvmi~kxc pmc gcc` alr i rk~e$bi~c` ivvrlinm pl ns~pldcr k`cgpkak$

    nipklg pmc{ ~vcnkaknijj{ rcyskrc pmip* i~ virp la kp~ ns~pldcr k`cgpkaknipklg vrl$orid -NKV+* i akgignkij kg~pkpspklg ds~p nljjcnp -ip i dkgkdsd+ pmc aljjlwkgok`cgpka{kgo kgalrdipklg iblsp i ns~pldcr ip pmc pkdc pmc ns~pldcr ~cce~ pllvcg pmc innlsgp8 -9+ gidc5 -2+ alr kg`kqk`sij~* `ipc la bkrpm5 ->+ alr kg`kqk`s$ij~* i rc~k`cgpkij lr bs~kgc~~ ~prccp i``rc~~* lr* ka pmcrc k~ gl ~prccp i``rc~~iqikjibjc* ig Ird{ Vl~p Laaknc lr Ajccp Vl~p Laaknc bl} gsdbcr lr pmc ~prccpi``rc~~ la gc}p la ekg lr la iglpmcr nlgpinp kg`kqk`sij5 lr* alr vcr~lg~ lpmcr pmig kg`kqk`sij~* pmc vrkgnkvij vjinc la bs~kgc~~* jlnij laaknc lr lpmcr vm{~knijjlnipklg5 ig` -0+ alr S'^' vcr~lg~* i S'^' pi}vi{cr k`cgpkaknipklg gsdbcr5 lr*alr glg$S'^' vcr~lg~* lgc lr dlrc la pmc aljjlwkgo8 i S'^' pi}vi{cr k`cgpkakni$

    pklg gsdbcr* vi~~vlrp gsdbcr ig` nlsgpr{ la k~~signc5 ijkcg k`cgpkaknipklgnir` gsdbcr* lr gsdbcr ig` nlsgpr{ la k~~signc la ig{ lpmcr olqcrgdcgp$k~~sc` `lnsdcgp cqk`cgnkgo gipklgijkp{ lr rc~k`cgnc ig` bcirkgo i vmlpl$orivm lr ~kdkjir ~iacosir`' Kg i``kpklg* pmc NKV ds~p nlgpikg rk~e$bi~c`

    vrlnc`src~ alr qcrka{kgo cinm ns~pldcr~ k`cgpkp{' ^cc c'o' >9 N'A'R' 96>'929-alr bige~+* >9 N'A'R' 96>'922 -alr brlecr$`cijcr~+5 >9 N'A'R' 96>'92> -alr AND~+5 ig` >9 N'A'R' 96>'9>9 -alr dspsij asg`~+'

    =>' Alr vsrvl~c~ la -0+* i S'^' vcr~lg kgnjs`c~ blpm gipsrij vcr~lg~ ig`jcoij cgpkpkc~ alrdc` kg pmc Sgkpc` ^pipc~' Pms~* ig{ jcoij cgpkp{ pmip lvcg~ iginnlsgp wkpm i akgignkij kg~pkpspklg nlqcrc` b{ pmc NKV rsjc~ ds~p lbpikg ig

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    35/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG >>

    Cdvjl{cr K`cgpkaknipklg Gsdbcr arld pmc KR^' Pmc NKV rsjc~ ivvj{ pl bige~-kgnjs`kgo kg~src` bige~* nlddcrnkij bige~ lr prs~p nldvigkc~* vrkqipc

    bigecr~* iocgnkc~ lr brignmc~ la alrckog bige~ kg pmc Sgkpc` ^pipc~* nrc`kpsgklg~ ig` pmrkap kg~pkpspklg~* ~cnsrkpkc~ brlecr$`cijcr~* aspsrc~ nlddk~~klgdcrnmigp~ ig` dspsij asg`~+' 0

    =0' Bi~c` lg i bige~ rk~e i~~c~~dcgp la i gcw innlsgp lvcgc` b{ i ns~$pldcr pmip k~ glp ig kg`kqk`sij* i bige di{ gcc` pl piec i``kpklgij ~pcv~ plqcrka{ pmc ns~pldcr~ k`cgpkp{' Kg i``kpklg* pmc akgignkij kg~pkpspklg di{ gcc`pl jlle pmrlsom pmc ns~pldcr pl `cpcrdkgc pmc bcgcaknkij lwgcr la pmc innlsgpkg nlggcnpklg wkpm pmc ns~pldcr `sc `kjkocgnc vrlnc`src~ rcyskrc` sg`cr lpmcr vrlqk~klg~ la kp~ B^I nldvjkignc vrlorid i~ `c~nrkbc` kg pmc aljjlwkgo~cnpklg' Pmk~ wlsj p{vknijj{ bc rcyskrc` kg pmc ni~c~ la ncrpikg prs~p~* ~mcjjcgpkpkc~* ig` vrkqipc kgqc~pdcgp nldvigkc~* idlgo lpmcr~'

    =3' Mlwcqcr* pmc igpk$dlgc{ jisg`crkgo jiw~ kg pmc Sgkpc` ^pipc~ `l glpnsrrcgpj{ nlqcr nldvig{ ~crqknc vrlqk`cr~ kgnjs`kgo rc~k`cgp iocgp~ kg pmcni~c la JJN~' ^kdkjirj{ prs~p ~crqknc vrlqk`cr~ lpmcr pmig bige~* prs~p nldvi$gkc~ ig` lpmcr akgignkij kg~pkpspklg~ i~ `c~nrkbc` iblqc irc glp wkpmkg pmc ~nlvcla pmc S'^' igpk$dlgc{ jisg`crkgo rsjc~' Pmc S'^' nlg~k`cr~ pmip* kg ocgcrij* pmc

    bs~kgc~~ la vrlqk`kgo prs~p ~crqknc~ k~ jkdkpc` pl bige~ ig` prs~p nldvigkc~'

    Virpgcr~mkv~ -PlR I'9'>+

    =1' Ijj ~pipc~ ijjlw alr pmc nrcipklg la ocgcrij virpgcr~mkv~ ig` jkdkpc` virpgcr~mkv~' Kg i``kpklg* i~ glpc` iblqc* jkdkpc` jkibkjkp{ nldvigkc~ wmkjc bl`kc~ nlrvlripc alr ~pipc jiw vsrvl~c~ irc ocgcrijj{ prcipc` i~ virpgcr~mkv~alr ac`crij kgnldc pi} vsrvl~c~ ig` nldbkgc blpm nlrvlripc ig` virpgcr~mkvacipsrc~ ig` ~l irc `cijp wkpm alr pmc vsrvl~c~ la pmk~ rcvlrp sg`cr pmc mci`$kgo la virpgcr~mkv~' I``kpklgijj{* dig{ ~pipc~ ijjlw alr pmc nrcipklg la jkdkpc`jkibkjkp{ virpgcr~mkv~ -JJV~+* wmknm irc i p{vc la ocgcrij virpgcr~mkv pmip

    0' Akgignkij kg~pkpspklg~ wmknm `l glp p{vknijj{ dikgpikg innlsgp rcjipklg~mkv~wkpm pmckr ns~pldcr~* ~snm i~ dlgc{ prig~dkppcr~* nmcne ni~mcr~* ig` dlgc{

    lr`cr ~cjjcr~* irc ~sbhcnp pl lpmcr k`cgpkaknipklg rsjc~ pmip rcyskrc pmcd pl lbpikgk`cgpka{kgo kgalrdipklg bcalrc nlg`snpkgo i prig~inpklg' ^cc* c'o' >9 NAR 96>'2=wmknm* kg pmc ni~c la prig~inpklg~ kgqljqkgo dlrc pmig S^@ 96 666 kg nsrrcgn{*rcyskrc~ i akgignkij kg~pkpspklg pl qcrka{ ig` rcnlr` pmc gidc ig` i``rc~~ la pmckg`kqk`sij vrc~cgpkgo pmc prig~inpklg* i~ wcjj i~ rcnlr` pmc k`cgpkp{ ig` pi}vi{cr k`cgpkaknipklg gsdbcr la ig{ vcr~lg lr cgpkp{ lg wml~c bcmija pmc prig~inpklg k~caacnpc`5 ig` >9 NAR 96>'2; wmknm* kg pmc ni~c la vsrnmi~c~ la ni~mkcr~ nmcne~*dlgc{ lr`cr~ ig` priqcjcr~ nmcne~ alr S^@ > 666 lr dlrc kg nsrrcgn{* rcyskrc~i akgignkij kg~pkpspklg pl rcnlr` kg`cgpka{kgo kgalrdipklg iblsp pmc vsrnmi~cr -k'c' gidc* i``rc~~* ~lnkij ~cnsrkp{ gsdbcr lr ijkcg k`cgpkaknipklg gsdbcr* ig``ipc la bkrpm+ ig` qcrka{ pmc vsrnmi~cr~ gidc ig` i``rc~~'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    36/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    >0 NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG

    kg~sjipc~ kp~ virpgcr~ arld jkibkjkp{ alr iglpmcr virpgcr~ inpklg~ ig` lbjkoi$pklg~* ijpmlsom glp arld pmc kg`kqk`sij virpgcr~ lwg inpklg~' JJV~ pcg` pl

    bc s~c` vrkdirkj{ b{ vrlac~~klgij ~crqknc akrd~* virpknsjirj{ pml~c vrlmkbkpc` b{ ^pipc jiw arld lroigkxkgo i~ JJN~'

    Lwgcr~mkv kgalrdipklg vrlqk`c` pl olqcrgdcgp ispmlrkpkc~ ^pipc Jiw

    =?' Virpgcr~mkv~* lpmcr pmig ocgcrij virpgcr~mkv~* irc rcyskrc` pl akjcpmckr alrdipklg `lnsdcgp wkpm pmc rcjcqigp olqcrgdcgpij ispmlrkp{ -p{vknijj{pmc rcjcqigp ~pipc~ ^cnrcpir{ la ^pipc+ kg wmknm pmc virpgcr~mkv k~ alrdc`'Blpm pmc Sgkalrd Jkdkpc` Virpgcr~mkv Inp -2669+ -SJVI+ ~cnpklg 269 ig`@cjiwirc Jkdkpc` Virpgcr~mkv Inp -@JVI+ kg ~cnpklg 9?$269* rcyskrc i ncrpkak$nipc pl bc akjc` wkpm pmc rcjcqigp olqcrgdcgpij ispmlrkp{' Pl `ipc Ijibidi*Ireig~i~* Nijkalrgki* Ajlrk`i* Miwikk* K`iml* Kjjkglk~* Klwi* Ecgpsne{* Dikgc*Dkggc~lpi* Gcqi`i* Gcw Dc}knl* Glrpm @ielpi* Lejimldi* _i~mkgoplgmiqc i`lvpc` pmc SJVI' Pmc nlgpcgp~ la pmk~ ncrpkaknipc wlsj` p{vknijj{ k`cg$pka{ pmc jcoij ocgcrij virpgcr~ b{ gidc ig` i``rc~~* ig` aikjsrc pl nldvj{ wkpmpmk~ rcyskrcdcgp nlsj` rc~sjp kg pmc virpgcr~mkv~ bckgo prcipc` i~ i ocgcrij

    virpgcr~mkv' Pmc SJVI -296+ rcyskrc~ ig iggsij rcvlrp pl bc akjc` iapcr pmckgkpkij rcok~pripklg kg lr`cr pl eccv pmckr jkdkpc` virpgcr~mkv ~pips~ nsrrcgp'

    ==' Gcw [lre jkdkpc` virpgcr~mkv jiw rcyskrc~ pmip pmc virpgcr~mkvdikgpikg i nsrrcgp jk~p la pmc asjj gidc ig` ji~p eglwg dikjkgo i``rc~~ la cinm virpgcr -2661 Gcw [lre Nl`c 929$961+' Kg Pc}i~ ig` Vcgg~{jqigki* ijkdkpc` virpgcr lgj{ bcnldc~ i jkdkpc` virpgcr lgnc pmc vcr~lg~ i`dk~~klg i~i jkdkpc` virpgcr k~ rcajcnpc` kg pmc rcnlr`~ la pmc jkdkpc` virpgcr~mkv -Pc}i~Bs~kgc~~ Lroigkxipklg~ Nl`c* nm' 93>* pkpjc 0* ~cn' 93>'969 ig` Vcgg~{jqigki^pipspc~ Pkpjc 93* =329+ ig` pmc virpgcr~mkv k~ rcyskrc` pl dikgpikg i jk~p la kp~jkdkpc` virpgcr~ -Bs~kgc~~ Lroigkxipklg~ Nl`c* nm' 93>* pkpjc 0* ~cn' 93>'339 ig`Vcgg~{jqigki ^pipspc~* Pkpjc 93* =36?+'

    =;' JJN~ -wmknm alr pmc dl~p virp irc prcipc` i~ virpgcr~mkv~ alr ac`$crij kgnldc pi} vsrvl~c~+ ocgcrijj{ irc alrdc` svlg akjkgo i ncrpkaknipc la alrdipklg lr lroigkxipklg wkpm pmc ^cnrcpir{ la ^pipc kg pmc rcjcqigp ~pipc'

    ^cc Rcqk~c` Sgkalrd Jkdkpc` Jkibkjkp{ Nldvig{ Inp -2661+ -SJJNI+ 2695 @cjiwirc Jkdkpc` Jkibkjkp{ Nldvig{ Inp -@JJNI+ 9=$269' PmcSJJNI rcyskrc~ pmc akjkgo la ig iggsij rcvlrp wkpm pmc ^cnrcpir{ la ^pipc'SJJNI 26;' P{vknijj{* pmcrc k~ gl rcyskrcdcgp pl vrlqk`c `cpikj~ la lwg$cr~mkv kgalrdipklg lg alrdipklg la ig JJN' Irpknjc~ la kgnlrvlripklg lr lroigk~ipklg ds~p bc vrlqk`c` bsp pmc~c irc ocgcrijj{ glp rcyskrc` pl nlgpikglwgcr~mkv kgalrdipklg* ijpmlsom ~ldc ~pipc~ `l rcyskrc ~ldc lwgcr~mkvkgalrdipklg' Dl~p ~pipc~ ij~l rcyskrc JJN~ pl akjc vcrkl`kn rcvlrp~ bsp wkpm~ldc c}ncvpklg~ pmc~c ocgcrijj{ `l glp kgnjs`c lwgcr~mkv kgalrdipklg'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    37/111

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    38/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    >1 NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG

    ;3' I S'^' lr alrckog virpgcr~mkv pmip mi~ caacnpkqcj{ nlggcnpc` pi}$ibjc kgnldc ig` alrckog virpgcr~ k~ rcyskrc` pl vrcvirc Alrd ==63* AlrckogVirpgcr~ Kgalrdipklg ^pipcdcgp la ^cnpklg 9001 _kpmmlj`kgo Pi}* lg lr

    bcalrc pmc sc `ipc la pmc virpgcr~mkv~ ac`crij kgnldc pi} rcpsrg~' Prci~' Rco' 9'9001$>- +-9+-kkk+' Alrd ==63 kgnjs`c~ pmc gidc* i``rc~~ ig` i rcyskrc` S'^'pi}vi{cr k`cgpkaknipklg gsdbcr alr cinm alrckog virpgcr la pmc virpgcr~mkv'

    Alrckog virpgcr~mkv~

    ;1' Alrckog virpgcr~mkv~ pmip cirg kgnldc caacnpkqcj{ nlggcnpc` wkpm pmcnlg`snp la i pri`c lr bs~kgc~~ wkpmkg pmc S'^' lr ak}c`* `cpcrdkgibjc* iggsij*lr vcrkl`knij oikg~* vrlakp~ lr kgnldc irc ocgcrijj{ ~sbhcnp pl pmc ~idc rcok~$pripklg rcyskrcdcgp i~ ldc~pkn virpgcr~mkv~' Sg`cr K'R'N' ~cnpklg 196;* qkrps$ijj{ ijj jcoij vcr~lg~ ds~p lbpikg i ac`crij Cdvjl{cr K`cgpkaknipklg Gsdbcr -CKG+ arld pmc KR^' Kgalrdipklg lg pmc virpgcr~mkv ig` kp~ ocgcrij virpgcr ds~p bc vrlqk`c` lg pmc ivvjknipklg alr ig CKG -Alrd ^^$0+'

    ;?' Alrckog virpgcr~mkv~ irc ij~l ocgcrijj{ ~sbhcnp pl pmc rcyskrcdcgp plakjc ig iggsij rcpsrg lg Alrd 9613 alr ig{ {cir kg wmknm pmc virpgcr~mkv mi~orl~~ kgnldc `crkqc` arld ~lsrnc~ wkpmkg pmc Sgkpc` ^pipc~ lr orl~~ kgnldcpmip k~ caacnpkqcj{ nlggcnpc` wkpm pmc nlg`snp la i pri`c lr bs~kgc~~ wkpmkgpmc Sgkpc` ^pipc~' K'R'N' 16>9-c+' Pmk~ rcyskrcdcgp k~ kg vjinc krrc~vcnpkqcla wmcpmcr pmc virpgcr~mkv~ vrkgnkvij vjinc la bs~kgc~~ k~ lsp~k`c pmc Sgkpc`^pipc~ lr ijj kp~ dcdbcr~ irc alrckog vcr~lg~' I alrckog virpgcr~mkv rcyskrc`pl akjc i rcpsrg ds~p rcvlrp ijj la kp~ alrckog ig` S'^' ~lsrnc kgnldc' I alr$ckog virpgcr~mkv wkpm S'^' ~lsrnc kgnldc k~ glp rcyskrc` pl akjc i ac`crijiggsij rcpsrg ka kp ysijkakc~ alr i `c dkgkdk~ c}ncvpklg -ocgcrijj{* pmc virp$gcr~mkv mi` gl caacnpkqcj{ nlggcnpc` kgnldc `srkgo kp~ pi} {cir* mi` S'^'~lsrnc kgnldc la S^@ 26 666 lr jc~~ `srkgo kp~ pi} {cir* ig` jc~~ pmig 9#la ig{ virpgcr~mkv kpcd la kgnldc* oikg* jl~~* `c`snpklg lr nrc`kp k~ ijjlnipc`kg pmc ioorcoipc pl `krcnp S'^' virpgcr~* lr alrckog virpgcr~mkv~ wkpm gl S'^'

    virpgcr~ ig` gl caacnpkqcj{ nlggcnpc` kgnldc+'

    Lwgcr~mkv kgalrdipklg mcj` b{ pmc virpgcr~mkv lr virpgcr~;=' Vsr~sigp pl K'R'N' ~cnpklg 1669* cqcr{ pi}vi{cr lr akjcr la ig iggsijrcpsrg* kgnjs`kgo virpgcr~mkv~* ds~p eccv blle~ ig` rcnlr`~ ~saaknkcgp plc~pibjk~m idlsgp~ rcvlrpc` kg i rcpsrg' Pmc~c blle~ ig` rcnlr`~ kgnjs`c pmc

    blle~ ig` rcnlr`~ rcyskrc` pl ~ipk~a{ pmc rcvlrpkgo rcyskrcdcgp~ `c~nrkbc`iblqc* kgnjs`kgo lwgcr~mkv rcvlrpkgo lg Alrd~ 9613 ig` ==3= ig` ^nmc`sjc~E$9 ig`* kg pmc ni~c la lwgcr~ pmip irc glp S'^' vcr~lg~* rcvlrpkgo ig` wkpm$mlj`kgo ncrpkaknipc~ wkpm rc~vcnp pl caacnpkqcj{ nlggcnpc` pi}ibjc kgnldc ig`ijj ak}c`* `cpcrdkgibjc* iggsij* lr vcrkl`knij oikg~* vrlakp* lr kgnldc'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    39/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG >?

    ;;' Kg lr`cr pl dccp pmc qirkls~ pi} rcvlrpkgo rcyskrcdcgp~ wkpm rc~vcnppl lwgcr~mkv kgalrdipklg* i~ `c~nrkbc`* virpgcr~mkv~ ds~p mlj` pmc rcysk~kpckgalrdipklg' Kg i``kpklg* pmc SJVI ~cnpklg 999-i+ ig` @JVI ~cnpklg 9?$>63-i+->+ rcyskrc pmip pmc virpgcr~mkv miqc iqikjibjc svlg pmc rcysc~p la ig{ jkdkpc`

    virpgcr pmc asjj gidc ig` i``rc~~ la cinm virpgcr' ^kdkjirj{* pmc @JNNI kg~cnpklg 9=$>63-i+->+ rcyskrc~ pmip ig JJN miqc ig` diec iqikjibjc pl ig{dcdbcr svlg rcysc~p* i nsrrcgp jk~p la ijj dcdbcr~ ig` digiocr~ ig` pmckr i``rc~~c~' ^cc @JJNI >63-i+->+' ^cc ij~l SJJNI 096'

    966' Cyskqijcgp lr ~prlgocr rcnlr` eccvkgo rcyskrcdcgp~ irc alsg` kg pmcNijkalrgki* Ajlrk`i* Gcw [lre ig` Pc}i~ Jkdkpc` Jkibkjkp{ Nldvig{ Inp~'Alr c}idvjc* pmc Gcw [lre Jkdkpc` Jkibkjkp{ Nldvig{ Jiw -2661+ nlgpikg~~vcnkakn rcnlr` eccvkgo rcyskrcdcgp~ kg ^cnpklg 9962 wmknm vrlqk`c pmip pmcJJN ds~p eccv i nsrrcgp jk~p la pmc asjj gidc ~cp alrpm kg ijvmibcpknij lr`cr

    ig` pmc ji~p eglwg dikjkgo i``rc~~ la cinm dcdbcr plocpmcr wkpm pmc nlg$prkbspklg ig` pmc ~mirc la vrlakp~ ig` jl~~c~ la cinm dcdbcr lr kgalrdipklgarld wmknm ~snm ~mirc nig bc rci`kj{ `crkqc`' ^kdkjirj{* pmc Ajlrk`i Jkdkpc`Jkibkjkp{ Nldvig{ Inp -9;;;+ vrlqk`c~ pmip ig JJN ds~p eccv i nsrrcgp jk~pla pmc asjj gidc~ ig` ji~p eglwg bs~kgc~~* rc~k`cgnc* lr dikjkgo i``rc~~c~la ijj dcdbcr~ ig` digiocr~ ig`* sgjc~~ kp k~ nlgpikgc` kg pmc Irpknjc~ la Lroigkxipklg* pmc idlsgp la ni~m ig` i `c~nrkvpklg ig` ~pipcdcgp la pmciorcc` qijsc la ig{ lpmcr vrlvcrp{ lr ~crqknc~ nlgprkbspc` b{ cinm dcdbcr ig` wmknm cinm dcdbcr mi~ iorcc` pl nlgprkbspc -^cn' 16='0969+' Pmc nlr$rc~vlg`kgo rcyskrcdcgp kg Nijkalrgki Jkdkpc` Jkibkjkp{ Nldvig{ Inp k~ pleccv i jk~p la pmc asjj gidc ig` ji~p eglwg bs~kgc~~ lr rc~k`cgnc i``rc~~ la cinm dcdbcr ig` la cinm mlj`cr la ig cnlgldkn kgpcrc~p kg pmc JJN* ijlgowkpm pmc nlgprkbspklg ig` pmc ~mirc kg vrlakp~ ig` jl~~c~ la cinm -^cn' 9?63=+'

    969' Kgalrdipklg nlgncrgkgo pmc k`cgpkp{ la virpgcr~ kg virpgcr~mkv~ k~iqikjibjc kg ig{ ni~c wmcrc pmc virpgcr~mkv k~ ~sbhcnp pl pi} akjkgo rcyskrc$dcgp~' Pmk~ wkjj bc pmc ni~c alr ijj virpgcr~mkv~ alrdc` sg`cr S'^' jiw lr pmip nirr{ lg bs~kgc~~ lr miqc kgnldc* `c`snpklg~ lr nrc`kp~ alr S'^' ac`crijkgnldc pi} vsrvl~c~' Asrpmcrdlrc* pmk~ kgnjs`c~ JJN~ pmip irc pi}c` i~

    virpgcr~mkv~ alr ac`crij kgnldc pi} vsrvl~c~' _mcrc i JJN mi~ lgj{ lgc

    dcdbcr* mlwcqcr* kp wkjj glp bc prcipc` i~ i virpgcr~mkv ig` pi} akjkgo lbjkoi$pklg~ di{ glp ivvj{'

    ^kgojc Dcdbcr JJN~

    962' I `ldc~pkn cgpkp{ lroigkxc` i~ ig JJN wkpm i ~kgojc dcdbcr k~ glpnji~~kakc` i~ i virpgcr~mkv alr pi} vsrvl~c~ -~kgnc i virpgcr~mkv rcyskrc~ ip jci~ppwl dcdbcr~+ ig` wkjj bc `k~rcoir`c` i~ ig cgpkp{ ~cviripc arld kp~ lwgcr alr S'^' ac`crij kgnldc pi} vsrvl~c~ ka kp `lc~ glp cjcnp nlrvlripc pi} prcip$dcgp' Pmk~ dcig~ pmip* alr pi} vsrvl~c~* pmc i~~cp~ ig` jkibkjkpkc~ la pmc JJN

    irc prcipc` i~ i~~cp~ ig` jkibkjkpkc~ la pmc JJN~ lwgcr' Glp bckgo i ~cviripc

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    40/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    >= NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG

    cgpkp{ alr pi} vsrvl~c~* ~snm ig cgpkp{ `lc~ glp akjc i ~cviripc iggsij rcpsrg'Pmc lwgcr la pmc JJN k~ prcipc` i~ lwgkgo `krcnpj{ ijj pmc i~~cp~ la pmc JJN'_mcpmcr pmc lwgcr mi~ ig{ S'^' ac`crij pi} akjkgo rcyskrcdcgp~ wkjj `cvcg`lg pmc lwgcr~ ~pips~ - c'o' i~ i rc~k`cgp lr glg$rc~k`cgp+ ig` pmc gipsrc la pmckgnldc ocgcripc` b{ pmc i~~cp~ mcj` pmrlsom pmc JJN - c'o' S'^' ~lsrnc lr glg$S' ' ~lsrnc+ ig` pmc inpkqkpkc~ la pmc JJN' I S'^' nkpkxcg lr rc~k`cgp wlsj`rcvlrp pmc kgnldc kg pmc ~idc diggcr i~ kp wlsj` wkpm ig{ i~~cp pmip pmc vcr~lglwgc` `krcnpj{' I alrckog lwgcr la i `k~rcoir`c` JJN wlsj` lgj{ miqc S'^'ac`crij pi} lbjkoipklg~ i~ i rc~sjp la kp~ lwgcr~mkv la pmc JJN ka pmc JJN wcrccgoioc` kg i S'^' pri`c lr bs~kgc~~ lr ka pmc i~~cp~ wcrc lpmcrwk~c ocgcripkgoS' ' ~lsrnc kgnldc' Pmk~ wkjj lapcg bc pmc ni~c* i~ JJN~ irc wk`cj{ s~c` alr ~prsnpsrkgo kgqc~pdcgp~ kgpl pmc Sgkpc` ^pipc~ ig` alr dig{ lpmcr jcokpkdipc

    bs~kgc~~ rci~lg~' 3 _mcrc* mlwcqcr* pmc ~kgojc$dcdbcr JJN k~ glp cgoioc` kg iS'^' pri`c lr bs~kgc~~* mi~ gl ak}c`* `cpcrdkgibjc* iggsij* lr vcrkl`knij oikg~*

    vrlakp~* lr kgnldc* ig` `lc~ glp lpmcrwk~c miqc i pi} gc}s~ wkpm pmc Sgkpc`^pipc~* pmcrc k~ gl lbjkoipklg pl akjc i ac`crij kgnldc pi} rcpsrg wkpm pmc KR^'

    96>' Pmc Sgkpc` ^pipc~ rcjkc~ pl i jiroc c}pcgp lg pi} akjkgo lbjkoipklg~ plcg~src pmc iqikjibkjkp{ la lwgcr~mkv kgalrdipklg kg pmc ni~c la JJN~' _mcrci ~kgojc dcdbcr JJN mi~ gl pi} akjkgo lbjkoipklg~ rcjkignc ds~p pmcg bc

    vjinc` lg ~pipc jiw pl cg~src pmip pmk~ kgalrdipklg k~ iqikjibjc'

    960' Vsr~sigp pl ^pipc jiw~* ig JJN ds~p eglw wml kp~ dcdbcr~ irc -~cciblqc+ bsp lwgcr~mkv kgalrdipklg k~ ocgcrijj{ glp rcyskrc` pl bc vrlqk`c` pl

    pmc ^pipc~ ispmlrkpkc~* ckpmcr ip pmc pkdc pmc JJN k~ alrdc` lr ~sb~cyscgpj{' Gckpmcr k~ kp rcyskrc` pl bc ecvp kg pmc Sgkpc` ^pipc~' ^kdkjirj{* lgj{ jkdkpc`kgalrdipklg di{ bc rcyskrc` pl bc rcvlrpc` kg rc~vcnp la pmc JJN~ dig$iocdcgp' Ijj ~pipc~ rcyskrc pmip i rcok~pcrc` iocgp bc ivvlkgpc` alr ~crqkncla vrlnc~~' Pmk~ iocgp k~ glp rcyskrc` pl eglw pmc lwgcr~ la pmc nldvig{'Innlr`kgoj{* wmcrc i ~kgojc dcdbcr JJN mi~ gl pi} gc}s~ wkpm pmc Sgkpc`^pipc~ pmcrc di{ bc gl kgalrdipklg iqikjibjc kg pmc Sgkpc` ^pipc~ rcoir`kgopmc lwgcr~ la pmip JJN' 1

    963' @cjiwirc jiw rcyskrc~ pmip i nlddsgknipklg~ nlgpinp bc vrlqk`c`8

    -o+ Cqcr{ jkdkpc` jkibkjkp{ nldvig{ alrdc` sg`cr pmc jiw~ la pmc ^pipc la @cjiwirc lr ysijkakc` pl `l bs~kgc~~ kg pmc ^pipc la

    3' JJN~ irc wk`cj{ s~c` kg nrl~~ blr`cr bs~kgc~~ prig~inpklg~ bcnis~c la pmckr rcji$pkqcj{ jlw nl~p~ ig` m{brk` gipsrc'

    1' C~~cgpkij pl pmc alrdipklg la ig JJN k~ pmip ig iorccdcgp bcpwccg pmc dcdbcr~ds~p c}k~p pmip olqcrg~ pmc rcjipklg~ bcpwccg pmcd' Pmcrc k~ gl ocgcrij rcyskrc$dcgp pmip pmc iorccdcgp bc kg wrkpkgo* pmlsom p{vknijj{ pmk~ wkjj bc pmc ni~cwmcrc pmcrc k~ dlrc pmig lgc dcdbcr' Kg pmc nlgpc}p la i ~kgojc$dcdbcr JJN*ig iorccdcgp k~ ~pkjj rcyskrc`' Lvcripkgo iorccdcgp~ `l glp miqc pl bc akjc` wkpmig{ olqcrgdcgpij ispmlrkp{'

  • 8/6/2019 Peer Review Report Combined: Phase 1 + Phase 2 United States

    41/111

    VCCR RCQKC_ RCVLRP NLDBKGC@ VMI^C 9 IG@ VMI^C 2 RCVLRP SGKPC@ ^PIPC^ LCN@ 2699

    NLDVJKIGNC _KPM PMC ^PIG@IR@^8 IQIKJIBKJKP[ LA KGALRDIPKLG >;

    @cjiwirc ~mijj vrlqk`c pl kp~ rcok~pcrc` iocgp ig` sv`ipc arldpkdc pl pkdc i~ gcnc~~ir{ pmc gidc* bs~kgc~~ i``rc~~ ig` bs~k$gc~~ pcjcvmlgc gsdbcr la i gipsrij vcr~lg wml k~ i dcdbcr*digiocr* laakncr* cdvjl{cc lr `c~kogipc` iocgp la pmc jkdkpc` jkibkjkp{ nldvig{* wml k~ pmcg ispmlrkxc` pl rcnckqc nlddsgkni$pklg~ arld pmc rcok~pcrc` iocgp' ^snm vcr~lg ~mijj bc `ccdc` pmcnlddsgknipklg~ nlgpinp alr pmc jkdkpc` jkibkjkp{ nldvig{' Cqcr{rcok~pcrc` iocgp ~mijj rcpikg -kg vivcr lr cjcnprlgkn alrd+ pmciblqc kgalrdipklg nlgncrgkgo pmc nsrrcgp nlddsgknipklg~ nlg$pinp alr cinm jkdkpc` jkibkjkp{ nldvig{ ig` cinm alrckog jkdkpc` jkibkjkp{ nldvig{ alr wmknm pmip rcok~pcrc` iocgp ~crqc~ i~ rco$k~pcrc` iocgp' Ka pmc jkdkpc` jkibkjkp{ nldvig{ aikj~ pl vrlqk`c pmcrcok~pcrc` iocgp wkpm i nsrrcgp nlddsgknipklg~ nlgpinp* pmc rco$k~pcrc` iocgp di{ rc~kog i~ pmc rcok~pcrc` iocgp alr ~snm jkdkpc` jkibkjkp{ nldvig{ vsr~sigp pl pmk~ ~cnpklg' -@JJNI 9=$960-o++

    961' _mkjc pmc nlddsgknipklg~ nlgpinp vrlqk`c~ pmc k`cgpkp{ la i gips$rij vcr~lg* pmk~ vcr~lg k~ dcrcj{ ispmlrk~c` pl rcnckqc nlddsgknipklg~ lg

    bcmija la pmc JJN arld pmc rcok~pcrc` iocgp* ig` pmcrc k~ gl gcnc~~kp{ alr pmip vcr~lg pl miqc lwgcr~mkv kgalrdipklg rcoir`kgo pmc JJN' _mcrc pmip

    vcr~lg k~ lsp~k`c pmc pcrrkplrkij hsrk~`knpklg la pmc Sgkpc` ^pipc~* pmcrc k~ glosirigpcc pmip pmc{ wlsj` rcnckqc lr rc~vlg` pl ig{ nlddsgknipklg arld pmcKR^' Dlrclqcr* pmc lgj{ nlg~cyscgnc alr aikjsrc pl vrlqk`c pmc k`cgpkp{ la pmcnlddsgknipklg~ nlgpinp pl pmc rcok~pcrc` iocgp k~ pmip pmc rcok~pcrc` iocgpdi{ rc~kog lg pmip bi~k~'96?' Pmc AIPA miqc ripc` pmc Sgkpc` ^pipc~ glg$nldvjkigp kg rcjipklg plkp~ Rcnlddcg`ipklg >> -Jcoij Vcr~lg~ Bcgcaknkij Lwgcr~mkv+' Vccr hsrk~$`knpklg~ miqc ij~l k`cgpkakc` k~~sc~ rcjipkgo pl lbpikgkgo lwgcr~mkv kgalrdi$pklg rcoir`kgo @cjiwirc cgpkpkc~ lr JJN~ kg ocgcrij' ^ldc rik~c` nlgncrg~iblsp pmc jcoij aridcwlre alr cg~srkgo pmc iqikjibkjkp{ la pmk~ kgalrdipklg*ig` kg lpmcr ni~c~ vccr~ nkpc` c}idvjc~ wmcrc rcysc~p~ alr kgalrdipklg wcrcsgig~wcrc`' Pmc KR^ nig* ig` `lc~* s~c kp~ kgalrdipklg$oipmcrkgo vlwcr~pl kgyskrc kgpl lwgcr~mkv kgalrdipklg kg pmc~c ni~c~* bsp pmc caacnpkqcgc~~ la

    pmc~c vlwcr~ wkjj bc jkdkpc` wmcrc pmc kgalrdipklg k~ glp mcj` b{ ig{ vcr~lgwkpmkg pmc Sgkpc` ^pipc~ pcrrkplrkij hsrk~`knpklg'

    96=' Kp ~mlsj` ij~l bc glpc` pmip kg vri